NCS000155 DMR SW (3)

AGC,GKN DRIVELINE GKN Driveline North America,Inc.
Sanford Precision Forming Facility
4901 Womack Road
Sanford, North Carolina 27330,USA
May 2, 2016
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1641 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Permit No. NCS000155 Semi-Annual Stormwater Discharge Outfall
Analysis and Monitoring Reports
To Whom It May Concern:
Enclosed please find the Semi-Annual SDO Qualitative Monitoring Reports and
grab sample analysis monitoring report at the GKN Driveline Precision Forming
Facility indicating that permit limitations were not exceeded. The copper and zinc
samples included in this report are not required by the current permit, but were
sampled to benchmark other GKN facilities in NC.
This report is being submitted in accordance with GKN Driveline NPDES
Stormwater Permit No. NCS000155. The report covers October 1, 2015 — March
31, 2016 reporting period.
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.
If you have any questions regarding this letter or the enclosed please do not
hesitate to contact me at [phone].
Sincerely,
Gf v` '��
Imb y [ . i lian, CSHO, MESH o
EHS Specialist �T©' 040 .44/ 476'
EXPECT>MORE

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT //
Permit Number:NCS PA SJ or SAMPLES COLLECTED DURING CALENDAR YEARCO1(('
Certificate of Coverage Number:NCG (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 ILo\J OjLi 11, ' COUNTY Cce_
PERSON COLLECTING SAMPL i,S) A I.I �_ 4 d1`IIS'i PHONE N .(c/�i ) s1Db''(/S
CERTIFIED LABORATORY(S) MOM I Lab# r �������,(��f /
(� Lab# (SIGN -I ISE 0 PERMITTEE OR DESIGNEE)
By this sig at e,I certify that this report is accurate
complete to t e best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample° Total Total Oil&Grease Total Total Lead pH
Collected Flow(if app.) Rainfall Suspended �e S
Solids(TSS) l..�C �l L
mo/dd/yr MG inches mg/1 mg/I mg/I Units L i L /L
/s (00/ x.3)01Wl40 10 U IO' 1V 1J a�,`�� .N 1- (.fl...., ND ia
G'we(` 0 Oic -7,1,, 110 OD ia(12 le_, 9_D
to/ ( J� 0/J110 'bJ 11)t) /L7. 5 Z (.0,i �!7 / S(O
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) 11
Part B: Vehicle Maintenance Activity Monitoring Requirements4.u 7
Outfall Date 50050 00556 00530 00400 lj/(IR/W1�R L,q
No. Sample Total Flow Total Rainfall Oil'&Grease Total pH New Motor Oil IR/Win,„/
L)Q0,1
Collected (if applicable) Solids nded Usage ��p4=7�/��. )G
mo/dd/yr MG inches mg/1 mg/I Units gal/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quahty
Date_ 1O i, Attn:Cential Files
Total Event Precipitation(inches): �'�D 1617 Mail Service Center
Event Duration(hours): 1 (only if applicable-see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable-see permit.)
"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 p6ssibility of fines a I imprisonment for knowing violations."
6-/-2/11,
ignature'of Pe 'ttee) (Date)
Form SWU-246-112608
Page 2 of 2