NCS000048_MONITORING INFO_20181120 (2)

---STORMWATER-DIVISION-CODING-SHEET__.
PERMIT NO.
C�S 000 oL
DOC TYPE
❑ FINAL PERMIT
MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ �L'll l
YYYYM M DD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS_000048_ SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
RECEIVEDthe date the facility receives the sampling results from the laboratory.)
FACILITY NAME - Chemol Company Inc. NOV 2 0 2018 COUNTY Guilford
PERSON COLLECTING SAMPLE(S) - William Newlin PHONE NO. [phone] CURTILIED
LABORATORY(S) Meritech Labs— Lab # NCO047384 CENTRAL FILES
Lab # DWR SECTION
SIGNATURE OF PERM ITTEE OR DESIGNEE
_ __ REQUIRED ON PACE2.
Part A: Specific Monitorine Requirements
Outfall No.
Date
Sample
Collected
50650
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Crease
pH ° ',"
TSS
COD
13013-5•
Total,
Phosphorous
Total Nitrogen; -
molddlyr
MG
inches
Mg/1
Std units ..:
Mg/I
Mg/l°
Mg''/l` ;'
Nlg/l"
Mg/l' ;
1
11/6/18
1.3
<5
6.3
13
29
10.4
0.052
1.14
2
Nitrate+nitrogen
Mgll
l
0.12
2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _s_ no
(If yes, complete Part B)
Part R: Vehicle Maintenance Activitv Monitoring Requirements
Outfall No.
Date
Sample
Collected
50650
00556
00530,
00400
"
Total Flow
(if applicable)
Total Rainfall_
Oil &Grease• '
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
apPl'
Total
Suspended .
Solids`
'pH "
'New Motoi
Oil Usage ,
moldd/yr
MG
inches
mg/l
rng/1:: •'.
unit .
gal/mo,

STORM EVENT CHARACTERISTICS:
Date 11/6/18
Total Event Precipitation (inches): 1.3_
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.)
Form SWU-247, last revised 21212012
Page l of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)( ate)
Form SWU-247, last revised 21212012
Page 2 of 2

I"
Permit Number NCS 000048
FACILITY NAME - Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORATORY(S) Meritech Labs_ Lab # NCO047384
Lab #
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
RECEIVED the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford
NOV 13 2018 PHONE NO. [phone] CERTIFIED
CENTRAL FILES
DWR SECTION SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRFD ON PAGE 2.
Outfall No.
Date
Sample
Collected
50050
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Grease
pH
TSS
COD. ''
BOD-5
Total
Plibsphorous
Total Nitrogen
mo/dd/yr
MG
inches
Mg/I
Std units
Mg/I
Mg/(
Mg/1..
Mg/1 > ,
Mgll
1
10/11/18
2.9
<5
6.07
6
<15
12.5
0.030
0.81
2
10/11/18
2.9
<5
6.96
9
23
9.3
1.42
3.15
Nitrate+nitrogen
Mg/I
1
<0.10
2
0.91
LE
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 No.
Date
Sample
Collected'
50050
00556
00530.
00400
Total Flow
(if applicable}
Total Rainfall
Oil & Grease
(if appl.)-:; ::,,.
.
'Non -polar:
O&G/TPH
(Method 1664
`SGT-HEM),'if
Total
Suspended .a
Solids
pH
New;Motor
Oil Usage,
mo/dd/yr
MG
inches
mg/I
mg/l
unit
gallmo

STORM EVENT CHARACTERISTICS:
Date 10/11/18
Total Event Precipitation (inches): _2.9_
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.)
Form SWU-247, lust revised 21212012
Page l of 2
Mail Original and one copy to:
Division of Water Quality
Aun: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
ature of Perrnittee
(Date)
Form SWU-247. last revised 21212012
Page 2 of 2

Permit plumber NCS_000048_
FACILITY.*NAME - �Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORA'I'ORY(S) Meritech Labs_ Lab # NC0047384
Lab #
['art A: Soecifie-Monitorine Requirements
STORMWATER DISCHARGE OUTI+ALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30'days from
the date the facility receives the sampling,resulls'from the laboratory.)
COUNTY Guilford
AUG 21- PIIONS NO. (33fi)333-3050 C� ItTIF�IE9 ;
0VV,R �L FILES�.
s Crloty SIGNATURE OF PERMITTEE'OR DESIGNEE
REQUIRED ON.11ACE 2. „
OutfAIIIN'b
Date
50050
a
+' t-•.;
Sampler t i••
r
Collected'
{Total,
Total`"
Oil &
pH , ;
>TS8
COD
BOD 5 '`
.Totah h. �'
e
rtrt
Tofal:Nitro' en'i 'i'
lr
71 [
.:. ��• {f
Flbw;(if a i
-G,.-
Rainfall
1. 0
Grease'
'��: ',�."{. r,
r G
�I.'I I:
$ f
,s f, i:l,
�'r
't
s r S
$„7<,�
Phosphd'rous;
b.. '.7i.
.Tig i
,i j7�•§� + ".:
I,�,, -
'
i�
' I`
� +
' 1
`
, x.
'•j�yt 'i'- r
h r
�; I ^� z� �
�
pp.)"
Epp.) y
,, [ 4.i Y
i,.
,t 1 !
7
.!eFr •fk� i .L r�
_
rtl ��• i 1.1.
m61dd/yr'.
MG
inches -
� Mgll
Sfd units
Mgll'
�•:
Mgll "
-Mg/
Mg/1 <i ,�
iw/l `� +
i 1. w.R .t�, I•."b
1•'
- •
•1.
`:+.
F
o. •�'�
� S .J.
'�—•i1 •11
tQ �. 4r .. ll.l, s_ y-'S:•i•
1
8/2/18
<5
s.5 .
49.0
<15
9.6
0.042
0.50
2
Nitrate+nitrogen
M g/1
t
<0.10
2
i
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _s_ n.o
(If yes, complete Part B) '
Part B: Vehicle Maintenance Activitv Monitoring Requirements
,Outfall
W—
Date
50050°.
'
00556 _
, , �
'00530,
;00400
ample 0i"
!Total. Flow' 1
Totaf
Oil &s6ycase,�'j
Non 7polar,
yyyk[`
`Totals f ;
pl-1' y
�Ne►v Motor +t � j
+ } ;'.r
:n
Collected,t'�,
(ifappiicable) A
,Rainfall
; i ` i
(if'appl.)`' }
'O&G(TPH ;
Suspendedi'''
<� 1
s {
Otl Usage "a:'
664
Solids
i {
`
y.,SGT-14EM)lif}
j) I
tl
I
! E.. �i I it
!
��+
I ff .�: I
i n7.1!'•- S
"C ' `4 ', 4'
17 S )• 1
I I
ff:,�" h'1.^
�.(,:
*a
1�}
fr I.iE�}�
Fbs
`•'„
1.1' 1
;-
'"- dd. .. -
r,
inches
mg/�. I :
1c
u`n,.i. t,l
I
.mD
1

Form S W U-247, last revised 21212012
1 Page I of 2
STORM EVENT CHARACTERISTICS: Mail Original anal one copy to: s
Division of Water Quality .
Date 8/2/I8 Attn: Central Files
Total Event Precipitation (inches): _1.9_ 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 pen -nit.)
"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
or11persons 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." r
(Signature of Permittee) ( ate) 7.
4 f'+
Form SWU-247, last revised 21212012
Page 2r0f 2

`- ' ; -,;.
Permit Number NCS 000048
FACILITY NAME - Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORATORY(S) Meritech Labs_ Lab # NCO047384
Lab #
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: _
(This monitoring report shall be received by the Division no later than 30 days from
R'F ~CEIVE -the date the facility receives the sampling results from the laboratory.)
AUG 13 ZOlf-OUNTY Guilford
PHONE NO. [phone] CERTIFIED
CENTRAL Fil­U.
GWR SECTIOA'
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall No.
Date
Sample
Collected
50050
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/dd/yr
MG
inches
Mg/I
Std units
Mg/I
Mg/I
Mg/I
Mg/1
Mg/l
1
7/25/18
L8
<5
6.0
26.7
46
4.6
10.0
.6
2
7/25/18
1.8
<5
6.9
55.3
80
6.8
.545
3.63
Nitrate+nitrogen
Mg/I
1
7/25/18
.12
2
7/25/18
1.51
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 No.
Date
Sample
Collected
50050
00556
00530
00400
Total flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), it
appl
Total
Suspended
Solids
pH
New Motor
Oil Usage
F'
mo/dd/yr
MG
inches
mg/I
mg/l
unit
gal/mo

i
STORM EVENT CHARACTERISTICS:
Date 7/25/18
Total Event Precipitation (inches): 1.8_
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.)
Form SWU-247, lust revised 21212012
Page I of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)
( ate)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000048
FACILITY NAME - Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORATORY(S) Meritech Labs_ Lab # NCO047384
Lab #
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
�+
the date the facility receives the sampling results from the laboratory.)
RECEIVEDOUNTY Guilford
MAR 2 3 2019 PHONE NO. [phone] CFUTIFIED
CENTRAL FILES
DWR SECTION SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2._—
Outfa_II No.
Date
Sample`
Collected
50050
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Grease
pH
TSS
COD'
BOD-5
Total
Phosphorous.,
Total,Nitrogen
mo/dd/yr
MG
inches
Mg/l
Std "units
Mg/I
Mg/l,
Mg/I
Mg/1
Mg/I
1
3/6/17
.8
<5
5.9
18
48
4.7
<0.020
1.11
2
Nitrate+nitrogen
Mg/I
1
.8
.27
2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _x_ no
(Ifyes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall No.
Date
Sample
Collected
50050
00556
00530
00400'
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl
Total
Suspended
Solids
pH
New,Motor"
Oil Usage
mo/dd/yr
MG
inches
mg/I
mg/l
unit
gaUmo

STORM EVENT CHARACTERISTICS:
Date 316/18
Total Event Precipitation (inches): —
nly 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.)
Form SWU-247, last revised 21212012
Page] of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)
(Date)
Form SWU-247. last revised 21212012
Page 2 of 2

Permit Number NCS 000048
FACILITY NAME - Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORATORY(S) Meritech Labs— Lab # NCO047384
Lab #
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
RECEIVED the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford
MAY 14 Za18 PHONE NO. [phone] CERT.1RIED
CENTRAL FILES
DWR SECTION
SIGNATURE OF PERM ITTEE OR DESIGNEE
REQUIRED ON PACE
Outfall No.
Date
Sample
Collected
e
50050
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Grease
pH
TSS
COD -
BOD-5
Total
Phosphorous:
Total Nitrogen '
, .
mo/dd/yr
MG
inches
Mg/l
Std units
Mg/I
Mg/l.
Mg/1
Mg/l
Mg/l
1
04//24/18
.5
<5
6.6
19.0
20
4.5
0.068
1.10
2
4/24/18
.5
<5
6.4
18.6
34
4.9
1.429
1.20
Nitrate+nitrogen
M g/I
1
0.10
2
<0. I
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 Activitv Monitoring Reouirements
Outfall No.
Date
Sample
Collected -
50050
00556
00530
00400
Total Floe
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)- '
Non -polar,'
O&C/TPH.�
(Method 1664
SGT-HEM), if
appl.
Total
Suspended'
Solids. ,
pH:
.'::�' �°
New Motor
Oil Usage ' '
mo/dd/yr
MG
inches
mg/l
mgll
unit
gallmo
b.-\

STORM EVENT CHARACTERISTICS:
Date 4/24/18
Total Event Precipitation (inches): _.5_
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.)
Form SWU-247, last revised 21212012
Page I of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
J
(Signature of Permittee)(batel
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000048
FACILITY NAME - Chemol Company Inc.
PERSON COLLECTING SAMPLE(S) - William Newlin
LABORATORY(S) Meritech Labs_ Lab # NCO047384
Lab #
Part A: Snecific Monitorinn Renuirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford -
PHONE NO. [phone] CERTIFIED
SIGNATURE OF PERMITTEE OR DESIGNEE
_ REQUIRED ON PAGE 2._
Outfall No.
Date
Sample
Collected
50050
Total
Flow (if
pp.)
Total
Rainfall
Oil &
Crease
pH..
TSS
COD
80D-5
Total .;,{ ,
Phosphorous'
:Total Nitroget
g .
,
g
mo/dd/yr
MG
inches
Mg/I
Sid units
-Mg/I
Mg/I
Mg/I
Mg/l• ' : "
'Mg/I
l
2/7/2018
1.0
11
6.0
198
273
32.9
0.187
1.29
2
2/7/2018
1.0
<5
6.8
3
27 _
4.5
0.515
1.51
A A Q
, r-
Nitrate+nitrogen
in
Mg/1
1
1.0
CENTfi
AL F11 F
.39
2
1.0
vvN '
ECTION
65
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons ofnew motor oil per month? _ yes _x_ no
(If yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Renuirements
Outfall No.
Date
Sample , .
Collected
50050
00556
00530 °-
06400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease`.*
(if appL), ' - -'„
Non -polar
O&G/TPH.
.(Meth'od i664
SGT-HEM), if
appl•
Total - » " ,'
Suspended':°'.
Solids
pH '
New..Motor
Oil Usage.,.
molddlyr
MG
inches
mg/i
mg/I
unit
gaUmo

STORM EVENT CHARACTERISTICS:
Date 2/7/1$
Total Event Precipitation (incites): _1.0_
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.)
Form S W U-247, last revised 21212012
Page I of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee) ate)
Form S W U-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC SO00048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PI -IONS P336 333- 5S�
CERTIFIED LABORy_ LABORATORY(S) _R&A LaboratorLab # 34 -
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/dd/ r
MG
m /l
Std units
m /I
m =/l
m /l
m /l
m /l
1
3/31/2017
12.87
<5
6.27
54.5
149
60.2
0.4I9
1.86
Nitrate+Nitrite
m /l
AVED
0.515
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ves X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
mg/1
Mg/1
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date _3/31/17
Total Event Precipitation (inches): 0.43
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
��. Z24=� U — XI-2 1" /,5 1 - - � I
(Signature of Permittee) a,
Form SWU-246-051100
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000048 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
C,E—iVIE D the date the facility receives the sampling results from the laboratory.)
FACILITY NAME - Chemol Company Inc. NOV 27 2W COUNTY Guilford - -
PERSON COLLECTING SAMPLE(S) - Anjel Jenkins PHONE NO. [phone] CERTIFIED
LABORATORY(S) Meritech Labs_ Lab # NCO047284 CENTRAL FILES
Lab # DWR SECTION
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall No.
Date
Sample
Collected
50050
Total
Flow (if
pp-)
Total
Rainfall
oil &
Grease
pH
TSS
COD
9OD-5
Total
Phosphorous
Total Nitrogen
mo/dd/yr
MG
inches
Mg/I
Std units,
`Mg/1
Mg/l
Mgll
Mg/1
Mg/I
1
10/23/17
1.1
<5
6.8
70
146
24.3
.335
1.25
2
10/23/17
1.1
<5
7.0
7
33
5.4
2.38
1.59
Nitrate+nitrogen
Mg/I
1
0.15
2
0.87
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 Activitv Monitoring Requirements
Outfall No,
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil &Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH .
New,Motor
Oil Usage "
mo/dd/yr
MG
inches
mg/I
mg/1
unit
gal/mo

STORM EVENT CHARACTERISTICS:
Date 10/23/17
Total Event Precipitation (inches): I.1
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.)
Form SW U-247, last revised 21212012
Page I of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Perm
(Date)
Forst SWU-247, last revised 21212012
Page 2 of 2

— _ v
Permit Number: NC S000048 or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results From the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S)
_Chasity Hart I PHONE NO. 36 j 333-3055
CERTIFIED LABORATORY(S) �R&A Laboratory Lab # 34 44-4
Lab # 5 �016 (SIGNATURE OF PERNTITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
UWR SECTION c mplete to the best of my knowledge.
Part A: Specific MonitoringRequirements INFORMATION PROCESSING UlViI
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
moldd/ r
MG
m /i
Sid units
m /1
m I
mg/1
mg/1
m
I
Not enough
rain for sample
collection this
Nitrate+Nitrite
quarter
m I
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
m /I
m /l
Form SWU-246-051100
Page I oft

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee) ( te)
Form SWU-246-051100
Page 2 of 2

STORMWATER DISCHARGE. OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC SO00048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
��_ ��y v,date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol _ UNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PHONE (�6 ) 333-305
CERTIFIED LABORATORY(S) _R&A Laboratory Lab 4 34 UFT I N1 /
Lab # SI NATURE OF PERMITTEE OR DESIGNEE)
CEINTRAL FILEy this signature, I certify that this report is accurate
DWR SECTIONomplete to the best of my knowledge.
Part A: S ecifie Monitoring Re uirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/ddl r
MG
m /I
Std units
m /I
m /I
m /I
m Il
m /I
1
11/29/2016
8.98
<5
5.17
51.0
129
44.3
0.516
1.64
Nitrate+Nitrite
m /I
0.175
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
PH
New Motor
Oil Usage
mo/dd/ r
MG
mg/1
mg/1
Form S W U-246-051 100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 5/5/16
Total Event Precipitation (inches): 0.30
Event Duration (hours): 2
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
nature of Permittee)
/ 0
(Dat
Form S W U-246-051 100
Page 2 of 2

�L
_t
` STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S000048 or SAMPLES COLLECTED DURING CALENDAR YEA,R: 2016
Certificate of Coverage Number: NCG (This monitoring report shall be received by the DivJ61 o later than 30 days from
the date the facility receives the sampling results f oratory.)
FACILITY NAME Chemol COUNTY—, Guilford
PERSON COLLECTING SAMPLE(S) hasity Hart PUONJ O 336 33^ :3955 "
CERTIFIED LABORATORY(S) R&A Laboratory Lab # 34
Lab #!
Part A: Specific Monitorinp_ Requirements
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
WE
Outfall
No.
Date
50050
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
moldd/ r
MG
m /l
Std units
mg/1
mg/1
Mgt[
m /I
mg/1
1
05/05/2016
43.09
< 5
5.12
26.3
71
17.5
0.224
< 1
Nitrate+Nitrite
m Il
JU
0.351
t; t
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
m /l
m /l
Form S WU-246-05 t 100
Page I of 2

SSORftVENT CHARACTERISTICS:
Date 5/5/16
Total Event Precipitation (inches): 1.44 -
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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."
(Signature of Permittee) (Date)
Form SWU-246-051100
Page 2 of 2

Permit Number: NC S000048 or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 daysl rom
the date the facility receives the sampling results from the laboratory.) r"
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PHONE NO 3 6 333-3055 C7
CERTIFIED LABORATORY(S) _R&A Laboratory Lab # 34
Lab # (SIGNATURE OF PERMITTEE O DESIGNEE) •�
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
moldd/ r
MG
m I
Std units
m /I
mg/1
m /l
m /I
m /I
1
09/25/2015
63.14
< 5
6.0
21.6
70
13.0
0.225
< 2
Nitrate*Nitrite
Mgt]
2 r
0.621
L F!
rr
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
mg/1
mg/1
Form SWU-246-051 100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 9/25/15
Total Event Precipitation (inches): 2.11
Event Duration (hours): 6
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
ture of Permittee) (Date)
Form S W U-246-051 100
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S000048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from erg
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasi Hart PHONE NO. 36 333- 05
CERTIFIED LABORATORY(S) R&A Labora__ toryLab # 34
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/dd/ r
MG
m l
Std units
m /l
mg/1
m /l
m Il
m /I
1
03/05/2015
11.97
<5.0
5.69
22.8
48
12.6
0.177
<1
Nitrate+Nitrite
w r n
m I
- �- -
0.4
APR In
%Ii
CE
F-Il FiS
u n1
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
m I
m I
Form SWU-246-051100
Page l of 2

STORM EVENT CHARACTERISTICS:
Date 3/5/15
Total Event Precipitation (inches): 0.4
Event Duration (hours): 3
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 property 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (D (te)
Form SWU-246-051 100
Page 2 of 2

CHEMOL COMPANY, INC.
STORM WATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Permit No.: NCS000048
Facility Name: Chemol
County: Guilford
Inspector: _Chasity Hart
Date of Inspection: February 21, 2014
or Certificate of Coverage No.:
Telephone No. 336-333-3055
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No. 1 Structure (pipe, ditch, etc.) Street (Randolph Ave.)
Receiving Stream: Mile Run Creek
Describe the industrial activities that occur within the outfall drainage area:
Production of industrial, personal care and agricultural products
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: Clear
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine
odor, etc.) None
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
®1 ❑2 ❑3 ❑4 ❑5
❑6 07 ❑8 ❑9 ❑10
RECEIVED
MAR 17 2014
CENTRAL FILES
DWQIBOG
Page 1

5. Floating Solids
Choose the number which best describes the amount of floating solids in the storm water discharge
where 1 is no solids and 10 is the surface covered with floating solids:
®1 ❑2 ❑3 ❑4 ❑5 ❑6 ❑7 ❑8 ❑9 ❑10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the storm water discharge
where 1 is no solids and 10 is extremely muddy:
®1 ❑2 ❑3 04 ❑5 ❑6 ❑7 ❑8 09 010
7. Foam
Is there any foam in the storm water discharge: ❑ Yes ® No
8. Oil Sheen
Is there oil sheen in the storm water discharge? ❑ Yes ® No
9. Other Obvious Indicators of Storm Water Pollution
List and describe None
Additional site inspection report with photos available.
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2

CHEMOL COMPANY, INC.
STORM WATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Permit No.: NCS000048 or Certificate of Coverage No.:
Facility Name: Chemol Company
County: Guilford Telephone No. 336-333-3055
Inspector: Chasity Hart
Date of Inspection: March 5, 2015 W
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
' J
(Sig`nature of Permittet�-or Designee)
1. Outfall Description
Outfall No. 1 Structure (pipe, ditch, etc.) Street (Randolph Ave.)
Receiving Stream: Mile Run Creek
Describe the industrial activities that occur within the outfall drainage area:
Production of industrial, personal care and agricultural products
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: Clear
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine
odor, etc.) None
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
®1 ❑2 03 ❑4 ❑5 ❑6 ❑7 08 ❑9 010
Page 1

�.f
5. Floating Solids
Choose the number which best describes the amount of floating solids in the storm water discharge
where i is no solids and 10 is the surface covered with floating solids:
®1 ❑2 ❑3 ❑4 ❑5 ❑6 ❑7 ❑8 119 ❑10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the storm water discharge
where 1 is no solids and 10 is extremely muddy:
01 ❑2 ❑3 ❑4 ❑5 ❑6 ❑7 ❑8 09 ❑10
7. Foam
Is there any foam in the storm water discharge: ❑ Yes ® No
S. Oil Sheen
Is there oil sheen in the storm water discharge? ❑ Yes ® No
9. Other Obvious Indicators of Storm Water Pollution
List and describe None
Additional site inspection report with photos available. Sampling results listed separately.
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2

Total Event Precipitation (inches): 0.44
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See in-
formation below.)
�� ■
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do
not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for lo-
cal storm events during the sampling period, and the permittee obtains approval from the local DWQ Re-
gional Office.
Page 3

' STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Numbei: NC S000048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PHONIC 336 333 3055
CERTIFIED LABORATORY(S) R&A Laboratory! Lab # 34
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/dd/ r
MG
m I
Std units
m /I
m /I
m l
m /I
m /I
1
08/01 /2014
38.91
<5.0
5.42
24.5
56
15.8
0.244
0.396
---CEVTIRAL
Fit c
DWQIBOG --
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MC
m I
m I
Form SWU-246-051 100
Page I of 2

Lam— , r 44L
STORM EVENT CHARACTERISTICS:
Date 08/01/14
Total Event Precipitation (inches): 1.30
Event Duration (hours): 6
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
J
e, - � , V, 2, - glIz9A4
ature of Permittee) (Da
Form S W U-246-051 100
Page 2 of 2

SITE ASSESSMENT INSPECTION
Date. August 1, 2014
Chemol
During this inspection the following areas were observed:
1. Loading and Unloading Areas
2. Parking area and walkways
3. Above Ground Storage Areas
4. Wooden Pallet Storage Area
Comments:
5. Site Drainage
6. Process Areas
7. Drum Storage Area
8. Warehouse
1. Loading and Unloading Areas: Dumpster and dock area near street in good condition.
2. Parking area and walkways: Clear
3. Above Ground Storage Areas: Tanks & secondary containment intact. All dike areas are
in good condition.
4. Wooden Pallet Storage Area: Clear,
5. Site Drainage: Good.
6. Process Areas: All exposed piping observed as intact and not leaking. Process materials
contained within plant sump drainage area.
7. Front AST Area: Area was observed to be clean and in good condition. No pollution
observed in this area.
8. Warehouse: Clear.

SITE ASSESSMENT CHECKLIST
Chemol
Completed by: Chasity Hart
Date: August 1, 2014
YES NO
❑
®
Corroded drums or drums without plugs or covers?
❑
®
Staining of soil or pavement from materials?
❑
®
Torn bags or bags exposed to rainwater?
❑
®
Corroded or leaking pipes?
❑
®
Soil erosion associated with the stormwater systems?
❑
®
Leaking pumps and/or hose connections?
❑
®
Windblown dry chemicals?
®
❑
Are outside and exposed areas kept in a neat and orderly condition?
®
❑
Is garbage removed regularly?
®
❑
Are walkways and passageways easily accessible, safe and free of protruding
objects, materials or equipment?
❑
®
Is there evidence of dust on the ground outside from operations or processes?
❑
❑
If yes, is the dust noted above in area(s) where it will be washed into a storm
water outfall?
Comments:
See attached report for further details. Facility is in good condition overall. Areas of possible
concern observed — noted in report.

s
CHEMOL COMPANY, INC.
STORM WATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Permit No.: NCS000048 or Certificate of Coverage No.:
Facility Name: Chemol Company
County: Guilford Telephone No. 336-333-3055
Inspector: Chasity Hart
Date of Inspection: August 1, 2014
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No. 1 Structure (pipe, ditch, etc.) Street (Randolph Ave.
Receiving Stream: Mile Run Creek
Describe the industrial activities that occur within the outfall drainage area:
Production of industrial, personal care and agricultural products
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: Clear
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine
odor, etc.) None
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
®1 ❑2 ❑3 ❑4 ❑5 06 07 ❑8 09 010
Page 1

1 t
5. Floating Solids
Choose the number which best describes the amount of floating solids in the storm water discharge
where 1 is no solids and 10 is the surface covered with floating solids:
®1 ❑2 ❑3 ❑4 ❑5 ❑6 ❑7 ❑8 09 ❑10
b. Suspended Solids
Choose the number which best describes the amount of suspended solids in the storm water discharge
where 1 is no solids and 10 is extremely muddy:
®1 ❑2 ❑3 ❑4 ❑5 ❑6 ❑7 ❑8 ❑9 ❑10
7. Foam
Is there any foam in the storm water discharge: ❑ Yes ® No
8. Oil Sheen
Is there oil sheen in the storm water discharge? ❑ Yes ® No
9. Other Obvious Indicators of Storm Water Pollution
List and describe None
Additional site inspection report with nhotos available.
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure_ These conditions may warrant further investigation.
Page 2

Total Event Precipitation (inches): 1.30
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See in-
formation below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do
not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least.72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for lo-
cal storm events during the sampling period, and the permittee obtains approval from the local DWQ Re-
gional Office.
Page 3

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number:,NC S000048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PHONE NO. 3(J 36 ) 333-3055
CERTIFIED LABORATORY(S) _R&A Laboratory Lab # 34
Lab #
Part A: Specific Monitoring Requirements
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
50050
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
molddl r
MG
m l
Std units
m /l
m /l
m l
mg/1
m II
1
02/21 /2014
29.93
<5.0
4.76
176
273
71.6
0.446
0.935
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
m /I
mg/1
RECEIVED
MAR 17 LU'i i
CENTRAL FILES
DWQ180G
Form SWU-246-051 100
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 02/21/14
Total Event Precipitation (inches): _0.21
Event Duration (hours): 2
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)
(Date)
Form S W U-246-051100
Page 2 of 2

Permit Number: NC S000048 or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart _ PHONE NO._36 ) 333-3055
CERTIFIED LABORATORY(S) R&A Laboratory Lab # 34
Lab #
Part A: Specific Monitoring Requirements
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Date
50050
No.
Sample
Collected
Total
Flow
Oil & Grease
pH
TSS
COD
BOD-5
Total
Phosphorous
Total Nitrogen
mo/ddl r
MG
m /I
Std units
m /I
m /I
m /1
mg/1
m I
l
04/07/2014
233.74
<5.0
6.55
13.5
47.0
16.2
0.152
1.15
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
m I
m /I
KtuIE V ED
MAY 0 9 2014
CENTRAL ALES
pWQEBOG
Form SWU-246-051 100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 04/07/14
Total Event Precipitation (inches): 1.64
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee) (Date)
Form S W U-246-051 100
Page 2 of 2

FILE COPY
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S000048 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2010
Certificate of Coverage Number: NCG ("This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Chemol _ COUNTY Guilford
PERSON COLLECTING SAMPLE(S) ',hasity Hart PHONE NO. 3(_ 36_) 333-3055
CERTIFIED LABORATORY(S) _R&A Laboratory Lab # 34
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Reguirements
Outfall
No.
Date
Sample
Collected
50050
Total
Flow
Oil & Grease
COD
BOD
pH
TSS
Total
Nitrogen
Total
Phosphorous
molddl r
MG
m I
m /l
m l
Std units
m /l
m
m
1
08/19/10
58.13
286
1,230
411
6.99
248
9.40
6.36
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
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil 'Usage
mo/dd/ r
MG
mg/1
MO
Form SWU-246-051100
Page 1 of 2

Basinger, Corey
From: William Newlin ([e-mail]]
Sent: Friday, September 03, 2010 12:14 PM
To: Basinger, Corey
Subject: Storm Water Analysis 2010
Attachments: Untitled. PDF - Adobe Acrobat. pdf
Corey,
Here is a copy of the analysis for the second sampling event. They have not been documenting the qualitative analysis
of the samples, but will from this point on. Let me know if you need anything else.
William Newlin
Chemol Company, Inc.
Greensboro, NC 27406
336-333-3061

r�
ANN-
tls A
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit. h rtal.n u d sw#t b-
Permit No.: N/C/_/_/� /�/ _/_/_/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_,/
Facility Name:
County:
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Phone No.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm even t" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation
Page 2 of 2
SWU-242, Last modified 10/25/2012