NC0034967_Regional Office Historical File Pre 2018 (61)

P
PERMIT NO.: NCO034967
PACILITY NAME: Carolina Glove Company
OWNER NAME: Carolina Glove Company
GRADE: W W-4.
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Steve Brian Eades
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active 3
CI V TY: Alexander
ORC CERT NUMBER: 16860
JAN 2 4 2017 RECEIVED/NCDENR/DWR
CENTRAL FILE. Processed
-
� � 2017
®WIC SECTION �� �v
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE t-MMS
MOORESVILLE REGIONAL OFFICE
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50050
00010
C0310
C0530
Weekly
.Weekly
Weekl
Weekly
Instantaneous
Grab
Grab
Grab
FLOW
TEIIIP-C
ROD -Coat
TSS-Coat
NO clock
1In
..0 clock
Iln
YB1N
mgd
deg e
MEA
mg/1
1
700
.2
y
NOFLOW
12
700-
NOFLOW
4
5
700
2
y
NOFLOW
6
700
2
y
NOFLOW
7
700
.2
y
NOFLOW
8
700
.2
y
NOFLOW
9
700
.2
y
NOFLOW
10
12
12
700
2
y
INOFLOW
13
700
.2
y
NOFLOW
14
700
.2
y
NOFLOW
1s
700
.2
y
NOFLOW
16
700
.2
y
NOFLOW
17
18
19
1700
.2
NOFLOW
20
700
2
y
NOFLOW
21
700
.2
y
NOFLOW
22
700
2
y
NOFLOW
23
700
1.2
y
NOFLOW
24
25
26
HOLIDAY
27
HOLIDAY
28
HOLIDAY
29
HOLIDAY
30
HOLIDAY31
Monthly Average Limit:
0.015
30
30
Monthly Average:
Daily hlaaimam:
Daily hllairn—
""*No Reporting Reason: ENFRUSE=No Flow-Rouse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation —Holiday

V
IT NO.: NCO034967
ME: Carolina Glove Company
OWNER NAME: Carolina Glove Company
GRADE: W W-4.
eDMR PERIOD: 12-2016 (December 2016)
COMPLIANCE STATUS: Compliant
r" "IT-1 ILIA s1117y COOK1 [1,
CLASS: WW-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: 01/18/2017
r)7?__ ` 01/18/2017
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 -rime 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.
01/18/2017
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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Water Tech Labs Inc, R & A Laboratories, Taylorsville W WTP #5062
CERTIFIED LAB #: Water Tech Labs, R & A Labs, Taylorsville W WTP #5062
PERSON(s) COLLECTING SAMPLES: Brian Eades, Damn Weaver, Warren Miller
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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).