NCS000209_Renewal Application_20221205

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
l. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas,process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data.
3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
�4-. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMA's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMA's.
5. A short narrative describing an significant changes in industrial activities at the
g Y g g
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility(Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal,then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)
��C '5 2022

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Haynes Wire Company
Permit Number NCS000209
November 22,2022
Visual Monitoring Results
Outfalls 1 and 2 are facing the neighbor's property.The property itself has changed over the years and
the ability to reach the outfalls has become a challenge.The vegetation around the outfalls is typically
overgrown and cover the outfalls.This has been remedied by cutting back the overgrowth on a regular
basis and creating a path to reach the out falls easier.
Outfall number 2 is lower to the tributary ditch and had become clogged with mud.The area below the
outfall has been dug out and the mud cleaned out of the end of the pipe.
There have been no signs of pollution at the outfalls or the drains.

Haynes Wire Company
Permit Number NCS000209
November 22,2022
Table A-Discharge Information
Outfall1 6/30/22 10/6/21 5/5/21 9/18/20 5/19/20 10/31/19 6/25/19
Rainfall- .75 1.25 .48 2.70 1.20 1.50 .50
Inches
pH No Flow 6 7.0 5.6 12.4 6.51 6.47
TSS-mg/L No flow 71.3 14 5.84 <2.58 23 8.91
Nickel,- ND
total
recoverable
every 4tn
year
Outfall2 6/30/22 10/6/2021 5/5/2021 9/18/2020 5/19/2020 10/31/2019 6/25/2019
Rainfall- .75 1.25 .48 2.70 1.20 1.5 .5
Inches
pH No flow No flow 6.9 5.9 12.6 7.26 6.82
TSS-mg/L No flow No Flow 15.2 8.90 <2.94 5.12 <4.55
Nickel, - ND
total
recoverable
every 4tn
year

PO Box 677
158 N. Egerton Road
HAYNESHendersonville,NC 28792
Phone: [phone]
Wire Com pany Fax: [phone]
November 22, 2023
NPDES Permit Renewal
Haynes Wire Company
Permit Number NCS000209
BEST MANAGEMENT PLAN
These management practices are implemented to prevent pollution of storm water clue to the activities at
our facility.
1. Good Housekeeping
a. Good housekeeping practices are stressed throughout tic Haynes Wire facility.
Department Supervisors are responsible for addressing any deficiencies or problems with
housekeeping. It is conveyed to all employees tie importance to maintain a clean and
orderly work area in order to prevent incidents and accidental spills.
2. Storage Practices
a. All materials are stored inside at designated storage areas with adequate aisle space to
allow safe handling and inspections. Chemicals are not stored outside. Materials and
equipment may be stored outside only on a temporary basis. Rod coil, scrap wire, and
wood pallets are stored outside.
3. Sediment and Erosion Control
a. Sediment and erosion control is provided, as necessary, dnrouglh various means at Haynes
Wire. Vegetative cover is maintained in established areas of die facility.
4. Loading and ilnloading
a. Loading and unloading takes place at the designated loading docks. The loading docks are
part of routine inspections.The loading and unloading of bulk liquids is monitored by the
maintenance department.
SIGNIFICANT CHANGES
"There have been some changes to the industrial activities at Haynes Wire.There laas been new
equipment added since 2018 and a solar field. 'There have been no changes to our material handling
practices, storage practices or chemicals used. We are receiving larger diameter rod coils, but they have
die saline properties as all of our incoming rod coils.

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources—Stormwater Program
Facility Name: Haynes lntematEonal,Inc DBA Haynes MeCompany
Permit Number: NC5000209
Location Address: 158 N.Egerton Road,HendemonvMe,NC 28792
County: Henderson
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements)and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signat re a o /y�Date
Print ofqybe name of person gigning above Title
SPPP Certiflcation 10/13

EPA Identification Number NPDES Permit Number FadI4 Name Form Approved 03/05/19
NCD986190791 NC5000209 Haynes International,Inc DBA OMB No.2040-ONA
Form U.S.Environmental Protection Agency
1 EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTIONACTIVITIES REQUIRINGAN •D 41
�1.1 Applicants NotRe4diredto Submit Form 1 "
Is the facility a new or existing publicly owned is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes,STOP.Do NOT complete No If yes,STOP.Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
c ❑ Yes 4 Complete Form 1 No Yes 4 Complete Form 0✓ No
z and Form 2B. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
cc
mining,or silvicultural facility that has not yet commercial,mining,or silviculture[facility that
commenced to discharge? discharges only nonprocess wastewater?
g [] Yes 4 Complete Form 1 [Z] No Yes 4 Complete Form No
°C and Form 2D. 1 and Form 2E.
33 1.2.5 Is the facility a new or existing facility whose
,� discharge is composed entirely of stormwater
A
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 ❑ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or -
b 15 .
SECTION 2. NAME, MAILING ADDRESS,AND LOCATION (40 CFP 122.21(f)(2))
Haynes International,Inc DBA Haynes Wire Company
0 2.2 EPA Identification Number
NCD986190791
2.3 Facility Contact,.:'
Name(first and last) Title Phone number
-es
Email address
R
g
m 2.4 Facility Mailing Address
z. Street or P.O.box
158 N.Egerton Road
City or town State ZIP code
Hendersonville NC 28792
EPA Form 3510-1(revised 3-19) Page 1

EPA Identficalion Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986190791 NC5000209 Haynes International,Inc DB OMB No.2040-0004
U 2.5 Fac,1114 Location .
` Street,route number,or other specific identifier
a v 158 N.Egerton Road
g County name County code(if known)
g Henderson
J City or town State ZIP code
a
z a Hendersonville NC 28792
SECTION •R 41
3.1 SLC Codes} I)escrip#oR;(opt<onalj;
3315 Steel Wire Drawing and Wire drawing
0
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3.2 NAICS Codes) Description optional) .
331222 Steel Wire Drawing
SECTIONOPERATOR INFORMATION (40
4.1 Name of 0`stator
Haynes International,Inc.
4.2 Is the name you listed in Item 4.1 also the owner?
o ✓❑ Yes ❑ No
w
4.3 'Operator Status
❑ Public—federal ❑Public—state ❑Other public(specify)
c ❑✓ Private ❑Other(specify)
4.4 Phonai Nuinber of 0 erator
[phone]
4.5 0 erator Address -
Street or P.O.Box
'g 1020 W.Park Ave
City or town State ZIP code
00 Kokomo IN 46904-9013
o. Email address of operator
0
SECTION
40
5.1 Is the facility located on Indian Land?
`—' ❑Yes ❑✓ No
EPA Forth 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facil ty Name Form Approved 03/05/19
NCD986190791 NCS000209 Haynes International,Inc DB OMB No.204OMN
SECTION • EXISTING ENVIRONMENTAL41
6.1 Existing Eiivirorimeiital Permits(check ail tha#apply and print oiF type the correspondino permit'riumber fot eac�ty'
❑ NPDES(discharges to surface RCRA(hazardous wastes) ❑ UIC(underground injection of
c water) fluids)
ILUa ❑ PSD(air emissions) ❑Nonattainment program(CAA) ❑ NESHAPs(CAA)
c
�9 ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑✓ Other(specify)
SLty Wastewater dischar e
SECTION41
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
0 Yes ❑ No ❑CAFO—Not Applicable(See requirements in Form 2B.)
SECTION . NATURE OF 41
8.1 Describe the nature of your business.
Manufacturing and warehouse facility of Wire&BAR<0.75 inches of Nickel,Cobalt,Iron-Base Alloys,Specialty
Stainless Steel.
W
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w
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SECTION •• • I
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
3 , 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
c 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
•o .Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
c
SECTION1 VARIANCE REQUESTS •t I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03r05N9
NCD986190791 NCS000209 Haynes International,Inc DBAIM OMB No.2040-M
SECTIONAND CERTIFICATION STATEMENT +1
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2-
Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2:Name,Mailing Address,and Location ❑ w/attachments
❑✓ Section 3:SIC Codes ❑ w/attachments
❑� Section 4:Operator Information ❑ w/attachments
❑ Section 5: Indian Land ❑ wl attachments
❑✓ Section 6:Existing Environmental Permits ❑ w/attachments
m
❑✓ Section 7:Map ❑ map
topographic ❑ w/additional attachments
✓❑ Section 8:Nature of Business ❑ w/attachments
�' ' ❑ Section 9:Cooling Water Intake Structures ❑ w/attachments
d ..
❑ Section 10:Variance Requests ❑ w/attachments
V ❑ Section 11:Checklist and Certification Statement ❑ w/attachments
Y
11.2 Certification Statement
1 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 property 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. l am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
EPA Form 3510-1(revised 3-19) Page 4

EPA identification Number NPDES Permit Number Facility Name Farm Approved 03/05/19
NCD986190791 NCS000209 Haynes Wire Company OMB No.204OMN
Form U.S Environmental Protection Agency
2F SM EPA Application for NPDES Permit to Discharge Wastewater
NPOES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATIONt
1.1 Provide information on each of the facillit es outfalls In the table below
Outfall ReceitringWaOrName Latitude: Longitude
Number
1 tributary of Mud Creek 35' 22' 25.76" N 82° 29' 14.95" W
e
$0
Zi 2 tributary of Mud Creek 35" 22' 26.38" N 82' 29' 13.66" W
J'
3 tributary of Mud Creek 35* 22 19.68" N 82° 29' 9.96" W
cc
0 4 tributary of Mud Creek 35° 22' 28.12" N 82' 29' 10.79" W
5 tributary of Mud Creek
6 tributary of Mud Creek "
SECTION •'• 4t
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ✓❑ No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Out#alls FlnakCompllance Dates;
peacriett06 of Prgject (fist outfa(I rsumbers) Sources)of Discharge
R
„ equfred. `Projected,
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2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-21F(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105i19
NCD986190791 NCS000209 Haynes Wire Company OMB No.2040-00M
SECTIONDRAINAGE MAP 40
a 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
co
c specific guidance.)
q ❑ Yes ❑ No
SECTIONPOLLUTANT SOURCES40
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
Humber (within a mile radius of the facility) (within a mile radius of ftsa facility)
specify units specify units
1 Raw Material Storage 1 acre
specify units specify units
2 Raw Material Storage 1 acre
specify units specify units
3 Roof drain 1.5 acre
specify units specify units
4 Parking Lot .5 acre Parking Lot .5 acre
specify units specify units
5 Roof drain 1 acre
specify units specify units
6 Gravel road and parking .5 acre
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
The raw material stored outside is nickel based alloy wire rod coils.Other materials stored outside include hydrogen
tank,nitrogen tank,propane tanks,trash dumpster,wood waste dumpster,recycling and cardboard dumpsters-both
o with closed tops,pallets,scrap material,empty containers and empty metal drums.All containers and drums are
o) emptied and clean prior to storage.Dumpsters are required to be free from damaged and will be be replaced by WM if
there is damage.Raw material storage consists of wire rod coils only.Scrap containers have pieces of wire and are free
from oils and liquids.Pesticides,herbicides and fertilizers are not used.There are a few pieces of old equipment stored
as outside temporarily.They are covered with tarps,and the equipment has been drained and cleaned of all chemicals.
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Outfall from
Number Control Measures and Treatment Exhibit
;2F-1
fto
1 Spill prevention plan and employee training,visual inspections,and housekeeping NA
2 Spill prevention plan and employee training,visual inspections,and housekeeping NA
3 Visual inspections and housekeeping NA
4 Visual inspections and housekeeping NA
5 Visual inspections and housekeeping NA
6 Visual inspections and housekeeping NA
EPA Forth 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986190791 NCS000209 Haynes Wire Company OMB No.20404V
SECTION •N STORMWATER DISCHARGES1
5.1 1 certify under penalty of taw that the ouffall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, l certify that the outfails identifted as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C,2D,or 2E application.
Name(print or type first and last name) Official title
Signature Date signed
a 5.2 Provide the testing information requested in the table below.
Outfall Onsite Drainage Points
o Nullriher Description of Testing Method Used Date(s)of Testing Directly.Observed
During Test
A
1 Visual Inspection and drainage observation 11/10/2022
0
a
c 2 Visual Inspection and drainage observation
0
z
SECTIONOR •1 •
6.1 Describe any significant leaks or spills of topc or hazardous pollutants in the last three years.
N
There have been zero spills,significant or not,in the last 3 years.
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SECTIONDISCHARGE INFORMATION41
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o com lete.Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑✓ No 4 See instructions regarding submission of
estimated data. actual data.
Tables A,B,C,and D
7.2 Have you completed Table A for each outfall?
❑✓ Yes ❑ No
EPA Form 3510-21F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986190791 NCS000209 Haynes Wire Company OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ✓❑ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ✓❑ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
. Table C?
c
a ❑ Yes ❑ No
7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.12.
5 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
w concentrations of 10 ppb or greater?
cc
5 ❑ Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NCD986190791 NC5000209 Haynes Wire Company OMB No.204M004
Used or Manufactured Toxics
7.18 Is any pollutant listed on Exhibits 21F-2 through 217-4 a substance or a component of a substance used or
cmanufactured as an intermediate or final product or byproduct?
❑✓ Yes ❑ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
1.Nickel 4. 7.
m
cc
2. 5. $Chromium
c - 6. 9.
SECTIONBIOLOGICAL T• 40
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
c ❑ Yes ✓❑ No+SKIP to Section 9.
8.2 Identify the tests and their purposes below.
Submitted to NPDES
v Test(s) Purpose ofTie 's) Date Submitted
x Permitting Autho
0
~ ❑ Yes ❑ No
R
CD
o ❑ Yes ❑ No
ma
❑ Yes ❑ No
SECTION • •- • 40
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
© Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
James and James Pace Analytical
_a Environmental
w
Laboratory address
H 3801 Asheville Hwy, 2225 Riverside Drive
R Hendersonville,NC 28791 Asheville,NC 28804
Phone number
V [phone] [phone]
Pollutant(s)analyzed
pH,TSS,nickel pH,TSS
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986140741 NCS000209 Haynes Wire Company OMB No.2040-0004
SECTION1 CHECKLIST AND CERTIFICATION41 and •
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to complete all sections or provide attachments.
Column 1 Column 2
❑✓ Section 1 ❑ w/attachments(e.g.,responses for additional outfalls)
Section 2 w/attachments
❑✓ Section 3 wl site drainage map
❑✓ Section 4 ❑ w/attachments
El Section 5 ❑ wl attachments
❑� Section 6 ❑ w/attachments
m ❑✓ Section 7 ❑✓ Table A ❑ w/small business exemption request
2
c
❑✓ Table B ❑ w/analytical results as an attachment
0
❑ Table C ❑ Table D
Q ❑ Section 8 ❑ wlattachments
.o
c
H ❑✓ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
32
_ ❑✓ Section 10 ❑
10.2
Certification Statement
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 fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
EPA Form 3510-217(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number FadI4 Name Ouftl Number
NCD986190791 NCS000209 Haynes Wire Company
TABLE A. CONVENTIONAL AND NON CONVENTIONAL 'A'• i
You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional
Maximum Daily Discharge AveraSe Daily Discharge
(specify un'its)_ We*uo[ts) {hum
Pollutant or Parameter Grab Sample Taken_ Groh Sample Taken
Floe.Weighted Fi'ow Weighted IrYel
During First` During First
30 Minutes Composite 30 Minutes. Eotnposfte
1. Oil and grease
2.. Biochemical oxygen demand(BODs)
3. Chemical oxygen demand(COD)
4. Total suspended solids(TSS)
5. Total phosphorus
6. Total iCeldahl nitrogen(TKN)
7. Total nitrogen(as N)
pH(minimum)
8.
pH(maximum)
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutan
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21F(Revised 3-19)

EPA Identification Number NPDES Permit Number Facility Name Cutfall Number
NCD986190791 NCS000209 Haynes Wire Company
Lis7eachpollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permil
facng under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily.Discharge Average Daily Discharge
(spa*uniL4 s urids .. Num
Pollutant and CAS.Number(Wavallable) Grab.SampleTaken . Grab sample Taken
Flot Welgh�i Flow-Welghted Ever
During First During First
30 Minutes Composite 30 Minutes Composite
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutan
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19)

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
NCD986190791 NCS000209 Haynes Wire Company
TABLE C.TOXIC POLLUTANTS, CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(?
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.Se
details and requirements.
Maximum Daily.Discharge Average Daily Discharge:
s ` ' 'units s units) Num
Pollutant.and CAS Number(if available) Grab Sample Taken Grab.Sample Taken
FlovwWeighted Ftori�Welghted Evel
During First During.F[rst
30 Minutes ,: Composite 30 Minutes Composite
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutan
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Forth 3510-2F(Revised 3-19)

EPA identification Number NPDES Pemift Number Fac fity name Outiall Number
NCD986190791 NCS000209 Haynes Wire Company
STORMTABLE 0. •' • 1
Provide data for the storm events)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Flours Between
Total Rainfall During Maodmum Flow Rai
DuratMn of$tom►Event Beginning of Stone Measulred and
Dateof;Storm Event Sttlirm Event Dring Rain Evem
(tn trours) ,End`of Preylous Measurable Rain
(in Inches) Event 0j,Spin arspedfy units;
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F(Revised 3-19)