NCS000209 DMR SW (4)

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT Y
f �
Permit Ntatbe 0 SAMPLES COLLECTED DURING CEE1< .; _r:2
(This monitoring�report shall be received by the Division no?ater than 30 days from
the date the- ac lity receives the sampling results from the laboratory.)
FACILITY NAME:Haynes Wire CompanyCOUNTY:Henderson
PERSON COLLECTING SAMPLE(S)Angela Beck fJ,.. PHONE NO.[phone]
CERTIFIED LABORATORY(S)James and James: Lab#482 {%
Research and Analytical Labs: Lab#34
SIGNATURE OF PERMITTEE OR DESIGNEE
r f REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date: ` - n 50050.' _4 EPA 200.7
No: 'Sample 'Total - ° , - Total ' ,`i'pH- - TSS Nickel -
Collected Flow°(if app.) ; Rainfall - , - - - .
m 'moldd/yr, MG_` inches_ ` - , " -Mg"/L1' . _ µg/L ` -
1 7/12/2016 NA 0.41 6.1 12.4 <0.005mg/L
2 7/12/2016 NA 0.41 Dry Outfall Dry Outfall Dry Outfall
EIVED
JUL 2 9 2016
CENTRAL FILES
own 'EC1 ION
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 Not applicable to Haynes Wire Company _
,Outfall ' .` .-Dated ,.- . : 50050 . -, ',` : _ 00556 - 00530, 00400
No. " ,'Sample Total Flow ` Total " ' - ,Oil&Grease' Non-polar Total `- 2 pH 4 . New Motor
3
Collected o: '- (if applicable)* Rainfall (if appl.) ' O&G/TPH'` .Suspended Oil Usage ,
` -, '(Method 1664 Solids,, _ _
SGT-HEM),if, , . -
mo/dd/yr MG - ;, inches - mg/l -' - mg/1' unit-� ,- 'gal/m9',
Form SWU-247,last revised 2/2/2012
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STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date: 7/12/2016 Attn:Central Files
Total Event Precipitation(inches): 0.41 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
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."
' 0 IP
(Signature ot Permittee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2