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Home My WebLink AboutNCG050460_Representative Outfall Status Initial Request_20220823Division of Enlex•gy, Mineral & Land Resources Stormwater Prograin II., w National Pollutant Discharge Elimination System Environmental REPRESENTATIVE OUTFALL STATUS (ROS) lernliti. FOR AGENCY USE ONLY ❑ate Received Year Month Day -- - -' HEQUE'S'1' VORM If a facility is required to sample multiple discharge locations with very similar storm water discharges, the permittee may petition the Director for Representative Outfall Status (ROS). DEQ may grant Representative Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple 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 I I I I I I N I C I G Z) Facility Information: Owner/Facility Name Technimark LLC -Plant 4 Facility Contact Street Address City County Telephone No. JR Defk 180 Commerce Place Asheboro Randolph (336) 653-8018 State NC E-mail Address Fax: ZIP Code 27203 jr.delk@technimark.com 3) List the representative outfalls) information (attach additional sheets if necessary): Outfall(s) 002 is representative of Outfall(s) 003 Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data* Outfall(s) is representative of Outfall(s) outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data* Outfall(s) is representative of Outfall(s) outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No Outfalls have similar monitoring results? ❑ 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 12130/2009 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. Discharge from Outfall 003 commingles WRh discharge from Oultall 002. Outfall 002 sloanwater flows to a pipe that discharges directly into Haskett's Creek. 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). I 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: �--jr'X ) ih- ,Nil/ Title: Cn).)i fh,o /Yicv—Al A' -)a VT►i q6.6 lam / AA)%&S� (Signature o(Applicant) (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 ------------------------------- Outfall3 -79.812390 W 35.779660 N RO-2 Warehouse/Shipping Manufacturing ----------------------------- E i O Asphalt I ■ ■ Employee Parking Conytgte Loading/Unloading Receiving Main Office Outfall 1 -79.814818 W ZS 77ASZ7 ni halt nploye Parking i Asphalt Employee Parking f -j Aspha�t— jEmployee Parkin, LEGEND - Property Boundary Drainage ® Drain O AST O Spill Kit ■ Municipal Waste General Refuse Dumpste Undeveloped Fence ■ Transformer Generator Rock Outfall 2 -79.812577 W 35.778831 N Property 21.58 Acres 1,187 Sq. Ft. of Buildings 1.62Acre Impervious, 7% 22.7 Acres Pervious, 93% 80.779739 W (Center of Parcel) 34.704817 N (Center of Parcel) TANKS 1— Diesel Fuel AST, 1,000-gallons 2 — Mineral Oil Transformers, - 486-525 gallons Boyer Enterprises East, LLC SITE PLAN TECHNIMARK, LLC - PLANT 4 312 COMMERCE PLACE ASHEBORO, NORTH CAROLINA Drawing By: PWS Date: SEPTEMBER2022 Draft Check: KB Job No.: 01 Engineer Check: CADD No.: N/A Approved By: Drawing No.:2