NCS000209 DMR SW

Permit Number NCS 000209
R, ECB &ATER DISCHARGE OUTFALL (SDO)
JUN 2 9 2015 MONITORING REPORT
CENTRAL FILES
DWR SECTION
FACILITY NAME _Haynes Wire Company
PERSON COLLECTING SAMPLE(S) Angela Beck and Kevin Fore
CERTIFIED LABORATORY(S) James and James Lab #_482_
Research and Analytical Labs Lab #_34
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2
(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 Henderson
PHONE NO. (_828,393-1258
EREQ
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
&11111.11�W
Total—:
Flow (if :,,
Total
Rainfall
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
linches
m
ro
unit
imumo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X—no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorinn Requirements Not annlicahle to I-favnes WirP rmmnnnv
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
linches
m
ro
unit
imumo
Form SWLI-247, last revised 2/2/2012
Page 1 of 2

• til . - " - _ .. � _ _ .1 .
STORM EVENT CHARACTERISTICS: Mail Originafaod one copy to'::,
Division of Water Quality
:Date -06/09/2015 Attn:.Central Files
Total Event Precipitation (inches): .40 1617 Mail Service Center _
.Event Duration (hours): (only if applicable — see, permit.) Raleigh, North Carolina 27699-1617
(if more than one storm -event -was sampled)
Date i
-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, tothe
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.
(SignatuR of Permittee) (Dat )
r.
- j : , _r:' • _ ` _ .Form SW_ U-247, last revised 2/2/2012
Page 2 of 2