NCG140364 DMR WW (5)

PROCESS W STE TER W Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NODI .. ' '
SAMPLE COLLECTION YEAR: eZ0l6
FACILITY NAME: et. E, ®
1 rte. L' me, SAMPLE QUARTER: I 1.1u1-Sept fOct-Dec flan-March April-June
PERSON COLLECTING SAIVIPL-S: `j. ,y 4 ,,i.
CERTIFIED e. COUNTY: ttokf�
: R.G� ;,� � / Lab#f 0 PHONE NO. (as) 333 ® 3 9a
LABORATORY
Lab# ADD TO LISTSERVE? —YES '1 o EMAIL:
LIMIT VIOLATIONS? YES 1 I NO
DISCHARGING TO CLASS: SA HQW f]PNA UTrout (Other
art A. Wastewater IVIonitoring Requirements OPTIONAL INFO:
Date Sample TPH using
Our.Tail No. Collected
Type of Wastewater pH Total Suspended Settleable Discharge
(V( RIVI NIU Solids Solids method 1664A Total Flow
(mm/dd/yr) ) (standard) s Duration
---- (irg/L) (mL/L) SGT-HEM (minutes) (gallons/day)
7
_ (mg/L)
3,4
�2t+)–j��_ e/ice diaa. oa�r� $6P 5� (1S)6 -
,L. �l D NO � ,� X30 VIZ—
________________________________
1f.' VL)
j-u_ 2 2 2(116
_ Cr=NTRAL FILES
SWR SIbe I ION
f vvustevvater systems have not discharged in this quarter –report"No Flow" or"No Discharge" here. Please make sure to mark the sample quarter above.
deport the abbreviation for the type of Authorized Wastewater Discharges here.Vehicle and Equipment Cleaning(VE), Raw Material Stockpiles (RM),
aecinout(LVID). Report more than one type if the waste-stream is commingled. q
f an effluent limit is exceeded twice in a row,the permittee is required to institute monthly monitoring for that parameter for p s Mixing Drum
ratifies you to continue monitoring. six months, unless DWQ RO staff
JH limits are 6-9 S,U.for wastewater discharges to freshwaters, and 6.8-8.5 S.U.for discharges to saltwaters.
fSS 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 classifications.
rmit Date: 7/1/2010-06/30/2015
I aet Ravicari n7/1 /14

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas.TPH does not have ai
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. I mit for wastewater,
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50%of the Summer 7Q10 Flowas per 15A
NCAC 02B.0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 7010 flow and report this information to DWQ. If the permittee cannot
Q
obtain a Summer 7010 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
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO: (OR
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGIV THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
assure that qualified personnelproperly 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,
urate
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment
violations."
accurate,and
for knowing
1%0,
(Signature of Permittee) •j�'`' �--/�J /(p
(Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/n
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