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NC0001058_Renewal (Application)_20240205
ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Natalie Brown Patheon Manufacturing Services LLC PO Box 1887 Greenville, NC 27834-1887 Subject: Permit Renewal Application No. NC0001058 Patheon Manufacturing Services Pitt County Dear Applicant: NORTH CAROLINA Environmental Quality February 05, 2024 The Water Quality Permitting Section acknowledges the February 5, 2024 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deg.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, Cynthia Demery Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D_E QQ)North Carolina Department of Environmental Quality I Division of Water Resources Washington Regional Office 1 943 Washington Square Mall I Washington North Carolina 27889 252.946.6481 Thermo Fisher S C I E N T I F I C February 1, 2024 Laseriici�e Thermo Fisher Scientific 5900 Martin Luther King Jr. Highway Greenville, NC 27834 +1 (252)-758-3436 www.thermofisher.com RECEIVED NCDEQ FEB 0 5 2024 Division of Water Quality / NPDES Unit 1617 Mail Service Center NCDEQ/DWR/NPDES Raleigh, NC 27699-1617 Subject: Renewal Application for Patheon Manufacturing Services LLC Patheon Manufacturing Services, LLC is submitting a renewal request for their NPDES permit NC0001058. This permit is for the non -contact cooling water blowdown at the Patheon site. Please find the attached original and two copies required for renewal, along with supporting documentation. If you need any additional information please contact me at (252-714-1792) or via email at hunter.copeland@thermofisher.com Sincerely, R. Hunter Copeland Senior Mgr EHS Pharma Services Patheon, part of Thermo Fisher Scientific EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047375766 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 Form U.S. Environmental Protection Agency t \" EPA Application for NPDES Permit to Discharge Wastewater NPDES GENERAL INFORMATION SECTION•NPDES Applicants Not Required to Submit Form 1 1.1 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 0 No Form 1. Complete Form 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 a production facility? currently discharging process wastewater? oYes 4 Complete Form 1 No ✓� Yes 4 Complete Form No a and Form 2B. 1 and Form 2C. 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 -+ Complete Form 1 ❑ No ❑ Yes -+ Complete Form No and Form 2D. 1 and Form 2E. W .°—: 1.2.5 Is the facility a new or existing facility whose '— discharge is composed entirely of stormwater a associated with industrial activity or whose discharge is composed of both stormwater and non-stormwater? ❑ Yes -+ Complete Form 1 ✓❑ No and Form 2F unless exempted by 40 CFR 122.26(b)(14)(x) or b )(15). SECTIONDD- • • Facility Name 2.1 Patheon Manufacturing Servicess LLC 0 2.2 EPA Identification Number R U o J Hazardous Waste (RCRA) NCD047375766 r 2.3 Facility Contact Name (first and last) Title Phone number R. Hunter Copeland Sr. Manager EHS (252) 714-1792 Q Email address c hunter.copeland@thermofisher.com 2.4 Facility Mailing Address E Street or P.O. box z 5900 Martin Luther King Jr Highway City or town State ZIP code Greenville North Carolina 27834 EPA Form 3510-1 (revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047375766 NCO01058 Patheon Manufacturing Servic1 OMB No. 2040-0004 2.5 Facility Location .y Street, route number, or other specific identifier Q 0 5900 Martin Luther King Jr Highway a o County name County code (if known) c Pitt us E a City or town State ZIP code z m Greenville North Carolina 27834 SECTION1 NAICS CODES SIC Code(s) Description (optional) 3.1 2833 Medicinal Chemicals and Botanical Products 2834 Pharmaceutical Preparations m 0 0 U U) U Z 3.2 NAICS Code(s) Description (optional) r cc 325412 Pharmaceutical Preparation Manufacturing U 325411 Medicinal and Botanical Manufacturing Name of 0 erator 4.1 R. Hunter Copeland `o_ 4.2 Is the name you listed in Item 4.1 also the owner? CU E ❑ Yes ❑✓ No 0 4.3 Operator Status ❑ Public —federal ❑ Public —state ❑ Other public (specify) ❑✓ Private ❑ Other (specify) 4.4 Phone Number of Operator (252)714-1792 4.5 Operator Address Street or P.O. Box E y 5900 Martin Luther King Jr Highway City or town State ZIP code `o o Greenville North Carolina 27834 � U a Email address of operator O hunter.copeland@thermofisher.com SECTION1 5.1 I `I Is the facility located on Indian Land? c c ❑ Yes ❑✓ No EPA Form 3510-1 (revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047375766 NCO01058 Patheon Manufacturing Serviceb OMB No. 2040-0004 iECTION 6. EXISTING ENVIRONMENTAL1 6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each) cc d m NPDES (discharges to surface ❑ RCRA (hazardous wastes) ❑ UIC (underground injection of o y water) fluids) NCO01058 NCD047373766-R2 w ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) w El Ocean dumping (MPRSA) El Dredge or fill (CWA Section 404) ✓❑ Other (specify) Svnthetic Minor Air 10634R01 7.1 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 Form 2B.) 8.1 1Describe the nature of your business. Pharmacuetical Manufacturing w H N C 7 133 w O N 3 a+ R Z 9.1 Does your facility use cooling water? d ❑ Yes ❑✓ No -* SKIP to Item 10.1. c ' 9.2 Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at ' 40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your Cn NPDES permitting authority to determine what specific information needs to be submitted and when.) O Y U 0) 110.1 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 when.) Cr d ❑ 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 Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047375766 NCO01058 Patheon Manufacturing Service IIJ OMB No. 2040-0004 SECTION• 1 In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application. 11.1 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 ❑ w/ attachments ✓❑ Section 3: SIC Codes ❑ w/ attachments ✓❑ Section 4: Operator Information ❑ w/ attachments ❑✓ Section 5: Indian Land ❑ w/ attachments ❑✓ Section 6: Existing Environmental Permits ❑ w/ attachments c E �; ❑✓ Section 7: Map w/ topographic ❑✓ Elw/ additional attachments �a map r c ❑✓ Section 8: Nature of Business Elw/ attachments w ✓❑ Section 9: Cooling Water Intake Structures ❑ w/ attachments �' -o ✓❑ Section 10: Variance Requests ❑ wl attachments �_ ✓❑ Section 11: Checklist and Certification Statement Elw/ attachments Y d 11.2 Certification Statement s U 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 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 R. Hunter Copeland Senior Mgr EHS Signature Date signed 2 . ��, cr-y , 2I I z� EPA Form 3510-1 (revised 3-19) Page 4 (• l eamlrw hCh ; - ' i r--- ----- ens• '; �` ! •� . ' 1311, rn `� .%j�/+i �..�6- r--.• _ .-. -.ram,-i � _.._. ._--- v �Treiler ?*000010, Park i Industr, Waste- �. as �� T Disposal' t to OUTFALL y; 002 OUTFALL " 001 r r' JJ »• ~ `�011cl - ` t ' � ... ••I � � as - ♦ l ` .-..._ _-_ _ low a. REENQUJLE / • I �' •w � t J Patheon Manufacturing Services LLC County: Pitt Stream Class: C•NSW ReceivineStrtream: Parker Creek Sub -Basin: 03-03-05 Latitude (001): 35039' 30" USGS Quad: Grecavillc NE Lonaitude (001): 77.21' 29" Latitude (002): 35. 39' 20" Loneitude (002): 7r 21' 24" FACRATY LOCATION x (not to scale) •/�l � NPDES Permit NC0001058 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 Form U.S. Environmental Protection Agency 2C EPA Application for NPDES Permit to Discharge Wastewater NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS SECTIONOUTFALL LOCATION 1.1 Provide information on each of the facility's outfalls in the table below. Numbelr Receiving Water Name Latitude Longitude U 0 001 Parker Creek 35' 39' 30" N 77' 2V 29" W 002 Parker Creek 35' 39' 20" N 77° 21' 24" W O SECTIOND' 1 a, 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water .3 balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.) J c6 o ✓❑ Yes ❑ No SECTION• 3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if necessary. **Outfall Number'* 001 Operations Operation Average Flow Cooling Tower Blowdown 0.0132 mgd E mgd M mgd Z cc y mgd 3 0 Treatment Units U. Q, Description Code from Final Disposal of Solid or a (include size, flow rate through each treatment unit, Table 2C 1 Liquid Wastes Other Than a retention time, etc.) by Discharge Summertime average 15 gpm with dosing at approx 2E 30 ppm for each tower EPA Form 3510-2C (Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 3.1 **Outfall Number** 002 Cont. Operations Operation Average Flow Cooling Tower Blowdown 0.097 mgd mgd mgd mgd Description Code from Final Disposal of Solid or (include size, flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than retention time, etc.) by Dischar e Summertime average 15gpm with dosing at approx 2E c 30 ppm for each tower 0 U c m E ie m H **Outfall Number** 0 Operations Contributing to Flow Operation Average Flow o LL mgd d a' mgd mgd mgd Treatment Description Units Code from Final Disposal of Solid or (include size, flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than retention time, etc.) by Dischar e 3.2 Are you applying for an NPDES permit to operate a privately owned treatment works? 0 ❑ Yes ✓❑ No 4 SKIP to Section 4. ND 3.3 Have you attached a list that identifies each user of the treatment works? ❑ Yes ❑ No EPA Form 3510-2C (Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 SECTION• 1 4.1 Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal? ❑✓ Yes ❑ No 4 SKIP to Section 5. 4.2 Provide information on intermittent or seasonal flows for each applicable outfall. Attach additional pages, if n cessary. Freq uency Flow Rate Outfall Operation Duration Average Average Long -Term Maximum Number (list) Da sMeek MonthsNear Average Dail Cooling Tower Blowdov 7 days/week 12 months/year .00004 mgd 0.0017 mgd 365 days 0 001 days/week months/year mgd mgd days U_ c days/week months/year mgd mgd days aD E Cooling Tower Blowdo 1 days/week 12 months/year .00005 mgd 0.0001 mgd 365 days m c days/week months/year mgd mgd days 002 days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days SECTION"•D • 1 5.1 Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility? ✓❑ Yes ❑ No 4 SKIP to Section 6. 5.2 Provide the following information on applicable ELGs. ELG Category ELG Subcategory Regulatory Citation w m Pharmaceutical Manufacturing Mixing/Compounding and Formulation 40 CFR Prt 439 Subpart D U Q Q Q 5.3 Are any of the applicable ELGs expressed in terms of production (or other measure of operation)? ❑ Yes ✓❑ No 4 SKIP to Section 6. 0 % 5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs. J Outfa Operation, Product, or Material Quantity per Day Unit -� Number r Measure m c o -o 0 a EPA Form 3510-2C (Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 SECTION'• 1 6.1 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 Item 6.3. 6.2 Briefly identify each applicable project in the table below. Affected Final Compliance Dates E Brief Identification and Description of Outfalls Source(s) of o Project (list outfall Discharge Required Projected a number E N d f6 CL Q 6.3 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 ✓❑ Not applicable SECTIONi See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must complete. Not all applicants need to complete each table. Table A. Conventional and Non -Conventional Pollutants 7.1 Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of your outfalls? ❑ Yes ❑✓ No 4 SKIP to Item 7.3. 7.2 If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application. Outfall Number Outfall Number Outfall Number 7.3 Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been N requested and attached the results to this application package? 0 Yes ❑ No; a waiver has been requested from my NPDES permitting authority for all pollutants at all outfalls. Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants 7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories listed in Exhibit 2C-3? (See end of instructions for exhibit.) ❑ Yes ✓❑ No 4 SKIP to Item 7.8. 7.5 Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B? W ❑ Yes ✓❑ No 7.6 List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s) identified in Exhibit 2C-3. Primary Industry Category Required GC/MS Fraction(s) Check applicable boxes. Pharmaceutical Preparations t] Volatile E1 Acid 0 Base/Neutral ❑ Pesticide ❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide ❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide EPA Form 3510-2C (Revised 3.19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCDO47373766-R2 NCOO1O58 Patheon Manufacturing Services iir OMB No. 2040-0004 7.7 Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS fractions checked in Item 7.6? ❑ Yes ❑✓ No 7.8 Have you checked 'Believed Present" or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B where testing is not required? 0 Yes ❑ No 7.9 Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have indicated are `Believed Present' in your discharge? 0 Yes ❑ No 7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions? ❑ Yes 4 Note that you qualify at the top of Table B, ❑ No then SKIP to Item 7.12. 'c 7.11 Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have c determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B, pollutants you have indicated are "Believed Present' in your discharge? ✓❑ Yes ❑ No Table C. Certain Conventional and Non -Conventional Pollutants 7.12 Have you indicated whether pollutants are "Believed Present' or "Believed Absent' for all pollutants listed on Table C r for all outfalls? Y ✓❑ Yes ❑ No c 7.13 Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated "Believed Present'? d ❑✓ Yes ❑ No w Table D. Certain Hazardous Substances and Asbestos 7.14 Have you indicated whether pollutants are 'Believed Present' or `Believed Absent' for all pollutants listed in Table D for all outfalls? ✓❑ Yes ❑ No 7.15 Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged and (2) by providing quantitative data, if available? ❑✓ Yes ❑ No Table E. 2,3,7,8-Tetrachlorodibenzo- -Dioxin 2,3,7,8-TCDD 7.16 Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you know or have reason to believe that TCDD is or may be present in the effluent? ❑ Yes 4 Complete Table E. ❑✓ No 4 SKIP to Section 8. 7.17 Have you completed Table E by reporting qualitative data for TCDD? ❑ Yes ✓❑ No SECTIONOR MANUFACTURED TOXICS Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as 8.1 an intermediate or final product or byproduct? 3 ❑ Yes ✓❑ No 4 SKIP to Section 9. u m 8.2 List the pollutants below. c 1. 4. 7. 0 2. 5. 8. F3, 6. 9. EPA Form 3510-2C (Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD047373766-R2 NCOO1058 Patheon Manufacturing Services OMB No. 2040-0004 SECTION• • • 1 9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge? ❑ Yes ❑✓ No 4 SKIP to Section 10. U) 9.2 Identify the tests and their Durposes below. Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted X Permitting Authority? 0 ❑ Yes ❑ No 0 0 m ❑ Yes ❑ No ❑ Yes ❑ No SECTIONi CONTRACT ANALYSES (40 Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm? 10.1 ❑ Yes ❑✓ No 4 SKIP to Section 11. 10.2 Provide information for each contract laboratory or consulting firm below. Laboratory Number 1 Laboratory Number 2 Laboratory Number 3 Name of laboratory/firm 21 Laboratory address a U l0 C 0 Phone number Pollutant(s) analyzed SECTIONDD • •- • Has the NPDES permitting authority requested additional information? 11.1 ❑ Yes ✓❑ No + SKIP to Section 12. 0 11.2 List the information requested and attach it to this application. `0 1. 4. 0 0 a 2. 5. >3 a 3. 6. EPA Form 3510-2C (Revised 3-19) Page 6 EPA Identification Number I NPDES Permit Number Facility Name I Form Approved 03/05/19 NCD0473-) R2 NCO01058 Patheon Manufacturing Services OMB No. 2040-0004 SECTION• 12.1 1 In Column 1 below, mark the sections of Form 2C 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 com lete all sections or provide attachments. Column 1 Column 2 ✓❑ Section 1: Outfall Location ❑ w/ attachments ✓❑ Section 2: Line Drawing ✓❑ w/ line drawing ❑ w/ additional attachments Section 3: Average Flows and 0 w/ list of each user of ❑ w/ attachments ❑ privately owned treatment Treatment works ✓❑ Section 4: Intermittent Flows ❑ w/ attachments ✓❑ Section 5: Production ❑ w/ attachments w/ optional additional ✓❑ Section 6: Improvements ❑ w/ attachments ❑ sheets describing any additional pollution control tans ❑ w/ request for a waiver and ❑ w/ explanation for identical supporting information outfalls w/ small business exemption w/ other attachments El ❑ d N 0 Section 7: Effluent and Intake ❑ w/ Table A ❑ w/ Table B Characteristics 0 ❑ w/ Table C ❑ w/ Table D d ❑ w/ Table E Elw/ analytical results as an 0 attachment 0 Section 8: Used or Manufactured ❑ w/ attachments Toxics 0 Section 9: Biological Toxicity ❑ w/ attachments L Tests U ✓❑ Section 10: Contract Analyses ❑ w/ attachments ✓❑ Section 11: Additional Information ❑ w/ attachments HEGE[ 0 Section 12: Checklist and ❑ w/ attachments Certification Statement 12.2 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 e a �"WF submitted. Based on my inquiry of the person or persons who manage the system, or those person 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 R. Hunter Copeland Senior Manager, EHS Signature Date signed K. �.,�--�- z I t l " EPA Form 3510-2C (Revised 3-19) Page 7 VED )24 /NPDE,c This page intentionally left blank. EPA Ida tificabon Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Service 001 OMS No. 2040-0004 TABLE A. CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.21(g)(7)(iii)) I Effluent Intake Waiver Unb Optional) Maximum Maximum Long -Term Pollutant Requested () Daily Monthly Average Daily Number of Long -Term Number of (if applicable) Discharge Discharge Discharge Analyses Average Value Analyses (required) if available if available ❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall. 1. Biochemical oxygen demand ❑ Concentration Mass (BODs) 2' Chemical oxygen demand ❑ Concentration Mass (COD) Concentration 3. Total organic carbon (TOC) ❑ Mass Concentration 4. Total suspended solids (TSS) ❑ Mass Concentration 5. Ammonia (as N) ❑ Mass 6. Flow ❑ Rate Temperature (winter) ❑ °C °C 27.8 27.8 27.8 1 NA NA 7. Temperature (summer) ❑ °C °C 0 NA NA pH (minimum) ❑ Standard units S.U. 6.0 7.0 NA 10 NA NA 8. pH (maximum) j Standard units S.U. 9.0 8.2 NA 30 NA NA I 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 351l (Revised 3-19) Page 9 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NC0010S8 Patheon Manufacturing Services 001 OMB No. 2040-0004 Presence or Absence Intake check one Effluent (optional) Pollutant/Parameter Testing Units Maximum Maximum Long -Tenn Long - (and CAS Number, if available) Required Believed Believed (specify) Daily Monthly Average Number Tenn Number Present Absent Discharge Discharge Daily of Average of (required) (rfavalable) Discharge Analyses Value Analyses davailable Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2 through 5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge. Section 1. Toxic Metals, Cyanide, and Total Phenols 1 1 Antimony, total ❑ ❑ ❑✓ Concentration Mass (7440-36-0) 1.2 Arsenic, total ❑ ❑ ❑✓ Concentration Mass (7440-38-2) 1.3 Beryllium, total Concentration Mass (7440-41-7) 14 Cadmium, total El 11 ID Concentration Mass (7440-43-9) 1.5 Chromium, total ❑ ❑❑ Concentration Mass (744047-3) 1.6 Copper, total ❑ Concentration Mass (7440-50-8) 1.7 Lead total ❑ El ❑ Concentration Mass (7439-92-1) 18 Mercury, total ❑ ❑ Concentration Mass (7439-97-6) 19 Nickel, total Concentration Mass (7440-02-0) 1.10 Selenium total © Concentration Mass (7782-49-2) 1 11 Silver, total ❑ ❑ ❑✓ Concentration Mass (7440-22-4) 1 EPA Form 3510-2C (Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility Name OuIIall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Services 001 OMB No 2040-0004 • 1 • • 1 •• • •• 1 Presence or Absence Intake check one Effluent (optional) Pollutant/Parameter Testing Units Maximum Maximum Long -Term Long' (and CAS Number, if available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily Discharge of Analyses Average AverageAnalyses of (required) (rfavailable) rf available 1.12 Thallium, total ❑ ❑ El Concentration Mass p440-28-0) 1.13 Zinc, total ❑ El El Concentration Mass (7440-66-6) 1.14 Cyanide, total ❑ ❑ ❑ Concentration Mass (57-12-5) 1.15 Phenols, total ❑ ❑ 0 Concentration Mass Section 2.Organic Toxic Pollutants (GC/MS Fraction —Volatile Compounds) 21 Acrolein ❑ ❑ ❑ Concentration Mass (107-02-8) 2.2 Acrylonitrile ❑ ❑ ❑ Concentration Mass (107-13-1) 2.3 Benzene ❑ ❑ ❑ Concentration Mass (71-43-2) 2.4 Bromoform ❑ ❑ ❑ Concentration Mass (75-25-2) 2.5 Carbon tetrachloride ❑ ❑ ❑ Concentration Mass (56-23-5) 2.6 Chlorobenzene ❑ ❑ Concentration Mass (108-90-7) 2.7 Chlorodibromomethane ❑ ❑ ❑ Concentration Mass (124-48-1) 2 8 Chloroethane El ❑ ❑ Concentration Mass (75-00-3) EPA Form 3510-2C (Revised 3-19) Page 12 —_7 EPA Identification Number NPDES Permit Number Facility Name Outlall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 • 1 • • • • • • • • • 1 Presence or Absence check one Effluent Intake (optional) Pollutant/Parameter Testing Units Maximum Maximum Long -Term Long - (and CAS Number, i(available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge aily of Average of (required) (if available) Discharge a Analyses Analyses (ifavailable)Value 2.9 2-chloroethylvinyl ether Concentration Mass (110-75-8) 2.10 Chloroform (67-66-3) Concentration Mass 2.11 Dichlorobromomethane Concentration Mass (75-27-4) 212 11-dichloroethane El 11 El Concentration Mass (75-34-3) 213 12-dichloroethane ❑ Concentration Mass (107-06-2) 214 11-dichloroethylene a Concentration Mass (75-354) 215 12-dichloropropane Concentration Mass (78-87-5) 216 13-dichloropropylene ❑ ❑� Concentration Mass (542-75-6) 217 Ethylbenzene Concentration Mass (100-41-4) 2.18 Methyl bromide Concentration Mass (74-83-9) 2.119 Methyl chloride ❑✓ Concentration Mass (74-87-3) 2.20 Methylene chloride Concentration Mass (75-09-2) 2 21 1,1,2 2- tetrachloroethane ❑❑ Concentration Mass (79-34-5) 1 EPA Form 3510-2C (Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Presence or Absence Intake check one Effluent (optional) antlParameter F(.nl Testing Units Maximum Maximum Long -Term Long• Number, Ravailabe) Required Believed Believed (specify) Daily Monthly Average Number Tenn Number Present Absent Discharge Discharge Daily of Average of (required) (if available) Discharge Analyses Value Analyses d avalable 2.22 Tetrachloroethylene ❑ ❑ ❑ Concentration Mass (127-18A) 2.23 Toluene ❑ ❑ El Concentration Mass (108-88-3) 2.24 1,2-trans-dichloroethylene Concentration Mass (156-60-5) 225 1,1,1-trichloroethane Concentration Mass (71-55-6) 226 1,1,2-trichloroethane Concentration Mass (79-00-5) 2.27 Trichloroethylene ❑ El ✓❑ Concentration Mass (79-01-6) 2 28 Vinyl chloride Concentration Mass (75-01 A) Section 3. Organic Toxic Pollutants GC/MS Fraction —Acid Compounds) 31 2-chlorophenol Concentration Mass (95-57-8) 3.2 2,4-dichlorophenol Concentration Mass (120-83-2) 3.3 2,4-dimethylphenol Concentration Mass (105-67-9) 3.4 4,6-dinitro-o-cresol Concentration Mass (534-52-1) 3.5 2,4-dinitrophenol Concentration Mass (51-28-5) EPA Form 3510-2C (Revised 3-19) Page 14 EPA Identificalion Number NPDES Permd Number Facility Name Oulfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No 2040-0004 Presence or Absence Intake check one Effluent (optional) PollutantlParameter Testing Units Maximum Maximum Long -Term Long- Long - (an, CAS Number. if available) Required Believed Believed (may) Daily Monthly Average Number Tenn Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (required) (f available) if available Value 3.6 2-nitrophenol ❑ El ElConcentration Mass (88-75-5) 3.7 4-nitrophenol ❑ ❑ ❑ Concentration Mass (100-02-7) 3.8 p-chloro-m-cresol ❑ ❑ ❑ Concentration Mass (59-50-7) 3.9 Pentachlorophenol ❑ ❑ ❑ Concentration Mass (87-86-5) 3.10 Phenol El 11 El Concentration Mass (108-95-2) 3.11 2,4,6-trichlorophenol ❑ ❑ ❑ Concentration 1 Mass (88-05-2) Section 4. Organic Toxic Pollutants GUMS Fraction —Base /Neutral Compounds) 41 Acenaphthene ❑ ❑ ❑ Concentration Mass (83-32-9) 4.2 Acenaphthylene ❑ ❑ ❑ Concentration Mass (208-96-8) 4.3 Anthracene ❑ ❑ O Concentration Mass (120-12-7) 4.4 Benzidine ❑ ❑ ❑ Concentration Mass (92-87-5) 4.5 Benzo (a) anthracene ❑ ❑ Concentration Mass (56-55-3) 4.6 Benzo (a) pyrene ❑ ❑ El Concentration Concentration (50-32-8) EPA Form 3510-2C (Revised 3-19) Page 15 EPA Identification Number NPDES Permit Number Facility Name Oudall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No 2040-0004 Presence or Absence Intake check one Effluent (optional) PollutantlParameter Testing Units Maximum Maximum Long -Term Long- (andCASnumber,6avad be) Required Believed Believed (specify) Daily Monthly Average Number Tenn Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (required) (if available) if available Value 4.7 3 4-benzofluoranthene ❑ ❑ ❑ Concentration Mass (205-99-2) 4.8 Benzo (ghi) perylene ❑ ❑ Concentration Mass (191-24-2) 4.9 Benzo (k) Auoranthene ❑ ElMass IZI Concentration (207-08-9) 4.10 Bis (2-chloroethoxy) methane ❑ ❑ ❑✓ Concentration Mass (111-91-1) 411 Bis (2-chloroethyl) ether ❑ ❑ ❑ Concentration Mass (111.44-4) 412 Bis (2-chloroisopropyl) ether ❑ ❑ ❑ Concentration Mass (102-80-1) 4.13 Bis (2-ethylhexyl) phthalate ❑ ❑ ❑ Concentration Mass (117-81-7) 4.14 4-bromophenyl phenyl ether ❑ ❑ ❑ Concentration Mass (101-55-3) 4.15 Butyl benzyl phthalate ❑ ❑ ❑ Concentration Mass (85-68-7) 4.16 2-chloronaphthalene ❑ ❑ ❑ Concentration Mass (91-58-7) 4.17 4-chlorophenyl phenyl ether ❑ ❑ ❑ Concentration Mass (7005-72-3) 4.18 Chrysene Concentration Mass L419 Dibenzo (a,h) anthracene ❑ ❑ ❑ Concentration Mass (53-70-3) EPA Form 3510-2C (Revised 3-19) Page 16 EPA Identification NumberES Permit Number Facility Name WWI Number Form Approved 03/05119 NPO NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No 2040-0004 •7%mbilable) • • •• • •• •1Presence or Absence Intake check one Effluent (optional) PoTesting Units Maximum Maximum Long•Terrn(and Long- Required Believed Believed () Daily Monthly Average Number m Tenn m Number Present Absent Discharge Discharge Daily Dische arg ischarg Analyses Average of Analyses (required) (rfavailable) (if4.20 Value 1,2-dichlorobenzene Concentration Mass (95-50-1) 411 1 3-dichlorobenzene Concentration Mass (541-73-1) 4.22 14-dichlorobenzene O Concentration Mass (106-46-7) 4.23 3 3-dichlorobenzidine Concentration Mass (91-94-1) 4.24 Diethyl phthalate Cl ❑ ✓❑ Concentration Mass (84-66-2) 4,25 Dimethyl phthalate Concentration Mass (131-11-3) 4,26 Di-n-butyl phthalate O Concentration Mass (84-74-2) 4.27 2,4-dinitrotoluene ❑❑ Concentration Mass (121-14-2) 4.28 2,6-dinitrotoluene Concentration Mass (606-20-2) 429 Di-n-octyl phthalate Concentration Mass (117-8") 4.30 1,2-Diphenylhydrazine ❑ ❑ 0 Concentration Mass (as azobenzene)(122-66-7) 4.31 Fluoranthene Concentration Mass (206-44-0) 4.32 Fluorene Concentration Mass (86-73-7) EPA Form 3510-2C (Revised 3-19) Page 17 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 N0001058 Patheon Manufacturing Services 001 OMB No.2040-0004 Presence or Absence Intake check one Effluent (optional) PollutantlParameter Testing Units Maximum Maximum Long -Term Long - (and CAS Number, if available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge of Average of (required) Cif available) DisDcharge Analyses Value Analyses ifavailable 4.33 Hexachlorobenzene ❑ ❑ ❑ Concentration Mass (118-74-1) 4.34 Hexachlorobutadiene ❑ ❑ Concentration Mass (87-68-3) 4.35 Hexachlorocyclopentadiene ❑ ❑ ❑� Concentration Mass (77-47-4) 4.36 Hexachloroethane ❑ ❑ ❑ Concentration Mass (67-72-1) 4.37 Indeno (1,2,3-cd) pyrene ❑ ❑ Concentration Mass (193-39-5) 4.38 Isophorone El ❑ Concentration Mass (78-59-1) 4.39 Naphthalene ❑ ❑ 0 Concentration Mass (91-20-3) 4.40 Nitrobenzene ❑ ❑ Concentration Mass (98-95-3) 4.41 N-nitrosodimethylamine ❑ ❑ Concentration Mass (62-75-9) 4.42 N-nitrosodi-n-propylamine ❑ ❑ ❑ Concentration Mass (621-64-7) 4.43 N-nitrosodiphenylamine ❑ ❑ ❑ Concentration Mass (86-30-6) 4.44 Phenanthrene ❑ ❑ a Concentration Mass (85-01-8) 4.45 Pyrene ❑ ❑ Concentration Mass (129-00-0) EPA Form 3510.2C (Revised 3-19) Page 18 EPA Idenfificalion Number NPDES Permit Number Facility Name OuVall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 • 11M all 1 •• Presence or Absence heck one • �• 1 Units (specify) Effluent Intake (optional) Pollutant/Parameter (and CAS Number if available) Testing Required Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (if available) Long -Term Average Discharge chargeof Dis if available)Value Number Analyses Long - Tenn Average Number Analyses 1 2 4-hichlorobenzene 4.46 (120-82-1) El El ❑ Concentration Mass Secdon 5. Organic Toxic Pollutants GUMS Fraction —Pesticides 5.1 Aldrin (309-00-2) ❑ ❑ Concentration Mass 5.2 a-BHC (319-84-6) ❑ ❑ IZI Concentration Mass 5.3 O-BHC (319-85-7) El ❑ IZI Concentration Mass 5.4 -BHC (58-89-9) El ❑ El Concentration Mass 5.5 5-BHC (319-86-8) ❑ ❑ ❑ Concentration Mass 5.6 Chlordane (57-74-9) ❑ ElMass El Concentration 5.7 4,4'-DDT (50-29-3) ❑ ❑ ❑ Concentration Mass 5.8 4 4'-DDE (72-55-9) ❑ ❑ ❑ Concentration Mass 5.9 4 4'-DDD (72-54-8) ❑ ❑ ❑ Concentration Mass 5.10 Dieldrin (60-57-1) ❑ ❑ ❑ Concentration Mass 511 a-endosulfan (115-29-7) ❑ ❑ ❑ Concentration Mass EPA Form 3510-2C (Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Oulfall Number Form Approved 03/05/19 NCD047373766-R2 N0001058 Patheon Manufacturing Services 001 OMB No 2040-0004 • 1 • • 1 •' Presence or Absence check one • •• 1 Units (specify) Effluent Intake (optional) Pollutant1Parameter (and CAS Number, rf ava table) Testing Required Believed Present Believed Absent Maximum Daily Discharge (required) Maximum MonthlyDaily Discharge (if available) Long -Terre Average Discharge d available)Value Number of Analyses Long - Tenn Average Number of Analyses 512 Q-endosulfan (115-29-7) ❑ ❑ ❑ Concentration Mass 5.13 Endosulfan sulfate (1031-07-8) ❑ ❑ ❑ Concentration Mass 5.14 Endrin (72-20-8) ❑ Concentration Mass 5.15 Endrin aldehyde (7421-93-4) ❑ ❑ ❑ Concentration Mass 5.16 Heptachlor (76-44-8) ❑ Concentration Mass 5.17 Heptachlor epoxide (1024-57-3) ❑ ❑ ✓❑ Concentration Mass 5.18 PCB-1242 (53469-21-9) ❑ ❑ Concentration Mass 5.19 PCB-1254 (11097-69-1) ❑ ❑ ❑ Concentration Mass 5.20 PCB-1221 (11104-28-2) ❑ ❑ 0 Concentration Mass 5.21 PCB-1232 (11141-16-5) ❑ 0 Concentration Mass 5.22 PCB-1248 (12672-29-6) ❑ ❑ ❑ Concentration Mass 5.23 PCB-1260 (11096-82-5) ❑ ❑ ❑ Concentration Mass 5.24 PCB-1016 (12674-11-2) ❑ ❑ ❑ Concentration Mass EPA Form 3510-2C (Revised 3-19) Page 20 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Presence or Absence Intake check one Effluent (opbonap Pollutant/Parameter Testing Units Maximum Maximum Long -Term Long - (and CAS Number, if m Required Believed Believed (specify) Daily Monthly a Average Number Term Number Present Absent Discharge Discharge Daily of Average of (required) (f available) Discharge Analyses Value Analyses if available Toxaphene Concentration 5.25 (8001-35-2) El El Mass r 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 3510-2C (Revised 3-19) Page 21 This page intentionally left blank. EPA Identification Number NPUES Permit Number Facility Name Outfall Number NCD047373766-F NCO01058 I Patheon Manufacturing Services 001 Form Approved 03/05/19 OMB No. 2040-0004 0Present Presence or Absence Intake chec one Effluent (Optional) Pollutant Believed Units (specify) Maximum Daily Maximum Monthly Long-TermBelieved Average Daily Number of Long -Term Number of Absent Discharge Discharge Discharge Analyses Average Analyses (required) davailable davailable Value ❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfail. You need not complete the "Presence or Absence" column of Table C for each pollutant. ❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant. 1 Bromide ❑ ❑ Concentration Mass (24959-67-9) 2 Chlorine, total ❑ Concentration ug/L 1 1 1 1 NA NA Mass residual 3. Color ❑ Concentration Mass 4. Feral coliform ❑ 0 Concentration Mass 5 Fluoride ❑ ❑ Concentration Mass (16984-48-8) 6 Nitrate nitrite ❑ ConcentrationMass 7. Nitrogen, total Concentration Mass organic (as N) 8. Oil and grease El El ConcentrationMass 9 Phosphorus (as El ❑ Concentration Mass P), total(7723-14-0) 10 Sulfate (as SO4) ❑ ❑ Concentration Mass (14808-79-8) 11. Sulfide (as S) ❑ ❑✓ ConcentrationMass EPA Form 3510-2C (Revised 3-19) Page 23 EPA Identi6calion Number NPDES PemXt Nunbar Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NC003058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Pollutant Presence or Absence check one Un is (•p•w Effluent Intake (Optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge d available) Long -Term Average Daily Discharge (if available Number of Analyses Long -Term Average aAnalyses Value Number of 12 Sulfite (as S03) (1426545-3) ❑ ❑ Concentration Mass 13. Surfactants ❑ 0 ConcentrationMass 14 Aluminum, total (7429-90-5) ❑ ❑ Concentration Mass 15 Barium, total (7440-39-3) ❑ ❑ Concentration Mass 16 Boron total (7440-42-8) ❑ ❑ Concentration Mass 17. Cobalttotal (74404") ❑ J ❑ Concentration Mass 18 Iron total (7439-89-6) ❑ ❑ Concentration Mass 19 Magnesium, total (7439-95-4) ❑ ❑ Concentration Mass 20. Molybdenum, total 7439-98-7 ❑ Concentration Mass 21 Manganese, total (7439-96-5) ❑ ❑ Concentration Mass 22 Tin total (7440-31-5) Concentration Mass 23 Titanium, total (7440-32 6) 0 Concentration Mass EPA Fonn 3510-2C (Revised 3-19) Page 24 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No 2040-0004 • • • • • • IPresence or Absence Intake check one Effluent (Optional) 7P, Believed Believed Units (specify) Maximum Daily Maximum Monthly Long -Term Average Daily Number of Long -Term Number of Present Absent Discharge Discharge Discharge Analyses Average Analyses (required) if available fl available Value 24. Radloactivity Alpha, total El Concentration Mass Beta, total ❑ ❑ Concentration Mass Radium, total ❑ ❑� Concentration Mass Radium 226, total ConcentrationMass 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 3510-2C (Revised 3-19) Page 25 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/0 119 NCDO47373766-R2 NCOO1O58 Patheon Manufacturing Services 001 OMB No.2040-0004 Pollutant Presence or Absence check one Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 1. Asbestos ❑ ❑� 2. Acetaldehyde ❑ ❑� 3. AIM alcohol ❑ [a 4. AIM chloride ❑ ❑� 5. Amyl acetate ❑ ❑� 6. Aniline ❑ 7. Benzonitrile ❑ ❑� 8. Benzyl chloride ❑ ✓❑ 9. Butyl acetate ❑ ❑� 10. Butylarrine ❑ ❑� 11. Captan ❑❑ 12. Carbaryl ❑ 13. Carbofuran ❑ 14. Carbon disulfide ❑ ❑� 15. Chlorpofos ❑ ❑� 16. Coumaphos ❑ ❑✓ 17. Cresol ❑ ❑� 18. Crotonaldehyde El❑✓ 19. Cyclohexane ❑ EPA Form 3510-2C (Revised 3-19) Page 27 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Pollutant 7 r2O.2,4-D2,4-dichlorophenoxyacetic Presence or Absence (check re Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent acid) ❑ ❑✓ 21. Diazinon ❑ ✓❑ 22. Dicamba El El 23. Dichlobenil ❑❑ 24. Dichlone ❑ ❑✓ 25. 2,2-dichloropropionic acid ❑ 26. Dichlorvos ❑ ❑� 27. Diethyl amine ❑❑ 28. Dimethyl amine ❑ ❑✓ 29. Dintrobenzene ❑ ❑� 30. Dicluat ❑ ❑✓ 31. Disulfoton ❑ ❑✓ 32. Diuron ❑ ❑✓ 33. Epichlorohydrin ❑ ✓❑ 34. Ethion ❑ 0 35. Ethylene diamine ❑ 36. Ethylene dibromide ❑ ❑� 37. Formaldehyde ❑ ❑✓ 38. Furfural ❑ ❑✓ EPA Form 3510-2C (Revised 3-19) Page 28 EPA Identification Number NPDES Permit Number Facility Name Oudall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Presence or Absence Pollutant check one Believed Believed Present Absent Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) 39. Guthion ❑ Isoprene ❑ ❑� 40. 0 41. Isopropanolamine ❑ 0 42. Kelthane ❑ 43. Kepone ❑ 0 44. Malathion ❑ 45. Mercaptodimethur ❑ ❑✓ 46. Methoxychlor ❑ IZI 47. Methyl mercaptan ❑ ❑ 48. Methyl methacrylate ❑ 0 49. Methyl parathion ❑ 50. Mevinphos ❑❑ 51. Mexacarbate ❑ ❑ 52. Monoethyl amine ❑ ❑ 53. Monomethyl amine ❑ 0 54. Naled ❑ 55. Naphthenic acid ❑ ❑� 56. Nitrotoluene ❑ ❑� 57. Parathion ❑ EPA Form 3510-2C (Revised 3-19) Page 29 EPA Identificalion Number rvNuts Hermit Number Facility Name Oudall Number NCD047373766-R2 NCO01058 I Patheon Manufacturing Services 001 Form Approved 03105/19 OMB No. 2040-0004 Pollutant rPhe.noluffnte I • 1Presence or Absence check one Available Quantitative Data Reason Pollutant Believed Present in Discharge (specify units) Believed Present Believed Absent ❑ 0 59. Phosgene ❑ 0 60. Propargite ❑ 0 61. Propylene oxide ❑ ❑✓ 62. Pyrethrins ❑ 0 63. Quinoline ❑ ❑✓ 64. Resorcinol ❑ ❑✓ 65. Strontium ❑ ❑✓ 66. Strychnine ❑ 67. Styrene ❑ 68 2,4 5-T (2,4,5-trichlorophenoxyacetic add) ❑ 0 69. TDE (tetrachlorodiphenyl ethane) ❑ 70. 2,4,5-TP [2-(2,4,5-tdchlorophenoxy) propanoic acid ❑ 71. Trichlorofon ❑ ❑r 72. Triethanolamine ❑ 0 73. Triethylamine ❑ 0 74. Trimethylamine ❑ 0 75. Uranium ❑ 0 76. Vanadium ❑ EPA Form 351 D-2C (Revised 3-19) Page 30 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCDO47373766-R2 NCO01058 Patheon Manufacturing Services 001 OMB No. 2040-0004 Presence or Absence check one Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Pollutant Believed Present Believed Absent 77. Vinyl acetate ❑ ❑✓ 78. Xylene ❑ ❑� 79. Xylenol ❑ ✓❑ 80. Zirconium ❑ ❑� 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 3510-2C (Revised 3-19) Page 31 This page intentionally left blank. PA Identification Number NPDES Pemdt Number Facility Name NCDO47373766-R2 NCO01058 Patheon Manufacturing Services •'•1 •1• 11 4I TCDD Presence or Congeners Absence Pollutant Used or check one Manufactured Believed Believed Present Absent 2,3.7.8-TCDD ❑ ❑ ❑ Outfall Number 001 Results of Screening Procedure Form Approved 03105/19 OMB No. 2040-0004 EPA Form 3510-2C (Revised 3-19) Page 33 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Service 002 OMB No. 2040-0004 Effluent Intake Waiver o li Maximum Maximum Long -Tenn Pollutant Requested Units (s edM Daily Monthly Average Daily Number of Long -Term Number of Qf applicable) Discharge Discharge Discharge Analyses Average Value Analyses (required) (if available) davailable ❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall. 1' Biochemical oxygen demand ❑ Concentration Mass (BOD5) 2' Chemical oxygen demand ❑ Concentration Mass (COD) Concentration 3. Total organic carbon (TOC) ❑ Mass Concentration 4. Total suspended solids (TSS) ❑ Mass Concentration 5. Ammonia (as N) ❑ Mass 6. Flow ❑ Rate Temperature (winter) ❑ °C °C 24.9 24.9 23.47 3 NA NA 7. Temperature (summer) ❑ °C °C 31.4 31.4 29.6 3 NA NA pH (minimum) ❑ Standard units S.U. 6.0 7.0 NA 10 NA NA 8. pH (maximum) ❑ Standard units SM. 9.0 8.2 NA 10 NA NA r 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 3510-2C (Revised 3-19) Page 9 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No. 2040-0004 Presence or Absence Intake 7(aMCAS checb one Effluent (optional) ntlParameter Testing Units Maximum Maximum Long -Term Long - umber. it available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily of Average of (required) (if available) Discharge Analyses Value Analyses if available ❑ Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2 through 5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge. Seddon 1. Toxic Metals, Cyanide, and Total Phenols 1 1 Antimony, total ❑ ❑ ❑ Concentration Mass (7440-36-0) 1.2 Arsenic, total ❑ ❑ ❑✓ Concentration Mass (7440-38-2) 1.3 Beryllium, total ❑ ❑ ✓❑ Concentration Mass (744041-7) 1.4 Cadmium, total ❑ ❑ IZI Concentration Mass (7440.43-9) 1.5 Chromium, total ❑ ❑ ❑ Concentration Mass (7440-47-3) 1.6 Copper, total ❑ ❑ ❑ Concentration Mass (7440-50-8) 1.7 Lead total ❑ ❑ ❑ Concentration Mass (7439-92-1) 1.8 Mercury, total ❑ ❑ ❑ Concentration Mass (7439-97-6) 1.9 Nickel total ❑ ❑❑ Concentration Mass (7440-02-0) 1.10 Selenium total ❑ ❑ ❑ Concentration Mass (778249-2) 1.11 Silver, total ❑ ❑ ❑ Concentration Mass (7440-224) 1 EPA Form 3510-2C (Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility Name WWI Number Form Approved 03/05/19 NCDO47373766-R2 N00010S8 Patheon Manufacturing Services 002 OMB No 2040-0004 Presence or Absence check one Units (specify) Effluent Intake (optional) Pollutant/Parameter (and CAS Number,'rf available) Testing Required Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge (d available) Long -Term Average Daily Discharge rf available Number °f Analyses Long - Term Average Value Number of Analyses 1.12 Thallium total (7440-28-0) ❑ ❑ ❑� Concentration Mass 1.13 Zinc total (7440-66-6) ❑ ❑ O Concentration Mass 1.14 Cyanide, total (57-12-5) ❑ ❑ Concentration Mass 1.15 Phenols, total ❑ ❑❑ Concentration Mass Section 2.Organic Toxic Pollutants (GC/MS Fraction —Volatile Compounds) 21 Acrolein (107-02-8) ❑ ❑ ❑ Concentration Mass 2.2 Acrylonitrile (107-13-1) ❑ ❑ El Concentration Mass 2.3 Benzene (71.43-2) ❑ ❑ 0 Concentration Mass 2.4 Bromofomt (75-25-2) ❑ ❑ ❑� Concentration Mass 2.5 Carbon tetrachloride (56-23-5) ❑ ❑ Concentration Mass 2.6 Chlorobenzene (108-90-7) El ElMass Concentration 2.7 Chlorodibromomethane (124-48-1) El ❑ Concentration Mass 2.8 Chloroethane (75-00-3) ElMass Concentration EPA Form 3510-2C (Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Outrall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Services 002 OMB No.2040-0004 • • • • 1 ••ILION• Presence or Absence '• 1 Intake chec one Effluent (optional) PollutantlParameter Testing Units Maximum Maximum Long -Term Long* (and CAS Nr•rber, if available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (required) (if available) d available Value 2.9 2-chloroethylvinyl ether ❑ ❑ ❑ Concentration Mass (110-75-8) 2.10 Chloroform (67-66 3) ❑ ❑ Concentration Mass 211 Dichlorobromomethane ❑ ❑ ❑ Concentration Mass (75-27-4) 2.12 1,1-dichloroethane El ❑ ID Concentration Mass (75-34-3) 2.13 1,2-dichloroethane ❑ ElMass Concentration (107-06-2) 214 1,1-dichloroethylene ❑ ❑ ❑ Concentration Mass (75-354) 215 1,2-dichloropropane ❑ ❑ ❑ Concentration Mass (78-87-5) 216 1,3-dichloropropylene ❑ ❑ ❑ Concentration Mass (542-75-6) 217 Ethylbenzene ❑ ❑ ❑ Concentration Mass (10041-4) 218 Methyl bromide ❑ ❑ ❑ Concentration Mass (74-83-9) 2.19 Methyl chloride ❑ ❑ ❑ Concentration Mass (74-87-3) 2.20 Methylene chloride ❑ ❑ ❑ Concentration Mass (75-09-2) 221 1,1,2,2-tetrachloroethane ❑ ❑ ❑ Concentration Imass (79-34-5) 1 EPA Form 3510-2C (Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Ouffall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No.2040-0004 TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR 122.21(g)(7)(v))' Presence or Absence Intake check one Effluent (optional) Pollutant/Parameter Testing Units Maximum Maximum Long -Term Long - (and CAS Number, rf available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily of Average of (required) (if available) Discharge Analyses Value Analyses d available 2.22 Tetrachloroethylene ❑ ❑ ❑ Concentration Mass (127-18-4) 2.23 Toluene ❑ ❑ a Concentration Mass (108-88-3) 224 1,2-trans-dichloroethylene ❑ ❑ ❑✓ Concentration Mass (156-60-5) 225 11,1-hichloroethane ❑ ❑ ❑ Concentration Mass (71-55-6) 2.26 1 1,2-trichloroethane ❑ ❑ ❑ Concentration Mass (79-00-5) 2.27 Trichloroethylene ❑ ❑ ❑✓ Concentration Mass (79-01-6) 2.28 Vinyl chloride ❑ ❑ ❑ Concentration Mass (75-01-4) Section 3. Organic Toxic Pollutants GC/MS Fraction —Acid Compounds 31 2-chlorophenol ❑ ❑ ✓❑ Concentration Mass (95-57-8) 3.2 2 4-dichlorophenol ❑ ❑ El Concentration Mass (120-83-2) 3.3 2 4-dimethylphenol ❑ ❑ IZI Concentration Mass (105-67-9) 3.4 4 6-dinitro-o-cresol ❑ ❑ ❑ Concentration Mass (534-52-1) 3.5 2 4-dinitrophenol ❑ ❑ Concentration Mass (51-28-5) EPA Form 3510-2C (Revised 3-19) Page 14 EPA Identification Number NPDES Permit Number Facility Name Ourfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No,2040-0004 Presence or Absence Intake check one Effluent (optional) nt/Parameter F(.npl'CAS Testing Units Maximum Maximum Long -Term Long- umber,'rf available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (squired) (rfavailable) davailable Value 3.6 2-nitrophenol ❑ ❑ Concentration Mass (88-75-5) 3.7 4-nitrophenol El ❑ IZI Concentration Mass (100-02-7) 3.8 p-chloro-m-cresol ❑ ElMass El Concentration (59-50-7) 3.9 Pentachlorophenol El ElMass El Concentration (87-86-5) 3.10 Phenol El ElMass El Concentration (108-95-2) 3.11 2,4,6-trichlorophenol El El El Concentration Mass (88-05-2) Section 4. Organic Toxic Pollutants(GC/MS Fraction —Base /Neutral Compounds 41 Acenaphthene ❑ ❑ ❑ Concentration Mass (83-32-9) 4.2 Acenaphthylene ❑ ❑ ❑ Concentration Mass (208-96-8) 4.3 Anthracene ❑ ❑ Concentration Mass (120-12-7) 4.4 Benzidine ❑ ❑ Concentration Mass (92-87-5) 4.5 Benzo (a) anthracene Concentration Mass (56-55-3) 4.6 Benzo (a) pyrene ❑ ❑ ❑ Concentration Mass (50-32-8) EPA Form 3510-2C (Revised 3-19) Page 15 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No. 2040-0004 Presence or Absence Intake check one Effluent (optional) Pollutant/Parameter 'rfavailable) Testing Units Maximum Maximum Long -Term Long" (and CAS Number, Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily of Average of (required) (if available) Discharge Analyses Value Analyses davailable 4.7 3 4-benzofluoranthene ❑ ❑ Concentration Mass (205-99-2) 4.8 Benzo (ghi) perylene ❑ ❑ ❑ Concentration Mass (191-24-2) 4.9 Benzo (k) fluoranthene ❑ ❑ ❑ Concentration Mass (207-08-9) 4.10 Bis (2-chloroethoxy) methane ❑ ❑ ❑ Concentration Mass (111-91-1) 411 Bis (2-chloroethyl) ether ❑ ❑ ❑✓ Concentration Mass (111-44-4) 412 Bis (2-chloroisopropyl) ether ❑ ❑ ❑✓ Concentration Mass (102-80-1) 4.13 Bis (2-ethylhexyl) phthalate ❑ ❑ ❑✓ Concentration Mass (117-81-7) 4.14 4-bromophenyl phenyl ether ❑ ❑ ❑✓ Concentration Mass (101-55-3) 4.15 Butyl benzyl phthalate ❑ ❑ ❑ Concentration Mass (85-68-7) 4.16 2-chloronaphthalene ❑ ❑ ❑ Concentration Mass (91-58-7) a.17 4-chlorophenyl phenyl ether ❑ ❑ ❑ Concentration Mass (7005-72-3) 418 Chrysene ❑ ❑ ❑ Concentration Mass (218-01-9) 4.19 Dibenzo (a,h) anthracene ❑ ❑ El Concentration Mass (53-70-3) EPA Form 3510-2C (Revised 3-19) Page 16 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-P2 NCOO1OS8 Patheon Manufacturing Services 002 OMB No. 2040-0004 Presence or Absence Intake check one Effluent (optional) Pollutant/Parameter Testing Units Maximum Maximum Long -Term Long- (and CAS Number, if available) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (required) (davalable) davailable Value 4.20 12-dichlorobenzene Concentration Mass (95-50-1) 4.21 1 3-dichlorobenzene ❑ ❑❑ Concentration Mass (541-73-1) 4.22 14-dichlorobenzene ❑ El ✓❑ Concentration Mass (106A6-7) 4.23 3,3-dichlorobenzidine Concentration Mass (91-94-1) 4.24 Diethyl phthalate El © Concentration Mass (84-66-2) 4.25 Dimethyl phthalate © Concentration Mass (131-11-3) 4.26 Di-n-butyl phthalate ❑ ❑ © Concentration Mass (84-74-2) 4.27 2 4-dinitrotoluene © Concentration Mass (121-14-2) 4.28 2 6-dinitrotoluene Concentration Mass (606-20-2) 4.29 Di-n-octyl phthalate ❑ 11 a Concentration Mass (117-84-0) 4.30 1,2-Diphenylhydrazine ❑ ❑ 0 Concentration Mass (as azobenzene)(122-66-7) 4.31 Fluoranthene El El ID Concentration Mass (206-44-0) 4.32 Fluorene ❑ ❑ El Concentration (86-73-7) 1 1Mass EPA Form 3510-2C (Revised 3-19) Page 17 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05119 NCD047373766-R2 N0001058 Patheon Manufacturing Services 002 OMB No, 2040-0004 Presence or Absence Intake check one Effluent (optional) Pollutant/Parametar Testing Units Maximum Maximum Long -Term Long - (and CAS Number, davaWable) Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily Discharge of Analyses Average of Analyses (required) (if available) if available Value 4.33 Hexachlorobenzene El ❑ ❑ Concentration Mass (118-74-1) 4.34 Hexachlorobutadiene ❑ ❑ ❑ Concentration Mass (87-68-3) 4.35 Hexachlorocyclopentadiene ❑ ❑ ❑ Concentration Mass (77-47-4) 4.36 Hexachloroethane ❑ ❑ ❑✓ Concentration Mass (67-72-1) 4.37 Indeno (1,2,3-cd) pyrene ❑ ❑ ❑ Concentration Mass (193-39-5) 4.38 Isophorone ❑ ❑ ❑ Concentration Mass (78-59-1) Naphthalene 4.39 ❑ ❑ Concentration Mass (91-20-3) Nitrobenzene 4.40 ❑ ❑ Concentration Mass (98-95.3) 4.41 N-nitrosodimethylamine ❑ El ❑✓ Concentration Mass (62-75-9) 4.42 N-nitrosodi-n-propylamine ❑ ❑ Concentration Mass (621-64-7) 4.43 N-nitrosodiphenylamine ❑ ❑ ❑ Concentration Mass (86-30-6) 4.44 Phenanthrene El Concentration Concentration (85-01-8) Pyrene 4.45 ❑1 El El Concentration 1Mass (129-00-0) EPA Form 3510-2C (Revised 3-19) Page 18 EPA Identification Number NPDES Permit Number Facility Name Outlall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Services 002 OMB No. 2040-0004 • • • • Presence or Absence check one Units (specify) Effluent Intake (option) Pollutant/Parameter (and CAS Number, rfavailable) Testing Required Believed Present Believed Absent Maximum Daily Discharge Maximum Monthly Discharge e) Long -Term Average Daily Discharge rf available Number of Analyses Long - Term Average alue Number of Analyses 1 2 4-trichlorobenzene 4.46 (120-82-1) ❑ El El Concentration Mass Section 5. Organic Toxic Pollutants (GCIMS Fraction —Pesticides 5.1 Alddn (309-00-2) ❑ ❑ Concentration Mass 5.2 a-BHC (319-84-6) ❑ ❑ Concentration Mass 5.3 (i-BHC (319-85-7) El ElMass El Concentration 5.4 V-BHC (58-89-9) ❑ ❑ ❑ Concentration Mass 5.5 bBHC (319-86-8) El ❑ IZI Concentration Mass 5.6 Chlordane (57-74-9) ❑ ❑ ❑ Concentration Mass 5.7 4,4'-DDT (50-29-3) ❑ ❑ ❑ Concentration Mass 5.8 4 4'-DDE (72-55-9) ❑ ❑ ❑ Concentration Mass 5.9 4 4'-DDD (72-54-8) ❑ ❑ ❑ Concentration Mass 5.10 Dieldrin (60-57-1) ❑ ❑ Concentration Mass 511 a-endosulfan (115-29-7) ❑ ❑ ❑ Concentration Mass EPA Form 3510-2C (Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NC001058 Patheon Manufacturing Services 002 OMB No. 2040-0004 Pollutant/Parameter (and CAS Number.. if available) Testing Required Presence or Absence check one Units (specify) Effluent Intake (optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge Qfavailable) Long -Term Average Daily Discharge if available Number of Analyses Long - Tenn Average Value Number of Analyses 5.12 endosulfan (115-29-7) Concentration Mass 5.13 Endosulfan sulfate (1031-07-8) Concentration _- Mass 5.14 Endrin (72-20-8) Concentration Mass 5.15 Endrin aldehyde (7421-93-4) Concentration Mass 5.16 Heptachlor (76-44 8) Concentration Mass 5.17 Heptachlor epoxide (1024-57-3) Concentration Mass 5.18 PCB-1242 (53469-21-9) ❑ ❑ I El Concentration Mass 5.19 PCB-1254 (11097-69-1) IZI Concentration Mass 5.20 PCB-1221 (11104-28-2) ❑ Concentration Mass 5.21 PCB-1232 (11141-16-5) El Concentration Mass 5.22 PCB-1248 (12672-29-6) Concentration Mass 5.23 PCB-1260 (1109&82-5) Concentration Mass 5.24 PCB-1016 (12674-11-2) El Concentration Mass EPA Form 3510.2C (Revised 3-19) Page 20 EPA Idenfificabon Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCDo47373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No 2040-0004 Presence or Absence Intake check one Effluent (Intake ter Testing Units Maximum Maximum Long -Term Long- CASavailable) IT7 Required Believed Believed (specify) Daily Monthly Average Number Term Number Present Absent Discharge Discharge Daily of Average of (required) (if available) Discharge Analyses Value Analyses rf available Concentration ❑ — Mass ' 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 3510-2C (Revised 3-19) Page 21 This page intentionally left blank. EPA Identification NumberES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NPD NCDO47373766-R2 NCOO1O58 Patheon Manufacturing Services 002 OMB No. 2040-0004 Intake Presence or Absence check one Effluent (Optional) Pollutant Believed Believed Units (specify) Maximum Dail y Maximum Monthly Long-Term Average Daily Number of Long -Term Number of Present Absent Discharge Discharge Discharge Analyses Average Analyses (required) (if available) if available Value ❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the "Presence or Absence' column of Table C for each pollutant. ❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant. Bromide ❑ ❑ Concentration Mass (24959-67-9) 2 Chlorine, total ❑ Concentration ug/L 29 29 11.2 10 NA NA Mass residual 3. Color ❑ ❑✓ Concentration Mass 4. Fecal coliform ❑ ❑✓ ConcentrationMass 5 Fluoride ❑ ❑ Concentration Mass (16964-48-8) 6 Nitrate nitrite ❑ 0ConcentrationMass T' Nitrogen, total ❑ ✓ ❑ Concentration Mass organic (as N) 8. Oil and grease ❑ ❑✓ ConcentrationMass 9 Phosphorus (as ❑ Concentration Mass P), total (7723-14-0) 1l1 Sulfate (as SO4) ❑ ✓ ❑ Concentration Mass (14606-79-6) 11. Sulfide (as S) ❑ ❑✓ Concentration Mass EPA Form 3510-2C (Revised 3-19) Page 23 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 N0001058 Patheon Manufacturing Services 002 OMB No. 2040-0004 Pollutant Presence or Absence check one Units (specify) Effluent Intake (Optional) Believed Present Believed Absent Maximum Daily Discharge (required) Maximum Monthly Discharge rfavailable Long•Term Average Daily Discharge [if available) Number of Analyses Long•7ertn Average Value Number of Analyses 12 Sulfite (as S03) (14265-45-3) ❑ ❑ Concentration Mass 13. Surfactants El Concentration Mass 14 Aluminum, total (7429-90-5) ❑ ❑ Concentration Mass 15 Barium, total (7440-39-3) ❑ ❑✓ Concentration Mass 16 Boron total (7440.42-8) ❑ ❑ Concentration Mass 17. Cobalt total (7440484) ❑ ❑ Concentration Mass 18 Iron total (7439-89-6) ❑ ❑ Concentration Mass 19 Magnesium, total (7439-95-4) ❑ ❑ Concentration Mass 20. Molybdenum, total 7439-98-7 ❑ Concentration Mass 21 Manganese, total (7439-96-5) ❑ ❑ Concentration Mass 22 Tin total (7440.31-5) ❑� Concentration Mass 23 Titanium, total (7440-32-6) ❑ ❑ Concentration Mass EPA Form 351D-2C (Revised 3-19) Page 24 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCDO47373766-R2 NC0O1058 Patheon Manufacturing Services 002 OMB No 2040-0004 MOrlign Presence or Absence Intake check one Effluent (Optional) Pollutant Believed Believed Una (specify) Maximum Dail y Maximum Monthly Long -Term Average Daily Number of Long -Terre Number of Present Absent Discharge Discharge Discharge Analyses Average Analyses (required) d available d available value 24. Radioactivity Alpha, total ❑ ❑� Concentration Mass Beta, total ❑ 0 Concentration Mass Radium, total ❑ 0 Concentration Mass Radium 226, total ❑ 0 Concentration Mass r 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 3510-2C (Revised 3-19) Page 25 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119 NCDO47373766-R2 NC001058 Patheon Manufacturing Services 002 OMB No 2040-0004 Pollutant rAsbetos 1 • •Presence or Absence check one Available Quantitative Data Reason Pollutant Believed Present in Discharge (specify units) Believed Present Believed Absent ❑ 2. Acetaldehyde ❑ ❑✓ 3. AIM alcohol ❑ ❑ 4. Allyl chloride ❑❑ 5. Amyl acetate ❑❑ 6. Aniline ❑ 0 7. Benzonitrile ❑ 8. Benzyl chloride ❑ ❑� 9. Butyl acetate ❑ ❑� 10. BuMamine ❑ ❑� 11. Caplan ❑ 0 12. Carbaryl ❑ ❑� 13. Carbofuran ❑ 0 14. Carbon disulfide ❑ ❑� 15. Chlorpyrifos ❑ 16. Coumaphos ❑ ❑� 17. Cresol ❑ ❑� 18. Crotonaldehyde ❑ ❑� 19. Cydohexane ❑ EPA Fonn 3510.2C (Revised 3-19) Page 27 EPA Identification Number NPDES Permit Number Facility Name Oudall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No. 2040-0004 i '11• Pollutant -[list Presence or Absence check one Reason Pollutant Believed Present in Discharge — — - Available Quantitative Data (specify units) — Believed Present Believed Absent 20. 2,4-D (2,4-dichlorophenoxyacetic acid) ❑ ❑� — 21. Diazinon ❑❑ 22. Dicamba ❑ ❑� 23. Dichlobenil ❑ ❑� 24. Dichlone ❑ ❑� 25. 2,2-dichloropropionic acid ❑ ❑� 26. Dichlorvos ❑❑ 27. Diethyl amine ❑ ❑✓ 28. Dimethyl amine ❑ ❑� 29. Dintrobenzene ❑ ❑✓ 30. Diquat El El 31. Disulfoton ❑ ❑� 32. Diuron ❑❑ 33. Epichlorohydhn ❑ 0 34. Ethion ❑ ❑� 35. Ethylene diamine ❑ ❑✓ 36. Ethylene dibromide ❑ ❑� 37. Formaldehyde ❑ ❑✓ 38. Furfural ❑ m EPA Form 3510-2C (Revised 3-19) Page 28 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No 2040-0004 Pollutant rGuthion Presence or Absence check one Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) — — — Believed Present Believed Absent ❑ ❑ — — — — — — - 40. Isoprene ❑ 0 41. Isopropanolamine ❑ ❑� 42. Kelthane ❑ IZI 43. Kepone ❑ 44. Marathion ❑ ❑� 45. Mercaptodimethur ❑ ❑� 46. Methoxychlor ❑ ❑� 47. Methyl mercaptan ❑ ❑� 48. Methyl methacrylate ❑ ❑✓ 49. Methyl parathion ❑ 0 50. Mevinphos ❑ ❑✓ 51. Mexacarbate ❑ ❑� 52. Monoethyl amine ❑ 53. Monomethyl amine ❑ ❑� 54. Naled ❑ ❑� 55. Naphthenic acid ❑ ❑� 56. Nitrotoluene ❑ 0 57. Parathion ❑ ❑� EPA Form 3510-20 (Revised 3-19) Page 29 EPA Identificafion Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD047373766-R2 NCO01058 Patheon Manufacturing Services 002 OMB No 2040-0004 1 '11 Pollutant 1 � •I Presence or Absence check one Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify units) Believed Present Believed Absent 58. Phenolsulfonate ❑ - - --- 59. Phosgene ❑ ❑� 60. Propargite ❑ ❑� 61. Propylene oxide ❑ ❑� 62. Pyrethrins ❑ ❑� 63. Quinoline ❑❑ 64. Resorcinol ❑ 65. Strontium ❑ ❑✓ 66. Strychnine ❑ 67. Styrene ❑ ❑✓ 68. 2,4 5-T (2,4,5-trichlorophenoxyacetic acid ❑ 69. TDE (tetrachlorodiphenyl ethane) ❑ ❑✓ 70. 2,4,5-TP [2-(2,4,5-trichlorophenoxy) ro anoic acid ❑ 71. Trichlorofon ❑ 72. Triethanolamine ❑❑ 73. Triethylamine ❑ 74. Trimethylamine ❑ ID 75. Uranium ❑ ❑� 76. Vanadium ❑ ❑� EPA Form 3510.21C (Revised 3-19) Page 30 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCDO47373766-R2 NCOO1O58 Patheon Manufacturing Services 002 OMB No. 2040-0004 Pollutant(check rVnyl Presence or Absence °ne Reason Pollutant Believed Present in Discharge Available Quantitative Data (specify-ts) Believed Present Believed Absent ❑ 78. Xylene ❑ 79. Xylenol ❑ 80. Zirconium ❑ ❑✓ I 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 Nor 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C (Revised 3-19) Page 31 This page intentionally left blank. EPA Identification Number NCD047373766-R2 Pollutant 2,3.7.8-TCDD NCO01058 TCDD Presence or Congeners Absence Patheon Manufacturing Services Used or I Believed I Believed Manufactured Present I Absent ❑ ❑ 1 R 002 Results of Screening Procedure Form Approved 03/05119 OMB No, 2040-0004 EPA Form 3510-2C (Revised 3-19) Page 33 PROCESS FLOW Makeup 1,800 gpd average 9,300 gpd average Makeup XXXX gpd average Cooling Tower Cooling Tower Main Tower 2 Main Tower 3 Blowdown ! r! Blowdown ischarge to ity Option 2,210 gpd Dechlorination average Discharge 002 Stormwater Option O utfa 11001 Stormwater Option 970 gpd average 2910 gpd average BIOCIDE/CHEMICAL TREATMENT WORKSHEET-FORM 101 The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be returned with all appropriate data entered into the designated areas with calculations performed as indicated. I. Facility Name: Patheon Manufacturing Services LLC NPDES # NC: 0001058 Outfall #: 001 & 002 County: Pitt Receiving Stream: Parker's Creek 7Q10: 0.38 (cfs) (All above information supplied by the Division of Water Quality) What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body? A.D.D. _ .0185 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. (A.D.D.) X 100 _ ( ) X 100 (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( )=0.02553 IWC = This value (IWC) represents the waste concentration to the receiving stream during low flow conditions. II. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I? 12.5 % Sodium hypochlorite Please list the active inaredients and percent composition: Active Function Wt. % Sodium hypochlorite Biocide 12.5 What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams of whole product used in a 24hr period. D.R.= 4,255 grams/24hr period Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is: Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59g. 128 fl. oz. 1 gal. water 1 lb. Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC00010 Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point. On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown, holding lagoon size, etc.) Volume= 0. million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk. The degradation must be stated at pH level within 1/2 pH standard unit within handling system. Enter the half life (Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide copies of the sources of this data. H.L. = 0.00034 Days The decay rate is equal to - L. X 0.69 = 0' =Decay Rate (D.K.) H. Calculate degradation factor (D.F.). This is the first order loss coefficient. D.F. _ (Volume) Calculate Dischg Conc. _ (D.F.)(Volume)(3785) _ ( )( ))(3785) = 0.61 mg/I Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) ( ) x 100 100 000155 mg/I = - Receiving Stream Concentration III. Calculate regulated limitation. List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units should be in mg/1). See SDS D.W.Q. Form 101 (612000) 2 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC000105 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 0.25 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = .0125 mg/I If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation. Regulated Limitation = 0.01 x LC50 = mg/I Choose the appropriate regulated limitation from the calculations immediately above and place in this blank: 0.0125 mg/liter From Part II enter the receiving stream concentration: 0.000155 mg/liter IV. Analysis. If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is unacceptable for use. Person in Responsible Charge Name (Print) Signature Date Person Completing This Worksheet (If different from above) Name (Print) Signature Date Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Contact info: Cindy Moore (cindy.a.moore@ncmail.net) or John Giorgino 0ohn.giorgino@ncmail. net) D. W. Q. Form 101 (612000) 3 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Supplemental Metals Analysis If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a separate form for every metal present in the biocide. Metal EXAMPLE Copper Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide CUS04.5H20 63.546 g/mole 249.680 g/mole 0.2 Dosage rate of Biocide (DR) (from page 1): DR = grams/day Average Daily Discharge (ADD) (from page 1): ADD = million gallons/day Discharge Concentration (DC) of Biocide: DR ( grams/day) DC = ADD = ( million gallons/day) = grams/million gallons Convert DC to micrograms/liter (ppb): DC (µg/1) = DC (grams/million gal) x 1 3.785 x 10610ersgm9µg/I liters/million gal. Calculate the fraction of metal in the metal -containing compound (MF): MF - MW - ( grams/mole) - FW - ( grams/mole) - Calculate the fraction of metal in the biocidal compound (BF): BF = MF x MCC 100 x (100) Calculate the concentration of metal in the discharge (M): M=DCxBF= x Calculate the instream metal concentration (IMC) at low -flow conditions: IMC = M x IWC (% = µg/I x 100 % - µg/I Regulated limitation of metal (from below): Ng/I NC General Statutes 15A NCAC 2B.0211 define: Copper- 7 µg/I water quality action level' Zinc- 50 µg/I water quality action level' Chromium- 50 pg/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D.W.Q. Form 101 (612000) 4 BIOCIDE/CHEMICAL TREATMENT WORKSHEET-FORM 101 The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be returned with all appropriate data entered into the designated areas with calculations performed as indicated. Facility Name: Patheon Manufacturing Services LLC NPDES # NC: 0001058 County: Pitt Receiving Stream: Parker's Creek Outfall #: 001 & 002 7Q10: 0.38 (cfs) (All above information supplied by the Division of Water Quality) What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body? A.D.D. _ .0185 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. IWC — (A.D.D.) X 100 _ ( ) X 100=0.02553 % (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( ) This value (IWC) represents the waste concentration to the receiving stream during low flow conditions. Il. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I? Nalco 7408 PIPacP list the active innredients and percent composition: Active Benefit 40% Sodium Bisulfite Cl2 and 02 scavenger What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams of whole product used in a 24hr period. D.R.= 1,292 grams/24hr period Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is: Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59g. 128 fl. oz. 1 gal. water 1 lb. Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point. On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown, holding lagoon size, etc.) Volume= 0.08 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk. The degradation must be stated at pH level within 1 /2 pH standard unit within handling system. Enter the half life (Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide copies of the sources of this data. H.L. = Days The decay rate is equal to H1L X 0.69 = 0" =Decay Rate (D.K.) Calculate degradation factor (D.F.). This is the first order loss coefficient. " D.F. _ (Volume) + (D.K.) _ �---� + ( ) = 0.23 Calculate Steady State Discharge Concentration Dischg Conc. _ (D.F.)(Volume)(3785) _ ( )( ))(3785) _ �8.55 mg/I Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) ( ) x ( ) - 0.0047 mg/I 100 = 100 - Receiving Stream Concentration III. Calculate regulated limitation. List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units should be in mg/1). See SDS D.W.Q. Form 101 (612000) 2 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 119 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = mg/I If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation. Regulated Limitation = 0.01 x LC50 = 1.19 mg/I Choose the appropriate regulated limitation from the calculations immediately above and place in this blank: 1.19 mg/liter From Part II enter the receiving stream concentration: 0.0047 mg/liter IV. Analysis. If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is unacceptable for use. Person in Responsible Charge Name (Print) Signature Date Person Completing This Worksheet (If different from above) Name (Print) Signature Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Date Contact info: Cindy Moore (cindy.a.moore@ncmail.net) or John Giorgino Oohn.giorgino@ncmail.net) D. W. Q. Form 101 (612000) 3 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Supplemental Metals Analysis If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a separate form for every metal present in the biocide. Metal EXAMPLE Copper Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2 Dosage rate of Biocide (DR) (from page 1): grams/day Average Daily Discharge (ADD) (from page 1): ADD = million gallons/day Discharge Concentration (DC) of Biocide: DR ( grams/day) DC = ADD = (-million gallons/day) = grams/million gallons Convert DC to micrograms/liter (ppb): DC (µg/1) = DC (grams/million gal) x 1 x 106 µg/g = µg/I 3.785 x 106 liters/million gal. Calculate the fraction of metal in the metal -containing compound (MF): MF - MW - ( grams/mole) FW - ( grams/mole) - Calculate the fraction of metal in the biocidal compound (BF): BF=MFxMCC % - 100 x (100) _ Calculate the concentration of metal in the discharge (M): M=DCxBF= x Calculate the instream metal concentration (IMC) at low -flow conditions: IMC = M x IW100% = µg/I x °i 100 = µg/I Regulated limitation of metal (from below): Ng/1 NC General Statutes 15A NCAC 213.0211 define: Copper- 7 pg/I water quality action level* Zinc- 50 pg/I water quality action level* Chromium- 50 pg/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D. W. Q. Form 101 (6/2000) 4 BIOCIDE/CHEMICAL TREATMENT WORKSHEET-FORM 101 The following calculations are to be performed on any biocidal products ultimately discharged to the surface waters of North Carolina. This worksheet must be completed separately for each biocidal product in use. This worksheet is to be returned with all appropriate data entered into the designated areas with calculations performed as indicated. Facility Name: Patheon Manufacturing Services LLC NPDES # NC: 0001058 County: Pitt Receiving Stream: Parker's Creek Outfall #: 001 & 002 7Q10: 0.38 (cfs) (All above information supplied by the Division of Water Quality) What is the Average Daily Discharge (A.D.D.) volume of the water handling systems to the receiving water body? A.D.D. _ .0185 (in M.G.D.) Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered above. IWC - (A.D.D.) X 100 _ ( ) X 100=0.02553 % (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( ) This value (IWC) represents the waste concentration to the receiving stream during low flow conditions. What is the name of the whole product chemical treatment proposed for use in the discharge identified in Part I? 3DT231 Please list the active innredients and nerrent comnosition- Active Function Weight % Phosphoric Acid Ortho Phosphate) Mild steel corrosion inhibition 4.5% as H3PO4 Tagged High Stress Polymer THSP Dispersant 9.0% as HSP2 Phosphinosuccinic Oligomer (PSO) Mild steel corrosion and CaCO3 scale inhibition 4.5% as PSO 1.4% as organic PO4 Benzotriazole BZT Copper corrosion inhibition 1.8% as BZT Tol Itriazole TT Copper corrosion inhibition 0.45% as TT What feed or dosage rate (D.R.) is used in this application? The units must be converted to maximum grams of whole product used in a 24hr period. D.R.= 7,91 grams/24hr period Please note, fluid ounces (a volume) must be converted to grams (a mass). The formula for this conversion is: Grams of product = fluid oz. of product X 1 gal. water X 8.34 lbs. X specific gravity of product X 453.59g. 128 fl. oz. 1 gal. water 1 lb. Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Estimate total volume of the water handling system between entry of biocidal product and NPDES discharge point. On an attached sheet please provide justification for this estimate (system volume, average cycles per blowdown, holding lagoon size, etc.) Volume= 0.08 million gallons What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. What is the decay rate (D.K.) of the product? If unknown, assume no decay (D.K.=O) and proceed to asterisk. The degradation must be stated at pH level within 1/2 pH standard unit within handling system. Enter the half life (Half Life is the time required for the initial product to degrade to half of its original concentration). Please provide copies of the sources of this data. H.L. = Days The decay rate is equal to H1L X 0.69 = 0* =Decay Rate (D.K.) Calculate degradation factor (D.F.). This is the first order loss coefficient. D.F. _ (vo( .D.D.) + (D.K.) _ � � + ( ) = 0.231 Calculate Steady State Discharge Concentration: Dischg Conc. _ (D.F.)(Vollume)(3785) _ ( )( ))(3785) = 0034 mg/I Calculate concentration of biocide instream during low flow conditions. (Receiving Stream Concentration) (Dischg. Conc.) x (IWC%) ( ) x 100 100 0.00000087 mg/I = - Receiving Stream Concentration III. Calculate regulated limitation. List all LC50 and EC50 data available for the whole product according to the following columns. (Note that units should be in mg/1). See SDS D.W.Q. Form 101 (6/2000) 2 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC0001058 Choose the lowest LC50/EC50 listed above: Enter the LC50/EC50: 758 If the half life (H.L.) is less than 4 days, perform the following calculation. Regulated Limitation = 0.05 x LC50 = mg/I If the half life (H.L.) is greater than or equal to 4 days or unknown, perform the following calculation. Regulated Limitation = 0.01 x LC50 = 0.758 mg/I Choose the appropriate regulated limitation from the calculations immediately above and place in this blank: 0.758 mg/liter From Part 11 enter the receiving stream concentration: 0.00000087 mg/liter IV. Analysis. If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is unacceptable for use. Person in Responsible Charge Name (Print) Signature Person Completing This Worksheet (If different from above) Name (Print) Signature Please submit to: Division of Water Quality Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 Date Date Contact info: Cindy Moore (cindy.a.moore@ncmail.net) or John Giorgino 0ohn.giorgino@ncmail.net) D.W.Q. Form 101 (6/2000) 3 Facility Name: DSM Pharmaceuticals, Inc NPDES #: NC000105 Supplemental Metals Analysis If copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form must be used for each metal and/or metal compound present in the biocide. List the metal, its chemical formula, molecular weight (MW), formula weight (FW), and the concentration of the metal compound in the biocide (MCC). Complete a separate form for every metal present in the biocide. Metal Chemical Formula Molecular Weight of Metal Formula Weight Concentration in Biocide EXAMPLE Copper CuSO4.5H2O 63.546 g/mole 249.680 g/mole 0.2 Dosage rate of Biocide (DR) (from page 1): DR = grams/day Average Daily Discharge (ADD) (from page 1): ADD = million gallons/day Discharge Concentration (DC) of Biocide: DR ( grams/day) DC = ADD = (-million gallons/day) = grams/million gallons Convert DC to micrograms/liter (ppb): DC (µg/1) = DC (grams/million gal) x 1 x 106 µ9/9= µg/I 3.785 x 106 liters/million gal. Calculate the fraction of metal in the metal -containing compound (MF): MF - MW _ ( grams/mole) FW - ( grams/mole) Calculate the fraction of metal in the biocidal compound (BF): MCC % % BF = MF x 100 = x (100) _ Calculate the concentration of metal in the discharge (M): M = DC x BF = pg/I x = µg/ Calculate the instream metal concentration (IMC) at low -flow conditions: IMC = M x IWC (% = µg/I x 100 % - µg/I Regulated limitation of metal (from below): _pg/I NC General Statutes 15A NCAC 2B.0211 define: Copper- 7 pg/I water quality action level* Zinc- 50 pg/I water quality action level* Chromium- 50 pg/I water quality standard (*Values which exceed action levels must be addressed directly by aquatic toxicity testing.) D.W.Q. Form 101 (612000) 4