NCG030103_Representative Outfall Status Renewal_20230106

FOR AGENCY USE ONLY
NC
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
Representative Outfall Status (ROS) Renewal Certification Form
Please complete this form if you want to maintain current ROS designations.
Directions: Print or type all entries on this certification form. Attach this form and a copy of the original ROS
approval documentation to the Stormwater Upload Form.
North Carolina General Statute 143-215.6I3 (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 ... shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
0 I, as an authorized representative, request renewal of the ROS designations currently granted to the subject
facility.
No site or activity modifications that impact the characteristics of stormwater discharges from the
representative outfalls have occurred at the subject facility.
nI am familiar with the information contained in this request and to the best of my knowledge and belief such
information is true, complete, and accurate.
Facility Name: Moen Inc.
Permit Number: NCG030103
Printed Name of Person Signing: John West
Title: Environmental Supervisor
`A'
(Signature,: f Permittee) (Date Signed)
Q'i
NC)FRH CAROLi�lA
Qepartment of Envitanmental Quality

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
December 19, 2017
Moen Incorporated
Attn: Ms. Zina Briner
2609 Cox Mill Road
Sanford, NC 27332
ROY COOPER
Gnrernrar
MIC'I-IAEL S. REGAN
Secr•etpry
TOBY VINSON
fnteran Director
Subject: NPDES Stormwater Permit
Permit No. NCGO3O1O3
Representative Outfall Status Request
Moen Inc.
Lee County
Dear Ms. Briner:
The Raleigh Regional Office staff have reviewed your request dated September 25, 2017 for a
determination that stormwater discharge outfall OF-1 and OF-2 be granted representative outfall
status for stormwater outfalls OF-3 and OF-4. Based on the information, maps and the site visit, we
are approving the request for representative outfall status but with the alternate outfalls OF-1 and
OF-3 being representative of OF-2 and OF-4. In accordance with 40 CFR §122.21(g)(7), you are
authorized to sample outfall number OF-1 and OF-3 as a representative outfall. This approval is
effective with the next sampling event. We also want to remind you that the permit still requires
Qualitative Monitoring be performed at all outfalls, regardless of representative status.
Please remember that any actions you initiate in response to benchmark exceedances as directed in
the tiered response provisions of your permit must be address for OF-1 as outlined in the tiered
regulatory relief letter dated December 19, 2017.
Please append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit to
document that representative outfall status has been approved. If changes in drainage areas,
structures, processes, storage practices, or other activities occur that significantly alter the basis of
this approval, representative outfall status may no longer be valid. You should either resume
sampling at all outfalls, or reapply to this office for representative outfall status based on updated
-�Nothing Compares,,-.
`�t�tri i�f� t"� . t r b ',.L;;,., � _:- � E.� yti 1.�5;=•. ...L:�:� "tw+i h '...,. � e
512N'. Ca t..

information. If you have any questions or comments concerning this letter, please contact me at
[phone] or at thad.valentineOncdenr,gov.
Sincerely,
William H. Denton, IV
Regional Super -visor
cc: Raleigh Regional Office
Central Office/Stormwater Permitting Unit
Central Files
. 'Nothing Compares--,.
�:xo!49 Er".� tr,� a W?.�: En Y;,, dd v:` L,r,J R_
,';2 N. Saiisbut Stro.vr lni2 it. C'n-"'r R'knqi,, Ne-rth CariNna :(, 12
- 12010