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HomeMy WebLinkAboutNCS000531_MONITORING INFO_20180511STORMWATER DIVISION CODING SHEET NCS PERMITS PERMIT NO. DOC TYPE ❑ FINAL PERMIT 7Y- MONITORING REPORTS ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ lb\c YYYYMMDD RECEIVED STORMWATER DISCHARGE OUTFALL (SDO) Permit Number: NCS S000531 or Certificate of Coverage Number: NCG FACILITY NAME STI Polymer PERSON COLLECTING SAMPLE(S) Adam Daniel CERTIFIED LABORATORY(S) ESC Lab Sciences Part A: Specific Monitoring Requirements MAY 112018 MONITORING REPORT DEt\R-LAt`D QUALITY SAMPLES COLLECTED DURING CALENDaOMWMTEANRMITTING (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 Lee PHONE NO.( 919 ) 777-5995 Lab # ENV375 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if.app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m L m m L m L -Benchmark:. --- ._.. -, ... .: '..• .., •.' ,' A15 .,. ..:,+ 9;0..; .;.r:.`.96.,' _'.-' - 6=9 100T - .. 01 04/23/18 0.14 < 0.00307 <0.00163 < 0.0012 6.18 39.9 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) • V h• I M ' A t• 't M nitorin Requirements Part B. etc Outfall a antenance Date c m v o 50050 100556 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 appl. mo/dd/ r MG inches m 1 m I Units al/mo Form SWU-246• last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 4/23/18 Total Event Precipitation (inches): 0.14 Event Duration (hours): 6 (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 "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 in 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) 5- (Date) t"i it j r 4 Form SWU-246, last revised 21212012 -- . Page 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisfonn, please visit: hJz//h 2o.cnr.sl ale. nc. ushu/Forms DOCn llents. hurl! m isc faros Permit No.: N/C/ S / o / o /o / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: s'ri Polymer County: Lee Phone No. (919) 777-5995 Inspector: Adam Daniel I I I Date of Inspection: 4/23/2018 Time of Inspection: 1255 0.14 Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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 By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) I. OutfalRescription: Outfall No. �itt1erV VVoe' d' rcIt e'etc') Pipe into ditch Receiving Stream: loading Derribe the industrial a�tivit(es that occutiw l�j� tt)e outfg drainaege area o raw materia s tchemica s an som avast ts) 2. Color: Describe the color of thejischarge in aasic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ark gray, ue, fight tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None Page I of 2 MAY 112016 Swu-242-112608 DENR-LAND QUALITY STORMWATER PERMITTING 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: O 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: O 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 PH (field -measured) : 6.18 @ 17.8 C 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 2of2 SWU-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidanee on filling out thisfonn, please visor htln //h2o.encstate.nc.uti/su/fui ins Documents. III Ili isc forma Permit No.: N/C/ S / o / o /o / 5 / 3 / 1 / Facility Name: STI Polvmer Countv: Lee or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Inspector: Adam Daniel Date of Inspection: 04 / 2 3 Time of Inspection: 1305 Total Event Precipitation (inches) 0.14 Phone No. 919) 777-5995 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verif), if Qualitative Monitoring urns! be performed during a representative storm event (requirements vary). 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. 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. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: N/A 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): N/A Page I of 2 SWU-242-i 12608 E 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: N/A I 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: N/A 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: N/A 1 2 3 4 5 7. Is there any foam in the stormwater discharge? N/A Yes No 8. Is there an oil sheen in the stormwater discharge? N/A 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 No Discharge 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-242-112608 STORMWATER DISCHARGE OUTFALL (SDO) Permit Number: NCS S000531 or Certificate of Coverage Number: NCG MONITORING REPORT RECEIVED NOV 2 7 2013 SAMPLES COLLECTEDDURINC$ Cr�1AbWV)U*!F:y2018 (This monitoring report shall be reccr lTE�FvWogp�p{ ester than 30 days from the date the facility, receives the sampling results from the laboratory.) FACILITY NAME STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Duncklee & Dunham. Lilv Walker PHONE NO. ( 919 ) 777-5995 CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PACE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl -methacrylate pH COD mo/dd/ r MC inches m L m /L m /L m L Benchmark 1.5 9.0 96 6-9 100 OF-01 11/12/18 0.18 <0.000307 0.00206 <0.0012 6.16 74.7 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) rart is: vemcie Outfall ivramuenanvv Date hcuvnv ............... 50050 ..., ..............., 00556 00530 00400 No. Sample Collected Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH Total Suspended pH New Motor Oil Usage (Method 1664 Solids SGT-HEM), if appl. mo/dd/yr MG inches mgA m /I Units Qal/mo Form SWU-246. last revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 11/12/18 Total Event Precipitation (inches): 0.18 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 "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." l l ILS )l q (Signature of Permittee) (Date) �z.zk j s~ x �• � u � �' � u cn• 4 `b ° 0 s t Form SWU-246, last revised 2/2/2012 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report I,orguidance onfilling oul lhisforni, please visit htips:Hdeq.iic.gov/about/divisions/energy-mineral-land-resources/ npdes-storm water-gps Permit No.: N/C/ 0 / 0 / 0 / 5 / 3 / 3 / I / or Certificate of Coverage No.: N/C/G/ / / / / / / Facility Name: STI Polymer County: Lee Inspector: Lily Walker Date of Inspection: 1 L Time of I Total Event Precipitation (inches): 0.18" Phone No. All permits require qualitative monitoring to be performed during a `measurable storm event." 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 DEMLR Regional Office. 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. OF-] Structure (pipe, ditch, etc.): plastic pipe to vegetated ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: bulk storage and unloadine of raw chemicals, chemical ASTs, waste material pallets Page I of 2 S W U-242, last modified 06/01 /2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinct odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: lO 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: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? O Yes ® No. 8. Is there an oil sheen in the stormwater discharge? 0Yes QNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes QNo. 10.. Other Obvious Indicators of Stormwater Pollution: List and describe: oH: 6.16 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 06/01/2018 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance onfilling oat Ihisform, please visit Mips://deq.ne.gov/about/divisions/energy-mineral-land-resources/ n pd es -storm wale r-gps Permit No.: N/C/ 0 / 0 / 0 / 5 / 3 / 3 / I / or Certificate of Coverage No.: N/C/G/ / / / / / / Facility Name: STI County: Lee Inspector: Lily Wal Date of Inspection: Time of Inspection: 1225 Total Event Precipitation (inches): 0.18" Phone No. All permits require qualitative monitoring to be performed during a "measurable storm event." 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 f'or local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. 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. OF-j Ai Structure (pipe, ditch, etc.): concrete culvert to creek Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: vehicle Page I of 2 SW U-242, Last modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: medium brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., shells strongly of oil, weak chlorine odor, etc.): No distinct odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 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: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? O Yes Q No. 8. Is there an oil sheen in the stormwater discharge? oYes QNo. 9. Is there evidence of erosion or deposition at the outfall? o Yes 'QNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe: very little flow, vegetation growing in pipe outlet area 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 06/01/2018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018_ Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March I" of the following year. Facility Name: STI Polymer County: Lee Phone Number: ( 919 ) 77' Total no. of SDOs monitored Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No Yes ❑ No - w ^' „ _Total-. Rainfall inches pH:- -: � . ''(Standard units) r xy@.`+'u Styrenea m /L _ .. '>(.•,9 ) ,. x� Vmyl Acetap r mg/L ( ) Methyh'S in- hl rylate ((mg/L), r,v ,COD" 9 ) °w _._. r_.. _.. M.„ > •. ,, Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mmlddlyy ■-------- < 0.016 < 0.0012 39.9 04/23/18 0.14 6A 8 < 0.0031 11/12/18 0.18 6.16 <0.00031 0.0021 <0.0012 74.7 S WU-264-Generic-25May2010 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 Date Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: 'ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE iWILMINGTONREGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 585 Waughtown Street Winston-Salem, NC 27107 / V 'To preserve, protect and enhance (336) 771-5000 919 807-6300 North Carolina's %vater._." S WU-264-Generic-25 May2010 RECEIVED STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT DENR-LAND QUALITY STORMWATER o201$Fp"1ITTIN^- Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CALENDAR YEAR: 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 STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Duncklee & Dunham. Lily Walker PHONE NO.( 919 ) 777-5995 CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375 . SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected- ' Total Flow:(if app.) .Total Rainfall Styrene - .:... Vinyl Acetate Methyl methacrylate. .pH COD . . mo/dd/ r - MG •inches - m L m L" - m /L - m L Benchmark ... _.. 1.5 9.0 96 6 - 9, 100 OF-01 11/12/18 0.18 < 0.000307 0.00206 < 0.0012 6.16 74.7 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) Pa" R• Vehicle Maintenance Aefivitv Mnnitnrino Renuirements 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/T'PH Suspended Usage ' (Method 1664' :'Solids SGT-HEM),if - " mo/dd/ r MG -inches mg/I m Units al/mo Form SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 11/12/18 Total Event Precipitation (inches): 0.18 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 the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report rorguidance onfrlling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/ n pdes-storm wate r-gps Permit No.: N/C/ 0 / 0 / 0 / 5 / 3 / 3 / I / or Certificate of Coverage No.: N/C/G/ / / / / / / Facility Name: STI Polymer County: Lee Phone No. Inspector: Lily Walker Date of Inspection: 11/12/2018 Time of Inspection: 1220 Total Event Precipitation (inches): EM All permits require qualitative monitoring to be performed during a "measurable storm event." 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 DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1k (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. OF- I--_ Structure (pipe, ditch, etc.): plastic pipe to vegetated ditch Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: bulk storage and unloading of raw chemicals, chemical ASTs, waste material pallets Page 1 of 2 S W U-242, Last modified 06/01 /2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinct odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? O Yes Q No. 8. Is there an oil sheen in the stormwater discharge? OYes QNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes QNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe: pH: 6,16 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 06/01/2018 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/ npdes-slorm water-gps Permit No.: N/C/ 0 / 0 / 0 / 5 / 3 / 3 / I / or Certificate of Coverage No.: N/C/G/ / / / / / / Facility Name: STI Po County: Lee Inspector: L Date of Inspection: 11/12/2018 Time of Inspection: 1225 Total Event Precipitation (inches): 0.18" Phone No. All permits require qualitative monitoring to be performed during a "measurable storm event." 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 DEMLR Regional Office. 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._OF-3,,_ qi Structure (pipe, ditch, etc.): concrete culvert to creek Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: vehicle parking Page I of 2 S W U-242, Last modified 06/01 /2018 N 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: medium brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinct odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with Floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? O Yes Q No. 8. Is there an oil sheen in the stormwater discharge? 0Yes QNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes QNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe: very little flow, vegetation growing in pine outlet area 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 06/01/2018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018_ Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: STI Polymer County: Lee Phone Number: ( 919 ) 77 Total no. of SDOs monitored Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter,`. units Total Rainfall, pH.- (Standard Styrene Vinyl Acetate Methyl; methac late, ry. COD inches units) (mg/G) (mg/L) (mg/Li (mg/L) _ Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected,WV mm/dd/yy Y 04/23/18 0.14 6.18 < 0.0031 < 0.016 < 0.0012 39.9 11/12/18 0.18 6.16 <0.00031 0.0021 <0.0012 74.7 S WU-264-Generic-25May2010 " 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 Date Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: ASH EVILLUREGIONAL OFFICE FAV,ETTEVILLE�REGIONAL OFFICE MOORE_SVIL_LE-REGIONAL OFFICE 2090 US Highway 70 225 Green Street I 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville. NC 281 15 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910 433-3300 RALEIGH- REGIONAL ;OFFICE WASHUIGTONREGIONALOFFICE WILMINGTON.REGIONALOFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington. NC 27889 Wilmington, NC 28405-2845 (919)791-4200 (252) 946-648 1 (910)796-7215 ,WINSTON-SALEM,REGIONAL;OFFICE CENT_ RAL OFFICE 585 Waughtown Street Winston-Salem. NC 27107 1617 Mail Service Center To preserve, protect Raleigh. NC 27699-1617 and enhance 336 771-5000 919 807-6300 _ _ _LW Noflh'Carohna'swater...^ S WU-264-Generic-25May2010 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS S000531 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 the date the facility receives the sampling results from the laboratory.) FACILITY NAME STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Kevin Kelt 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 Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m L m m L m L Benchmark 1.5 9.0 96 6-9 100 01 09/25/15 1.42 < 0.00031 0.00458 < 0.00012 6.60 19.6 I I HI I - 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 Requirements NOV 18 2015 DFnio Outfall Date 50050 00556 00530 00400 STQRMIntnr;;: 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 appl. mo/dd/ yr MG inches m mgn Units gaurno QUALITY )ERMITTING Form SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 09-25-15 Total Event Precipitation (inches): 1.42 Event Duration (hours): _2_ (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 the possibil* of fines and imprisonment for knowing violations." � 7/ [L4l (S tur of Permittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 ' STORMWATER DISCHARGE OUTFALL (SDO) RECEIVED MONITORING REPORT JUN 3 0 2015 Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CALEN V'kXWQ 201L 1Ty Certificate of Coverage Number: NCG (This monitoring report shall be received by t e !VVWi48d-IWTijh"ayn-30 days fqg," the date the facility receives the sampling results from the laboratory.) FACILITY NAME STI Polymer COUNTY Lee E d R d k PHONE NO 919 777 5995 PERSON COLLECTING SAMPL (S) An rew o a . ( I - CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375 Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements ci O �0 M14 Outfall Date 50050 1.5 9.0 .96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m m L m mg/I, 01 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 Activitv Monitoring 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 a 1. mo/dd/ r MG inches mg/1 m /I Units gaUmo Form SWU-246, last revised 21212012 Page l 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 the possibili of fines and imprisonment for knowing violations." / e , (Signaturj of Permittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) R ECE V " EL./ MONITORING REPORT J V 1IN 3 0 2015 Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CALENDAR[39WM;k9WAL1TY Certificate of Coverage Number: NCG (This monitoring report shall be received by th��iRslolt$�$k t'�0 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 Part A: Specific Monitoring Requirements Lab # SIGNATURE OF PERMITTEE OR DE;77;7---] REQUIRED ON PAGE 2. Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl i methacrylate pH COD mo/dd/ r MG inches m m m m gfL 01 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 Activitv Monitorine Reouirements 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 appl. mo/dd/yr MG inches m m Units al/mo Form SWU-246, last revised 21212012 Pagel 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 the possibili of fines and imprisonment for knowing violations." (Signatur of Permittee) (Date) a' Form SWU-246, last revised 21212012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT EC 0 5 ZU1h Permit Number: NCS S000531 > or SAMPLES COLLECTED DURING CALENDAR YEAR.11 2 IFFi. F/IFS Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no ]at" thaTi/3 �4bays from the date the facility receives the sampling results from the laboratory.) FACILITY NAME STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Danny Mays PHONE NO.( 919 ) 777-5995 CERTIFIEDLABORATORV(S) Environmental Science Corporation Lab# ENV375 Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/yr MG inches m L m /L m L m L Benchmark 1.5 9.0 96 6-9 100 01 11/14/16 0.27 < 0.000307 < 0.00163 < 0.0012 7.27 34.1 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) 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 a 1. mo/dd/vr MG inches m I mg/1 Units al/mo Forth SWU-246. lust revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 11-14-16 Total Event Precipitation (inches): 0.27 Event Duration (hours): 3 (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: NC DEQ DWR Central Files 1617 Mail Service Center Raleigh, NC 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." 11, rn1CV11_ tI 1z1� (Signature of Permittee) (Date) Form SW U-246. last revised 21212012 Page 2 of 2 RECEIVED DEC 0 5 CENTRAL FILE; DWR $ECTIOr Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: h>�://li2o.enr.state.ne.us/su/forms Documents.htm#miscfornts Permit No.: N/C/ s / o / o /0 / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/ /_/ Facility Name: STI Polymer County: Lee Phone No. (919) 777-5995 Inspector: Danny Mays Date of Inspection: 11 / 14 / 16 Time of Inspection: 10 : 45 Total Event Precipitation (inches): 0.27 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Qv�Nl (Signature of Permittee or Designee) Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Brown color, light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 S W U-242-1 12608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 0 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 O 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 2 O 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 I.O. Other Obvious Indicators of Stormwater Pollution: List and describe pH=6.72 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-242-112608 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: httn://ti2o.enr.state.nc.us/su/Forms Documents.htmitmiscfo-ms Permit No.: N/C/ S/ o / o /o / 5 / 3 / i / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI Po IT County: Lee Phone No. (919) 777-5995 Inspector: Danny Mays Date of Inspection: 11 f 14 / 16 Time of Inspection: 10 : 00 Total Event Precipitation (inches) 0.27 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative storm event (requirements vary). 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. 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: Cutfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loadinct of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No color light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 0 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I 0 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe pH: 7.27 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 S W U-242-1 12608 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT k/e Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CALENDAR YEAR: 20 Certificate of Coverage Number: NCG p �f�wED(This monitoring report shall be received by the Division no 1 er n 30 days from V the date the facility receives the sampling results from the labor ) 31 2010 FACILITY NAME STI Polymer MAY COUNTY Lee PERSON COLLECTING SAMPLE(S) Kevin Kelt CEI&RALMM NO. (919 ) 777-5995 CERTIFIED LABORATORY(S) Environmental Scienceh tmaratfOIDN Lab # ENV375 Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REOUIRED ON PAGE 2. S. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinvl Acetate Methyl methacrylate pH COD mo/dd/vr '— MG inches mgfL m m m L Benchmark 1.5 9.0 96 6-9 100 O1 04/01/16 0.12 < 0.000307 < 0.00163 < 0.0012 7.03 24.0 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) D� Q. V..6:..1.. M..:...... — AM:.Aw NA-4.einn Ran uiramwnfc Outfall 50050 00556 00530 00400 No. mple Total Flow Total Rainfall Oil & Grease Non -polar Total pH New Motor Oil lected (if applicable) (if appl.) O&G/TPH Suspended Usage (Method 1664 Solids [Date SGT-HEM), if /dd/vr MG inches m mg/1 Units gaumo Form SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04-01-16 Total Event Precipitation (inches): 0.12 Event Duration (hours): I (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 the possibility of fines and imprisonment for knowing violations." (Signature of er 'ttee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htln:/fh2o.enr.stale.nc.us/su/Forms Documents.htm#miscforms Permit No.: N/C/ S/ o to /o / 5 / 3/ 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI PZymer County: Lee Phone No. (919) 777-5995 Inspector: Kevin Kelt Date of Inspection: 04 / 01 / 16 Time of Inspection: 12 : 15 Total Event Precipitation (inches): 0.12 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative star event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: j-- (Signature of Pknitlhp or Designee) 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Brown color, lmedium tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: I 2 3 4 SO 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: I 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 2 30 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 Px=6.45 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-242-112608 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: http,//h2o.enr.state.nc.us/su/Fornis Documents,hunitmiscforms Permit No.: N/C/ S/ 0 / 0 /o / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI PZymer County: Lee Phone No. (919) 777-5995 Inspector: Kevin Kelt Date of Inspection: 04 / 01 / 16 Time of Inspection: 11 : 50 Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). ----------------- ----------- ........ --- 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: S1 ti (Signature of Peiinitee or Designee) 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No color. light ghtint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 SWU-242-112609 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: l0 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 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I O 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 7.03 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 5 W U-242-1 12608 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS S000531 or Certificate of Coverage Number: NCG SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (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 STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Kevin Kelt 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 Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m mgfL m m Benchmark 1.5 9.0 96 6-9 100 01 09/25/15 1.42 < 0.00031 0.00458 < 0.00012 6.60 19.6 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 'C 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 appl. mo/dd/ r MG inches MRA m Units gallmo Form SWU-246, last revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 09-25-15 Total Event Precipitation (inches): 1.42 Event Duration (hours): _2 (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 the possibiljiy of fines and imprisonment for knowing violations." (S ffi tur of Permittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http:/lh2o.enr.state.nc.us/su/Forms Documents htm#miscforms Permit No.: N_/C/s/o/0/o /5/3/l/ Facility Name: STI Polymer County: Lee Inspector: Kevin Kelt Date of Inspection: 0 9 /2 Time of Inspection: 1530 Total Event Precipitation (inches): or Certificate of Coverage No.: 1.42 No. (919) 777- Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify -that this report is accurate and complete to the best of my knowledge: Permittee or Designee) 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No col or . light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 S WU-242-112608 n 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 02 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 02 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: I 02 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 6.60 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. SWU-242-112608 Page 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: httn://h2o.enr.state.ne.us/su/Forms Documents htm#miscforms Permit No.: N/C/ s/ 0/0 /0 / 5 / 3 / 1 / or Certificate of Coverage No.: Facility Name: STI Po rner County: Lee Phone No. (919) 777-5995 Inspector: Kevin Kelt Date of Inspection: Time of Inspection: 1545 Total Event Precipitation (inches): 1.42 Was this a Representative Storm Event? (See information below) R Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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 O.I inches has -occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, 1 certify that this reporlJis accurate and complete to the best of my knowledge: (Signature of P,66rmittee or Designee) 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No col or 1 ight t- i nt- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 0 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: Ol 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: Ol 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-242-112608 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2015 Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: STI Polymer County: Lee Phone Number: ( 919 1 77' Total no. of SDOs monitored 1 Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) -during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No Yes ❑ No Parameter, units Total Rainfall, inches pH (Standard units) Styrene (mg/L) Vinyl Acetate (mg/L) Methyl methacrylate (mg/L) COD (mg/L) Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mm/dd/yy 05/31/15 No discharge recorded 09/25/15 1.42 6.60 <0.00031 0.00458 <0.00012 19.6 S W U-264-Generic-25May2010 "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" of firs 4nd)prisonmer�Vor knowing violations." Signature Date i(// Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: ASHEVILLE REGIONAOFFICE L FAYETTEVILLE REGIONAL OFFICE T MOORESVILLE REGIONAL OFFICE j 2090 US Highway 70 1 225 Green Street I 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 _....------------_-- — — — '— -- 433.3300 RALEIGH REGIONAL OFFICE ! .._._..__.(910) WASHINGTON REGIONAL OFFICE j _ WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall ; 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919)791-4200 ---.. _.--- ---...._....-.------ (252)946-6481 (910)796-7215 -._..._--- - C-.__ WINSTON-SALEM REGIONAL OFFICE i _._ .IC1._ CENTRAL OFFICE 585 Waughtown Street j Winston-Salem, NC 27107 1617 Mail Service Center Raleigh, NC 27699-1617 (—=spreserve, protect andenhance (336) 771-5000 919 807-6300�� NciYh Ca.+otina's avatar..." S W U-264-Generic-25May2010 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miseforms PermitNo.: N/C/s/0/0/0 /5/3/l/ Facility Name: STI Po mer County: Lee Inspector: Kevin Kelt Date of Inspection: n 9 / 2 5 / 15 Time of Inspection: 1545 Total Event Precipitation (inches): or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ 1.42 No. 919) 777-5995 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify that this repT-�is accurate and complete to the best of my knowledge: (Signature of P/rmittee or Designee) 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No rnl nr, 1 i ght t i nt 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 S W U-242-1 12608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 0 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-242-112608 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: httu://h2o.enr.state.nc.us/su[Forms Documents.htm#miscfonns Permit No.: N/C/ S / 0/0 /0 / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI Polymer County: Lee Phone No. (919) 777-5995 Inspector: Kevin Kelt Date of Inspection: 0 9 / 2 5 / 15 Time of Inspection: 1530 Total Event Precipitation (inches): 1.42 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). ---- _...... ---- A _. 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. By this signature, I certify -that this report is accurate and complete to the best of my knowledge: Permittee or Designee) 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No rol or, 1 i 5ajr t- in r 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 S W U-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 OZ 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 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 02 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 6.60 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U-242-112608 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2015 Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: STI Polymer County: Lee Phone Number: ( 919 ) 777-5995 Total no. of SDOs monitored Outfall No. 001 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly).during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, units Total Rainfall, inches P H (Standard units) Styrene (mg/L) Vinyl Acetate (mg/L) Methyl methac late rY (mg/L) COD (mg/L) Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mm/dd/yy 05/31/15 No discharge recorded 09/25/15 1.42 6.60 <0.00031 0.00458 <0.00012 19.6 S W U-264-Generic-25May2010 "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 possi4i% of Signature Date W1 DWQ Reaional Office Contact Information: ASHEVILLE REGIONAL OF] 2090 US Highway 70 Swannanoa, NC 28778 (828)296-4500 SIGH REGIONAL OFI 80 30 BarrettDrive Raleigh, NC 27609 (919)791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336)771-5000 knowing violations." Mail Annual DMR Summary Reports to: 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910)433-3300 943 Washington Square Mall Washington, NC 27889 (252)946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 (919)807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704)663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910)796-7215 To preserve, pro!ect and enhance Nonh Carolina's water.._" S W U-264-Generic-25May2010 RECEIVED STORMWATER DISCHARGE OUTFALL (SDO) DEC 21 2017 MONITORING REPORT DENR-LAND QUALITY Permit Number: NCS S000531 or SAMPLES COLLECTED DURING CAL§P&"tW-ERWTING 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 STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO.( 919 ) 777-5995 CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/vr MG inches m L m m L m L Benchmark 1.5 9.0 96 6-9 100 01 12/6/17 0.22 <0.003 0.0017 <0.0012 6.06 14.0 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 100556 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 - appl. mo/dd/ r MG inches m I m /I Units al/mo Form SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 12/06/17 Total Event Precipitation (inches): 0.22 Event Duration (hours): 6 (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 "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. 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) (Date) Form SWU-246. last revised 21212012 '�0% Page 2of2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report rorguidanceonfi/ling out thisfonn, please visit: httn://li2o.enr.statc.nc.us/su/Purms Dncumems.hunfilmi.aclbrms Permit No.: N/C/ S/ 0 / 0 /0 / 5 / 3 / 1 / Facility Name: STI Poo—Iymer County: Lee Inspector: Andrew Rodak Date of Inspection: 12 / 0 6 / 17 Time of Inspection: 04 : 15 Total Event Precipitation (inches): or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ 0.22 No. (919) 777-5995 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). 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. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No color light ght tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 S W U-242-1 12608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: OI 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: OI 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: OI 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 pH: 6.06 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 S W U-242-1 12608 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: liltD://li2o.enr.state.nc.us/su/I'vrms Doc a me nts. hHO In i sc forms Permit No.: N/C/ S / 0 / 0 /0 / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI PZymer County: Lee Phone No. (919) 777-5995 Inspector: Andrew Rodak Date of Inspection: 0 5/ 2 2/ 17 Time of Inspection: 04 : 30 Total Event Precipitation (inches): 0.22 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your pennit to verify if Qualitative Monitoring must be perforated during a representative storm event (requirements vary). ......... ............. ....... ...... 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. 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. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No discharge observed. Standing water had color, light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 no SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 10 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I 20 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I 20 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. 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 S W U-242-1 I2608 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2017 Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG RECEIVED DEC 212017 STORMI,y.4TER OUALITY PERMITTING This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: STI Polymer County: Lee Phone Number:( 919 ) 77 Total no. of SDOs monitored 1 Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, units Total Rainfall, inches pH (Standard units) Styrene (mg/L) Vinyl Acetate (mg/L) Methyl methacrylate (mg/L) COD (mg/L) Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mm/dd/yy Elm NO ®® 26.9 El ON ON 05/22/17 0.42 6.96 < 0.001 < 0.01 < 0.05 12/06/17 0.22 6.0 <0.00031 0.0017 <0.0012 14.0 S WU-264-Generic-25 May2010 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Parameter, (units) ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- S WU-264-Generic-25May2010 t " 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 �J Date 114— Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE FAYETTEVILLE_REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville. NC 28115 (828) 296-4500 Fayetteville. NC 28301-5043 (704) 663-1699 (910)433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh. NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 585 Waughtown Street 1617 Mail Service Center 7opreserve, protect Winston-Salem, NC 27107 Raleigh, NC 27699-1617 and enhance (336) 771-5000 (919) 807-6300 North Carolina's water.." J S WU-264-Generic-25May2010 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS S000531 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 STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Danny Mays �S jo y��0° �PHONEPNO. ( 919 ) 777-5995 CERTIFIED LABORATORY(S) ESC Lab Sciences CERb`/f­ENV375 JUL 0 3 201/ SIGNATURE OF PERMITTEE OR DESIGNEE CENTRAL FILES REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements DWR SECTION Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH 'COD mo/dd/vr MG inches m /L m /L m L m L Benchmark 1.5 9.0 96 6-9 100 01 5/22/17 0.42 <0.001 <0.01 <0.05 6.96 28.9 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) D...ti R.'ki h; In M..Inlnnanrn Arfivifv Mnnifnrino Rwm�iram Pnfc ......-.�...�.-..-_...--.._..-----_..._ 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 a I. mo/dd/vr MG inches mg/1 m /I Units gaurno Form S WU-246. last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 5/22/17 Total Event Precipitation (inches): 0.42 Event Duration (hours): _2 (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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Wy-x-�� Glagl/a- (Signature ofPermittee) - (Date) Form SWU-246, last revised 21212012 Page 2 of 2 Storniwater Discharge Outfall (SDO) . Qualitative Monitoring Report For guidance un filling nut thisjorrn, please riait: hurt'//h2o.enr.state.nc.us/su/Fonns Ducuments.htmgmiscfurms Permit No.: N/C/ s/ 0 / 0 /o 15 / 3 / 1 / or Certificate of Coverage No.: Facility Name: STI Polymer Count),: — Inspector: Lee Phone No. (919) 777-5995 Date of Inspection: Time of Inspection: 05/22/17 Total Event Precipitation (inches): 0.42 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verijp if Qualitative Monitoring must be performed noting a represenlative stornt event (requirements van'). A "Representative Stoi in Event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 (lays) 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. By this sjgnature. I certify, that this report is accurate and complete to the best of my knowledge: (Signature of Pernintee or Designee) 1. Outfall Description Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the oulfall drainage area: Bulk storage and loadinq of raw materials (chemical. ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium. dark) as descriptors: No col ors light- ght tint 3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil. weak chlorine odor, etc.): No distinctive odor Page I ol'2 SNVU-242-112(A)8 4. Clarity: Choose the number which best describes the clarity of the discharge. where I is clear and 5 is very cloudy:- 1 O 3 4 5 5. Floating Solids: Choose tltc mnnber which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I o2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I Q 3 4 5 7. Is there any loam in the stormwater discharge? Yes No S. Is thine an oil slicer in die stormwater discharge? Yes No ). Is there evidence of erosion or deposition at oinfall? e No sonic erosion noted in the area east of the outfall III. Other Obvious Indicators of Stormwater Pollution:. List and describe PH: 6.96 Note: Low clarity. high solids, and/inthe presence of Imam, oil sheen, or erosion/depositirm may be indicative of pollutant exposure. These conditions warrant further investigation. Pape 2 of swu-242.11 i(Ars 0 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Fur guidance on filling out This farm, please visit. htin:l/h2o.enr.state.ne.us/au/1'orms Dncuments.htmNmiSefnrms Permit No.: \/C/ S/ 0 / e /0 / 5 / 3 / r / or Certificate of Coverage No.: \/C/G/_/_/_/_/_/_/ Facility Name: STI P0-1ymer Count)': Lee Phone No. (919) 777-5995 Inspector: Danny Mays Date of Inspection: 05 / 2 2 / 17 Time of Inspection: 9 : 15 Total Event Precipitation (inches): 0.42 Was this a Representative Stono Event? (See information below) ® Yes ❑ No Please check your permit torerifv if Qualitative A4onitoring aural be performed during a represenmtirc storm event (requirements van1). A "Representative Storm Event" is a storm event that meastu'es 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. By this,.i)mature. I certify that this report is accurate and complete to the best of my knowledge: (Signature of Pennittee or Designee) 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium. dark) as descriptors: Light brown color, light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e_ smells strongly of oil. weak chlorine odor. etc.): No distinctive odor Page I of 2 SwU-242-11260E 4. Clarity: Choose the number which best describes the clarity of the discharge. where I is clear and 5 isvcry cloudy: 1 2 03 4 5 5. Floating Solids: Choose the number which best describes the amoifiu of floating solids in the slormw:oei discharge. where I is no. solids and 5 is the surface covered with floating solids: 1 O 3 4 5 6. Suspended Solids: Choose the number which best describes the annount of suspended solids in the stornlwater discharge. where I is no solids and 5 is extremely muddy: 1 2 O 4 5 7. Is there any foam in the storruwater discharge'? Yes No. 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of enision or deposition at the outfall? 1'es No 10. Other Obvious Indicators of Slor nwnler Pollution: List and describe Note: Low claim', high solids, and/or the Imisence of lown. oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U.242-1 1 ^_608 RECEIVED STORMWATER DISCHARGE OUTFALL (SDO) DEC 12 2014 MONITORING REPORT Permit Number: NCS S000531 or SAMPLES COLLECTED DURI ENT g&EAR: 2014 Certificate of Coverage Number: NCG (This monitoring report shall be receive t Division no later than 30 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 1777-5995 CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375 Lab # SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 1.5 9.0 96 6-9 100 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m m m L m L 01 11/17/14 0.17 <0.00031 0.0016 0.200 739 24.0 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 R- Vehicle Maintenance Activitv Mnnitorinp 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 a 1. mo/dd/ r MG inches nign m Units al/mo Form SWU-246, last revised 21212012 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 11-17-14 Total Event Precipitation (inches): — 0.17 Event Duration (hours): _2 (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, incluAmg the possibijity of fines and imprisonment for knowing violations." M Y' lato aO� (Signature of Permittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscfonns Permit No.: N/C/ S / o / o /o / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI Po IT County: _ Lee Inspector: Andrew Rodak Date of Inspection: 11 / 17 / 14 Time of Inspection: 1325 Total Event Precipitation (inches): 0.17 No. 919) 777-5995 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By th�iwignatVe, I cArtifyppt this report is Permittee or Designee) 1. Outfall Description: complete to the best of my knowledge: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No dolor light tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 S W U-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 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: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 7.39 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-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: httl)://h2o.enr.state.nc.us/su/Forms Documents htm#miscforms Permit No.: N/C/ S/ o / o /o / S / 3 / 1 / or Certificate of Coverage No.: Facility Name: STI Po er County: Lee Phone No. (919) 777-5995 Inspector: Andrew Rodak Date of Inspection: Time of Inspection: 1325 Total Event Precipitation (inches): 0.17 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be per during a representative storm event (requirements vary). 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. By [ [gnat e, I c rtify t this report is accurate and complete to the best of my knowledge: ;l�' Permittee or Designee) 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc,) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No cel or 1 i ght tint, 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 10 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: 0 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: Ol 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe pH: 7.39 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-242-112608 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2014 Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWO Regional Office no later than March V of the following year. Facility Name: STI Polymer County: Lee Phone Number:( 919 ) 77 Total no. of SDOs monitored 1 Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No Yes ❑ No Parameter, units Total Rainfall, inches P H (Standard units) Styrene (mg/L) Vinyl Acetate (mglL) Methyl methac late ry (mglL) COD (mg/L) Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mmldd/yy ®® 04/07/14 1.29 6.10 <0.00031 <0.0017 <0.0012 < 3.0 11/17/14 0.17 7.39 <0.00031 <0.0016 0.200 24 S W U-264-Generic-25May2010 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- S W U-264-Gen eric-25May2010 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 Signature Date ID DWQ Regional Office Contact Information: for knowing violations." Mail Annual DMR Summary Reports to: A_ SHEVILLE REGIONAL OFFICE_ F_AYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 225 Green Street 610 East Center Avenue/Suite 301 2090 US Highway 70 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE NVILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919)791-4200 (252)946-6481 (910)796-7215 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 585 Waughtown Street Winston-Salem, NC 27107 1617 Mail Service Center Raleigh, NC 27699-1617 'To preserve, protect and enhance lio (336) 771-5000 (919) 807-6300 North Carolina's water..." S W U-264-Generic-25May2010 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2014 Individual NPDES Permit No. NCS S000531 or Certificate of Coverage (COC) No. NCG This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: STI Polymer County: Lee Phone Number: I Total no. of SDOs monitored Outfall No. _001_ Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No Yes ❑ No Parameter, units Total Rainfall, inches P H (Standard units) Styrene (mg/L) Vinyl Acetate (mg/L) Methyl -methac late ry (mgiL) COD (mgiL) Benchmark N/A 6.0-9.0 1.5 9.0 96 100 Date Sample Collected, mm/dd/yy 04/07/14 1.29 6.10 <0.00031 <0.0017 <0.0012 < 3.0 11/17/14 0.17 7.39 <0.00031 <0.0016 0.200 24 S W U-264-Generic-25May2010 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Parameter, units Total Rainfall, inches Benchmark N/A Date Sample Collected, mmldd/yy SW U-264-Generic-25May2010 "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 p psibility of fines and imprisonment for knowing violations." Signature (_�, Date law .-� V Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: EVILLE REGIONAL OFFICE 2090 US Highway 70 Swannanoa, NC 28778 (828)296-4500 RALEIGH REGIONAL OF 3800 Barrett Drive Raleigh, NC 27609 (919)791-4200 TON-SALEM REGIONAL OFFICE 585 Waughtown Street Winston-Salem, NC 27107 (336)771-5000 CETTEVILLE REGIONAL OFFICE 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910)433-3300 WASHINGTON REGIONAL OFFI 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 (919)807-6300 MOORESVILLE REGIONAL OFFIC] 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704)663-1699 ILMINGTON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 To preserve, protect and enhanced North Carolina's wafer...' S W U-264-Generic-25May2010 RECEIVED STORMWATER DISCHARGE OUTFALL (SDO) MAY 15 2014 MONITORING REPORT VeeRi 'Wi YARS S000531 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 STWLNlhW gPWI 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 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 REOUIRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050 No. Sample Collected Total Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH COD mo/dd/ r MG inches m m m L m L 01 04/07/14 1.29 < 0.00031 0.0017 < 0.0012 6.10 < 3 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 R- Vehicle Maintenance Activitv Monitoring 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 a 1. mo/dd/ r MG inches mgA mgn Units al/mo Forth SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04-07-14 Total Event Precipitation (inches): L29 Event Duration (hours): _3_ (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 the possibility of rXe) and imprisonment for knowing violations.') (Date) ?1013Vtr:Ad,k.. h: i 111: *i : fl'R(iI"i?^ _-V,ll!. r Form SWU-246, last revised 1/2/2012 Page 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htto://h2o.enr.state.nc.us/su[Forms Documents.htm#miscforms Permit No.: N/C/ s / 0 / 0 /0 Facility Name: STI Po Dm i County: Lee Inspector: Andrew Rodak Date of Inspection: 0 4 / 0 7 / 14 Time of Inspection: 1215 Total Event Precipitation (inches) or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ 1.29 No. (919) 777-5995 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By thisAnature, I certify t* this report is accurate and complete to the best of my knowledge: of Permittee or 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: T,i ght- brown rnl or I ight tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 0 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 2 03 4 5 some trash observed 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 03 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-242-112608 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance onfilling out thisform, please visit: http://h2o.enr.state.ne.us/su/Fonns Documents.htm#miscforms Permit No.: N/C/ S/ o / 0 /0 / 5 / 3 / 1 / or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/ Facility Name: STI Polymer County: Lee Phone No. (919) 777-5995 Inspector: Andrew Rodak Date of Inspection: 04 / 0 7 / 14 Time of Inspection: 1145 Total Event Precipitation (inches): 1.29 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By thip'sTgna[ures 1 certi that this resort is accurate and complete to the best of my knowledge: Permittee or 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No cn1 nr l i ai ht r i nt- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page I of 2 SWU-242-112608 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 40 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with Floating solids: 0 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 02 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 6.10 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-242-112608 RECEIVED MAY 15 2014 STORMWATER DISCHARGE OUTFALL (SDO) DENR-LAND QUALITY MONITORING REPORT STORMWATER PERMITTING Permit Number: NCS S000531 or Certificate of Coverage Number: NCG 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 STI Polymer COUNTY Lee PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. ( 919 ) 777-5995 CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375 Lab # FSaIGNATURE OF PERMITTEE OR DESIGNEE IRED ON PAGE 2. Part A: Specific Monitoring Requirements Outfall Date 50050' - No. Sample Collected Total': Flow (if app.) Total Rainfall Styrene Vinyl Acetate Methyl methacrylate pH. COD mo/dd/ r MG inches m m m in 01 04/07/14 1.29 < 0.00031 0.0017 < 0.0012 6.10 < 3 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 Moulin ng 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 M SGT=HEM), if a 7. mo/dd/yr MG inches mg1I nign Units al/mo Form SWU-246, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04-07-14 Total Event Precipitation (inches): _1.29 Event Duration (hours): _3 (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 the possibility;of 7and imprisonment for knowing violations."_._ (Sign P mittee) (Date) Form SWU-246, last revised 21212012 Page 2 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: http://h2o.eni.state.nc.us/su/-orms Documentshtm#miscfonns Permit No.: N/C/ S / o / o /o / 5 / 3 Facility Name: STI Polymer County: Lee Inspector: Andrew Rodak Date of Inspection: 04 / 0" Time of Inspection: 1215 or Certificate of Coverage No.: Total Event Precipitation (inches): 1.29 No. (919) 777- Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By thislsig\ature, I certify tl{ this report is accurate and complete to the best of my knowledge: r or 1. Outfall Description: Outfall No. 02 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: None 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light- hrown color 1 i cjht tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 03 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 03 4 5 some trash observed 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 20 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-242-112608 1 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisform, please visit: http:/Fh2o.enr.state.nc.us/su/Fonns Documents htm#nlisefonm Permit No.: N/C/ s / 0 / o /0 / 5 / 3 / 1 / or Certificate of Coverage No.: Facility Name: STI Polymer County: Lee Phone No. (919) 777-5995 Inspector: Andrew Rodak Date of Inspection: Time of Inspection: 1145 Total Event Precipitation (inches): 1.29 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By thi"nature/ I crrti that this_!,eport is accurate and complete to the best of my knowledge: (Signature of Permittee or 15i 1. Outfall Description: Outfall No. 01 Structure (pipe, ditch, etc.) Culvert into ditch Receiving Stream: Little Buffalo Creek Describe the industrial activities that occur within the outfall drainage area: Bulk storage and loading of raw materials (chemical ASTs) and some waste material 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: No col or l i aht t i n t 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No distinctive odor SWU-242-112608 Page l of 2 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 40 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: l0 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 02 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? es No some erosion noted in the area east of the outfall 10. Other Obvious Indicators of Stormwater Pollution: List and describe PH: 6. 10 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 S WU-242-112608