NCS000562 DMR SW (3)

i
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000562Li l Ub 5 '�—
FACILITY NAME Horsehead Metal Products, Inc.
PERSON COLLECTING SAMPLE(S) IV IR
CERTIFIED LABORATORY(S) Pace Lab - ar otte -Lab#5342
Pace Lab - Asheville Lab #�—
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 7-01'7?
(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.)
COUNTY Rutherford
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
1.
15-4111 1-11
MonitoringRe
uirements
Sample
Collected
Total
Flow (if app.)
Total
Rainfalli
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
WT
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /I
m /I
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Ono
(if yes, complete Part B)
Part B: Vehicle
Maintenance Activity
MonitoringRe
uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /I
m /I
unit
al/mo
Form S WU-247, last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date N
Total Ev nt Precipitation (inches): tJlAr
Event Duration (hours): N 4 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date N a - -
Total Event Precipitation (inches):
Event Duration (hours):_(only if applicable — see permit.)
4 A t'Q4 K 7-- ��ow aQ��ei� 1'l,�S ex,-Opel0
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Q;yr-I fc�►V, iY �� yc�
"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."
(Signature of Permittee)
R -3-2o,5
(Date)
Form S WU-247, last revised 2/2/2012
Page 2 of 2