NCG030078_Monitoring Report_20211228

COMMSCOPEI
December 22, 2021
James Moore
NCDEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue, Suite 301
Mooresville, NC 28115
704-663-1699
RECEIVED
DEC 2 8 2021
DL-NR-DEMLR
Land Quality Section
Mooresville Regional Office
Subject: CommScope, Inc: Catawba Facility
Certificate of Coverage No. NCG030078
November 2021 Stormwater DMR
Dear Mr. Moore:
6519 CommScope Road
Catawba, NC 28609
Please find enclosed a hard copy of the November 2021 Stormwater DMR for the CommScope, Inc -
Catawba facility. In addition, the DMR has been uploaded into the NCDEQ NPDES Permit Data
Monitoring Report Upload system. The stormwater permit states that a storm event is one that results in
an actual discharge from the permitted site outfall and the previous measurable storm event must have
been at least 72 hours prior. Stormwater sampling was not completed during the month of November
due to the lack of rain during normal business hours.
Please feel free to contact me at 336-366-0870 with any questions.
Sincerely,
r
Nicole Johnston
Owner - Burch Environmental, LLC - Contract Operator for CommScope, Inc. - Catawba Facility
Cell phone: [phone]
[e-mail]
Cc: Alaina Mormon, Environmental Specialist, NCDEQ Raleigh Regional Office (via email)
Jeff Phillips, CommScope, Inc. - Corporate EFTS Manager (via email)

COMMSCOPEis
Attachment A
November 2021 Stormwater DMR

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0078
Person Collecting Samples: WA
Facility Name: CommScope, Inc. Catawba
Laboratory Name: N/A
Facility County: Catawba
Laboratory Cert. No.: N/A
Discharge during this period:
Yes
+
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? + Yes No
If so, which Tier (I, II, or III)? Tier 1
A copy of this DMR has been upl aded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR + Yes No
Date Uploaded: a 1 y 01.011
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSSin mg/L (100 or So*)
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/L
01051
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSs limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional): No rainfall during November 2021 to allow for stonnwater sampling.
"I certify by my signature below, 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 penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
I�,-(3 -;,1
Afflatell
828-241-6195
Phone Number

N
Permit and Facility Information:
Please enter the permit number and other details for this upload.
IMPORTANT., Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed
hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload.
Fields marked with a red asterisk* are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG030078
Must begin will, NCS or NCG
Facility Name:* CommScope, Inc. - CommScope Facility
County: * Catawba
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contacUregional-offices/mooresville
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years
with a new submittal form.
Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload* Click the upload button or drag and drop files here to attach document,
November 2021 Cover Letter & DMR Signed by Terry
653.11 KB
Richardson for Upload.pdf
Only PDFs are accepted.
Comments: November 2021 Stormwater Upload - Stormwater sampling was not completed
during the month of November 2021 due to lack of rain during normal business
hours.
* v By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
• I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction' subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");

LZO IZZ/Zl *:alep
*:ajnleu6lg
OL8099£9££ *:jagwnN auoNd
6io•eW@@uolsugol•alooiu *:ssajppy 11ew3
uuol syi 6uieiwgns umad to aweN
uolsu40r 810DIN *:aweN Ilnd
,wol peoldn bWa sigl llwgns pus u6is 6peoluwloale of pualui 1 0
CINV :ajnleu6is uellum a se Aem
awes agl ui peojolua eq ueo pue loaga lebal awes eql seg uwol peoldn sigl uo ainleu6is oluwloala us legl puelsrapun 1 0
:(„l0y suoiloesueJl 0lu040813 wjoliun. agi)
salnlelg leJauaE)ON agi to Oy apllJy'gg jaldego of luensmd sueew oiuculoale Aq uogoesuwl siyl lonpuoo of aal6e I o