NCG140351 DMR WW (5)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report RECEIVE D =
GENERAL PERMIT NO. NCG140000 DEC 9 316
CEhl1 I"•tAL FILES
CERTIFICATE OF C RAGE 0, NCCa1� ,�'� SAMPLE COLLECTIONOWR SECTION
L / � // YEAR: .o-?g7/-?g7/(t/q ,¢5 e e_
FACILITY NAME: ®� o ���v ,q dD SAMPLE QUARTER: nJul-Sept X Oct-Dec Ilan-March (April-June
PERSON COLLECTING SAMP 5: -D, ,W(,y�s COUNTY: 6,4�Pe5
CERTIFIED LABORATORY: AK�1y94- Lab# 42, PHONE NO. (spy°) 3S S - b3�®
4 i¢ Lab# c4® ADD TO LISTSERVE? YES
LIMIT VIOLATIONS? YES NO ® n ®NO EMAIL:
DISCHARGING TO CLASS: fSA HQW PNA (Trout nOther
Part A:Wastewater IVIonitoring Requirements OPTIONAL INFO:
al Suspended Settleable TPH using
Date Sample Tot
Outfall No. Collected'
method 1664A Discharge
Type of Wastewater pH meth
(rrim/dd/yr) (VE, RM, MD)2 (standard) Solids Solids 6 Duration Total Flow
(mg/L) (mL/L) SGT-HEM (minutes) (gallons/day)7
- - - )
6-93'4 303.5 53 (mg(15))6
- -
I /A-e-/� VC',Mac,Kr, 8 . 7., yv9
-717.• ECcatotCa.a4tle— C --r,C.1-) `-I bes,S. / 77/S "440 7L
Alifg - ,�a /cam o .0 I,A-re:fe-1/
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 more than one type if the waste-stream is commingled. p Drum
31f 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 R 0 staff
notifies you to continue monitoring.
pH limits are 6-9 S.U,for wastewater discharges to freshwaters, and 6.8-8.5 S.U.for discharges to saltwaters.
5TSS 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 classifica io "
Permit Date:7/1/2010-06/30/2015 t ns.
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 wastew
but instead is subject to benchmarks and provisions of Part IV,Section A, including the Tiered Response Action. ater,
'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 HQW waters shall obtain a Summer•7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 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 knowing
Io .tions,"
(signature of Permittee) /Z'
(Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

Pace Analytical Services,LLC
® 9800 Kincey Ave Suite e100
Huntersville,NC 28078078
YAW pacelabs com [phone]
ANALYTICAL RESULTS
Project Harrisburg 522
Pace Project No. 92322353
Sample: 522-1-3 Lab ID: 92322353001 Collected 12/06/16 10.12 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 0728
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids ND mg/L 3 0 1 12/12/16 16.43
2540F Total Settleable Solids Analytical Method.SM 2540F
Total Settleable Solids ND mUUhr 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