NCG140283 - DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE NO. N G' L�:� ;;� '�y SAMPLE COLLECTION YEAR: e 4'
/
FACILITY NAME: n � — _
� S ��'�� a� tar��ika.��i � � SAMPLE QU RTER: Jul-Sept -Oct-Dec Jan-March (April-June
PERSON COLLECTING SAMPLES: , M, SMS COUNTY: '48' vs
�
CERTIFIED LABORATORY: .g_ ,Q„.1,� 'bead Lab# / PHONE NO. (70S1 ) 333- 6590
'�Y Lab it 9,0 ADD TO LISTSERVE?
LIMIT VIOLATIONS? YES — NO X nVES ENO EMAIL:
DISCHARGING TO CLASS: SA HQW fPNA Trout nOther
•
Part A:Wastewater IVlonitoring Requirements OPTIONAL INFO:
Date Sample TN-I usin
Outfall No. Collected Type of Wastewater pH Total Suspended Settleable 9 Discharge
z Solids method 1664A Total Flow
{rrim/dd/yr) (VE, RM, MD) (standard)
SGT
Solids
(mg/L) -HEM6 Duration
•
(mL/L) (minutes) (gallons/day)7
6-93.4 3035 53 ((115)5)3)
- -
►AP,C-/� , , tel, e. 5 /Up AID AtI) .3 5D 5-5 3 5Z-
P
r n irr r
DEC 2 L.9,..!:.
[11/i/ `ECT:CN
z 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 more 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.
4 pH limits are 6-9 S.U.for 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 classificatio s.
Permit Date:7/1/2010-06/30/2015 n
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 fo
but instead Is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. r 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 Flow as
per 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 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: DWQ Central Files _
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
•
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 to
assure that qualified personnel properly g
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 knowin
• ions."
Ng
(Signature of rermi/ee) _, „
(Date) Z Sr-( o
Permit Date: 7/1/2010-06/30/2015
i Last Revised 07/13/11
Page 2 of 2

Pace Analytical Services,LLC
aceAnalytical® 9800 KinceyAve Suite 100
Huntersville,NC 28078
www.pacelabs corn [phone]
ANALYTICAL RESULTS
Project CONCORD S16
Pace Project No 92322370
Sample: S16-1,2,3 Lab ID: 92322370001 Collected 12/06/16 11 20 Received. 12/07/16 11.30 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method EPA 1664B
Oil and Grease ND mg/L 5 0 1 12/20/16 07 30
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids ND mg/L 3 0 1 12/12/16 16 44
2540F Total Settleable Solids Analytical Method SM 2540F
Total Settleable Solids ND mUL/hr 0 10 1 12/08/16 01'30
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date.12/20/2016 04 58 PM without the written consent of Pace Analytical Services,LLC Page 4 of 12