NCG140283 DMR WW (5)

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE NO. MLI s - SAMPLE COLLECTION YEAR: eZ/(o
FACILITY NAME: i C��A e✓ e. g r SAMPLE QUARTER:
PERSON COLLECTING SAIVIP t� a►?� Jul Sept Oct-Dec
ES: ) lien-March I sApril-June
e../....0 COCOUNTY: Cit:Idvs
CERTIFIED LABORATORY: .� tyatta Lab## t-}® PHONE NO. I�p�) X33 0'5 �fl
0Aleo LA.& Lab lie ADD TO LISTSERVE? —YES &NO EMAIL:
LIMIT VIOLATIONS? YES H NO - DISCHARGING TO CLASS: USA HQW
nPNA I Trout I Other
Part A:Wastewater IVionitoring Requirements OPTIONAL INFO:
Dale Sample Total Suspended Settleable TPH using
Oudall No. Collected' Type of Wastewater pH Discharge
Solids method 1664A Total Flow
(VE RIVI, MD) Solids 7
(nom/cid/yr) (standard) SGT-HEM6 Duration
(mg/L) (mL/L) (mg/L) (minutes) (gallons/day)
34 35
J. ® AID /17'0 017 30.2
JULig•PeOtii\ii-e r)
2 2 ZU116
DV,R . c— l
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 Stockpiles RM Mixing
Cleanout(MD). Report inure than one type if the waste-stream is commingled. p ( ), Drum
3I an effluent limit is exceeded twice in a row,the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.0 for wastewater discharges to treshwaters, and 6,8-8.5 S.U.for discharges to saltwaters.
s 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 classifications.
Permit Date 7/1/2010-06/30/2015
Last Revised 07/1 3/11

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 wastewate
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. r'
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50%of the Summer 70.10 Flow asper 15A
NCAC 0-7B.0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 70.10 flow and report this information to DWQ. If the permittee cannot
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 (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
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORIVIATION REPORTED:
cert Iy, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
assure that qualified personnel properly y g ed to
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 t..t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowin
violations."
g
No. I(
(Signature of Permittee) Lea
(Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
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