NCS000244 DMR SW (6)

STORMWATER DISCHARGE OUTFALL(500)
MONITORING REPORT
Permit Num be ;`= 5,`.;,Q2 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(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.)
FACILITY NAME American Distillation COUNTY Brunswick
PERSON COLLECTING SAMPLE(S) :arry White PHONE NO.L910,371-0993
CERTIFIED LABORATORY(S)_Environmental Chemists Lab#_DWQ119___
Lab# _ ....
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
._,
Part A:Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total BOD TSS COD TION Oil& Grease All Alcohols
Collected Flow(if app.) Rainfall
mo/dd/yr MG inches mg/L mg/L mg/L mg/L mg/L mg/L
001 6/16/16 1 %" 5 11.1 25 1.1 ND ND
AUG 15ZOG
CEN.-RAI cm f.-1
UWF\ Srzi-e A
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 Activity Monitoring Requirements N/A
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/yr MG inches mg/I mg/1 unit gal/mo
Form SWU-247,last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date_6/16/16 Attn: Central Files
Total Event Precipitation(inches):_11/2" 1617 Mail Service Center
Event Duration(hours):2.5 hr (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."
(Signat a of Permittee) d ��V`
47
(Date
Form SWU-247,last revised 2/2/2012
Page 2 of 2

Environmental Ch mists, Inc.
envrochem6602 Windmill Way,Wilmington,NC 28405 . 910.3 2.0223 Lab • 910.392.4424 Fax
G710 Bowsertown Road,Mantes,NC 27954 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 2 0 • 919.347.584;Lab/Fax
ANALYTICAL.&CONSULTING CHEMISTS JUL 0 7 2016 iufa�7a environmentalelternjs s.com
American Distillation Date of Report: J ''I 07,2016
PO Box 400 Customer PO#:
Leland NC 28451 Customer ID: 0"010037
Attention: Darlene Wells Report#: 2a-16-08059
Project ID; Storm ater
Lab ID Sample lD: Collect Date/Time Matrix Sampled by
16-19395 Site:Stormwater 6/16/2016 9:00 AM Water • Client
Test Method Results Date Analyzed
Oil&Grease(0&G) EPA 1664 <5 -ng/L 06/24/2016
Ammonia Nitrogen EPA 350.1 0.3 ng/L 06/17/2016
Total Kjeldahl Nitrogen (TKN) EPA 351.2 1.1 'ng/L 06/28/2016
Residue Suspended (TSS) SM 2540 0 11.1 mg/L 06/16/2016
pH SM 4600H B 6.93 units 06/23/2016
-.qOD sM 5210 e 5-ng/L 06/16/2016
;OD SM 52200 25 ing/L 06120/2016
Ethanol SW 846 method 8015 <5 mg/1.. 06/23/2016
Isopropyl alcohol SW 846 method 8015 <5)'mg/L 06/23/2016
Methanol SW 846 method 8015 <5 mg/L 06/23/2016
Tert-butyl alcohol SW 846 method 8015 <5 mg/ 06/23/2016
Comment: MaliakcL
Reviewed by: Ot OAA R kiE C
AUG 15 2016
CPNTRAL FILES
DIM SECTION
Report#: 2016-08059 Pagel of 1
i

002 Windmill Way ilmington,MC
e .v 'aCliem' UL ` 2t�t6 I�VI RO N M E T L CHEMISTS INCo f CE 910-392.02W23 FAX [phone]
Analytical&Consulting Chemists NCDENR:DWQ CERTIFICATION 0 94 NCDHI-IS:©LS CERTIFICATION U 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT:American Distillation PROJECT NAME: Stormwater REPORT NO:
..-ADDRESS:--1600-Royster-Rd -- ---_ — CONTACTNAIifIE:._.____.____.-________.____._.___.-_.__ ...._._PO..hIQ,__.._ ________... __._..__________
Leland,NC 28451 REPORT TO: Darlene Wells PHONE/FAX:[phone] ext 102
COPY Tc 4- ?..1jernaii:dar1eneeamericandistillation.net
Sampled By:( t r 1 in_L 1 SAMPLE TYPE:I=influent,E=Effluent,W=Well,ST=Stream,SO=Soil,SI=Sludge,Other: _.
Collection•• w 0. G a
PRESERVATION
RESERVATION
•
ii E ik9.pSample-Ide3tdI aatio# C9 c4cf iu ,n13x" 1:r 2 ANAL-MS-REQUESTED
� U` " z a s = s s oDate Time Temp U
Ito-1143-16 67:00 41, 0 C P —
Stormwater ?b/ r G G t.1.5/ \/ BOD,TSS
C P L
G G Oil and Grease
C P
G 0 Z-;4- Ammonia,TKN,COD
C P V/
G 0p
• - C P etanol, isopropyl alcohol, methanol, tert-
G G butyl alcohol by 8015
C P
G G •
C P
G (3
C P _
YG G
C P _...
• G G
Transfer Relinquished By: patelTime Received By: Date/Time
1. -
Temperatur when ;eiv• : `� Accepted: t•.. Resarnple Fte ues ed:
Delivered By: Q: Received B :
AP' —
Y Date: 6:2.1. j Time:
Comments: TUR AR UND:
t k