NCG140351 DMR WW (4)

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report RFCEI �
GENERAL PERMIT NO. NCG140000 dui �, 2 291
CENTRAL FILES
DWR SECTION
CERTIFICATE OF COVERAGE� NO. NC9: �zi. ,. qa SAMPLE COLLECTION YEAR: o�®lr!e
FACILITY NAME: Ac,�p, 0001Vdt. es(17eig i+ndk-pGird— /t�'�' SAMPLE QUARTER: I IJul-Set Oct-Dec
PERSON COLLECTING SAIVIPLES: D. ye,/S Y IJul-Sept FlI Uan-March vxlpril-June
COUNTY: �.gm �5
CERTIFIED LABORATORY: ,,,_ = IR ,/ Lab# 44,0PHONE NO. (764� �"S`'3 ®�9D
,6iyeo 46+5 Lab## ADD TO LISTSERVE? _^YES Se—NO EMAIL:
LIIViII'VIOLATIONS? YES n NO gDISCHARGING TO CLASS: I ISA [IHQW f PNA I 'Trout I (Other
art A. Wastewater IVionitoring Requirements OPTIONAL INFO:
Date Sample TPH using
Outfall No. 1 Type of Wastewater Total Suspended Settleable g
Collected pH
I Discharge
(VE, RIVI, IVID Solids method 1664A Total Flow
nrm dd ) standard Solids
( / /yr) (standard)
e Duration
SGT-HEM
(mg/L) (mL/L) (mg/L) (minutes) (gallons/day)7
5-93'4 303.5 53 e
IgQ-l I . Ve/mirk t mp 2.5 A //(15) - -
A; ir712
D1,6" 7(3 644,gvitic— s ' / hill
_vets— L LE ,4/2 77{sS' Q U_
If vvastewater systems have not discharged in this quarter—report"No Flow" or"No Discharge" here Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here:Vehicle and Equipment Cleaning(VE), Raw Material Stockpiles RM
Cleanout(MD) Report more than one type ii the waste-stream is commingled. p ( ), 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 DWQ
you to continue monitoring. RO staff
pH limits are 6-9 S.0 fur wastewater discharges to freshwaters, and 6.8-8.5 S U.for discharges to saltwaters
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 classific
permit Date:7/1/2010-06/30/2015 attons.
Last Revised 07/13/11

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 wastewa
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. ter,
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 asper 15A
NCAC 02B.0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow tor 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. DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(9i9) 807-6379
YOU MUST SIGN 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 designed
o
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,accurate,and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for Icnowin
violations."
g
(Signature of Pei mittee)
(Date)
Permit Date.7/1/M10-06/30/2015
Last Revised 07/13/11
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