NCG140170 DMR WW (5)

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• . PROCESS WASTEWATER — Quarterly Discharge.Monitoring Report.
• GENERAL PERMIT NO. NCG1.40000 ! '. -
CERTIFICATE OF COV RAGE'• iNq: -G 4. + SAMPLE COLLEC1 ION YEAR: oZO(� • I x ;
• FACILITY NAME: 4 N� 1- ceL•�-it. ep. SAMPLE QUARTER: nlul-Sept ❑Oct-Dec ]Jan-Mbr¢h ErApr1I-June
PERSON'COLLECTING SAMPLES: � •�� Rev-0,410A e..7 • COUNTY: Foo' T'I
_ , *9NEPO._(c3 42-):C..t; ,;,''7•��
CERTIFIED'LABORATORY: iA -P. Lab-# :3_ , ... , t_=,; _. _
- • ` _ 'L'.e6. ;ADD_TOSLiSTSERVE?-DYES,:QNO,_EMAIL:. :I:"
LiMIT VIOLATIONS?:•YES' ]'NCI: • " ' . ' - ' - -DISCHARGING CLASS:'[]SA•"1DHQ1AV-DRNA,DTrout•f Other •
_ 'OPTIONAL'INFO:-- ,,. - „ . , sw ;rt,,:, - -
Part A:Wastewater MonitoringRequirements • • , s- `
Date Sample.. TPH using 9 •+f' •
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3 - Type of Wastewater pH Total Suspended Settleable Dischargg
method 1664+4 s:, • 'Total Flow
Outfall No. . Collected z Solids- Solids'• Durafon. •
(mm/dd/yrs •
. (VE,RM,MD) (standard) (mg/L) (mL/L) •SGT t1EN16` (mina4!,; (gallons/day)
(m8/L) ..
- - 5-93'4 som 59 (15)6 ti -
AS'^1' AO/lr $,11 i'(• . <o,1 ,N/4 '- 'c: b AL+ o9
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'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 dere:Vehicle and Equipment Leaning(VE),Raw Material Stock'lies(Ri) Mixing Drum :
Cleanout(MD).Report more than one type if the waste-stream is commingled. . ''•i.;
a If an effluent limit is exceeded twice in a row,the permittee is required to institute monthly monitoring forthat parameter for six months, niess DV1WQ RO staff
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notifies you to.continue monitoring. . c.`1•=
.4 pH limits are 6:9 S:U:for`wastewater discharges to freshwaters,and 6.8-8.5 5.1.1.for discharges to saltwaters. . ,' ,1
5 TSS limits are20.mg/L-for wastewater=discharges'to HQW�w aters,10'mg/L-'for•Troutand-PNA waters,•and 30jmg/L•for all.otherwater classi'ications.r:; :
Permit Date:7/1/2010-06/30/2015 - - -' - _..• • ' -``f,"-.---'s; •--;‘"'''' ' ' ' ' • . ':'last Revised 07/13/11
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6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas.TPH does not haves Ilmit for wastewater,
but instead is subject to benchmarks and provisions of Part IV,Section A,including the Tiered Response Action. i•;``
.Flow rate can be.measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 70.10,Flow as per=15A
NCAC 026.0224.Permittees who discharge wastewater to'HQWwaters shall obtain a Summer 7Q10 flow and report this information to DWQ If the pen-nittee•cannot•
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_ obtain a Summer 7Q10 flow'for"the receivirig7waters'at•th'e lischarge�location,the permittee shall,notifyd)WQ,and,the:DW,Q-Regional;Office may-reiluire an annual flow
. report on a case-by-case-basis. • . = - ;,;!•.,.• '' . • _ V.,,_
.MAIL ORIGINAL•°AND,ONE'COPY4OF THiSANNUAIAUMMARY(INCLUDING ALL"NO•FLOW!,"NO DISCHARGE)-WITHIN30 DAYS OF RECEIPT OF SAMPLE(OR •
ATyEND.pF:MONITORfNG PERIOD INCASE QF="NO>FLOWz�)TD:• :_., . d
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-Division of-Water Quality ' - , ,_,__ . , .._. - - .., ",-
Attn:DWQ Central Files -,
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.1617 Mail Service Center r ,'- -.••--•- •-, ' - - _-.-- . -- '
Raleigh,North Carolina 27699-1617 ' • „ ' -- .- . ;. , .._ •- - 4 .
• -[phone] - • - ' - --- ,. , ., . •. ,. _ .... .. t" �w
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•YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. •
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';I certify,;under•penaliy,of law„that;this document and all attachments were prepared;under my direction or supervision in accordance with a sysfREn designed to
assure that qualified personnehproperly gather,-and evaluate the information-submitted'N Based'on-my inquiry of thetperson=or persons.who manage the;systerri,or
those persons directly responfor sibleor gathering the`information,the information submittedj5rto.the.,best,of mywe a
knowledgndrbelief,-true,�;accurale,and •- .- .
complete:,,l•amf aware'that there are significant penalties'for submitting'false information,including thepossibility of fines•and:imprisonment for knowing
...is.,
(Signatur of Permittee).•' • ' - - • :(Date); -''- '�
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' Permit Date:7/1/2010-06/30/2015 'Last Revised 07/13/11
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