NCS000385 DMR SW

i
Permit Number NCS000385
FACILITY NAME: DSM Functional Materials
1101 Highway 27 South
Stanley, NC 28164
PERSON COLLECTING SAMPLE(S) Laura Pirtle
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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.)
RECEIVED
AUG 10 2015
CENTRALFILES
CERTIFIED LABORATORY(S) Pace Analytical Lab pgjj1A337ION
Part A: Specific Monitoring Requirements (reporting frequency is semi-annual)
COUNTY: Gaston
PHONE NO. [phone]
(SIGN TURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Total
Suspended
Solids
pH
Total
Rainfall
New Motor
Oil Usage
mo/dd/ r
MG
inches
Unit Measure
mo/dd/ r
m L
Standard unit
Inches
Benchmark Values
100 mg/L
6-9
Rain Gauge
Report Value
Outfall No.1
07/14/15
31.2
6.7
.15
Outfall No. 2
07/24/15
ND
6.9
.38
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes XX no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil &
Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
mg/1
unit
al/mo
NOT
APPLICABLE
Form SWU-247-112608
Pagel of 2

DSM Functional Materials
Permit Number: NCS000385
STORM EVENT CHARACTERISTICS:
Outfall I (Roof)
Date: 7-14-15
Total Event Precipitation (inches): .15
Event Duration (hours): (only if applicable — see permit.) Not applicable
(if more than one storm event was sampled)
Outfall 2 (Tank Farm/Manual Discharge)
Date 7-24-15
Total Event Precipitation (inches): .38
Event Duration (hours): N/A (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Nakia Isler, Plant Manager
d 13
(Dat )
Form SWU-247-112608
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