NCG030436_DMR_20200826 (2)

for North Carolina Division of Energy,. Mineral and
Date submitted
CERTIFICATE OF -COVERAGE N�ro-^.. NCGQ�
FACILITY.'N ME ��C t L - Ira 6 _ne-
COUNTY ,eIJk
PEMN.COLLEU.INGSAMPLES Sontag l 71i�I-,
Comments
analysis:
Part. A: Stormwater Benchmarks and Monitoring Results
REC` Fil
SEP 0 8
General Permit No. NCG030000
LE.COLLECTION YEAR
LE PERIOD ❑ lan-June E] July -Dec
or [] Monthly' mohth ..
fARGING TO CLASS �Rw HQ ❑Trout ❑PNA
m ero-flow ❑Water Supply []SA
ID ❑Other
PLEASE REiV1EMBER 0-51i N ON PAGES 2.AND/OR 3a
i Yllln rfkrhnrnn+hic nnrinri
outfall No.
Date Sample
Collected I
(mo/dd/yr)
24-hourrainfall
amount,
Inches;
Total Suspended Solids
pH,
Standard units
otal Copper
Total Lead
Total Zinc
Nan-PolarD&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks'
_
-
100 mg/I. or s0 mg1V
6.0-9.0
0.0Y0 mg/L
0.075 mg/L
0.126 rbg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
1 01119
-01051
01094
00SS2
78141
I
.rvitinuuy amupung tmaceaa-or semrannuat) must begin with the second consecutive bencr
2For sampling periods with no.discharge.at.any single outfall, you.must still subroitthis 'discl
'The total precipitation must be recorded using data from an ort-site rajn gauge. Unattendi
See General Permit, Section B, Table 1 to `identify the especially sensitive receiving water c
s Total Toxic Organicssanipling1s applicable 6hly for those. fatilities.which perform.metal fir
electronic crystals,.br manufacture.cathode ray tubes. For purposes of this permit the defir
Effluent Guidelines for. the facility. subject to the requirement to sample (for metal finishing
manufacture use the definition as found in 4o CFR469.12; forerectronic..crystal manufactur
tube. manufacture use the definition' found in 40 CFR 469.31),
Lark exceedance forthe same parameter arthe'same. nutfall:
irge monitoring repbit with a theckmarkhere.
sites may be.eligible for a waiver:otthe. rain gauge requ-ii'rement:
issificatrons where the more protective. benchmark.appiies.
ihing.operations, manufacture semiconductors, manufacture
ion. of Total Toxic Organics.is that definition contained.ln,the'EPA
se the definition as found in 40 CFR433.11, forsemiconductor
use the4dflnition as found in 40 CFR 469.22;,and.for, cathode ray
Permit Date:11/1/2018-05/31/2021
SIN.U•245, last mised1l/1/2018
Page 1 of3

Facilities that incorporate a solvent management plan into -the Storrriwater'Pollution Preve tion Plan- may so certify; and the. requirement" for 110 monitoring
may be waived. The.solvent.tnanagement plan shall include a list of the total toxic organic mpounds used and the. other-elei'nents listed in the General
Permit. For those facilities electing to employ•the.TTO monitoring waiver, the discharger sh : tl -sign We following certification statement:
'gased-upor my' inquiry of the person or persons directly responsible for -managing cdmplia ice with ttie:permit-Trion(toring requirement for total.tgxic organics.
(TTO), I certify that.to the best of myRnowledge and belief, no dumping -of concentrated tox c orgarks•fnto the stormwater or areas which are-expo§ed to rainfall or
stormwater.runoff has`occurred.sihce filing.the-last discharge Monitoring repoiet. I further ce Fdfy- that this•fatI.11ty is implemeniing.the•all the.provisions.Of ttfe
-solvent management plan IntludedAn the: StorniVvater. ftllution Prevention Plan."
Name (Print Fame) 4
Title (Print title)'
Signature. Dat
Note..: Results must be -reported in numerical format. Do not report Below Detection Limit, BDl, <PQl,.Ron-detect, Nb, orother siflZilarnon-numerical
format: When results are be}ow.the applicable limits,. they Must *be reported in -the forniat "'<XX m tr ..where XX is the numerical value of the detecr'ton
limit, reporting limit, •etc.-iri rxigf L. j
Note: ,lf you reporta sample value iri excess of the bertchmQrk, you must implement.Tier.Z,� Tier. 2,,-or•Tier. 3 responses. S,ee .General Permit text.
Part B: Nehicle Maintenance Area Monitoring Results: -only for facilities averaging. SS.gal o#new oil per Month,
' n No• dischorae this period?z
Outfall'No: DateSarriple Collected= 24-hour rainfall amount; New Mo r. oil or, Non -Polar Q&G/ Total Total -Suspended
(mo/dd/yr) IncheO Hydraulic . if Usage Petroleum HydrvcarbonSolids
Benchmarks
Peratrteter Code
Footnotes from Part A also:apply to Part B
4652gr
Note; if you report o.sample value in.excess of the benehrriark.. you:rriusrYmPlemeri--. 'V *
.Perm(t Date:' 11/1%201&05/3 /242*1
i _ I 1S mg/L 1 100 mg/L or 50 mg/0
Tier 2, or.' Pier 3 responses.: Se-e Gerfera[Pertnit text:
SM-245, last revised:11/1/2018
.Page 2.0•3

FOR PART A AND PART 8 MONITORING RESULTS:
o A BENCHMARICEXCEEDANCE TRIGGERS TIER l REQUIREMENTS. 'SEE PERMIT PART II SECTR
2 EXCEEDAN'CES IN -A ROW FOR THE. SAME.PARAMETER AT THE SAME, OUTFALLTRIGGER'TII
• TIER*3: HAS YOUR FACILITY HAD 4.OR MORE BENCHMARK EXCEED !=N S FOR-TME'SAML P
IF YES, HAVE YOU-CQNTACTRD THE D Q REG ONAL'OFFICE? YES � NO
9EGIONAL OFFICE CONTACT NAME!
Wo
case. of "No Discharge" repohts) -to:
Division -of Water Quality.
Attn: 0WQ Central Files:.
1617 Mail Service Center
Raleigh, North Carolina 27.699-1617
B.
'2 REQUIREMENTS. SEE PERMIT'PART fi S TIP"B.
,AMETER.ATANY ONE-OUTFALL? YES NO❑
the -lab results tar
YOU MUST SIGN'THI5 CERTIFICATION FOR ANY INFORMATION REPORTED:,
"I certify, under penalty -of -law,-.that this do' Wment and all attachments were prepared under -my dire 'tion or supervision In accoedance-with a system designed to
assuee that qualified p*ersdrinel properly gather and -evaluate 'the,information submitted. Based on m I iriqulry of the person of persoris who manage the system,.or
those persons directly responsible for.gatheeing,the: information, th-e informatTon submitted is, to -the est of fijr knowledge acid belief, true, aceurate,.and complete:, I
am -aware that*there arg significant penalties for submitting false lnformbtion; including the possibilit -of fines and imprisonment for.'knowing vfb1ations."*
a.� 'n-0��
Signature of'Qerniittee. nnik
Permit Date: 11/1/2018-05j31/2021
5W1J-245, last- revised-11/1/2018:
Page 3 of-3