NCG500098_complete file-historical_20151021

NZ
North Carolina Department of Environmental Quality
Pat McCrory, Governor
Mr. Brian Crandall
Halyard Health, Inc.
389 Clyde Fitzgerald Rd
Linwood, NC 27299
Dear Permittee:
Donald R. van der Vaart, Secretary
October 21, 2015
Subject: Renewal of General Permit NCG500000
Lexington facility
Certificate of Coverage NCG500098
Davidson County
The Division has renewed the subject General Permit. In response to a review of the permit file that
noted a previous company name on your Certificate of Coverage (CoQ, the Division hereby issues the
updated version of NCG500098 under General Permit NCG500000. It is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between
North Carolina and the US Environmental Protection agency dated October 15, 2007 for as subsequently
amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Winston-Salem Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required If you have any questions concerning the requirements of the
General Permit, please contact Charles Weaver of the NPDES staff [919 807-6391 or
charles. weaver@ncdenr. gov].
S' erely,
for S. Jay Zimmerman, D actor
Division of Water Resources
cc: Winston-Salem Regional Office
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] Intemet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer - 50°/u Recycled/1 No Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500098
DISCHARGE OF NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE, EXEMPT STORMWATER, COOLING WATERS ASSOCIATED
WITH HYDROELECTRIC OPERATIONS, AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Halyard Health, Inc.
is hereby authorized to discharge from a facility located at
Lexington facility
389 Clyde Fitzgerald Rd
Linwood
Davidson County
to receiving waters designated as an unnamed tributary to North Potts Creek (Second Potts
Creek), a class C stream in subbasin 03-07-04 of the Yadkin River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and
IV hereof.
This certificate of coverage takes effect October 21, 2015.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day October 21, 2015
for Fivis6ion
y Zimmerman, Director -
of Water Resources
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Resources
Pat McCrory, Governor
John E. Skvarla III, Secretary
Thomas A. Reeder, Director
eAmn
NCDENR
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT Permit Information:
Permit Number(s): i.e. NC0012345 orNCG500123 NCG500098
Permit Holder's Name: Kimberly Clark Corporation
Facility Name: Kimberly Clark Lexington Mill
II. NEW Owner/Name Information:
1. This request for a name change is a result of-
® a. Change in ownership of property/company
❑ b. Name change only
❑ c. Other (please explain):
2. New owner's name (name to be put on permit):
Halyard Health Inc.
RECEIVED/DENR/DWR
OCT 2-8 2014
Water Quality
Permitting Section
3. New owner's or signing official's name and title (Person legally responsible for permit):
Brian Crandall
Name
Technical Team Leader
Title
4. Mailing Address:
Address: 389 Clyde Fitzgerald Rd
City: Linwood State: NC Zip: 27299
Telephone #: [phone] Cell #:
Email: [e-mail]
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal opportunity AfirmaliveAction Employer 50°%recycled /10%post-consumer paper

THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS
ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE
SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership
(property deed, articles of incorporation, or sales agreement)
CERTIFICATION:
I, Brian Crandall, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete.
Signature. "" Date: October 27, 2014
THIS COMPLETED APPLICATION PACKAGE,
INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DENR / DWR / WQ Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
mpk/Revised 911113

As filed with the Securities and Exchange Commission on October 15, 2014
File No. 001-36440
UMTED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
Amendment No. 6
to
FORM 10
GENERAL, .FORD FOR REGISTRATION OF SECURIT ES
Pursuant to Section 12(b) or 12(g)
of the Securities Exchange Act of 1934
Halyard Health, Inc.
(Exact name of registrant as specified in its charter)
Delaware 46-4987888
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
P.O. Bog 619100, Dallas, Texas
(Address of principal executive offices)
75261-9100
(Zip Code)
Registrant's telephone number, including area code: [phone]
Securities to be registered pursuant to Section 12(b) of the Act:
Title of Each Class to be so Registered
Common Stock, $0.01 par value
Name of Each Exchange on which Each Class is to be
Registered
New York Stock Exchange
Securities to be registered pursuant to Section 12(g) of the Act: None
Indicate by check mark whether the registrant is a large accelerated filer, .an accelerated filer, a non -accelerated
filer, or a smaller reporting company. See the definitions of "large accelerated filer," "accelerated filer" and
"smaller reporting company" in Rule 12b-2 of the Exchange Act.
Large accelerated filer ❑ Accelerated filer ❑
Non -accelerated filer ❑X (Do not check if a smaller reporting company) Smaller reporting company ❑

SIGNATURES
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly
caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: October IS, 2014 Halyard Health, Inc.
By: Isl Robert E. Abernathy
Name: Robert E. Abernathy
Titre: Chairman of the Board and Chief Executive
Officer

(0 KlmbedrClark Corporation
October , 2014
Dear Fellow Kimberly-Clark Stockholder:
I am pleased to inform you that on October 6, 2014 the executive committee of our Board of Directors approved
the spin-off of Halyard Health, Inc., a wholly -owned subsidiary that owns Kimberly-Clark's health care business.
The span -off of Halyard will allow us to further sharpen our focus on our consumer and professional brands,
while allowing Halyard to optimize its performance and flexibility in a rapidly changing industry.
The spin-off of Halyard is scheduled to occur on October 31, 2014. If you hold Kimberly-Clark common stock at
the close of business on the record date for the spin-off, which is October 23, 2014, you will receive a
distribution of one share of Halyard common stock for every eight shares of Kimberly-Clark common stock that
you hold on that date.
You don't need to take any action to receive shares of Halyard common stock to which you are entitled as a
Kimberly-Clark stockholder. In addition, you don't need to pay any consideration or surrender or exchange your
Kimberly-Clark common stock.
Following the spin-off, Kimberly-Clark common stock will continue to trade on the New York Stock Exchange
under the symbol "KMB," and Halyard's common stock will trade on the New York Stock Exchange under the
symbol "HYH."
I encourage you to read the attached information statement carefully, which provides a description of the spin-off
and includes important information about Halyard, including its historical combined financial data.
We look forward to your continued support as a stockholder in both Kimberly-Clark and Halyard.
Sincerely,
Thomas I Falk
Chairman of the Board and Chief Executive Officer

October , 2014
Dear Future Halyard Health, Inc. Stockholder:
It is my pleasure to welcome you as a stockholder of our new company, Halyard Health, Inc.
Halyard will be a global healthcare company that seeks to advance health and healthcare by preventing infection,
eliminating pain and speeding recovery. We will focus on delivering clinically -superior solutions with
remarkable service to improve the well-being of the people we touch every day.
Our employee teams are excited about the opportunity and are committed to realizing the potential that exists for
us -operating as a more focused company, independent of Kimberly-Clark.
I encourage you to learn more about Halyard by reading the attached information statement. Halyard has been
authorized to list its common stock on the New York Stock Exchange under the symbol "HYH."
Thank you for your support of our new company. We look forward to having you as a fellow stockholder.
Sincerely,
Robert E. Abernathy
Chairman of the Board and Chief Executive Officer

* KimberlrClark Corporation
c/o Halyard Health, Inc.
Attn: Jane Hart
5405 Windward Parkway, Suite 100 South
Alpharetta, GA 30004
October 20, 2014
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, NC 27699-1641
RECEIVED/DENR/DWR
OCT 2 ­8 2,014
Water Quality
Permitting Section
RE: NPDES Permit
Located at Kimberly-Clark Corporation's Lexington Facility
TRANSFEROR: Kimberly-Clark Corporation (hereinafter "Kimberly-Clark")
351 Phelps Drive, Irving, Texas 75038
Tax ID #: 39-0394230
TRANSFEREE: Halyard Health, Inc. (hereinafter "Halyard")
PO Box 619100, Irving, Texas 75261-9100
Tax I D# 46-4987888
Halyard's Mailing Address effective NOVEMBER 1, 2014:
Halyard Health, Inc., 351 Phelps Dr., Irving, TX 75038
Halyard's Mailing Address effective FEBRUARY 1, 2015:
Halyard Health, Inc., 5405 Windward Parkway, Suite 100, Alpharetta, GA
30004
To Whom It May Concern:
Please be advised that on November 1, 2014 all of the assets of Kimberly-Clark's
Lexington Facility located at 389 Clyde Fitzgerald Rd, Linwood NC 27299 will be transferred
from Kimberly-Clark, a Delaware corporation, to Halyard, a Delaware corporation. Attached
hereto and made a part hereof is a copy of the NPDES Permit to be transferred. Also attached
are corporate resolutions from Kimberly-Clark and Halyard attesting to this transfer. Accordingly,
please transfer the following from Kimberly-Clark to Halyard effective November 1, 2014:
Permit # NCG500098
Issued: 8/1/2012
Expires: 7/31 /2015
Location: Kimberly Clark, 389 Clyde Fitzgerald Rd, Linwood, N.C. 27299
Also enclosed is a completed Change of Ownership Form.
Halyard assumes all of Kimberly-Clark's rights and obligations for this Permit. There is
no change in any other aspect of this permit. Halyard will continue the same operations at the
Lexington Facility as are presently being conducted with the same employees.

This Letter is being signed simultaneously in two or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and the same
document.
Should any of this information be incomplete and/or should you need any additional
information, we appreciate your contacting Eddie Motsinger at (336) 2487332 to assist in
completing the paperwork required or to answer any questions about this transfer notification.
Very truly yours,
KIMBERLY-CLARK CORPORATION
HALYARD HEALTH, INC.
By:
Sin
By:
Signature
Name: Jeff M uc i
Name: John Wesley
Title: VP & �teneral Counsel KCI &
Corp., Sec.
Title: General Counsel
Attachments
Cc:
Ms. Jenifer Carter
NC DENR
Land Quality Section
585 Waughtown Street .
Winston Salem, NC 27107
2
RECEIVEDIDENRIDWR
OCT 2-8 2014
Water Quality
Permitting Section

This Letter is being signed simultaneously in two or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and the same
document.
Should any of this information be incomplete andlor should you need any additional
information, we appreciate your contacting Eddie Motsinger at (336) 2487332 to assist in
completing the paperwork required or to answer any questions about this transfer notification.
Very truly yours,
KIMBERLY-CLARK CORPORATION
HALYARD EALT , INC.
By:
Signature
By:M4)Ij- Ii aAc-.7-
Sign a ture
Name: Jeff Melucci
Na . John Wesley
Title: VP & Deputy General Counsel KCI &
Corp. Sec.
Titl /- General Counsel
Attachments
Cc:
Ms. Jenifer Carter
NC DENR
Land Quality Section
585 Waughtown Street
Winston Salem, NC 27107
2

A��
I�CDEEIR
Nor'(h Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder
Governor Director
November 1, 2013
Mr. Eddie Motsinger
Kimberly-Clark Corporation
389 Clyde Fitzgerald Rd.
Lexington, NC 27299
Subject: Compliance Evaluation Inspection
Certificate of Coverage NCG500098
Kimberly-Clark Corporation — Lexington Mill
Davidson County
Dear Mr. Motsinger:
John E. Skvada, III
Secretary
NOV 12 )013
jt�,110N
- 10M cgytjr I INr
A Compliance Evaluation Inspection was performed at Kimberly-Clark Corporation's Lexington Mill in
Lexington, North Carolina on October 30, 2013 by Jenifer Carter of the Winston-Salem Regional Office. Mr.
Eddie Motsinger was present for the inspections. The purpose of the inspection was to review compliance with
the National Pollutant Discharge Elimination System (NPDES) General Wastewater Permit. The following are
the findings from the subject inspection:
• The only discharge is non -contact cooling water.
• When chlorine is added, the discharge is diverted to the City's Waste Water Treatment Plant (WWTP), per
the City's Sewer Use Ordinance.
• The system usually discharges once every 1-5 years when the system is flushed. Chemicals are added
immediately after flushing, after the connection to the WWTP has been reestablished. The city is notified
prior to these events.
• pH and Temperature Monitoring records were reviewed and found to be complete.
The Division greatly appreciates your efforts to maintain compliance. Should you have any questions, please
contact Jenifer Carter at [phone].
cc: WSRO Files
Central Files
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown Sheet, Winston-Salem, NC 27107
Phone: (336) T71-M k Fax: (336) T714M k Customer Service: 1-877-623-6748
Internet httplAvww.ncwater.org
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
NonrthCarolina
NaAf.ra!!1l
An Equal Opportunity 1 Affirmative Action Employer

����
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
July 23, 2007
Eddie Motsinger
Kimberly-Clark Corporation
389 Clyde -Fitzgerald Road
Linwood, NC 27299
Subject: Renewal of coverage / General Permit NCG500000
Lexington Mill
Certificate of Coverage NCG500098
Davidson County
Dear Permittee:
In accordance with your renewal application [received on January 8, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG500098 to discharge under NCG500000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Winston-Salem Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Jim
McKay [919 733-5083, extension 595 or [e-mail].
Sincerely,
Zoe, -A 4 �
for Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 ne
512 North Salisbury Street, Raleigh, North Carolina 27604 N�orthCarohna
Phone: 919 An Equal Opport n WAffirmati7ve ActionEmployemet50°/ Recy led/10%I Naturally
Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500098
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCIARGE ELEM NATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Kimberly-Clark Corporation
is hereby authorized to discharge from a facility located at
Lexington Mill
398 Clyde Fitzgerald Road
Lexington
Davidson County
to receiving waters designated as an unnamed tributary to North Potts Creek in subbasin
30704 of the Yadkin River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 23, 2007.
/.�' -A � �'�
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Kimberlyw0ark Lexington Mill
Kimberly-Clark Corporation
January 5, 2007
NC DENR / DWQ / NPDES
1617 Mail service Center
Raleigh, North Carolina 27699-1617
Mr. Charles H. Weaver
Re: NPDES Notice of Renewal Intent
Kimberly-Clark Lexington Mill
COC Number NCG500098
Davidson County
Dear Mr. Wilson
Attached is the completed NPDES renewal application for, COC Number NCG500098
Kimberly-Clark Lexington Mill.
If you have any questions concerning the above, please contact Eddie Motsinger at
[phone].
Sincerely,
T. . agar
Mill Manager
CC: John Opsteen - Roswell 200/2
Eddie Motsinger — Lexington
AN
Kimberly-Clark Corporation 389 Clyde Fitzgerald Road Linwood, North Carolina 27299
[phone]

( %dice::
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� JAN � L007
NCDENR - = - V✓A7T R QUALITI
North Carolina Department of Environment and Natural Resources=°U��Er{r�cl�
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (CoC): NCG500 0-16"
(Please print or type)
1) Mailing address` of facility owner/operator:
Company Name
Owner Name
Street Address
City
Telephone Number 3-?(4t - 300 Fax:
Email address
` Address to which all permit correspondence should be mailed
2) Location of facility producing discharge: �/J� /
Facility Name /
r- - � f X /,4 / i [ i /
Facility Contact
e
Street Address r
City A State ZIP Code E�
County �i4 ✓/�SO�
W;//
Telephone Number -33,6 ���- /� - 3 '- Fax: 33rO
Email address ela.07�-S; nq (2 &cc r C',Oln
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑ Yes 2<0
(If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the
stone sewer to the discharge point, if the storm sewer is the only viable means of discharge.)
b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property):
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
m'Non-contact cooling water V Outfall(s) If: 1020
❑ Boiler Blowdown Outfall (a) #:
Page 1 of 3

NCG500000 renewal application
WGooling Tower Slowdown Outfall (s)
❑ Condensate Outfall (a) #:
❑ Other Outfall (s) #:
(Please describe "Other")
d) Volume of discharge per each discharge point (in GPD):
#001: "IL 5X_ Y— #002: #003: #004
4) Please check the type of chemical [s] added to the wastewater for treatment, per each separate discharge
point (if applicable, use separate sheet):
❑ Chlorine// ❑ Biocides ❑ Corrosion inhibitors ❑ Algaecide O Other
t�'None
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and
manufacturers' information on the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
6) Is there any type of treatment beinn provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? ❑Yes :
(If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with submittal package. Existing
treatment facilities should be described in detail. )
7)
Discharge Frequency.�
a) The discharge is: [9'Continuous ❑ Intermittent ❑ Seasonal*
i) If the discharge is intermittent, describe when the discharge will occur:
ii) *Check the month(s) the discharge occurs: O Jan ❑ Feb ❑ Mar. ❑ Apr ❑ May ❑ Jun ❑ Jul
❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. 0 Dec. 7
b) How many days per week is there a discharge?
c) Please check the days discharge occurs: Flat. 216un. B4on. ®'rue. wed. 2-fhu. CXfri.
8) Receiving stream[s]:
a) To what body or bodies of water (creek, stream, river, lake, etc.) does the facility discharge
wastewater? If the site discharges wastewater to a sepaza sto�� seXr system (4S n e the
operator of the 4S (e.g. City of Raleigh). nAlor-I� 1�nT/S (�/ rlollf
b) Stream Classification: (--/gT� (_ T fP— /
Page 2 of 3

NCG500000 renewal application
Additional Application Requirements:
The following information must be included in triplicate [original + 2 copies] with this application or it will
be returned as incomplete.
➢ Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must
be clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
➢ Authorization for representatives. If this application will be submitted by a consulting
engineer (or engineering firm), include documentation from the Permittee showing that the
consultant submitting the application has been designated an Authorized Representative of the
applicant.
Certification
I certify that I am familiar with the information contained in this application and -that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Title: M 1 It /i /V & E J�
of Ap
North Carolina General Statute 143-215.5 b (i) provides that:
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document
filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine
of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG500000.
Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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L 0
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Eddie Motsinger
Kimberly-Clark Corporation
389 Clyde -Fitzgerald Rd
Linwood, NC 27299
Dear Permittee:
Charles Wakild, P.E.
Director
August 13, 2012
Natural Resources
Dee Freeman
Secretary
Subject: Renewal of coverage / General Permit NCG500000
Lexington Mill
Certificate of Coverage NCG500098
Davidson County
The Division is renewing Certificate of Coverage (CoC) NCG500098 to discharge under NPDES
General Permit NCG500000. This CoC is issued pursuant to the requirements of North Carolina General
Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated October 15, 2007 for as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Winston-Salem Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact John
Hennessy [919 807-6377 or [e-mail].
Sincerely,
for Charles Wakild, P.E.
cc: Winston-Salem Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
On
e t NhCarolina
naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500098
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND
BOILER BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Kimberly-Clark Corporation
is hereby authorized to discharge Non -contact Cooling Water & Cooling Tower Blowdown
from a facility located at
Lexington Mill
389 Clyde Fitzgerald Road
Lexington
Davidson County
to receiving waters designated as an unnamed tributary to North Potts Creek in subbasin
03.07-04 of the Yadkin -Pee Dee River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This Certificate of Coverage shall become effective August 13, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 13, 2012
6J-141Aa1 lff-Me Dv / 4 40ee's3v
for Charlies Wakild, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Weaver, Charles
From: Motsinger, Eddie [[e-mail]]
Sent: Monday, June 18, 2012 10:58 AM
To: Weaver, Charles
Subject: RE: Questions on Renewal form for Kimberly Clark Permit # NCG500098
See answers below.
From: Weaver, Charles rmailto:charles.weaver(abncdenr.govI
Sent: Monday, June 18, 2012 10:54 AM
To: Motsinger, Eddie
Subject: RE: Questions on Renewal form for Kimberly Clark Permit # NCG500098
X$r$t l
1. No — these do not have to be the same person. OK
2. Were you using the online renewal form? Yes
Let me know,
CHW
From: Motsinger, Eddie Imailto:emotsing(alkcc.coml
Sent: Thursday, June 14, 2012 4:33 PM
To: Weaver, Charles
Subject: Questions on Renewal form for Kimberly Clark Permit # NCG500098
Mr. Weaver,
I have the following questions on our Permit
1. Is the Application signed by and the Contact name listed below in the information supposed to be the same
person? My Mill Manager signs off on the permit and I do all of the reporting/and am the mill contact.
2. The Millis actually 389 Clyde Fitzgerald Rd not 398. 1 changed the numbers but they did not change on the COC.
I appreciate any information you can give me.
Thanks,
Eddie Motsinger
Loss Prevention Leader —Lexington Mill
336-248-7332
This e-mail is intended for the use of the addressee(s) only and may contain privileged, confidential, or proprietary
information that is exempt from disclosure under law. If you have received this message in error, please inform us prc
by reply e-mail, then delete the e-mail and destroy any printed copy. Thank you.
This e-mail is intended for the use of the addressee(s) only and may contain privileged, confidential, or proprietary
information that is exempt from disclosure under law. If you have received this message in error, please inform us prc
by reply e-mail, then delete the e-mail and destroy any printed copy. Thank you.

State of North Carolina
Department of Environment
r� and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E. Director
July 26, 2002
EDDIE MOTSINGER
KIMBERLY CLARK - LEXINGTON MILL
PO BOX 2016
LEXINGTON, NC 27293
L1'.?WA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
Kimberly Clark - Lexington Mill
COC Number NCG500098
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG500000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquendy amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG500000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG500000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE No. NCG500098
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
KIMBERLY CLARK
is hereby authorized to discharge
NON -CONTACT COOLING WATER / CONDENSATE,
BOILER BLOWDOWN, AND
COOLING TOWER BLOWDOWN
water or similar wastewater from a facility located at
KIMBERLY CLARK - LEXINGTON MILL
398 CLYDE FITZGERALD ROAD
LEXINGTON
DAVIDSON COUNTY
to receiving waters designated as a ut to North Potts Creek, a class C water, in the Yadkin - Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III, and IV of General Permit No. NCG500000 as attached.
This certificate of coverage shall become effective August 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
'Eddie Motsinger
Kimberly-Clark Corporation
P.O. Box 2016
Lexington, NC 27293
Dear Permittee:
July 24,1997
Subject: Certificate of Coverage No. NCG500098
Renewal of General Permit
Lexington Mill
Davidson County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid until July 31, 2002. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated December 6,1983. If any parts, measurement
frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request
an individual permit by submitting an individual permit application. Unless such demand is made, this certificate
of coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact the NPDES Group at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files 6
Winston-Salem Regional Office
NPDES File
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&e®dem.ehnr.state.nc.us
An Equal Opportunity Affirmative Action Employer 50 % recycled / 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE NO. NCG500098
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE, EXEMPT STORMWATER, COOLING WATERS ASSOCIATED WITH
HYDROELECTRIC OPERATIONS, AND SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Kimberly-Clark Corporation
is hereby authorized to discharge
non -contact cooling water, condensate, boiler blowdown, cooling tower blowdown and other similar
wastewaters
Lexington Mill
398 Clyde Fitzgerald Road
Lexington
Davidson County
to receiving waters designated as subbasin 30704 in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, H, III and IV of General Permit No. NCG500000 as attached.
This certificate of coverage shall become effective August 1,1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 24,1997.
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Letter tokAmE-s-E-PATi'ERsON- Eddie Motsinger
NCC7500973� NCG500098 INVOICE FOR RENEWAL OF
NPDES PERMIT
Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Check here if you wish to renew this permit.
Please verify that the following information is documented accurately:
Fax number: [phone]
e-mail address: N/A
Facilitv Location
❑ No revision required.
X❑ Revision required. (Please specify below.)
Eddie Motsinger
Kimberly-Claark Corp./Lexington Mj11
P_0. Box 2016 laxingtnn. NC 2729 -+
❑ No revision required.
Ex]Revision required. (Please specify below.)
Eddie Mottinpar
Kimberly-Clark Corp./Lexington Mill
3RQ Clyde Fit7garald Rd_ lax. NC 27292
[phone]
Please return this page with your letter requesting renewal, and $400 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date

® "Kimberly-Clark Lexington Mill
February 13, 1997
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group P. O. Box 29535
Raleigh, NC 27626-0535 w
RE: NPDES Permit No. NCG500098 71
Kimberly-Clark Corporation
Lexington Mill
Davidson County
Dear Mr. Weaver:
Attached is the completed NPDES renewal application for the Lexington Mill. We are
attaching a copy of biocides and corrosion inhibitors used at the mill to facilitate your
review.
Also attached is a renewal check for $400, the required permit fee.
If you have any questions concerning the above, please contact Eddie Motsinger at
[phone].
Sincerely,
T. J. 7ar
Mill Manager
cc: Christine Bruck - Roswell
David Torrence - Lexington
Kimberly-Clark Corporation P.O. Box 2016 Lexington, North Carolina 27293-2016 [phone]

MSDS NO.- 69 (LEXINGTON MILL DATA)
---------------
SECTION 0 -- HEADER SECTION -
CHEMTREAT INC. (HOME OFFICE)
4301 DOMINION BLVD
GLEN ALLEN, VA 2306094
MSDS RECEIVED: 05/18/94
MSDS ENTERED: 05/19/94
ENTERED BY: M.EDGE
REVISED MSDS: 07/25/94
DATE REVISED: 01/29/95
REVISED BY: SWC
DATE REVIEWED: 04/02/96
BY: M.EDGE
REVIEWED: 09/08/96
BY: M.EDGE
SECTION I -- PRODUCT IDENTIFICATION -
02/05/97
INFORMATION NUMBER-[phone]
EMERGENCY NUMBER: [phone]
(ONLY IN THE EVENT OF CHEMICAL
EMERGENCIES INVOLVING A SPILL, LEAK,
FIRE, EXPOSURE, OR ACCIDENT INVOLVING
CHEMICALS)
PRODUCT NAME: CHEMTREAT CL-1461
CHEMICAL NAME AND SYNONYMS: BLEND OF NEUTRALIZED ORGANOPHOSPHONATE, POLYMER,
SODIUM MOLYBDATE, AND NONFERROUS METAL CORROSION INHIBITOR IN WATER.

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA)
SECTION II*-- HAZARDOUS INGREDIENTS -
PRINCIPAL CAS NO. ORAL LD50 DERMAL LD50 TLV
HAZARDOUS
COMPONENTS
TOLYLTRIAZOLE,
64665-57-2 >1
1.6 G/KG
>2G/KG
SODIUM SALT
(RATS)
(RABBITS)
POTASSIUM HYDROXIDE
1310-58-3 <5
365 MG/KG
NIF
(RATS)
1-HYDROXYETHANE-1,
14860-58-3 >1
2400 MG KG
>7940 MG KG
1-DIPHOSPHONIC ACID,
(RATS
(RABBITS)
TETRAPOTASSIUM SALT.
AS THE ACID
AS THE ACID
MOLYBDIC ACID,
7631-95-0 >1
245 MG/KG
NIF
DISODIUM SALT
(RATS) AC
HMIS DATA
*********************
* .HEALTH 2
*
* ..FLAMMABILITY 0
********************
* ..REACTIVITY 0
* .. ..OTIM K - CHECK YOUR MODULE BOOK FOR SPECIFIC AREAS
BOILING POINT: GREATER THAN OR EQUAL TO 212 F
VAPOR PRESSURE (MM HG) AT 20 C: <17.5
VAPOR DENSITY (AIR=1) NA
SOLUBILITY IN WATER= COMPLETE
SPECIFIC GRAVITIY (H20 =1) AT 20C: -1.23
PERCENT VOLATILE BY WEIGHT(%) 65
EVAPORATION RATE: H2O=1: <1
PH AT 20C: -13.8
PAGE - 2
02/05/97
2MG/M3
ACGIH & OSHA
NE
10.7 MG/M3
AS NA2 MO 04

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 3
------------------------------ 02/05/97
SECTION IV*-- FIRE AND EXPLOSION HAZARD DATA -
FLASH POINT (METHOD USED: NONE
FLAMMABLE LIMITS o BY VOLUME: LEL: NONE UEL: NONE
EXTINGUISHING MEDIA: WATER, CO2, DRY CHEMICAL, FOAM.
SPECIAL FIRE FIGHTING PROCEDURES: FIRE FIGHTERS SHOULD WEAR FULL PROTECTIVE
CLOTHING INCLUDING A NIOSH APPROVED SELF-CONTAINED BREATHING APPARATUS.
UNUSUAL FIRE AND EXPLOSION HAZARDS: KEEP CONTAINERS COOL WITH WATER SPRAY TO
MINIMIZE THE POTENTIAL OF DECOMPOSITION.

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 4
------------------------------ 02/05/97
SECTION V*-- HEALTH HAZARD DATA -
THRESHOLD LIMIT OSHA TLV ACGIH TLV
VALUE NE NE
EFFECTS OF OVEREXPOSURE
THIS PRODUCT IS CORROSIVE TO THE EYES AND SKIN. HARMFUL IF SWALLOWED. VAPORS
AND MISTS MAY BE IRRITATING TO THE RESPIRATORY TRACT. PERSONS WITH PRE-
EXISTING SKIN CONDITIONS MAY BE MORE SUSCEPTIBLE TO THE EFFECTS OF THIS PRODUCT
HEALTH EFFECTS
NONE KNOWN EXCEPT THOSE SECONDARY TO TISSUE DAMAGE. THIS PRODUCT DOES NOT
CONTAIN ANY COMPONENTS LISTED AS A CARCINOGEN BY IARC, NTP, OSHA, OR ACGIH.
IN A 30-DAY FEEDING STUDY RATS WERE FED DIETS CONTAINING 3,000, 10,000 OR
30,000 PPM OF (HEDP) A COMPONENT OF THIS PRODUCT. AT 30,000 PPM, AVERAGE BODY
WEIGHT GAINS OF BOTH MALES AND FEMALES WERE REDUCED AND LIVER WEIGHTS OF MALES
WERE DECREASED. INCREASED ERTHROCYTE COUNTS (MALESf, DECREASED HEMOGLOBIN
CONCENTRATION (BOTH SEXES), DECREASED HEMATOCRIT VALUES (BOTH SEXES), AND
DECREASED LEUKOCYTE COUNTS (FEMALES AT 84 DAYS ONLY) WERE OBSERVED AT 30,000
PPM. NO OTHER HEMATOLOGIC, URINALYSIS OR CLINICAL CHEMISTRY PARAMETER WAS
AFFECTED. THE NO EFFECT LEVEL WAS 10,000 PPM.
HEDP WAS ADMINISTERED TO BEAGLE DOGS AT DIETARY CONCENTRATIONS OF 1,000, 3,000
OR 10,000 PPM FOR 90 DAYS. NO ADVERSE HEMATOLOGIC, BIOCHEMICAL OR HISTOPATHO-
LOGIC EFFECTS WERE OBSERVED.
NO MUTAGENIC ACTIVITY WAS OBSERVED IN MICROBIAL ASSAYS USING 5 SALMONELLA
STRAINS OR IN A L5178Y TK MOUSE LYMPHONA CELL POINT MUTATION ASSAY, WITH AND
WITHOUT MAMMALIAN MICROSOMAL ACTIVATION.
PRIMARY ROUTES OF ENTRY
INGESTION, EYES, SKIN.
EMERGENCY FIRST AID PROCEDURE:
EYES: IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES,
HOLDING EYELIDS APART TO ENSURE FLUSHING OF ENTIRE EYE SURFACE. SEEK
MEDICAL ATTENTION.
SKIN: IN CASE OF CONTACT IMMEDIATELY WASH WITH PLENTY OF WATER WHILE REMOVING
CONTAMINATED CLOTHING. SEEK MEDICAL ADVICE. WASH AND DECONTAMINATE CLOTHING
BEFORE REUSE.
INHALATION: IF INHALED, REMOVE TO FRESH AIR. IF NOT BREATHING, GIVE ARTIFICIAL
RESPIRATION, PREFERABLY MOUTH TO MOUTH. IF BREATHING IS DIFFICULT, GIVE
OXYGEN. CALL A PHYSICIAN.
INGESTION: IF SWALLOWED, DO NOT INDUCE VOMITING. GIVE LARGE QUANTITIES OF
WATER. CALL A PHYSICIAN IMMEDIATELY. NEVER GIVE ANYTHING BY MOUTH TO AN
UNCONSCIOUS PERSON.

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 5
02/05/97
SECTION VI*-- REACTIVITY DATA -
STABILITY: STABLE
CONDITIONS TO AVOID: NONE KNOWN
INCOMPATABILITY: (MATERIALS TO AVOID): STRONG ACIDS AND STRONG OXIDIZING
AGENTS.
HAZARDOUS DECOMPOSITION PRODUCTS: OXIDES OF CARBON AND NITROGEN.
HAZARDOUS POLYMERIZATION: NO
CONDITIONS TO AVOID: NONE KNOWN.
SECTION VII*-- SPILL OR LEAK PROCEDURES -
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED:
WEARING APPROPRIATE PROTECTION EQUIPMENT (SEE SECTION VIII), CONTAIN SPILL.
USING AN INERT CHEMICAL ABSORBENT, COLLECT SPILLED MATERIAL AND PLACE IN A
PROPERLY LABELED CONTAINER FOR DISPOSAL OR REUSE. REPORT SPILLS AS REQUIRED
TO APROPRIATE AUTHORITIES.
WASTE DISPOSAL METHOD:
THIS MATERIAL MAY BE CONSIDERED TO BE HAZARDOUS UNDER RCRA 261.22 (CORROSIVITY
CRITERIA). DISPOSE OF IN ACCORDANCE WITH LOCAL, STATE, AND FEDERAL REGULATIONS
SECTION VIII*-- SPECIAL PROTECTION INFORMATION -
RESPIRATORY PROTECTION: WHEN TLV IS EXCEEDED, WEAR NIOSH-MSHA APPROVAL
NO.TC-23C-868 ORGANIC VAPOR/ACID GAS DUAL CARTRIDGE RESPIRATOR WITH
DUST/MIST PREFILTER (FOR EXAMPLE: 3M EASI-CARE)
EYE PROTECTION: CHEMICAL SPLASH GOGGLES
VENTILATION: LOCAL EXHAUST
SKIN PROTECTION: RUBBER GLOVES, APRON, AND BOOTS
OTHER PROTECTION: EYE WASH FOUNTAIN AND SAFETY SHOWER.

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 6
-----------------------------= 02/05/97
SECTION IX -- SPECIAL PRECAUTIONS -
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING:
DO NOT GET ON SKIN, EYES, OR CLOTHING. AVOID BREATHING MISTS AND VAPORS. DO
NOT INGEST. WASH THOROUGHLY AFTER HANDLING.
OTHER PRECAUTIONS:
KEEP AWAY FROM HEAT AND OXIDIZERS. USE WITH ADEQUATE VENTILATION. LABEL
PRECAUTIONS ALSO APPLY TO EMPTY CONTAINER. RECONDITION OR DISPOSE OF EMPTY
CONTAINERS IN ACCORDANCE WITH GOVERNMENT REGULATIONS. KEEP CONTAINER SECURELY
CLOSED WHEN NOT IN USE. STORE AT AMBIENT TEMPERATURES. FOR INDUSTRIAL USE
ONLY.
SECTION X -- MISCELLANEOUS INFORMATION -
NIF-NO INFORMATION FOUND NA -NOT AVAILABLE NE -NOT ESTABLISHED
AC -ACTIVE COMPONENT
DOT CLASS: POTASSIUM HYDROXIDE SOLUTION
HAZARD CLASS 8 UN1814 PGII CORROSIVE LABEL
IF THIS PRODUCT CONTAINS A TOXIC CHEMICAL, SUBJECT TO THE REPORTING
REQUIREMENTS OF SECTION 313 OF TITLE III OF THE SUPERFUND AMENDMENTS AND
REAUTHORIZATION ACT OF 1986 AND 40 CFR PART 372, IT IS LISTED IN SECTION II OF
THIS MATERIAL SAFETY DATA SHEET FOLLOWED BY TWO ASTERISKS (**).
-------------------------------------------------------------------------------
ALTHOUGH THE INFORMATION AND RECOYZIENDATIONS SET FORTH HEREIN (HEREINAFTER
"INFORMATION") ARE PRESENTED IN GOOD FAITH AND BELIEVED TO BE CORRECT AS OF THE
DATE HEREOF, CHMM4TREAT, INC. MAKES NO REPRESENTATIONS AS TO THE COMPLETENESS OR
ACCURACY THEREOF. INFORMATION IS SUPPLIED UPON THE CONDITION THAT THE PERSONS
RECEIVING SAME WILL MAKE THEIR OWN DETERMINATION AS TO ITS SUITABILITY FOR
THEIR PURPOSES PRIOR TO USE. IN NO EVENT WILL CHEMTREAT, INC. BE RESPONSIBLE
FOR DAMAGES OF ANY NATURE WHATSOEVER RESULTING FROM THE USE OF OR RELIANCE
UPON INFORMATION. NO REPRESENTATION OR WARRANTIES, EITHER EXPRESS OR IMPLIED,
OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR OF ANY OTHER NATURE ARE
MADE HEREUNDER WITH RESPECT TO INFORMATION OR THE PRODUCT TO WHICH INFORMATION
REFERS.
PREPARED BY: TIMOTHY H. REID / DIRECTOR OF REGULATORY AFFAIRS 07/25/94
SECTION XI -- GOVERNMENT REGULATIONS -
NONE LISTED

MSDS NO.- 69 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 7
02/05/97
SECTION XII*-- KC SPECIAL INFORMATION -
USED BY:
MAINTENANCE AT BOILER ROOM
KC ITEM #:

MSDS NO.- 158 (LEXINGTON MILL DATA)
---------------
---------------
SECTION 0 -- HEADER SECTION -
CHEMTREAT, INC.
500 LICKINGHOLE ROAD
ASHLAND, VA 23005-3294
MSDS DATE : 11/25/85
RECEIVED : 10/25/94
ENTERED : 10/30/94
BY : SWC
EMERGENCY PHONE # - 804-257-7792
TELEPHONE # - 804-798-3231
SECTION I -- PRODUCT IDENTIFICATION -
PRODUCT NAME: CH04TREAT CL-280 CLOSED SYSTEM TREATMENT
CHEMICAL NAME/SYNONYMS: SOLUTION OF NITRITE, BORATE SALTS &
CORROSION INHIBITOR
CHEMMCAL FORMULA: NOT GIVEN
SECTION II*-- HAZARDOUS INGREDIENTS -
INGREDIENTS CAS # OSHA PEL
SODIUM NITRITE 7632-00-0
ORAL LD 50 - N.I.F. DERMAL LD 50 - N.I.F.
SODIUM TETRABORATE-
PENTAHYDRATE 1330-43-4
ORAL LD 50 - 3.4 GM/KG (RATS)
DERMAL LD 50 - >2.0 MG/KG (RABBITS)
THIS DATA SATISFIES THE MINIMUM REPORTING
REQUIREMENTS UNDER CAL/OSHA, NEW JERSEY
5-1670 AND OTHER STATE AGENCIES
ACGIH-TLV UNITS
N.I.F. N.I.F.
02/05/97
0
>1
1 MG/KG >2.OMG/KG 1MG/M3
HMIS DATA
*********************
*
**********.HEALTH 2***********
*
... FLAMMABILITY 0
********************
*
*** ..REACTIVITY 0
******************
* .OTHER X
*********************

MSDS NO.- 158 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 2
02/05/97
SECTION III*-- PHYSICAL DATA
BOILING POINT: >212
SPECIFIC GRAVITY ( H2O =1): 1.15
VAPOR PRESSURE (MM HG): AT 20 DEGREES C - <17.5
MELTING POINT: NOT LISTED
VAPOR DENSITY (AIR=1): NOT ESTABLISHED
EVAPORATION RATE ( =1): <1
SOLUBILITY IN WATER: 100%�
APPEARANCE & ODOR: CLEAR, COLORLESS TO LIGHT STRAW-COLORED LIQUID.
HAS NO APPARENT ODOR
PH: 9.7
SECTION IV*-- FIRE AND EXPLOSION HAZARD DATA
FLASH POINT (METHOD USED): NOT FLAMMABLE
FLAMMABLE LIMITS: LEL: N/E* UEL: N/E* *NOT ESTABLISHED
EXTINGUISHING MEDIA: WATER FLOOD - KEEP PRODUCT COOL
SPECIAL FIREFIGHTING PROCEDURES: ALTHOUGH PRODUCT WILL NOT BURN, HIGH
TEMPERATURES (ABODE 900 DEGREES F) CAN RESULT IN DECOMPOSITION AND
AND THE RELEASE OF NITROGEN OXIDES.
UNUSUAL FIRE & EXPLOSION HAZARDS: WHEN FIGHTING FIRES IN THE VICINITY
OF THIS PRODUCT, A SELF-CONTAINED BREATHING APPARATUS SHOULD BE USED
DUE TO TOXIC VAPORS.
PROPER SHIPPING NAME (D.O.T.): NOT LISTED
HAZARD CLASS (D.O.T.): NOT LISTED
I.D. NUMBER: NOT LISTED

MSDS NO.- 158 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 3
------------------------------ 02/05/97
SECTION V*-- HEALTH HAZARD DATA -
ROUTES OF ENTRY: INHALATION: YES SKIN: YES INGESTION: YES
PRIMARY ROUTE OF ENTRY -EYE CONTACT, SKIN CONTACT,
INGESTION, INHALATION OF MIST
HEALTH HAZARD: THIS PRODUCT MAY BE IRITATING TO THE EYES, SKIN AND
RESPIRATORY TRACT. OVEREXPOSURE TO SODIUM NITRITE IN THIS PRODUCT
MAY PRODUCE NAUSEA, HEADACHE, WEAKNESS, CYANOSIS AND LOW BLOOD PRESSURE.
PERSONS WITH PRE-EXISTING DISEASES OF THE CARDIOVASCULAR SYSTEM OR BONE
MARROW OR SKIN DISORDERS OR IMPAIRED PULMONARY FUNCTION MAY BE MORE
SUSCEPTIBLE TO THE EFFECTS OF THIS PRODUCT.
CARCINOGENICITY: NTP: * ARC MONOGRAPHS: * OSHA REGULATED: *NOT GIVEN
SIGNS & SYMPTOMS OF EXPOSURE: MAY IRRIATE EYES, SKIN AND RESPIRATORY TRACT.
EXPOSURE TO SODIUM NITRATE IN THIS PRODUCT MAY PRODUCT CYANOSIS.
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: NONE LISTED
EMERGENCY FIRST AID:
EYES AND SKIN: IN CASE OF CONTACT, IMMEDIATELY FLUSH EYES WITH WATER FOR
AT LEAST 15 MIN. CALL A PHYSICIAN. FLUSH SKIN WITH WATER.
WASH CLOTHING BEFORE REUSE.
INHALATION: IF INHALED REMOVE TO FRESH AIR. IF NOT BREATHING, GIVE
ARTIFICIAL RESPIRATION, PREFERABLY MOUTH TO MOUTH. IF
BREATHING IS DIFFICULT, GIVE OXYGEN. CALL A PHYSICIAN.
INGESTION: IF SWALLOWED, INDUCE VOMITING IMMEDIATELY BY GIVING TWO(2)
GLASSES OF WATER AND STICKING FINGER DOWN THROAT. NEVER GIVE
ANYTHING BY MOUTH TO AN UNCONSCIOUS PERSON. CALL A PHYSICIAN.
SECTION VI*-- REACTIVITY DATA -
STABILITY: STABLE - AVOID EXTREME HEAT
INCOMPATABILITY: ORGANICS, AMINES, ACIDS, REDUCING AGENTS
HAZARDOUS DECOMPOSITION: TOXIC NITROGEN OXIDES WHEN HEATED ABOVE 914 DEGREES F
HAZARDOUS POLYMERIZATION: NONE KNOWN

MSDS NO.- 158 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 4
-----------------------------= 02/05/97
SECTION VII*-- SPILL OR LEAK PROCEDURES -
STEPS TO BE TAKEN IN CASE OF SPILLS OR LEAKS: WEARING APPROPRIATE PROTECTION
EQUIPMENT (SEE SECTION VIII) CONTAIN SPILL. USING AN INERT CHEMICAL
ABSORBENT, COLLECT SPILLED MATERIAL AND PLACE IN PROPERLY LABELED
CONTAINER FOR DISPOSAL.
DISPOSAL: DISPOSE OF IN ACCORDANCE WITH FEDERAL,STATE, & LOCAL REGULATIONS.
HANDLING & STORAGE PRECAUTIONS: KEEP CONTAINER SECURELY CLOSED WHEN NOT IN
USE. WASH THOROUGHLY AFTER HANDLING. USE WITH ADEQUATE VENTILATION.
AVOID CONTACT WITH EYES, SKIN AND CLOTHING. STORE AT AMBIENT TEMPERATURES.
DO NOT INGEST. AVOID BREATHING MISTS.
OTHER PRECAUTIONS: LABEL PRECAUTIONS ALSO APPLY TO EMPTY CONTAINER.
RECONDITION OR DISPOSE OF EMPTY CONTAINERS IN ACCORDANCE WITH
GOVERNMENT REGULATIONS.
SECTION VIII*-- SPECIAL PROTECTION INFORMATION -
RESPIRATORY PROTECTION: NONE REQUIRED UNDER USUAL CONDITIONS OF USE
LOCAL EXHAUST:LOCAL EXHAUST GOOD ENOUGH
PROTECTIVE GLOVES: RUBBER GLOVES RECOY24 LADED
EYE PROTECTION:CHEMICAL SPLASH GOGGLES
OTHER PROTECTIVE CLOTHING: APRON AND BOOTS SUGGESTED
WORK/HYGENIC PRACTICES:EYE WASH FOUNTAIN AND SAFETY SHOWER NEEDED
SECTION IX -- SPECIAL PRECAUTIONS -
KEEP CONTAINER SECURELY CLOSED WHEN NOT IN USE. WASH THOROUGHLY AFTER
HANDLING. USE WITH ADEQUATE VENTILATION. AVOID CONTACT WITH EYES, SKIN
AND CLOTHING. STORE AT AMBIENT TEMPERATURES. DO NOT INGEST. AVOID
BREATHING MISTS.
LABEL PRECAUTIONS ALSO APPLY TO EMPTY CONTAINER

MSDS NO.- 158 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 5
-----------------------------= 02/05/97
SECTION X -- MISCELLANEOUS INFORMATION -
D.O.T. CLASS: NOT REGULATED
HEALTH EFFECTS (CONT'D)
IN A 30-DAY FEEDING STUDY, RATS WERE FED DIETS CONTAINING 3,000, 10,000,
OR 80,000 PPM OF (HEDP), A COMPONENT OF THIS PRODUCT. AT 30,000PPM AVERGE
BODY WEIGHT GAINS OF BOTH MALES AND FEMALES WERE REDUCED, AND LIVER WEIGHTS
OF MALES WERE DECREASED. INCREASED ERTHROCYTE COUNTS ( MALES), DECREASED
HEMOGLOBIN CONCENTRATION (BOTH SEXES), DECREASED HEMATOCRIT VALUES (BOTH
SEXES) AND DECREASED LEUKOCYTE COUNTS (FEMALE AT 84 DAYS ONLY) WERE
OBSERVED AT 30,000 PPM. NO OTHER HEMATOLOGIC, URINALYSIS OR CLINICAL
CHEMISTRY PARAMETER WAS AFFECTED. THE NO EFFECT LEVEL WAS 10,000 PPM.
HEDP WAS ADMINISTERED TO BEAGLE DOGS AT DIETARY CONCENTRATIONS OF 1,000,
3,000, OR 10,000 PPM FOR 90 DAYS. NO ADVERSE HEMATOLOGIC, BIOCHEMICAL
OR HISTOPATHOLOGIC EFFECTS WERE OBSERVED.
NO MUTAGENIC ACTIVITY WAS OBSERVED IN MICROBIAL ASSAYS USING 5 SALMONELLA
STRAINS OR IN AN L5178Y TK MOUSE LYMPHOMA CELL POINT MUTATION ASSAY, WITH
AND WITHOUT MAMMALIAN MICROSOMAL ACTIVATION.
SECTION XI -- GOVERNMENT REGULATIONS -
NONE LISTED
SECTION XII*-- KC SPECIAL INFORMATION -
USED BY:
MAINTENANCE
KC ITEM NO.

MSDS NO.- 157 (LEXINGTON MILL DATA)
---------------
SECTION 0 -- HEADER SECTION -
CHEMTREAT, INC. EMERGENCY PHONE # - 804-257-7792
500 LICKINGHOLE ROAD
ASHLAND, VA 23005-3294 TELEPHONE # - 804-798-3231
MSDS DATE : 11/25/85
RECEIVED : 10/25/94
ENTERED : 10/30/94
BY : SWC
SECTION I -- PRODUCT IDENTIFICATION
PRODUCT NAME: CHEMTREAT CL-207
CHEMICAL NAME/SYNONYMS: 2,2-DIBROMO-3-NITRILOPROPIONAMIDE
CHEMIIAL FORMULA: NOT GIVEN
SECTION II*-- HAZARDOUS INGREDIENTS -
INGREDIENTS CAS # OSHA PEL ACGIH-TLV
2,2-DIBROMO-
3-NITRILOPROPIONAMIDE 010222-01-2 N/L MANF. IHG=2MG/M3
CEILING VALUE
ORAL LD-50 : >1000 MG/KG (RATS)
DERMAL LD-50: >2000 MG/KG (SKIN OF RABBIT)
THIS DATA SATISFIES THE MINIMUM
REPORTING REQUIREMENTS UNDER
CAL/OSHA, NEW JERSEY 5-1670 AND
OTHER STATE REGULATIONS.
HMIS DATA
*********************
* .HEALTH 4
*
* ..FLAMMABILITY 0
********************
* ..REACTIVITY 0
* ...*** .OTHER X
******************
02/05/97
5

MSDS NO.- 157 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 2
02/05/97
SECTION III*-- PHYSICAL DATA -
BOILING POINT: (DECOMPOSES) >120 DEGREES C
SPECIFIC GRAVITY ( H 2 0 =1): 1.14 - 1.17
VAPOR PRESSURE (MM HG) : LOW
MELTING POINT: NOT LISTED
VAPOR DENSITY (AIR=1): NOT APPLICABLE
EVAPORATION RATE ( H 2 0 =1): <1
SOLUBILITY IN WATER: COMPLETE
APPEARANCE & ODOR: AMBER LIQUID. HAS LIGHT ANESTHETIC ODOR.
PH: 6.4
SECTION IV*-- FIRE AND EXPLOSION HAZARD DATA -
FLASH POINT (METHOD USED) : 360 DEGREES F (CLEVELAND OPEN CUP)
FLAMMABLE LIMITS: LEL: * UEL: * *-NOT DETERMINED
EXTINGUISHING MEDIA: WATER, CARBON DIOXIDE, DRY CHEMICAL, FOAM
SPECIAL FIREFIGHTING PROCEDURES: WEAR POSITIVE -PRESSURE, SELF-
CONTAINED BREATHING APPARATUS AND GOGGLES
UNUSUAL FIRE & EXPLOSION HAZARDS: NONE
PROPER SHIPPING NAME (D . O. T .) : NOT LISTED
HAZARD CLASS (D.O.T.): BOILER COMPOUND, LIQUID COROSIVE MATERIAL, NA 1760
I.D. NUMBER: NOT LISTED

MSDS NO.- 157 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 3
02/05/97
SECTION V*-- HEALTH HAZARD DATA -
ROUTES OF ENTRY: INHALATION: YES SKIN: YES INGESTION: YES
PRIMARY ROUTE OF ENTRY- CAUSED BY PROLONGED CONTACT WITH LARGE VOLUMES
HEALTH HAZARD: NOT DETERMINED
CARCINOGENICITY: NTP: ARC MONOGRAPHS: OSHA REGULATED:
SIGNS & SYMPTOMS OF EXPOSURE:
SKIN & EYES: SEVERE IRRITANT.
ORAL: SINGLE DOSE ORAL TOXICITY IS LOW. THE ORAL LD-50 FOR THE RATS IS
EXPECTED TO BE >1000 MG/KG.
INHALATION: IRRITANT.
SKIN: MAY CAUSE BUM OR ALLERGIC REACTION.
YES: POSSIBLE PERMANENT IMPAIRMENT OF VISION EVEM BLINDNESS.
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: NONE LISTED
EMERGENCY FIRST AID:
EYES: GET MEDICAL ATTNETION PROMPTLY.
SKIN & EYES: FLUSH WITH LARGE AMOUNTS OF WATER FOR AT LEAST 15 MINUTES.
REMOVE CONTAMINATED CLOTHING.
ORAL: CALL A PHYSICIAN. DRINK LARGE QUANTITIES OF WATER. INDUCE
VOMITING. NEVER ADMINISTER ANYTHING BY MOUTH TO AN
UNCONSCIOUS PERSON.
INHALATION: REMOVE TO FRESH AIR.
SECTION VI*-- REACTIVITY DATA -
STABILITY: STABLE
INCOMPATABILITY: STRONG ALKALIES AND WATER ADDED TO CONCENTRATED PRODUCT
AND STRONG OXIDIZING AGENTS
HAZARDOUS DECOMPOSITION: METHYL BROMIDE, ETHYL BROMIDE, HYDROGEN CYANIDE,
AND NITRIC OXIDE
HAZARDOUS POLYMERIZATION: NONE

MSDS NO.- 157 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 4
------------------------------ 02/05/97
SECTION VII*-- SPILL OR LEAK PROCEDURES
STEPS TO BE TAKEN IN CASE OF SPILLS OR LEAKS: USE PROPER PROTECTIVE
EQUIPMENT AND CONTAIN SPILL. ADD AN EXCESS OF SODA ASH AND SHOVEL
INTO DRUMS.
DISPOSAL: DISPOSE OF IN ACCORDANCE WITH LOCAL, STATE, & FERERAL REGULATIONS
HANDLING & STORAGE PRECAUTIONS: STORE AT AMBIENT TEMPERATURES
AVOID SKIN AND EYE CONTACT. WEAR PROTECTIVE CLOTHING.
OTHER PRECAUTIONS: NONE LISTED
SECTION VIII*-- SPECIAL PROTECTION INFORMATION -
RESPIRATORY PROTECTION: NONE REQUIRED
LOCAL EXHAUST: LOCAL EXHAUST IS ALL THAT IS NEEDED
PROTECTIVE GLOVES: RUBBER OR NEOPRENE GLOVES
EYE PROTECTION: CHEMICAL SPLASH GOGGLES
OTHER PROTECTIVE CLOTHING: RUBBER APRON AND EYE WASH FOUNTAIN
WORK/HYGENIC PRACTICES: NONE LISTED
SECTION IX -- SPECIAL PRECAUTIONS -
AVOID SKIN AND EYE CONTACT. WEAR PROTECTIVE CLOTHING.
SECTION X -- MISCELLANEOUS INFORMATION -
NONE LISTED
SECTION XI -- GOVERNMENT REGULATIONS -
NONE LISTED

MSDS NO.- 157 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 5
------------------------------ 02/05/97
SECTION XII*-- KC SPECIAL INFORMATION -
USED BY:
MAINTENANCE- BOILER ROOM
KC ITEM NO: NEED FROM EDDIE

MSDS NO.- 160 (LEXINGTON MILL DATA) 02/05/97
---------------
---------------
SECTION 0 -- HEADER SECTION -
CHEMTREAT, INC. EMERGENCY PHONE # - 804-257-7792
500 LICKINGHOLE ROAD
ASHLAND, VA 23005-3294 TELEPHONE # - 804-798-3231
MSDS DATE : 11/25/85
RECEIVED : 10/25/94
ENTERED : 10/31/94
BY : SWC
SECTION I -- PRODUCT IDENTIFICATION -
PRODUCT NAME: CHEMTREAT CL-2150
CHEMICAL NAME/SYNONYMS: BLEND OF CHLOROMETHYL ISOTHIAZOLIN-ONE
AND METHYLISOTHIAZOLIN-ONE
CHEMMCAL FORMULA: NOT GIVEN
SECTION II*-- HAZARDOUS INGREDIENTS -
INGREDIENTS CAS # OSHA PEL ACGIH-TLV UNITS
5-CHLORO-2-METHYL-4-
ISOTHIAZOLIN-3-ONE 26172-55-4 N/A N/A MG/M3 0.1
2-METHYL-4-ISOTHIAZOLIN-3-ONE
2682-20-4 N/A N/A MG/M3 0.1
ORAL LD 50 AND DERMAL LD 50 INFORMATION NOT AVAILABLE
HMIS DATA
********************* THIS DATA SATISFIES THE MINIMUN REPORTING
* .........HEALTH 3 * REQUIREMENTS UNDER CAL/OSHA, NEW JERSEY
********************* S-1670 AND OTHER STATE REGULATIONS.
*
... FLAMMABILITY 0
********************
*
*** ..REACTIVITY 0
******************
* .OTHER X

MSDS NO.- 160 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 2
02/05/97
SECTION III*-- PHYSICAL DATA
BOILING POINT: EST. 212 DEGREES F
SPECIFIC GRAVITY ( H 2 0 =1): 1.019
VAPOR PRESSURE (MM HG): 17 Q 68 DEGREES F
MELTING POINT: NOT LSITED
VAPOR DENSITY (AIR=1): .62 EST
EVAPORATION RATE ( BUTYLACETATE =1): <1
SOLUBILITY IN WATER: COMPELETLY
APPEARANCE & ODOR: YELLOW -GREEN LIQUID; MILD ODOR
SECTION IV*-- FIRE AND EXPLOSION HAZARD DATA -
FLASH POINT (METHOD USED): NOT APPLICABLE
ALE LIMITS: LEL: N/A UEL: N/A
EXTINGUISHING MEDIA: NON-COMBUSTIBLE
SPECIAL FIREFIGHTING PROCEDURES: WEAR RESPIRATOR AND FULL PROTECTIVE
GEAR. USE WATER SPRAY TO COOL FIRE EXPOSED CONTAINERS.
UNUSUAL FIRE & EXPLOSION HAZARDS: AVOID EXPOSURE TO FUMES AND VAPORS FROM
FIRE- CAN POSSSIBLY INCLUDE SULFUR DIOXODE; HYDROGEN CHLORIDE AND
OXIDES OF NITROGEN.
PROPER SHIPPING NAME (D.O.T.):WATER TREATMENT COMPOUND, LIQUID; CORROSIVE
MATERIAL NA 1760.
HAZARD CLASS (D.O.T.): NOT LISTED
I.D. NUMBER: NOT LISTED

MSDS NO.- 160 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 3
------------------------------ 02/05/97
SECTION V*-- HEALTH HAZARD DATA -
ROUTES OF ENTRY: INHALATION: YES SKIN: YES INGESTION: YES
HEALTH HAZARD: AVOID EYE CONTACT AND INGESTION- PRIMARY ROUTE OF ENTRY IS
SKIN ABSORPTION FROM LARGE EXPOSURES
CARCINOGENICITY: NTP: N/A ARC MONOGRAPHS: N/A OSHA REGULATED: N/A
SIGNS & SYMPTOMS OF EXPOSURE: CORROSIVE TO THE SKIN; CAUSES SKIN BURNS.
THESE EFFECTS MAY BE DELAYED FOR HOURS. CAN CAUSE ALLERGY CONTACT
DEMITTIS. HARMFUL IF ABSORBED THROUGH SKIN, MAYBE BE FATAL FROM
LARGE EXPOSURES.
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: INGESTION- MAYBE FATAL
IF SWALLOWED.
EMERGENCY FIRST AID:
INHALATION: MOVE SUBJECT TO FRESH AIR. APPLY ARTIFICIAL RESPIRATION IF NEEDED
EYE & SKIN: IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER AND CONTINUE FOR
AT LEAST 15 MIN. GET PROMPT MEDICAL ATTENTION. WASH SKIN
THOROUGHLY WITH SOAP AND WATER. REMOVE CONTAMINATED CLOTHING.
INGESTION: IF SWALLOWED, DILUTE BY GIVING TWO (2) GLASSES OF WATER TO
DRINK AND CALL A PHYSICIAN. NEVER GIVE ANYTHING BY MOUTH
TO AN UNCONSIOUS PERSON.
NOTE TO PHYSICIAN:
MUCOSAL DAMAGE MAY CONTRAINDICATE THE USE OF GASTRIC LAVAGE.
MEASURE AGAINST CIRCULATORY SHOCK, RESPIRATORY DEPRESSION.
THIS MATERIAL IS A REGISTERED PESTICIDE UNDER FIFRA. REFER TO
CONTAINER LABEL FOR ADDITIONAL INFORMATION.
SECTION VI*-- REACTIVITY DATA -
STABILITY: STABLE
INCOMPATABILITY: NONE KNOWN
HAZARDOUS DECOMPOSITION: NONE KNOWN
HAZARDOUS POLYMERIZATION:NOT APPLICABLE

MSDS NO.- 160 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 4
02/05/97
SECTION VII*-- SPILL OR LEAK PROCEDURES -
STEPS TO BE TAKEN IN CASE OF SPILLS OR LEAKS: WEAR PROTECTIVE CLOTHING,
SPLASHPROOF GOGGLES AND IMPERVIOUS OVERSHOES. REMOVE CONTAMINATED
CLOTHING PROMPTLY; LAUNDER THOROUGHLY BEFORE RE -USE. WASH SKIN WITH
SOAP AND WATER.
DISPOSAL: FOR DISCARD, THIS IS A HAZARDOUS WASTE: RCRA NO. D002; REPORTABLE
QUANTITY: 1LB LANDFILL CONTAMINATED SOLIDS IN SEALED DRUMS IN ACCORDANCE
WITH LOCAL, STATE AND FEDERAL REGULATIONS.
HANDLING & STORAGE PRECAUTIONS: SHOULD BE STORED INDOORS IN WELL
VENTILATED AREA
OTHER PRECAUTIONS: CAUTION- KEEP SPILLS OUT OF MUNICIPAL SEWERS AND OPEN
BODIES OF WATER. DIKE AND ABSORB SPILL WITH INERT MATERIAL (DRY EARTH,
SAND). SHOVEL ALL CONTAMINATED SOLIDS, DIKING MATERIAL, ABSORBENT AND
SOIL INTO CORROSION PROOF DRUMS. SEAL BEFORE DISPOSAL.
SECTION VIII*-- SPECIAL PROTECTION INFORMATION -
RESPIRATORY PROTECTION: WEAR MSHA/NIOSH APPROVED RESPIRATOR SUITABLE FOR
CONCENTRATIONS ENCOUNTERED WHERE LIMITS ARE EXCEEDED.
LOCAL EXHAUST: MECHANICAL LOCAL EXHAUST AT POINT OF VAPOR OR MIST RELEASE
PROTECTIVE GLOVES:IMPERVIOUS GLOVES
EYE PROTECTION: SPLASHPROOF GOGGLES AND FACE SHIELD (ANSI Z87.1 OR EQUI.>)
OTHER PROTECTIVE CLOTHING: IMPERVIOUS APRON
WORK/HYGENIC PRACTICES: NEED EYEWASH STATION AND EMERGENCY SHOWER
SECTION IX -- SPECIAL PRECAUTIONS -
SHOULD BE STORED INDOORS IN WELL VENTILATED AREA
SECTION X -- MISCELLANEOUS INFORMATION -
THIS MATERIAL IS A REGISTERED PESTICIDE UNDER FIFRA. REFER TO
CONTAINER LABEL FOR ADDITIONAL INFORMATION.

MSDS NO.- 160 (CONTINUED...) (LEXINGTON MILL DATA) PAGE - 5
02/05/97
SECTION XI -- GOVERNMENT REGULATIONS -
NONE LISTED
SECTION XII*-- KC SPECIAL INFORMATION -
USED BY:
MAINTENANCE
KC ITEM NUMBER: NEED FROM EDDIE

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor A. Preston Howard, Jr., P. E.
Jonathan B. Howes, Jr., Secretary Director
April 30,1993
Eddie Motsinger
P O Box 2016
Lexington, NC 27293
Subject: General Permit No. NCG500000
Kimberly Clark Corp. -Lexington Mill
COC NCG500098
Davidson County
Dear Mr. Motsinger:
In accordance with your application for discharge permit received on November 30, 1992, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. Issuance of this certificate of coverage supercedes the individual NPDES permit No. NC0063452.
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Jule Shanklin at telephone number
9191733-5083.
cc:
OrigAMT1 1:1 By
Coieen H. Sullins
A. Preston Howard, Jr.
Director
Winston-Salem Regional Office
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity A, formative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN,
CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Kimberly-Clark Corporation
is hereby authorized to continue the discharge of cooling tower blowdown and condensate water with the discharge of
wastewater from a facility located at
Lexington Mill
Clyde Fitzgerald Road (NCSR 1287)
north of Linwood
Davidson County
to receiving waters designated as an unnamed tributary to North Potts Creek in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III
and IV of General Permit No. NCG500000 as attached
This certificate of coverage shall become effective April 30,1993
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 30,1993
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Kimberly Clark Corporation
Lexington Milt
NPDES Permit No. N00063452
Discharges into a tributary to \ •__s
North Potts Creek, Class "C".
5 \
1; \
.Located at the Linwood exit off - _
I-85 near Linwood, N.C. 75 ear
Davidson County D-17-SE Topo. ! �'
a 766
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,
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1
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Discharge Point tb' e .•, __ /�. - .1 n
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cc: Permits and Engineering �-� ECE ED
Technical Support Branch JA(a 5 i?r
County Health Dept.
Central Files WSRO TECHNICAL SUf PORT BRANCH
SOC PRIORITY PROJECT: Yes
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Jule Shanklin
03-o1-O4
Date: January 7, 1993
NPDES STAFF REPORT AND RECOMMENDATION uT Nov cu P s CreEt_
County Davidson
I.SLGS00098
Permit No. *eagL -
PART I - GENERAL INFORMATION
1. Facility and Address: Kimberly Clark Corporation
P. O. Box 2016
Lexington, N.C. 27293
2. Date of Investigation: January 6, 1993
3. Report Prepared by: Mike Mickey, Environmental Tech V
4. Persons Contacted and Telephone Number:
Mr. Eddie Motsinger, Mill Services Leader,
ph [phone]
5. Directions to Site: Take the Linwood Road Exit (#88) off of
New I-85 west of Lexington. Turn left across the bridge and
then take the first right onto Clyde Fitzgerald Road
(SR 1287). The entrance to the Kimberly-Clark facility is
0.4 mile on the left.
Discharge Points(s), List for all discharge points:
Latitude: 350 46' 10" Longitude: 800 19' 22"
U.S.G.S. Quad No. D17SE U.S.G.S. Quad Name Lexington West
7. Site size and expansion area consistent with application ?
X Yes No If No, explain:
8. Topography (relationship to flood plain included): The
manufacturing facility is located well above the flood
plain.
9. Location of nearest dwelling: No dwellings are located
within 2000 ft of the discharge point.

10. Receiving stream or affected surface waters: U.T. to North
Potts Creek.
a. Classification: C
b. River Basin and Subbasin No.: YAD-04
C. Describe receiving stream features and pertinent
downstream uses: The cooling water discharge empties
out of a storm drain pipe on the west side of the
entrance road to the facility. The wastewater then
flows overland for approximately 150 yards before its
confluence with the U.T.
Part II - DESCRIPTION OF DISCHARGE AND
WORKS
1. a. Volume of Wastewater to be permitted: NA - Not limited
by permit. MGD (Ultimate Design Capacity) Self -
monitoring data shows an average flow of 0.0078 MGD for
1/92 - 11/92.
b. What is the current permitted capacity of the Waste
Water Treatment facility? NA
C. Actual treatment capacity of the current facility
(current design capacity)? NA
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years. No A/C necessary.
e. Please provide a description of existing or
substantially constructed wastewater treatment
facilities: NA - No treatment is required.
f. Please provide a description of proposed wastewater
treatment facilities. NA
g. Possible toxic impacts to surface waters: None known,
however, the following biocides are added to the
cooling water (Chemtreat C1-2185, C1-207, C1-2150)
h. Pretreatment Program (POTWs only): NA
in development approved
should be required not needed
2. Residuals handling and utilization/disposal scheme: NA
(Cooling water only).
3. Treatment plant classification (attach completed rating
sheet). No rating, less than 5 points.
NPDES Permit Staff Report
Version 10/92
Page 2

4. SIC Code(s): 2297
Primary 17 Secondary 16
Main Treatment Unit Code: 0 0 0 X 0
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds or are any public monies involved. (municipals only)?
NA
2. Special monitoring or limitations (including toxicity)
requests: None
3. Important SOC, JOC or Compliance Schedule dates: (Please
indicate) NA
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated
all of the non -discharge options available. Please provide
regional perspective for each option evaluated. NA for
existing facility.
PART IV - EVALUATION AND RECOMMENDATIONS
The Kimberly-Clark facility manufactures polypropylene liners
for diapers. The discharge to the U.T. to North Potts Creek
consists of approximately 81000 gpd of cooling tower bleed -off.
The effluent line has a valve that allows the cooling tower
discharge to be routed to city sewer when the unit is drained
annually for maintenance. The effluent and receiving stream we_ce,
clear and observations did not reveal any problems.
WSRO recommends reissuance of the permit.
Signature of report p arer
Water Quality Regi al Supervisor
/- �6 -1 -3
Date
NPDES Permit Staff Report
Version 10/92
Page 3

ITEM
(1)
(2)
(3)
RATING SCALE' 'FOR •CLASSIFICATION OF FACILITIES
Name of Plant: l_�,
Owner or Contact Perrmn- �.�� c •
Mailing Address:_ Q .0. %101.
ephone: ofnlSb-aw
NPDES Permit No. NC00 Nondisc. Per. No. 'r _
IssueDate:_ �0-- °tl7 Expiration Date:
Existing Facility Ag>:, New Facility
Rated By: s Vie, vx�•c.q�Q Date:
Reviewed (Train. & Cert.) _ eg. Office
Reviewed (Train. & Cert.) Central Office
ORC_ Grade
Plant Class: (circle one) I II III IV Total Points 0
POINTS
Industrial Pretreatment Units and/or
Industrial Pretreatment Program
(see definition No. 33)
4
DESIGN FLOW OF PLANT IN GPD
(not applicable to non -contaminated cooling waters, sludge
handling facilities for water purification plants, totally
closed cycle systems (del. No. 11). and facilities
consisting only of Item (4) (d) or Items (4) (d) and •(11) (d))
0 •• 20.000..........................
1
20.001 » 50.000..........................
2
50,001 » 100.000..........................
3
100.001 -- 250,000..........................
4
250.001 500,000..........................
5
500,001»1.000.000..........................
8
1.000.001 » 2,000.000 ........................
10
2,000.001 (and up) - rate 1 point additional for each
200.000 gpd capacity up to a
maximum of 30
Design Flow (gpd) C... &-m*, %33 AacR-C
PRELIMINARY UNITS (see definition no. 32)
(a) Bar Screens ................................
1
or
(b) Mechanical Screens, Static Screens or
Comminuting Devices ........................
2
(c) Grit Removal ...............................
1
or
(d) Mechanical or Aerated Grit Removal ...........
2
(e) Flow Measuring Device .......................
1
or
(Q Instrumented Flow Measurement ..............
2
(g) Preaeration................................ 2
(h) Influent Flow -Equalization ................... 2
(i) Grease or Oil Separators - Gravity .......... 2
Mechanical .......... 3
Dissolved Air Flotation. 8
0) Prechlodnation .............................. 5
(4) PRIMARY TREATMENT UNITS
(a) Septic Tank (see definition no. 43) ..............
(b) Imhoff Tank ..................................
(c) Primary Clarifiers .......... .............. .
(d) Settling Ponds or Settling Tanks for Inorganic
Non -toxic Materials {sludge handling facilities
for water purification plants, sand, gravel,
stone. and other mining operations except
recreational activities such as gem or gold
mining) ......................................
2
5
5
2
(5) SECONDARY TREATMENT UNITS
(a) Carbonaceous Stage
(i)Aeration - High Purity Oxygen System .....
20
Diffused Air System ...........
10
Mechanical Air System (fixed,
floating or rotor) ..............
8
Separate Sludge Reaeration .....
3
(ii) Trickling Filter
High Rate ...................
7
Standard Rate ...............
Packed Tower ...............
5
5
(iii) Biological Aerated Filter or Aerated
Biological Filter ......................
10
(iv) Aerated lagoons ......................
10
(v) Rotating Biological Contactors .......... 10
(vi) Sand Filters -
intermittent biological .... .
recirculating biological .... .
(vFi) Stabilization Lagoons ...................
(viii)Clarifier ..............................
fix) Single stage system for combined
carbonaceous removal of BOD and
nitrogenous removal by nitrification
(see def. No. 12) (Points for this item
have to be in addition to items (5) (a)
0 through (5) (a) (vir'Q .................
(x) Nutrient additions to enhance SOD
removal ...............................
(xi) Biological Culture ('Super Bugs') addition
to enhance organic compound removal .....
(b) Nitrogenous Stage
(i) Aeration - High Purity Oxygen System .....
Diffused Air System ...........
Mechanical Air System (fixed.
floating, or rotor) ...... ......
Separate Sludge Reaeration .....
(ii) Trickling Filter -
High Rate ..............
Standard Rate ............
Packed Tower............
(iii) Biological Aerated Filter or Aerated
Biological Filter .. ..................... .
(iv) Rotating Biological Contactors ............
(v) Sand Filter -
intermittent biological ........
recirculating biological ........
(vi) Clarifier ................................
2
S
5
8
5
5
20
10
8
3
7
5
5
10
10
2
3
5

(6) TERTIARY OR ADVANCED TREATMENT UNIT
(a) Activated Carbons Beds -
(10) CHEMICAL ADDITION SYSTEM (S) {See del'inition No. 91
without carbon regeneration ............••
5 (not applicable to chemical additions rated as item `
with carbon regeneration ....................
15 (3) 0). (5) (a) (xi). (6) (a). (6) (b). (7) (b). (7) (e).
(b) Powdered or Granular Activated Carbon Feed -
(9) (a). (9) (b). or {9) (c) 5 points each: List:
without carbon regeneration .................
5 • • 5
with carbon regeneration ....................
15 .... 5
(c) Air Stripping .............................
5 . .. 5
(d) Denitrification Process (separate process) .....
10 5
(e) Electrodialysis .............................
(Q Foam Separation .............................
5
5 (11} MISCELLANEOUS UNITS
(g) ton Exchange ................................
(a) Holding Ponds, Holding Tanks or Settling Ponds
5
(h) Land Application of Treated Effluent
for Organic or Toxic Materials Including wastes
(see definition no. 22b) .(not applicable for
from mining operations containing nitrogen and/or
sand, gravel. stone and other similar mining
phosphorous compounds In amounts significantly
operations)
greater than is common for domestic wastewater .......... 4
on agriculturally managed sites (See diet.
(b) Effluent Flow Equalization (not applicable to storage
No. 4)...................................
• basins which are inherent in land application systems). 2
10
(c) Stage Discharge (not applicable to storage basins
QQ by high rate infiltration on non -agriculturally
manage sites (includes rotary distributors
inherent in land application systems............... ........ 5
�•
(d) Pumps..»...»,»»...».
.,„.».•,..,,,••.,•,,.., » 3
and similar fixed nozzle systems) ........... 4 (e) Stand -By Power Supply»--»---•» 3
(III) by subsurface disposal (includes low pressure
pipe systems and gravity systems except at
(f) Thermal Pollution Cont.•ol Device ........ ................... .»».».....».. 3
plants consisting of septic tank and nitrifica-
tion fines only) .............................
4
(i) Microscreens.............................
TOTAL POINTS
5
Phosphorus Remo,ral by Biological Processes
CLASSIFICATION
(See def. No. 26) ............................
20
(k) Polishing Ponds - without aeration .......
2 Class 1 ..........................»»».» �»...�... 5 • 25 Points
with aeration ..........
5 Class II ..........»»»..»»»».._».. 26- 50 Points
•�
(1) Post Aeration - cascade ..............
0 Class Ill.»»»» .... ...»...•51- 65 Points
diffused or mechanical .. ,
5 Class IV.-..-- .. 66- Up Points
(m) Reverse Osmosis ...............................
5
(n) Sand or Mixed -Media Filters - low rate ...........
2 Facilities having a rating of one through four points. inclusive.
high rate ..........
5 do not require a certified operator. Classification of all other
(o) Treatment processes for removal of metal or
facilities requires a comparable grade operator in responsible
cyanide............................. ......
15 charge.
(p) Treatment processes for removal of toxic
materials other than metal or cyanide .........
15 Facilities having an activated sludge process will be assigned
a minimum classification of Class II.
I SLUDGE TREATMENT
(a) Sludge Digestion Tank - Heated ...............
Facilities having treatment processes for the removal of metal
10
Aerobic..
or cyanide will be assigned a minimum classification of Class If.
5
Unheated ............. 3 Facilities having treatment processes for the biological removal
(b) Sludge Stabilization (chemical or thermal) ....... 5
(c) Sludge Drying Beds - Gravity .................
of phosphorus will be assigned a minimum classification of Class
2
Vacuum Assisted .......
5
(8)
(9)
(d) Sludge Elutrialion ............................. 5
(e) Sludge Conditioner (chemical or thermal) ........
5
(1) Sludge Thickener (gravity} ......................
5
(g) Dissolved Air Flotation Unit
(not applicable to a unit rates as (3) @ .........
8
(h) Sludge Gas Utilization (including gas storage) ....
2
(i) Sludge Holding Tank - Aerated ................
5
• Non -aerated ............
2
(j) Sludge incinerator - (not including activated
carbon regeneration) .....
10
(k) Vacuum Filler. Centrifuge or Filler Press or other
similar dewalering devices ....................
10
SLUDGE DISPOSAL (including incinerated ash)
(a) Lagoons .........................................
2
(b) Land Application (surface and subsurface)
(see definition 22a)
-where the facility holds the land app. permit ...
10
-by contracling to a land application operator who
holds the land application permit ................ 2
-land application of sludge by a contractor who does
not hold the permit for the wastewater treatment
facility where the sludge is generated .........
10
(c) Landfilled (burial) .............................
5
DISINFECTION
(a) Chlorination .............................
5
(b) Dechlorination ........................
5
(c) Ozone ..............................
5
(d) Radiation ..........................
5
In -plant processes and related control equipment which are an
integral part of industrial production shall not be considered waste
treatment. Likewise. discharges of wastewater from residences
having a design flow of 1.000 gpd or less. shall not be subject to
rating.
ADDITIONAL COMMENTS:

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor A. Preston Howard, Jr., P. E.
Jonathan B. Howes, Jr., Secretary Director
April 30, 1993
Eddie Motsinger
P0Box 2016
Lexington, NC 27293
Subject: General Permit No. NCG500000
Kimberly Clark Corp. -Lexington Mill
COC NCG500098
Davidson County
Dear Mr. Motsinger:
In accordance with your application for discharge permit received on November 30, 1992, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. Issuance of this certificate of coverage supercedes the individual NPDES permit No. NC0063452.
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Jule Shanklin at telephone number
919n33-5083.
cc:
Sinc ely,
eston ward, Jr.
Director
Winston-Salem Regional Office
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer