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Facilities that incorporate a solvent management plap into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
`management plan shall include a list of the total toxi organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification st I 3tement:
Solvent Management Plan Certification Sto .ment
requirement for total toxic organics TTO I
Based upon my inquiry of the person or pe sons directly responsible for managing compliance with the permit monitoringg ( ),
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 I:he last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
1
Name (Print name)
Title (Print title)
Signature
Mail Original to:
Division of Water Quality
Attn: Central Files
`1617 Mail Service
Center
j Raleigh, North Carolina 27699-1617
Date
"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 thlinformation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for sTbmitting false information, including the possibility of fines and imprisonment for knowing violations."
� k
Signature of Permittee
Per grit Date: 11/1/2018-05/31/2021
/.2 - te a - aO d20
Date
Form SWU-251, Las: Revised 11/1/2018
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