NCS000010_DMR Upload Review_20210610

Action History (UTC-05:00) Eastern Time (US & Canada)
Subtmt by Anonymous User 6/7/2021 1:39:07 PM (DMR Submittal)
Submit by McCoy, Suzanne 6/10/2021 5:45:42 PM (DMR Submittal Review)
* The task was assigned to McCoy, Suzanne 6/7/2021 1:39 PM

N 0 RT H CAPOLI NA
Envimnmenfal quouty
DIVIR Submittal from 6/7/2021
Permit and Facility Information:
Permit Number* Enter ODC or Individual Fbrmit Ninber
NCS000010
K/Ust begin w ith NCS or NM
Facility Name:* Evonik Corporation
County: * Guilford
Note: Facility name and county are used to help the revie\Aer verify the permit number entered, and to display the
Regional Office address on the submitter's form (not here). These metadata details Wll 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 Vvhat is the YEAR of the san-ple date(s)?
Year: * 2021
DM R Upload* aick the upload button or drag and drop f iles here to attach document.
NPDES-NCS-Generic-DMR-20180507-DEMLR-SW
375.43KB
Signed.pdf
Only PDFs are accepted.
Comments:
* rJ By checking the box and signing box below, I certify that:
• 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");
• 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 DIVIR upload form.
Full Name:* Brian Caruthers
%me of person subrritting this form
Email Address: [e-mail]
Phone Number:* 1-336-333-7969

Signature:
Date: * 06/07/2021

Review
Review Date: 06/10/2021
Confirm Permit No.* Correct the permt ID nurrber if needed.
NCS000010
ConfirmDMRYear* 2021
Multiple DMRs W11 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.