NC0023876_Pretreatment_IUP_Application_20240125

1 .
Industrial User Wastewater Survey
& Permit Application
rnvF.R PACF,
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit (IUP) for the discharge of wastewater to the local
sewer.
2. If an Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit (IUP).
Requests for confidential treatment of information provided on this form shall be governed by procedures
specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations Part 403,
Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in this
questionnaire which identifies the content, volume and frequency of discharge shall be available to the
public without restriction.
This is to be signed by an authorized official of your firm, as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance Section 1.2, after coin letion of this form.
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 upon 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
informati includin the possibility of fine and/or imprisonment for knowing violations.
U 0
Signature uthori Representative Date
listed a ve (seal ' ap licable
Title: IU Wastewater Survey & Permit Application
Revision date: 12/30/97
Page 1 of 19

Industrial User Wastewater Survey
& Permit Application
1. Provide a brief narrative description of the type of business, manufacturing
processes, or service activities your firm conducts at this site.
Mount Vernon Chemicals, LLC dba Apollo Chemical is a chemical manufacturer. We manufacture additives for formulators and blenders, and we provide toll
and contract synthesis and blending services. Our Apollo Chemical products help clean and degrease hard surfaces, remove stains from fabrics, eliminate odors,
and repel oil and water.
2. List the primary products produced at this facility:
Our product lines include surfactants, safe acids, protectants and specialty additives for personal care products, automotive detergents and protectants, metal
cleaners, odor control, stone and concrete care, household and industrial cleaners and degreasers, and lubricant additives.
Chemical types include reaction products (such as alkanolamides, amine condensates, amine oxides, PEG esters, phosphate esters and their salts, and
quaternaries), blended surfactants and Textile softeners.
Our Tolling side primarily focuses on polymer water emulsions and auxiliaries for the textile industry.
List raw materials and process additives used:
A variety of long -chain fatty acids, amines, higher molecular weight alcohols, inorganic bases, PEG's, food grade starches, alkoxylated alcohols and surfactants.
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Yes X
No
1. ChemTreat CL-2150 (for Cooling tower water).
be present as a result of vessel cleaning process).
2. Bit 20 Preservative or similar (for finished product preservation, may
3. Kathon CG-ICP Preservative or similar (for finished product preservation, may be present as a result of vessel cleaning process).
4. BioBan DXN Antimicrobial or similar (f for finished product preservation, may be present as a result of vessel cleaning process).
5. Preventol P-91 or similar (for finished product preservation, may be present as a result of vessel cleaning process).
6. Nuosept 95 Preservative or similar (for finished product preservation, may be present as a result of vessel cleaning process).
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift.
There are two operating areas of the plant (Synthesis & Wet Blend)
Wet Blend currently typically operates 24 hours (Monday — Friday) with — 6 — 8 employees per day shift and — 2 — 4 employees per night shift in the production
area.
Synthesis currently typically operates 24 hours (Monday — Sunday) with -- 2 — 3 employees per shift in the production area.
Check, if all continuous
Check, if all batch X
% continuous = % % Batch = %
6. Production process is:
If both please enter,
Title: lU Wastewater Survey & Permit Application
Revision date: 12/30/97
Page 2 of 19

Industrial User Wastewater Survey
& Permit Application
7. Does production vary significantly (+- 20 %) by season. Describe.
Yes
Could vary based on unexpected current business conditions No X
g. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes, please describe.
Yes
Could vary based on unexpected current business conditions No X
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
GFL Environmental, 703 East Gilbreath Street, Graham, NC 27259, 336-229-0525, 30 tons (Jan — Aug, 2023), Trash for Landfill.
Clean management, 915 Industrial Rd., Waterloo, SC 29488, 843-538-8131, 792 lbs (Jan —Aug, 20203 )Halo dour Waste
Disposal Waste Disposal
Clean management, 915 Industrial Rd., Waterloo, SC 29488, 843-538-8131, 36.8 tons (Jan —Aug, )
Clean management 915 Industrial Rd., Waterloo, SC 29488, 843-538-8131, N/A ton (Jan — Aug, 2023) pit sludge removal and disposal.
A&D Environmental Services, Inc., 3149 Lear Drive, Burlington, NC 27215, 336-229 0058, N/A tons (Jan —Aug, 2023) Universal Waste (Lamps,
Aerosol Cans, ballasts, etc.)
Alamance County Landfill Electronic Recycle Center, 2701 Austin Quarter Rd., Graham, NC, 27253, 336-376-8902, N/A tons (Jan — Aug, 2023) -
waste
Maumee Express, Inc., 26319 Old Trail Rd, Abingdon, VA, 24210, 276-628-1156, N/A tons (Jan — Aug, 2023) Recycle Ethanol Solvent
Miller Environmental Group, 8205 Old McCullers Rd, Raleigh, NC 27603, 919-852-3595, N/A tons (Jan — Aug, 2023) pit sludge removal and disposal.
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
Not Available
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
For normal sanitary sewer discharge, i.e., showers, bathroom facilities, drinking water, break room etc. the nearest connection is
believed to be in the cul-de-sac.
B15ULa Cil6•••1­1 _ seurllnoton FdC
Title: IU Wastewater Survey & Permit Application
Revision date: 12/30/97
Page 3 of 19

x
.*.Asptvmt Drive
----------- (ftromc-4'--
J p
=
a ii ri
d
a�
�a
car
o
u
r
> =
C
tD
p
U

Industrial User Wastewater Survey
& Permit Application
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
Completed
13. Do you have, or have you ever applied for, been issued, or been denied an
NPDES permit to discharge to the surface waters or storm sewers of North
Carolina? If yes, list all other NPDES permits, permit numbers, dates, and
names used to apply for them, or reason denied.
If yes: Permit, #, date, applicant name - See Storm Water permit in # 15 below Yes
If yes: Permit, #, date, applicant name No X
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater Viers, dates
collection system. If yes, list all other IUP permits, permit
and names used to apply for them.
If yes: Permit, #, date, applicant name Yes
If yes: Permit, #, date, applicant name No X
15. Do you have, or have you ever applied for or been issued any other
Environmental Permits (for example: air, RCRA, groundwater,
stormwater, general, Non -Discharge, septic tank, etc.). If yes, list all other
permits, permit numbers, dates, and names used to apply for them.
If yes: Permit type, #, date, applicant name Yes X
Air Registration No. 06152R13, 20-Jan-2012, Mount Vernon Chemicals, LLC dba Apollo Chemical -
Burlineton
If yes: Permit type, #, date, applicant name No
Stormwater Permit No. NCG060000, 1-Jul-2021, Mount Vernon Chemicals, LLC dba Apollo Chemical -
Burlin on
If yes: Permit type, #, date, applicant name
Stormwater Certificate of Coverage No. NCG060040, 1-Jul-2023, Mount Vernon Chemicals, LLC dba Apollo
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan prepared
for this facility?
Yes
Reviewed and update (as needed) on an annual basis
X
No
Title: IU Wastewater Survey & Permit Application
Page 4 of 19
Revision date: 12/30/97

Industrial User Wastewater Survey
& Permit Application
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
The holding tank has an emergency shut- that can be activated to prevent any effluent from leaving Yes X
the plant site and flowing to the POTW in the event of a spill.
No
18. Do you have any underground storage tanks at your facility? If yes, list
contents and volume of each tank.
External to the dike containment, drains flow to a 900-gallon equalization pit.
This pit overflows to a 5000-gallon holding tank.
Yes X
No
19. Do you have any above ground storage tanks at your facility? If yes, for
each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes i�"� # of Tanks
mEl
No
All Tanks have secondary containment in the form of concrete dikes. Additionally, external to the dike containment, drains flow to a 900-gallon
equalization pit. This pit overflows to a 5000-gallon holding tank. The holding tank has an emergency shut-off valve that can be activated to prevent any
effluent from leaving the plant site and flowing to the POTW in the event of a spill.
Title: IU Wastewater Survey & Permit Application
Revision date: 12/30/97
Page 5 of 19

Industrial User Wastewater Survey
& Permit Application
Total Volume
Tank #
Product Name
(Gallons)
4993
T-232
Empty
T-233
Fluftone 100
6063
T-234
Philcoat 140
4954
T-236
Philube CL-2
4861
T-235
Fluftone 1092
6032
Zone 2 Tank Farm
T-401
Pelar onic Acid
5,677
T-402
Pelar onic Acid
_
5,677
T-403
Pelar onic Acid
T-404
CL PEG 1450 1500
5,677
Back DockDikeTanks
T-2_40
Caustic Potash 45%
6,169
5,933
T-242_
I Em t
— - _
T-249
Dieth lene 3l col
6371
T-243
Em t
T-244
Em t
T-245
Em t
T-246
Pmrltv
T-247
Em t
T-250
Em t
T-251
Em t
T-252
Em t
T-253
Em t
-
T-306
Em t
— .
*Product/Raw material in the storage tanks can vary due to production needs. Contents are as 18-Sep-2023.
Title: IU Wastewater Survey & Permit Application
Page 6 of 19
Revision date: 12/30/97

1xIX x�xIx1X1>1111
O r- N o
CD
CD Ln v'�
kn
bb
O
O
O
CD
O
CDO
O
O
O
iN
O
O
�
CN
d,
a4
O
y
cl,
H
0
A �
A
M
�
O
O
Cd
. rl
b0
bA
in
Cd
bA
•
..
0
Cc
0
Vl
y
cn
Id
0
U
7J
�.
..04to
4CII
cn
F
o
A-1
3
U
3
0
o
o
U
O
c
Y
cd
a
O
O
O
U
W
U
O
O
FBI �1
R
a� b
00
U
3 •3 w � � o
a)0�Cdo -b
V'1 l-: 00 Q1 � r+
oL
C
U
N
E
cd
0
�
U
�
� �
3 "
LL •G
48
U a
c
t t
3
H
a ate+ L+ � V 'C7
•d O �
U
p o N
4 'cF
N
Uwc7aJ,
`i i
�
W 00
v N N
N �
� � I
3 I ti.
.o 0
o p
a a1
e �
o w
m � �
W c�i a
y
z33

PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present and describe. X
No pretreatment facilities =>
1. Flow equalization Aerated equalization =>
NON -Aerated equalization => X
Total volume of equalization (million gal.) =>
2. Activated Carbon Yes
No
X
Describe any if present.
3. Activated Sludge Yes
No
X
4. Air Stripping Yes
No
X
5. Centrifugation Yes
No
X
6. Chemical Precipitation Yes
No
X
7. Chlorination Yes
No
X
8. Cyanide Destruction Yes
No
X
9. Cyclone Yes
No
X
10. Dissolved Air Floatation Yes
No
X
11. Filtration Yes
No
X
12. Flocculation Yes
No
X
13. Grease Trap Yes
No
X
14. Grit Removal Yes
X
No
15. Ion Exchange Yes
No
X
16. Neutralize, pH adjustments Yes
No
X
17. Other Biological Treatment Yes
No
X
18. Ozonation Yes
No
X
19. Reverse Osmosis Yes
No
X
20. Screening Yes
No
X
21. Sedimentation Yes
X
No
22. Septic Tank Yes
No
X
23. Silver Recovery Yes
No
X
24. Solvent Separation Yes
No
X
25. Spill protection Yes
X
No
List any others.
Title: IU Wastewater Survey & Permit Application
Page 8 of 19
Revision date: 12/30/97

PART IV, CATEGORICAL INFORMATION:
When were operations started at this facility Facility startup date 1
�=
Date of Acquisition by Mount Vernon Chemicals, LLC.: 11-Dec-2009
2. List all Standard Industrial Classification (SIC) codes for your facility.
These may be found on State Unemployment forms, tax forms,
accounting records, or from the Chamber of Commerce.
SIC Code 2843
NAICS Code 325613
3. Has this facility ever been considered a Categorical Industrial User
(CIU) as described by the Code of Federal Regulations (40 CFR)?
If yes, give complete 40 CFR number =>
No X
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users (CIUs) as described by the
Code of Federal Regulations (40 CFR)?
If yes please give name(s), location, and 40 CFR number. Yes
No N/A
Title: IU Wastewater Survey & Permit Application
Page 9 of 19
Revision date: 12/30/97

PART IV, CATEGORICAL INFORMATION: continued
5.
Check any activities listed below that
are performed
at your facility:
Check
40 Industrial Activity
Check
40 Industrial Activity
below
CFR#
below
CFR#
467 Aluminum Forming
432 Meat products
427 Asbestos Manufacturing
433 Metal finishing
464 Metal molding and casting
461 Battery Manufacturing
431 Builders paper & board mills
436 Mineral mining and processing
471 Nonferrous Metal, Form & Powders
407 Canned & preserved fruits & veg.
421 Nonferrous Metals Manufacturing
408 Canned & preserved seafood
414 OCPSF, Organic Chemicals, Plastics,
458 Carbon black Manufacturing
& Synthetic Fiber Manufacturing
411 Cement Manufacturing
437 Centralized Waste Treatment
435 Oil &gas extraction
440 Ore mining and dressing
434 Coal Mining
446 Paint formulating
465 Coil Coating
443 Paving and roofing materials Mfg.
468 Copper Forming
455 Pesticide Manufacturing
405 Dairy products processing
469 Electrical, electronic components
419 Petroleum Refining
439 Pharmaceutical Manufacturing
413 Electroplating
422 Phosphate Manufacturing
457 Explosives Manufacturing
459 Photographic supplies
412 Feedlots
463 Plastics molding and forming
424 Ferro allay Manufacturing
418 Fertilizer Manufacturing
466 Porcelain enameling
464 Foundries, Metal Mold & Casting
430 Pulp, paper, and paperboard
428 Rubber Manufacturing
426 Glass Manufacturing
417 Soap &Detergent Manufacturing
06 Grain mills
406
423 Steam Electric power Generation
Gum &Wood Chemicals Mfg.
460 Hospitals
409 Sugar processing
447 Ink formulating
410 Textile Mills
415 Inorganic chemical Manufacturing
429 Timber products processing
442 Transportation Equipment Cleaning
420 Iron & Steel Manufacturing
425 Leather Tanning & Finishing
Others
Title: IU Wastewater Survey & Permit Application
Page 10 of 19
Revision date: 12/30/97

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
Title: IU Wastewater Survey & Permit Application
Page 11 of 19
Revision date: 12/30/97

Wastewater Pollutant Checklist
EPA Check if Check if Check if Check if Concentration
Chemical Name
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if
own
i . _ -- - A\
Metals
Aluminum
01104
X
Antimony
01097
X
trace levels,
used as a
catalysis for
one roduct
Arsenic
01002
X
Beryllium
01012
X
Cadmium
01027
X
Chromium
01034
X
Copper
01042
X
Lead
01051
X
Mercury
71900
X — Lab use
Molybdenum
01062
X
Nickel
010 77
X
Selenium
01147
X
X
Silver
0 0077
Resale of
X
product /
factory sealed
container
Thalium
00982
X
Title: IU Wastewater Survey & Permit Application
Page 12 of 19
Revision date: 12/30/97

— — — — 01092 X
Zinc
trace levels,
used as a
catalysis for
one roduct
Wastewater Pollutant Checklist
rl��
mical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge I Discharge if Knom /wn
Other Inorganics
o1007 X
Barium
Chloride
6o-9 0 X
Cyanide
00 X
Fluoride _
oo951 s1 X
Title: IU Wastewater Survey & Permit Application
Page 13 of 19
Revision date: 12/30/97

5
cn
�
O U O
�
� U
V
c
�a =
CO
U
w
0
V
00
a
a
Ei
as p
U
a�
bb N
n
n11
y
P
z
°o ;
��>
bb
'� a
bl)
Q o
oId
H A0-4
azmcd
bb
.� .� c
z
n
n
�,
b oo "s
' N 2 o
d'
�
�
�
DD
01
�
-
N
.-�
N
M
Q U
H z

r
f
u�
a�
a
0
0
z
a
�
n A n
o �
0
U
V
En aj
U O
O
U
V
En
U p
O
41
U
V
cd
bb
N a �
Q
O'
U
V
rn
�a =
obn
o `H
U
V
bo
o
o�
U
II 11 II a�
o
In
�o
�U
A
4% y
� Q U
FC'.

u
N
�
O
w
U
z
U
A
V1
�
Fel.
Q
a
z�0�o
Q"
G
I=, O y
� N U
- N M Ln+—
p
�QU

rA
O
�
U
n n n
c
bD
�a
0
U
V
N Q
�U
Q
P. Okn �QU

Industrial User Wastewater Survey
& Permit Application
Part V, Waste Reduction Information:
State Pretreatment Rule 15A NCAC 21-1.0916 (c)(1)(M) requires Significant Industrial
ollution
Users to include a description of current and projected
listed are standard odes found on Toxic Release
prevention) activities. The codes Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Pro'ected Code Descri tion
W13 Im roved maintenance schedulin recordkee in , or rocedures
X W 14 Changed production schedule to minimize equipment and feedstock
W19 Other than es in o eratin ractices (explain briefl in comments
X X W21 Instituted procedures to ensure that materials do not stay in inventory
beyond shelf -life
X X W22 Be nan to test outdated material - continue to use if still effective
X W23 Eliminated shelf -life re uirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
Other changes in Inventory control (explain briefly in comments)
X X W29 1. Instituted lot labeling to enable better control of first in — First out use of RM and Finished goods.
2. Submit list of slow -moving inventories to material broker for tential sale instead of dis osal.
W31 Im roved stora e or stackin rocedures
W32 Improved procedures for loadin , unloading and transfer o erations
W33 Installed overflow alarms or automatic shutoff valves
X W34 Installed secondary containment
W35 Installed va or recove systems
X W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Others ill and leak revention ex lain briefl in comments
W41 Increased uri of raw materials
FX X W42Substituted raw materials.
X X W42 1. Eliminating PFAS chemicals in products.
2. Clingc1ins review of regulated raw material and substitutions made as )ssible.
X X W49 Other raw material modifications ex lain briefl in comments
X X W51 Instituted recirculation within a rocess -
Title: IU Wastewater Survey & Permit Application
File name: https://apollochem-my.sharepoint.com/personal/wchandlerapollochemical_tom/Documents/Desktop/Industrial Wastewater Survey IUP Permit
_
Application (Long Form) - Mount Vernon Chemicals dba Apollo Chemical.docx Page 18 of 18
Revision date: 12/30/97

Industrial User Wastewater Survey
& Permit Application
Current
Pro'ected
Code
vescrt tion
W52
Modified e13ui ment, layout, or i in
X
W53
Use of a different process catalyst
1. Substitution to different process catalyst, when possible, i.e., switching from Sn based catalyst
X
(FasCat) to Ti based catal st (T zor)
W54
Instituted better controls on operating bulk containers to minimize
discardin« of_em t containers
W55
Changed from small volume containers to bulk containers to
X
minimize discardin of emply containers
W58
Other process modifications (explain briefly in comments)
X
X
1. Reclaiming Raw materials for reuse when Tactical
W59
Modified stripping / cleaning equipment
X
X
1. Revised vessel cleaning for improved water conservation
W60
Changed to mechanical stripping / cleaning devices (from solvents or
other materials
W61
Chan ed to a ueous cleaners from solvents or other materials
the number of solvents used to make waste more amenable
W62
Reduced
to recycling
W63
Modified containment rocedures for cleanin units
W64
Improved draining procedures
W65
Redesi ned parts racks to reduce dra out.
W66
Modified or installed rinses stems
W67
Im roved rinse e ui ment desi n
W68
Im roved rinse equipment o eration
W71
Other cleanin and degreasing o eration (explain briefly in comments)
W72 Modified s ral,
W73 Substituted coy
W74 Im roved a 1
W75 Chan ed from
W78 Other surface
W81 Chan ed rodl
X
X
W82 Modified desi
W83 Modified ac
W89 Other roduct
W99 Other s eci
Comments
(Please list
corresponding code)
Title: IU Wastewater Survey & Permit Application
Revision date: 12/30/97
stems or
e�t�G�'
materials used
ion techniques
ay to other system
�aration and finishi
n or com osition of product
ka in
modifications
in comments;
ieflv in
in comments
Page 19 of 19