NCS000535_Renewal application_20231002

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
W C_
Ll_
North Carolina Division of Energy, Mineral, and Land Resources— Sformwater Program
Facility Name: Good StewardBioruels
Permit Number: 14CS000535
Location Address: 1724 Baidree Rd S.
Wilson NC 27893
County: Wilson
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Sig
nature nature 46 Date 9122J23
Robert Barr Manager
Print or type name of person signing above Title
SPPP Certification 10/13

EPA Iden6ficafion Number NPDES Permit Number Facility Name Form Approved 03105/19
NC5000535 Good Steward Biofuels OMB No.2040-0004
Form U.S.Environmental Protection Agency
V" EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
NPDESSECT ION 1.ACTIVITIES REQU IRI NG AN i
1.1 Applicants Not Required to Submit Form 1
1 1 1 Is the facility a new or existing publicly owned 1 1 2 Is the facility a new or existing treatment works
treatment works? treating domestic sewage?
If yes, STOP. Do NOT complete No If yes,STOP. Do NOT No
Form 1.Complete Farm 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 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
d production facility? currently discharging process wastewater?
o [� Yes 4 Complete Form 1 No [] Yes 4 Complete Form 0 No
a and Form 213. 1 and Form 2C.
z
123 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?
C ❑ Yes 4 Complete Form 1 No Yes 4 Complete Form []✓ No
and Form 2D. 1 and Form 2E.
N
1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
0 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, • . i
2.1 Facility Name
Good Steward Biofuels
0 2.2 EPA Identification Number
U
0 NCS000535
2.3 Facility Contact
Name(first and last) Title Phone number
Robert Barr Manager [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
R Street or P.O.box
z
333 N Wilmot Rd.,Suite 340
City or town State ZIP code
Tucson AZ 85711
EPA Form 3510-1(revised 3-19) Page 1

EPA Idedfu ilm Number NPDES Permit Number Facility Name Form Approved 03105I19
NCS0D0535 Good Steward Biofuels OMB No.2040-0004
2.5 Faciltty,Location
Street,route number,or other specific identifier
o;.. 17245 Baldree Rd.
a
°r 4�p 1 County name County code(if known)
Wilson
x City or town State ZIP code
A ''�'Y' Wilson INC 27893
17
SECTION
• NAICS CODES (1
7 5'z J 4"•' 1y?.'� a' . �a IF" fit' '�' y",�z'3'i§'"� i,vx'� .[a+qE�' ,�„'Ks r:_ $k K� `^ '1*a'aR
K<�aSl 'Codes �
2800
2841
' 3,2 < <t�AICS Codp(s). . . .,..; ,Description,ophonal�,; `
k' 324110
325611
SECTION
OPERATOR INFORMATION 41
"a"" .,.-• .; +i3y`"jUl'iFs'xa s ..d ( �1 t° f s7m � ; 2 s�''=•
4.1 Nameo o., ,a� x.'.•. Tv �it .''X.K.
Southeast Renewables,LLC
4.2 Is the name you listed in Item 4.1 also the owner?
` "~ ❑✓ Yes ❑ No
>f.I? y(�a
4.3 ro IAlol� fat�18, F... .yJ J (.,t. 3f. ..• ..,..F.,''ve<.. .. ..:'. ..iy.tveFi ::
❑ Public—federal ❑ Public—state ❑Other public(specify)
�.
o ❑ Private ❑Other(specify)
a 4.4 <PWK Numb&d.,,0'
[phone]
4.5
z.C - rator�AddrsHH f z y h�Rn .t s.. _ % a,y YS.��i
F Street or P.O.Box
333 N Wilmot Rd.,Suite 340
Cr(
City or town State ZIP code
%�..wn1iG fi
Tucson AZ 85711
f J,j
u Email address of operator
[e-mail]
SECTION ' 41
5.1 Is the facility located on Indian Land?
❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA lden68cat on Number NPDES Permit Number Facility Name Form Approved 03105/19
NC5000535 Good Steward eiofuels OMB No.2040-0004
SECTION '• I
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m ❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
owater) fluids)
IU W ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
a,
c
x ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
uJ
SECTION1
I
L7. Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑Yes ❑✓ No ❑ CAFO---Not Applicable(See requirements in Farm 26.)
SECTIONOF I
8.1 Describe the nature of your business.
Currently this facility is not operating but is storing equipment.
H
H
Q1
C
N
7
m
a
m
iv
z
SECTION •• {
9.1 Does your facility use cooling water?
d ❑ Yes ❑ No 4 SKIP to Item 10.1.
92 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
c 40 CFR 125, 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.)
.D we
U
c
SECTIONI VARIANCE REQUESTS { I
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
y apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
C ❑ 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))
0 Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NC5000535 Good Steward Biofuels OMB No.2040-0004
SECTIONAN;CERTIFICATION STATEMENT41
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 re aired to provide attachments.
t gg ti t 1i�ArLe4�.a�.xt.�lAy Y °�?4 �d
g�.. `�}" N�=4t�...++�t vut,�"'t. 74 ly... rt ,> �uff�,`T't`�`!,y, °?'
Y
Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
>..,4:.:,> ❑✓ Section 2:Name,Mailing Address,and Location ❑ wl attachments
❑� Section 3:SIC Codes ❑ wl attachments
❑✓ Section 4:Operator Information ❑ w/attachments
n�
❑✓ Section 5:Indian Land ❑ w/attachments
M F . ,.' ❑✓ Section 6:Existing Environmental Permits ❑ w/attachments
w/topographic
© Section 7:Map ❑ map Elw/additional attachments
❑✓ Section 8:Nature of Business ❑ w/attachments
F
❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
❑ Section 10:Variance Requests ❑ w/attachments
`"` ❑✓ Section 11:Checklist and Certification Statement ❑ w/attachments
11.2 Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief, true,accurate,and complete.I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
rx Robert Barr Manager
Signature Date signed
�x v� 09/22/2023
EPA Form 3510-1(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Fadlily Name Form Approved 03/05/19
NCS000535 Good Steward i3"fuels OM8 No.2040-0004
Form U.S Environmental Protection Agency
2F &EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION
1.1 Provide information on each of the facilit 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
001 Hominy Swamp 35° 42' 08.2" N 77° 55' 02.3 W
c
g
1
es
m
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SECTION
•• I
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?
❑ Yes ❑✓ No 4 SKIP to Section 3,
2•2 Briefly identify each applicable project in the table below.
Final Compliance Dates
Brief Identification and Affected Outfails Source(s)of Discharge
Description of Project (list outfall numbers) Required Projected
c
d
E
m
a
0
`L
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 3510-21'tRevised 3.19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NCS000535 Good Steward Biofuels OMB No.2040-0004
SECTIONDRAINAGE . • tr
Have you attached a site drainage map containing all required information to this application?(See instructions for
specificguidance.)
rho ❑ Yes ® No
SECTIONPOLLUTANT SOURCESr
4.1 Provide information on the facility's pollutant sources in the table below.
Outfell Impenr>ious Stiiface Area Total Surface kea Cralned
{wttltin a m€fe radhis of the fa"d w0)iiri a role radius of thi,f�rdiill
f` specify unit" .p s seedy units
001 8,600 Sgft 27,869,800 Sgft
sperily units specify units
•.r. J;L
seedy units seedy units
cw 7`.zr
seedy units seedy units
specify units spedy units
:Mg Y
r`&.ryW�a
specify units specify units
y> ,rives
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
a 4kt yfca�" a;
requirements.)
Facility Not Operational
The property includes a large building and tank form that are not being used of about 8,100 scl ft. There is an adjacent
small storage building of about 500 scl ft for a total impervious surface area of 8,600 scl ft.
Y
{dj 0,
:4
^-- w>"•.<, 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 sDecMcguidance.)
3 r:rr cY
4 F4 yCoil
�2Ryi/�� ""'"'.rrb 'i .y' c . VY�eg`'�..
f_ .., A'rf f'Y �lv {'.Jsti`x'ct
Y�4} Mkt )tom 'im^efi^Y,S:js �c r'�,: 1 Y'r. ,� f C i8rtdT.�ez tten't Ekh bit ,
I�ttlllber�g'rrs� fi 7 �"w a F a 'ttt rr� fs r xt� � '
�. iy. i9 �%y,� v � f t a .
I T y '�+ w 4
:.[-T•F rl,"•w f '�Y
kk 1 {5 t4.
001 Facility Not Operational
•:act"�} p_
EPA Form 3510-21'(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
NfiSOOC Good Steward Biofuels OMB No.2040-0004
SECTION 5.NON STORMWATER 1
5.1 1 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, ! certify that the ouffalls 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
Robert Barr Manager
Signature Date signed
09/22/2023
W
E) 5.2 Provide the testing information requested in the table below.
R
Outfall Onsite Drainage Points
o Number Description of Testing Method Used Date(s)of Testing Directly Observed
d
During Test
112
E
`o
c
0
z
SECTION
• SIGNIFICANT LEAKS OR I
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
.a Not applicable
`o
N
Y
SO
d
(C
U
C
GT
in
SECTION / I
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn,the tables you must
o corn fete.Not all applicants need to complete each table.
1O 7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of 0 No-+ See instructions regarding submission of
` estimated data. actual data.
a
Tables A,B,C,and D
h 7.2 Have you completed Table A for each outfall?
0
❑ Yes ❑ No
EPA Form 3510-21'(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Fadlfty Name Form Approved 03/05119
NCS000535 Good Steward Biofuels OMB No.2040-0004
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 2F-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+SKIP 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 ❑ 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?
c ❑ Yes ❑ No
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
w
❑ Yes ❑ No 4 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
xY concentrations of 10 ppb or greater?
Yes No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl4,6-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?
3
❑ 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 ❑ No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 21`4 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?
El El No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCS000535 Good Steward Siofuels OMB No.2040-OD04
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
manufactured as an intermediate or final product or byproduct?
0
`-' ❑ Yes ❑ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
L
0 1. 4. 7.
d
cc
2. 5. 8.
cc
3. 6. 9.
SECTION • •GICAL TOXICITY TESTING DATA r
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
n
❑ Yes ❑ No 4 SKIP to Section 9. 09/22/2023
ra 8.2 Identify the tests and their purposes below.
Submitted to NPDES
Test(s) Purpose of Test(s) Permitting Authority? Date Submitted
x
0 ❑ Yes ❑ No
U
o ❑ Yes ❑ No
oa
❑ Yes ❑ No
SECTION • •- • 1
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 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below,
Laboratory Number 1 Laboratory Number Laboratory Number 3
Name of laboratory/firm
0
�a
0
Laboratory address
y
T
1�
a
0
Phone number
U
Pollutant(s)analyzed
EPA Form 3510.2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03106119
NCS000535 Good Steward Biofuels OMB No.2040-0004
SECTION1 CHECKLIST AND CERTIFICATION . 40
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 applicants are re uired to com lete all sections or provide attachments.
Column 1 S r Column 2 ..
❑✓ Section 1 ❑ wl attachments(e.g.,responses for additional outfalls)
�✓ Section 2 ❑ wl attachments
,r= ❑✓ Section 3 ❑ wl site drainage map
° z ❑✓ Section 4 El wl attachments
� ' ✓❑ Section 5 ❑ wl attachments
f
0 Section 6 ❑ wl attachments
x � ❑✓ Section 7 El Table A ✓❑ wl small business exemption request
� rA
k o ❑ Table B ❑ w/analytical results as an attachment
w ri: ❑ Table C ❑ Table D
a :
�✓ Section 8 ❑ wlattachments
❑✓ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
} ❑✓ Section 10 ❑
x Fa'x 10.2 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 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
r
complete.!am aware that there are significant penalties for submitting false information,including the possibility of fine
r, { _ and imprisonment for knowing violations.
Name(print or type first and last name) Official title
'x Robert Barr Manager
x' Date signed
' Signature ,- g
r << 09/22/2023
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Out-fall Number Form Approved 03N5119
NCS000535 Good Steward Biofucls OMB No.2040-0004
TABLE A. ! ! 1 NON CONVENTIONAL1
You must provide the results of at least one anal sis for evey 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 Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease
2. Biochemical oxygen demand(BODs)
3. Chemical oxygen demand(COD)
4. Total suspended solids(TSS)
5. Total phosphorus
6. Total Kjeldahl nitrogen(TKN)
7. Total nitrogen(as N)
pH(minimum)
8.
pH(maximum) A197=
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 Farm 3510-2F(Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105l19
NCS000535 Good Steward Biofuels OMB No.2040-0004
A:L E B.C ERTAI N CONVENTIONAL • ON • •• 41 I
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.
'°E w Max)mumlDatlyDlscharge AverageD�aily�p' arge� Source of;
�h s Unds :: tiR1S sx
,� :Y .,, Number of,Stortn
Pollutant and.CAS Number if available ;{ ,,v , , ¢ Inforttaion
( Samplea)Cen Flaw-Wei htedJ Grab`Sample Taken 5 ' FlowYllei hied Events Sain led (nevrsourcelnew ;,.
y'q ���; During First x Composite During First r )Coin site P dscharg�sbnl t7se~`
30'Minutes , 30 Minutes _ codesiiiistrucbas ,,.
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 9

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EPA Identification Number NPDES Permit Number FaaTdy Name WWI Number Form Approved 03105119
NCS000535 Good Steward Biofuels OMB No.204M004
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 21`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.
,�a+ Maximum Da[iy Discharge; £ ziVerageFDally Discharge �_ St3Urce of ,
r w x :, r s e UnItS x �lnfcrinatton Vf
r Number of_&tonn
x Pollutant and CAS Number.(davaitabEe) �rab Sample Taken „' Flo Grab Sampteken (netirur�ehsew':
F , sDurtng First w•Welgl►ted During Fi�sf Flow-Weighted Events Sampled `devtE�Y:ate.',
Y ,.. 3Q.Miautes>' Co[upos(fs <„ Composite ,.
3t1:MlnutesE. coes7n mstiuctidns)
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 11

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EPA Identification Number NPDES Permit Number Facility name Outfalt Number Form Approved 03/05/19
NCSO00535 Good Steward Biofuels OMR No.2040-00D4
STORM Q- r
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
{ Number of fours Between
Total Rainfall During Maximum Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event tin hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
{in inches) Event {in gpm or specify units}
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F(Revised 3-19) Page 13

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
--# 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results,date sampled,and storm event data.
3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports.The summary can consist of a table including such items as outfall number,
parameters surveyed,observations, and date monitoring conducted.
4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices,and/or changes in the raw materials used by the facility.
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility(Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)

SUPPLEMENTAL INFORMATION
NARRATIVE
1. Site map included.
2. The site is not operational and is not being used for any form of production. No analytical
reports are available.
3. No monitoring reports are available.
4. Not applicable as there is no production taking place at the location.
5. There is no industrial activity at the location.
6. There is no industrial activity at the location.

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