HomeMy WebLinkAboutNCS000041_MRO Copy MONITORING REPORT_202103012/26/— 21
Submission Completed
\5
NORTH CAROLINA
fnrlron.mtaf Quality
Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload
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Permit and Facility Information:
Please enter the permit number and other details for this upload. p°�
............................................................. ............. ................................,......................,................................,..2............... ........................ ...........,...........
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IMPORTANT- Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk * are required.
Permit Number* Enter COG or individual Permit Number (NOT General Permit number with all 0's)
NCS000041
Must begin with NCS or NCG
Facility Name: * Clariant Corporation - Mt. Holly West
County: * Gaston
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2020
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
https:Hedoes.deq.nc.gov/Forms/Form/Submit 1/2
2/26/2021
Submission Completed
Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload* Click the upload button or drag and drop files here to attach document.
DEQ-DWQ Annual Report Submission Mt Holly ... 2.52MB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
o I 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");
o 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');
o 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
o I intend to electronically sign and submit this DMR upload form.
Full Name:* William White
Name of person submitting this form
Email Address: * william.white@clariant.com
Phone Number:* 704-822-2212
Signature: *
Date: * 02/26/2021
https:Hedocs.deq.nc.gov/Forms/Form/Submit 2/2
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