NCG140033 DMR WW (5)

PROCESS STEWA rE — Quarterly Discharge Monitoring ReportREeEivED -
GENERAL PERMIT NO._NCG140000 JUL 2 2016
CENTRAL FILES
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CERTIFICATE OF C(3'VERAGE NO. I@S ' y ' _ }
_ SAMPLE COLLECTION YEAR:!(v
FACILITY NAME:" e It 4. await SAMPLE QUARTER: Jul-Set
PERSON COLLECTING SAMPLES: 8 � C G 3" I p FlOct-Dec nJan-March ✓April June
CERTIFIED LABORAiIfORY:get_ i,o Li PHONE NO. (�®c�) ® � -�
C Lab I/ ADD TO LISTSERVE? YES ✓'NO EMAIL:
LIMIT VIOLATIONS? YES n NO V.
DISCHARGING TO CLASS: LISA —HQW f]PNA (Trout (Other
Part A:Wastewater MVlonitoring Requirements OPTIONAL INFO:
uspended Settleable TPI-1 using
Date Sample Total S
Outfall No. Collected' 1664A Discharge
Type of Wastewater pH meth
ed
(VE, RM, NID)4 (standard) Solids Solids 6 (gallons/da
Duration Total Flow
(mg/L) (mL/L) SGT-HEM (minutes) y)'
3 a 303'5 (mg/GL)
1 If wastewater systems have not discharged in this quarter—report"No Flow" or"No Discharge" here Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here.Vehicle and Equipment Cleaning(VE), Raw Material Stock iles
p
Cleanout(MD). Report more than one type it the waste-strearn is commingled. p (RM), Mixing Drum
'If an effluent limit is exceeded twice in a row,the perrnittee is required to institute monthly monitoring for that parameter for six months, unless
notifies you to continue monitoring. DWQ RO staff
}pH limits are 6-9 S.U.tor wastewater discharges to freshwaters, and 6.8-8.5 S.U.for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water cla
Permit Date 7/"1/2010-06/30/2.0"15 ssifications.
Last Revicprl n7/1 R/11

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas.TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70,10 flow for the receiving waters at the discharge location,the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case-by-case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL"NO FLOW" "NO DISCHARGE" WITHIN 30'DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF"NO FLOW") TO:
Division of Water Quality
Attn: DVVQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnelro erl
P P y gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,or
those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
'
\
(Signature of Permittee)
(Date)
Permit Date• 7/1/2010-06/30/2015
Last Revised 07/13/11
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