NCG030078 DMR SW (12)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 08/02/2016
CERTIFICATE OF COVERAGE NO.W€GC1300 SAMPLE COLLECTION YEAR 2016
FACILITY NAME CommScope, Inc. SAMPLE PERIOD LI Jan-June ®July-Dec
COUNTY Catawba or Monthly1 August (month)
PERSON COLLECTING SAMPLES N/A_-No discharge_ DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA
LABORATORY_Statesville Analytical_Lab Cert.#_440 �^ X� ❑Zero-flow ®Water Supply ESA
ND
Comments on sample collection or analysis: Collected samples to verifyRE ❑Other
that Stormwater Services was collecting samples appropriately SEP 12 2.1116
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results
DWR SECTION
No discharge this period?2
Date Sample 24-hour rainfall pH,
Non-Polar O&G/ Total Toxic
Outfall No. Collected) amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics5
(mo/dd/yr) Inches3 Hydrocarbons
Benchmarks===> - - 100 mg/L or 50 mg/1.4 6.0—9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L
001 August 2016
002 August 2016
003 August 2016
004 August 2016
005 August 2016
006 August 2016
007 August 2016
008 August 2016
009 August 2016
010 August 2016
011 August 2016
012 August 2016
013 August 2016
014 August 2016
015 August 2016
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible fora waiver of the rain gauge requirement.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

4 See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals,or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor
manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver,the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I 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 the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Nicole Johnston
Name(Print name)
WWTP/Stormwater Consultant
Title(Print title)
'7C_ IC\r"-/j---
9/8/2016
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL,<PQL, Non-detect, ND,or other similar non-numerical
format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L",where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
002, 003,004, 012—roof drain condensate
011—some erosion around discharge pipe
015—needs some vegetation cleanup
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
® No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. Collected) amount, Non-polar O&G/TPH by
(mo/dd/yr) Inches3 EPA 1664(SGT-HEM) Total Suspended Solids pH
Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0—9.0 SU
006 August 2016
Footnotes from Part A also apply to this Part B
*See General Permit text,Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO El
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑ N/A
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period
in the case of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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."
4L-<i-i,-(,__ 4 9/8/2016
(Signature of Permittee) i/ (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

, 7_
COM,,: SC -i,' - PE®
Burch Environmental, LLC
5087 Icard Ridge Road
Hickory, NC 28601
RECEIVED
Date: August 4th, 2016
AUG 092016
Attention: DWR Central Files CENTRAL FILE;
Division of Water Resources DWR SECTION
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Stormwater DMRs
COMMSCOPE, INC. WWTP
NCDWQ General Permit No. NCG030000
Certificate of Coverage NoWfWG-030:0281
July 2016 Stormwater DMRs
To Whom It May Concern:
I have enclosed two (2) copies of the July 2016 Stormwater DMR for CommScope, Inc.
WWTP. The CommScope Certificate of Coverage No. is NCG030078.
Please note that there was no discharge in July, as checked on the DMR form.
Please feel free to call me at 336-366-0870 to discuss this further.
You will start to see a monthly DMR from me for this permit from hence forward.
Please let me know if you have any questions or concerns with this report. Please
understand that CommScope, Inc.
Sincerely,
L.-<-,- , ' ' ,1(-1,-,1%
Nicole B. Johnston
Environmental Consultant
For CommScope Inc,
Burch Environmental, LLC
5087 Icard Ridge Road
Hickory, NC 28601
Phone: [phone]
[e-mail]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 08/02/2016
CERTIFICATE OF COVERAGE NO:2—CoGing SAMPLE COLLECTION YEAR 2016
FACILITY NAME CommScope,Inc. SAMPLE PERIOD ❑Jan-June ®July-Dec
COUNTY Catawba or ❑Monthly' (month)
PERSON COLLECTING SAMPLES N/A_-No discharge_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Statesville Analytical_Lab Cert.#_440 ❑Zero-flow ®Water Supply LISA
Comments on sample collection or analysis:Collected samples to verify ❑Other
that Stormwater Services was collecting samples appropriately
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -3.
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?2
Non-Polar O&G/
Date Sample 24-hour rainfall pH, Total Toxic
Outfall No. Collected' amount, Total Suspended Solids Standard units Copper. Lead Zinc Total Petroleum Organics
(mo/dd/yr) Inches3 Hydrocarbons
Benchmarks===> - - 100 mg/L or 50 mg/L4 6.0-9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L
001 July 2016
002 July 2016
003 July 2016
004 July 2016
005 July 2016
006 July 2016
007 July 2016 R E j VE Q
008 July 2016
009 July2016 AO Q 9 2016
010 July 2016
011 July 2016 J NTRAL FILES
012 July 2016 CWR St U I'ION
013 July 2016
014 July 2016 ,
015 July 2016
1 Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
Permit Date:11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012
Page 1 of 3

4 See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals,or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor
manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver,the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I 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 the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Nicole Johnston
Name(Print name)
WWTP/Stormwater Consultant
Title(Print title)
•--(--4-11-G- Yt—e4"-"`—'4" F/2/2-0/
(Signatur (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL,<PQL, Non-detect,ND,or other similar non-numerical
format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L",where XX is the numerical value of the detection
limit, reporting limit,etc. in mg/L.
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2,or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results:only for facilities averaging> 55 gal of new oil per month.
® No discharge this period?2
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Outfall No.
Date Sample 24-hour rainfall
Collected amount, Non-polar O&G/TPH by Total Suspended Solids pH
(mo/dd/yr) Inches3 EPA 1664(SGT-HEM)
Benchmarks===> - - 15 mg/L" 100 mg/L or 50 mg/L* 6.0—9.0 SU
006 July 2016
Footnotes from Part A also apply to this Part B
*See General Permit text,Table 5,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2,or Tier 3 responses. See General Permit text.
FOR PARTAAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. Nir 0 jej.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Er
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑NO❑ LGtsi- -1-we CZ)
REGIONAL OFFICE CONTACT NAME:
w-bvtS -
Mail an original and one copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring perio
in the case of"No Discharge"reports)to:
Division of Water Quality
Attn:DWQ Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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."
1/( C-1,450 (---
e/2..-7Z-41/6
(Signature of Permittee) (Date)
Permit Date:11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012
Page 3 of 3