NCS000156 DMR SW (19)

Hexion—STORM WATER SAMPLING REPORT Riz © [.q ... &
Certificate of Coverage No.:NCS000156
Columbus County,North Carolina A P R 0 4 2016 -!
Personnel Collecting Samples:P.Busovne/D.Maddox/S/S Mom rey
Certified Laboratories-Environmental Chemists Lab ID: 94 DEQ-WATER RESOURCES
Environmental Testing Solutions,Inc. Lab ID: 37 401 &BUFFER PERMITTING
ANALYTICAL RESULTS
00530 00310 00340 00610 00625 00630 00665 77885 50060 71880 01042 01092 01051 00556 00400 TAA3B
Total Total Total Total Non-Polar Acute
Date TSS BOD COD NH3 T1CN NO3+NO2 Phosphorus Methanol TRC Hexamine Formaldehyde Copper Zinc Lead O&G pH Toxicity
Outfall mo/dd/yr mg/I mg/I mg/1 mg/I mg/I mg/I mg/1 mg/I mg/I mg/t mg/I mg/I mg/I mg/ mg/I s.u. LC50
003-Dry Projects Feb
004-HCHO Feb
006-Duck Pond Feb
009-Maint Shop Feb
STORM EVENT CHARACTERISTICS
Submit 1(original)Form AT-1(no DMR)to:
Total Event Precipitation(ins): NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Permit Sampling Period: 1 Raleigh,NC 27699-1621
Submit 1 copy D15vIR(original)and Form AT-1 to:
Note. No qualifying rain event Division of Water Quality
Water Quality Section
Attn:Central Files
1617 Mail Service Center
CERTIFICATION STATEMENT Raleigh,NC 27699-1617
By this signature,I certify this report is accurate and complete to the best of my knowledge.
// J Company Information Submit 1 copy DMR(copy)and Form AT-1 to:
'/ / 311/4 2y Momentive y Stonnwater Permitting Unit 333 Neils Edd Road Division of Water Quality
ignature of'"-rmittee or Designee Date Riegelwood,NC 28456 1617 Mail Service Center
[phone] Raleigh,NC 27699-1617
EXT 5248
ii0j14443 164 Zi A.JEr
Print Name and Title