NCG030078_Monitoring Report_20220204

COMMSCOPEc
6519 CommScope Road
Catawba, NC 28609
January 28, 2022
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James Moore62�i
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NCDEQ Mooresville Regional Office
Program
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Attn: DEMLR Stormwater
610 East Center Avenue, Suite 301
Mooresville, NC 28115
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704-663-1699
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Subject: CommScope, Inc: Catawba Facility
Certificate of Coverage No. NCG030078
December 2021 Stormwater DMR
Dear Mr. Moore:
Please find enclosed a hard copy of the December 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 December
due to the lack of rain during normal business hours.
Please feel free to contact me at 336-366-0870 with any questions.
Sincerely,
Nicol /' 1117x �
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. - EHS Manager (via email)
Chris Graybeal, CommScope, Inc. - Environmental Engineer (via email)

COMMSCOPE°
Attachment A
December 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: N/A
Facility Name: CommScope, Inc. Catawba
Laboratory Name: N/A
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Facility County: Catawba
Laboratory Cart. No.: N/A
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Discharge during this period:
0
Yes
No (if no, skip to signature and date)
AM
Has your facility implemented mandatory Tier response actions this sample period for any benchmark excite No
If so, which Tier (I, II, or III)? Tier 1 0'
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded: 01/28/2022
Q Yes No
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 December 2021 to allow for stormwater 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."
01/28/2022
Signature of Permittee or Delegated Authorized Individual Date
[e-mail]
Email Address
336-366-0870
Phone Number

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 orindividual Permit Number (NOT General Permitnumberwilh all O's)
NGG030078
Must begin with NCS or NCG
Facility Name: * CommScope, Inc. - Catawba 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 DIED staff. Only upload the completed and signed DMR forms.
DMR Upload* Click the upload button or drag and drop files here to attach document.
December 2021 DMR signed by Nicole Johnston and
90.35KB
ready for upload.pdf
Only PDFs are accepted.
Comments: No sampling completed during December 2021 due to lack of rain during normal
business hours.
* By checking the box and signing box below, I certify that:
a I have given true, accurate, and complete information on this form;
o 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");
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');

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