HomeMy WebLinkAboutNCG140182_MONITORING INFO_20190130STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
11C9 D I 1 U 1 3b
YYYYMMDD
Mid Atlantic
Engineering & Environmental Solutions
January 22, 2019
NC Department of Environmental Quality , o a 0 W9
Division of Water Resources FILES
WRCENTRAL
Attn: DWR Central Files I)SECTION
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: ANNUAL SUMMARY DISCHARGE MONITORING REPORT
NOTIFICATION OF NON -SAMPLING
CONCRETE SERVICE COMPANY PLANT NO. 15
1100 COTTAGEVILLE DRIVE
SPRING LAKE, CUMBERLAND COUNTY, NORTH CAROLINA
NPDES PERMIT NO. NCG140182
MID -ATLANTIC JOB NO. 000R1944.10
To Whom It May Concern:
409 Rogers View Court
Raleigh. NC 27610
office 919.1%9918
facsimile 919.250.9950
MAAONLINE.COM
On behalf of Concrete Service Company, Inc., this letter serves as notification that a stormwater
sample was not collected during the previous calendar year (2018). During this timeframe, it is
our understanding that a stormwater discharge did not occur from the designated site outfall
during a measurable storm event at a time when a stormwater sample could be safely collected
(i.e. during business hours when the facility was occupied, and preceded by 72 hours with no
measurable storm event). Stormwater flow will continue to be monitored during the upcoming
monitoring periods (January -June and July -December 2019) and, in the event of a discharge,
stormwater samples will be collected per the permit requirements. If you have any questions or
need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Principal Geologist
Attachment: Annual Summary Discharge Monitoring Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE
ANNUAL SUMMARY DISCHARGE MONITORING REPORT
(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No FlowT No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 9_of each year.
Certificate of Coverage No. NCG14
Facility Name:
Concrete
Service Company Plant #15
County:
Phone Number: (�
SDOs monitored 1
Certified Laboratory
Cumberland
910237-1791
Lab #
Lab #
Pace Analytical Services, Inc. 12
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes 1 ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No al
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontird?
Yes, enough consecutive samples below benchmarks to decrease frequency 1
Yes, received approval from DEMLR to reduce monitoring frequency
Other
Total no. of I
Non -polar O&G
Total
pH,
(SPA Method
New Motor Oil
Total Rainfall,
Suspended
SU
1664 (SGT-HEM)),
Usage (gallmo.)
Outfall No.
inches
Solids (TS5),
mgll (VMA)
m gll
Nopplicable
N applicable
Stormwater
Circle Benchmark
Benchmarks
indicate NO FLOW N
100150
6.0-9.0
>55 gallmo. average requires TSS and
OSG
appikable
is
Non -polar monitoring
Date Sample
Collected,
mo/ddlyr
06/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
12/31/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gaVmo average)
Permit Date 81112017 - 6130/2022
Last Revised 8-22-2015
Certificate of Coverage No. NCG14 0 1 8 2
CERTIFICATION
"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 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 knowledg ,and belief, true, accurst and complete. I am aware that there are significant penalties for
submitting f#e,information, including possibility of fines and imprisonment for knowing violations."
[Required by f%VFR J12?.
Signature
Date j 6-4 k
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center Raleigh,
NC 27699-1617
Central Files Telephone (919) 807-6300
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)
707-9220
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NC6240000
CERTIFICATE OF COVERAGE NO. NCG14 O I
FACILITY NAME: jg,MIC�s! / A 4CS
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec []Jan -March ❑April -June
COUNTY:. c1:U_Z j c Aj_A
PHONE NO. 19t� 1V g C. - 2!
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑trout ❑Other
OPTIONAL INFO:
Outfali No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD),
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mt/L)
TPH using
method 1S64A
SGT HEM'
(ms/Ll
Discharge
Duration
(minutes)
Total Flaw
(gallons/day)
-
-
6-93.4
303'S
S'
(15),
_
-
-
l"
Q
f
I 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.
Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f 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 RQ 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 saitwaters.
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 otherwater classifications.
Permit Date: 7/1/2030-06/30/2015
Date of last pH meter calibration:
Last Revised 07/13/11
Page 1 of 2
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 wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' 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 as per 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 THI§ANNUAL 5UMMARY (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
(919) 807-6379
YOU MUST SIGN THIS CERTIFIC9TION FOR ANY INEDRMATION REPORTED:
N 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 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
violations."
(Signature of Permittee) (Date)
permit Bate: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCGI40000
CERTIFICATE OF COVERAGE NO, NCG14 o 1 9' a
FACILITY NAME: &Mrr- - &UW 5 NC
PERSON COLLECTING SAMPLES: Aay— /V,,m2we!c-'equi
CERTIFIED LABORATORY: N A Lab #
Lab #
LIMIT VIOLATIONS? YES C) NO ❑
Part A: Wastewater Monitorfng Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: E&I-Sept ❑Ott -Dec []Jan -March []April -June
COUNTY: _ -2tj l*3eRLA,!V D
PHONE NO. !4 5136 -- 11 1719'
ADD TO USfSERVE? []YES [-]NO EMAIL- A(R
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA rout []Other
OPTIONAL INFO: 1_
i
IIIIIIIII ITT 7-1
r
Type of r -
1
.
r-
, rr
r-
l
•
-�
r
—��
_
iSIMI
�
�
a
" 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.
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Muting arum
Cleanout (MD), Report more than one type if the waste -stream is commingled.
If 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,U. for wastewater discharges to freshwaters, and G.".5 S.U. for discharges to saitwaters.
s T55 limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L far Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/t/2010-06/30/2015
Date of last pH meter calibration:
Last Revised 07/13/11
Page 1 of 2
!AProcess wastewater discharges shall only be monitored farTPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part N, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters small be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. 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.
IL ORIGIN&LAND ONECOPY QFTHLS-ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE") WTHIN ja DAYS OF RECEIPT OF SAMPLE R
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
(919) 807-6379
= MUST SIGNINFORMATION
"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 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 1:6 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
violations."
41-30-Zot7
(Signature of Permittee) (mate)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2of2
t
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NC6140000
CERTIFICATE OF COVERAGE NO. NCG14 o 1 9 2-
FACILITY NAME: Aft 9= -- 9G Sa j Iey& ,4A,0
PERSON COLLECTING SAMPLES: 11j=M/ J Ib{eA scrr A%=&
CERTIFIED LABORATORY: A) A _ Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec [Jan -March April -June
COUNTY:. U M 6CALAA12?
PHONE NO. ( J?!d YNC -21 ` 9=
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑MQW []PNA DTrout QOther
OPTIONAL INFO: —
Outfail No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5GT-HEAD
(mg/Lj
Dkcl►arge
Duration
(minutes)
Total Flaw
(gallons/day)'
-
-
-
6-93-4
30a's
5s
(1.5)6
I
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.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If 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.
n pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
TS5 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-M/30/2015 Last Revised 07/13/11
Page 1 of 2
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 wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 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 as per 15A
NCAC 028 .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 QNE COPY QF 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
(919)807-6379
YOU MUST SJ6M THU CEii77FIC47ION FOR ANY INFORMA17ON 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 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
violations."
(Signature of Permittee) (Date)
Permit Date: 7/l/201"6/30/2015 Last Revised 07/13/11
Page 2of2
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 0 t
FACILITY NAME: a L & _ Jqi 1C2ZZ5 _ *
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:- Lab #
Lab #
LIMIT VIOtAT1ONS? YES ❑ NO ❑
Part A: Wastewater Mcnitorling Requirements
SAMPLE COLLECTION YEAR: i
SAMPLE QUARTER: OJul-Sept ❑Oct -Dec an -March QApril-June
COUNTY: LI UI�'[ 13Gftl.�itt/ b
PHONE NO. 9[ Id i Y3G - Z 1 7e
ADD TO USTSERVE? QYES ❑NO EMAIL: of g,,
DISCHARGING TO CLASS: ❑SA ❑HQW QPNA Otrout QOther
OPTIONAL INFO:
Outfall No.
Date Sample
Coll
Type of Wastewater
(VE, RM, MO)'
PH
(standard)
Total Suspended
Total
Solids (mg/L)
Settleable
TPH using
1664A
SST HOW
(ms/U
U�tharge
(minutes) Duration
Total Flaw
(�m/dayf
.
-
-
6-91.4
3045
53
.(15)si
_
APR 18 201
T
iV I I
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 forthe type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
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 RO staff
notifies you to continue monitoring.
phi limits are 6-9 S.U. for wastewater discharges to freshwaters, and 5.".5 S.U. for discharges to saltwaters.
a TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 rng/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
Date of last pH meter calibration:
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 wastewater,
,but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 71110 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 (INCWDiNG ALL "NO FLOW, "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT QF SAMPLE MR
AT END OF MONITORINGPERIOD IN CASE OF" T:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) 807-6379
YOU MUST SM THIS CEIMRC4770N FORAM' INFORMA770N REPORTED;
"I certify, under penalty of Jaw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel property gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or
those persons directly responslble 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 signifkant penalties for submitting false information, Induding the possibility of fines and Imprisonment for knowing
violations."
3- 3t - Zbl -7
(Signature of Permittee) (Date(
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERA! PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 0 1 rr Z
FACILITY NAME: 13MIZe a S G L
PERSON COLLECTING SAMPLES:..16ay.//t/
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES 0 NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: .Z01/o i
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: u
PHONE NO. i q/C 1 3 " Z
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: [7]SA❑HQW ❑PNA ❑Trout []Other
OPTIONAL iNFO:
butfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MDj
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH us{np
MEhmethod 1664A
S mg/L)
OisCharge
Duration
(minutes)
Total Flow 7
18��+s/�Y)
-
-
-
6-93"
30 s
53
(15)6
�r
CENTRAt
c
RSA
ri
Ll
I
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.
z Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout [MD). Report more than one type if the waste -stream is commingled.
' If 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.U. for wastewater discharges to freshwaters, 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 07/13/11
Page 1 of 2
a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
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 as per 15A
NCAC 028.0224. 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 permlttee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAAL QRIGINAL
AND ONE
COPYF
TH
NN
AL
SUMMARY (INCLUDING A -NO FLOW-. "NO DISCHARGE" WIT F RECEIPT OF SAMPLE O
AT END
OF M0!J1J0BJf4G
PKRIOD
IN g&E
OF
-NQ
FLOW-) TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) i307-6379
YOU 5 GN THIS CERIVICATWIV FOR ANY INFORD:
"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 qual♦fied personnel properiy 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 Ir urination 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
violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 4 ,L f 2.
FACILITY NAME: R 14 L` d 5 P9t ws b L,4 0rat
PERSON COLLECTING SAMPLES: &li rrta&4ASrs Ar_lL
CERTIFIED LABORATORY: AS 4 Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20%f
SAMPLE QUARTER: XJul-Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY:
PHONE NO. 12VJ y3G - Z/ 9fn:
ADD TO LISTSERVE? []YES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other_
OPTIONAL INFO:
Outf-ail No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
method 1664A
5GT-14 WIC
(►++gIL)
Discharge
Duration
(minutes)
Total Flaw >
(gallons/day}
-
-
6.93A
303,5
I
1 If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarterabove.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (11M), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If 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.U. for 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 classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
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 as per 15A
NCAC 028 .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_QF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITBIN 30 DAYS OF RECEIPT OF SAMPLE 10111
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
(919) 807-6379
YOU MVZ SIGNTH CER77FIC417ON FOR ANY JNFURM TION 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 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
violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER — Quarterly Discharge Moniv
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 v 1 F --t
FACILITY NAME: _Am C C S P�1 dL�
PERSON COLLECTING SAMPLES: K
CERTIFIED LABORATORY: !V A Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorhw Requirements
SAMPLE COLLECTION YEAR: ZQI fs_ ..
SAMPLE QUARTER: OJul-Sept ❑Oct -Dec ❑Jan -March April -June
COUNTY: U N1 B R L 1)
PHONE NO. ( !o) Y.3& -Z l f� �r
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW QPNA OTrout []Other
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)*
pH
(standard)
Total Suspended
Solids
(rng/L)
Settleable
Solids
(MLA)
�H us►»g
method1664A
SOT NEN�
(mg/L)
Discharge
Duration
(minutes)
iota) Flow
{gallons/day),
-
6-93'4
303'5
53
(1.5)s
RECEIVED
At
is �6i6
R SECTION
I
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 Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If 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.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
s T55 limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Troia and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
° Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV. Section A, including the Tiered Response Action.
' 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 as per 15A
NCAC 028.0224. 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 QRIGINAL AND ONE COPY OF THIS ANNUAL J!JMMARY (INCLUDING ALL "NO FLOW. "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF_SAMPLEIOR
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
(919) 807-6379
YOU MALSITSIGN THE CERUBCAINFORMA 77 N REPORTED
"I certify, under penahy of law, that this document and all attachments were prepared under my direction or supervislon In accordance with a system designed to
assure that qualified personnel property gather and ewiluate the information submitted. Based on my inquiry c f 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 possibipty of fines and imprisonment for knowing
violations."
(Signature of Permittee) (pate)
Permit Date: 7/1/2010-06/30/2015 last Revised 07/13/11
Page 2 of 2
l
Fit
PROCESS WASTEWATER — Quarterly Discharge Mo i porlyg Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. -fit?
FACILITY NAME:
PERSON COLLECTING SAMPLES: Llevny
CERTIFIED LABORATORY: /V A Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Requirements
RECj=lVED
APR 2 2 2016
sECTION
SAMPLE COLLECTfON YEAR: Z17I6
IN��RMp DGW PR0c S51NG (JNii
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec %Jan -March ❑April -June
COUNTY: C uM 13eRLRJV Ji
PHONE NO. ( /G) V 2 4 - 211 k -
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO - N _, - -- - —
Outfall No.
Date Sample
Collected1
(mm/dd/Vr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
-
TPH using
method 1&64A
S (mg/Ll �
mg/L}
Discharge
Duration
(minutes)
Total Flow
7
(Sallons/day}
-
-
6-93`
303,$
I
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.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicte and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing arum
Cleanout (MC). Report more than one type if the waste -stream is rommingfed.
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 RO staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S S.U. for discharges to saltwaters.
s T55 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 rng/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .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 Regfonaf office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONECOPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE"I 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
f919) 807-6379
YOU MUSTSIGN 71i1 CER17FIC4TION 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 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
violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
3 - 37 - 2,na
(Date) ^
Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE Of COVERAGE NO. NCG14 6 Y .F�
FACILITY NAME:
PERSON COLLEcTING SAMPLES: hkarju
CERTIFIED LABORATORY. R,ii3 Lab #
Lab #x
LIMIT VIOLATIONS? YES ❑ NO ❑ 1Q)9
'art A: Wastewater
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑IuI-Sept ❑Oct -Dec an -March ❑April -June
COUNTY:
PHONE NO.� �o -
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO•. 11106a-- _ ---
I
t If wastewater systems have not discharged in this quarter - report "No Flaw" 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 Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled-
3 If 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.U. for wastewater discharges to freshwaters, 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 07/13/11
Page 1 of 2
_.AN"'- � .
Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges From VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
T 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 as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a.Summer 7Q10 flow and report this-informaticn to DWCiIf the _- r _ ttee cannot
" obtain a Surtirner 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the OWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAILORIGINAL AND ONE COPY OF THIS ANNUAL SUMMA Y INCLUDING ALL "NOTLOW "NO DISCHARGE" WITHIN 30 DAYS OF REcFlpT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOWJ TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) 807-6379
YOU MUST SIGN THIS CER77FIC4= FOR ANY INFO! LAROAiJiEP0M.
"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 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
violations."
(Signature of
(pate)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE I O_NCG14 O_L ff Z
FACILITY NAME: IS fj 4! r. 5 - 1 AA & l A 14 r—
PERSON COLLECTING SAMPLES: d
CERTIFRED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES [] NO ❑
"art A: Wastewater
SAMPLE COLLECTION YEAR: Zdl _ . . . �7
SAMPLE. QUARTER: ❑Jul -Sept WOct-DeC�oJain-March QApril-June cm
COUNTY:
PHONE NO. (Ylt�l
ADD TO LISTSERVE? YES EINO EMAIL:
DISCHARGING TO CLASS: QSA ❑HQW ❑PNA QTrout [Other smog
OPTIONAL INFO:
i{ WayleWdCer 5y5Cen75 ildVC FJUL Uj5Gr3drgeu m Lum gUdIM - rePUFV VIV t7UW ur 1YU WbL.ndrge- nere. Ylease maKe sure m marK the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material 5tockpiies (RM), Mixing Drum
Cieanout (MDj. Report more than one type if the waste -stream is commingled.
3If 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 RQ staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.LI_ 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 Oate: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 or 2
llrilo* C611SA
Process wastewater discharges shall only be monitored for TPH wheri commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calcul ated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flaw as per 15A
NCAC 026 .0224. Permittees who djscharge wastewater to HQW waters shall. obtain a.5ummer 7Q20 flow and report dais inforrriatioii-to DINQ, if the permittee cannot
obtain a Siiicase- case -by -case
flow far the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional office may require an annual flow
report on acase-by-case basis.
IL ORIGINAL ONE g0" OF THIS ANNUAL5U Y INCLUDING ALL "NO LOW" " O "
Al 0H�
END OF �MNSzPERLQD IN SASE O_F_"NO FLOW") O; l 3 DAYS OF fiECEIPT F SAMpiE OR
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(9191807-6379
O M I sffid M - 98 12EMZION E0 il N Y MOM M REPQff
"I certify, Mader penalty of taw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that quatffled personnel property 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 Relief, 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
Violations_"
(Signature of
(Date)
Permit Date: 7/I/2010-06/30/2015
East Revised 07I1 �/1 1
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO, NCG14 4 -L 2
FACILITY NAME: .. 311401 S__esl pj&_ Lamp -
PERSON COLLECTING sAMPus: _aKa t11L - k iyr cft!"_&,
CERTIRED LABORATORY Alai_ Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO (]
iPwt A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2 O 1
SAMPLE QUARTER: Mul-Sept []Oct Dec [Dan -March ]April -June
COUNTY:
PHONE No. (4?(a )_- - lYfa - Z 14A"
ADD TO USTSERVEt [DYES []NO EMAIL: IV A
MSCHARGING TO CLASS: QSA ❑HQW . OPNA []Trout QOther
OPTIONAL INFO:
E � �k- ,: s I
4 i ,s1
[[��,,��.t
Q `'f3V7 �!f
.�lti .�, ;i
.i ti 3 •
s-- h yao �
..-�Yl�a�11H_ �
a--�.,-.. � c G ...�s.-.s.c _
:'��!ry�} -I
�5x-•`7�r'�.c�
-
.,:?�,. ; 3
-
��I•� -
t���.. ;:i= -
-
i, -
.r_1��. �'
s r i 1`
��j�
:.1:•;�i/II�g f� �'>
IL��
-
''
_
_��' t
/�lif 1 .(
���f ���{{{�
_
f : I0t9�y,��
�••_-�1.'
.4
Fli ES
C )ON
' if wastewater systems have not discharged i0 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), Mixing Drum
Cleanout (MD). Report more than ane type if the waste -stream is commingled.
n If 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 G-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 T55 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 07113/11
Page 1 of 2
a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
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 as per 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 far 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 UNCLUDING ALL "NO FLOW', "NO pISCHARGE"] 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, worth Carolina 27699-1617
(919) 807-6379 ----
YOUfflUST5LOLN TMS CERTIFIG4 TION FOR ANY fNMU ATlONREPOI?TEp,
"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 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
violations."
(Signature of
9-- 30-Zof Y
{Date)
Permit Date: 7/1/2010-06/30/2015 Fast Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
._ __CERTIFICATE OF COVERAGE NO..NCG14 i0 1 Z-a.
FACIUTYNAME: T CC SPRI/V& L AMe.
PERSON COLLECTING SAMPLES: Yley'fAl JiroAt s,KP.R
.CERTIFIED LABORATORY: MIR Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑ f V#9
an A: wastewater
RCEI VEE
JUL 1 1 2014
CENTRAL FILES
SAMPLE COLLECTION YEAR: 2 01
DWQ/80G
SAMPLE QUARTER: ❑Jul -Sept DOct-Dec Dart -March [gApril-June
COUNTY: CUM OM tAnJ Q
PHONE NO. (7/0 ]. y3b - _ f 8
ADD TO USTSERVE? ❑YES ❑NO EMAIL: OVA
DISCHARGING TO CLASS; []SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:NIA
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.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mining Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If 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 6-4 S.U. for wastewater discharges to freshwaters, 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/i/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
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 wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 35A
NCAC 026.0224. 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 Su nnier7Q10 flow'far the receiving waters at the discharge location, the permittee shall notify DWCL and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL Al2D ONE COPY OF THIS ANNUAL SUN INCLUDING ALL "NO FLOW. "NO DISCHARGE'Ii WRHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
Al END OF MQNf D ZING PERIOD IN CASE OF "NO FLOW"I 1'O_
Division of Water Quality
Attn- DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) 807-6379
XOu MIATSfC,N IW k<ERTIF! SON FOR ANYW9-R iQLOA (�E OM.
;it cerrtiy, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wfth a system designed to
assure that qualified personnel properly 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 hest of my knowledge and belief, true, accurate, and
complete, € am aware that there are significant penalties for submitting false Information, including the posAbiiity of fines and imprisonment for knowing
violations."
(Signature of
6 a -zo y
(Date)
Permit Date: 7/1/2010-06/30/2015 East Revised 07/13/11