NCS000259 DMR SW (3)

AkzoNobel 485 Cedar Springs Road T+1 704 633 1731
Surface Chemistry Unit A F+1 704 637 8912
Salisbury,NC 28147 www.akzonobel.com/sc
USA jar,
AkzoNobel
Tomorrow's Answers Today
February 4, 2016
NCDENR—Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Certified Mail: Return Receipt Requested Covrt,
X2016
DVVR
Reference: Semi-Annual Permit Monitoring Report
Individual Stormwater Monitoring Permit
AkzoNobel Surface Chemistry LLC.
Permi4T �.C9
Attached are two copies of the AkzoNobel monitoring results for the period
of January 1, 2016 to June 30, 2016 for our permit# NCS000259 for the
samples collected January 15, 2016. Any questions on this submittal you
may contact me at 704-642-6203.
Regards,
David Simons
HSES Manager
AkzoNobel Surface Chemistry, LLC, Salisbury, NC
Copy: Brian Owen AkzoNobel Surface Chemistry, LLC, Salisbury,
NC
Christopher Fleming AkzoNobel Surface Chemistry, LLC,
Salisbury, NC

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS 000259 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days fron
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME AlczoNobel Surface Chemistry LLC COUNTY Rowan
PERSON COLLECTING SAMPLE(S) Lvvn White,Traci Sloop PHONE NO.[phone]
CERTIFIED LABORATORY(S) Prism Laboratories Inc.Lab# 37735
Lab# 402 — - -
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total 1,2- Toluene Nitrogen pH
Collected Flow(if app.) Rainfall Dichloroethane NO2 plus NO3
mo/dd/yr MG inches mg/L mg/L mg/L SIU
SW-1 01/15/2016 .2 0.031 <0.00050 0.58 6.53
SW-2 01/15/2016 .2 <0.00050 0.0057 5.7 6.34
SW-3 01/15/2016 .2 <0.00050 0.0012 0.30 6.76
SW-4 01/15/2016 No Flow No Flow No Flow No Flow No Flow
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 Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/yr MG inches mg/1 mg/I unit gal/mo
Form SWU-247,last revised 2/2/201
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 01/15/2016 Attn: Central Files
Total Event Precipitation(inches): .2 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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 the poss'bi ' of fines and imprisonment for knowing violations."
till (a
(Signature of Permittee)' 4 (Dat )
Form SWU-247,last revised 2/2/201
Page 2 of 2