NCG030099_MONITORING INFO_20181105

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V uc
DOC TYPE
0 HISTORICAL FILE
6( MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 C 0 O 0 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Galvan Industries, Inc. o SLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Cabarrus T or X❑ Monthly' September (month1
Coleman Marchin { ¢ d CD DL5gARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
PERSON COLLECTING SAMPLES ^ 00 m �
LABORATORY "°` ""al"L'�dl Se`"'�e�' Inc.Lab Cert. # 5 3 4 2 ;p rn ❑Zero -flow ❑X Water Supply ❑SA
Comments on sample collection or analysis: ma o ❑Other
�c(o
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
n
Part A: Stormwater Benchmarks and Monitoring Results CD
X❑ No discharge this period:
Outfall No.
e
pate Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Standard units pr
d
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics 5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 I SWU-245, last revised 10/25/2012
j Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
k 4g5i_lAp
Name (Print name)
��Qr1'� 1 1C%cv�GtG�f
Title (Prin title)
f U C7
Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy of this DMR including all "No Dischar e" reports, within 30 days of receijpt of the lab results for at end of monitoring eriod
in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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.
am aware that tpere_,are�igr�f� scant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sign.fture of ?�ermittee)
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

j2i RECEIVED
-
NCDENR Nov 5 2018
Stormwater Discharge Outfall (SDO)
LR
Qualitative Monitoring Report D1AIualit Me
Land Quality Section
Mooresville Regional Office
For guidance or) filling out this form, please visit: http://poi-tal.ncde_nr.ort?/web/lr/npdes-stormwaterZ
Permit No.: N/C/G /0 / 3 /0 / 0 /0 / O / or Certificate of Coverage No.:
Facility Name: Gal_van Industries, Inc.
County: Cabarrus Phone No. [phone]
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-h0ur storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this pfVatVr t<certify that this report is accurate and complete to the best of my knowledge:
ignature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) rip -ran to culvert
Receiving Stream: Back Creek
Describe the industrial activities that occur within the outfall drainage area:
Hot-dio Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1. 2 3 4 5
5. Floating Solids: Choose the number which best describes the arnount of floating solids in
the storrnwater discharge, where 1. is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
5. Suspended Solids: Choose the nurnber which best describes the amount of suspended
solids in the storrnwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the storrnwater discharge? Yes No
8. Is there an oil sheen in the storrnwater 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
5WU-242, Last modified 7/31/2013

�jA
WDENR Nov 5 2018
Stormwater Discharge Outfall (SDO) DENR-DEMLR
Qualitative Monitoring Report Land Quality Section
Mooresville Regilonal Office
Forguidance on fillitig out this form, please visit: htt ortal.ncdenr.or web lr n ade-storinwat r
Permit No.: I\f/C/G/0 / 3/0 / 0/0 / 0/ or Certificate of Coverage No.:
Facility Name: _Galvan Industries, Inc.
County: Cabarrus Phone No. (Z-(Z) 455-5102
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total -Event- Precipitation (inches): -
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of na
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-11our storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this �O_Oa 4reAXrtify that this report is accurate and complete to the best of my knowledge:
nature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

I. Outfall Description.
Outfall No. 3 Structure (pipe, ditch, etc.) rip -rap to culvert
Receiving Stream: Back Creek
Describe the industrial activities that occur within the outfall drainage area:
Hot-diio Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note. Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31 /2013

V E i , E
Cj
- R E �./
NCDENR NOV 5 20i8
Stormwater Discharge Outfall (SDOIDENR-DEMl_R
L nd Quality Section
Qualitative Monitoring Reporitooresviile Regional 0sf;r,�
Forguidarrce orr filling out this jbrm, please visit: httl2://12oi-tal.nctienr.or2/web/1r/npdes-stormwater/
Permit No.: N/C/G/0 / 3/0 / 0/0 / 0/ or Certificate of Coverage No.:
Facility Narne: Galvan Industries, Inc.
County; Cabarrus Phone No. (ZQ4) 455-5102
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed daring a "representative storm
event" or "ineasureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge From the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this,�iipf�Pure,,l'cVdfy that this report is accurate and complete to the best of my knowledge:
re of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 4 Structure (pipe, ditch, etc.) culvert
Receiving Stream: Back Creek
Describe the industrial activities that occur within the Outfall drainage area:
Hot -din Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor; Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

RECEIVED
NCDENR NOV 5 2018
Stormwater Discharge Outfall (SDO)
DENR-DEMt.R
Qualitative Monitoring Report Land Quality Section
Mooresville Regional Office
For guidance on filling out this forrn, please visit: ht ZZportal.ncdenr.org /web lr n de - tormwater
Permit No.: N/C/G /0 / 3/0 / 0/0 / 0 / or Certificate of Coverage No.:
Facility Name: Galvan Industries, Inc. _
County: Cabarrus Phone No. [phone]
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this �gy�tire
i',cWTify that this report is accurate and complete to the best of my knowledge:
gnature of Permittee or Designee)
Page I of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 5 Structure (pipe, Glitch, etc.) rip -rap to storm pipe
Receiving Stream: Back Creek
Describe the industrial activities that occur within the outfall drainage area:
Hot-dio Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
l 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the Outfall? Yes No
10. Other Obvious Indicators of stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

GALVAU INDUSTRIES, INC.
October 30, 2018
,I
oj
4? /,
State of North Carolina S
Energy, Mineral and Land Resources 00
Attn: James Moore „/Q�c�cR
610 East Center Avenue, Suite 301
Mooresville, Nc 28115 `a�ac�'on
01�1c0
Certified Mail: 7017 0190 0000 2323 2656
To Whom It May Concern:
Enclosed is a signed copy of the August and September 2018 Storm Water Discharge
Monitoring Report. Should this agency require any additional information, please
contact Harshad Londhe at 704-455-5102 ext. 142.
Regards,
6, t
Darhma Robinson
Human Resources Manager
P.O. BOX 369 • HARRISBURG, N.C. 28075 • TEL [phone] / FAX [phone] • www.galvanelectrical.com • www.gaivan-ize.com

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 0 0 0 0
SAMPLE COLLECTION YEAR 2018
FACILITY NAME Galvan Industries Inc.
=MPLE PERIOD ❑ Jan -June ❑July -Dec
COUNTY Cabarrus
o
�( or ❑X Monthly' August lmonthj
PERSON COLLECTING SAMPLES Coleman Marchin
`� O
a
/�SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY `'�Ce " d' i`az 5�`"'�e� I"°. Lab Cert. # 534 2
rn
co p
`�' ❑Zero -flow ❑X Water Supply [:]SA
Comments on sample collection or analysis:
CD
❑Other
a
o
in PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
O
Part A: Stormwater Benchmarks and Monitoring Results
CD
X❑ No discharge this period?2
Outfail No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH
Standard units
Copper
I
Lead
i
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
AMasi+qD L oti 9 Kc _
Name (Print name)
C kOr �Gt�nC�U{r
Title {Pri title
�0 3o r 8
(Signature) (Dot )
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount, 1
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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
am;aw/areth��there are . nif. ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-24S, last revised 10/25/2012
Page 3 of 3

rjA RECEIVED
NCDENR NOV 5 2018
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Re OENR-0EMI_R
Q g Report p LaW Quality SeLfion
Mocuesville Regional pffir.e
Forguidance on filling out this f)rni, please visit: httpj/Mortal.ncdenr.or2Jweb/lr/`npdes.:stormwater/
Permit No.: N/C/G/0 /3/0 /0/0 /0/ or Certificate of Coverage No.:
Facility Name: Galvan Industries, Inc. T
County: Cabarrus Phone No. (704) 4s55-5.102
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-haur storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thi AXn).ArriFtify that this report is accurate and complete to the best of my knowledge:
1.11
tore of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) rip -raja to mil vert_
Receiving Stream: Back Creek
Describe the industrial activities that occur within the outfall drainage area:
Hot -dire Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-2,12, Last modified 7/31/2013

RECEIVED
A •
Q =�= N,ov 5 ?018
NCDENR
Stormwater Discharge Outfall (SDO) DENR-DEMLR
Land Quality Section
Qualitative Monitoring Report Mooresville Regional Office
Forguidarice otr filling ottt thisJirrtri, please visit. http://aortal.ncdenr,ni-fz/web/]r/npdes-stormwater/
Permit No.: N/C/G/0 / 3/0 /0/fl /0/ or Certificate of Coverage No.: N/C/G/_/—/,_j_/_/_/
Facility Name: Galvan Industries Inc.
County: Cabarrus Phone No. (704) 455-51 D2
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes El No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office,
By this sy°atyyr`e,yc`e�fify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Page 1 of Z
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.) rip -rap to culvert
Receiving Stream: Back Creek
Describe the industrial activities that occur within the Outfall drainage area:
Hot-dio Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, Last modified 7/31/2013

LF-"� RECEIVED
NOV 5 2018
NCDENR
Stormwater Discharge Outfall (SDO) DENR-DEMLR
Qualitative Monitoring Report Land Quality Section
Mooresville Regional Office
For guidance on filling out thisJbrin, please visit: http://portal,ncdenr.org/web/Ir/npdes-stormwater/
Permit No.: N/C/G /0 / 3 /0 / 4 /0 / 0 / or Certificate of Coverage No.:
Facility Name: Galvan Industries, Inc. _
County: Cabarrus Phone No.
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit),
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signa;r°eXc�ptC�y�'hat this report is accurate and complete to the best of my knowledge:
(Sign tUre orPermittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 4 Structure (pipe, ditch, etc.) culvert
Receiving Stream: Back Creek
Describe the industrial activities that occur within the Outfall drainage area:
Hot -dip Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1. 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
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
5WU-2,12, Last modified 7/31/2013

_Ad'A RECEIVED�l
NCDENR NOV 5 20
Stormwater Discharge Outfall (SDO) �8
Qualitative Monitoring Report DENR-DEMLR
Land Quality Section
Mooresville Regional Office
Furguidance on filling out this form, please visit: httl2://12ortal,ncdcnr.orgfweb/Ir/nodes-storinwaterI
Permit No.: or Certificate of Coverage No.:
Facility Name: Galvan Industries, Inc.
County: Cabarrus Phone No. [phone]
Inspector: Coleman Marchin
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storrs Event" as defined by the permit?
(See information below.)
❑ Yes X❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "meosureohle storm event" (requirements vary, depending on the permit),
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signoreXe!�4,06t this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page i of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 5 Structure (pipe, ditch, etc.) rip -rap to storm pipe
Receiving Stream: Back Creek
Describe the industrial activities that occur within the Outfall drainage area:
Hot-dio Galvanization
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
{light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. . Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose Lite number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

a
V4 -
GALVA INDUSTRIES, :IC.
April 30, 2015
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
Enclosed is a signed copy of the monthly Storm Water Discharge Monitoring Report. Should this
agency require any additional information, please contact Harshad Londhe at 704-455-5102.
Kind re ards,
Dean Burgos
Human Resources Generalist
STo Tt-.r�1 �-(i�rCCrN
NC
Svc C—� , 3 0O � %
P.O. 8OX 369 - HARRISBURG, N.C. 29075 - TEL 704-4SS-5102 / FAX [phone] - www.galvanelectrical.com - www.galvar-ize.com

OW
hdrinc.com
April 8, 2015
Mr. Harshad Londhe
Galvan Industries, Inc.
7320 Millbrook Road
Harrisburg, NC 28075
Subject: April 2015 NPDES Monitoring Report
Galvan Industries, Inc.
Dear Mr. Londhe,
The purpose of this report is to provide the results of qualitative and quantitative stormwater
monitoring conducted on March 5, 2014 at the above -referenced site (Site). The monitoring was
performed in general accordance with NPDES General Permit (GP) # NCG030000 (effective
November 1, 2012 through October 31, 2017). A summary of field observations and laboratory
results are presented below. Copies of Stormwater Discharge Qualitative Monitoring Reports
(QMRs) completed during the March 5, 2015 qualitative monitoring event and a copy of the
Stormwater Discharge Monitoring Report (DMR) completed following quantitative analysis of a
sample collected from representative Outfall # 2 are attached for your use.
On March 51
h, 2015, HDR Engineering, Inc. of the Carofinas (HDR) mobilized to the Site to conduct
monthly monitoring of Outfalls # 1 through 4.
Outfall # 1 is located on the northeast corner of the Site and Millbrook Road. Flowing water in this
outfail was clear and odorless. It was without noticeable floating or suspended solids, foam, or oil
sheen. No evidence of erosion or deposition was present.
Outfall # 2 is located on the south side of the Site adjacent to the rail line. Flowing water in this
outfall was clear and odorless. Water in the outfall was without noticeable floating or suspended
solids, foam, or oil sheen. Ponded water below the outfall contained suspended solids showing
evidence of erosion in or preceding the outfall.
Outfall # 3 is located on the southwest corner of the Site. At the time of sampling, this outfall was
not flowing.
Outfall # 4 is located on the northwest corner of the Site. Flowing water in this outfall was brown
and odorless. Water in the outfall was without noticeable floating solids, foam, or oil sheen. The
water below the outfall contained suspended soiids showing evidence of past erosion in or
preceding the outfall.
Subsequent to qualitative observations, HDR collected one stormwater sample from representative
Outfall # 2 for quantitative laboratory analyses consisting of the following tests:
• Total suspended solids (TSS) using SM 25400
• pH using EPA 9040
440 S. Church Street, Suite 900 Charlotte NC 28202
T 79a.338.5703 F 74d.338.3760

d,I( Hcjrsr.ic: 1_:)(,,&e
April 2. 2015
• Copper, lead, and zinc using EPA 200.7
• Non -polar oil and grease/total petroleum hydrocarbons (O&G/TPH) using EPA 1664B
• Total Toxic Organics using EPA 3510. EPA 625, and EPA 624
Samples were collected in certified clean sample containers provided by Pace Analytical Services,
Inc. (Pace) and transported under chain -of -custody to Pace for analysis. The results of analyses
indicate that benchmark values identified in the GP were exceeded, as follows:
• TSS: 261 mg/L (Benchmark: 100 mg/L)
• Copper: 0.0839 mg/L (Benchmark: 0.007 mg/L)
• Lead: 0.0376 mg/L (Benchmark: 0.03 mg/L)
• Zinc: 50.6 mg/L (Benchmark: 0.067 mg/L)
It is noted that Outfall # 2, recently installed by CSX Transportation, has replaced a previously
decommissioned Outfall # 2. The March 2015 sampling event was the first in which newly
constructed Outfall # 2 was used to collect a representative sample. It is possible the elevated
values listed above are due, in part, to sampling of the new location.
Outfall # 2 was within the benchmark range for the following criteria:
pH
Non -polar oil and grease/total petroleum hydrocarbons
Total toxic organics
In accordance with the GP, the Site is currently required to comply with Tier Two requirements.
These include (in addition to those requirements outlined in Tier One) monthly sampling of
permitted outfalls (continued until three consecutive sample results fall below or within the
appropriate benchmark or benchmark range), submittal of "no Flow" reports if sufficient discharge
does not occur in any given month, and maintenance of a record of all Tier Two reports in the
Stormwater Pollution Prevention Plan (SPPP).
If, during the duration of the GP, exceedances occur for any specific parameter on four occasions,
Galvan must contact the DWQ Regional Supervisor within 30 days of receipt of the fourth result.
Subsequent requirements may include a change in monitoring frequency, an application for an
individual permit, installation of stormwater controls, additional monitoring locations, or
modifications to the Site in order to qualify for a No Exposure Exclusion.

Vr. ' ;arwad ! onere
Please do not hesitate to contact Mark Filardi at 704.338.6787 if you have questions or comments
regarding this report. We appreciate the opportunity to continue to assist Galvan on this project.
Sincerely,
HDR Engineering, Inc. of the Carolinas
Ian Holdeman
Environmental E.I.T.
Attachments:
Site Plan
Ul�
Mark Filardi, P.G.
Senior Geologist
Stormwater Discharge Qualitative Monitoring Reports for Outfalls # 1-4
Stormwater Discharge Monitoring Report for Outfall # 2

lo
s 2
11 IMR
9

Semi-annual Stormwater Discharge Monitoring_Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 04/ /201S
CERTIFICATE OF COVERAGE NO. NCG030000 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Galvan Industries Inc. SAMPLE PERIOD ❑ lan-June ❑ July -Dec
COUNTY Cabarrus or Monthly' March (monrhJ
PERSON COLLECTING SAMPLES Sarah K. Townsend DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY: Pace Analytical Services, Inc. _ Lab Cart. 4 5342 ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: ❑Other
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMENIBER TO SIGN ON PAGES 2 AND/OR 3 --)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics,
Benchmarks =__>
100 mg/L or 50 mg/L
6.0 _ 9.0
0.007 mg/L
0.03 mg/L
0.067, mg/L
15 mg/L
1 mg/L
4 2
03/05/15
0.5
261 mg/L
5.6
0.0839 mg/L
0.0376 mg/L
50.6 mg/L
ND
ND
I
j
Nlonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the Same outfall.
' For sampling periods with no discha ,eat any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data From an on -site rain gauge. Unattended sites may be efigibie for a waiver of the rain gauge requirement.
See General Permit, Table 3 identifying the =_specialty sensitive receiving water classifications where the more protective benchmark applies
' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the -PA
Effluent Guidelines for the facility subject to the requirement to sample (for metal Finishing use the definition as found in 40 CFR 433.11: for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crrstai manufacture use the definition 3s Found in 40 CF.R 469,22: and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31),
Perrnit Date: 1L/l/2012-LD/31/2617
SWU-245, last revised 10/25/2012
Page 1 of 3

16
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may ;o certii`y, and the requirement for TTO monitoring
may be waived. The Solvent management plan shall include a list of the total toxic o ,anic compounds used and the other elements listed in the General
Permit. For those facilities electing to emoloy the TT 0 monitoring 'Naiver, the discharger ;hail sign the Following certification ;tatement:
"eased Upon my inquiry of the per,cn or jersons direc-jy respomihie for managing .:ompGance .vith the permit monitoring requirement for total toxic o ,anic,
('TO), 1 certify that to the best of my '<nowledge and belief, no dumping ofconcentrated toxic organics into the stormwater or areas wnich are exposed to rainfall or
;tormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the 311 the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
L/AP.sHQo L.P,4z�+E
Name (Print name)
Title (Prin title] +� 6
GO ��
(5i;natur'_I (Daral
Note: Results must be reported in numerical format. Do not report Below Detection Limit, 3DL, <PQL, Von -detect, ND. or other ;imilar non -numerical
format. YVhen result:, are below the applicable limits, they must be re orted in the format, "<XX me/L where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if You report a sample falue in excess of the benchmar,Q, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Outtail No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L
5.0 — 9.0 Su
Footnotes from Part A also apoly to this Part 3
' See General Permit text, Table S, identifying the especially ;ensitive receiving water classifications where the more protective benchmark aoplies.
Permit Date: 11/l/2012-10/31/Z011 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a ;ample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART AMID PART I MONITORING RESULFS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER L REQUIREMENTS SF� PERMIT PAr?T II 3ECT[CtI B.
• 2 EXCEEDANCcS IN A RCW :OR THE SAME ?A,RANIETER AT THE SAME QUTFALL TRIGGER TIER 1 REQUIREMENTS, SEE ?ERiNIIT?ART II SEC T fON d.
• TIER 3: HAS 'LOUR' ACILIT! HAD 1 OR ,MORE 3ENCHNIARK EXCEEDFNCES FOR THE SANIE PARAME T E,R AT ANY ONE OUTFAL'_? YES I� NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES I] NO ❑
REGIONAL OFFICE CONTACT, IAME.
!Mail an oriainal and one coon of this OMR, includina all "Ma Discharae" reports, within 30 days of receipt of the Jab results (or at end of monitorinq period
in the case of "No Discharae" reoorts) to,
Division of'Narer Quaiib/
Attn: DWQCentral Files
1517 Mail ]eNICe Center
Raleigh, North Carolina 27699-Lo 17
YOU NIUST SIGN THIS CERTIFICATION .=OR ANY INFORMATION REPORTED:
"I ceriF�, under penalty of law, that this document .and 31! attachments were preparzd under my direction or supervision in Iccordanc2 Nith I >vstem designed M
assure that qualified personnel properly gather and avaluate the information submitted. Based or my inquiry of the person or oerson5 who rnanage the systern, or
;hose oersans ]irec;l•i responsibie far gathering the information, the information submitted is, tc the best of Ty'cnowledge Ind oRdef, true, accurate, and _om.ulete. I
,m aware th :hen ar ignifi It p It; for ;ubmitting false information, including the possibility of Fines and imprisonment fcr knowing vVanons,"
/
{Signature of Perrnittee} icar6j
Permit Date: LL/1/2012-i0/31/20L7 SWU-24S, last revised 10/25/2012
Page 3 or 3

s t +
o Complete items 1, 2,rand 3. Also coemplete�
item,;_4 if, Restricted Delivery is desired.
* Print your name and address on the reverse
so that we can return the card to you.
e Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Division of Water Resources
Attn. DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
A.' Signature
X ❑ Agent
© Addressee
B. Received by (Pfinted Name) C. Date of Delivery
D. Is delivery address different i em 1? Yes
If YES, enter deli�rp " •reblow: No
Servlca Type
E7 Certified Maliy{1E011
Registered BrchandisB
Insured Mai elivery
4. R tricte
� Fee) ❑ Yes
2. Article Number
7007 0 710
fl fl
5 4 3 7 7562
(rransfer from service label)
PS Form 3811, July 2013
. ,Domestic Return Receipt
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;qq�
tT'!
Postage �
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to
Gef,, tied Fee
3 . '� C�
Postmark
,Rstum Receipt =ee
(Endorsement Required)
Here
f�
Restrjcted Oerivety Fee
(Endorsement Required)
1:3
L/
-9
Total postage Fees
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street, Apt. No.;
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