NCS000064 DMR SW (3)

Permit Number NCS 000064
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 C N A Holdings, LLC — Shelby Plant COUNTY Cleveland
PERSON COLLECTING SAMPLE(S) Mike Sparks & Mike Queen PHONE NO. ( 704 ) 480-5793
CERTIFIED LABORATORY(S) Prism Laboratory Lab # NC402
C N A Holdings, LLC Lab # NC221
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No ,
-Collected
K ,k
Date
Sample
-
" 50050 " ,
00530.
00310
00340 . -.
00400 -
Total Total ., Total .
Flow (if App.) Rainfall Suspended BOD5 COD
Solid TSS
I pLH
;'•, _._ ._ ,
mo/dd/ r:
total,
MGA ....
inches-
m n ` =
m /l
m /1.
standard
North
11/06/15
:
n/a
0.21
38
BRL
BRL
6.8
South
11/06/15
n/a
0.21
28
BRL
BRL
6.8
East
11/06/15
n/a
0.21
53
7.2
BRL
7.5
a 1.
�_
....M . mo/dd/ r - :'
MG_
inches
m.g.4 .. ,.,
- m n,":
unit. .
aunio : ..
n/a
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)
e
Fart IS: vehicle Maintenance Activitv Monitoring Requirements
Outfall Date
50050;
00556 `;
00530
00460'-­
0400_,. .ample
ample,,
•
Total. Flow
Total
:Oil & Greasei,
Non -polar, '
total,
pH
New Motor.
,Collected -.;-
(if applicable)
Rainfall
'.(if appl..)
O&G/TPH
,
Suspended
:
Oil Usage
a
(Method 1664
Solids
A ,.
-
SGT IIE
a 1.
�_
....M . mo/dd/ r - :'
MG_
inches
m.g.4 .. ,.,
- m n,":
unit. .
aunio : ..
n/a
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 11/06/15
Total Event Precipitation (inches): _0..21
Event Duration (hours): _2.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):-
Event
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."
1/11/2016
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2