NCGNE1249_COMPLETE FILE - HISTORICAL_20180206

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
HISTORICAL FILE
DOC DATE
El ()c)
YYYYMMDD

A
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
January 29, 2018
CommScope, Inc
Attention: Mr. Jim. Streetman
3642 U.S. Highway 70 East
Claremont, North Carolina 28610-0879
Subject: No Exposure Request — CommScope Claremont
NCGNE 1249
Catawba County, North Carolina
Dear Mr. Streetman:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
WILLIAM E. TOBY VINSON JR.
rnt:evim Director
RECEIVED
FEB -06 2013
DENR-LAND QUALITY
STQRMWATER PERMITTING
Enclosed please find a copy of the report from January 25, 2017 site inspection. No exposure cannot be granted
at this time. The report should be self-explanatory, however, should you have any questions concerning this, please
do not hesitate to contact James Moore at [phone] or at [e-mail].
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosure: Inspection Report
cc: Stormwater'Permitting Progran-Rafeigli CentraIAOffice= NCGNE 1249
State of Ngrth Carolina I Environmental Quality I Energy, Mineral and [and Resources
Mooresville Regional Office 1 610 East Center Ave Ste 301 1 Mooresville, NC 29115

Compliance Inspection Resort
Permit: NCGNE1249 Effective: Expiration: Owner: Commscope Inc
SOC: - Effective: Expiration: Facility: Commscope - Claremont Operations
County: Catawba 3642 E US Hwy 70
Region: Mooresville
Claremont NC 28610
Contact Person: Kristen L Yost Title: Phone: [phone]
Directions to Facility:
proceed one mile east on us 70 from intersection wln oxford st facility is on left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01125/2018 Entry Time: 09:30AM Exit Time: 11:30AM
Primary Inspector: James D Moore Phone:
Secondary Inspector(s):
Angela Y Lee
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant Not Compliant
Question Areas:
® Miscellaneous Questions
(See attachment summary)
0
Page: 1

permit; NCGNE1249 Owner - Facility: Commscope Inc
Inspection date: 01 /25/201B Inspection Type : Technical Assistance Reason for visit: Routine
Inspection Summary:
The inspection was a result of a no exposure request. Based on the inspection, no exposure cannot be granted at this
time.A pallet management system would need to be implemented to keep all pallets under cover and all open top waste
containers would need to be covered before no exposure could be granted. An example of an approved container cover will
be emailed to Jim Streetman. Also, during the inspection I advised Mr. Streetman that the site would be a candidate for
representative outfall status (see attached form) and that I would support Tier 2/3 monitoring relief. Please call James Moore
at 704.235.2138 if you have any questions.
Page: 2

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AF
NCDENR
t, VRO414E�7 -3 MRlN21i RE k=
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
REPRESENTATIVE OUTFALL STATUS (ROS)
REQUEST FORM
FOR AGENCY USE ONLY
Due Received
Year
I Month
Da
if a facility is required to sample multiple discharge locations with very similar stormwater discharges, the
permittee may petition the Director for Representative Outfall Status (ROS). DWQ may grant Representative
Outfall Status if storm water 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 DWQ
approval. The approval letter from D WQ must be kept on site with the facility's Storm water Pollution
Prevention Plan. The facility must notify DWQ in writing if any changes affect representative status.
For questions, please contact the DWQ Regional Office for your area (seepage 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
2) Facility Information:
Owner/Facility Name
Facility Contact
Street Address
City
County
Telephone No. .
State ZIP Code
E-mail Address
Fax:
3) List the representative outfalls) information (attach additional sheets if necessary):
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No ❑ No data*
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No ❑ No data*
❑ Yes
❑ No
❑ Yes
❑ No
❑ 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.
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 DWQ 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:
Title:
(Signature of AppNcant)
(bate Signed)
Please note: This application for Representative Outfall Status is subject to approval by the
NCDENR 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
SW U-ROS-2009
East revised 123012009

.6 1 , r
Representative Outfall Status Request
Mail the entire package to:
NC DENR Division of Water Quality
Surface Water Protection Section
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 DWQ. 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 DWQ Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Washington Regional Office
943 Washington Square Mall
Phone [phone]
Washington, NC 27889
FAX [phone]
Phone [phone]
Fayetteville Regional Office
FAX [phone]
Systel Building,
225 Green St., Suite 714
Wilmington Regional Office
Fayetteville, NC 28301-5094
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Winston-Salem Regional Office
Mooresville, NC 28115
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Phone [phone]
FAX [phone]
Water Quality Main FAX [phone]
Raleigh Regional Office
Central Office
1628 Mail Service Center
1617 Mail, Service Center
Raleigh, NC 27699-1628
Raleigh, NC 27699-1617
Phone [phone]
Phone [phone]
FAX [phone]
FAX [phone]
Page 3 of 3
SWU-ROS-2009 Last revised 12130/2009