NCG060003 DMR SW (3)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted July 27, 2016
CERTIFICATE OF COVERAGE NO.61,_•.: 0, 0Q 3 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Kao Specialtiesmericas LLC FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? OYES ZNO
LABORATORY Lab Cert.#
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or ® No discharge this period3
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliforms, Enterococcis,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0-9.0 120 30 , 1000 500
SDO-2 No Flow
SDO-3 No Flow
1 !iLi P _
Only applies to facilities that use/process meats. g LU16
2The total precipitation must be recorded using data from an on-site rain gauge. CENT
Rq
3 For sampling periods with no discharge at any outfalls.You must still submit this discha"r. aEto// eport with a checkmark here.
4See General Permit text,Table 3, identifying the especially sensitive receiving water classifications re the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes ® no (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
`Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 504 6.0-9.0 -
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18,2012
Page 1 of 2

IF
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO zi
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of
monitoring period in the case of"No Discharge"reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 possibility of fines and imprisonment for knowing violations."
7X7 za/6
( 'adiSignature of Permi ee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18,2012
Page 2 of 2

Kao Specialties Americas LLC
243 Woodbine Street•PO Box 2316•High Point,NC 27261 USA Ka 0 j
Phone [phone]•Fax [phone]
Enriching lives, in harmony with nature.
July 27, 2016
Director, DWQ Central Files REE
IVED
Division of Water Quality
1617 Mail Service Center AUG 61 2016
Raleigh,North Carolina 27699-1617 CENTRAL FILES
pti;JR SECTION
Dear Sir:
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stormwater sampling for the first half of 2016. This report complies with the reporting requirements
specified in North Carolina General Permit#NCG0600.0 0
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the first half
of 2016. No flow is indicated at both stormwater discharge outflows.
If you have any questions,please contact me at our offices.
Sincerely,,
-----7- --45r~110"--4 —
Patrick B. ".Tb x
Manager—Hea t , Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl (2)
USPS Certified Mailer#7015 3430 0000 7919 9109