NCS000259_DMR Upload Review_20210108

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/7/2021 12:04:01 PM (DMR Submittal)
Submit by McCoy, Suzanne 1/8/2021 10:46:43 AM (DMR Submittal Review)
• The task was assigned to McCoy, Suzanne 1/7/2021 12:04 PM

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NORTH LAROLI NA
Enrlmnmenfcl Quouty
DMR Submittal from 1/7/2021
Permit and Facility Information:
Permit Number* Enter ODCor Individual Fbrrrit Ninber
NCS000259
Mast begin w ith NCS or NOG
Facility Name:* Nouryon Surface Chemistry LLC.
County:* Rowan
Note: Facility name and county are used to help the reviewer verify the permit number entered, and to display the
Regional Office address on the submitter's form (not here). These metadata details will be pulled from current BIMS
information after the DMR(s) are filed. If the submittal is accepted, simply note any errors in the reviewer's comments.
Monitoring Period Information:
.........................................................................
Monitoring Period VUTatisthe YEAR ofthe sanpledate(s)?
Year:* 2020
DM R Upload* Oickthe upload button or drag and drop files here to attach document.
Nouryon Tier 2 Monitoring Report SW Outfall 2.pdf 855.21 KB
0120247 Waypoint Charlotte FINAL 12 28 20
320.65KB
1519. pdf
Only R Fs are accepted.
Comments: Attached is one copy of the Nouryon's Tier 2 monitoring report for SW #2 outfall for
the period of December 2020 for permit # NCS000259. This sampling event is one
of three compliant sampling events.
rJ By checking the box and signing box below, I certify that:
have given true, accurate, and complete information on this form;
• I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
• I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
• I intend to electronically sign and submit this DMR upload form.
Full Name:* Christopher Fleming
N3rre of person subrritting this form
Email Address:* [e-mail]
Phone Number:* 704-633-1731 ext. 246203

Signature:
11 �5 phef rlelwlpr
Date:* 01/07/2021

Review
Review Date: 01/08/2021
Confirm Permit No.* Correct the perrritIDnurrberifneeded.
NCS000259
ConfirmDMRYear* 2020
Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above.
Can submittal be r Yes
accepted?* r No (Explain why below)
Do Central Office r No
staff need to be r Yes
alerted?*
Do Regional Office r No
staff need to be r Yes
alerted?
Type of Permit* Individual
Ensures Wks) filed correctly.