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HomeMy WebLinkAboutNCS000209_MONITORING INFO_20180327--___. .--STORMWATERTDIVISI-ON-CODING-SHEET PERMIT NO, N ❑ 000 )�u� DOC TYPE ❑ FINAL PERMIT E�, MONITORING INFO ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑1 YYYYM M DD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 000209 FACILITY NAME: Haynes Wire Company PERSON COLLECTING SAMPLE(S) : Angela Beck, Tim Honeycutt CERTIFIED LABORATORY(S) James and James Lab #482 Research and Analytical Labs Lab #34 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) RECEIVED COUNTY Henderson MAR 2 7 2018 PHONE NO. (828)393-1258 CENTRAL_ FILES SIGNATURE OF PERMITTEE OR DESIGNEE DWR SECTION I REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall TSS pH Nickel MG NA m L m L 1 No flow from the outfall 2 2/26/2018 1 .26Inches 1 <3.13 8 10.032 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/ddl r MG inches m I m I unit al/mo Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date: 2/26/201 S Total Event Precipitation (inches): 0.26 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 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) Form SWU-247, last revised 21212012 Page 2 of 2 RESEARCH & ANALyTICA1 Oa LAboRATORlES, INC. soa For: James & James Env. Mgmt. 3801 Asheville Highway Hendersonville, NC 28791 Attn: Skye MCCarson Report of Analysis 3/9/2018 .off �t =tD NC N34 � { NC 037701 ♦ ......... •`. ,ti• �+++ ED �t�`00 #81 Client Sample ID: Haynes Wire Stormwater OF #2 Lab Sample ID: 47307-01 Site: James & James Collection Date: 226/2016 10:45 Parameter Mg1hod Resul Units Rep -Lim Artalyst AnabM11-paterUff e Nickel. Total EPA 200.7 0.032 mg/L 0.005 KL 3l612018 NA - not Grra"d P.O. Boot 473 108 Short Street Kemersville. North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randatabs.com Page 1 ral coo tlasic v}d , RESEARch & ANAtyTlCAt LABORATORIES, INC.. Analytical / Process Consultations �s)volr rnwattr a. X q e-a.r CHAIN OF CUSTODY RECORD WATER I IIgAWMATER mc. 1 - a - • • • + • ` s . L ,• vREQUESTED MALYSIS l +PHONE. .r an w r 9 ` . • • nT .I t i ��� '• s ; mrimmmm .,.....,I <,.;...,1 n■■r■■■r�■r■ ■■r =013M■-M 1 • , � I00101000©■■■.■r ` i rlr■�■���r� m■■■■■■■m■r■■■r ��■�■■■■� ■■■■■■■■■■r■ ■■■ �■�iiiiiii� isi�ii■�iii�iii ■■r■■■■r■■■■ ■■■ ■■■■�■■■ ■o■ �■■r■�r�■r■■■■ ■■■ ■■■rM■r■ ■■r mmm ■■■■m ■M■E■■■ MINIMS M■■ ■mmmm■ 001000000001100 ■■ ���r■■■� ■■r■�■®�■■■■ ■■ram ■■�■■r■■■r■ �■ri■■■■■■■r■M■■ ■ I''' r 1 JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCDENRIDWQ-Groundwater section To assign test, label shaded area with sample type (C=composite; G=grab) CHAIN OF CUSTODY LOCATION HAYNES WIRE COUNTY HENDERSON SPECIAL INFORMATIONS �. OUTFALL # 1 JOUTFALL ID NO. HWC Z� INITIAL TEMP 0 GRAB sample time 1 D ' COMP start sample time COMP end date/ tlme - ipy✓ "' �ri. ����/�,"+.si'.1' i :Z'dlrs..i °re.�Y:. r.;f' iY-- - - „Fi'z� !s' A 0 1 Imo., *°. ,'i'S/-,:N�"` - _ ^..a'..-::-?� �gS,,.F...". •,�Tl�. F• 0 A�� UE"- TEMP @RECEIPT: 1 4:, • / °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. TEMP ®RECEIPT: °C FOR ALL CONTAINER(S) WITHIN. NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINERISI WITHIN, AMMONIA SAMPLES PRESERVED WITH H,SO,, pH=<2.0 YES NO AMMONIA SAMPLES NEUTRALIZED WITH N82SO3, CI=< 0.1 —DES NO FECAL_ SAMPLES PRESERVED WITH N82SO3, Cl=< 0.1 _ _DES NO COLLECTED BY: yt ALL SAMPLES COLLECTED AND PRESERVED A T TIME OF COLLEC77ON IN PL4S17C CONTAINERS UNLESS NOTED OTHERWISE BY. - RELINQUISHED BY DATE 1 TIME RECEIVED BY SPLIT SAMPLE(S) INFO i ANAI} 1fSES RIr511LT ? RESULT '. :uRESULT, RI`SULT� � � �,. t FDA, .E �%wl;m PH G G TSS ppm G G aL By the above signature I certify that all infamnation is accurate to the best of my knowledge. COMMENTS O means QC not met. /'N STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 000209 FACILITY NAME: Haynes Wire Company PERSON COLLECTING SAMPLES): Angela Beck CERTIFIED LABORATORY(S) James and James Lab #482 Research and Analytical Labs Lab #34 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson PHONE NO. (828)393-1258 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall TSS pH Nickel 01/03/2017 MG NA Inches .51 mgfL m L 1 47.17 5.87 0.014 2 Very little water at outfall. Not enough water for sample 4.42 <0.005 p� RECEIVED JAN 2 20i7 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample 50050 00556 00530 00400 Total Flow Total Oil & Grease Non -polar Total pH New Motor Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage (Method 1664 Solids SGT-HEM), if appl. mo/dd/ r MG inches m t m /i unit al/mo Form SWU-247, last revised 21212012 Page 1 of 2 x. STORM EVENT CHARACTERISTICS: Date 01/03/2017 Total Event Precipitation (inches): 0.51 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 ijpprisonment for knowing violations." (Signatur6)of Permittee 1 I 11-7 ( ate) Form SWU-247, last revised 21212012 Page 2 of 2 RESEARCh & ANALyT1CAI Report olrt of Analysis p Y a� UboRATORiESI INC, 1/12/2017 For: James. & James Env. Mgmt Highway -r4; 3801 Asheville y ;•Z Hendersonville, NC 28791 v ° NC 434 - Attn: Skye McCarson NC.937701, ;. : Z. Client Sampte lo* Haynes Wire Stormwater Outfall 01 Lab..Sample ID: 29259-01 Site: James 9 James Collection Date: 11=017 9:23 ara et r Method Result (Jilts Rea I-Iml Analys Analysis DatelTime. Nickel, Total _ . _ EPA 2001 0.014 mg/L 0.005 KL 1/102017 Lab Sample ID: 29259-02 Client Sample. ID: Haynes-WRe Stormwater Outfall 42 Site: JamesA James Coilectlon.Date: V312017 9:20 Parameter Method- 'Result (!nitsRep Limit .Anal s Analysis Daterrime Nickel,. Total-, EPA200.7 <0.005• mg1L 0:005 KL ' '1/10/2017 .. NA = not orioWed P.O,.Box473'105ShertStreet Kerh&sville,North Carolina-27284 Tel:336-998-284t Fax 33r)9m60326- w_ww.randaiabs.com Paget raheoa tsasiCwvld _, -I _ - - _ . r JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCDENRMWO-Groundwater section To assign test, label shaded area with sample type {C=composite; G=greb) t CHAIN OF CUSTODY LOCATION HAYNES WIRE COUNTY HENDERSON SPECIAL IKFORMATt0N s IRMALTEMP OUTFALL # 1 JOUTFALL # ID NO. fiwC A b 3 1 A03 17 0 GIB earn IB Hrrsa COMP start sample time COMP aid datel time TEMP @RECEIPT: B . S °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. TEMP RECEIPT: °C FOR ALL CONTAINERIS) WITHIN. MOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAWERMI WITHIN. AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2.0 _DES NO AMMONIA SAMPLES NEUTRALIZED WITH Na2S03. Cl=e 0.1 --YES ND FECAL SAMPLES PRESERVED WITH Na2SQ. , CI--< 0.1 YES NO COLLECTED BY: &3641a AU SAAIPLES COLLECTED AMD PA9SERVWAT 7W OF OMLECTA N fN PL4S77C CONTRIVERS UNLESS N07FD 0THERWISE 9Y.- RELINQUISHED BY DATE I TIME RECAIIVED BY SPLIT SAMPLE(S) INFO n / iANAL`ESES WRESULT �MEWLT-, 1RESULTM f4RES1jLT*A PH G S $ G 4y TSS ppm G< y1. �"1 G o o +�, 3 .•. p ►� 1 311Z L 5 By the above signature I certify that all information is accurate to the best of my Imowledge. COMMENTS O means QC not met. ti f i a ♦ v •II' 1 'T 4 , , REQUESTED ANALYSIS ®- iFA®®i[Nmommumommummomm 1'i�����iF�iii ■a■ mommommmmommoss �iIINN ®-m®mmii ■omm®mmioso■ mom sommomiiiroi ■ir �ii��®■a®®® ®o®mormiiiiimr■ ■o®momiiimi■ ■ii� ®o®nmmummom■ ■m■ S. PALE MWP�RATUREATRECEIPTa!�--C.. a Permit Number: NCS 000211, STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT OCT 0 5 2% CENTRAL FILES SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 DWR SECTION (This monitoring report shall be received by the Division no later than 30 days from the date the facility received the sampling results from the laboratory.) FACILITY NAME: WEYERHAEUSER NEW BERN CELLULOSE FIBERS PERSON COLLECTING SAMPLE(S): STEPHEN DIPIERO CERTIFIED LABORATORY(S): WEYERHAEUSER LAB LAB# 184 ENVIRONMENT 1 LAB LAB# 10 PartA: Specific Monitoring Requirements COUNTY: CRAVEN PHONE NO. (252) 633-76 3 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate and complete to the best of my knowledge. Outfall No. Date Sample Collected 50050 Total flow (if app.) Total Rainfall Oil & Grease Total Suspended Solids (TSS) Total Lead pH Coo Total Phosphorus Total Nitrogen mo/dd/yr MG inches . mg/I mg/I mg/L Units mg/I mg/1 mg/1 1 4/2/2016 5.1 2.5 6.4 48 0.07 1.06 3 9/2/2016 5.2 8 1 1 6.3 82 1 0.14 1.13 5 0/2/2016 5.1 2.5 5.8 50 0.26 1.41 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no Part B: VWjcle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 Total flow (if app.) Total Rainfall Oil & Grease Total Suspended Solids (TSS) pH New Motor Oil Usage mo/dd/yr JMG linches mg/I mg/I jUnits gal/ 0 STORM EVENT CHARACTERISTICS: Date: 1 9/2/2016 Total Event Precipitation (inches): 5.1" Event Duration (hours): (only if applicable- see permit) (if more than one storm event was sampled) Date: Total Event Precipitation (inches): Event Duration (hours): (only if applicable- see permit) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were perpared 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." - J ` L —Di P,,� `T Z I / (Signature of Permittee) (date) �� STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 000209 REU E NGIIAMPLES COLLECTED DURING CALENDAR YEAR: 2017 AUG 3 201� (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME: Haynes Wire Company CENTRAL FILES COUNTY Henderson PERSON COLLECTING SAMPLE(S) : Angela Beck, Tim HoneR F SECTION PHONE NO. (828)393-1258 CERTIFIED LABORATORY(S) James and James Lab #482 Research and Analytical Labs Lab #34 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall TSS pH Nickel. «, MG NA m L m L 1 No flow from the outfall 2 817/17 .22Inches 1 <2.94 7.23 10.018 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. a Date Sample ' Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl, Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m 1 m l unit al/n o Form SWU-247, last revised 21212012 Page] of 2 STORM EVENT CHARACTERISTICS: Date: 8/7/17 Total Event Precipitation (inches): 0.22 Event Duration (hours): (only if applicable -- see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) % I (Date) Form SWU-247, last revised 21212012 Page 2 of 2 a JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCDENWDWQ-Groundwater section To assign test, label shaded area vAth sample typo (C=composite; Grab) a C.c� i RL CHIAIN OF CUSTODY LOCATION COUNTY SPECIAL INFORMATION 3- ID NO. 14011'? INITIAL TEMP aC GRAB e li sample ly a 3 ` COMP start sample time COMP end date/ time i COOLER #1 COOLER 92 TEMP @RECEIPT: eC NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINERS) WITHIN. TEMP @RECEIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN. AMMONIA SAMPLES PRESERVED WITH H,SO., pI H=<2.O YES NO AMMONIA SAMPLES NEUTRALIZED WITH Na2SO3i Cl=< O.1 YES NO 'CAL SAMPLES PRESERVED WITH Na2SO3, CI 1 t O.1 YES NO COLLECTED BY. ?1 B 2. ALL SAMPLES COLLECTED AND PRESERVED A r TIME OF COLLECTION IN PL4S 77C CONTAINERS UNLESS NOTED OTNERMSE BY: "RELINQUISHED BY DATE!/ TIME RECEIVED BY SPLIT SAMPLE(S) INFO ' f ANALYSES !RES.ULTS. -RESULTS DATE INIT'L F. COO cfull oorn I 1 ! BOD ppm TSS ppm A. aPtA , c�- NH3 ppm f COND umho TURB ntu i MLSS ppm i MLVSS ppm gY the above signature I certify that all Informationils accurate to the best of my knowledge. ?MMENTS r� i RESEARCh & ANA iCAL d0 LAbORATORIE5r INC. i For: James 8r James Env.:Mgrrit. Report of Analysis- 8/16/2017 3801 Asheville Highway .�� c:•,-C: Hendersonville; NC 28791 • Q ca NC 134 Z= w NC037701 Attn: Skye.McCarson _ .� �, I Client Sample ID: Hayens Wire Outiall 92 Lab Sample ID: 38598-01 Site: James 8 James Collection Data: 8n/2017 14:20 ara aMethol ROS61t YD1� Ron Ll l al s Anainis Daternma Mickel, Total EPA 200:7 0.018 mg& 0.005 KL BM5r2017 P.O. Box 473 106 Short Street ra1_coa_ttas+c_v1 d i i North Carollna 27284 Tal 336.996-2841 Fa)z 336-998-0326 WIVW rant NA n not GrpWyZed om 0 Willtl • ental 1 ! i 1 •■ 1 ll. Y•1 • • 1 .r . • .l i e • • . • • L L L II 1 •..f' II 1 • i A®®I■ NOON■ NOON■■■ ■®■■ ■�■ zr Ste■ ■�� NOON/■■�■■■■ ■�■ �■®®� ®®1■ NONE ■■■■■■■■ ■■■ ®M® ■®�■ MEMO ■■■■■■■m mmo 111100001 ®C:®■®■. mom lonsoms:■N:No ■■�■■ NEE■■ ■ ■■N■M■■ ■■ ■N■■■ ■■�■ ■■■■■ ■i ■ ■■ MONOION■■ ■■®■■ ■ ■ ■I No ■■■■■■■■® NONE soon ■ ■■■t ■ =OMEN■ ■■■■■■■■■ ■■ soon ■® ® momom MONSOON monsoon ® ■■OEM ■■M■■■M■■MM■ NEE■ mmommo■■ ■■ONE■lonsommonmmmomME■ ■■■■o■■■MINEEN■ME■ ■■ M■■■■NN MMN■■■N■■■ESN■ r 1 1 • i ; _ 0 � STORMWATER DISCHARGE OUTFALL (SDO) „� MONITORING REPORT ;%1p / J69 Permit Number NCS.000209 FACILITY NAME _Haynes Wire Company PERSON COLLECTING SAMPLE(S) Angela Beck CERTIFIED LABORATORY(S) James and James Research and Analytical Labs Part A: Specific Monitoring Requirements Lab # 482� Lab # 34 SAMPLES COLLECTED D RI �-N (This monitoring report shall be received by the DiYgioneola er than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson RECEIVED PHONE NO. (828) 393-1258 FEB 2 9 20,8 SIGNATURE OF PERMITTEE OR DESt4VPI I C7lL N RE UIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total Rainfall pH TSS Nickel mo/dd/yr MG inches mg/L L 1 02/03/2016 NA 2.5 7.6 <4.90ppm 0.012m /L 2 02/03/2016 NA 2.5 7.1 9.30ppm 0.007m /L Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X_no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Not applicable to Haynes Wire Com an Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage molddl r MG inches m /I m /l unit al/mo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 02/03/2016 Total Event Precipitation (inches): 2.5 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." C& lieeA ") ja 5 11 (Signs a of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 STORPi- EVENT CHARACTERISTICS: Date: 7/12/2016 Total Event Precipitation (inches): 0.41 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see permit.) Mail Original and one copy to: Division of Water Quality Attn; Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." f 7� (Signature Permittee) (Date) Form S W U-247, last revised 21212012 Page 2 of 2 RISEARCH::� ANALyTiCAL. Re or of /dlnai sis lAbORATORIk ,:Inc. 7122/2016 �4C3� k _ . ._ ��lfirus�iOf �*y� AFL '�4 For: James,& James Env. MgmLNz ++`+� ..• i C•y � '�i,� 3801 Asheville Highway `u���"�• 4; .: ra b- Hendersonville, NC,28791 : z�. NC#34 y Attn: Skye__McCarson �•, sNC U37701 F Client Sam. pie 'ID: Haynes Wire Stormwater Outfall fit Lab-Samp.le_ID: .M5.9-01 Site: James & James. -.,Collection Date: 7/.12/2016 9:25. Parameter Method, Result Units Rep Limit 6DRlyst,Analvsis DaterTime Nickel, Total EPA.200.7 e-0.005 mglL 0.005 KL 7/19/2016 NA i not onalyzed i - P.O. Box 473 106.Short Street KemersAlle, North Carolina 27284. ' Tel: 336-996-2841,- Fax:•336-996-0326 www.randata6s:corw Page i rat cw Sas1c•_vld RESEARCh & MAlytiCAl "l Ab0MTQRfES, ING Analytical / Prodess Consultatlans CHAIN OF CUSTODY RECORD WA7ERJWARTMAMR misc.. COMPANYErM s nwnt Inc. •• • • • • . i HendersorriMe, NC 28791• , CONTADTNE ■ �■■■■■�■ ®■■■■■■■■■■■■■■■ �■■■■■■■�i■ ■■■■■■■■■■■■ ■■■ ■■■■■■■■■ ■■■■■■■■■■■■ ■■■ ®®©®®�®mom--���®®®r�®®®®®■®®®®® ■■■■■■■■■■■■■■■ ®®■■■■■■■r■■■■■ t■®■■■■■■■■ ■■■■■■■■■■■■■■■ SAMPLE TEMPERATURE AT RECEIPT!a,?- -C r� w f'_ JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCDENRIDWQ-Groundwatersettion To assign test, label shaded area with sample type (C-composite; G=grab) CHAIN OF CUSTODY LOCATION HAYNES WIRE COUNTY HENDERSON SPECIALiNFORMT10 ;., Y OUTFALL # 1 JOUTFALL ID NO. HWCCr I 21 INITIAL TEMP GRAB sam !e time _ AYA COMP start sample time COMP end ate! time TEMP @RECEIPT: I °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. TEMP @RECEIPT: oC FOR ALL CONTAINER(S) WITHIN. NOTE THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINERISI WITHIN. AMMONIA SAMPLES PRESERVED WITH HzSO., pH=<2.0 / .,DES NO f AMMONIA SAMPLES NEUTRALIZED WITH Na2SO3, CI=< 0.1 --YES NO Le" FECAL SAMPLES PRESERVED WITH.Na2SO3i CI=< O.1 - - S NO__sC COLLECTED BY: i I. ALL SAMPLES COLLECTED AND PWSERVED AT TIME OF COLLECTION IN PLASTIC CONTAINERS UNLESS NO TED O THERMSE ft RELINQUISHED BY DATE I TIME: REC ED BY SPOT SAMPLE(S) INFO - Z- /__j:Ci0A4V. AiNALYSE'5r� 7RESULT ;; 4RESUi_TV-_TV �RESIJL%W 4RESUE ,_ ,!�� %�. L W`I 37IA;�E tip EM PH G to G TSS ppm G G , IS By the above signature I certify that all-infortnatian is. accurate to the bast of my knowledge. COMMENTS Q means QC not met . ; CC RECCIV9&AMONTISCHA RE OURT ALL (SDO) JUN 2 9 Z015 Permit Number NCS 000209 CENTRAL FILES DWR SECTION FACILITY NAME _Haynes Wire Company PERSON COLLECTING SAMPLE(S) Angela Beck and Kevin Fore CERTIFIED LABORATORY(S) James and James Lab # 482_ Research and Analytical Labs Lab #_34 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson PHONE NO. (_828_)393-1258 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. �7 Outfall No. DateII Collected I Rainfall ®. --flI, 06/09/2015I ' I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _X_no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitorin! Requirements Not applicable to Haynes Wire Company Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m I unit allmo Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date _06/09/2015 Total Event Precipitation (inches):.40 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." a�� &-t� & Im / 1.5 (Signat of Permittee) (Dat ) Form S W U-247, last revised 21212012 Page 2 of 2 RESEARCh & ANAtyTfCA[ LAWRATORfES, INC. For: James & James Env. Mgmt 3801 Asheville Highway Hendersonville, NC 28791 Attn: Terry storey Report of Analysis• 6/19/2015 b {1.EON "o S _5 NClt34 =� NC 1137702 : Client Sample ID: Haynes Wire Stomiwater Oudd #1 Lab Sample ID: 5314.01 Site: James & James Collection Date: OW015 14:31 Parameter Method $esu t units M AnaAMtKgls Mkfflmq Kkkel, Total EPA 200.7 <0.005 mg/L 0.005 AA 6117/2015 Client Sample ID: Haynes Wire Stormwater Outtall 02 Lab Sample ID: 5314-02 Site: James & James Collection Date: 602015 14:30 parameftr Meth do result UnAl Rea LimitAna wst Analysis DaWnme Nfcicel, Total EPA 200.7 0.006 mg1L 0.005 AA 6/17/2015 NA = riot Cnolyzed P.O. Box 473 108 Short Street Kemersville, North Carolina 21284 Tel: 338 aW2841 Fax 336-998-0326 www.randatabs.com Page i rel coo basic v1d JJEM AQUEOUS -SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by NCDENRIDWO-Groundwater section To assign test, label shaded area with sample type (C=composite; G=grab) CHAIN OF CUSTODY LOCATION HAYNES WIRE COUNTY HENDERSON SPECIAL INFORMATIONS ;, OUTFALL # 1 JOUTFALL # ID NO. HWC Fb9 15. e iMI INITIAL TEMP or GRAB time 1 Li 3 I i L{ 34 COMP start sample time COMP end date/ time TEMP @RECEIPT: nC TEMP pREC1rIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN. NOTE: THE ABOVE TEMP INDICATES THE TEMP, FOR ALL CONTAINER(Si WITHIN_ AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2.0 DES NO AMMONIA SAMPLES NEUTRALIZED WITH N82SO3, Cl=< 0.1 — YES NO FECAL SAMPLES PRESERVED WITH Na2SO3, CI=< C.1 —DES NO COLLECTED BY: 0- LL SAMPLES COLLECTED AND PRESERVED AT TIME OF COLLECTION IN PLAS77C CONTAINERS UNLESS NOTED OTHERWISE BY, RELINQUISHED BY DATE I TIME RECEIVED BY SPLIT SAMPLE(S) INFO 0. 7,4 5 1 ! I ' ANALYSE$ 'RESULT RESULT '"RESULT ;`RESUI:T:, = DATE.': °=IN1TL PH G I �. G ( 4j1-� L-S TSS ppm c G Lq--C�a c�I►ZI►5 3�S By the Above signature I certify that all information is accurate to the best of my knowledge. COMMENTS a means SC not met. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS000209 FACILITY NAME: Haynes Wire Company PERSON COLLECTING SAMPLE(S): Angela Beck and Kevin Fore CERTIFIED LABORATORY(S):James and James Lab # 482 Research and Analytical Labs Lab # 34 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson PHONE NO. (828 j 393-1258 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. riDate Collected TotalSample : I o: R. t11�i�al� ■►� ■ - t ii. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements: Nol Applicable to Haynes Wire Company Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m /I unit al/mo Form SWU-247, last revised 21212012 Page-] of 2 4 STORM EVENT CHARACTERISTICS: Date 918/14 Total Event Precipitation (inches): 2.37 Event Duration (hours): NA (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Resources Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permittee) (Dat ) Form SWU-247, last revised 21212012 Page 2 of 2 ,,N JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482) Regulated by HCDENRFOWQ-Gmundwatu section To assign test, label shaded area wifb sample'" (C=wmposb; Grab) , CHAIN OF CUSTODY LOCATION HAYNES WIRE COUNTY SPECIALINFORNWTION(S) OUTFALL 0 1 OU1 NM�. ID NO. INITIAL TEMP 'C GRAB sample tlrne COMP start .sample time ! COMP end data) time TEMP ORECEIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN. ITEMP ®RECEIPT: °C NOTE: THE ABOVE TEMP INDICATES THE TEMP. FOR ALL CONTAINER(S) WITHIN. i i i AMMONIA SAMPLES PRESERVED WITH H2SO4, pH=<2.0 ! DES NO AMMONIA SAMPLES NEUTRALIZED WITH N82SO3, CI=s 0.1 YES NO FECAL SAMPLES PRESERVED WITH N82S03, CI=a 0.1 i 1�ES NO i COLLECTED BY: ALL SAMPLES COLLECTED AND PRESERVED AT TIME OF COLLECT ON IN PLAS77C CONTAINERS UNLESS NOTED OTHERWISE BY. RELINQUISHED BY DATE ! TIME i RECEIVED BY SPLIT SAMPLE(S) INFO axelrr -et, 4 Ft J 1 i PH TSS ppm [ .iSl i R3 I i i i t F By the above skjnatw-e I certify that all infor+rmtion Is ocurate to the b;W of my knowledge. t COMMENTS means QC not met € E REsEARch & ANA1yTicAl LAbORATORiES, INC AnaWcaWrocess Consultations *puittofff,+� °" NC�F34 �•' � • ti v �'• James & James Env. Mgmt. Date Sample Collected 09/08/14 3801 Asheville Highway Date Sample Received 09/12/14 Hendersonville, NC 28791 Hate Sample Analyzed 09/12/3.4 Attn. Terry Storey Date of Report 09/19/14 Analyses Performed by AA Lab Sample Plumber 794635 794636 aa=cam==asaa_a.....___aacaaasayea.=�caaa=aa===a.=aa==as=Ca==as==a=aac=aav==aaa�aca Parameter Storet # Results Results Nickel,Tot (01067) 0.016 sag/1 <0.010 mg/1 Clients Sample Source STOPMOATER OUTFALL 1 STORMWATER OUTFALL 2 Number HAYNES WIRE HAYNES WIRE Time Collected (Hrs) 1053 1050 P.O. Box 473 • 106 Shart Street • Kernersville. North Carolina 27284 • 336-996.2841 • Fax 336-996-0328 www.randalabs.com STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS000209 FACILITY NAME: Haynes Wire Company PERSON COLLECTING SAMPLE(S): Angela Beek and Kevin Fore CERTIFIED LABORATORY(S):James and James Lab # 482 Research and Analytical Labs Lab # 34 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: -- �n 14 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson PHONE NO. (828 j 393-I258 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. DateL Collected Sample Total Flow Cif app.) Total Rainfall •�aZT.irT t!"T:T7� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes ,no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements; Not Applicable to Haynes Wire Corn any Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches MR/1 m l I unit W ailmo Form S WU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 2/5/2014 Total Event Precipitation (inches): .25 _ Event Duration (hours): NA (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable —see permit.) Mail Original and one copy to: Division of Water Resources Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signatu of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2