NCS000612_Permit application (updated)_20230803

United States Office of Water EPA Form 3510-1
Environmental Protection Agency Washington, D.C. Revised March 2019
Water Permits Division
EPA Application Form 1
General Information
NPDES Permitting Program
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Note: All applicants to the National Pollutant Discharge Elimination System (NPDES)permits
program,with the exception of publicly owned treatment works and other treatment works treating
domestic sewage, must complete Form I. Additionally, all applicants must complete one or more of the
following forms: 213, 2C, 2D, 2E, or 2F. To determine the specific forms you must complete, consult the
"General Instructions" for this form.

Paperwork Reduction Act Notice
The U.S. Environmental Protection Agency estimates the average burden to collect information
and complete Form 1 to be 2.9 hours for new applicants and 0.9 hours for applicants renewing
existing permits. This estimate includes time to review instructions, search existing data sources,
gather and maintain the needed data, and complete and review the collection of information.
New respondents must also prepare a topographic map. Send comments about the burden
estimate or any other aspect of this collection of information to the Chief, Information Policy
Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue,NW,
Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of
Management and Budget, 725 17t'Street,NW, Washington,DC 20503,marked "Attention:
Desk Officer for EPA."

DESCRIPTION OF NPDES PERMIT APPLICATION FORMS CONTENTS OF FORM 1 PACKAGE
The application forms for individual National Pollutant Discharge Form I—General Instructions
Elimination System(NPDES)permits include the following: Form 1—Line-by-Line Instructions
Form 1--General Information(included in this package). Form 1—Activities That Do Not Require Permits
Form 2—Forms Based on Facility or Activity Type(not included Form 1—Glossary
in this package): Form 1—Application
2A. New and Existing Publicly Owned Treatment Works
2B. Concentrated Animal Feeding Operations and
Concentrated Aquatic Animal Production Facilities
2C. Existing Manufacturing,Commercial, Mining,and
Si Ivicultu ral Operations
2D. New Manufacturing,Commercial, Mining, and Silvicu€tural
Operations That Have Not Yet Commenced Discharge of
Process Wastewater
2E. Manufacturing, Commercial,Mining,and Silvicultural
Facilities Which Discharge Only Nonprocess Wastewater
2F, Stormwater Discharges Associated with Industrial Activity
2S. New and Existing Treatment Works Treating Domestic
Sewa e
FORM 1—GENERAL INSTRUCTIONS
Who Must Apply for an NPDES Permit? Upon your request, and based on information supplied by you,
With the exceptions described in"Form 1—Activities That Do Not EPA or the authorized NPDES state will determine whether you
Require Permits,"the federal Clean Water Act(33 U.S.C. 1251 et are required to obtain a permit for a particular facility or activity.
seq.) prohibits any person from discharging pollutants into waters Be sure to contact EPA or your state if you have a question.
of the United States without first having been issued a permit Form 1 collects general information only.You must also complete
under the NPDES program. a more detailed application based on your proposed discharge
Who Must Complete Form 1? activity,as follows:
All applicants,other than publicly owned treatment works • If your facility is a concentrated animal feeding operation
(POTWs)and treatment works treating domestic sewage or a concentrated aquatic animal production facility,you
(TWTDS),must submit Form 1. If you operate one of the must also complete Form 2B,
following facilities,you must submit Form 1:concentrated animal • If your facility is an existing manufacturing,commercial,
feeding operations and aquatic animal production facilities; mining,or silvicultural facility that currently discharges
manufacturing,commercial,mining,and silvicultural operations; process wastewater,you must also complete Form 2C.
or other industrial facilities. • If your facility is a new manufacturing,commercial,mining,
At the state level,either the U.S. Environmental Protection or silvicultural facility that has yet to commence discharge of
Agency(EPA)or an approved state agency administers the process wastewater,you must also complete Form 2D.
NPDES permit program. If you are located in a jurisdiction in • If your facility is a new or existing facility(including
which an EPA regional office administers the NPDES permit manufacturing,commercial,mining,and silvicultural
program,you should use Form 1 and all other applicable forms facilities)that discharges only nonprocess wastewater,
described in these instructions. If you are located in a jurisdiction you must also complete Form 2E.
where a state administers the NPDES permit program,contact . If your facility is a new or existing facility whose discharge
the state to determine the forms you should complete.States is composed entirely of stormwater associated with industrial
often develop their own application forms rather than use the activity--excluding discharges from construction activity
federal forms. See hUp://www.epa,gov/npdes/npdes-state- under 122.26(b)(14)(x)or(b)(15)—you must also complete
program-information for a list of states that have approved Form 2F. If the discharge is composed of stormwater and
NPDES permit programs and those that do not. non-stormwater,you must complete Form 2F and you must
Exhibit 1-1 (see end of this section)provides contact information also complete Forms 2C,2D,and/or 2E,as appropriate.See
for each of EPA's 10 regional offices.Since the exhibit's content is Form 2F's instructions for further details.
subject to change,consult EPA's website for the latest information:
hai):llwww.epa.gov/aboutepa#regional.
1-1

FORM 1--GENERAL INSTRUCTIONS CONTINUED
Where to File Your Completed Form Completion of Forms
• If you are in a jurisdiction with an approved state NPDES Print or type in the specified areas only.If you do not have enough
permit program,file according to the instructions on the state space on the form to answer a question,you may continue on
forms. additional sheets,as necessary,using a format consistent with the
• If you are in a jurisdiction where EPA is the NPDES form,
permitting authority(i.e.,the state is not an NPDES- The NPDES permitting authority could consider your application
authorized state),mail the completed application forms to the incomplete if you do not provide an answer(or indicate"NA"for
EPA regional office that covers the state in which your facility "not applicable")for all questions on Form 1 and the applicable
is located(see Exhibit 1-1). Form 2.
When to File Your Completed Form Provide your EPA Identification Number from the Facility Registry
Because of statutory and regulatory requirements,the deadlines Service,NPDES permit number,and facility name at the top of
for filing applications vary according to your facility or activity type each page of Form 1 and any attachments.If your facility is new
and the type of permit you need.The various permit application (i.e.,not yet constructed),write or type"New Facility"in the space
deadlines are listed in Exhibit 1-2 at the end of this section. provided for the EPA Identification Number and NPDES number.
If you do not know your EPA Identification Number,contact your
Fees NPDES permitting authority.See Exhibit 1-1 for contact
EPA does not require applicants to pay a fee for applying for information.
NPDES permits.However,states that administer the NPDES Do not leave any response areas blank unless the form directs
permit program may charge fees.Consult with state officials for you to skip them.If the form directs you to respond to an item that
further information, does not apply to your facility or activity,enter"NA"for"not
Public Availability of Submitted Information applicable"to show that you considered the item and determined
a response was not necessary for your facility.
EPA will make information from NPDES permit application forms The NPDES permitting authority will consider your application
available to the public for inspection and copying upon request. complete when it and any supplementary material are received
You may not claim any information on Form 1 (or related
attachments)as confidential. and completed according to the authority's satisfaction.The
NPDES permitting authority will judge the completeness of any
You may make a claim of confidentiality for any information that application independently of the status of any other permit
you submit to EPA that goes beyond the information required by application or permit for the same facility or activity.
Form 1.If you do not assert a claim of confidentiality at the time
you submit your information to the NPDES permitting authority,
EPA may make the information available to the public without
further notice to you.EPA will handle claims of confidentiality in
accordance with the Agency's business confidentiality regulations
at Part 2 of Title 4 of the Code of Federal Regulations(CFR).
1-2

FORM I—GENERAL INSTRUCTIONS CONTINUED
Exhibit 1-1.Addresses of EPA Regional Contacts and Covered States
REGION 1 REGION 6
U.S.Environmental Protection Agency,Region 1 U.S.Environmental Protection Agency,Region 6
5 Post Office Square,Suite 100,Boston,MA 021093912 1445 Ross Avenue,Suite 1200,Dallas,TX 75202-2733
Phone;[phone];toll free:[phone] Phone.[phone];toll free:[phone]
Fax;[phone] Fax:[phone]
Website:http-/iwww epagovla utepalepa-region-l-new-england Website: epajovlaboutepalepa-reg ion s-south-central
Covered states:Connecticut,Maine,Massachusetts,New Hampshire,Rhode Covered states:Arkansas,Louisiana,New Mexico,Oklahoma,and Texas
Island,and Vermont
REGION 2 REGION 7
U.S.Environmental Protection Agency,Region 2 U.S,Envimnmental Protection Agency,Region 7
290 Broadway,New York,NY 10007-1866 11201 Renner Boulevard,Lenexa,KS 66219
Phone:[phone];toll free:[phone] Phone:[phone];toll free:[phone]
Fax:[phone] Website:http:Itwww.epa.gavtabouteoalepa-reg ion-7-midwest
Website:hftltvmw.epa.gov/aLoutepalepa-regian-2 Covered states:Iowa,Kansas,Missouri,and Nebraska
Covered states:New Jersey,New York,Virgin Islands,and Puerto Rico
REGION 3 REGION 8
U.S.Environmental Protection Agency,Region 3 U.S.Environmental Protection Agency,Region 8
1650 Arch Street,Philadelphia,PA 19103.2029 1595 Wynkoop Street,Denver,CO 80202-1129
Phone:[phone];toll free:[phone] Phone:[phone];toll free:[phone]
Fax:[phone] Fax:[phone]
Website:h€ :Ihvww.e a.g oviaboute ale a-re ion-3-mid-ahantc Website:httpal,,iww.epa.govlaboutepafepa-reg ion-8-mc:,ntains-and-plains
Covered states:Delaware,Ntrict of Columbia,Maryland,Pennsylvania,Virginia, Covered states:Colorado,Montana,North Dakota,South Dakota,Utah,and
and West Virginia Wyoming
REGION 4 REGION 9
U.S.Environmental Protection Agency,Region 4 U.S.Environmental Protection Agency,Region 9
Sam Nunn Atlanta Federal Center 75 Hawthome Street,San Francisco,CA 94105
61 Forsyth Street,SW,Atlanta,GA 30303-8960 Phone:[phone];toll free;(866)EPA-WEST
Phone:[phone];toll free:[phone] Fax:[phone]
Fax;[phone] Websita:hlt::llwww.epa.govlabouteoalepa-rc-nien-9-pacific-southwest
Website:http:liwww.epa govlaboutepalabout-epa-reg ion-4-southeast Covered states:Arizona,California,Hawaii,Nevada,Guam,American Samoa,
Covered states:Alabama,Florida,Georgia,Kentucky,Mississipp€,North Carolina, and Trust Territories
South Carolina,and Tennessee
REGION 5 REGION 10
U.S.Environmental Protection Agency,Region 5 U.S.Environmental Protection Agency,Region 10
77 West Jackson Boulevard,Chicago,1L 60604-3507 1200 Sixth Avenue,Suite 900,Seattle,WA 98101
Phone:[phone];tall free:[phone] Phone;[phone];toll free:(800)424A372
Fax:[phone] Fax:[phone]
Website:http:/hwww.f pa.govlaboutepa/epa-region-5 Website:http:/Mww.epa.gov/atrautepa/epa-region-10-pacific-northwest
Covered states:Illinois,Indiana,Michigan,Minnesota,Ohio,and Wisconsin Covered states:Alaska,Idaho,Oregon,and Washington
Exhibit 1-2.Filing Dates for NPDES Permit Applications
Permit Application When to File
180 days before your present NPDES permit expires or,if you are a
2A new discharger,180 days before the date on which the discharge is
to commence unless the NPDES permitting authority has granted
permission for a later date,
213 180 days before your present NPDES permit expires or 180 days
prior to startup if you are a new facility.
2C 180 days before your present NPDES permit expires.
2D 180 days prior to startup.
2E 180 days before your present NPDES permit expires,or 180 days
prior to startup if you are a new facility.
Construction:90 days prior to date construction is to commence.
2F Nonconstruction:180 days before your present NPDES permit
expires or 180 days prior to startup 6 you are a new facility.
2S 180 days before your present NPDES permit expires or 180 days
prior to startup if you are a new facility.
1-3

FORM 1—LINE-BY-LINE INSTRUCTIONS
Section 1.Activities Requiring an NPDES Permit You can find SIC code numbers and descriptions in the
Item 1.1.Review the questions in Item 1.1 to determine if you are 1987 Standard Industrial Classification Manual, prepared by the
required to submit Form 1.Be sure to check the Form 1— Executive Office of the President.Office of Management and
Glossary for the legal definitions of any key terms. Budget.This document is available from the Government Printing
Office,Washington,D.C.An online version of the manual is also
If you answer"Yes"to a question in Item 1,1,then you do not available courtesy of the Occupational Safety and Health
need to complete Form 1,but you must comply with the Administration at hdi):ilwww.osha.gov/i)lslimis/sir, manual.html,
application requirements specified.
You can find NAICS code numbers and descriptions in the North
Item 1.2.Respond to the questions in Items 1.2.1 to 1.2.5, If you American Industrial Classification System Manual prepared by the
answer"Yes"to any question,you must complete Form 1 and the Executive Office of the President,Office of Management and
Form 2 application specified. See Exhibit 1-2 for filing deadlines. Budget.This document is available from the National Technical
If you answer"No"to every question in Items 1.1 and 1.2,then Information Service(NTIS)in Alexandria,Virginia. It is also
you do not need an NPDES permit,and you do not need to available online at hfpllwww.census.govleoslwww_/naics/.
complete and return any of the NPDES application forms. Use the latest edition of the manuals. If you have any questions
Section 2,Name,Mailing Address,and Location about the appropriate SIC or NAICS codes for your facility,
Item 2.1.Enter the facility's official or legal name.Do not use a contact your NPDES permitting authority.
colloquial name. Section 4,Operator Information
Item 2.2.Provide your EPA Identification Number from the Item 4.1.Give the legal name of the person,firm, public
Facility Registry Service if you have an existing facility.If you do organization,or other entity that operates the facility described in
not know your EPA Identification Number,contact your NPDES this application.This may or may not be the same as the facility's
permitting authority.If your facility is new(i.e.,not yet name.The operator of the facility is the legal entity that controls
constructed),write or type"New Facility." the facility's operation rather than the plant or site manager.Do
not use a colloquial name.
Item 2.3.Give the name(first and last),title,work telephone
number,and email address of the person who is thoroughly Item 4.2.Indicate whether the entity listed in response to Item 4.1
familiar with the operation of the facility and with the facts also owns the facility by marking the appropriate box.
reported in this application.The NPDES permitting authority will Item 4.3.Indicate the ownership status of the operator of the
contact the person listed if they have questions on the material facility by marking the appropriate box, If the facility is a federal
submitted. facility(i.e.,owned by the U.S.government),check the box for
Item 2.4.Give the complete mailing address of the office to which 'Public--federal,"If the facility is owned by a state government,
the NPDES permitting authority should send correspondence. check the box for"Public—state."If the facility is owned by a
This often is not the address used to designate the location of the county government,municipal(e,g.,city or town)government,
facility or activity. tribal government,school district,water district,or other local
government entity,check the box for"Other public"and specify
Item 2.5.Give the address or location of the facility identified the type of government entity. If the facility is owned by a
under Item 2.1.If the facility lacks a street name or route number, corporation or other private entity,check the box for"Private."If
give the most accurate,alternative geographic information(e.g„ the facility has mixed ownership(e.g.,public/private)or is not
section number or quarter section number from county records or owned by an entity of the types previously listed,check the box
.:at intersection of Routes 425 and 22"),Also provide the county for"Other"and specify the type of entity,
name,county code(if known),city or town,state,and zip code.
Items 4.4 to 4.6.Enter the telephone number,address,and email
For concentrated aquatic animal production facilities,provide the address of the operator identified in Item 4.1.
address or location of the production area(i.e.,the location where
the animals are contained,grown,or held). Section 5.Indian Land
Item 5.1.Indicate whether the facility is located on Indian Land.
Section 3.SIC and NAICS Codes
Items 3.1 and 3.2.List,in descending order of significance,up to Section 6.Existing Environmental Permits
four 4-digit standard industrial classification(SIC)codes and Item 6.1.Check the appropriate boxes and provide the permit
North American Industrial Classification System(NAICS)codes numbers for all relevant federal,state,and local environmental
that best describe your facility in terms of the principal products or permits or construction approvals received or applied for under
services it produces or provides.If the SIC or NAICS codes do any of the programs listed below. If you have more than one
not adequately describe your facility's products or services,you currently effective permit under a particular permit program for
have the option to provide additional descriptive information. your facility,list the additional permit numbers on the application
form or on a separate sheet of paper.
1-4

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
• Hazardous waste management program under the Resource (e.g.,residential,commercial),An example of an acceptable
Conservation and Recovery Act(RCRA). location map is shown as Exhibit 1--3 at the end of these
• Underground Injection Control(UIC)program under the Safe instructions, Note:Exhibit 1-3 is provided for illustration only;it
Drinking Water Act(SDWA). does not show an actual facility,
• NPDES program under the Clean Water Act(CWA). If the facility is a concentrated animal feeding operation,you are
• Prevention of Significant Deterioration(PSD)program under not required to provide the topographic map required by this
the Clean Air Act(CAR). section of Form 1. Instead,you are required to provide a
topographic map as specified in Section 4 of Form 2B.
• Nonattainment program under the CAA.
Item 7.1.Note that you have completed your topographic map
• National Emission Standards for Hazardous Pollutants(NESHAPs)precanstruction approval under the CAA. and attached it to the application.
Section 8.Nature of Business
• Ocean dumping permits under the Marine Protection Briefly describe the nature of your business(e.g., products
Research and Sanctuaries Act(MPRSA).
produced or services provided).See Examples 1 and 2.
• Dredge or fill permits under Section 404 of the CWA.
• Other federal,state,or local environmental permits. Example 1
Facilities Subject to 40 CFR 426,Subparts I=and G
Section 7.Map Industry A is an auto tempered and auto laminated glass
Unless the facility is a concentrated animal feeding operation, manufacturing facility subject to effluent limitation guidelines
provide a topographic map(s)of the area extending at least one (ELGs)for the"Automotive Glass Tempering"and"Automotive
mile beyond the property boundaries of the facility that clearly Glass Laminating"subcategories of the"Glass Manufacturing"
shows the following: point source category at 40 CFR 426,subparts F and G.At the
• The legal boundaries of the facility. facility,glass is cut and then passed through a series of
processes that grind and polish the edges,bend the glass,and
• The location and serial number of each of your existing and then temper the glass to produce side and back windows for
proposed intake and discharge structures. automobiles.Tempering involves heating the glass near the
• All hazardous waste management,storage,and disposal melting point,then rapidly cooling it to increase its mechanical
facilities, and thermal endurance.The facility also produces automobile
• Each well where you inject fluids underground, windshields and undertakes processes that laminate a plastic
sheet between two layers of glass and that prepare the glass for
• All wells,springs,surface water bodies,and drinking water lamination(e,g.,cutting,bending, and washing).
wells that are in the public record or otherwise known to you
and that are located in the map area. Example 2
If the facility has associated water intakes,discharge structures, Facility Not Subject to ELGs
hazardous waste disposal sites,or injection wells and these items Industry B undertakes batch-type resin manufacturing operations.
are located more than one mile from the facility,include them on It has aboveground storage tanks for raw materials and finished
the map if possible.If you cannot, attach additional sheets goods, resin loading operations,and warehouses for 55-gallon
describing the location of the structures,disposal site(s),or well(s) drums of finished product. Indus"B manufactures alkyd,
and identify the U.S. Geological Survey(USGS)or other map saturated and unsaturated polyester resins in batches using
corresponding to the location(s). reactor vessels and mix tanks. Most of the feedstock liquids are
pumped from storage tanks to the kettles and mixers via a closed
On each map,include the map scale,a meridian arrow showing piping system.Additional feedstocks are added manually as
north,and latitude and longitude to the nearest second, Latitude solids from bags and sacks via manways,which are located on
and longitude coordinates may be obtained in a variety of ways, top of the kettles.The resin is then chemically reacted in the
including use of hand held devices(e.g., a GPS enabled kettles.After the reaction step finishes,the resin is transferred
smartphone),internet mapping tools(e.g., from the kettles to the mix tanks,where solvents are added to
https:llmynasadata.Iarc.nasa.clov/1atitudelongitude-finder/), thin it.The primary byproduct of the reaction is water vapor
geographic information systems(e.g.,ArcView),or paper maps containing condensed soluble organics,The byproduct flows to
from trusted sources(e.g.,USGS). an isolation tank where the vapors are directed to an onsite
On all maps of rivers,show the direction of the current.in tidal thermal oxidizer.The finished resin is then pumped through one
waters,show the directions of ebb and flow tides. of three types of filtration systems into finished goods storage
tanks,55-gallon drums,350-gallon intermediate bulk container
You may develop your map by going to USGS's National Map totes,or directly into tanker trucks.A typical batch takes about 30
website at http1lnationalmap-9ov1,(For a map from this site,use hours to complete.
the traditional 7.5-minute quadrangle format. If none is available,
use a USGS 15-minute series map.)You may also use a plat or
other appropriate map.Briefly describe land uses in the map area
1-5

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
Section 9.Cooling Water Intake Structures FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS
Item 9.1.Indicate whether the facility uses cooling water.If yes, APPLICATION TO BE SIGNED AS FOLLOWS:
continue to Item 9.2.If no,skip to Item 10.1. A. For a corporation,by a responsible corporate officer.For the
Item 9.2.Identify the source of the cooling water.For example, purpose of this section,a responsible corporate officer
Indicate whether the cooling water Is from a surface water, means:(1)a president,secretary,treasurer,or vice-president
groundwater well,public water system,or treated effluent that of the corporation in charge of a principal business function,
would otherwise be discharged to a water of the U.S. or any other person who performs similar policy-or decision-
making functions for the corporation,or(2)the manager of
If the facility uses a cooling water intake structure as described in one or more manufacturing,production,or operating facilities,
40 CFR 125,Subparts I and J,the facility may have additional provided the manager is authorized to make management
application requirements under 40 CFR 122.21(r).Note that the decisions which govern the operation of the regulated facility
information required by 40 CFR 122.21(r)is not requested as part including having the explicit or implicit duty of making major
of Form 1.Contact your NPDES pennitting authority to determine capital investment recommendations,and initiating and
the specifics of what you should provide and when. directing other comprehensive measures to assure long term
Section 10.Variance Requests environmental compliance with environmental laws and
An applicant(other than a POTW)may request a variance from regulations;the manager can ensure that the necessary
otherwise applicable effluent limitations under certain conditions systems are established or actions taken to gather complete
described at 40 CFR 122.21(m). and accurate information for permit application requirements;
and where authority to sign documents has been assigned or
Item 10.1.If known at the time of application,check all of the delegafed to the manager in accordance with corporate
authorized variances that you plan to request or renew.Note that procedures.
you are not being asked to submit any other information at this B. For a partnership or sole proprietorship,by a general partner
time.Contact your NPDES permitting authority to determine the or the proprietor,respectively.
specifics of what you should provide and when.The ability to
request a variance is not limited to the time of application,and an C. For a municipality,state,federal,or other public facility,by
applicant may request a variance consistent with statutory and either a principal executive officer or ranking elected official.
regulatory requirements. For purposes of this section,a principal executive officer of a
federal agency includes:(1)The chief executive officer of the
Section 11.Checklist and Certification agency,or(2)a senior executive officer having responsibility
Item 11.1.Review the checklist provided.In Column 1,mark the for the overall operations of a principal geographic unit of the
sections of Form 1 that you have completed and are submitting agency(e.g.,Regional Administrators of EPA).
with your application.In Column 2,indicate for each section
whether you are submitting attachments.
Item 11.2.The Clean Water Act provides for severe penalties for
submitting false information on this application form.CWA Section
309(c)(2)provides that,"Any person who knowingly makes any
false statement,representation,or certification in any application,
...shall upon conviction,be punished by a fine of no more than
$10,000 or by imprisonment for not more than six months,or
both."
1-6

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1-7

FORM 1—ACTIVITIES THAT DO NOT REQUIRE PERMITS
You are not required to obtain an NPDES permit if your discharge Any discharge in compliance with the instructions of an On-
is in one of the following categories,as provided by the CWA and Scene Coordinator pursuant to 40 CFR 300(The National Oil
NPDES regulations at 40 CFR 122 to 125.(However,under CWA and Hazardous Substances Pollution Contingency Plan)or
Sections 510 and 312,some discharges exempted from the 33 CFR 153.10(e)(Pollution by Oil and Hazardous
federal NPDES requirements may still be regulated by a state Substances).
permitting authority.) . Any introduction of pollutants from non point-source
• Any discharge of sewage from vessels and any effluent from agricultural and silvicultural activities,including stormwater
property functioning marine engines,laundry,shower,and runoff from orchards,cultivated crops,pastures,range lands,
galley sink wastes,or any other discharge incidental to the and forest lands,but not discharges from concentrated
normal operation of a vessel,including vessels of the Armed animal feeding operations as defined in 40 CFR 122,23,
Forces within the meaning of section 312 of the CWA and discharges from concentrated aquatic animal production
recreational vessels within the meaning of section 502(25)of facilities as defined in 40 CFR 122.23,discharges from
the CWA.None of these exclusions apply to rubbish,trash, concentrated aquatic animal production facilities as defined
garbage,or other such materials discharged overboard;nor in 40 CFR 122,24,discharges to aquaculture projects as
to other discharges when the vessel is operating in a defined in 40 CFR 122.25,and discharges from silvicultural
capacity other than as a means of transportation such as point sources as defined in 40 CFR 122.27.Note:Per 40
when used as an energy or mining facility,a storage facility CFR 122.26(b)(14)(ii),facilities classified within SIC 24,
or a seafood processing facility,or when secured to a Industry Group 241,that are rock crushing,gravel washing,
storage facility or a seafood processing facility,or when log sorting,or log storage facilities operated in connection
secured to the bed of the ocean,contiguous zone or waters with siMcultural activities defined in 40 CFR 122.27(b)(2)-(3)
of the United States for the purpose of mineral or oil and Industry Groups 242 through 249;26(except 265 and
exploration or development. 267),28(except 283),29,311,32(except 323),33,3441,
• Discharges of dredged or fill material into waters of the and 373(not included are all other types of silviculture
United States that are regulated under CWA Section 404. facilities)are considered stormwater discharges associated
with industrial activity,and are required to obtain an NPDES
• The introduction of sewage,industrial wastes,or other permit.
pollutants into publicly owned treatment works by indirect • Return flows from irrigated agriculture.
dischargers.Plans or agreements to switch to this method of
disposal in the future do not relieve dischargers of the • Discharges into a privately owned treatment works,except as
obligation to have and comply with permits until all the NPDES permitting authority may otherwise require under
discharges of pollutants to waters of the United States are 40 CFR 122.44(m).
eliminated.(See also 40 CFR 122.47(b).)This exclusion • Discharges from a water transfer."Water transfer"means an
does not apply to the introduction of pollutants to privately activity that conveys or connects waters of the United States
owned treatment works or to other discharges through pipes, without subjecting the transferred water to intervening
sewers,or other conveyances owned by a state,municipality, industrial,municipal,or commercial use.This exclusion does
or other party not leading to treatment works. not apply to pollutants introduced by the water transfer
activity itself to the water being transferred.
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FORM 1—GLOSSARY
Note:This glossary includes terms used in the various NPDES application forms,including Form 1.The definitions are from the NPDES
regulations at 40 CFR 122.2 unless otherwise specified.If you have any questions concerning the meaning of any of these terms,contact
your NPDES permitting authority.
ANIMAL FEEDING OPERATION(defined at§122.23)means a lot or facility(other than an aquatic animal production facility)where the
following conditions are met;
• Animals(other than aquatic animals)have been,are,or will be stabled or confined and fed or maintained for a total of 45 days or
more in any 12-month period;and
• Crops,vegetation,forage growth,or post-harvest residues are not sustained in the normal growing season over any portion of the lot
or facility.
APPLICATION means the EPA standard national forms for applying for a permit,including any additions,revisions,or modifications to the
forms;or forms approved by EPA for use in approved states,including any approved modifications or revisions.
APPROVED PROGRAM or APPROVED STATE means a State or interstate program which has been approved or authorized by EPA
under part 123.
AQUACULTURE PROJECT(defined at§122.25)means a defined managed water area which uses discharges of pollutants into that
designated area for the maintenance or production of harvestable freshwater,estuarine,or marine plants or animals.DESIGNATED
PROJECT AREA means the portions of the waters of the United States within which the permittee or permit applicant plans to confine the
cultivated species,using a method or plan or operation(including,but not limited to,physical confinement)which,on the basis of reliable
scientific evidence,is expected to ensure that specific individual organisms comprising an aquaculture crop will enjoy increased growth
attributable to the discharge of pollutants,and be harvested within a defined geographic area.
AVERAGE MONTHLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar month,
calculated as the sum of all daily discharges measured during that month divided by the number of daily discharges measured during that
month.
AVERAGE WEEKLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar week,
calculated as the sum of all daily discharges measured during a calendar week divided by the number of daily discharges measured during
that week.
BEST MANAGEMENT PRACTICES(BMPs)means schedules of activities,prohibitions of practices,maintenance procedures,and other
management practices to prevent or reduce the pollution of waters of the United States.BMPs include treatment requirements,operation
procedures,and practices to control plant site runoff,spillage or leaks,sludge or waste disposal,or drainage from raw material storage.
BIOSOLIDS(see sewage sludge).
BYPASS(defined at§122.41(m))means the intentional diversion of waste streams from any portion of a treatment facility.
COMBINED SEWER OVERFLOW(CSO)means a discharge from a combined sewer system(CSS)at a point prior to the Publicly Owned
Treatment Works(POTW)Treatment Plant(defined at§403.3(r)).
COMBINED SEWER SYSTEM(CSS)means a wastewater collection system owned by a State or municipality(as defined by section
502(4)of the CWA)which conveys sanitary wastewaters(domestic,commercial and industrial wastewaters)and storm water through a
single-pipe system to a Publicly Owned Treatment Works(POTW)Treatment Plant(as defined at§403.3(r)).
CONCENTRATED ANIMAL FEEDING OPERATION(defined at§122.23)means an animal feeding operation that is defined as a Large
CAFO or as a Medium CAFO by the terms of(A)or(B)below,or that is designated as a CAFO in accordance with 40 CFR 122.23(c).Two
or more AFOs under common ownership are considered to be a single AFO for the purposes of determining the number of animals at an
operation,if they adjoin each other or if they use a common area or system for the disposal of wastes.
A. LARGE CONCENTRATED ANIMAL FEEDING OPERATION(LARGE CAFO)means an AFO that stables or confines as many as or
more than the numbers of animals specified in any of the following categories:
1. 700 mature dairy cows,whether milked or dry:
2. 1,000 veal calves;
3. 1,000 cattle other than mature dairy cows or veal calves.Cattle includes but is not limited to heifers,steers,bulls and cow/calf
pairs;
4. 2,500 swine each weighing 55 pounds or more;
5. 10,000 swine each weighing less than 55 pounds;
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FORM 1—GLOSSARY CONTINUED
6. 500 horses;
7. 10,000 sheep or lambs;
8. 55,000 turkeys;
9. 30,000 laying hens or broilers,if the AFO uses a liquid manure handling system;
10. 125,000 chickens(other than laying hens),if the AFO uses other than a liquid manure handling system;
11. 82,000 laying hens,if the AFO uses other than a liquid manure handling system;
12. 30,000 ducks(if the AFO uses other than a liquid manure handling system);or
13, 5,000 ducks(if the AFO uses a liquid manure handling system).
B. MEDIUM CONCENTRATED ANIMAL FEEDING OPERATION(MEDIUM CAFO)means any AFO with the type and number of
animals that fall within any of the ranges listed below and which has been defined or designated as a CAFO.An AFO is defined as a
Medium CAFO if:
1. The type and number of animals that it stables and confines falls within any of the following ranges:
a. 200 to 699 mature dairy cows,whether milked or dry;
b. 300 to 999 veal elves;
c. 300 to 999 cattle other than mature dairy cows or veal calves.Cattle includes but is not limited to heifers,steers,bulls and
cow/calf pairs;
d. 750 to 2,499 swine each weighing 55 pounds or more;
e. 3,000 to 9,999 swine each weighing less than 55 pounds;
f. 150 to 499 horses;
g. 3,000 to 9,999 sheep or lambs;
h. 16,500 to 54,999 turkeys;
i. 9,000 to 29,999 laying hens or broilers,if the AFO uses a liquid manure handling system;
j. 37,500 to 124,999 chickens(other than laying hens),if the AFO uses other than a liquid manure handling system;
k. 25,000 to 81,999 laying hens,if the AFO uses other than a liquid manure handling system;
I. 10,000 to 29,999 ducks(if the AFO uses other than a liquid manure handling system);ore
m. 1,500 to 4,999 ducks(if the AFO uses a liquid manure handling system);and
2. Either one of the following conditions are met:
a. Pollutants are discharged into waters of the United States through a man-made ditch,flushing system,or other similar man-
made device;or
b. Pollutants are discharged directly into waters of the United States which originate outside of and pass over,across,or
through the facility or otherwise come into direct contact with animals confined in the operation.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY(defined at§122.24)means a hatchery,fish farm,or other facility which
contains,grows,or holds aquatic animals In either of the following categories,or which the Director designates as such on a case-by-case
basis:
A. Cold water fish species or other cold water aquatic animals including,but not limited to,the Salmonidae family of fish(e.g.,trout and
salmon)in ponds,raceways,or other similar structures which discharge at least 30 days per year but does not include:
1. Facilities which produce less than 9,090 harvest weight kilograms(approximately 20,000 pounds)of aquatic animals per year,
and
2. Facilities which feed less than 2,272 kilograms(approximately 5,000 pounds)of food during the calendar month of maximum
feeding.
B. Warm water fish species or other warm water aquatic animals including,but not limited to,the Ameiuddae, Cetrarchiclae,and
Cyprinidae families of fish(e.g.,respectively,catfish,sunfish,and minnows)in ponds,raceways,or other similar structures which
discharge at least 30 days per year,but does not include;
1. Closed ponds which discharge only during periods of excess runoff;or
2. Facilities which produce less than 45,454 harvest weight kilograms(approximately 100,000 pounds)of aquatic animals per year.
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FORM 1—GLOSSARY CONTINUED
CWA means the Clean Water Act(formerly referred to as the Federal Water Pollution Control Act or Federal Water Pollution Control Act
Amendments of 1972)Public Law 92-500,as amended by Public Law 95-217,Public Law 95-576,Public Law 96483 and Public Law
97-117,33 U.S.C.1251 et seq.
CWA AND REGULATIONS means the Clean Water Act(CWA)and applicable regulations promulgated thereunder.In the case of an
approved State program,it includes State program requirements.
DAILY DISCHARGE means the"discharge of a pollutant"measured during a calendar day or any 24-hour period that reasonably
represents the calendar day for purposes of sampling.For pollutants with limitations expressed in units of mass,the"daily discharge"is
calculated as the total mass of the pollutant discharged over the day.For pollutants with limitations expressed in other units of
measurement,the"daily discharge"is calculated as the average measurement of the pollutant over the day.
DIRECT DISCHARGE means the"discharge of a pollutant"
DIRECTOR means the Regional Administrator or the State Director,as the context requires,or an authorized representative.When there
is no"approved State program,"and there is an EPA administered program,"Director"means the Regional Administrator.When there is
an approved State program,"Director"normally means the State Director.In some circumstances,however,EPA retains the authority to
take certain actions even when there is an approved State program.(For example,when EPA has issued an NPDES permit prior to the
approval of a State program,EPA may retain jurisdiction over that permit after program approval,see§123.1.)In such cases,the term
"Director"means the Regional Administrator and not the State Director.
DISCHARGE(OF A POLLUTANT)means:
• Any addition of any pollutant or combination of pollutants to waters of the United States from any point source;or
• Any addition of any pollutant or combination of pollutants to the waters of the contiguous zone or the ocean from any point source
other than a vessel or other Boating craft which is being used as a means of transportation.
This definition includes discharges into waters of the United States from:surface runoff which is collected or channelled by man;
discharges through pipes,sewers,or other conveyances owned by a State,municipality,or other person which do not lead to a treatment
works;and discharges through pipes,sewers,or other conveyances,leading into privately owned treatment works.This term does not
include an addition of pollutants by any"Indirect discharger".
DISCHARGE MONITORING REPORT means the EPA uniform national form,including any subsequent additions,revisions,or
modifications for the reporting of self-monitoring results by permittees.DMRs must be used by"approved States"as well as by EPA. EPA
will supply DMRs to any approved State upon request.The EPA national forms may be modified to substitute the state agency name,
address,logo,and other similar information,as appropriate,in place of EPA's.
DRAFT PERMIT means a document prepared under§124.6 indicating the Director's tentative decision to issue or deny,modify,revoke
and reissue,terminate,or reissue a"permit."A notice of intent to terminate a permit,and a notice of intent to deny a permit,as discussed
In§124.5,are types of"draft permits."A denial of a request for modification,revocation and reissuance,or termination,as discussed in
§124.5,is not a"draft permit."A"proposed permit'is not a"draft permit."
EFFLUENT LIMITATION means any restriction imposed by the Director on quantities,discharge rates,and concentrations of"pollutants"
which are"discharged"from"point sources"into"waters of the United States,"the waters of the"contiguous zone,"or the ocean.
EFFLUENT LIMITATIONS GUIDELINES means a regulation published by the Administrator under section 304(b)of the CWA to adopt or
revise"effluent limitations."
ENVIRONMENTAL PROTECTION AGENCY(EPA)means the United States Environmental Protection Agency.
FACILITY or ACTIVITY means any NPDES"point source"or any other facility or activity(including land or appurtenances thereto)that is
subject to regulation under the NPDES program.
GENERAL PERMIT means an NPDES"permit"issued under§122.28 authorizing a category of discharges under the CWA within a
geographical area.
HAZARDOUS SUBSTANCE means any substance designated under 40 CFR part 116 pursuant to section 311 of the CWA.
INDIAN COUNTRY(or INDAN LANDS)means:
• All land within the limits of any Indian reservation under the jurisdiction of the United States Government,notwithstanding the
issuance of any patent,and,including rights-of-way running through the reservation;
• All dependent Indian communities with the borders of the United States whether within the originally or subsequently acquired territory
thereof,and whether within or without the limits of a state;and
• All Indian allotments,the Indian titles to which have not been extinguished,including rights-of-way running through the same.
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FORM 1—GLOSSARY CONTINUED
INDIAN TRIBE means any Indian Tribe,band,group,or community recognized by the Secretary of the Interior and exercising
governmental authority over a Federal Indian reservation.
INDIRECT DISCHARGE means a nondomestic discharger introducing"pollutants"to a"publicly owned treatment works."
LARGE MUNICIPAL SEPARATE STORM SEWER SYSTEM(defined at§122.26(b)(4))means all municipal separate storm sewers that
are either.
(i)Located in an incorporated place with a population of 250,000 or more as determined by the 1990 Decennial Census by the Bureau of
the Census(Appendix F of 40 CFR 122);or
(ii)Located in the counties listed in appendix H of 40 CFR 122,except municipal separate storm sewers that are located in the
incorporated places,townships or towns within such counties;or
(iii)Owned or operated by a municipality other than those described In paragraphs(i)or(ii)and that are designated by the Director as part
of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated
stone sewer and the discharges from municipal separate storm sewers described under paragraphs(i)or(ii).In making this determination
the Director may consider the following factors:
(A)Physical interconnections between the municipal separate storm sewers;
(B)The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph(1);
(C)The quantity and nature of pollutants discharged to waters of the United States;
(D)The nature of the receiving waters;and
(E)Other relevant factors;or
(iv)The Director may,upon petition,designate as a large municipal separate storm sewer system,municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional,watershed,or
other appropriate basis that includes one or more of the systems described in paragraphs(1),(ii),(iii).
LOG SORTING AND LOG STORAGE FACILITIES(defined at§122.27)means facilities whose discharges result from the holding of
unprocessed wood,for example,logs or roundwood with bark or after removal of bark held in self-contained bodies of water(mill ponds or
log ponds)or stored on land where water is applied intentionally on the logs(wet decking).(See 40 CFR 429,subpart I,including the
effluent limitations guidelines.)
MAJOR FACILITY means any NPDES"facility or activity"classified as such by the Regional Administrator,or,In the case of"approved
State programs,"the Regional Administrator in conjunction with the State Director.
MAXIMUM DAILY DISCHARGE LIMITATION means the highest allowable"daily discharge."
MEDIUM MUNICIPAL SEPARATE STORM SEWER SYSTEM(defined at§122.26(b)(7))means all municipal separate storm sewers that
are either:
(i)Located in an incorporated place with a population of 100,000 or more but less than 250,000,as determined by the 1990 Decennial
Census by the Bureau of the Census(appendix G of 40 CFR 122);or
(ii)Located in the counties listed in appendix I of 40 CFR 122,except municipal separate storm sewers that are located in the incorporated
places,townships or towns within such counties;or
(iii)Owned or operated by a municipality other than those described in paragraph(i)or(li)and that are designated by the Director as part
of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated
storm sewer and the discharges from municipal separate storm sewers described under paragraph(1)or(ii).In making this determination
the Director may consider the following factors:
(A)Physical interconnections between the municipal separate storm sewers;
(B)The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph(i);
(C)The quantity and nature of pollutants discharged to waters of the United States;
(D)The nature of the receiving waters;or
(E)Other relevant factors;or
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FORM 1—GLOSSARY CONTINUED
(iv)The Director may,upon petition,designate as a medium municipal separate storm sewer system,municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional,watershed,or
other appropriate basis that includes one or more of the systems described in paragraphs(i),(ii),(Ili)of this section.
MUNICIPALITY means a city,town,borough,county,parish,district,association,or other public body created by or under State law and
having jurisdiction over disposal of sewage,industrial wastes,or other wastes,or an Indian tribe or an authorized Indian tribal organization,
or a designated and approved management agency under section 208 of the CWA.
MUNICIPAL SEPARATE STORM SEWER(defined at§122.26(b)(8))means a conveyance or system of conveyances(including roads
with drainage systems,municipal streets,catch basins,curbs,gutters,ditches,man-made channels,or storm drains):
• Owned or operated by a State,city,town,borough,county,parish,district,association,or other public body(created by or pursuant to
State law)having jurisdiction over disposal of sewage,industrial wastes,stormwater,or other wastes,including special districts under
State law such as a sewer district,flood control district or drainage district,or similar entity,or an Indian tribe or an authorized Indian
tribal organization,or a designated and approved management agency under section 208 of the CWA that discharges to waters of the
United States.
• Designed or used for collecting or conveying stormwater.
• Which is not a combined sewer;and
• Which is not part of a POTW as defined at 40 CFR 122.2.
MUNICIPAL SLUDGE(see sewage sludge)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM(NPDES)means the national program for issuing,modifying,revoking
and reissuing,terminating,monitoring and enforcing permits,and imposing and enforcing pretreatment requirements,under sections 307,
402,318,and 405 of the CWA.The term includes an'approved program."
NEW DISCHARGER means any building,structure,facility,or installation:
• From which there is or may be a"discharge of pollutants;"
• That did not commence the"discharge of pollutants"at a particular"site"prior to August 13,1979;
• Which is not a"new source;"and
• Which has never received a finally effective NPDES permit for discharges at that"site."
This definition includes an"indirect discharger which commences discharging into"waters of the United States"after August 13,1979.It
also means any existing mobile point source(other than an offshore or coastal oil and gas exploratory drilling rig or a coastal oil and gas
developmental drilling rig)such as a seafood processing rig,seafood processing vessel,or aggregate plant,that begins discharging at a
"site"for which it does not have a permit;and any offshore or coastal mobile oil and gas exploratory drilling rig or coastal mobile oil and gas
developmental drilling rig that commences the discharge of pollutants after August 13,1979,at a"site"under EPA's permitting jurisdiction
for which it is not covered by an individual or general permit and which is located in an area determined by the Regional Administrator in
the issuance of a final permit to be an area of biological concern.In determining whether an area is an area of biological concern,the
Regional Administrator shall consider the factors specified in 40 CFR 125.122(a)(1)through(10).
An offshore or coastal mobile exploratory drilling rig or coastal mobile developmental drilling rig will be considered a"new discharger"only
for the duration of its discharge in an area of biological concern.
NEW SOURCE means any building,structure,facility,or installation from which there is or may be a"discharge of pollutants,"the
construction of which commenced:
• After promulgation of standards of performance under section 306 of the CWA which are applicable to such source,or
• After proposal of standards of performance in accordance with section 306 of the CWA which are applicable to such source,but only
if the standards are promulgated in accordance with section 306 within 120 days of their proposal.
OWNER OR OPERATOR means the owner or operator of any"facility or activity„subject to regulation under the NPDES program.
PERMIT means an authorization,license,or equivalent control document issued by EPA or an"approved State"to implement the
requirements of this part and parts 123 and 124."Permit"includes an NPDES"general permit"(§122.28).Permit does not include any
permit which has not yet been the subject of final agency action,such as a"draft permit"or a"proposed permit."
PESTICIDE DISCHARGES TO WATERS OF THE UNITED STATES FROM PESTICIDE APPLICATION means the application of
biological pesticides,and the application of chemical pesticides that leave a residue,from point sources to waters of the United States.In
the context of this definition of pesticide discharges to waters of the United States from pesticide application,this does not include
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FORM 1—GLOSSARY CONTINUED
agricultural storm water discharges and return flows from irrigated agriculture,which are excluded by law(33 U.S.C. 1342(I);33 U.S.C.
1362(14)).
PESTICIDE RESIDUE for the purpose of determining whether a NPDES permit is needed for discharges to waters of the United States
from pesticide application,means that portion of a pesticide application that is discharged from a point source to waters of the United
States and no longer provides pesticidal benefits.It also includes any degradates of the pesticide.
POINT SOURCE means any discernible,confined,and discrete conveyance,including but not limited to,any pipe,ditch,channel,tunnel,
conduit,well,discrete fissure,container,rolling stock,concentrated animal feeding operation,landfill leachate collection system,vessel or
other floating craft from which pollutants are or may be discharged.This term does not include return flows from irrigated agriculture or
agricultural stormwater runoff.(See§122.3).
POLLUTANT means dredged spoil,solid waste,incinerator residue,filter backwash,sewage,garbage,sewage sludge,munitions,
chemical wastes,biological materials,radioactive materials(except those regulated under the Atomic Energy Act of 1954,as amended(42
U.S.C.2011 et seq.)),heat,wrecked or discarded equipment,rock,sand,cellar dirt and industrial,municipal,and agricultural waste
discharged into water.It does not mean;
• Sewage from vessels;or
• Water,gas,or other material which is injected into a well to facilitate production of oil or gas,or water derived in association with oil
and gas production and disposed of in a well,if the well used either to facilitate production or for disposal purposes is approved by
authority of the State in which the well is located,and if the State determines that the injection or disposal will not result in the
degradation of ground or surface water resources.Note:Radioactive materials covered by the Atomic Energy Act are those
encompassed in its definition of source,byproduct,or special nuclear materials.Examples of materials not covered include radium
and accelerator-produced isotopes.See Train v. Colorado Public Interest Research Group,Inc.,426 U.S. 1 (1976).
PRIMARY INDUSTRY CATEGORY means any industry category listed in the NRDC settlement agreement(Natural Resources Defense
Council et al.v. Train,8 E.R.C.2120(D.D.C. 1976),modified 12 E.R.C. 1833(D.D.C.1979));also listed in appendix A of part 122.
PRIVATELY OWNED TREATMENT WORKS means any device or system which is(1)used to treat wastes from any facility whose
operator is not the operator of the treatment works and(2)not a"POTW."
PROCESS WASTEWATER means any water which,during manufacturing or processing,comes into direct contact with or results from the
production or use of any raw material,intermediate product,finished product,byproduct,or waste product
PROPOSED PERMIT means a state NPDES"permit"prepared after the close of the public comment period(and,when applicable,any
public hearing and administrative appeals)which is sent to EPA for review before final issuance by the State.A"proposed permit"is not a
"draft permit"
PUBLICLY OWNED TREATMENT WORKS or POTW(defined at§403.3)means a treatment works as defined by CWA Section 212,
which is owned by a state or municipality(as defined by CWA Section 502(4)).This definition includes any devices or systems used in the
storage,treatment,recycling,and reclamation)of municipal sewage or industrial wastes of a liquid nature.This definition also includes
sewers,pipes,and other conveyances only if they convey wastewater to a POTW.The term also means the municipality as defined in
CWA Section 502(4),which has jurisdiction over the indirect discharges to and the discharges from such a treatment works.
REGIONAL ADMINISTRATOR means the Regional Administrator of the appropriate Regional Office of the Environmental Protection
Agency or the authorized representative of the Regional Administrator.
ROCK CRUSHING AND GRAVEL WASHING FACILITIES(defined at§122.27)means facilities which process crushed and broken
stone,gravel,and riprap(See 40 CFR 436,subpart 8,including the effluent limitations guidelines).
SCHEDULE OF COMPLIANCE means a schedule of remedial measures included in a"permit",including an enforceable sequence of
interim requirements(for example,actions,operations,or milestone events)leading to compliance with the CWA and regulations.
SECONDARY INDUSTRY CATEGORY means any industry category which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the wastes from toilets and other receptacles intended to receive or retain
body wastes that are discharged from vessels and regulated under section 312 of the CWA,except that with respect to commercial
vessels on the Great Lakes this term includes graywater.For the purposes of this definition,"graywater"means galley,bath,and shower
water.
SEWAGE SLUDGE means any solid,semi-solid,or liquid residue removed during the treatment of municipal waste water or domestic
sewage.Sewage sludge includes,but is not limited to,solids removed during primary,secondary,or advanced waste water treatment,
scum,septage,portable toilet pumpings,type III marine sanitation device pumpings(33 CFR 159),and sewage sludge products.Sewage
sludge does not include grit or screenings,or ash generated during the incineration of sewage sludge.
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FORM 1—GLOSSARY CONTINUED
SILVICULTURAL POINT SOURCE(defined at§122.27)means any discernible,confined,and discrete conveyance related to rock
crushing,gravel washing,log sorting,or log storage facilities which are operated in connection with silvicultural activities and from which
pollutants are discharged into waters of the United States.This term does not include non-point source silvicultural activities such as
nursery operations,site preparation,reforestation and subsequent cultural treatment,thinning,prescribed burning,pest and fire control,
harvesting operations,surface drainage,or road construction and maintenance from which there is natural runoff.However,some of these
activities(such as stream crossing for roads)may involve point source discharges of dredged or fill material which may require a CWA
Section 404 permit(see 33 CFR 209.120 and part 233).
SITE means the land or water area where any"facility or activity"is physically located or conducted,including adjacent land used In
connection with the facility or activity.
SLUDGE-ONLY FACILITY means any"treatment works treating domestic sewage"whose methods of sewage sludge use or disposal are
subject to regulations promulgated pursuant to section 405(d)of the CWA and is required to obtain a permit under§122.1(b)(2).
STANDARDS FOR SEWAGE SLUDGE USE OR DISPOSAL means the regulations promulgated pursuant to section 405(d)of the CWA
which govem minimum requirements for sludge quality,management practices,and monitoring and reporting applicable to sewage sludge
or the use or disposal of sewage sludge by any person.
STATE means any of the 50 States,the District of Columbia,Guam,the Commonwealth of Puerto Rico,the Virgin Islands,American
Samoa,the Commonwealth of the Northern Mariana Islands,the Trust Territory of the Pacific Islands,or an Indian Tribe as defined in
these regulations which meets the requirements of§123.31 of this chapter.
STATE DIRECTOR means the chief administrative officer of any State or interstate agency operating an"approved program,"or the
delegated representative of the State Director.If responsibility is divided among two or more State or interstate agencies,"State Director"
means the chief administrative officer of the State or interstate agency authorized to perform the particular procedure or function to which
reference is made.
STORMWATER(or STORM WATER)(defined at§122.26(b)(13))means stormwater runoff,snow melt runoff,and surface runoff and
drainage.
STORMWATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY(defined at§122.26(b)(14))means the discharge from any
conveyance that is used for collecting and conveying stormwater and that is directly related to manufacturing,processing or raw materials
storage areas at an industrial plant.The term does not include discharges from facilities or activities excluded from the NPDES program
under this part 122.For the categories of industries identified in this section,the term includes,but is not limited to,stormwater discharges
from industrial plant yards;immediate access roads and rail lines used or traveled by carriers of raw materials,manufactured products,
waste material,or by-products used or created by the facility;material handling sites;refuse sites;sites used for the application or disposal
of process waste waters(as defined at 40 CFR 401);sites used for the storage and maintenance of material handling equipment;sites
used for residual treatment,storage,or disposal;shipping and receiving areas;manufacturing buildings;storage areas(including tank
farms)for raw materials,and Intermediate and final products;and areas where industrial activity has taken place in the past and significant
materials remain and are exposed to stormwater.For the purposes of this paragraph,material handling activities include storage,loading
and unloading,transportation,or conveyance of any raw material,intermediate product,final product,by-product or waste product.The
term excludes areas located on plant lands separate from the planCs industrial activities,such as office buildings and accompanying
parking lots as long as the drainage from the excluded areas is not mixed with stormwater drained from the above described areas.
Industrial facilities(including industrial facilities that are federally,State,or municipally owned or operated that meet the description of the
facilities listed in paragraphs 1 through 14 below)Include those facilities designated under the provisions of 40 CFR 122.26(a)(1)(v).The
following categories of facilities are considered to be engaging in"industrial activity"for purposes of 40 CFR 122.26(b)(14):
1. Facilities subject to stormwater effluent limitations guidelines,new source performance standards,or toxic pollutant effluent standards
under 40 CFR Subchapter N(except facilities with toxic pollutant effluent standards which are exempted under paragraph 11 below);
2. Facilities classified as Standard Industrial Classification 24,Industry Group 241 that are rock crushing,gravel washing,log sorting,or
log storage facilities operated in connection with silvicultural activities defined in 40 CFR 122.27(b)(2H3)and Industry Groups 242
through 249;26(except 265 and 267),28(except 283),29,311,32(except 323),33,3441,373;(not included are all other types of
silvicultural facilities);
3. Facilities classified as Standard Industrial Classifications 10 through 14(mineral industry)including active or inactive mining
operations(except for areas of coal mining operations no longer meeting the definition of a reclamation area under 40 CFR 434.11(1)
because the performance bond issued to the facility by the appropriate SMCRA authority has been released,or except for areas of
non—coal mining operations which have been released from applicable State or Federal reclamation requirements after
December 17,1990)and oil and gas exploration,production,processing,or treatment operations,or transmission facilities that
discharge stormwater contaminated by contact with or that has come into contact with,any overburden,raw material,intermediate
products,finished products,byproducts or waste products located on the site of such operations;(inactive mining operations are
mining sites that are not being actively mined,but which have an identifiable owner/operator;inactive mining sites do not include sites
1-15

FORM 1-GLOSSARY CONTINUED
where mining claims are being maintained prior to disturbances associated with the extraction,beneficiation,or processing of mined
materials,nor sites where minimal activities are undertaken for the sole purpose of maintaining a mining claim);
4. Hazardous waste treatment,storage,or disposal facilities,including those that are operating under interim status or a permit under
subtitle C of RCRA;
5. Landfills,land application sites,and open dumps that receive or have received any industrial wastes(waste that is received from any
of the facilities described under this subsection)including those that are subject to regulation under subtitle D of RCRA;
6. Facilities involved in the recycling of materials,including metal scrapyards,battery reclaimers,salvage yards,and automobile
junkyards,including but limited to those classified as Standard Industrial Classification 5015 and 5093;
7. Steam electric power generating facilities,including coal handling sites;
8. Transportation facilities classified as Standard industrial Classifications 40,41,42(except 4221-25),43,44,45,and 5171 which have
vehicle maintenance shops,equipment cleaning operations,or airport deicing operations.Only those portions of the facility that are
either involved in vehicle maintenance(including vehicle rehabilitation,mechanical repairs,painting,fueling,and lubrication),
equipment cleaning operations,airport deicing operations,or which are otherwise identified under paragraphs 1-7 or 9-11 are
associated with industrial activity;
9. Treatment works treating domestic sewage or any other sewage sludge or wastewater treatment device or system,used in the
storage treatment,recycling,and reclamation of municipal or domestic sewage,including land dedicated to the disposal of sewage
sludge that are located within the confines of the facility,with a design flow of 1.0 mgd or more,or required to have an approved
pretreatment program under 40 CFR 403.Not included are farm lands,domestic gardens or lands used for sludge management
where sludge is beneficially reused and which are not physically located in the confines of the facility,or areas that are in compliance
with section 405 of the CWA;
10. Construction activity including clearing,grading and excavation,except operations that result in the disturbance of less than five acres
of total land area.Construction activity also includes the disturbance of less than five acres of total land area that is a part of a larger
common plan of development or sale if the larger common plan will ultimately disturb five acres or more;
11. Facilities under Standard Industrial Classifications 20,21,22,23,2434,25,265,267,27,283,285,30,31 (except 311),323,34
(except 3441),35,36,37(except 373),38,39,and 4221-25.
TOXIC POLLUTANT means any pollutant listed as toxic under section 307(a)(1)or,in the case of"sludge use or disposal practices,"any
pollutant identified in regulations implementing section 405(d)of the CWA.
TREATMENT WORKS TREATING DOMESTIC SEWAGE(TWTDS)means a POTW or any other sewage sludge or waste water
treatment devices or systems,regardless of ownership(including federal facilities),used in the storage,treatment,recycling;and
reclamation of municipal or domestic sewage,including land dedicated for the disposal of sewage sludge.This definition does not include
septic tanks or similar devices.For purposes of this definition,"domestic sewage"includes waste and waste water from humans or
household operations that are discharged to or otherwise enter a treatment works.In States where there is no approved State sludge
management program under section 405(f)of the CWA,the Regional Administrator may designate any person subject to the standards for
sewage sludge use and disposal in 40 CFR 503 as a"treatment works treating domestic sewage,'where he or she finds that there is a
potential for adverse effects on public health and the environment from poor sludge quality or poor sludge handling,use or disposal
practices,or where he or she finds that such designation is necessary to ensure that such person is in compliance with 40 CFR 503.
UPSET(defined at§122.41(n))means an exceptional incident in which there is unintentional and temporary noncompliance with
technology based permit effluent limitations because of factors beyond the reasonable control of the permlttee.An upset does not include
noncompliance to the extent caused by operational error,improperly designed treatment facilities,inadequate treatment facilities,lack of
preventive maintenance,or careless or improper operation.
VARIANCE means any mechanism or provision under section 301 or 316 of the CWA or under 40 CFR 125,or in the applicable"effluent
limitations guidelines"which allows modification to or waiver of the generally applicable effluent limitation requirements or time deadlines of
the CWA.This includes provisions which allow the establishment of alternative limitations based on fundamentally different factors or on
sections 301(c),301(g),301(h),301(i),or 316(a)of the CWA.
WATERS OF THE UNITED STATES as defined at§122.2.
WHOLE EFFLUENT TOXICITY(WET)means the aggregate toxic effect of an effluent measured directly by a toxicity test.
1-16

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 .=.EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION • AN •R 1
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes,STOP.Do NOT complete No If yes,STOP.Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Fonn 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
€ operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
IL production facility? currently discharging process wastewater?
all o Yes 4 Complete Form 1 No Yes 4 Complete Form � No
z and Form 2B. 1 and Form 2C.
W 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
Cr Yes 4 Complete Form 1 0 No � Yes-�Complete Form 0 No
and Form 2D. 1 and Form 2E.
cc
°r 1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
Q associated with industrial activity or whose
discharge is composed of both stonnwater and
non•stomtwater?
Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
SECTION 2.NAME, MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Brenntag Mid-South Inc.,Durham Facility
a 2.2 EPA Identification Number
None for CWA programs
a
2.3 Facility Contact
Name(first and last) Title Phone number
Robert E Walston Operations Manager [phone]
Q
c Email address
-� [e-mail]
d a 2.4 Facility Mailing Address
zStreet or P.O.box
2000 East Pettigrew Street
City or town State ZIP code
Durham NC 27730
EPA Form 3510-1(revised 3-19) Page 1

EPA identification Number NPDES Permit Number Fadlity Name Form Approved 0310 119
OMB No.2040-0004
h 2.5 Facility Location
= Street, route number,or other specific identifier
a u 2000 East Pettigrew Street
cs
o County name County code(if known)
g Durham
a
E City or town State ZIP code
z cc Durham NC 27703
SECTION1 NAICS CODES1
3.1 SIC Code(s) Description(optional)
4226 Special Warehousing and Storage
m
m
-a
0
U
rA
U
3.2 NAICS Code(s) Description(optional)
c
1° 493190 Other Warehousing and Storage
U
U)
4.1 Name of Operator
Brenntag Mid-South Inc.,Durham Facility
0 4.2 Is the name you listed in Item 4.1 also the owner?
0
❑ Yes ❑ No
4.3 Operator Status
❑ Public—federal ❑ Public—state ❑ Other public(specify)
o ❑✓ Private ElOther(specify)
4A Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O, Box
o Same as Owner
m
City or town State ZIP code
_O O
U
Q Email address of operator
Q
SECTION
+0
0 5.1 Is the facility located on Indian Land?
25
_j ❑ Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA IdendficaHon Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
OMB No.2040-0004
SECTION -• - 41
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
w ❑ NPDES(discharges to surface m RCRA(hazardous wastes) ❑ UIC(underground injection of
E water) fluids)
NCD047377503
U a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
e
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑Other(specify)
SECTIONUl
41
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
C specific requirements.)
✓❑Yes ❑No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTIONOF 1
8.1 Describe the nature of your business.
Wet and Dry Chemical Distribution,Includes Petroleum based lubricants,solvents,acids and bases.
c
.U)
3
m
0
SECTION • •• 1
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
3 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
40 CFR 126,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
v5
SECTION
t.VARIANCE REQUESTS1
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
ffi when.)
g ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
✓❑ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA�dent%abon Number NPRES Permit Number Facitity Name Force Approved 03105119
OMB No.2040-0044
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT 1
11-1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑ Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
Section 2:Name, Mailing Address,and Location ❑ wi attachments
Section 3:SIC Codes ❑ wl attachments
[� Section 4:Operator Information ❑ w/attachments
0 Section 5:Indian Land ❑ wl attachments
❑ Section 6:Existing Environmental Permits ❑ wl attachments
m
wl topographic
SSR ❑ Section 7:Map ❑ ma [] wl additional attachments
rn
❑✓ Section B:Nature of Business ❑ wl attachments
❑ Section 9:Cooling Water intake Structures ❑ wl attachments
,r
m
a
❑ Section 10�Variance Requests ❑ wl attachments
? 0 Section 11;Checklist and Certification Statement ❑ wl attachments
11.2 Certification Statement
1 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 property 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.l am aware that there are significant penalties for submitting false information,
including the possibility of Erne and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Robert Walston Operations Manager
Signature Date signed
3
EPA Form 3510-1 trevised 3-19) Page 4

United States Office of Water EPA Form 3510-2F
Environmental Protection Agency Washington,D.C. Revised March 2019
Water Permits Division
d►EPA Application Form 2F
Stormwater Discharges
Associated with Industrial
Activity
NPDES Permitting Program
Note: Complete this form and Form I if you are a new or existing facility whose discharge is composed
entirely of stormwater associated with industrial activity, excluding discharges from construction
activity under 40 CFR 122.26(b)(14)(x) or(b)(15). If your discharge is composed of stormwater and
non-stormwater, you must complete Forms I and 2F,and you must complete Form 2C, 2D, or 2E, as
appropriate. See the"Instructions" inside for further details.

Paperwork Reduction Act Notice
The U.S. Environmental Protection Agency estimates the average burden to collect and complete
Form 2F to be 28.1 hours.The estimate includes time for reviewing instructions, searching existing data
sources, gathering and maintaining the needed data, and completing and reviewing the collection of
information. Send comments about the burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden,to the Chief, Information Policy Branch
(PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue,NW, Washington, DC
20460, and to the Office of Information and Regulatory Affairs,Office of Management and Budget,
725 17`h Street,NW, Washington, DC 20503, marked "Attention: Desk Officer for EPA."

FORM 2F—INSTRUCTIONS
General Instructions Where to File Your Completed Form
Who Must Complete Form 2F? Submit your completed application package(Forms 1 and 2F plus
You must complete Form 2F if you answered"Yes"to Item 1.2.5 on any other applicable forms)to your NPDES permitting authority.
Form 1—that is,you are a new or existing facility and your Consult Exhibit 1-1 of Form 1 s General Instructions to identify
discharge is composed entirely of stormwater associated with your NPDES permitting authority.
industrial activity(excluding discharges from construction activity Public Availability of Submitted Information
under40 CFR 122.26(b)(14)(x)or(b)(15))orcomposed of The U.S.Environmental Protection Agency(EPA)will make
stormwater and non-stormwater and are seeking coverage under information from NPDES permit application forms available to the
an individual National Pollutant Discharge Elimination System
(NPDES}permit.Note that applicants in the latter category must Public for inspection and copying upon request.You may not claim
also complete Forms 2C,2D,or 2E,as applicable.See inset any information an Farm 2F(or related attachments)as confidential.
below. You may make a claim of confidentiality for any information that you
submit to EPA that goes beyond the information required by Form
Notes 2F.Note that NPDES permitting authorities will deny claims for
• Form 2F must be completed by any operator of treating any effluent data(estimated or actual)as confidential.If you
a facility that discharges stormwater associated do not assert a claim of confidentiality at the time you submit your
with industrial activity or the operator of any information to the NPDES permitting authority,EPA may make the
stormwater discharger that EPA is evaluating for information available to the public without further notice to you.EPA
designation as a significant contributor of will handle claims of confidentiality in accordance with the Agency's
pollutants to waters of the United States,or as business confidentiality regulations in Part 2 of Title 40 of the Code
contributing to a violation of a water quality of Federal Regulations(CFR).
standard. Completion of Forms
• For discharges composed entirely of Print or type in the specified areas only.If you do not have enough
stormwater,the operator must complete
Form 2F in conjunction with Form 1. space on the form to answer a question,you may continue on
additional sheets,as necessary,using a format consistent with the
• For discharges of stormwater combined with form.
process wastewater,the operator must Provide your EPA Identification Number from the Facility Registry
complete and submit Form 2F,Form 1,and Service,NPDES permit number,and facility name at the top of each
Form 2C.Process wastewater Is water that page of Form 2F and any attachments.If your facility is new(i.e.,
comes into direct contact with or results from
the production or use of any raw material, not yet constructed),write or type"New Facility"in the space
intermediate product,finished product, provided for the EPA Identification Number an NPDES permit
byproduct,waste product,or wastewater. number.If you do not know your EPA Identification Number,contact
• For discharges of stormwater combined with your NPDES permitting authority.See Exhibit 1-1 of Form 1's
nonprocess wastewater,the operator must "General Instructions"for contact information.Additionally,for
complete Form 2F,Form 1,and Form 2E.
Tables A through D,provide the applicable outfall number at the top
of each page.
Nonprocess wastewater includes noncontact
cooling water and sanitary wastes that are not Do not leave any response areas blank unless the form directs you
regulated by effluent guidelines,except to skip them.If the form directs you to respond to an item that does
discharges by educational,medical,or not apply to your facility or activity,enter"NA"for"not applicable"to
commercial chemical laboratories. show that you considered the item and determined a response was
• For new discharges of stormwater associated not necessary for your facility.
with Industrial activity that will be combined with The NPDES permitting authority will consider your application
other new non-stormwater discharges,the complete when it and any supplementary material are received and
operator must submit Form 2F,Form 1,and completed according to the authority's satisfaction.The NPDES
Form 2D. permitting authority will judge the completeness of any application
independently of the status of any other permit application or permit
for the same facility or activity.
Definitions
The legal definitions of all key terms used in these instructions and
Form 2F are in the"Glossary"at the end of the"General
Instructions"in Form 1.
2F-1

FORM 21F--INSTRUCTIONS CONTINUED
Line-by-Line Instructions Section 3.Site Drainage Map
Section 1.Outfall Location Item 3.1 Attach a site drainage map showing the topography of the
Item 1.1. Identify each of the facility's outfalls by number.For each facility.If a topographic map is unavailable,you may provide an
outfall,specify the latitude and longitude to the nearest 15 seconds outline of drainage areas served by the outfall(s)covered in the
and name of the receiving water. Latitude and longitude application,The site map must include the following information:
coordinates may be obtained in a variety of ways,including use of . Each of its drainage and discharge structures.
hand held devices(e.g.,a GPS enabled smartphone),internet . The drainage area of each stormwater outfall.
mapping tools(e.g.,
httpsllmynasadata.larc_.nasa.govllatitudelongitud_e-finder!), Paved areas and buildings within the drainage area of each
geographic information systems(e.g„ArcView),or paper maps stormwater outfall;each past or present area used for outdoor
from trusted sources(e.g.,U.S.Geological Survey or USGS).The storage or disposal of significant materials;each existing
location of each outfall(i.e.,where the coordinates are collected) structural control measure to reduce pollutants in stormwater
shall be the location where collected and concentrated stormwater runoff;materials loading and access areas;and areas where
flows are discharged from the facility such that the first receiving pesticides,herbicides,soil conditioners,and fertilizers are
water body into which the discharge flows,either directly or applied.
through a separate storm sewer system,is a water of the United Each hazardous waste treatment, storage,or disposal facility
States.if you need further guidance in responding to Item 1.1,refer (including each area not required to have a Resource
to http:!lwww.epa.govlg spatial/latitudelongitude-data-standard. Conservation and Recovery Act permit and is used for
Note: In EPA's stormwater permits,"outfalls"are referred to as accumulating hazardous waste for less than 90 days under
"discharge points." 40 CFR 262.34).
• Each well where fluids from the facility are injected
Note that space has been provided on the form for six outfalls. If underground.
you have more than this number,type your information on a
separate sheet of paper in a format similar to that of the form. Springs and other surface water bodies that receive stormwater
Make sure you note the EPA Identification Number, NPDES permit discharges from the facility.
number, and facility name at the top of the page and indicate the When you have completed and attached your site map to Form 2F,
specific item of the form to which you are responding—Item 1.1 in answer"Yes"to Item 3.1.
this case, In other sections of the form,you will be asked to provide Section 4.Pollutant Sources
information by outtall number(Sections 2,4,5,and 7). Item 4.1.List all outfalls discharging stormwater. Provide an
Section 2.Improvements estimate of the impervious surface area drained by the outfall.
Item 2.1.Indicate if you are required by any federal,state,or local Specify units of measure, (Impervious surfaces are surfaces where
authority to meet an implementation schedule for constructing, stormwater runs off at rates significantly higher than background
upgrading,or operating wastewater treatment equipment or rates—e.g.,predevelopment levels.They include paved areas,
practices or any other environmental programs that could affect the building roofs,parking lots,and roadways.)
discharges described in this application.The requirements include, Provide an estimate of the total surface area(impervious and
but are not limited to,permit conditions, administrative enforcement pervious areas)drained by each outfall(within a mile radius of the
orders,enforcement compliance schedule letters,stipulations, facility).You may use the site map developed under Item 3.1 to
court orders,and grant or loan conditions. If yes,continue to Item estimate the total area drained by each outfall, For areas under
2.2.If no,skip to Section 3. 5 acres,consult your NPDES permitting authority to determine
Item 2.2.Briefly identify and describe each applicable project(e.g., whether the area should be reported to the nearest tenth of an acre
consent decree,enforcement order,or permit condition). For each or nearest quarter of an acre,
condition,specify the affected outfall number(s),the source(s)of Item 4.2.Provide a narrative description of the following:
the discharge,the required final compliance date,and the
projected final compliance date. • Significant materials that in three years prior to the submittal of
this application have been treated,stored,or disposed of in a
Item 23.OPTIONAL ITEM. Indicate if you have attached any manner to allow exposure to stormwater.
sheets describing any additional water pollution control programs • Method of treatment,storage,or disposal of such materials.
(or other environmental projects that could affect your discharges)
that you may now have underway or planned.If you attach • Materials management practices employed,in the three years
additional sheets,indicate in the attachment whether each program prior to the submittal of this application,to minimize contact by
is actually underway or is planned,and indicate your actual or these materials with stormwater runoff.
planned schedule for construction.Be sure to note your EPA . Materials loading and access areas.
Identification Number,NPDES permit number,and facility name at * The location,manner,and frequency in which pesticides,
the top of any attached pages, herbicides,soil conditioners,and fertilizers are applied.
You should identify your significant materials by chemical name,
2F-2

FORM 2F-4NSTRUCTIONS CONTINUED
form(e.g.,powder,liquid,etc.),and type of container or treatment Tables A,B,C,and D
unit.Indicate any materials treated,stored,or disposed of Items 7.2 to 7.17.These items require you to collect and report data
together.The term"significant materials"includes,but is not in Tables A through D,at the end of Form 2F,for the parameters and
limited to:raw materials;fuels;materials such as solvents, pollutants listed in Exhibits 2F-2,2F-3,and 2F-4(at the end of the
detergents,and plastic pellets;finished materials such as metallic instructions).The instructions for completing Tables A through D are
products;raw materials used in food processing or production; table-specific,as are the criteria for determining who should
hazardous substances designated under Section 101(14)of the complete them.
Comprehensive Environmental Response,Compensation,and
Liability Act;any chemical the facility is required to report pursuant Important note:Read the"General Instructions for Reporting,
to Section 313 of Title Ili of the Superfund Amendments and Sampling,and Analysis"below before completing Items 7.2 to 7.17.
Reauthorization Act;and fertilizers;pesticides;and waste products Item 7.2 and Table A.All applicants must complete Table A.If the
such as ashes,slag,and sludge that have the potential to be discharge is an existing discharge and your discharge is composed
released with stormwater discharges. exclusively of stormwater(i.e.,no process or nonprocess
Item 4.3.For each ouffall,list the location and type of existing wastewater)then you only need to provide monitoring data for oil and
structural and non-structural control measure(s)to reduce grease,total phosphorus,total Kjeldahl nitrogen,and total nitrogen.
pollutants in stormwater runoff.Structural controls include Indicate"NA"for"not applicable"in the columns for all other
structures that enclose materials handling or storage areas; parameters.Answer"Yes"to Item 7.2 once you have completed this
structures that cover materials;and berms,dikes,or diversion task.
ditches around manufacturing,production,storage,or treatment Item 7.3 and Table B.Indicate whether the facility is subject to an
units and retention ponds.Spill prevention plans,employee effluent limitations guideline(ELG)(see 40 CFR Subchapter N to
training,visual inspections,preventive maintenance,and determine which pollutants are limited in ELGs)or if the facility is
housekeeping measures are examples of non-structural controls. subject to effluent limitations in an NPDES permit for its process
wastewater or stormwater(if the facility is operating under an existing
Describe the treatment,including the schedule and type of NPDES permit).If yes,continue to Item 7,4.If no,skip to Item 7.5.
maintenance activities performed,and the ultimate disposal of any
solid or fluid wastes other than by discharge.For each structural Note:Stormwater discharges from certain industrial sources or
control identified,indicate the type of treatment the stormwater activities have specific ELGs for which they must comply.These
receives using the codes in Exhibit 217-1,at the end of the stormwater-specific ELGs include:
instructions.For each non-structural control identified,indicate Regulated Discharge 40 CFR Section
"Not Applicable"in the"Codes from Exhibit 2F-1"Column. Discharges resulting from spraydown or Intentional Part429,Subpart I
Section 5.Non-Stor mwater Discharges wetting of logs at wet deck storage areas
Item 5.1.Provide a certification that all outfafls that should contain Runoff from phosphate fertifizer manufacturing faciftles Part418,Subpart A
that comes into contact with any raw materials,finished
stormwater discharges associated with industrial activity have product,byproducts or waste products(SIC 2874)
been tested or evaluated for the presence of non-stormwater Runoff from asphalt emulsion facilities Part 443,Subpart A
discharges.Tests for such non-stormwater discharges can include Runoff from material storage piles at cement Part411,Subpart C
smoke tests,fluorometric dye tests,analysis of accurate manufacturing faciiities
schematics,and others. Mine dewatering discharges at crushed stone, Part 436,Subparts B,
construction sand and gravel,or industrial sand mtning C,and D
Item 5.2.Include a description of the method used,the date of any faciuws
testing,and the onsite drainage points that were directly observed Runoff from hazardous waste and non-hazardous waste Part 445,Subparts A
during a test used to support the certification in Item 5.1.All non- landfills and B
stormwater discharges must be identified In a Form 2C,21),or 2E. Runoff from opal storage piles at steam electric Part 423
See'Who Must Complete Form 2F?"above for more information. generating faalitles
Section 6.Significant Leaks or Spills Runoff containing urea from airfield pavement deicing at Part 449
existing and new primary airports with 1,000 or more
Item 6.1.Describe any significant leaks or spills of toxic or annual non-propeller aircraft departures
hazardous pollutants at the facility within the three years prior to Item 7.4.In Table B,list all pollutants that are limited in an ELG to
the submittal of this application.Include the approximate date and which the facility is subject and all pollutants listed in the facility's
location of the spill or leak and the type and amount of material NPDES permit for its process wastewater(if the facility is operating
released. under an existing NPDES pennit)and provide quantitative data for
Section 7.Discharge Information each pollutant(provide actual data for existing dischargers and
Item 7.1.Answer whether you are a new source or new discharge. estimated data for new sources and new dischargers).If a pollutant
Contact your NPDES permitting authority to determine if you are a in Exhibits 2F-2 or 2F-3 is indirectly limited by an ELG through an
new source or new discharge. indicator(e.g.,use of total suspended solids as an indicator to
control the discharge of iron and aluminum),you must provide data
for the pollutant in Table B.Complete one table for each outfall.
Answer"Yes"to Item 7.4 once you have completed this task.
2F-3

FORM 2F—INSTRUCTIONS CONTINUED
Item 7.5 and Table C.Table C requires you to address the Item 7.11. Provide quantitative data in Table C for those pollutants
pollutants in Exhibits 217-2,2F-3,and 2F-14 for each outfall. in Exhibit 2F-3 that you expect to be discharged in concentrations
Pollutants in each of these exhibits are addressed differently. of 10 ppb or greater(provide actual data for existing dischargers
Indicate whether you know or have reason to believe any pollutants and estimated data for new sources and new dischargers).Answer
"Yes"to Item 7.11 once you have completed this task.
in Exhibit 2F-2 are present in the discharge. If yes,continue to Item
7.6. If no,skip to Item 7.7. Item 7.12.Indicate whether you expect acrolein,acrylonitrile,2,4-
Item 7.6.For each outfall,list all pollutants in Exhibit 2F-2 that you dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in
know or have reason to believe are present in the discharge in concentrations of 100 ppb or greater. If yes,continue to Item 7.13.
Table C(except pollutants previously listed in Table B that are If no,skip to Item 7.14.
limited directly or indirectly by an ELG)and either report quantitative Item 7.13.Provide quantitative data in Table C for the pollutants
data or briefly describe the reasons the pollutant is expected to be identified in Item 7.12 that you expect to be discharged in
discharged.Answer"Yes"to Item 7.6 once you have completed this concentrations of 100 ppb or greater(provide actual data for
task. existing dischargers and estimated data for new sources and new
Item 7.7.This item asks if you qualify as a"small business.'If so, dischargers).Answer'Yes"to Item 7.13 once you have completedthis task.
you are exempt from the reporting requirements for the organic toxic
pollutants listed in Exhibit 2F-3. Item 7.14.For any pollutants you expect to be present in the
You can qualify as a small business in two ways:(1)If your facility is discharge at concentrations less than 10 ppb(or less than 100 ppb
a coal mine and if your probable total annual production is less than for the above four pollutants),either submit quantitative data or
100,000 tons per year,you may submit past production data or briefly describe the reasons the pollutant is expected to be
estimated future production(such as a schedule of estimated total discharged in Table C.Answer Yes"to Item 7.14 once you have
production under 30 CFR 795.14(c))instead of conducting analyses completed this task.
for the organic toxic pollutants;(2)If your facility is not a coal mine Item 7.15. Indicate whether you know or have reason to believe
and if your gross total annual sales for the most recent three years any pollutants in Exhibit 2F-4 are present in the discharge. If yes,
average less than$100,000 per year(in second quarter 1980 continue to Item 7.16. If no,skip to Item 7.17.
dollars),you may submit sales data for those years instead of Item 7,16.For each outfall,list any pollutant in Exhibit 2F-4 that
conducting analyses for the organic toxic pollutants.The production you know or believe to be present in the discharge in Table C and
or sales data must be for the facility that is the source of the explain why you believe it to be present. No analysis is required,
discharge,The data should not be limited to production or sales for but if you have analytical data,you must report it.Answer"Yes"to
the process or processes that contribute to the discharge,unless Item 7.16 once you have completed this task.
those are the only processes at your facility.For sales data,in
situations involving intra-corporate transfer of goods and services, Note;Under40 CFR 117.t2(a)(2),certain discharges of hazardous
the transfer price per unit should approximate market prices for substances(listed in Exhibit 2F-5)may be exempted from the requirements of
those goods and services as closely as possible. Sales figures for CWA Section 311,which establishes reporting requirements,civil Pena€ties,
years after 1980 should be indexed to the second quarter of 1980 by and liability for cleanup costs for spins of oil and hazardous substances.A
using the gross national product price deflator(second quarter of discharge of a particular substance can be exempted if the origin,source,and
amount of the discharged substances are identified in the NPDES permit
1980=100).This index is available online from the U.S, Department application or in the permit,if the permit contains a requirement for treatment
of Commerce, Bureau of Economic Analysis at of the discharge,and if the treatment is in place.If you would like to apply for
http:llwww.bea.gov/national/pdf/S€VTables.pdf, an exemption from the requirements of CWA Section 311,attach additional
sheets of paper to your application,setting forth the following information:
If you qualify as a small business according to the criteria above, 1. The substance and the amount of each substance that might be
answer"Yes"to Item 7.7 and skip to Item 7.18.Otherwise, answer discharged.
"No"and continue to Item 7.8, 2, The origin and source of the discharge of the substance.
Item 7.8.Indicate whether you know or have reason to believe any 3. The treatment to be provided for the discharge by:
pollutants in Exhibit 2F-3 are present in the discharge,if yes, a. An onsite treatment system separate from any treatment system
treating your normal discharge;
Continue to Item 7,9.If no,skip to Item 7,10. b. A treatment system designed to treat your normal discharge and that
Item 7.9.For each outfall,list all pollutants in Exhibit 2F-3 that you is additionatiy capable of treating the amount of the substance
know or have reason to believe are present in the discharge in identified under paragraph t above;or
Table C(except pollutants previously listed in Table B),Answer c. Any combination of the above.
"Yes"to Item 7,9 once you have completed this task. See 40 CFR 117.12(a)(2)and(c)or oontactyour NPDES permitting authority
for further information on exclusions from CWA Section 311.
Item 7.10.Indicate whether you expect any of the pollutants from
Exhibit 2F-3 to be discharged in concentrations of 10 parts per Item 7.17 and Table D.Provide data for the storm event(s)that
billion(ppb)or greater. If yes,continue to Item 7.11. If no,skip to resulted in the maximum daily discharges for the flow weighted
Item 7.12. composite sample in Table D. If sampling is conducted during more
than one storm event,you only need to report the information
2F-4

FORM 2F—INSTRUCTIONS CONTINUED
requested on Table D for the storm event(s)that resulted in any Section 10.Checklist and Certification Statement
maximum pollutant concentration reported on Tables A through C. Item 10.1.Review the checklist provided on the application,In
Provide flow measurements or estimates of the flow rate,as well as Column 1,mark the sections of Form 2F that you have completed
the total amount of discharge for the storm event(s)sampled,the and are submitting with your application.For each section in
method of flow measurement,or estimation.Provide the data and Column 2,indicate whether you are submitting attachments.
duration of the storm event(s)sampled,rainfall measurements,or item 10.2.The Clean Water Act(CWA)provides for severe
estimates of the storm event that generated the sampled runoff and penalties for submitting false information on this application form.
the duration between the storm event sampled and the end of the Section 309(c)(2)of the CWA provides that,"Any person who
previous measurable(greater than 0.1 inch rainfall)storm event. knowingly makes any false material statement,representation,or
Answer"Yes"to Item 7.17 once you have completed this task. certification in any application,...shall upon conviction be punished
Used or Manufactured Toxics by a fine of not more than$10,000 or by imprisonment for not more
Item 7.18.Review Exhibits 2F-2 through 2F4 and determine if you than six months or both."
currently use or manufacture any of the pollutants listed as FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS
intermediate or final products or byproducts.If so,answer"Yes." APPLICATION TO BE SIGNED AS FOLLOWS:
You should also answer"Yes"if you know or have reason to
believe that 2,3,7,8-tetrachloro-dibenzo-p-dioxin(TCDD)is A. For a corporation,by a responsible corporate officer.For the
discharged or if you use or manufacture 2,4,5-tr€chlorphenoxy purpose of this section,a responsible corporate officer means:
acetic acid(2,4,5-T);2-(2,4,5-tdchlorophenoxy)propanoic acid (1)a president,secretary,treasurer,or vice-president of the
(Silvex,2,4,5-TP);2-(2,4,5-Mchlorophenoxy)ethyl,2,2- corporation in charge of a principal business function,or any
dichloropropionate(Erbon);0,0-dimethyl 0-(2,4,5-tdchlorphenyl) other person who performs similar policy-or decision-making
phosphorothioate(Ronnel);2,4,5-trichlorophenol(TCP);or functions for the corporation,or(2)the manager of one or
hexachlorophene(HCP).If your answer to Item 7.18 is"No,"skip to more manufacturing,production,or operating facilities,
Section 8. provided the manager is authorized to make management
decisions which govem the operation of the regulated facility
Item 7.19.List all of the toxic pollutants identified under Item 7.18, including having the explicit or implicit duty of making major
including TCDD.Note that the NPDES permitting authority may capital investment recommendations,and initiating and
waive or modify the requirement if you demonstrate that it would be directing other comprehensive measures to assure long term
unduly burdensome to identify each toxic pollutant and the NPDES environmental compliance with environmental laws and
permitting authority has adequate information to issue your permit. regulations;the manager can ensure that the necessary
You may not claim any information submitted in response to Item systems are established or actions taken to gather complete
7.18 as confidential;however,you do not have to distinguish and accurate information for permit application requirements;
between use or production of the pollutants or list the amounts. and where authority to sign documents has been assigned or
Section 8.Biological Toxicity Testing Data delegated to the manager in accordance with corporate
Item 8.1.Answer whether you know of or have reason to believe procedures.
that biological toxicity testing has been conducted of your B. For a partnership or sole proprietorship,by a general partner
wastewater treatment,including engineering reports or pilot plant or the proprietor,respectively.
studies.If no,skip to Section 9.Otherwise,continue, C. For a municipality,state,federal,or other public facility,by
Item 8.2.List any tests of which you are aware and their purposes. either a principal executive officer or ranking elected official.
For purposes of this section,a principal executive officer of a
Section 9.Contract Analysis Information federal agency includes:(1)The chief executive officer of the
Item 9.1.Indicate if any of the analyses performed in Section 7 agency,or(2)a senior executive officer having responsibility
were performed by a contract laboratory or consulting firm.If no, for the overall operations of a principal geographic unit of the
skip to Section 10,If yes,continue to Item 9.2. agency(e.g.,Regional Administrators of EPA).
Item 9.2.Provide the name,address,phone number,and pollutants END
analyzed by the laboratory or consulting firm(s)in the spaces Submit your completed Form 1,Form 2F,and
provided. all associated attachments
(and any other required NPDES application forms)
to your NPDES permitting authority.
2F-5

General Instructions for Reporting,Sampling,and Analysis
Important note:Read these instructions before completing Tables byproducts,and any previous analyses known to you of your
A through C and Section 7 of Form 2F. effluent or similar effluent.
General items Sampling
Complete the applicable tables for each outfall at your facility.Be The collection of the samples for the reported analyses should be
sure to note the EPA Identification Number,NPDES permit supervised by a person experienced in performing sampling of
number,facility name,and applicable outfall number at the top of industrial wastewater or stormwater discharges.You may contact
each table page and any associated attachments. your NPDES permitting authority for detailed guidance on sampling
You may report some or all of the required data by attaching techniques and for answers to specific questions.See Exhibit 1-1 of
separate sheets of paper instead of completing Tables A through C Form 1 for contact information.Any specific requirements in the
for each of your outfalls so long as the sheets contain all of the analytical methods—for example,sample containers,sample
required information and are similar in format to Tables A through preservation,holding times,and the collection of duplicate
C.For example,you may be able to print a report in a compatible samples—must be followed.
format from the data system used in your gas chromatography/ The time when you sample should be representative of your normal
mass spectrometry(GCIMS)analysis completed under Table B. operation,to the extent feasible,with all processes that contribute
If you are an existing discharger,you are required to report actual wastewater in normal operation,and with your treatment system
quantitative data.See'Use of Historic Data"below for use of operating properly with no system upsets.Collect samples from the
historic data.If you are a new source or discharge,you may supply center of the flow channel,where turbulence is at a maximum,at a
site
estimated data along with the source of each estimate.If you have collection of a representative sample.
specifiedin your present NPDES permit,or at any site adequate
for theawcoll
quantitative data available,however,you must provide it.Base
estimates on available,in-house or contractor engineering reports, Grab samples must be taken in the first 30 minutes of discharge(or
or any other studies performed on the proposed facility.Use the as soon thereafter as practicable)for pH,temperature,cyanide,total
following codes to report your source information in the"Source of phenols,residual chlorine,oil and grease,fecal coliform(including
Information"column: E.colt)and enterococci(previously known as fecal streptococcus at
Data Source Code 40 CFR 122.26(d)(2)(ili)(A)(3)),and volatile organic compounds.
Engineering reports 1 You are not required to analyze a flow-weighted composite for these
Actual data from pilot plants 1 parameters.
Estimates from other engineering 2 For all other pollutants,both a grab sample collected during the first
reports 30 minutes(or as soon thereafter as practicable)of the discharge
Data from other similar plants 3 and a flow-weighted composite sample must be analyzed.However,
Best professional estimates 4 a minimum of one grab sample may be taken for effluents from
Others 5 and the table ify on holding ponds or other impoundments with a retention period of
greater than 24 hours.
No later than 24 months after your facility commences to
discharge,you must complete and submit sampling and analysis All samples must be collected from the discharge resulting from a
data for the pollutants and parameters in Tables A through C. storm event that is greater than 0.1 Inches and at least 72 hours
However,you need not report results for tests you have already from the previously measurable(greater than 0.1 inch rainfall)storm
performed and reported under the discharge monitoring event.Where feasible,the variance in the duration of the event and
requirements of your NPDES permit. the total rainfall of the event should not exceed 50 percent from the
Table A requires you to report at least one analysis for each average or median rainfall event in that area.
pollutant listed.Tables B and C require you to report analytical data A grab sample must be taken during the first 30 minutes of the
in two ways.For some pollutants addressed in Tables B and C,if discharge(or as soon thereafter as practicable),and a flow-
you know or have reason to know that the pollutant is present in weighted composite must be taken for the entire event or for the first
your discharge,you may be required to list the pollutant and test three hours of the event.
(sample and analyze)and report the levels of the pollutants in your Grab and composite samples are defined as follows:
discharge.For all other pollutants addressed in Tables B and C,
you must list the pollutant if you know or have reason to know that Grab sample:An individual sample of at least 100 milliliters
the pollutant is present in the discharge,and either.report collected during the first 30 minutes(or as soon thereafter as
quantitative data for the pollutant or briefly describe the reasons practicable)of the discharge.This sample is to be analyzed
the pollutant is expected to be discharged.(See Items 7.2 through separately from the composite sample.
7.17 of the instructions for completing Tables A through C.).Base Flow-weighted composite sample:A flow-weighted composite
your determination that a pollutant istwill be present in your sample may be taken with a continuous sampler that proportions the
discharge on your knowledge of the facility's raw materials, amount of sample collected with the flow rate or as a combination of
material management practices,maintenance chemicals,history of a minimum of three sample aliquots taken in each hour of discharge
spills and releases,intermediate and final products and
2F-6

General Instructions for Reporting,Sampling,and Analysis Continued
for the entire event or for the first three hours of the event,with All reporting of values for metals must be in terms of"total
each aliquot being at least 100 milliliters and collected with a recoverable metal"unless:
minimum period of 15 minutes between aliquot collections.The
composite must be flow proportional;the time interval between • An applicable,promulgated ELG specifies the limitation for the
either each aliquot or the volume of each aliquot must be metal in dissolved,valent,or total form;
proportional to either the stream(effluent)flow at the time of • All approved analytical methods for the metal inherently
sampling or the total stream(effluent)flow since the collection of measure only its dissolved form(e.g.,hexavalent chromium);
the previous aliquot.Aliquots may be collected manually or or
automatically.Where GCIMS volatile organic analysis is required, • The NPDES permitting authority has determined that in
aliquots must be combined in the laboratory immediately before establishing case-by-case limitations it is necessary to express
analysis.Only one analysis for the composite sample is required. the limitations of the metal in dissolved,valent,or total form to
Use of Historical Data cant'out the provisions of the CWA.
Existing data may be used,if available,in lieu of sampling If you measure only one grab sample and one flow-weighted
conducted solely for the purposes of this application,provided it is composite sample for a given outfall,complete only the'Maximum
representative of the present discharge and was collected within Daily Discharge"columns in the tables and enter"1"In the"Number
3 years of the application due date.If you sample for a listed of Storm Events Sampled"column.The NPDES permitting authority
pollutant on a monthly or more frequent basis,summarize the data may require you to conduct additional analyses to further
collected within one year of the application for the pollutant(s)at characterize your discharges.
issue. If you measure more than one value for a grab sample or a flow-
Among the factors that would cause the data to be weighted composite sample for a given outfall and those values are
unrepresentative are significant changes in production level; representative of your discharge,you must report them.You must
changes in raw materials,processes,or final products;and describe your method of testing and analysis.
changes in stormwater treatment.The NPDES permitting authority The"Average Daily Discharge"column on Tables A to C is not
may request additional information,including current quantitative compulsory but should be filled out if data are available.To
data,if they determine it to be necessary to assess your complete the'Average Daily Discharge"column,determine the
discharges.The NPDES permitting authority may allow or establish average of all values within the last year and report the
appropriate site-specific sampling procedures or requirements concentration and mass.Report the total number of storm events
including sampling locations,the season in which the sampling sampled under the"Number of Storm Events Sampled"column.
takes place,the minimum duration between the previous
measurable storm event and the storm event sampled,the Substantially Identical Outfails
minimum or maximum level of precipitation required for an If you have two or more substantially identical outfalls,you may
appropriate storm event,the form of precipitation sampled(snow request permission from your NPDES permitting authority to sample
melt or rainfall),protocols for collecting samples under 40 CFR 136, and analyze only one outfall and submit the results of the analysis
and additional time for submitting data on a case-by-case basis. for all substantially identical outfalls.If your request is granted,
Reporting submit the following information on a separate sheet attached to the
Report sampling results for all pollutants in Tables A through C as application form:the identity of the outfall you did test and an
concentration and mass,with the exception of flow,temperature, explanation of how it is substantially identical to the outfall(s)that
pH,color,and fecal coliform organisms. you did not test.
Flow,temperature,pH,color,and fecal coliform organisms must Analysis
be reported as million gallons per day(mgd),degrees Celsius Except as specified below,all required quantitative data shall be
(°C),standard units,color units,and most probable number per collected in accordance with sufficiently sensitive analytical methods
100 milliliters(MPNI100 mQ,respectively.Use the following approved under 40 CFR 136 or required under 40 CFR chapter I,
abbreviations in the columns requiring"units"in Tables A through subchapter N or 0.A method is'sufficiently sensitive"when:
C.
• The method minimum level(ML)is at or below,the level of the
Concentration Mass applicable water quality criterion for the measured pollutant or
m=parts per million Ibs=pounds pollutant parameter.
m =milli rams per liter ton=tons En fish tons) . The method ML is above the water quality criterion,but the
b=parts per billion mg=milligrams amount of the pollutant or pollutant parameter in the facility's
!L=micrograms per liter Q=grams discharge is high enough that the method detects and
MPN=most probable number per kq=kilograms quantifies the level of the pollutant or pollutant parameter in the
100 milliliters T=tonnes metric tonsi discharge.
2F-7

General Instructions for Reporting,Sampling,and Analysis Continued
• The method has the lowest ML of the analytical methods select a different method from the remaining EPA-approved
approved under 40 CFR 136 or required under 40 CFR methods that is sufficiently sensitive consistent with 40 CFR
chapter I,subchapter N or 0,for the measured pollutant or 122.21(e)(3)(i).Where no other EPA-approved methods exist,you
pollutant parameter. must select a method consistent with 40 CFR 122.21(e)(3)(0).
Consistent with 40 CFR 136,you may provide matrix-or sample- When there is no analytical method that has been approved under
specific MLs rather than the published levels.Further,where you 40 CFR 136;required under 40 CFR chapter I,subchapter N or 0,
can demonstrate that,despite a good faith effort to use a method and Is not otherwise required by the NPDES permitting authority,
that would otherwise meet the definition of"sufficiently sensitive,' you may use any suitable method but shall provide a description of
the analytical results are not consistent with the quality assurance the method.When selecting a suitable method,other factors such
(QA)Jquality control(QC)specifications for that method,then the as a method's precision,accuracy,or resolution,may be considered
NPDES permitting authority may determine that the method is not when assessing the performance of the method.
performing adequately and the NPDES permitting authority should
2F-8

Exhibit 2F-1.Codes for Treatment Units and Disposal of Wastes Not Discharged
1. PHYSICAL TREATMENT PROCESSES
1 A.................Ammonia stripping 1-M................Grit removal
1-8.................Dialysis 1-N................Microstraining
1-C................Diatomaceous earth filtration 1-0................Mixing
1-D................Distillation 1-P................Moving bed filters
1-E.................Electrodialysis 1-Q................Multimedia filtration
1-F.................Evaporation 1-R................Rapid sand filtration
1-G................Flocculation 1-S................Reverse osmosis(hyperfiltration)
1-H................Flotation 1-T................Screening
1-I..................Foam fractionation 1-U................Sedimentation(settling)
1-J.................Freezing 1-V................Slow sand filtration
1-K.................Gas-phase separation 1-W...............Solvent extraction
1-1..................Grinding(comminutors) 1-X................Sorption
2. CHEMICAL TREATMENT PROCESSES
2A.................Carbon adsorption 2-G................Disinfection(ozone)
2-8.................Chemical oxidation 2-H................Disinfection(other)
2-C................Chemical precipitation 2-I....,.............Electrochemical treatment
2-D................Coagulation 24.................Ion exchange
2-E.................Dechlorination 2-K................Neutralization
2-F.................Disinfection(chlorine) 2-L.................Reduction
3. BIOLOGICAL TREATMENT PROCESSES
3--A.................Activated sludge 3-E................Pre-aeration
3-B.................Aerated lagoons 3-F................Spray irrigation/land application
3-C................Anaerobic treatment 3-G................Stabilization ponds
3-D................Nitrification-denitrification 3-H................Trickling filtration
4. WASTEWATER DISPOSAL PROCESSES
4-A.................Discharge to surface Water 4-C................Reuse/recycle of treated effluent
4-B.................Ocean discharge through outfall 4-D................Underground injection
5. SLUDGE TREATMENT AND DISPOSAL PROCESSES
5-A.................Aerobic digestion 5-M................Heat drying
5-B.................Anaerobic digestion 5-N................Heat treatment
5-C................Belt filtration 5-0................Incineration
5-D................Centrifugation 5-P................Land application
5-E.................Chemical conditioning 5-0................Landfill
5-F.................Chlorine treatment 5-R................Pressure filtration
5-G................Composting 5-S...,............Pyrolysis
5-H................Drying beds 5-T................Sludge lagoons
5-I..................Elutriation 5-1.1........,.......Vacuum filtration
54.................Flotation thickening 5-V................Vibration
5-K.................Freezing 5-W...............Wet oxidation
5-L.................Gravity thickening
2F-9

Exhibit 2F-2.Conventional and Nonconventional Pollutants(40 CFR 122.21,Appendix D,Table m
Bromide
Chlorine,total residual
Color
Fecal coliform
Fluoride
Nitrate-nitrite
Nitrogen,total organic(as N)
Oil and grease
Phosphorus(as P),total
Radioactivity(as alpha,total;beta,total;radium,total;and radium 226,total)
Sulfate(as SO4)
Sulfide(as S)
Sulfite(as S03)
Surfactants
Aluminum,total
Barium,total
Boron,total
Cobalt,total
Iron,total
Magnesium,total
Molybdenum,total
Manganese,total
Tin,total
Titanium,total
2F-10

Exhibit 2F-3.Toxic Pollutants(40 CFR 122.21,Appendix D,Tables II and III)
Toxic Pollutants and Total Phenol
Antimony,total Copper,total Silver,total
Arsenic,total Lead,total Thallium,total
Beryllium,total Mercury,total Zinc,total
Cadmium,total Nickel,total Cyanide,total
Chromium,total Selenium,total Phenols,total
GCiMS Fraction—Volatile Compounds
Acrolein Dichlorobromomethane 1,1,2,24etrachloroethane
Acrylonitrile 1,1-dichloroethane Tetrachloroethylene
Benzene 1,2-dichloroethane Toluene
Bromoform 1,1-dichloroethylene 1,2-trans-dichloroethylene
Carbon tetrachloride 1,2-dichloropropane 1,1,1-trichloroethane
Chlorobenzene 1,3-dichloropropylene 1,1,2-trichloroethane
Chlorodibromomethane Ethylbenzene Tdchloroethylene
Chicroethane Methyl bromide Vinyl chloride
2-Chloroethylvinyl ether Methyl chloride
Chloroform Methylene chloride
GC/MS Fraction—Acid Compounds
2-chlorophenol 2,4-dinitrophenol Pentachlorophenol
2,4-dichlorophenol 2-nitrophenol Phenol
2,4-dimethylphenol 4-nitrophenol 2,4,6-b ichiorophenol
4,6-dinitm-o-cresol P-chloro-m-cresol
GCIMS Fraction—Base/Neutral Compounds
Acenaphthene 4-chlorophenyl phenyl ether Hexachlorobenzene
Acenaphthylene Chrysene Hexachlorobutadiene
Anthracene Dibenzo(a,h)anthracene Hexachlorocyclopentadiene
Benzidine 1,2-dichlorobenzene Hexachioroethane
Benzo(a)anthracene 1,3-dichlorobenzene Indeno(1,2,3-cd)pyrene
Benzo(a)pyrene 1,4-dichlorobenzene Isophorone
3,4-benzofluoranthene 3,3-dichiorobenzidine Naphthalene
Benzo(ghi)perylene Diethyl phthalate Nitrobenzene
Benzo(k)fluoranthene Dimethyl phthalate N-nitrosodimethylamine
Bis(2-chloroethoxy)methane Di-n-butyl phthalate N-nitrosodi-n-propylamine
Bis(2-chloroethyl)ether 2,4-dinitrotoluene N-nitrosodiphenylamine
Bis(2-chloroisopropyl)ether 2,6-dinitrotoluene Phenanthrene
Bis(2-ethy[hexyi)phthalate Di-n-octyl phthalate Pyrene
4-bromophenyl phenyl ether 1,2-diphenylhydrazine(as azobenzene) 1,2,4-trichlorobenzene
Butyl benzyl phthalate Fluoranthene
2-chloronaphthalene Fluorene
GC/MS Fraction—Pesticides
Aldrin Dieldrin PCB-1254
a-BHC a-endosulfan PCB-1221
13-BHC J�-endosulfan PCB-1232
y-BHC Endosulfan sulfate PCB-1248
S-BHC Endrin PCB-1260
Chlordane Endrin aldehyde PCB-1016
4,4'-DDT Heptachlor Toxaphene
4,4'-DDE Heptachlor epoxide
4,4'-DDD PCB-1242
2F-11

Exhibit 2F4.Certain Hazardous Substances and Asbestos(40 CFR 122.21,Appendix D,Table V)
Toxic Pollutant
Asbestos
Hazardous Substances
Acetaldehyde Dintrobenzene Naphthenic acid
Allyl alcohol Diquat Nitrotoluene
Allyl chloride Disulfoton Parathion
Amyl acetate Diuron Phenolsulfonate
Aniline Eplchlorohyft Phosgene
Benzonitrile Ethion Propargite
Benzyl chloride Ethylene diamine Propylene oxide
Butyl acetate Ethylene dibromide Pyrethrins
Butylamine Formaldehyde Quinoline
Caplan Furfural Resorcinol
Carbaryi Guthion Strontium
Carbofuran Isoprene Strychnine
Carbon disulfide Isopropanolamine Styrene
Chlorpyrifos Kelthane 2,4,5-T(2,4,5-tdchlorophenoxyacetic
acid)
Coumaphos Kepone TDE(tetrachlorodiphenyl ethane)
Cresol Marathion
2,4,5-TP[2-(2,4,5-trichlorophenoxy)
propanoic acid]
Crotanaldehyde Mercaptodimethur Trichlorofon
Cyclohexane Methoxychlor Triethanolamine
2,4-D(2,4-dichlorophenoxyacetic acid) Methyl mercaptan Triethylamine
Diazinon Methyl methacrylate Trimethylamine
Dicamba Methyl parathion Uranium
Dichlobenil Mevinphos Vanadium
Dichlone Mexacarbate Vinyl acetate
2,2-dichloropropionic acid Monoethyl amine Xylene
Dichlorvos Monomethyl amine Xylenol
Diethyl amine Naled Zirconium
Dimethyl amine
2F-12

Exhibit 2F-5.Hazardous Substances
1.Acetaldehyde 73,Captan 144,Ferrous sulfate
2.Acetic acid 74.Carbaryl 145.Formaldehyde
3,Acetic anhydride 75.Carbofuran 146.Formic add
4.Acetone cyanohydrin 76.Carbon disulfide 147.Fumadc acid
5.Acetyl bromide 77.Carbon tetrachloride 148.Furfural
6.Acetyl chloride 78.Chlordane 149.Guthion
7.Aaoleln 79.Chlorine 150.Heptachlor
8.Aaylonitrile 80.Chlorobenzene 151.Hexachlorocyclopentadiene
9.Adipic add 81.Chloroform 152.Hydrochloric add
10.Aldrin 82.Chloropyrifos 153.Hydrofluoric add
11.Allyl alcohol 83.Chlomsuifonlc add 154.Hydrogen cyanide
12.Allyl chloride 84.Chromic acetate 155.Hydrogen sulfide
13.Aluminum sulfate 85.Chromic acid 156.Isoprene
14.Ammonia 86.Chromic sulfate 157.Isopropanolamine dodecylbenzenesulfonate
15.Ammonium acetate 87.Chromous chloride 158.Kelthane
16.Ammonium benzoate 88,Cobattous bromide 159.Kepone
17.Ammonium bicarbonate 89.Cobaltous formate 160.Lead acetate
18.Ammonium blchromate 90.Cobaltous sulfamate 161.Lead arsenate
19.Ammonium b1 luoride 91.Coumaphos 162.Lead chloride
20.Ammonium bisulfrte 92.Cresol 163.Lead fluoborate
21.Ammonium carbamate 93.Crotonaldehyde 164.Lead fluorite
22.Ammonium carbonate 94.Cupric acetate 165.Lead Iodide
23.Ammonium chloride 95.Cupric acetoarsentte 166.Lead nitrate
24.Ammonium chromate 96.Cupric chloride 167.Lead stearate
25.Ammonium citrate 97.Cupric nitrate 168.Lead sulfate
26.Ammonium fluoroborate 98.Cupric oxalate 169.Lead sulfide
27.Ammonium fluoride 99.Cupric sulfate 170.Lead thiocyanate
28.Ammonium hydroxide 100.Cupric sulfate ammoniated 171.Lindane
29.Ammonium oxalate 101.Cupric tartrate 172.Lithium chromate
30.Ammonium sillcofluortde 102.Cyanogen chloride 173.Malathlon
31.Ammonium sulfamate 103.Cydohexane 174.Malefic add
32.Ammonium sulfide 104.2,4-D add(2,4-dichlorophenoxyacetic add) 175.Maleic anhydride
33.Ammonium sulfite 105.2,4-D esters(2,441chlorophenoxyacedc add esters) 176.Mercaptodimethur
34.Ammonium tartrate 106.DDT 177.Mercuric cyanide
35.Ammonium thlocyanate 107.Diazinon 178,Mercuric nitrate
36.Ammonium th!osulfate 108.Dlcamba 179.Mercuric sulfate
37.Amyl acetate 109.Dlchlobenil 180.Mercuric thlocyanate
38,Aniline 110.Dichlone 181.Mercurous nitrate
39.Antimony pentachioride 111.Dlohlombenzene 182.Methoxychlor
40.Antimony potassium tartrate 112.Dichloropropane 183.Methyl mercaptan
41.Antimony tribromide 113.Dichlompropene 184.Methyl methacrylate
42.Antimony trichloride 114.Dichloropropenedichloproropane mix 185.Methyl parathion
43.Antimony bftodde 115.2,24chloropropionic add 186.Mevinphos
44.Anttmonytrioxide 116.Dichlorvos 187,Mexacarbate
45.Arsenic disulfide 117.Dieldrin 188.Monoethylamine
46.Arsenic pentoxtde 1 IS.Olethylamine 189.Monomethylamine
47.Arsenic trichlorlde 119.Olmethylamine 190.Naled
48.Arsenic trioxide 120.Oln1trobenzene 191.Naphthalene
49.Arsenic tdsulfide 121.Dinitrophenol 192.Naphthenlc acid
50.Barium cyanide 122.Dinitrotoluene 193.Nickel ammonium sulfate
51.Benzene 123.Diquat 194.Nickel chloride
52.Benzoic add 124.Disulfoton 195.Nickel hydroxide
53.Benzonitdle 125.Oturon 196.Nickel nitrate
54.Benzoyl chloride 126.Dodecy[benzesuifonic add 197.Nickel sulfate
55.Benzyl chloride 127.Endosutfan 198.Nitric add
56.Beryllium chloride 128.Endrtn 199.Nitrobenzene
57.Beryllium fluoride 129.Epichlorohydrin 200.Nitrogen dioxide
58.Beryllium nitrate 130.Ethlon 201.Nitrophencl
59,Butylacetate 131.Ethyibenzene 202.Nitrotoluene
60,n-butytphthalate 132.Ethylenediamtne 203.Parafonnaldehyde
61.Butyl 133.Ethylene dibromide 204.Parathion
62.Butyric add 134.Ethylene dichloride 205.Pentachlorophenol
63.Cadmium acetate 135.Ethylene diaminetetracetc add(EDTA) 206.Phenol
64.Cadmium bromide 136.Ferric ammonium citrate 207.Phosgene
65.Cadmium chloride 137.Ferric ammonium oxalate 208.Phosphoric add
66.Calcium arsenate 138.Ferric chloride 209.Phosphorus
67.Calcium arsenite 139.Ferric fluoride 210.Phosphorus oxychloride
68.Calcium carbide 140.Ferric nitrate 211.Phosphorus pentasulfide
69.Calcium chromate 141.Ferric sulfate 212.Phosphorus trichloride
70.Calcium cyanide 142.Ferrous ammonium sufate 213,Polychlorinated biphenyls(PCB)
71.Calcium dodecylbenzenesulfonate 143.Ferrous chloride 214.Potassium arsenate
72.Calcium hypochlodte 215.Potassium arsenb
2F-13

Exhibit 2F-5.Hazardous Substances
216,Potassium bichromate 245.Sodium phosphate(dibasic) 271.Uranyi acetate
217.Potassium chromate 246.Sodium phosphate(bibasic) 272.Uranyl nitrate
218.Potassium cyanide 247.Sodium selenite 273.Vanadium penoxide
219.Potassium hydroxide 248.Strontium chromate 274.Vanadyl sulfate
220.Potassium permanganate 249.Strychnine 275.Vinyl acetate
221.Propargite 250.Styrene 276.Vinylidene chloride
222.Proptonic add 251.Sulfuric add 277.Xytene
223.Proptonic anhydride 252.Sulfur monochlodde 278.Xylenol
224.Propylene oxide 253.2,4,5-T add(2,4,5-Irldlorophenoxyacetic add) 279.Zinc acetate
225.Pyrethrins 254.2,4,5-T amines(2,4,5-trichlorophenoxy acetic add 280.Zinc ammonium chloride
226.Qulncline amines) 281.Zinc borate
227.Resordnol 255.2,4,5-T esters(2,4,5-trichlorophenoxy acetic add 282.Zinc bromide
228.Selenium oxide esters) 283.Zinc carbonate
229.Silver nitrate 256.2,4,5-T salts(2,4,5-Wchlorophenoxy acetic add 284.Zinc chloride
230.Sodium salts) 285.Zinc cyanide
231.Sodium arsenate 257.2,4,5-TP add(2,4,5-bichlorophenoxy propanoic 286.Zinc fluoride
232,Sodium arsentte add) 287,Zinc formate
233.Sodium bichromate 258.2,4,5-TP add esters(2,4,5-trlchlorophenoxy 288.Zinc hydrosulfite
234.Sodium biftuorlde propanolc add esters) 289.Zinc nitrate
235.Sodium bisulfate 259.ME(tetrachlorodiphenyl ethane) 290.Zinc phenolsutfonate
236,Sodium chromate 260.Tetraethyl lead 291.Zinc phosphide
237.Sodium cyanide 261.Tetraethyl pyrophosphate 292.Zinc siltoofluodde
238.Sodium dodecylbenzenesuHonate 262.Thalflum sulfate 293.Zinc sulfate
239.Sodium fluoride 263.Toluene 294.Zirconium nitrate
240.Sodium hydrosulflde 284.Toxaphene 295.Zirconium potassium fluoride
241.Sodium hydroxide 265.Trichlorofon 296.Zirconium sulfate
242.Sodium hypochbrite 266.Trichloroethylene 297.Zirconium tetrachloride
243.Sodium methylate 267.Tdchlorophenol
244.Sodium nitrite 268.Triethanolamine dodecyibenzenesuifonate
269.Triethylamine
270.Trimethylamine
2F-14

EPA Identficaton Number NPDES Permit Number Fadiity Name Form Approved 03105119
None Brenntag Durham OMB No.2040-OW
Form U.S Environmental Protection Agency
2F =,EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATIONi
1.1 Provide Information on each of the facili s outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
001 Unamed Trib of 3rd Fork 35° 58 45.97" N -78° 52' 56.37" W
c
0
002 Unamed Trib of 3rd Fork 35° 58' 45,81" N -78° 52' 56.61" W
0
1
003 Unamed Trib of 3rd Fork 35° 58' 45.84" N -78° 52' 56.34" W
0
SECTION
IMPROVEMENTS
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
m Yes ❑ No-*SKIP to Section 3,
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description of Project Qist outiati numbers) Source(s)of Discharge
Required Projected
City of Durham prohibits 003 Settling Ponds
discharge from Outfall CO3,
outfall will only discharge during 12/31/22 12/31/22
overflow events.
E
C
a
E
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑✓ No
EPA Form 3510-2F(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03MI19
None Brenntag Durham OM6 No.2040-90M
SECTIOND' 1
3•1 Have you attached a site drainage map containing all required information to this application?(See instructions for
;; to C specific guidance.)
la
a ® Yes ❑ No
SECTIONPOLLUTANT SOURCESt
4.9 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Dralned
Number (within a mile radius of the fadiity) (within a mile radius of the facility)
specify units specify units
001 95 % 128,900 sci ft
specify units specify units
002 95 96,200 sf ft
specify units specify units
003 90 % 183,700 sci ft
specify units specify units
specify units specify units
specify units sped units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Facility stores chemicals for packaging and redistribution. The facility has exterior storage of acids,bases,solvents,
C3 and oils. Storage can be in diked tank farms,113Cs,and drums.
0
U)
c
3
a
a
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions for specificguidance.)
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Fxhibit
2E-1
list
001 Diked storage is covered to prevent rainwater from contamination.
002 No discharge,runoff is stored and discharged offsite.
003 Diked storage is covered to prevent rainwater from contamination.
EPA Form 3510.217(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
None Brenntag Durham 01VIB No.2040-0004
SECTION 5.NON STORMWATER • 1
5.1 l certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, f certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D,or 2E application.
Name(print or type first and last name) Official title
Signature Date signed
ai 5.2 Provide the testing information requested in the table below.
Outfall Onsite Drainage Points
ci Number Description of Testing Method Used Data(s)of Testing Directly Observed
During Test
d
R
001 Visual Inspection during dry weather 05/26/2022 001
0
002 Visual Inspection during dry weather 05/26/2022 002
0
Z
003 Visual Inspection during dry weather 05/26/2022 003
SECTIONOR I •
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
N
None that left containment areas.
a
W
0
W
m
J
C
1C
V
GS
U3
SECTIONDISCHARGE INFORMATIONI
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o com le#e. Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
d
estimated data. actual data.
Tables A,6,C,and D
y 7.2 Have you completed Table A for each outfali?
❑✓ Yes ❑ No
EPA Form 3510.2F(Revised 3-19) Page 3

EPA Identification Number NPDES PermN Number Fedlity Name Form Approved 03/05119
None Brenntag Durham I OMB No.2040.OW
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ❑ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 217-2 are present in the discharge?
❑ Yes ❑ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes [Z] No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
❑ Yes ❑ No
7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
€ ❑ Yes ❑ No+SKIP to Item 7.12.
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged In
concentrations of 10 ppb or greater?
t ❑ Yes ❑ No
M
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes © No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F4 are present in the discharge?
❑ Yes M No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identificalion Number NPDES Permit Number Fadiily Name Form Approved 03/05/19
None Brenntag Durham OMB No.2040.0004
.� Used or Manufactured Toxics
7.18 Is any pollutant listed on Exhibits 2F-2 through 2F4 a substance or a component of a substance used or
c manufactured as an intermediate or final product or byproduct?
1 ❑ Yes ❑✓ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
LM 2. 5. 8.
A
0 3. 6. 9.
SECTION 8. BIOLOGICAL TOXICITY TESTING DATA(40 CFR 12121(g)(11))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
Q any of your discharges or on a receiving water in relation to your discharge within the last three years?
c
co
❑ Yes © No+SKIP to Section 9.
12 8.2 Identify the tests and their purposes below.
Test Submitted to NPDESs) Purpose of Tests) PermittingAuthority? Date Submitted
'x
0
~ ❑ Yes ❑ No
�o
❑ Yes ❑ No
0
m
❑ Yes ❑ No
SECTION • s• •
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
✓❑ Yes ❑ No+SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm Pace Charlotte Pace Asheville Pace Eden
0
0
y Laboratory address
•y 9800 Kincey Ave Suite 100 225 Riverside Drive 205 East Meadow
Huntersville,NC 28078 Asheville NC 28804 Road,Suite A
e9
a Eden,NC
r;
0 Phone number
v [phone] [phone]
Pcllutant(s)analyzed TPH Total N,TKN,Nitrogen NO2+ TSS,BODS
NO3,Phosphorus,COD
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Wentification Number NPDES Permit Number Facility Name Form Approved BUM
!None Brenntag Durham OMB No.2040-0004
SECTION 1 1
10,1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application,For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all a2plicants are required to com fete ail sections or provide attachments.
Column 1 Column 2
l Section 1 ❑ wl attachments(e.g.,responses for additional outfails)
❑✓ Section 2 ❑ wl attachments
✓❑ Section 3 ❑ wl site drainage map
El Section 4 ❑ wl attachments
❑✓ Section 5 ❑ wl attachments
w 0 Section 6 ❑ wl attachments
c
0 Section 7 Q Table A ❑ wl small business exemption request
❑ Table B ✓❑ wl analytical results as an attachment
0
❑ Table C 0 Table D
❑ Section 8 ❑ wlattachments
❑ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
.ic
s ❑ Section 10 ❑
v
10.2 Certification Statement
l 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, l am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
G (1 4; c' r
Signature Date signed
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identificaton Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
None Brenntag Durham 001 OMB Na 2040MM
TABLE A.CONVENTIONAL s .
You must provide the results of at least one anah sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Stonrt Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted ed During first Flow-Weighted Composite
Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease ND 1
2. Biochemical oxygen demand(BODs) 4.0 1
3. Chemical oxygen demand(COD) 27.4 mg/L 1
4. Total suspended solids(TSS) 26.1 mg/L 1
5. . Total phosphorus 0.20 mg/L 1
6. Total)geidahl nitrogen(TKN) 0.96 mg/L 1
7. Total nitrogen(as N) 1.1 mg/L 1
pH(minimum) 6 1
8.
pH(ma)dmum) 6 AN I 1
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

\ b
This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Ourtaii Number Form Approved 03W19
None Brenntag Durham 001 OMB No.2040-0004
TABLE • •NAL AND NON CONVENTIONAL -• • 41 . 40
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
units ' units Number of Storm Information
Pollutant and CAS Number Cd available) Grab Sample Taken Grab Sample Taken (now sourcefim
During First Flow-Weighted sit ed During First Flohn Composite
Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 9

ThisPage intentionally left blank. "

EPA Identifcration Number NPDES Permit Number Faat y Name Outran Number Form Approved 03/05/19
None Brenntag Durham 001 OMB No.2040-OW
TABLE C.TOXIC POLLUTANTS. CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)�B)and(vii))'
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F-4 that you know or have reason to believe is present Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
units ' units Number of Storm Information
Pollutant and CAS Number(d avakble) Grab Sample Taken Flow-Weighted Flow-Weighted Grab Sample Taken new sour�ew
During First During First Fio Events Sampled dlsdkgers cnlr use
30 Minutes Composite 30 Minutes Composite codes in instructions)
t Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

:9
This page intentionally left blank. `�

L
EPA Identification Number NPDES Permit Number Fedty name WWI Number Form Approved 03/05/19
None Brenntag Durham 001 OMB No.2040.OW
TABLE D. STORM EVENT INFORMATiON •I
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Duration of Stone Event Beginning of Stone Measured and Total Flow from Rain Event
Date of Storm Event Storm Event During Rain Event
(in hours) (inindm) End of Previous Measurable Rain (in gpm or spa*units) (in ga[tons or specify units)
Event
11/30/2022
2 hrs 0.24 inch 60 hrs 0.55 mgd Unknown
Provide a description of the method of flow measurement or estimate.
Depth of Flow in Circular Pipe,Pipe Slope,Pipe Diameter,Manning Equation. Outfalls flow depth was 3"in a 30"RCP pipe on 1%slope.
EPA Form 3510-21'(Revised 3-19) Page 13

e'
EPA Idendfication Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19
Brenntag Charlotte 002 OMB No.2040MM
TABLE A.CONVENTIONAL AND NON CONVENTIONAL
You must provide the results of at least one anall sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
( 'un b) (Ved�units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new sou►ceb"
During First Ft Comp sit ed During First Flow-Weighted site Events Sampled dischargers only use
30 Minutes Composite 30 Minutes codes In insbucilms)
1. Oil and grease NID 1
2. Biochemical oxygen demand(BODs) 10.5 mg/L i
3. Chemical oxygen demand(COD) 51.4 mg/L 1
4. Total suspended solids(TSS) 38.1 mg/L 1
5. Total phosphorus 0.22 mg/L 1
6. Total Neldahl nitrogen(TKN) 0.65 mg/L 1
7. Total nitrogen(as N) 0.73 mg/L 1
pH(minimum) 6 1
S.
pH(maximum) 6 1
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

e
EPA Idenfiftafion Number NPDES Permit Number Facility name Ouffall Number Form Approved 03I05119
Brenntag Charlotte 002 OMB No.2040-M
STORMTABLE D. s- s
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Date of Storm Event Duration of Storm Event Beginning of Storm Measured and During Rain Event Total Flow from Rain Event
fug hours) (in incites)Storm Event End of Previous Measurable Rain u rin or specify units) On gallons or specify units)
Event On gpm;
11/30/2022
2 hrs 0.24 inch 60 hrs 1.59 mgd Unknown
Provide a description of the method of flow measurement or estimate.
Depth of Flow in Circular Pipe,Pipe Slope,Pipe Diameter,Manning Equation. Outfalls flow depth was 5"in a 30"RCP pipe on 1%slope.
EPA Form 3510-2F(Revised 3-19) Page 13

LEGEND
I
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DRAINAGE AREAS& SCALE 1'=IW
ACTIVITIES DATE 07107rD
FIGURE
PRO l33.32
BRENNTAG MIDSOUTH,13+1G
DURHAM,DURHAM COUNTY, DRAWN BY: MKA
NORTH CAROLINA
CHECKED BY;
Linebach.Funkhouser, Inc.
IMRONIMEIZAL COMPLIANCE&COh15lJLTING

LEGEND
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SITE MAP
DATE: 07107/n
FIGURE
PRO 133-�2
BRIIJNTAG KDSOUTH.INC
DURHAM,DURHAM COUNTY, DRAWN BY: MKA
NORTH CAROLINA
CHECKED BY:
linebnch n Funkhvuser, Inc.
eVMRONIM NTAL COMPLIANCE&CONSULTING

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LEGEND
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DECuw.TIDN AT CEKTEA DF SHEET
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z` ASMr ST j SOUTHWEST DUIiHAM,NC.
2019
o S`" "• �s 7.5 MINUTE SERIES
DURHAM - SITE (TOPOGRAPHIC)
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y, /n• 4.•, DATE 07101M
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"F yy T; ; ` Ar FIGURE
WENNTAG MID SOUTH PR 133 22 I
2WO EAST PETTIGREW STREET DRAWN BY: MKA
�41
s ` RF1AM,DURHAM COUNTY
rr 1 L 1 CRO7wt If $T ! 4 ��� ? ' NORTH CAROLINA
CHECKED BY:
SCALE 12L.,000
1 MIL
D FEE, Linebcach■Funkhouser, Inc.
I F.Com=TER EWIRCXJMEMAI CCWUAIVCE&COIN SULTING
CONTOUR INTERVAL 10 FEET
NATIONAL GEORETIC VERTICAF.f1ATUM OF 3929