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Home My WebLink AboutNCG140276_MONITORING INFO_20170117STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. /v DOC TYPE ❑HISTORICAL FILE 14 MONITORING REPORTS DOC DATE ❑ OQJ 1 �0 ) YYYYMMDD PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVER#GE NO. NCG14 V Z I , G FACILITY NAME: PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Lab f# Lab I LIMIT VIOLATIONS? YES ❑ NO ❑ 'art A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: ZD16 SAMPLE QUARTER: ❑Jul -Sept Dadct-Dec ❑Jan -March ❑April -June COUNTY: ,& PHONE NO. (!IJD, 9�1' O y 4 ADD TO USTSERVE? []YES 260 EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑RNA [—]Trout []Other -- OPTIONAL INFO: :.: : �: Date Sample ;..........:• .t -- 1•. , . ; :: e o Wastewater=_:•: 111P = `::. pH - =::-. ..::.:: :Total Suspeinded :.:Solids:-_•:::::;::�::: Settleable � ��: 5o1�s<�:::':. :..:. cd1664A . DiscFFi�r ' Duration': {m�neitesj -_,TOW OW ' L VLES r SEC 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. 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 ail other water classifications. Permit Date: 7/1/2010-05/30/2015 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. 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 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^_ T Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFIG47I0N 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_n aware th9there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing Z 3o (pate) Permit Rate: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGX NO. NCG14D �I L� FACILITY NAME: s PERSON COLLECTING SAMPLES. CERTIFIED LABORATORY: & ILI Lab # Lab # LIMIT VIOLATIONS? YES ❑ NO ❑ Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: _ .2 s1 0 SAMPLE QUARTER: Jul -kept ❑Oct -Dec ❑Jan -March []April -June COUNTY: PHONE NO. {910 ) Z41- OW/6 ADD TO LISTSERVE7. ❑YES 09b EMAIL: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout ❑Other OPTIONAL INFO: ::..,....,:...:...:...:.:.:.:..-. - p: ....... ;:.;:.:<::�:.::::. :,;..•i�..:,,::. ....., Type of:Vvast�ater:,.:. H...:.:::. :..::;..�?;: . ... - .....:..:: eable �....:�..._,............:::. '=inetfioill6G�A:� D€scha - Tatal<Ffow :. Outfatl Nor:...:..:.:.::.Collected::.::::;-:<::`.::::::::: .. _.__ - -- :..._::.:.;. Sblids :•:;::::.:::: Solids:. Duration :.:.::.:...... .....' :. ;.::.:...::::...;..;:.:.:.:: ::::...:. L ;::::;:,;:::: ::::;:;_: mLAY= ;-:;:;:..:.:::::::: minutesVV E} v CE DWR S if wastewater systems have not discharged in this quarter— report "No Flow" or "fro 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. 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 RD 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 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 other water classifications. Permit Date: 7/1/2010-06/30/2015 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 shalt 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 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: DWQCentral Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUSTSIGN THlS Cl RTJFlG477ON FOR ANY1NFORMaTJON REPORL•ED: "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 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 belief, true, accurate, and complete. I am aware tit there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing Permittee) Permit Date:7/l/2010-06/30/2015 d � (D e) Last Revised 07/13/11 Page 2 of 2 •� ,,., PROCESS WASTEWATER — Quarterly Discharge Monitoring RepoCjElvEt) GENERAL PERMIT NO. NCG140000 JUL 18 ,,, a CERTIFICATE OF COVERAGE NO. NCG14 FACILITY NAME: NAME: My PERSON COLLECTING SAMPLES• J( IA CERTIFIED LABORATORY: Lab #� Lab # LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements CENTRAL fiILEs SAMPLE COLLECTION YEAR: DWR SECrIONi SAMPLE QUARTER: Qtu/l-Sept OOct-Dec [ Jan -March April -tune COUNTY- PHONE NO. (91p l 2'i'1- ONSI ADD TO USTSERVE? AYES 2rNO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW E]PNA ❑Trout ❑Other OPTIONAL INFO: . • r : - _ :.:Tw... ..: .: ►r�etftood :.:::..G64A=; ial .pischa.--:: ' :.�:�':: .. �:.7ot. Flow ::...utia......:.:: ;;::. :.::........:.:.:.:.:..:::. : _ :...RMf:MD}::?,>:::::: Im.}F . :....... :::. ...... .... ........: SGT-ffE11:. [iiiratiio 1 -: flc'ns/ j m/ddJ :::-:.;:::::'::r::.:;. [mgJC}..:;':::::°:::<':: ;::=::';(raijL}. :.: minutes ;:.�..:....:7/} - c 6 �r if o V \VJV W 5:c- " ` L R Ss Ii WdSLeWdU i ]yyLelII.N II dYC flULU 15441 di6'CU 111 UmN qudl LICi —I t:IJUI L iw r1UYY UI IMV WI.NL tc7iSC 1lCIC. rll^d]C IIIdKV JUiC LU IIld1 R Lilt! 50ici1}J IC gUdi L!'1 dUVYC. I 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. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 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 mg/L for all other water classifications. Permit Date: 7/1/2010-05/30/201-5 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled wrth stormwater discharges from VMA areas. TPH does not have a limit for wastewater, -bLf -Frztead 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 flour and report this information to DWO, 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 JNCLUDING ALL "NO FLOW-, "NO DISCHARGE-) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PI:R1011 IN CASE OF "NO FLOW1 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 CERMCATION FOR ANY ifffflRMATfON REFORMED: "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 3o Ile., (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 �s PROCESS WASTEWATER — Quarterly e " e ` g Report GENERAL PERMIT NO. NCG1 _ 0 CERTIFICATE OF COVERAGE NO. TC-G14-0-_2_,-7f)-�? FACILITY NAME: Aa5Jm Moe- PERSON COLLECTING SAMPLES: % CERTIFIED LABORATORY: N +4 Lab # Lab # um VIOLATIONS? YES[ NO ❑ 'art A: Wastewater Monitoring Requirements RFCFIVED APR 22 2D16 SAMPLE COLLECTION YEAR: Z ® K0 DWR SECTION SAMPLE QUARTER: �ul-Sept ❑Oct -Dec Xlarr+Ma'MhT*t p�W_§ NlT COUNTY: SGo�4.^ PHONE NO. ID Z')`1-u 4'f fP ADD TO LISTSERVE? ❑YES NO EMAIL: DISCHARGING TO CLASS: ❑SA [JHQW E]PNA ❑Trout ❑Other OPTIONAL INFO: ..:.:: �-.� O ii' Ma :=::... :........ _ PI ....: tollteCted: :•::� , _: - - .. , �- T otal Sii�pe�i�ed 5ettlealsle _ 1. Dlsd�a�ge; otaI Flow Mons d L 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. 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 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, trit 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 HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permnees who discharge wastewaterto 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 CQPY 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 Ann, DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUSTSIGN THIS CERTIFlCATION FOR ANYl11fFORMATfON REPORTED: "1 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 avlare that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing L) Permit Date: 7/1/2010-06/30/2015 -SPI I (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 or,/ CERTIFICATE OF COVERAGE NO. NCG14 0 a / 4 FACILITY NAME: R S — PERSON COLLECTING SAMPLES: Dv-r),11 CERTIFIED LABORATORY: Lab # Lab # LIMIT VIOLATIONS? YES ❑ NO N ,art A: wastewater RECEIVED JAN 12 2016 CENTRAL FILES SAMPLE COLLECTION YEAR: � DWR SECTION SAMPLE QUARTER: ❑Jul -Sept d-Dec ❑Jan -March ❑April -June COUNTY: SCdF�-I drrl _ PHONE NO. Low ) g77 —LAcyt ADD TOLISTSERVE? ❑YES 5]NO EMAIL: DISCHARGING TO CLASS: [JSA ❑HQW ❑PNA ❑Trout ❑Other fi4- OPTIONAL INFO: No Date Sample x Type'al wastewater -o pH Total Suspended Settlea6te method I66Gfi disthare. Duration': To tall Flow Outiall Ccllet#ed AMRM.,MO}# {starrdanlj Sods SGT-Flt (gallons (Fng Lj dmUQ {niinutesj: It WdSLewdLt!F SY}Lear] ndvL' riVL Ul}Cnm P'e'u in min. yudrLer — FePVTT INV r]UVV Ur INV uiluidige nrrr. weave IrldRC JUd r LV rrrdrr[ L91C WWII FU yudr UN O JVVC• 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. 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. 5 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: 7/1/2010-06/30/2015 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. ' 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 r Nr-AC 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 0N9JU lNG ALL "NO LOW- "NO DISCHARGE" WITHIN 30 D YS OF RECEIPT OF SAMPLE IOR AT END QF MONY911IN9 PEA[ (OD IN BASE 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 UST SIG S CER Ff ON FOR M1' 1 FO TION REPO "I certify, under penalty of law, that this document and all attach ments 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) Permit Date: 7/1/2010-06/30/201S /a -?/-is (Date) Last Revised 07/13/11 Page 2 of 2 S PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCGI40000 CERTIFICATE OF COVERAGE NO. NCG14 d� L `7 FACIL17YNAME: fr1-(�nS Q_z04dy /yl+y _�4uQ�rt�ur�I1C— PERSON COLLECTING SAMPLES: ZLCj2g)f CERTIFIED LABORATORY: ^4 Lab # Lab # LIMIT VIOLATIONS? YES ❑ NO � Part A: Wastewater Monitorinp Requirements SAMPLE COLLECTION YEAR: ;2 b r 5' SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: 5C v4 lonl PHONE NO. (9 /0) . - 77 m ADD TO LISTSERVE? ❑YES 23lrO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout QOi—her OPTIONAL INFO: Outfatl No. Date Sample Collected'TYPp (mm/dd/yr) of Wastewater (VE, RM, MD)' ) PH (standard] Total Total Suspended Solids (mg/L) Settleable Solids (mL/L1 TPH using method 1664A SG7 N L (ms/j Duration (minutes) Total Flow �ganons/day} - - &.93'4 303'S 53 (15)r - - G l RAL F(L q —SECTION I 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. 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. `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: 7/1/201M6/30/2015 Last Revised 07/13/11 Page 1 of 2 1'% 0 i 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 continuousty 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 TH15 ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") W_I_THIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONIT-ORING 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 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 property gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly respaasible 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 Monitoring Report GENERAL PERMIT NO. NCGI40000 CERTIFICATE OF COVERAGE NO. NCG14 0 -�_ -? _j FACILITY NAME: A nj a-5 ee-kj M tv LAk;,-tv PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Lab # Lab # LIMIT VIOLATIONS? YES ❑ N044 Part A: Wastewater Monitoring Requirements RECEIVED APR 13 2015 SAMPLE COLLECTION YEAR: ;2D/ �r 1 CENTRAL FILES SAMPLE QUARTER: 1❑!ul-Sept []Oct -Dec Jan-Mai'VVR 043tilih0ne COUNTY: $C D 4CLNJ PHONE NO. 19/0 ) ';7-7 ADD TO LISTSERVE? ❑YES (]NO EMAIL: DISCHARGING TO CLASS: [—]SA ❑HQW ❑PNA []trout [kOther OPTIONAL INFO: Outfalt 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 S (mg/L- Discharge Duration (minutes) Total Flow , (gallons/day} - - - 6-93,4 303,5 53 G �Y 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. 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. PH limits are 6-9 S. U. for wastewater discharges to freshwaters, and 5.8-8.5 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 07/13/11 Page 1 of 2 CD �0 =1111C 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 OF THIS ANNUAL (INCLUDING ALL "NO FLOW","NO DISCHARGE-) WITHIN 30 DAYS OF RECCIPT 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 CgR77WTiON FOR ANY M!WRMA TION REPORTED: "I certify, under penaEty 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 PUm e) (Date) Permit Date: 7/1/2010-06/30/ 015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCGI4_a 2, i G FACILITY NAME: ea-4 Mnrt,I ALPrJaiva' PERSON COLLECTING SAMPLES: w CERTIFIED LABORATORY: ' Lab t# LIMIT VIOLATIONS? YES ❑ NO ❑ Lab t# Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: D / V SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑jan-March COUNTY: 5c_6#&mJ PHONE NO. ( 910 -) ;L''J'it- Qg46 ADD TO LISTSERVE? ❑YES [RNO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout OPTIONAL INFO: ❑April -June 2]ther�.1 Clutfall No. Date Sample F' Collected' (mm/dd/yrj Type of Wastewater i (VE, RM, MD) pH (standard) Total Solids (mg/L) Settleable Solids (mL/L) TRH using method 1664A SGT-HEAe m /L' Discharge Duration (minutes) Total Flow 7 (gallons/day) 6-93: 303.s 53rdtfult - a�CENI FILE-S N/ a' 5 If wastewater systems have not discharged it 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. ' if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, un,ess DWQ RO staff notifies you to continue monitoring. pN limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.&S.5 S.U. for disch�irges to 5altwaters. s TSS limits are 20 rng/L for wastewater discharges to HQW _:titers, 10 mg/L for Trout and PNA waters, and 30 n.g/L far all other +neater 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, bit inste&d 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 7QI0 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 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTEO: "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." a (Signature4Pmittee) (Date) Permit Date: 7/1/20i0-06/30/2015 Last Revised 07/13/11 Page 2of2 PROCESS WASTEWATER —Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14_D 2 'j G SAMPLE COLLECTION YEAR: A01 `{ FACILITY NAME: SAMPLE QUARTER: 9Jttl-5ept ❑M Oct -Dec Dan -arch ElApril-June �Atr�W6u� PERSON COLLECTING SAMPLES: r! COUNTY:. SCehr,,vJ _ CERTIFIED LABORATORY: JUJA Lab ft PHONE NO. ice_) a't! - OQAlG Lab # ADD TO LISTSERVE? CjYES NNO EMAIL: LIMIT ViQLATIOryS? YE5 NO DISCHARGING TO CLASS: ]SA []HQW ❑PNA E]Trout CSfIther�i� Part A: Wastewater Allonitaring Requirements OPTIONAL INFO: _ _Date Sample — — - -- -----r�taE c s^^�a^''- - 5e::f2aEI- _ __ TPH.using- - �_..-__ — vutiafl leo. Collected: -- ' yPe of Wa—s ewater - pH " ' "` `� C method I664A "�"ham` �� -Total Flow mm dd (VE, RM, MD a Solids Solids Duration ( / /yr) ) (standard) (mg/L) (mL/L) SCF-HEV (minutes) (gallons/day)' 111 (Mg/L) 5-9 303's .a� �p - ..., - a, OCT i 4 , 5 ttd t It kL F)LES vrt J =l.if N If waStewatPr wcro ti_..- _ - - - - '. V i 1UL uacnargeo in EniS 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 [RMI. Mixing Drurn Cleancut (MD). Report more than, one type if the waste -stream is commingled - 'If Gr' effluent limit is exceeded twice in a row, the permittee is required to institute monthly, monitoring for that parameter for six months, un,ess DWQ RO staff notifies VOL) to continue rr.orjitoring. PH limits are 6-5 S.u. for wastewater discharges to freshwaters, aria r,.8.E.5 S.U. for discharges to saltwaters. s TSS limits are 20 mg/L for wastewater discharges to HQW .eaters, 10 mg/L for Trout and PNA waters, and 30 n-,g/L for all other water classifications. Permit Date: '/1/2010-05/30/2015 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 dons not have a limit for wastewat er, nut 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 HGW waters shall be set to 50% of the Summer 7QI0 Flow as per I5A NCAC 028 .0224. Permittees who discharge wastewater to FiQW waters shall obtain a Summer 7QIG flow and report this information to DWQ. it the perrnittee cannot obtain a summer 7QI0 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. MAfL ORFG[NALAND ONE COPY OF THIS AI�fNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT-END-OF_MC)NITORINC,-PERIOD-IN-CncG-OF--NIP FLQh:',,.� .- - - — --- — - -- - -- --- -- -- -- Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-16I7 (9I9) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY iNFORMATION REPORTED: "t 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 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 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." (SignaturZVa4Permittee) - (Date) Permit Date: 7/l/20 -, 0-06/30/2QI5 last Revised 07/13/11 Pepe 2 o` 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Repor GENERAL PERMIT NO. NCG140000 �ece,, V JUG EE I Z014 CERTIFICATE OF COVERAGE NO. NCG14_a 2, '1 G FACILITY NAME: Ited-11 M e ej �Lav�w bum PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY:, P ` Lab it Lab # LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: go/ `/ CENTRA SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec Q1an-A�i�/81*�rSi-June COUNTY: .5c_a#1&sjJ PHONE NO. (q10 ) .171— OAlAl4 ADD TO LISTSERVE? []YES NNO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA Trout Cgbther�� OPTIONAL INFO: Outfali No -Type Date of Wastewater ( VE, RM fND 1 pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A 5GT-NEIVf� (mg/L) Discharge Duration7 (minutes) Total Flow (gallons/day) 6-9 30%s.s 5' (15),LY - a� D 5 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. 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 or. effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DVtfC? RO staff notifies you to continue monitoring_ 5 pH limits are 6-9 SAJ- for wastewater aischarges to freshwaters, and 6.8-85 S.U. for discharges w saltwater5. TSS limits are 20 mg/L for wastewater discharges to HQW _ criers. 10 mg/L for Trout oral PNA waters, and 30 nng/L for all other water classifications. Per[ -it Date: 7/I/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 N, 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 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 (919) 807-6379 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 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) ast Revised 07/13/11 Permit Date: 7/1/2010-06/30/2015 Page 2 of 2 T PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO-,NCG14_L Z 1 G FACILITYNAME: Keo-11 MI .J k4urwbvp PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Lab 1# Lab # LIMIT VIOLATIONS? YES NOJO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: SAMPLE QUARTER: []Jul -Sept E]Oct-Dec NJan-March COUNTY: SCalaNc( _ PHONE NO. (Rfp j _ ir,'] I - O *HG ADD TO LISTSERVE? ❑YES [RNO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA Trout OPTIONAL INFO: QApril-June U�bther (� Outfall No. Date Sample Collected` (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Suspended Solids (mg/C} Settleable Solids (mL/L) TPH using method 1664A 5GT-HEM' (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day) - - 6-93' 303.5 53 (I5)6 a' 5 APR 10`014 CENT-RAL t.7 o it wastewater systems have not discharged in this quarter - repart "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 Char, one type if the waste -stream is commingled. if cr: effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter far six months, unless DWQ RO staff notifies you to continue monitoring_ 5 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 rr,g/L for wastewater discharges to HQ+1%1 -w-tiers, 10 mg/L for Trout and PNA waters, and 30 rng/L for all other water ct2ssi:`ications. Perrr,it Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page T of 2 r� i ° 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 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 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 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 o� Permittee) Permit Date.7/1/2010-06/3012015 y-)-ly (Date) Last Revised 07/13/11 Page 2 of 2