NCS000531 DMR SW

r
STORMWATER DISCHARGE OUTFALL (SDO) RECEIVED
MONITORING REPORT JON 3 0 2015
Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CALENDln,
Certificate of Coverage Number: NCG (This monitoring report shall be received by t e RdUWIJ1 WO days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME STI Polymer COUNTY Lee
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. ( 919 ) 777-5995
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
50050 1.5
9.0 96 6-9 100
Sample Total Total Styrene
Collected Flow (if app.) Rainfall
Vinyl Acetate Methyl pH COD
methacrylate
00530
mo/dd/ r
MG inches mpJL
m m m
Sample
Total Flow
Total Rainfall
Oil & Grease
01
NO FLOW
pH
New Motor Oil
Collected
(if applicable)
(if appl.)
O&G/TPH
Suspended
Usage
(Method 1664
Solids
SGT -HEM), if
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Requirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Total Flow
Total Rainfall
Oil & Grease
Non -polar
Total
pH
New Motor Oil
Collected
(if applicable)
(if appl.)
O&G/TPH
Suspended
Usage
(Method 1664
Solids
SGT -HEM), if
app 1.
mo/dd/ r
MG
inches
m
m
Units
al/mo
Form SWU-246, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Minerals, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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 submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including thepossibili of fines and imprisonment for knowing violations."
/S� / 6 /H /
of Permittee)
(Date)
Form SWU-246, last revised 2/212012
Page 2 of 2