NCG030594_MONITORING INFO_20160516

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
[X MONITORING REPORTS
DOC DATE
❑ c)17I to D
YYYYMMDD

r'
r
• Semi-annual Stormwateftscharge Monitoring Re o .
for North Carolina Division of Water Quality General Permit No. NC 041 0Q&/
Date submitted March 12, 2016
CERTIFICATE OF COVERAGE NO. NCG030594
FACILITY NAME Harris Rebar North Carolina, Inc.
COUNTY GRANVILLE
PERSON COLLECTING SAMPLES J FREI/ SwSG _
LABORATORY Pace Analytical Lab Cert. # 12/ 40/ 633
Comments on sample collection or analysis: _pH measured by
Stormwater Services Group (Lab Cert No. 5054)
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016 W tip
SAMPLE PERIOD 0 Jan -June ❑ July -Dec
F_CE1\�� or ❑ Monthly" __ (month)
SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAY 16 W6 ❑Zero -flow 0 Water Supply ❑SA
FILES 00ther NSW
c�1�TR ��.�laN
pWR S� LEASE REMEMB O SIGN ON PAGES 2 AND/OR 3 4
�E) No discharge this period?'
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
. Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
,Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
> 001
02/24/16
0.65"
92
7.05
< 0.0050
< 0.0050
0.036
< 5.0
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same out -fall.
Z 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.
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).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that�rporate a solvent management plan into the Stormwater Pollutilrevention Plan may so certify, and the requirement for TTO mon g
may be waive The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the Genera
Permit. Forithose 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
(Tro), 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."
Not Applieable
Name (Print name)
Title (Print title)
Eftic. FIB 5 S- 0 1>6
(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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_>
_
-
15 mg/L
100 mg/L or 50 nWL*
6.0 — 9.0 SU
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

• • •
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.
r z,
FAOR 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 B
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
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 for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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."
(Signature of Permittee)
5-1,946
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

0
Semi-annual Stormwater D&arge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted December 4, 2015
CERTIFICATE OF COVERAGE NO. NCG030594
FACILITY NAME Harris Rebar North Carolina. Inc.
COUNTY GRANVILLE RECEIVED
PERSON COLLECTING SAMPLES _ J FREI/ SwSG
LABORATORY Pace Analytical Lab Cert. t# 12 40/ 633 JAN 0 i 20Ib
Comments on sample collection or analysis: pH measured by CENTRAL FILES
Stormwater Services Group (Lab Cert No. 5054) D R SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec cliN
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PN
❑Zero -flow B Water Supply SSA
Mother NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR E75
No discharge this period?
Outfall No.
Date Sample
ate Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
tal T Toxic
ToOrganics
Benchmarks
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
001
07/03/15
0.80"
149
7.12
0.011
0.011
0.024
< 5.0
n/a
001
11/19/15
0.93"
165
7.08
0.0055
< 0.0050
0.015
< 5.0
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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 maybe eligible for a waiver of the rain gauge requirement.
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).
Permit Date: li/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that�rporate a solvent management plan into the Stormwater PollutiOrevention Plan may so certify, and the requirement for TTO mon g
maybe wee The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the Genera
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."
Not Annlicable
Name (Print name)
Title (Print title)
(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 m 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 Z 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?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

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 AAND 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 ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cagy pf this DMA, including all "No DischorW reports, within 3Q days of recei t o the lob results (oor at end of monitoring period
in the case of "'No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

_ Semi-annual Stormwater Dischaae_Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted July 20, 2015
CERTIFICATE OF COVERAGE NO. NCG030594 SAMPLE COLLECTION YEAR 2015 F0:13
FACILITY NAME __ Harris Rebar North Carolina, Inc. SAMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY GRANVILLE or ❑ Monthlyl lmonth)
PERSON COLLECTING SAMPLES J FREI 5wSG RECEIVE10CHARGING TO CLASS ❑ORW ❑HCQW ❑Trout ❑PNA
LABORATORY_ Pace Analytical_ _ Lab Cert. # 12/ 40/ 67 ❑Zero -flow 0 Water Supply [:]SA
Comments on sample collection or analysis: _ @H measured by T� AUG 10 2015 Bother NSW
Stormwater Services Grout) (Lab Cert No. 5054) CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
❑ No discharge this period?'
outfall No.
Date Sample
Collected1
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Tota!
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
001
07/03/15
0.801,
149
7.12
0.011
0.011
0.024
< 5.0
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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. -
a 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).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

r;-

_Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may faewaivtd.. 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."
Name (Print name)
Title (Print title)
(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 mall", 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?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT=HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revjled 10/25/2012
Page 2 of 3 *:
s.

l�
�
Y
-
�.
..�
�
I
1
� � ' -
..
,... E,..., .....
� i
�
..
.
_
� s
� � � �.
ti•
i _
_ �'
� ,
i ,
Ii
,.
r i .
4 �: .- ..
... ..
.�
�
`y
} �
-
r � �
�
ti
�
-
-
J
�
h
—
^�
__
�
r
�a
S
' r
_
i
«.
' ' I
'.
•
r
+ '
'
._
p
r �
1
r
... } . ..r S ..
ram:
I.
� r
S
' �
"
' '
.. ?
.. �.
- � ..
..
�. _
-
- �
r
-.
1 .l
- 4 -
..
...
^1
��
., �
�
-
y
n
,
r.
I
'
�
��
�
..
'
_r - _ -
��
�
•-
_i j I
_
e
1
i
..
•
-
� I
�
I -
1
•
�
�
� �
r 1

Note.-. If youilreport a sample value in excess of the benchmark, you must implement Trer 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 it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Dischame" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Dischame" reports) to:
Division of Water Resources
Attn: DWR 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."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

r-
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 12/22/14
CERTIFICATE OF COVERAGE NO. NCG030594
FACILITY NAME Harris Rebar North Carolina Inc.
COUNTY Granville
PERSON COLLECTING SAMPLES James Moseley
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: 5tormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
Rk� lV�CHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
UU ❑Zero -flow ®Water Supply ❑SA
DEC 3 0 2014 [-]Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DWR SECTION
n No dischorae this Deriod?1
L•" "%"-S..•
.2
'.`i.,. -
�• - ";�
'f-., 3
iS
:, 0 -T.z,
..¢' �.. .%y.1
;X�• Z'2-.-r.s..i..
,P -�",.
'A^S x Lr -.�"
'}+-....4 .
- _...- W
._C _ - ..�.
_ _ - �_
_.:, w
-
_
�-
Non Polar O&G/
-
-
Date Sam !e
pi
x24-hour.ratn#aIl#
W..
.a
T H$
P ,
w. -.,
c a
,.>
Total To
Outfali No , :
~ r
Collected
r a
Total SuspendedSolids-
-
._
Copper.
=Leads"�'
Zinc =--
=Total.P,etroleumµ
; -
s m
amount
s �L
;Standard units
.. :==
W.
7
;
bans •„
F! d .car
` Organics
(mo/dd/Yr1_Y
;Inches
_:
r
- y
-
,
Benchmarks�=-�-��
100 mg%L or50:mg/1Oi007
ingj�
OA3mg/C
0 067 riig/L15mg%L
1 m_g/L
_
'
_.._
-
001
11/26/14
1.23
<8.3 mg/L
6.0
<0.01 mg/L
<0.005 mg/L
<0.03 mg/L
<7.4 mg/L
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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.
° 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).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Fac�'f-'lties 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."
Name (Print name)
Title (Print title)
(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 m 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?z
-
'Outfaq:No�
�,
.�
Ems.-Gi
Date Sample 1
e 1 t
collected,
mo dd �� '
_ ( /_ /n)
24=hour rainfali
amount, ,
ches3 _
Y°-✓yetF' '1 7,
-Non-polar O&_G/TPH by
Ei'A'1664 (SGi HniM =
)
br
Totat Suspended Solids
;
;
=p
chmarks=-=>`��r"
8ne
S 15m L100mvior50m
L•iw60-9.0SEi
g
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

-We: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or rer 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 OUTFAI_L TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cooy of this DMR including all "No Discharge" reports within 30 days o cei ret of the lab results or at end of monitoring eriod
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1b17 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."
12/22/2014
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3