NCG090025_Monitoring Report_20220114

1/13/22, 9:47 AM
Submission Completed
Stormwater NPDES Permit Data Monitoring Repor
ED
NORTH CaaoL,N., (DMR) Upload
i�Ei:7LR
Laiid Ouatlly SeC6ou
.)onres'✓ills Regipnal Office
Permit and Facility Information:
Please enter the permit number and other details for this upload.
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 COC or Individual Permit Number (NOT General Permit number with all 0's)
N CGO90025
Must begin with NCS or NCG
Facility Name: * BonaKemi USA, Inc.
County: * Union
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:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
https:Hedocs.deq.nc.gov/Forms/Form/Submit 1/2

1/13122, 9:47 AM
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.
Stormwater DMR Report - NCG090025 - 211208 ... 979.06KB
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');
• 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:* Lisa King
Name of person submitting this form
Email Address: * [e-mail]
Phone Number:* 704-220-6954
Signature:*
Date: * 01/13/2022
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2

:ECEIVED
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000
Paints Varnishes Lacquers Enamels and Allied Products r°0"
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG09002!r
Person Collecting Samples: Sm i
Facility Name:
LaboratoryName: 0. I
A0'- ;C0.
Facility County: 061,OA
Laboratory Cert. No.: 02
Discharge during this period: JaYes
❑
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes J& No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via httos://edocs.deg.nc.gov/Forms/SW-DMR JZ Yes []No
Date Uploaded: )- a-aoaa
Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
I eL0 )
46529
24-Hour Rainfall in inches
©, S
C0530
TSSin mg/L(100 or50`)
Is ,
00400
pH in standard units (6.0-9.0)
4.8'$
01027
Cadmium total (as cd) in mg/L (0.002
'C0.0O °�
or 0.003")
01051
Lead, total recoverable (as Pb) in
C).00 I O
mg/ L (0.075)
1
Chromium III, total recoverable (as
C0034
Cr) in mg/ L(0.905)
0.00
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil& Grease in mg/L (15)
Estimated New Motor/Hydraulic oil
�/r^
NCOIL
Usage in gal/month
T
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
'• Outfalls to Trout Waters (Tr) have a benchmark Cadmium limit of 0.002 mg/L. All other water classification have a benchmark of 0.003 mg/L
Notes (optional):
"I certify by my signature below, 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
submitteyf}s, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false in r ation,includingthepossibilityoffinesandimprisonmentforknowingviolations."
of Perrhittee or DAfezated Authorized Individual
Email Address L1$.0. Kilnt{@ 3on0.T Corn
Zia a02.Z
Date
Phone Number