NC0034967_Regional Office Historical File Pre 2018 (43)

S PERMIT NO.: NCO034967 PERMIT VERSION: 4.0 �^a PERMIT STATUS: Active
FACILITY NAME: Carolina Glove Company CLASS: W W-2 @,� I OUNTY: Alexander
OWNER NAME: Carolina Glove Company ORC: Steve Brian Eades ORC CERT NUMBER: 16860
AUG 14 2018 RECEIVEDINCDENRIDWR
GRADE: WW11. ORC HAS CHANGED: No
eDMRPERIOD: 07-2018 (July 2018) VERSION: 1.0 CENTRAL F11-rr-- JSTATUS: Processed AUG 2 0 2018
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sys*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation - Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation -Holiday

PPERMIT NO.: NCO034967
AC!ILITY NAME: Carolina Glove Company
OWNER NAME: Carolina Glove Company
GRADE: W W-4.
eDMR PERIOD: 07-2018 (July 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: W W-2
ORC: Steve Brian Eades
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Alexander
ORC CERT NUMBER: 16860
STATUS: Processed
SUBMISSION DATE: 08/09/2018
4/ 08/09/2018
ORC/Certifier Signature: Steve Brian Eades E-Mail:[e-mail] ,Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
v;- cie'C
08/09/2018
Permittee/Submitter Signature:*** Rachel Bentley Mecimore E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 140 Glove Mill Rd Taylorsville NC 28681 Permit Expiration Date: 03/31/2020
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 managed 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 fires and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Taylorsville WWTP #5062
CERTIFIED LAB #: Water Tech Labs, Inc, R & A Laboratories, Taylorsville W WTP Lab #5062
PERSON(s) COLLECTING SAMPLES: Brian Eades, Darrin Weaver, Warren Miller
i
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).