NCS000156 DMR SW (30)

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Hexion—STORM WATER SAMPLING REPORT
Certificate of Coverage No.:Columbus County,North Carolina156 DE&BUFFER PERRMVtlt
401
Personnel Collecting Samples:P.Busovne/D.Maddox/S/S.MoH rey
Certified Laboratories:Environmental Chemists - Lab ID: .- 94
Environmental Testing Solutions,Inc. Lab ID: -37
ANALYTICAL RESULTS
00530 00310 00340 00610 00625 00630 00665 77885 50060 71880 01042 01092 oiost 00556 00400 TGA3B
Total Total Total Total Non-Polar Acute
Date TSS HOD COD NH3 T1IN NO3+NO2 Phosphorus Methanol TRC Hexamine Formaldehyde Copper Zinc Lead O&G pH Toxicity
Outfall mo/dd/yr mg/I mg/I mg/I mg/1 mg/1 mg/I mg/1 mg/I mg/1 mg/ mg/I mg/1 mg/I mg/I mg/I s.u. LC50
003-Dry Projects October NA
004-HCHO October NA
006-Duck Pond October NA
009-Maint Shop October NA
STORM EVENT CHARACTERISTICS
Submit 1(original)Form AT-1(no DMR)to:
Total Event Precipitation(ins):II NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Permit Sampling Period 4 Raleigh,NC 27699-1621
Submit 1 copy D1YIR(original)and Form AT-1 to:
Note: No qualifying rain event Division of Water Quality
Water Quality Section
Attn:Central Files
1617 Mail Service Center
CERTIFICATION STATEMENT Raleigh,NC 27699-1617
By this signature,I certify this report is accurate and complete to the best of my knowledge.
I 1 1) Company Information Submit 1 copy IR(copy)and Form AT-1 to:
Q Hexion D1 Stormwater Permitting Unit
/ b 333 Neils Eddy Road Division of Water Quality
S gnature of Pe ittee or Designee Date Riegelwood,NC 28456 1617 Mail Service Center
[phone] Raleigh,NC 27699-1617
EXT 2757
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Print Name and Title