NCS000041 DMR SW

f
Does this facility perform Vehicle
(if Yes, complete Part B)
DISCHARGE OUTFALL (SDO)
Part B: Vehicle Maintenance Activi Monitorin Re uirements
Outfall Date 50050
No. Sample
P Total Flow Total
Collected (if applicable) Rainfall
00556
Oil & Grease Non -polar
(if aPPI•) O&G/TPH
(Method 1664
R1ORMWATER
R E j �Jf)TORING REPORT
Permit Number NCS000041
SEP 3 0 2015
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than
30 days from
CENTRAL FILES
SWR SECTION
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Claraint Corp — Mt Holly West
COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Greg Browning
PHONE NO. C704) 822-2100
CERTIFIED LABORATORY(S) Shealy Environmental Services Inc. Lab # NC DENR # 329
SIGNATURE OF PERMITTEE OR DESIGNEE
Part A: Specific Monitoring Requirements
REQUIRED ON PAGE 2.
Outfall Date 50050
No.
Sample Total
Collected
Total I 00556
I00530
00400 j00310 00340
32730
Flow if a
mo/dd/ r MG
Rainfa
COD
Phenols
001 08/10/2015
inches
003 08/10/2015
0.8
7.9
6.43 19 25
0.032
004 08/10/2015
0.8 ND
0.8
17
6.47 > 98 220
0.017
005 08/10/2015
ND
0.8
7.6
6.75 3,7 16
0.031
006 08/10/2015
007
ND
O.g ND
31
6.82 12 54
0.0069
08/10/2015
0.8 ND
Al
6.9 5.9 20
3.4
6.81 6.6 20
0.0054
0.0083
Does this facility perform Vehicle
(if Yes, complete Part B)
Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _X—no
Part B: Vehicle Maintenance Activi Monitorin Re uirements
Outfall Date 50050
No. Sample
P Total Flow Total
Collected (if applicable) Rainfall
00556
Oil & Grease Non -polar
(if aPPI•) O&G/TPH
(Method 1664
00530 00400
Total pH
Suspended
Solids
SGT -HEM), if
MG 7inches
unit
New Motor
Oil Usage
Form S WU-247, last revised 2/2/20
Page 1 of

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 08/10/2015 Attn: Central Files
Total Event Precipitation (inches): 0.80 1617 Mail Service Center
Event Duration (hours): 1.0 (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 possibility of fines and imprisonment for knowing violations."
�,....v
7//7/'/
(Signature of Permittee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2