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HomeMy WebLinkAboutNCS000597_SW ROS REQUESTED_20230728 FOR AGENCY USE ONLY Division of Energy, Mineral & Land Resources Date Received ..^v� Year Month Day t;.; Stormwater Program National Pollutant Discharge Elimination System � Environmental REPRESENTATIVE OUTFALL STATUS (ROS) �U� � Fp 8 Quality REQUEST FORM Mo �ooaFHn, Z912? If a facility is required to sample multiple discharge locations with very similar storm wateK' ti`__._ s, the otz permittee may petition the Director for Representative Outfall Status(ROS). DEQ may grant&'* ntative Outfall Status if storm water discharges from a single outfall are representative of discharges from rif91tiple outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply. If Representative Outfall Status is granted,ALL outfalls are still subject to the qualitative monitoring requirements of the facility's permit—unless otherwise allowed by the permit(such as NCG020000)and DEQ approval. The approval letter from DEQ must be kept on site with the facility's Storm water Pollution Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status. For questions, please contact the DEQ Regional Office for your area (see page 3). (Please print or type) 1) Enter the permit number to which this ROS request applies: Individual Permit (or) Certificate of Coverage N I C I S 10 10 10 15 9 17 N I C` G 2) Facility Information: Owner/Facility Name Laurens Willard/Galvan Industries, Inc.-Harrisburg Facility Contact Laurens Willard Street Address 7320 Galvan Way City Harrisburg State NC ZIP Code County Cabbarus E-mail Address hlondhe@galvan-ize.com Telephone No. 704 455-5102 Fax: 3) List the representative outfall(s) information (attach additional sheets if necessary): Outfall(s) OF#2 is representative of Outfall(s) OF#5 and Top of Hill Outfall JOH) Outfalls'drainage areas have the same or similar activities? o Yes O No Outfalls' drainage areas contain the same or similar materials? e Yes p No Outfalls have similar monitoring results? O Yes O No m No data* Outfall(s) 0F#1 is representative of Outfall(s) 0F#1-Change Sample Location Outfalls' drainage areas have the same or similar activities? O Yes O No Outfalls'drainage areas contain the same or similar materials? O Yes O No Outfalls have similar monitoring results? p Yes O No p No data* Outfall(s) is representative of Outfall(s) Outfalls'drainage areas have the same or similar activities? O Yes O No Outfalls'drainage areas contain the same or similar materials? O Yes O No Outfalls have similar monitoring results? O Yes ❑ No ❑ No data* *Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for review. Page 1 of 3 SWU-ROS-2009 Last revised 12/30/2009 Representative Outfall Status Request 4) Detailed explanation about why the outfalls above should be granted Representative Status: (Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or materials are similar. On April 28,2022,NCDEQ representative Lily Kay conducted a site inspection for the purpose of assigning Representative Outfall Status to OF#2,as was previously designated. Subsequent to the inspection Ms.Kay conveyed that OF#2 is representative of the we stem portion of the site,thereby eliminating quantitative sampling of OF#5 and Top-of-Hill location. Additionally,Ms.Kay indicated that samples from OF#1 could be collected from a culvert downgradient of the inlet junction box for easier access.This culvert is tied directly into the junction box and located under Milbrook Road,discharging on the east side of Milbrook Road(Figure 1,Photo 1). 5) Certification: North Carolina General Statute 143-215.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report,plan, or other document filed or required to be maintained under this Article or a rule implementing this Article;or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article;or who falsifies,tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). 1 hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must resume monitoring of all outfalls as specified in my NPDES permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Mark Filardi Title: Associate,SeniorGeolo ' 1( -- — 1 2le 23 (Signature of Applican (Date Signed) Please note: This application for Representative Outfall Status is subject to approval by the NCDEQ Regional Office. The Regional Office may inspect your facility for compliance with the conditions of the permit prior to that approval. Final Checklist for ROS Request This application should include the following items: ❑ This completed form. ❑ Letter or narrative elaborating on the reasons why specified outfalls should be granted representative status, unless all information can be included in Question 4. ❑ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the drainage areas, industrial activities, and raw materials/finished products within each drainage area. ❑ Summary of results from monitoring conducted at the outfalls listed in Question 3. ❑ Any other supporting documentation. Page 2 of 3 SWU-ROS-2009 Last revised 12/30/2009 Representative Outfall Status Request Mail the entire package to: NCDEQ DEMLR at the appropriate Regional Office (See map and addresses below) Notes The submission of this document does not guarantee Representative Outfall Status (ROS)will be granted as requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written approval of this request is granted by DEQ. Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for review. For questions, please contact the DEQ Regional Office for your area. ti LIs ' f Asheville Regional Office 2090 U.S. Highway 70 Swannanoa, NC 28778 Washington Regional Office 943 Washington Square Mall Phone (828) 296-4500 Washington, NC 27889 FAX (828) 299-7043 Phone (252) 946-6481 Fayetteville Regional Office FAX (252) 975-3716 Systel Building, 225 Green St., Suite 714 Wilmington Regional Office Fayetteville, NC 28301-5094 127 Cardinal Drive Extension Wilmington, NC 28405 Phone (910) 433-3300 FAX 910/ 486-0707 Phone (910) 796-7215 FAX (910) 350-2004 Mooresville Regional Office 610 East Center Ave. Winston-Salem Regional Office Mooresville, NC 28115 585 Waughtown Street Winston-Salem, NC 27107 Phone (704) 663-1699 Phone (336) 771-5000 FAX (704) 663-6040 Water Quality Main FAX (336) 771-4630 Raleigh Regional Office Central Office 1628 Mail Service Center 1612 Mail Service Center Raleigh, NC 27699-1628 Raleigh, NC 27699-1612 Phone (919) 791-4200 Phone (919) 807-6300 FAX (919) 571-4718 FAX (919) 807-6494 Page 3 of 3 SWU-ROS-2009 Last revised 12/30/2009 � , 49 r a ` lA'A1VM'/��tiM1 I; cy �COW 09 a , w • • • OF#2 Q ti o - t E a W i a 6 'o 4 a a v 51 0 100 200 400 Feet NOTES: 1.PROPERTY BOUNDARY FROM MECKLENBURGAND CABARRUS COUNTIES'GIS WEB REPOSITORIES 2.RAIL FROM MECKLENBURG OPEN MAPPING REPOSITORY 3.RAILROW ESTIMATED FROM 100'BUFFER AROUND RAIL LINE i •h a 49 A .,., 9' Lim o P F 9P,S Y i3 Tyr a � t w w �I 0 K b B • ' - • OF#2 t 0 W b O F 'o 4 y f y 0 100 200 400 Feet NOTES: 1.PROPERTY BOUNDARY FROM MECKLENBURG AND CABARRUS COUNTIES'GIS WEB REPOSITORIES 2.RAIL FROM MECKLENBURG OPEN MAPPING REPOSITORY 3.RAILROW ESTIMATED FROM 100'BUFFER AROUND RAIL LINE t 1, LL r� . 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