NCG030640_COMPLETE FILE - HISTORICAL_20150622

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCI5510N
❑ 30)
YYYYMMDD

v=V�
WDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Larry Walker
Columbiana Hi Tech
521 Townsend Avenue
High Point, NC 27263
Dear Mr. Walker:
������Cr�d R. van der Vaart
Secretary
June 18, 2015 JUN 2 2 20'I0
CENTRAL FILES
DWR SECTION
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG030640
Guilford County
On May 18, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG030640. In accordance with your request, Certificate
of Coverage Number NCG030640 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our
Winston-Salem Regional Office [phone].
Sincerely,
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office
Stormwater-Permitting Program
Central Files - w/attachments
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hftp:llportal.ncdenr.org/web/Ir/
An Equal Opportunity I Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

i• 'a
Division of Energy, Mineral &Land Resources
A .
�f Land Quality Section/Stormwater Permitting Program
AMM�
NCDENRNational Pollutant Discharge Elimination System
N�C�_ w
�H.rtwOHrnEti'I mn NAS Rvftouw Es
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
RECEIVED
RESCISSION REQUEST FORM MAY 18 2015
Please fill out and return this form if you no longer need to maintain your NPDES stormwater perrrK-NR-LAND QUALITY
STORMWATER PERMITTING
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I C S N I C I G 1 D 1 3 1 0 1 0 0 0
fgcGo 3 a (
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Columbiana Hi Tech
Facility Contact Larry Walker _ ^
Street Address 521 Townsend Avenue
City High Point State NC ZIP Code 27263
County Guilford E-mail Address [e-mail]
Telephone No. 336 852-5679 Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
® Facility closed or is closing on 4/30/2015 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
on . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I 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.
Signature Date 421,5—
Joseph Faldowski President and COO
Print or type name of person signing above
Please return this completed rescission request form to
Title
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: 91 M07-63001 FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer
51abir

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted l-Z2-15
CERTIFICATE OF COVERAGE NO. NCG03_0_ F q Q SAMPLE COLLECTION YEAR
FACILITY NAME COLUINIBIA�1lAHI TF-CH SAMPLE PERIOD ❑Jan -June X1uly-Dec
COUNTY GUILF3Q _ or ❑ Monthly"(month)
PERSON COLLECTING SAMPLES MATT LyMLLETT DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY MER]:TECH Z YI;, Lab Cert. # 19_;La1g,11 RECEIVED ❑Zero -flow [:]WaterSupply [:]SA
Comments on sample collection or analysis: Mother GLASS C i
JAN 2 6 2015
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILE$ CJ
Part A: Stormwater Benchmarks and Monitoring Results DWR SEC.il4N
No discharge this period?2
Outfall No.
Date Sample
1
Collected.
[mo/dd/yr]
24-hour rainfall
amount,
Inches3
-Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
5
Organics
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
OUTFALL !
II-2L)--1q
c
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.
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 SWIJ-24S, LAST REVISED 10/25/2012
PAGE 1 OF 3

Facilit,;es 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."
IVd TTo REQUZKFD
Name (Print name)
DOES ---__1VOT EALL -
Title (Print title)
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.
Nate: 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:
Outfall No. -
Date Sample -
1
Collected
(mo/dd/yr)
24-hour rainfall
--
amount,
Inches3
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
IVIA
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 an oriainal and one coov of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina period 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. I am aware that there are
significant penaltieWbmitting false information, including the possibility of fines and imprisonment for knowing violations_"
of Perm
PERMIT DATE: 11/1/2012-10/31/2017
(Date)
SWU-245, LAST REVISED 10/25/2012
PAGE 30F3

�-,
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina. Division of Water Quality General Permit No. NCG030000
Date submitted E- l - 111
CERTIFICATE OF COVERAGE NO. NCG03_a _
FACILITY NAME
COUNTY GUZLFORD
PERSON COLLECTING SAMPLES MATT WILLF_Tl:
LABORATORY MERITrE CH T Mr-. Lab Cert. # 01071Y13
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2011f
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly( (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]watersupply [:]SA
RECEIVE® ®othor_CLASS C
MAY 0 2 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWQIBOO ❑ No discharge this period?z
Outfall No.
Date°Sample
Collected z
(mo/dd/yr)
M4hour rainfall
amount,..
Inches3
Total'Suspended S61ids
_ pH, ' ..
5tendard units
A4
Copper
Lead
Zinc
Non -Po lar,O&G/
' Total Petroleum'
Hydrocarbons
,' 3
Total Toxic
Organics s
.Benchmarks ===>
_
Y
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 -
! mg/L
DY 07
2.3"
I If MGIL
6.2
0.00,16/L
«.atOMGA
O.MMUL
<5 MG/L
IVIA
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 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."
NO TTO R_E_!aU2 RED
Name (Print name)
D(iE f /yOT FALL
Title (Print title)
UNDER CATEGORY
(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 meli_", 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?2
Outfall No.
Date Sample
Collected',
(mo/dd/yr)
24-hour-rainfall
amount,
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
IV !A
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 2of3

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 ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
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. I
am aware that therenjficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
L
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3