NCS000531 DMR SW (3)

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number:NCSI OQ531or SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
Certificate of Covera _ er:NCG RECE V0D(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.)
Mu1G
FACILITY NAME STI Polymer COUNTY Lee
PERSON COLLECTING SAMPLE(S) Kevin Kelt CE TRALM NO.( 919 1777-5995
CERTIFIED LABORATORY(S) Environmental Scie i t 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 Total Total Styrene Vinyl Acetate Methyl. pH COD
•
Collected Flow(if app.) Rainfall methacrylate
mo/dd/yr MG inches mg/L 'mg/L mg/L mg/L '
Benchmark 1.5 9.0 96 - ' 6-9 100
01 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)
Part 13:Vehicle Maintenance Activity 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
appl.
mo/dd/yr MG inches mg/I mg/I Units gal/mo
Form SWU-246,last revised 2/2/2012
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STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy,Minerals,and Land Resources
Date 04-01-16 Attn: Central Files
Total Event Precipitation(inches): 0.12 1612 Mail Service Center
Event Duration(hours):_1 (only if applicable—see permit.) Raleigh,North Carolina 27699-1612
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the
best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
61a151('Qtc,
(Signature of er ee) (Date)
Form SWU-246,last revised 2/2/2012
Page 2 of 2