NCG500658_Regional Office Historical File Pre 2018

Fr, PAT MCCRORY
(a erm>r
F .
b• VAN DER. VAART
s<•,'Wu')
WaterResaur�es S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY ivy,VW
February 4, 2016
Mr. Kirk A. Stallsmith, VP
Georgia-Pacific Mt Holly, LLC.
100 Buckeye Drive
Mount Holly, NC 28120
Subject: Compliance Evaluation Inspection
NPDES Permit No. NCG00658
Gaston County
Dear Mr. Stallsmith:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on January 7, 2016 by Ori Tuvia. Your representative Earl Dingess
cooperation during the site visit was much appreciated. Please advise the staff involved with
this NPDES Permit by forwarding a copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at [phone], or at
[e-mail].
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
Cc: NPDES (Derek Denard)
MRO Files
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville.NC 28115
Phone:[phone]\Fax:[phone]\Customer Service:1-877-623-6748

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 III 2 IS I 3 I NCG500658 111 121 16/01/07 ' 117 18I I 19 I s I 201 1
21I11I I I I I I III I I I I I 1 I I I I I l I I I I I I I I I I III I I I
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved l
6711.o I 701d LJ 1 71 I„ I 72 I N I 731 I 174 79 1 1 1 1 1 1 180
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Numbed
01:OOPM 16/01/07 12/08/01
Buckeye Mt.Holly
100 Buckeye Dr Exit Time/Date Permit Expiration Date
Mt Holly NC 28120 01:45PM 16/01/07 15/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Earl Gregory Dingess//704-822-2357/
Name,Address of Responsible OfficiaVTitle/Phone and Fax Number
Contacted
Ronald Ruocco,3440 Toringdon Way Ste 205 Charlotte NC
28277/7704-790-1400/7049275939 No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit II Flow Measurement a Operations&Maintenancr: IN Records/Reports
I♦ Self-Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
- 3�2 // 6
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
William C Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. -
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG500858 111 121 18/01/07 117 18 is j
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
S. •
Page# 2

Permit: NCG500658 Owner-Facility: Buckeye Mt.Holly
Inspection Date: 0 1/0 7120 1 6 Inspection Type' Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ • ❑
application?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ 11 ❑ ❑
Is access to the plant site restricted to the general public? • ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? E00EI
Comment: Permit is available on site.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ ❑ • ❑
Is all required information readily available, complete and current? ❑ ❑ • ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ❑ ❑ 11 ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ 11 ❑
Is the chain-of-custody complete? ❑ ❑ IN ❑
Dates, times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? ❑ ❑ • ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ • ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ 11 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ 11 ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ • ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ 11 ❑
Is a copy of the current NPDES permit available on site? ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ U ❑
Comment: Facility has no discharge. Permit for Non-contact cooling water is only for back up/future
expansion. Discharge from cooling tower goes into the sewer.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ • ❑
Page# 3

Permit: NCG500658 Owner-Facility: Buckeye Mt.Holly
Inspection Date: 01/07/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is sample collected below all treatment units? 0 0 ❑
Is proper volume collected? • ❑ 0 ❑
Is the tubing clean? 0 0 • ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees MO ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type 0 0 • 0
representative)?
Comment: During site visit it was requested that the facility will sample the discharge from the cooling
tower in case of future emergency that will require Discharge. Average flow from the
Cooling tower of 20,000 GPD
Sampling was done by Shealy Environmental Services on 01/15/2016.
Sampling results: COD= 120 Mg/I, PH =7.64,Temperature= 15° C
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 1111 ❑ 0 ❑
Does the facility analyze process control parameters,for ex:MLSS, MCRT, Settleable ❑ ❑ • ❑
Solids,pH, DO,Sludge Judge,and other that are applicable?
Comment: At the time of the inspection the facility was in good operating condition.
The following Biocides are used in the Cooling towers: Hydrogen Peroxide 10-30%,CI 2250
1.1%,26172-55-4 0.39%.
Page# 4

PAT MCCRORY
DONALD R. VAN DER VAART
Water Resources S. JAY ZIMMERMAN
LNVIRONNLN f AL OUAL:r Y
RECEIVED,,,.
April 26, 2016 M�
Mr. Kirk Stallsmith
w;;
Georgia-Pacific Mt. Holly, LLC MOORESVILLE ,.__ OFFICE
100 Buckeye Dr
Mount Holly, NC 28120
Subject: Renewal of General Permit NCG500000
Buckeye Mt. Holly
Certificate of Coverage NCG500658
Gaston County
Dear Permittee:
The Division hereby reissues Certificate of Coverage (CoC) NCG500658 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 [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 Mooresville 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
[e-mail]].
cerely,
//:;-/-7-2
for S.Jay Zimmerman tor.
Division of Water esources
cc: , ;:it' nt ° "` -
PDES file
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/division s/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500658
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,
Georgia-Pacific Mt. Holly, LLC
is hereby authorized to discharge from a facility located at
Buckeye Mt. Holly
100 Buckeye Dr
Mount Holly
Gaston County
to receiving waters designated as South Stanley Creek, a class WS-IV stream in subbasin 03-08-
33 of the Catawba 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 April 26, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day April 26, 2016
for ay Zimmerman, P.G., ' ctor
ivision of Water Reso ces
By Authority of the Environmental Management Commission

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Georgia-Pacific Mt Holly LLC
100 Buckeye Drive RECEIVEDINCDENR/DWR
Mount Holly, NC 28120 FEB 3 2016
Attention: Earl Dingess
WOROS
MOORESVILLE REGIONAL OFFICE
Project Name:Cooling Tower
Lot Number:RA15060
Date Completed:01/28/2016
Lucas 0 om
Project Manager
' LABORATORY
11-'� ACCREDITATION
BUREAU=AmA.S
ACCREDITED i�ara
This report shall not be reproduced,except in its entirety,without the written approval of Shealy Environmental Services, Inc.
The following non-paginated documents are considered part of this report:Chain of Custody Record and Sample Receipt Checklist.
Shealy Environmental Services,Inc. Page:1 of 5
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com

SHEALY ENVIRONMENTAL SERVICES, INC. .- • °
SC DHEC No:32010 NELAC No:E87653 NC DENR No:329 NC Field Parameters No:5639
Case Narrative
Georgia-Pacific Mt Holly LLC
Lot Number: RA15060
This Report of Analysis contains the analytical result(s)for the sample(s)listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt,sample analysis,and data review have been performed in accordance with the most current approved NELAC standards,the
Shealy Environmental Services,Inc.("Shealy")Quality Assurance Management Plan(QAMP),standard operating procedures(SOPs),and Shealy
policies.Any exceptions to the NELAC standards,the QAMP,SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
Shealy Environmental Services,Inc. Page:2 of 5
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com

• SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Georgia-Pacific Mt Holly LLC
Lot Number: RA15060
Sample Number Sample ID Matrix Date Sampled Date Received
001 Cooling Tower Aqueous 01/15/2016 1140 01/15/2016
(1 sample)
Shealy Environmental Services,Inc. Page:3 of 5
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SHEALY ENVIRONMENTAL SERVICES, INC. • -
Executive Summary
Georgia-Pacific Mt Holly LLC
Lot Number: RA15060
Sample Sample ID Matrix Parameter Method Result Q Units Page
001 Cooling Tower Aqueous COD SM 5220D- 120 mg/L 5
(1 detection)
Shealy Environmental Services,Inc. Page:4 of 5
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IClient:Georgia-Pacific Mt Holly LLC Laboratory'ID:RA15060-001
De diption:Cooling Tower Matrix:Aqueous
Date Sampled:01/15/2016 1140
Date Received:01/15/2016
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (pH-Field)SM 4500-H B-2011 1
1 (Temperature)SM 2550B-2000 1
1 (COD)SM 5220D-2011 1 01/28/2016 0954 BWS 01/27/2016 1708
CAS Analytical
Parameter Number Method Result Q PQL Units Run
pH-Field SM 4500-H B 7.64 su 1
Temperature-Field(NC) SM 2550B-20 15.0 °C 1
COD SM 5220D-20 120 10 mg/L 1
PQL=Practical quantitation limit B=Detected in the method blank E=Quantitation of compound exceeded the calibration range H=Out of holding time
ND=Not detected at or above the PQL J=Estimated result<PQL and>MDL P=The RPD between two GC columns exceeds 40% N=Recovery is out of criteria
Where applicable,all soil sample analysis are reported on a dry weight basis unless flagged with a"W'
Shealy Environmental Services,Inc. Page:5 of 5
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services,Inc.
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com

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SHEALY ENVIRONMENTAL SERVICES, INC. .. .
Shealy environmental Services,Ise. Paige I of I
ttvc9,rnmt Number MEA01 BC-II
Replaces[laic:U9123Jr 3
Cihoist MGM O4/5):
Sample Receipt Checklist(SRC)
mew:_, ,L Cooler Inspected by.'date;_ br r' L sil(v f lot 0: VI It,rj 0(a 0
Means of receipt: SESI ❑ Client
�] UPS ❑ I7e:d.Ex ❑ Other
Yes II Noe de1,Were custody seals present on the cooler?
Yes U Nu❑ , NA El 2. If custody eeaIs werepresent,were they intact and unbroken?
p11 strip Ia__. 15- Nil Cl strip ID: PA
Cooler IL)r`Unlinal temperature upon receiptrDerivcd(corrected)temperature upon receipt:
a23 1. nC f I ..._..__ec e ,'' "c I I et.
Method: T 'e npQxturm tank [1 Against Bottles lit Gun ID:_ L rR(man Correction Factor: 6 vC
Method of coolant: at Wet lee ❑ Blue lee ❑ Dry Ice CI None
3. If temperature of any cooler exceeded 6.0°C,visa Project Manager notified? PM
Yea ❑ Na❑ NA r notified by SRC,phone,nuto(circle one),other;
(For coolers rtxeivcd via commercial courier,PMs are to be notified
immediately.)
Yes ❑ n❑ NA r 4. Is the commercial courier's packing slip attached to this form?
Yes No 5. Were pmper custndy procedures(relinyuisbodfrcceived)followed?
Yes n No❑ N 54 Were samples relinquished by client to commercial courier?
Yes Na 0_.. 6_ Were sample'Ds listed on the CDC?
Yes A No Q 7. Were cam•le IDS listed on all sample containers?
Yea lil No 0 8. Was collection date&time listed on the CCIC?
Yes V No 0 9, Was collection date&rime listed on all sample containers?
ErNo■ 10.Did all continuer label information Oil,d►te time a! with the COC:7
No❑ t 1 I.Were tots to be .erformed listed on the COC?
Yes No■ 12.Did all samples arrive in the proper containers fix each teat?
Yes ( No❑ 13.Did all containers arrive in :cud condition unbroken lids on,etc.)?
Yes t 1 .Non ' 14.Was adequate sample volume avaibible?
Yes VS No❑ 1.5.Were all samples received within'':the holding time or 48 hours,whichever
comes first?
Yes ❑ No 16.Were any samples containers missing?
YesU No WI 17.Were there any excess sarepttar not listed on COC?
Yee ❑ o 0 NA Ell 18.Were bubbles present>"pea-size"(W'or
blunt in diameter)in any VOA vials?
es aN r Yo❑ NA Q j 19.Were all metals.+O&01l liMtnutrient samplers received at a pH of<2?
I.Yes No❑ NA r11 20. Were all cyanide and`or sulfide samples received at a pH>12?
Yes ❑ No❑ NA e.- 21. Were all applicable MI3ffICN.cyanide'phenol(,'0.2uepfL,)samples free of
residual chlorine?
Yes ❑ No❑ NA LI 2.Were collection temperatures documented on the COC for NC samples?
23,Were client remarks/requests(i.e.requested dilutions,MS/MSD designations,
Yea 0 NO ID/NA ril
etc...)correctly transcribed from the COC into the comment section in LIMS?
Yes El_No _ 24.Was the quote number used taken from the container label? ,
Sample Preservation (Must he u mnpleteed for any sample(s)incorrectly preserved ur with hcadspace.) ,
Sample(s) _ were received incorrectly preserved and were adjusted
accordingly in sample receiving with (H2SO,,HNO3,'ICI,Na01I)using SR ft
Samples} were recetve4 with bubbles>6 min in diameter.
._Sample(s) were received with TRC>0,2 n ;l'L(If e2I is No)
SC Drinking Water Project Sample(s)p1-I verified to be'I:2 by�.-K__._.___.......__.. Date:
Sample(s) were not received at a pH of and were ad'usted aceunhu. •usin: SR
Sample labels applied by:., Yrr, Verified by: Date:
M111111111
Comments:
Shealy Environmental Services,Inc.
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com

Arin
NCDENR
North Carolina Department of Environment and Natural Resources OCT 2 4 2014
Pat McCrory John E. Skvarla, III
Governor Secretary
October 10,2014
Mr.Kirk A. Stallsmith,VP
Georgia-Pacific Mt.Holly LLC
100 Buckeye Drive
Mt.Holly,NC 28120
Subject: NPDES Permit Modification-Name and/or
Ownership Change
100 Buckeye Drive
Certificate of Coverage NCG500658
Gaston County
Dear Mr. Stallsmith:
Division personnel have reviewed and approved your request for ownership change of the subject certificate of
coverage received on October 07,2014. This permit modification documents the change of ownership of the above
reference facility.
Please fmd enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.Environmental Protection
Agency.
If you have any questions concerning this permit modification,please contact the Wastewater Branch at(919)
807-6304.
mcerel ,
7jOr
Thomas A. Reeder
cc: NPDES .
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 North Carolina
Internet:www.ncwaterquality.org Naturally Equal Opportunity 1 Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE - NCG5000658
Under GENERAL PERMIT NCG500000
TO DISCHARGE 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
(NPDES)
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,
Georgia-Pacific Mt. Holly LLC
is hereby authorized to discharge wastewater from a facility located at the
100 Buckeye Drive
Mt. Holly
Macon County
to the South Stanley Creek, a class WS-IV water in the Catawba River Basin in accordance with
effluent limitations, monitoring requirements and other conditions set forth in Parts I, II, III and IV
of the General Permit NCG 500000, as attached.
This certificate of coverage shall become effective October 07,2014.
This Certificate of Coverage shall remain in effect until the General Permit expires July 31, 2015.
Signed this day October 10,2014.
•
T as A.Reeder,Director
'vision of Water Resources
By Authority of the Environmental Management Commission

Georgia-Pacific Mt.Holly LLC
GP Georgia-Pacific 100 Buckeye Drive
Nonwovens Mt. Holly,NC 28120
[phone]
VIA FIRST CLASS MAIL
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh,NC 27699-1617
Re: Notification of Permittee Name Change
Dear Sir or Madam:
Please find the attached Permit Name Change Request Form related to our coverage
under NPDES General Permit Certificate of Coverage No. NCG500658. As noted in the Change
Request Form,the name of the permittee of the facility at 100 Buckeye Drive, Mt. Holly,North
Carolina,has been changed from Buckeye Mt. Holly LLC, to Georgia-Pacific Mt. Holly LLC.
This name change occurred on or about September 30, 2014.
Despite the name change,no changes in permitted activities resulted from the transaction
and the address, contact information, and responsible official, as listed in the permit has not
changed. Going forward, Georgia-Pacific Mt. Holly LLC will maintain responsibility for and
coverage under the facility's permit and will continue to operate the facility and all permitted
activities pursuant to the permits.
We respectfully request that the North Carolina Department of Environment and Natural
Resources make the necessary changes to our permit.
Please do not hesitate to contact me if you have any questions concerning this notice.
Sincerely,
ZZ--
Kirk A. Stallsmith
Vice President- Manufacturing Nonwovens
Georgia-Pacific Mt. Holly LLC

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory John E.Skvarla, Ill
Governor WATER QUALITY PERMITTING SECTION Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee"references the existing permit holder
• "Applicant"references the entity applying for the ownership/name change.
I. NPDES Permit No. (for which the change is requested): NCOO
or
Certificate of Coverage#: N C G 5 6 5 8
50o4613
II. Existing Permittee Information:
a. Permit issued to(company name): Buckeye Mt. Holly LLC
b. Person legally responsible for permit: Kirk A Stallsmith
First MI Last
Vice President- Manufacturing Nonwovens
RECEIVED/DENR/DWR Title
O C T 0 7 2014 100 Buckeye Dr
Permit Holder Mailing Address
Water Quality Mt. Holly NC 28120-
Permitting Section City State Zip
[phone] [phone]
Phone Fax
c. Facility name: Buckeye Mt. Holly LLC
d. Facility's physical address: 100 Buckeye Drive
Address
Mt. Holly NC 28120
City State Zip
e. Facility contact person: Kristi Knight [phone]
First / MI / Last Phone
III. Applicant Information:
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to(company name): Georgia-Pacific Mt. Holly LLC
c. Person legally responsible for permit: Kirk A Stallsmith
First MI Last
Vice President- Manufacturing Nonwovens
Title
100 Buckeye Dr
Permit Holder Mailing Address
Mt. Holly NC 28120-
City State Zip
[phone] [e-mail]
Phone E-mail Address
n 7//11/MIA

d. Facility name: Georgia-Pacific Mt. Holly LLC
e. Facility's physical address: 100 Buckeye Drive
Address
Mt. Holly NC 28120
City State Zip
f. Facility contact person: Kristi Knight
First MI Last
Environmental, Health & Safety Leader
Title
[phone] [e-mail]
Phone E-mail Address
IV. WM the permitted facility continue to conduct the same commercial/industrial activities conducted prior to
this ownership or name change?
® Yes
❑ No(please explain)
If applicable,the applicant shall submit a major permit modification request to DWR.A major modification shall be
defined as one that increases the volume,increases the pollutant load,results in a significant relocation of the
discharge point,or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
1. This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,or a bill of sale)is
required for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
Applicable regulations:40 CFR 122.41,40 CFR 122.61 and 15A NCAC 02H.0114
The certifications below must be completed and signed by both the permit holder prior to the change(Permittee),and the
new applicant in the case of an ownership change request. For a name change request,the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION(Permit holder prior to ownership change):
I, ,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 is not included,this application package will be returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I,- e v K,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 .' ormation is not i luded,this pplication package will be returned as incomplete.
.d : . r� . Oe-71a � c720/47
ignature Date
**************************
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST

Georgia-Pacific Mt.Holly LLC
GeorgiaPacific 100 Buckeye Drive
Nonwovens Mt.Holly,NC 28120
[phone]
VIA FIRST CLASS MAIL
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh,NC 27699-1617
Re: Notification of Permittee Name Change
Dear Sir or Madam:
Please find the attached Permit Name Change Request Form related to our coverage
under NPDES General Permit Certificate of Coverage No. NCG500658. As noted in the Change
Request Form, the name of the permittee of the facility at 100 Buckeye Drive,Mt. Holly,North
Carolina,has been changed from Buckeye Mt. Holly LLC,to Georgia-Pacific Mt. Holly LLC.
This name change occurred on or about September 30, 2014.
Despite the name change,no changes in permitted activities resulted from the transaction
and the address, contact information, and responsible official, as listed in the permit has not
changed. Going forward, Georgia-Pacific Mt. Holly LLC will maintain responsibility for and
coverage under the facility's permit and will continue to operate the facility and all permitted
activities pursuant to the permits.
We respectfully request that the North Carolina Department of Environment and Natural
Resources make the necessary changes to our permit.
Please do not hesitate to contact me if you have any questions concerning this notice.
Sincerely,
_ ��t�'�
Kirk A. Stallsmith
Vice President- Manufacturing Nonwovens
Georgia-Pacific Mt. Holly LLC

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PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or"the Act"
The Federal Water Pollution Control Act,also known as the Clean Water Act(CWA),as amended, 33 USC 1251,et.
seq.
Annual Average
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar year.In the case of fecal
coliform,the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system,which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day.However,for purposes of this permit,any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods:January through March,April through June,July through September,and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method(specific number and size of aliquots necessary,the time interval
between grab samples,etc.)on a case-by-case basis. Samples may be collected manually or automatically.Composite
samples may be obtained by the following methods:
(1) Continuous:a single,continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection,or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point.Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer,and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system,or
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(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval.Use of this method requires prior approval by the Director.This method may only be
used in situations where effluent flow rates vary less than 15 percent.The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time<24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours;there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility.Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling.For pollutants measured in units of mass,the"daily discharge"is calculated as
the total mass of the pollutant discharged over the day.For pollutants expressed in other units of measurement,the
"daily discharge"is calculated as the average measurement of the pollutant over the day.(40 CFR 122.2;see also
"Composite Sample,"above.)
Daily Maximum
The highest"daily discharge"during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s),that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWQ or"the Division"
The Division of Water Quality,Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N=the number of individual values.For purposes of
calculating the geometric mean,values of"0"(or"<[detection level]")shall be considered= 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes.Grab samples can be
collected manually.Grab samples must be representative of the discharge(or the receiving stream,for instream
samples).
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Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical,instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average(concentration limit)
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar month.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average(concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property,damage to the treatment facilities which causes them to become inoperable,or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1)of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements.An upset does not include noncompliance caused by
operational error,improperly designed treatment facilities,inadequate treatment facilities,lack of preventive
maintenance,or careless or improper operation.
Weekly Average(concentration limit)
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar week.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit.Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action;for permit termination,revocation and reissuance,or
modification;or denial of a permit renewal application[40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a)of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d)of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal,even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301,302,306,307,308,318 or 405 of the Act,or
any permit condition or limitation implementing any such sections in a permit issued under section 402,or any
requirement imposed in a pretreatment program approved under sections 402(a)(3)or 402(b)(8)of the Act,is
subject to a civil penalty not to exceed$37,500 per day for each violation. [33 USC 1319(d)and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301,302,306,307,308,3.18,or 405 of
the Act,or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act,or any requirement imposed in a pretreatment program approved under section 402(a)(3)or
402(b)(8)of the Act,is subject to criminal penalties of$2,500 to$25,000 per day of violation,or
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imprisonment of not more than 1 year,or both.In the case of a second or subsequent conviction for a negligent
violation,a person shall be subject to criminal penalties of not more than$50,000 per day of violation,or by
imprisonment of not more than 2 years,or both. [33 USC 1319(c)(1)and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections,or such conditions or limitations is subject to criminal
penalties of$5,000 to$50,000 per day of violation,or imprisonment for not more than 3 years,or both.In the
case of a second or subsequent conviction for a knowing violation,a person shall be subject to criminal
penalties of not more than$100,000 per day of violation,or imprisonment of not more than 6 years,or both.
[33 USC 1319(c)(2)and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301,302,303,306,307,308,318 or 405 of the Act,or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury,shall,upon conviction,be subject to a fine of not more than$250,000 or imprisonment of not more than
15 years,or both.In the case of a second or subsequent conviction for a knowing endangerment violation,a
person shall be subject to a fine of not more than$500,000 or by imprisonment of not more than 30 years,or
both.An organization,as defined in section 309(c)(3)(B)(iii)of the CWA,shall,upon conviction of violating
the imminent danger provision,be subject to a fine of not more than$1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law,a civil penalty of not more than$25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms,conditions,or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301,302,
306,307,308,318 or 405 of this Act,or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act.Administrative penalties for Class I violations are not to
exceed$16,000 per violation,with the maximum amount of any Class I penalty assessed not to exceed
$37,500.Penalties for Class II violations are not to exceed$16,000 per day for each day during which the
violation continues,with the maximum amount of any Class II penalty not to exceed$177,500. [33 USC
1319(g)(2)and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment[40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on"Bypassing"(Part II.C.4),"Upsets"(Part II.C.5)and"Power Failures"
(Part II.C.7),nothing in this permit shall be construed to relieve the Permittee from any responsibilities,liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act,33 USC
1319.Furthermore,the Permittee is responsible for consequential damages,such as fish kills,even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities,liabilities,or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act,33 USG 1321.Furthermore,the Permittee is responsible for
consequential damages,such as fish kills,even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property,or any exclusive
privileges,nor does it authorize any injury to private property or any invasion of personal rights,nor any
infringement of Federal, State or local laws or regulations[40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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7. Severability
The provisions of this permit are severable. If any provision of this permit,or the application of any provision of
this permit to any circumstances,is held invalid,the application of such provision to other circumstances,and the
remainder of this permit,shall not be affected thereby[NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority,within a reasonable time,any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying,revoking and reissuing,or
terminating this permit or to determine compliance with this permit.The Permittee shall also furnish to the Permit
Issuing Authority upon request,copies of records required by this permit[40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit[40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date.In order to receive automatic authorization to
discharge beyond the expiration date,the Permittee shall submit such information,forms,and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)]Any Permittee that has not
requested renewal at least 180 days prior to expiration,or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration,will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications,reports,or information submitted to the Permit Issuing Authority shall be signed and certified[40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section,a responsible
corporate officer means: (a)a president,secretary,treasurer or vice president of the corporation in charge
of a principal business function,or any other person who performs similar policy or decision making
functions for the corporation,or(b)the manager of one or more manufacturing,production,or operating
facilities,provided,the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations,and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations;the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements;and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor,respectively;or
(3) For a municipality, State,Federal,or other public agency: by either a principal executive officer or
ranking elected official[40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a.above or by a duly authorized representative of that person.A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity,such as the position of plant manager,operator of a well or well field,
superintendent,a position of equivalent responsibility,or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.);and
(3) The written authorization is submitted to the Permit Issuing Authority[40 CFR 122.22]
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c. Changes to authorization:If an authorization under paragraph(b)of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility,a new authorization
satisfying the requirements of paragraph(b)of this section must be submitted to the Director prior to or
together with any reports,information,or applications to be signed by an authorized representative[40 CFR
122.22]
d. Certification.Any person signing a document under paragraphs a. orb. of this section shall make the following
certification[40 CFR 122.22].NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
'7 certy 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 quaked 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 fines and imprisonment for knowing violations."
12. Permit Actions
This permit may be modified,revoked and reissued,or terminated for cause.The filing of a request by the
Permittee for a permit modification,revocation and reissuance,or termination,or a notification of planned changes
or anticipated noncompliance does not stay any permit condition[40 CFR 122.41(f)].
13. Permit Modification,Revocation and Reissuance,or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit,or terminating the permit as allowed by the laws,rules,and regulations
contained in Title 40,Code of Federal Regulations,Parts 122 and 123;Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100;and North Carolina General Statute 143.215.1 et.al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H.0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators,certified by the Water Pollution
Control System Operators Certification Commission(WPCSOCC),of the appropriate type and grade for the
system,and,for each classification must[T15A NCAC 08G.0201]:
a. designate one Operator In Responsible Charge(ORC)who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s)in Responsible Charge(Back-up ORCs)who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system,with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year;and
c. submit a signed completed"Water Pollution Control System Operator Designation Form"to the Commission
(or to the local health department for owners of subsurface systems)countersigned by the designated certified
operators,designating the Operator in Responsible Charge(ORC)and the Back-up Operator in Responsible
Charge(Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system;or
(2) within 120 calendar days following:
> receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge(ORC)and Back-up Operator in Responsible Charge(Back-up ORC)
of the proper type and grade;or
➢ a vacancy in the position of Operator in Responsible Charge(ORC)or Back-up Operator in
Responsible Charge(Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility(or the Back-up ORC,when acting as surrogate for the ORC)must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system;the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G.0204.
The ORC of each Class II,III and IV facility(or the Back-up ORC,when acting as surrogate for the ORC)must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system;the treatment
facility must be visited at least five days per week,excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G.0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances)which are installed or used by the Permittee to achieve compliance with the conditions
of this permit.Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures.This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit[40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility,and all documentation required thereof,whether acting as a contract operator[subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit[40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded,but
only if it also is for essential maintenance to assure efficient operation.These bypasses are not subject to the
provisions of Paragraphs b.and c. of this section.
b. Notice[40 CFR 122.41(m)(3)]
(1) Anticipated bypass.If the Permittee knows in advance of the need for a bypass,it shall submit prior notice,
if possible at least ten days before the date of the bypass;including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass,unless:
(A) Bypass was unavoidable to prevent loss of life,personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass,such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance;and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system-wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass,after considering its adverse effects,if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1)of this section.
5. Upsets
a, Effect of an upset[40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b.of
this condition are met.No determination made during administrative review of claims that noncompliance was
caused by upset,and before an action for noncompliance,is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset:Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate,through properly signed,contemporaneous operating logs,or other relevant
evidence that:
(1)An upset occurred and that the Permittee can identify the cause(s)of the upset;
(2)The Permittee facility was at the time being properly operated;and
(3)The Permittee submitted notice of the upset as required in Part II.E.6.(b)of this permit.
(4)The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof[40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids,sludges,filter backwash,or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission.The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge,including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge;40 CFR
Part 258,Criteria For Municipal Solid Waste Landfills;and 15A NCAC Subchapter 2T,Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards(as required by 15A NCAC 02H.0124)to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken,as required herein,shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents.All samples shall be taken at the monitoring points specified in this
permit and,unless otherwise specified,before the effluent joins or is diluted by any other wastestream,body of
water,or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority[40 CFR 122.41(j)].
2. Reporting
Monitoring results obtained during the previous month(s)shall be summarized for each month and reported on a
monthly Discharge Monitoring Report(DMR)Form(MR 1, 1.1,2,3)or alternative forms approved by the
Director,postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility,on the last day of the month following the commencement of discharge.Duplicate signed copies of these,
and all other reports required herein,shall be submitted to the following address:
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NC DENR/Division of Water Quality/Surface Water Protection Section
ATTENTION:Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges.The
devices shall be installed,calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device.Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10%from the true discharge rates throughout the range of expected discharge
volumes.Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once-through condenser cooling water flow monitored by pump logs,or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division.Permittees should contact the Division's
Laboratory Certification Section(919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert)for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field-certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations(published pursuant to NCGS
143-215.63 et. seq.),the Water and Air Quality Reporting Acts,and to regulations published pursuant to Section
304(g),33 USC 1314,of the CWA(as amended),and 40 CFR 136;or in the case of sludge use or disposal,
approved under 40 CFR 136,unless otherwise specified in 40 CFR 503,unless other test procedures have been
specified in this permit[40 CFR 122.41].
To meet the intent of the monitoring required by this permit,all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure.If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements,then the most
sensitive(method with the lowest possible detection and reporting level)approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies,tampers with,or knowingly renders inaccurate,any monitoring
device or method required to be maintained under this permit shall,upon conviction,be punished by a fine of not
more than$10,000 per violation,or by imprisonment for not more than two years per violation,or by both.If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than$20,000 per day of violation,or by imprisonment of not more than 4 years,
or both[40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities,which shall be retained for a period of at least five years(or longer as required by 40 CFR
503),the Permittee shall retain records of all monitoring information,including:
➢ all calibration and maintenance records
> all original strip chart recordings for continuous monitoring instrumentation
> copies of all reports required by this permit
> copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement,report or application.This period may be extended by request of the Director at any time[40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit,the Permittee shall record the
following information[40 CFR 122.41]:
a. The date,exact place,and time of sampling or measurements;
b. The individual(s)who performed the sampling or measurements;
c. The date(s)analyses were performed;
d. The individual(s)who performed the analyses;
e. The analytical techniques or methods used;and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director,or an authorized representative(including an authorized contractor acting as
a representative of the Director),upon the presentation of credentials and other documents as may be required by
law,to;
a. Enter,at reasonable times,upon the Permittee's premises where a regulated facility or activity is located or
conducted,or where records must be kept under the conditions of this permit;
b. Have access to and copy,at reasonable times,any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities,equipment(including monitoring and control equipment),practices,
or operations regulated or required under this permit;and
d. Sample or monitor at reasonable times,for the purposes of assuring permit compliance or as otherwise
authorized by the CWA,any substances or parameters at any location[40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility[40 CFR 122.41(1)].Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b);or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged.This notification applies to pollutants subject neither to effluent limitations in the permit,nor to
notification requirements under 40 CFR 122.42(a)(1);or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices,and
such alteration,addition or change may justify the application of permit conditions that are different from or
absent in the existing permit,including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit[40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61.The Director may condition approval in accordance with NCGS 143-215.1,in
particular NCGS 143-215.1(b)(4)b.2.,and may require modification or revocation and reissuance of the permit,or
a minor modification,to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit[40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report(DMR)(See Part II.D.2)or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge,the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment.Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances.The written submission
shall contain a description of the noncompliance,and its cause;the period of noncompliance,including exact
dates and times,and if the noncompliance has not been corrected,the anticipated time it is expected to
continue;and steps taken or planned to reduce,eliminate,and prevent reoccurrence of the noncompliance[40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case-by-case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at(800)662-7956,[phone] or(919)733-3300.
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted.The reports shall contain the information listed in Part II.E.6.of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application,or submitted
incorrect information in a permit application or in any report to the Director,it shall promptly submit such facts or
information[40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible,but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic,such as the dumping of the contents of a sludge
digester;the known passage of a slug of hazardous substance through the facility;or any other unusual
circumstances.
b. Any process unit failure,due to known or unknown reasons,that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps,aerators,compressors,etc.
c. Any failure of a pumping station,sewer line,or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence.Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2)or Section 308 of the Federal Act,33
USC 1318,all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division.As required by the Act,effluent data shall not be considered confidential.Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2)or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement,representation,or certification in
any record or other document submitted or required to be maintained under this permit,including monitoring
reports or reports of compliance or noncompliance shall,upon conviction,be punished by a fine of not more than
$25,000 per violation,or by imprisonment for not more than two years per violation,or by both[40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee(NCGS 143-215.1C).The
report shall summarize the performance of the collection or treatment system,as well as the extent to which the
facility was compliant with applicable Federal or State laws,regulations and rules pertaining to water quality.The
report shall be provided no later than sixty days after the end of the calendar or fiscal year,depending upon which
annual period is used for evaluation.
The report shall be sent to:
NC DENR/Division of Water Quality/Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities,nor add to the plant's treatment
capacity,nor change the treatment process(es)utilized at the treatment plant unless(1)the Division has issued an
Authorization to Construct(AtC)permit or(2)the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394],no permit shall be required to enter into a contract for the
construction,installation,or alteration of any treatment work or disposal system or to construct,install,or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat,equalize,neutralize,stabilize,recycle,or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above,the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall,upon written notice from the Director,conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The.Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe(40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge,on a routine or frequent basis,of
any toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter(100 µg/L);
(2) Two hundred micrograms per liter(200 µg/L)for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L)for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol;and one milligram per liter(1 mg/L)for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge,on a non-routine or infrequent
basis,of a toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the
following"notification levels";
(1) Five hundred micrograms per liter(500 µg/L);
(2) One milligram per liter(1 mg/L)for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State.This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit,the following defmitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non-domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b),(c)or(d)of the CWA. [40 CFR 403.3 (i)and(j)and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes;operations;or its sludge process,use,or disposal which
causes or contributes to a violation of any requirement of the Permittee's(or any satellite POTW's if different from the
Permittee)NPDES,collection system,or non-discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes,regulations,or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which,alone or with
discharges from other sources,causes a violation,including an increase in the magnitude or duration of a violation,of
the Permittee's(or any satellite POTW's,if different from the Permittee)NPDES,collection system,or non-discharge
permit. [15A NCAC 02H.0903(b)(23)]
Publicly Owned Treatment Works(POTW)
A treatment works as defined by Section 212 of the CWA,which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage,treatment,recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature.It also includes the collection system,as defined in 15A NCAC 2T
.0402,only if it conveys wastewater to a POTW treatment plant.The term also means the local government
organization,or municipality,as defined in section 502(4)of the CWA,which has jurisdiction over indirect discharges
to and the discharges from such a treatment works.In this context,the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges.This second type of
POTW may be referred to as a"satellite POTW organization." [15A NCAC 02H.0903(b)(26)]
"Significant Industrial User" or"SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that[15A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW(excluding sanitary,
noncontact cooling and boiler blowdown wastewaters);or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non-discharge permitted
flow limit or organic capacity of the POTW treatment plant.In this context,organic capacity refers to BOD,TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471;or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement,or the POTW's effluent
limitations and conditions in its NPDES or non-discharge permit,or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b),the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement,the POTW's effluent limitations and
conditions in its NPDES or non-discharge permit,or to limit the POTW's sludge disposal options,and thus is not a
Significant Industrial User(SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b),the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2)and thus is a
non-significant categorical Industrial User.
Section B. Publicly Owned Treatment Works(POTWs)
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All POTWs must provide adequate notice to the Director of the following[40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger,regardless of the means of
transport,which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph,adequate notice shall include information on(1)the quality and quantity of effluent
introduced into the POTW,and(2)any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit.Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge.At such time as sufficient information
becomes available to establish limitations for such pollutants,this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H.0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system[40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW,including,but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW,but in no case discharges with pH lower
than 5.0,unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant,including oxygen demanding pollutants(BOD,etc.)released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference,but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C(104°F)
unless the Division,upon request of the POTW,approves alternate temperature limits;
(6) Petroleum oil,non-biodegradable cutting oil,or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases,vapors,or fumes within the POTW in a quantity that
may cause acute worker health and safety problems;or
(8) Any trucked or hauled pollutants,except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW,including slug loads and other
unusual discharges,which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances.A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge;the
investigation into possible sources;the period of the discharge,including exact dates and times;if the
discharge has not ceased,the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate,and prevent reoccurrence of the noncompliance,
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3. With regard to the effluent requirements listed in Part I of this permit,it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards(40 CFR,Part 403)to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User(IU)discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b)of the Act as amended(which includes categorical standards and
specific local limits,best management practices and narrative requirements).Prior to accepting wastewater from
any Significant Industrial User(SIU),the Permittee shall either develop and submit to the Division a new
Pretreatment Program or,as necessary,a modification of an existing Pretreatment Program,for approval as
required under section D below as well as 15A NCAC 02H .0907(a)and(b). [40 CFR 122.44(j)(2)]
5. This permit shall be modified,or alternatively,revoked and reissued,to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402(b)(8)of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program,as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b)and(c)and 402(b)(8)of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14)and implementing regulations 15A NCAC 02H.0900,and in accordance
with the approved pretreatment program,all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.44(j)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8)of the CWA,40
CFR 403, 15A NCAC 02H .0900,and the legal authorities,policies,procedures,and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements.Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H.0903 and 40 CFR 403.3.
1. Sewer Use Ordinance(SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H.0903(b)(32), .0905 and.0906(b)(1);40 CFR 403.8(f)(1)and 403.9(b)(1)and(2)]
2. Industrial Waste Survey(IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant,as required by 40 CFR 403.8(f)(2)(i-iii)and 15A NCAC 02H.0905 [also 40 CFR 122.44(j)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU.Where the Permittee accepts wastewater from one or more satellite POTWs,the
IWS for the Permittee shall address all satellite POTW services areas,unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program.The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years,and as
required by the Division.The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c.of this Part. [15A NCAC 02H.0903(b)(13), .0905 and.0906(b)(2);40 CFR 403.80)(2)and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division-approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis(HWA)for the development of specific pretreatment
local limits.Effluent data from the Plan shall be reported on the DMRs(as required by Parts II.D and II.E.5.). [15A
NCAC 02H.0903(b)(16), .0906(b)(3)and.0905]
4. Headworks Analysis(HWA)and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years,and as required by the
Division.Within 180 days of the effective date of this permit(or any subsequent permit modification)the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits(i.e.,an
updated HWA or documentation of why one is not needed)[40 CFR 122.44].The Permittee shall develop,in
accordance with 40 CFR 403.5(c)and 15A NCAC 02H.0909,specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a)and(b)and 15A NCAC 02H.0909.Pursuant to 40 CFR 403.5,local limits are
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enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H.0903(b)(10), .0905,and
.0906(b)(4)]
5. Industrial User Pretreatment Permits(IUP)&Allocation Tables
In accordance with NCGS 143-215.1,the Permittee shall issue to all Significant Industrial Users,permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works.These
permits shall contain limitations,sampling protocols,reporting requirements,appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table(AT)which summarizes the results of the HWA and the limits
from all IUPs.Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H.0906(b)(6), .0909, .0916,and.0917;40 CFR 403.5,403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct(AtC)
The Permittee shall ensure that an Authorization to Construct permit(AtC)is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance of an AtC,the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit(IUP)limitations. [15A NCAC 02H.0906(b)(7)and.0905;NCGS 143-
215.1(a)(8)]
7. POTW Inspection&Monitoring of their lUs
The Permittee shall conduct inspection,surveillance,and monitoring activities as described in its Division
approved pretreatment program in order to determine,independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e);40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all Significant Industrial Users(SIUs)at least once per calendar year;
b. Sample all Significant Industrial Users(SIUs)at least once per calendar year for all SIU permit-limited
parameters including flow except as allowed under 15A NCAC .0908(e);and
c. At least once per year,document an evaluation of any non-significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2),and either continue or revoke the designation as non-
significant.
8. IU Self Monitoring and Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division-approved pretreatment program,the industry's pretreatment permit,or in 15A
NCAC 02H.0908. [15A NCAC 02H .0906(b)(5)and.0905;40 CFR 403.8(f)(1)(v)and(2)(iii);40 CFR
122.44(j)(2)and 40 CFR 403.12]
9. Enforcement Response Plan(ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b)and(c)of the CWA(40 CFR 405 et. seq.),prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909,specific local limitations,and other pretreatment
requirements.All remedies,enforcement actions and other,shall be consistent with the Enforcement Response
Plan(ERP)approved by the Division. [15A NCAC 02H.0903(b)(7), .0906(b)(8)and.0905;40 CFR 403.8(0(5)]
10. Pretreatment Annual Reports(PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H.0908.In lieu of submitting annual
reports,Modified Pretreatment Programs developed under 15A NCAC 02H .0904(b)may be required to submit a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs,the Permittee shall submit two copies of a Pretreatment Annual Report
(PAR)describing its pretreatment activities over the previous calendar year to the Division at the following
address:
Version 11/09/2011

NPDES Permit Standard Conditions
Page 18 of 18'
NC DENR/Division of Water Quality/Surface Water Protection Section
Pretreatment,Emergency Response,and Collection Systems(PERCS)Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken,or proposed,by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary(PPS)
A pretreatment program summary(PPS)on forms or in a format provided by the Division;
c. Significant Non-Compliance Report(SNCR)
A list of Industrial Users(lUs)in significant noncompliance(SNC)with pretreatment requirements,and the
nature of the violations on forms or in a format provided by the Division;
d. Industrial Data Summary Forms(IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users(SIUs).These
analytical results must be reported on Industrial Data Summary Forms(IDSF)or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table,new or modified enforcement compliance schedules,public notice of
His in SNC,a summary of data or other information related to significant noncompliance determinations for
lUs that are not considered SIUs,and any other information,upon request,which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users(IUs)that were in significant noncompliance(SNC)
as defined in the Permittee's Division-approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period.This list shall be published within four months of the
applicable twelve-month period. [15A NCAC 02H .0903(b)(34), .0908(b)(5)and.0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results,along with
support information including general records,water quality records,and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H.0908(f). [15A
NCAC 02H.0908(f);40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9)and(10)and.0905;40 CFR 403.8(f)(3),403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications,POTW
monitoring of their Significant Industrial Users(SIUs),and Monitoring Plan modifications,shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H.0114 and 15A NCAC 02H.0907.
Version 11/09/2011

FI .
ArrA
NCDENR LE7-:
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
January 13, 2012
Mr. Eric Bolin
Maintenance, Safety, and Risk Manager
100 Buckeye Drive
Mount Holly, NC 28120
Subject: Compliance Evaluation Inspection
Buckeye Facility
NPDES General Permit NCG500658
Gaston County, North Carolina
Dear Mr. Bolin:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on December 9, 2011, by Ms. Donna Hood of this Office.
This report should be self-explanatory; however, should you have any questions concerning the report,
please do not hesitate to contact Ms. Hood or me at [phone].
Sincerely,
4/Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure
DH
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax:[phone] Customer Service:1-877-623-6748
Internet:www.ncwaterquality.orq �iOne
An Equal Opportunity!Affirmative Action Employer—50%Recycled/10%Post Consumer paper 1 V orth CC`Lrolina
Naturally

United States Environmental Protection Agency
EPA Washington,D.C.20460 Form Approved.
OMB No.2040-0057
WatAr CompliancR Inspection RP.pnrf Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 2 I I 3 NCG500658 111 121 _ 11/12/09 117 18111 19(I 201 1—I
!_J U I Remarks !
211 I I I I I 1 l l l l l l l l l l l l l l l l l l l l l l l l I l l l l l l l l l l l l l 1 166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -— ---- Reserved----- --
67I 169 70 15 I 71 U 72 i N-�) 731 I 174 751 I I I I I I 180
Section B: Facility Data �-
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
09:30 AM 11/12/09 11/09/29
Buckeye Mt.Holly
100 Buckeye Dr Exit Time/Date Permit Expiration Date
Mt Holly NC 28120 12:30 PM 11/12/09 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Ronald Ruocco,3440 Toringdon Way Ste 205 Charlotte NC 28277//704-790-1400/7049275990
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Ill Permit II Flow Measurement II Operations&Maintenance II Records/Reports
1.Self-Monitoring Program •Sludge Handling Disposal •Facility Site Review II Effluent/Receiving Waters
111 Laboratory
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Donna .•o• MRO WQ!/704-663-1699 Ext.2193/
� 13 /Z
S.igInature of Management Q A iew r Agency/Office/Phone and Fax Numbers Dale
Marcia Allocco � MRO WQ//704-663 1699 Ext.2204/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3I NCG500658 111 121 11/12/09 I
17 181J
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG500658 Owner-Facility: Buckeye Mt.Holly
Inspection Date: 12/09/2011 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 0 • 0
Is the facility as described in the permit? U ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ 1E ❑ ❑
Is access to the plant site restricted to the general public? • ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑
Comment: The permit was issued on 9.29.2011.
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? U ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable Solids, pH, DO,Sludge 0 0 • 0
Judge,and other that are applicable?
Comment: The site was well maintained at the time of the inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? U ❑ ❑ ❑
Is all required information readily available,complete and current? • 0 0 0
Are all records maintained for 3 years(lab.reg. required 5 years)? 0 0 • 0
Are analytical results consistent with data reported on DMRs? 0 0 • 0
Is the chain-of-custody complete? 0 0 • 0
Dates,times and location of sampling ❑
Name of individual performing the sampling 0
Results of analysis and calibration 0
Dates of analysis 0
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? 0 0 • 0
Has the facility submitted its annual compliance report to users and DWQ? 0 0 • 0
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator on each shift? 0 0 • 0
Is the ORC visitation log available and current? 0 0 • 0
Is the ORC certified at grade equal to or higher than the facility classification? 0 0 ■ 0
Is the backup operator certified at one grade less or greater than the facility classification? 0 0 ■ 0
Is a copy of the current NPDES permit available on site? 1. 000
Page# 3

Permit: NCG500658 Owner-Facility: Buckeye Mt.Holly
Inspection Date: 12/09/2011 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? 0 0 ■ 0
Comment: The facility had not performed any sampling at the time of the inspection,
but proper sample location was discussed during the inspection in anticipation of the
first sampling event.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? n n ■ n
Are all other parameters(excluding field parameters)performed by a certified lab? ■ n n n
#Is the facility using a contract lab? Ninon
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? 0 0 • 0
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? 0 0 • n
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? 00110
Comment:
Lagoons Yes No NA NE
Type of lagoons?
#Number of lagoons in operation at time of visit?
Are lagoons operated in?
#Is a re-circulation line present? 0 0 • 0
Is lagoon free of excessive floating materials? ■ n ❑ n
#Are baffles between ponds or effluent baffles adjustable? Onion
Are dike slopes clear of woody vegetation? 0 0 ■ 0
Are weeds controlled around the edge of the lagoon? 0 0 • 0
Are dikes free of seepage? ■ ❑ n n
Are dikes free of erosion? ■ n n n
Are dikes free of burrowing animals? ■ n ❑ n
#Has the sludge blanket in the lagoon(s)been measured periodically in multiple locations? n n ■ n
#If excessive algae is present, has barley straw been used to help control the growth? 0 0 ■ 0
Is the lagoon surface free of weeds? ■ ❑ ❑ n
Is the lagoon free of short circuiting? ■ n n n
Page# 4

Permit: NCG500658 Owner-Facility: Buckeye Mt.Holly
Inspection Date: 12/09/2011 Inspection Type: Compliance Evaluation
Lagoons Yes No NA NE
Comment: The lagoon is a stormwater detention basin. Repairs to the riser pipe,
beaver removal, and vegetation/sedimentation reduction processes have been started
during the last year at the faciltiy.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? 0 0 • 0
Is sample collected below all treatment units? 0 0 ■ 0
Is proper volume collected? 0 0 ■ 0
n
Is the tubing clean? n o
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? 0 0 • 0
Is the facility sampling performed as required by the permit(frequency,sampling type representative)? 0 0 ■ 0
Comment: The effluent has not been sampled.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? 0 0 • 0
Comment:
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting? 00 . 0
Is flow meter calibrated annually? 0 0 • 0
Is the flow meter operational? 0 0 • 0
(If units are separated)Does the chart recorder match the flow meter? 0 0 • 0
Comment:
Page# 5

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
RECEIVED
DIVISION OF WATER QUALITY
September 29, 2011 MOORESVSO C f O 5 2 GI 11
VIfP.EC T ION
Mr. Eric Bolin, Safety and Risk Manager LE REGIONAL OFFICE
Buckeye Mt. Holly, LLC
100 Buckeye Drive
Mt. Holly, NC 28120
Subject: Certificate of Coverage NCG500658
General Permit NCG500000
Buckeye Mt. Holly, LLC
100 Buckeye Drive
Gaston County
Dear Mr. Bolin:
In accordance with your application for discharge, the Division is forwarding herewith the subject Certificate of Coverage
to discharge under the subject state-NPDES general permit. This permit 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 July 17, 2007 (or as subsequently 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
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 of Water Quality.
The Division of Water Quality 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 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 this permit, please contact Bob
Guerra at telephone number 919/807-6387 or by email at bob. uerra ncdenr. ov.
Sincer ly,
oleen H. Sullins
cc:
AMooresville Regional Office',Surface Water Protection, Michel L-Parke.,,r, -
NPDES General Permit Files
Central Files
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet:wuvw.ncwaterquality.org Natural/An Equal Opportunity 1 Affirmative Action Employer

Permit NCG500658
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
Certificate of Coverage NCG500658
General Permit NCG500000
TO DISCHARGE 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 provisions 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,
Buckeye Mt. Holly, LLC
is hereby authorized to discharge wastewater from a facility located at the
100 Buckeye Drive
Mt. Holly
Macon County
to the South Stanley Creek, a class WS-IV water in the Catawba River Basin in accordance
with effluent limitations, monitoring requirements and other conditions set forth in Parts I, II,
III and IV of the General Permit NCG 500000, as attached.
This permit shall become effective September 29, 2011.
This Certificate of Coverage shall expire at midnight on July 31, 2012.
Signed this day September 29, 20
Coley Sullins., Director _
Di ion of Water Quality
By Authority of the Environmental Management Commission

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Buckeye Mt. Holly Facility
Buckeye WWTP Location
Latitude: 35°20'05" N State Grid: Mt.Holly not to scale
Longitude: 81°03'33" W Permitted Flow: N/A ,
Receiving Stream: South Stanly Creek Drainage Basin: Catawba River Basin North
NPDES Permit No.NCG500658
Stream Class: WS-IV Sub-Basin: 03-08-33 [V Gaston County

•
Golder
Associates
August 10, 2011
NPDES Permit Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: NOTICE OF INTENT GENERAL PERMIT NCG 500000 AND CONFIRMATION OF DEEMED
PERMITTED STATUS FOR FIRE PUMP TEST WASTEWATER
On behalf of Buckeye Mt. Holly please find attached the following documents as notice of intent of
discharging non-contact wastewater with coverage under the General Permit NCG500000.
1) Check from Buckeye for$100.00 payable to NCDENR
2) 3 Copies of the NCG500000 Notice of Intent Application including; USGS Topo Map, Site Plan,
Letter Designating Golder as Buckeye's consulting firm, MSD sheets for chemical additives and
worksheet Form 101 for each.
Buckeye Mt. Holly is also requesting confirmation that fire pump test wastewater is a deemed permitted
activity per 15A NCAC 2H.0106(f)(10), and as such does not require further application to NCDENR at
this time. Note that pages 1 through 3 of 3 of e-mail discussions concerning this issue is attached for
reference.
Please contact me, Ron Ruocco at [phone] if you have any questions or comments concerning
this submittal.
CAR°
Sincerely, � � L� s sQL�4,R nW
GOLDER ASSOCIATES INC. E D
17 51
AUG 1. 2 2.011 o
n
VG^
DENR-WATER QUALITY POINT SOURCE BRA NGH(7,7--
Ronald Ruocco, PE - `
Senior Consultant
cc: E. Bolin, Safety and Risk Manager, Buckeye Mt. Holly, LLC
Attachments
Golder Associates NC,Inc.
3440 Toringdon Way,Suite 205 S1
Charlotte,NC 28277 USA
Tel: [phone] Fax: [phone] www.golder.com O 0
Golder Associates:Operations in Africa,Asia,Australasia,Europe,North America and South America
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation

•
Ruocco, Ronald
om: Grogan, Patrick[[e-mail]]
oent: Monday, April 11, 2011 11:23 AM
To: Ruocco, Ronald
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
•
Hi Mr. Ruocco,
Sorry that this took a couple of days but as you can see,we had to clear it with Raleigh. If you have any more questions,
please let me know.
Patrick Grogan
NC One Stop Permitting
704-235-2107
From: Krebs, Rob
Sent: Monday, April 11, 2011 11:19 AM
To: Grogan, Patrick
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
Patrick,
I agree with Tom and it should be deemed permitted.
3b
From: Belnick,Tom
Sent:Thursday, April 07, 2011 12:32
To: Krebs, Rob
Subject: RE: NCG500000 Permit for Fire Pump Testing Water
Rob- I think this can fit into a deemed permitted activity per 15A NCAC 2H.0106(f)(10)-flows from fire fighting. Deemed
permitted activities also includes flushing/hydrostatic testing of utility distribution systems, so I don't see any additional
concerns from testing fire fighting equipment.
Tom Belnick
Supervisor,Complex NPDES Permitting Unit
NC DENR/Division of Water Quality
1617 Mall Service Center, Raleigh, NC 27699-1617
[phone];fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Krebs, Rob
Sent: Thursday, April 07, 2011 10:11 AM
To: Belnick,Tom
.ubject: FW: NCG500000 Permit for Fire Pump Testing Water
Tom,
i

I think this should be NCG05. But would this need a permit if it is not wastewater?
"ob
From: Grogan, Patrick
Sent: Thursday, April 07, 2011 10:08
To: Krebs, Rob
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
Thanks for your help.
Patrick
•
From: Ruocco, Ronald jmailto:Ronald [e-mail]
Sent: Thursday, April 07, 2011 9:56 AM
To: Grogan, Patrick
Cc: Ruocco, Ronald
Subject: NCG500000 Permit for Fire Pump Testing Water
Patrick,
I have a client that has recently been required to test his fire pump pressure bypass valve for 10 minutes every week by
his Factory Mutual Insurance Inspector to ensure that is correctly functioning in the event of a fire.
The water source is potable tap water out of the Fire Water Holding Tank.
The bypass potable water flows to a dry stormwater drainage ditch,and meanders about 2500 ft.to a running surface
water creek.
could I recommend that my client submit a NCG500000 for an NPDES Permit for this discharge?
Thanks in advance for your response.
Ron
Ronald Ruocco, PE I Senior Consultant I Golder Associates NC, Inc.
3440 Toringdon Way, Suite 205, Charlotte, North Carolina, USA 28277
T: [phone] I F: [phone] I C:[phone] I E: Ronald Ruoccoalgolder.com
www.saolder.com
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use,distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited.If you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly,the electronic media version of any work product may
not be relied upon.
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

BUCKEYE
BUCKEYE MT.HOLLY L.L.C.
100 BUCKEYE DRIVE
MT.HOLLY,NC 28120
TEL [phone] FAX [phone]
June 10,2011
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Subject: Designation of Representative Consulting Firm
This is notice to the NPDES Permits Unit of the Division of Water Quality that Golder Associates of North
Carolina,Inc. (GANCI) has been designated as the authorized representative of Buckeye Mt. Holly,LLC
(BKI)for the purposes of preparing the Notice of Intent for a General NPDES Permit NCG500000.
If you have any questions or comments,please feel free to contact me at 704-812-2023.
:
Mr.Eric Bolin
Safety and Risk Manager
Buckeye Mt.Holly,LLC
100 Buckeye Drive
Mt.Holly,NC 28120
BUCKEYE TECHNOLOGIES INC

FOR AGENCY USE ONLY
D
ate Received
Year Month Day
Division of Water Quality/Water Quality Sectiona [i o 01Certificate of� NICIGLSIoIOIGage
fj I S
NCDENR National Pollutant Discharge Elimination System Check# Amount
, „C, ,o t.00f 070a14 /Do•00 ,
FAIRoM,r T ANn NRU4N.PIeo.PIcrs Permit Assigned to
NCG500000 gob suers
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Non-contact cooling water, boiler blowdown,cooling tower blowdown,condensate, and
similar point source discharges
(Please print or type)
1) Mailing address'of owner/operator:
Company Name Buckeye Mt. Holly
Owner Name Buckeye Mt. Holly, LLC
Street Address 100 Buckeye Drive
City Mt. Holly State NC ZIP Code 28120
Telephone No. Fax:
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Buckeye Mt. Holly
Facility Contact Eric Bolin
Street Address 100 Buckeye Drive
City Mt. Holly State NC ZIP Code 28120
County Gaston County
Telephone No. Fax:
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers,
and distance and direction from a roadway intersection). See Figure 1 take I-85 South
from Charlotte & State Highway 27 in Gaston County.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following :
❑ New or Proposed
21 Modification
Please describe the modification: Re-direct non-contact wastewaters f r
0 Renewal collection system `0 l5 @ EI Q
Please specify existing permit number and original issue date: JU
5) Does this facility have any other NPDES permits? AUG 12 2011
❑ No DENR-WATER QUALITY
El Yes POINT SOURCE BRANCH
If yes, list the permit numbers for all current NPDES permits for this facility: SWPP Permit
Number NCS00514
6) What is the nature of the business applying for this permit? Manufacturing of converted
paper products
Page 1 of 4 04/05

NCG500000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? ❑ Yes IJ No
If no, submit a site map with the pathway to the potential receiving waters clearly marked.This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge. See attached Figures 1 & 2
b) Number of discharge points(ditches, pipes, channels, etc.that convey wastewater from the
property): Non-point runoff same as stormwater
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non-contact cooling water Discharge point(s)#:
12f Boiler Blowdown Discharge point(s)#: 1
0 Cooling Tower Blowdown Discharge point(s)#: 1
0 Condensate Discharge point(s)#: 1
III Other Discharge point(s)#: 1
(Please describe"Other") See addendum 1 attached
d) Volume of discharge per each discharge point(in GPD): See addendum 1 attached
#1: #2: #3: #4
e) Please describe the type of process (i.e., compressor,A/C unit, chiller, boiler, etc.)the wastewater is
being discharged from, per each separate discharge point(if applicable, use separate sheet):_
See addendum 1 attached
8) Please check the type of chemical added to the wastewater for treatment, per each separate discharge
point(if applicable, use separate sheet): See addendum 1 attached
• Biocides Name: Manuf.:
❑ Corrosion inhibitors Name: Manuf.:
O Chlorine Name: Manuf.:
O Algaecide Name: Manuf.:
0 Other Name: Manuf.:
❑ None
9) If any box in item (8) above, other than none,was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review. See addendum 1 attached
10) Is there any type of treatment being provided to the wastewater before discharge(i.e., retention ponds,
settling ponds, etc.)? ❑ Yes ® No See addendum 1 attached
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. Design criteria and
operational data (including calculations)should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three(3)sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4 04/05

NCG500000 N.O.I.
11) Discharge Frequency:
a) The discharge is: 0 Continuous IA Intermittent ❑ Seasonalo
i) If the discharge is intermittent, describe when the discharge will occur: Based on
increase in conductivity
ii) If seasonal check the month(s)the discharge occurs: 0 Jan. 0 Feb. 0 Mar. 0 Apr.
0 May 0 Jun. 0 Jul. 0 Aug. 0 Sept. 0 Oct. 0 Nov. 0 Dec.
b) How many days per week is there a discharge? seven (7)
c) Please check the days discharge occurs:
C9 Sat. L] Sun. ttl Mon. l l Tue. l l Wed. 11.1 Thu. a Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point(if
applicable, use separate sheet): See addendum 1 attached
13) Receiving waters:
a) What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). South Stanley Creek (Catawba River
Basin)
b) Stream Classification: Class WS-IV
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non-discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's"Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges,the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map(or a photocopied portion thereof)with discharge location
clearly indicated.
b) 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.
c) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm)submitting the application has
been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped-"Final Design-Not released for construction".
Page 3 of 4 04/05

NCG500000 N.O.I.
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed.
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:
Thof/5 7it 7u', y Sc"i)
Title: fI,Lrit MG,rvge ,Q
/i Avg // a//
(Signature of Applicant) (Dare Signed)
North Carolina General Statute 143-215.6 b(i) provides that:
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.)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDENR
Mail three(3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
included:
N Check for$100 made payable to NCDENR
N. 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
..3 copies of this completed application and all supporting documents
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
121 Thorough responses to items 1-7 on this application
❑ Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4 04/05

Addendum Number 1 to NCG 500000 Notice of Intent:
7) Description of Discharge:
c)What types of wastewater are discharged? Indicate which discharge points, if more
than one.
d)Volume of discharge per each discharge point(in GPD).
e) Describe the type of process the wastewater is being discharged from.....
All of the following flows will be discharged as non-point runoff similar to the existing
stormwater discharge. The flow rates in GPD are also listed. The total is estimated at 5,200
GPD. These estimates are based on general observations, and by interviews with facility
personnel.
• Boiler Blowdown is 1,150 gpd average, and the boiler usage is 19,000 gpd average;
• Cooling Tower Blowdown is 2,900 gpd average, and the cooling tower usage is 17,000
gpd average;
• Roof Washdown is 50 gpd average, and this is from a 250 gallon per week washdown
event; and
• The AHU1 in PM1 does have some discharge that goes to the storm drain and into the
sedimentation basin. This is estimated as 1,100 gpd average.
8)The type of chemical added to the wastewater for treatment
Buckeye uses the following chemicals and note that the name, manufacturer, quantity per year
and product use have also been provided;
• ChemTreat, Inc., BL-8631, 8,625 lbs./yr., Boiler water treatment for internal boiler tube
scale/corrosion control, alkalinity, and anti-foam (See attached Form 101_1 of 7 with
MSDS);
• ChemTreat, Inc., BL-1253, 5,907 lbs./yr., Boiler water treatment as oxygen scavenger
for deaerator tank (See attached Form 101_2 of 7 with MSDS);
• ChemTreat, Inc., CL-4907, 1,800 lbs./yr.(Baseline)with an additional 201bs./day as
necessary for mitigating algae growth during the summer months, Cooling Tower water
treatment bromine/chlorine biocide for bacteria and slime control (See attached Form
101_3 of 7 with MSDS and Environmental Information sheet);
• ChemTreat, Inc., CL-4882, 1,659 lbs./yr., Cooling Tower Scale and corrosion inhibitor in
open recirculating waters (See attached Form 101_4 of 7 with MSDS);
• ChemTreat, Inc., CL-2156, 771 lbs./yr., Cooling Tower non-oxidizing biocide for bacteria
and mold control (See attached Form 101_5 of 7 with MSDS and Environmental
Information sheet);
1

• ChemTreat, Inc., CL-2032, 0.0 lbs./day, Cooling Tower algaecide is currently used for
algae control during summer months, but will be discontinued in the event that a non-
contact wastewater discharge permit is approved and implemented. (See attached Form
101_6 of 7 with MSDS); and
• ChemTreat, Inc., CL-280, 4,608 Lbs./yr., Corrosion inhibitor for recirculation closed loop
hot or chill water systems (See attached Form 101_7 of 7 with MSDS).
9) Completed Biocide 101 Forms for review are attached along with MSD sheets
10)There are no plans to provide additional treatment processes to these wastewater flows
prior to discharge to the non-point runoff discharge.
12) Pollutants:
Since most of the chemical additives in the wastewater are alkaline pH a slight increase in pH
may occur. Some of the additives are boiler additives, and the blowdown will be higher than
ambient temperature. The chemical composition will contribute to the total dissolved solids in
the wastewater.
14)Alternatives to Direct Discharge:
a)The Boiler Blowdown and Cooling Tower Blowdown are currently discharged to the
local POTW; however,there is a very high sewer use charge of$7.80/ 1,000 gallons for
sewer use. Buckeye is;therefore, requesting permission to discharge these non-contact
wastewaters directly to the on-site storm sewer system.
b) Subsurface disposal has not been considered due to a high overall project cost.
c) Spray irrigation has not been considered due to a high overall project cost.
15)Additional Information Requirements:
a) See attached Figure 1 (7.5 minute USGS Topographic Map). Since this is not a direct
discharge point see Figure 2.
b) See attached Figure 2 (Site Map) since the discharge is not directly to the stream this
Figures shows the stormwater drainage basin 01 which will be the non-point runoff area
for the wastewaters described in this application.
c) See attached letter designating Golder Associates as the consulting engineer
representing Buckeye for this application.
d) & e) Final Plans &Specifications are not applicable. Only minor mechanical changes
are required upon approval of this application.
2

_
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USGS "Mt.Holly,NC" Topographic Map
Buckeye Mt.Holly
100 Buckeye Drive
Mt.Holly,NC 28210
FIG.NO: 1
SCALE:As Shown DATE:04/07/11 PREPARED BY:RLR PROJECT NO:

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a� ! ..,> a i. Et 4. J i a 100 BUCKEYE DRIVE
hI /F 4 44ya ` �' � F �fe MT.HOLLY,NC 28210
c ! 2f .'e 41 4,`. �°4 4 r 4`y�F� ,{ SITE SKETCH
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3 SOURCE:WPC CLT4-04-189 DAD JULY 29,2005 GREwseono.He
1

FILE
SOC PRIORITY PROJECT: No
To: NPDES Unit
Surface Water Protection Section
Attention: Bob Guerra
Date: August 29, 2011
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No.: NCG500658
PART I - GENERAL INFORMATION
1. Facility and physical address: Buckeye Mount Holly
100 Buckeye Drive
Mount Holly,NC 28120
2. Date of investigation: August 26,2011
3. Report prepared by: Michael L. Parker,Environmental Engineer II
4. Person contacted and telephone number: Eric Bolin, [phone].
5. Directions to site: The Buckeye Mount Holly plant is located just off highway 27 on
Buckeye Drive, z- 4.0 miles west of the junction of highway 273 and highway 27 in the City
of Mount Holly.
6. Discharge point(s): Latitude: 35° 20' 05"
Longitude: 81° 03' 33"
USGS Quad No.: Fl4SE
7. Receiving stream or affected surface waters: South Stanly Creek
a. Classification: WS-IV
b. River Basin and Subbasin No.: Catawba 030833
c. Describe receiving stream features and pertinent downstream uses: The receiving
stream is 4 - 6 feet wide and 3 - 6 inches deep at the point of discharge. There are
no other known downstream users for a distance of several miles.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Actual treatment capacity: N/A
b. Current permitted capacity: N/A(new discharge)

IN- , '
err .:1. b.. i .. •
Page Two
d. Description of existing or substantially constructed WWT facilities: There are no
existing WWT facilities constructed specifically for this proposed discharge,however,
the wastewater will pass through an existing earthen settling basin prior to exiting the
property. The basin was constructed during the original grading of the plant side and
was originally used as a sediment basin.
e. Description of proposed WWT facilities: The applicant does not propose to construct
any additional treatment facilities at this time.
f. Possible toxic impacts to surface waters: There are a number of biocidal additives
added to the proposed waste stream. Toxicity worksheets for these additives have been
submitted for review.
2. Treatment plant classification:N/A (does not meet the minimum requirements for a Class I
rating).
3. Compliance Background: This facility has no previous compliance history.
PART III- OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None at this time.
PART IV-EVALUATION AND RECOMMENDATIONS
The applicant proposes to discharge a combination of non-contact wastewater,boiler blow-
down wastewater, and roof wash down wastewater to South Stanly Creek. To-date,these waste
streams have been sent to the City of Mount Holly's WWTP,however,high sewer use fees have
necessitated the need to find an alternative disposal option for waste waters not produced in the
manufacturing process. For this reason,the applicant has chosen to discharge these waste streams off-
site under the authority of a General Permit.
The applicant has proposed up to 5,200 gpd of wastewater generation,however, actual flows
may be much less depending on plant operations. This proposed discharge should benefit from the
location of the existing settling basin,which is positioned between the main plant site and the receiving
stream. This use of this basin should aid in promoting biocidal degradation and reducing thermal
contributions expected from the boiler blow-down waste stream.
This Office recommends issuance of the General Permit pending a final technical review and
approval of the biocidal information submitted with the permit application.
>12-1e> ,/2.‘e_.-....
Si nature of Report Preparer to
Water Quality Regional Supervisor Date
h:\dsr\dsrl 1\buckeye.doc

400F5v,,,,A
NCUENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
RECEIVED
August 15,2011 DIVISION OF WATER QUALITY
RONALD RUOCCO PE, SENIOR CONSULTANT A U G
GOLDER ASSOCIATES NC INC
3440 TORINGDON WAY, SUITE 205 "." REGIONAL I�ECI��NAL OFFICE
CHARLOTTE NC 28277
Subject: Acknowledgement of New Permit Application
Permit#: NCG500658
Facility: Buckeye Mt.Holly
Gaston County
Dear Mr.Ruocco:
The Division of Water Quality NPDES acknowledges receipt of your permit application,with payment and supporting
materials on August 12,2011. This application package has been assigned the number listed above and will be reviewed by
Bob Guerra. By copy of this letter,we are also requesting a Staff Report from the Mooresville Regional Office.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.To ensure
the maximum efficiency in processing permit applications,the Division requests your assistance in providing a timely and
complete response to any additional information requests.
Please note at this time,processing permit applications can take as long as 60-90 days after receipt of a complete application.
To check on the status of an application,please visit http://h2o.enr.state.nc.us/bims/Reports/reportsPermits.html.
If you have any questions,please contact Bob Guerra at 919-807-6387,or via e-mail at [e-mail]. If the
reviewer is unavailable,you may leave a message,and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
Dina Sprinkle
Point Source Branch
cc: o‘A IIP R wriamailiiiiiieet Surface Water Protection Section
Permit Application File NCG500658
Eric Bolin, Safety&Risk Manager,Buckeye Mt.Holly,LLC, 100 Buckeye Drive,Mt.Holly,NC 28120
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One •
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet rvww.ncwaterquality.org Naturally
An Equal Opportunity\Affirmative Action Employer

RECEIVED
=4*--1- DIVISION OF WATER QUALITY
c-iaso#
Golder 2 2
Associates .. :�:TON
MOORESVILLE RECIO°dAL orncE
August 10, 2011
NPDES Permit Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: NOTICE OF INTENT GENERAL PERMIT NCG 500000 AND CONFIRMATION OF DEEMED
PERMITTED STATUS FOR FIRE PUMP TEST WASTEWATER
On behalf of Buckeye Mt. Holly please find attached the following documents as notice of intent of
discharging non-contact wastewater with coverage under the General Permit NCG500000.
1) Check from Buckeye for$100.00 payable to NCDENR
2) 3 Copies of the NCG500000 Notice of Intent Application including; USGS Topo Map, Site Plan,
Letter Designating Golder as Buckeye's consulting firm, MSD sheets for chemical additives and
worksheet Form 101 for each.
Buckeye Mt. Holly is also requesting confirmation that fire pump test wastewater is a deemed permitted
activity per 15A NCAC 2H.0106(f)(10), and as such does not require further application to NCDENR at
this time. Note that pages 1 through 3 of 3 of e-mail discussions concerning this issue is attached for
reference.
Please contact me, Ron Ruocco at [phone] if you have any questions or comments concerning
this submittal.
Sincerely, O°°��%�N CARoL� ,,%,
GOLDER ASSOCIATES INC. :. "Q4 4l
t� M a • e
"� L 'L U V E : SEAL :
."-----24;2
"J B i 17561
AUG 12 2011 S •r,4%.Mena-VcF« $
s:,.. —4� ..,......0•0c .°�
Ronald Ruocco, PE 'aY Cp L. ;RN.) °°
Senior Consultant DENR—WATER QUALITY °iaQ °°�°`
POINT SOURCE;BRANCH I
cc: E. Bolin, Safety and Risk Manager, Buckeye Mt. Holly, LLC e-/O--ZO//
Attachments
Golder Associates NC,Inc.
3440 Toringdon Way,Suite 205 '1'
Charlotte,NC 28277 USA •
Tel: [phone] Fax: [phone] www.golder.com - « .
Golder Associates:Operations in Africa,Asia,Australasia,Europe,North America and South America
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation

Ruocco, Ronald
-om: Grogan, Patrick[[e-mail]]
mt: Monday, April 11, 2011 11:23 AM
io: Ruocco, Ronald
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
HI Mr. Ruocco,
Sorry that this took a couple of days but as you can see, we had to clear it with Raleigh. If you have any more questions,
please let me know.
Patrick Grogan
NC One Stop Permitting
704-235-2107
From: Krebs, Rob
Sent: Monday, April 11, 2011 11:19 AM
To: Grogan, Patrick
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
Patrick,
I agree with Tom and it should be deemed permitted.
-,b
From: Belnick,Tom
Sent: Thursday, April 07, 2011 12:32
To: Krebs, Rob
Subject: RE: NCG500000 Permit for Fire Pump Testing Water
Rob- I think this can fit into a deemed permitted activity per 15A NCAC 2H.0106(f)(10)-flows from fire fighting. Deemed
permitted activities also includes flushing/hydrostatic testing of utility distribution systems, so I don't see any additional
concerns from testing fire fighting equipment.
Tom Belnick
Supervisor,Complex NPDES Permitting Unit
NC DENR/Division of Water Quality
1617 Mail Service Center, Raleigh, NC 27699-1617
[phone];fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Krebs, Rob
Sent: Thursday, April 07, 2011 10:11 AM
To: Belnick,Tom
ubject: FW: NCG500000 Permit for Fire Pump Testing Water
Tom,
1

I think this should be NCG05. But would this need a permit if it is not wastewater?
Rob
rrom: Grogan, Patrick
Sent: Thursday, April 07, 2011 10:08
To: Krebs, Rob
Subject: FW: NCG500000 Permit for Fire Pump Testing Water
Thanks for your help.
Patrick
From: Ruocco, Ronald jmailto:Ronaid RuoccoOgolder.comj
Sent: Thursday, April 07, 2011 9:56 AM
•
To: Grogan, Patrick
Cc: Ruocco, Ronald
Subject: NCG500000 Permit for Fire Pump Testing Water
Patrick,
I have a client that has recently been required to test his fire pump pressure bypass valve for 10 minutes every week by
his Factory Mutual Insurance Inspector to ensure that is correctly functioning in the event of a fire.
The water source is potable tap water out of the Fire Water Holding Tank.
The bypass potable water flows to a dry stormwater drainage ditch,and meanders about 2500 ft.to a running surface
water creek.
ould I recommend that my client submit a NCG500000 for an NPDES Permit for this discharge?
Thanks in advance for your response.
Ron
Ronald Ruocco, PE I Senior Consultant I Golder Associates NC, Inc.
3440 Toringdon Way, Suite 205, Charlotte, North Carolina, USA 28277
T: [phone] I F: [phone] I C: [phone] I E: Ronald Ruocco(cgolder.com
www.golder.com
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2

BUCKEYE
BUCKEYE MT.HOLLY L.L.C.
100 BUCKEYE DRIVE
MT.HOLLY,NC 28120
TEL [phone] FAX [phone]
June 10,2011
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Subject: Designation of Representative Consulting Firm
This is notice to the NPDES Permits Unit of the Division of Water Quality that Golder Associates of North
Carolina,Inc. (GANCI)has been designated as the authorized representative of Buckeye Mt. Holly,LLC
(BM)for the purposes of preparing the Notice of Intent for a General NPDES Permit NCG500000.
If you have any questions or comments,please feel free to contact me at 704-812-2023.
,77
/lamSlf2)
Mr.Eric Bolin
Safety and Risk Manager
Buckeye Mt.Holly,LLC
100 Buckeye Drive
Mt.Holly,NC 28120
BUCKEYE TECHNOLOGIES INC.

FOR AGENCY USE ONLY
Date Received
Year Month Da
Division of Water Quality/Water Quality Section a0lt 6,5
Certificate of Coverage
NCDENR National Pollutant a Discharg Elimination System NIC1GIslo it) 16151 6
Check# p Amount
NORM C4acLJ .CEP<FrMEYr OF 090 7 7 /00`00
FNYIRONMFNT ANn Nana v.RFswaees remit Assigned to
NCG500000 1306 aid OM
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Non-contact cooling water, boiler blowdown,cooling tower blowdown,condensate, and
similar point source discharges
(Please print or type)
1) Mailing address*of owner/operator:
Company Name Buckeye Mt. Holly
Owner Name Buckeye Mt. Holly, LLC
Street Address 100 Buckeye Drive
City Mt. Holly State NC ZIP Code 28120
Telephone No. Fax:
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Buckeye Mt. Holly
Facility Contact Eric Bolin
Street Address 100 Buckeye Drive
City Mt. Holly State NC ZIP Code 28120
County Gaston County
Telephone No. Fax:
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers,
and distance and direction from a roadway intersection). see Figure 1 take 1-85 South
from Charlotte & State Highway 27 in Gaston County.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following :
El New or Proposed
0 Modification
Please describe the modification: Re-direct non-contact wastewaters to stormwater
El Renewal collection system Cam'^ aWE
Please specify existing permit number and original issue date:
D
5) Does this facility have any other NPDES permits? AUG 1 2 2011
❑ No
DENR-WATER QUALITY
l Yes POINT SOURCE BRANCH
If yes, list the permit numbers for all current NPDES permits for this facility: SWPP Permit
Number NC500514
6) What is the nature of the business applying for this permit? Manufacturing of converted
paper products
Page 1 of 4 04/05

NCG500000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? ❑ Yes LI No
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge. see attached Figures 1 & 2
b) Number of discharge points (ditches, pipes, channels, etc.that convey wastewater from the
property): Non-point runoff same as stormwater
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non-contact cooling water Discharge point(s)#:
Boiler Blowdown Discharge point(s)#: 1
• Cooling Tower Blowdown Discharge point(s)#: 1
El Condensate Discharge point(s)#: 1
® Other Discharge point(s)#: 1
(Please describe"Other") See addendum 1 attached
d) Volume of discharge per each discharge point(in GPD): See addendum 1 attached
#1: #2: #3: #4
e) Please describe the type of process (i.e., compressor, A/C unit, chiller, boiler, etc.)the wastewater is
being discharged from, per each separate discharge point(if applicable, use separate sheet):_
See addendum 1 attached
8) Please check the type of chemical added to the wastewater for treatment , per each separate discharge
point(if applicable, use separate sheet): See addendum 1 attached
El Biocides Name: Manuf.:
❑ Corrosion inhibitors Name: Manuf.:
❑ Chlorine Name: Manuf.:
❑ Algaecide Name: Manuf.:
❑ Other Name: Manuf.:
❑ None
9) If any box in item (8)above, other than none,was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review. See addendum 1 attached
10) Is there any type of treatment being provided to the wastewater before discharge(i.e., retention ponds,
settling ponds, etc.)? ❑ Yes II No See addendum 1 attached
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. Design criteria and
operational data(including calculations)should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three(3) sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4 04/05

NCG500000 N.O.I.
11) Discharge Frequency:
a) The discharge is: ❑ Continuous n Intermittent ❑ Seasonal❑
i) If the discharge is intermittent, describe when the discharge will occur: Based on
increase in conductivity
ii) If seasonal check the month(s)the discharge occurs: El Jan. ❑ Feb. ❑ Mar. ❑ Apr.
0 May El Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. 0 Dec.
b) How many days per week is there a discharge? seven (7)
c) Please check the days discharge occurs:
M Sat. L!J Sun. L] Mon. l l Tue. l Wed. In Thu. l Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point(if
applicable, use separate sheet): see addendum 1 attached
13) Receiving waters:
a) What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). South Stanley Creek (Catawba River
Basin)
b) Stream Classification: Class WS-IV
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non-discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal(including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's"Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map(or a photocopied portion thereof)with discharge location
clearly indicated.
b) 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.
c) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm) submitting the application has
been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped-"Final Design-Not released for construction".
Page 3 of 4 04/05

NCG500000 N.O.I.
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed.
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.F
Printed Name of Person Signing: nO/17 f9S I W Nso'✓
Title: !� goWnerM
1 4/17t Mct rva ' 2�
sc7
(Signature of Applicant) (Da a Signed)
North Carolina General Statute 143-215.6 b(i) provides that:
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.)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDENR
Mail three(3)copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
included:
g Check for$100 made payable to NCDENR
N. 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
g3 copies of this completed application and all supporting documents
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
Thorough responses to items 1-7 on this application
0 Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4 04/05

Addendum Number 1 to NCG 500000 Notice of Intent:
7) Description of Discharge:
c)What types of wastewater are discharged? Indicate which discharge points, if more
than one.
d)Volume of discharge per each discharge point(in GPD).
e) Describe the type of process the wastewater is being discharged from
All of the following flows will be discharged as non-point runoff similar to the existing
stormwater discharge. The flow rates in GPD are also listed. The total is estimated at 5,200
GPD. These estimates are based on general observations, and by interviews with facility
personnel.
• Boiler Blowdown is 1,150 gpd average, and the boiler usage is 19,000 gpd average;
• Cooling Tower Blowdown is 2,900 gpd average, and the cooling tower usage is 17,000
gpd average;
• Roof Washdown is 50 gpd average, and this is from a 250 gallon per week washdown
event; and
• The AHU1 in PM1 does have some discharge that goes to the storm drain and into the
sedimentation basin. This is estimated as 1,100 gpd average.
8)The type of chemical added to the wastewater for treatment
Buckeye uses the following chemicals and note that the name, manufacturer, quantity per year
and product use have also been provided;
• ChemTreat, Inc., BL-8631, 8,625 lbs./yr., Boiler water treatment for internal boiler tube
scale/corrosion control, alkalinity, and anti-foam (See attached Form 101_1 of 7 with
MSDS);
• ChemTreat, Inc., BL-1253, 5,907 lbs./yr., Boiler water treatment as oxygen scavenger
for deaerator tank (See attached Form 101_2 of 7 with MSDS);
• ChemTreat, Inc., CL-4907, 1,800 lbs./yr.(Baseline) with an additional 201bs./day as
necessary for mitigating algae growth during the summer months, Cooling Tower water
treatment bromine/chlorine biocide for bacteria and slime control (See attached Form
101_3 of 7 with MSDS and Environmental Information sheet);
• ChemTreat, Inc., CL-4882, 1,659 lbs./yr., Cooling Tower Scale and corrosion inhibitor in
open recirculating waters (See attached Form 101_4 of 7 with MSDS);
• ChemTreat, Inc., CL-2156, 771 lbs./yr., Cooling Tower non-oxidizing biocide for bacteria
and mold control (See attached Form 101_5 of 7 with MSDS and Environmental
Information sheet);
1

• ChemTreat, Inc., CL-2032, 0.0 lbs./day, Cooling Tower algaecide is currently used for
algae control during summer months, but will be discontinued in the event that a non-
contact wastewater discharge permit is approved and implemented. (See attached Form
101_6 of 7 with MSDS); and
• ChemTreat, Inc., CL-280, 4,608 Lbs./yr., Corrosion inhibitor for recirculation closed loop
hot or chill water systems (See attached Form 101_7 of 7 with MSDS).
9) Completed Biocide 101 Forms for review are attached along with MSD sheets
10)There are no plans to provide additional treatment processes to these wastewater flows
prior to discharge to the non-point runoff discharge.
12) Pollutants:
Since most of the chemical additives in the wastewater are alkaline pH a slight increase in pH
may occur. Some of the additives are boiler additives, and the blowdown will be higher than
ambient temperature. The chemical composition will contribute to the total dissolved solids in
the wastewater.
14)Alternatives to Direct Discharge:
a)The Boiler Blowdown and Cooling Tower Blowdown are currently discharged to the
local POTW; however,there is a very high sewer use charge of$7.80/ 1,000 gallons for
sewer use. Buckeye is ;therefore, requesting permission to discharge these non-contact
wastewaters directly to the on-site storm sewer system.
b) Subsurface disposal has not been considered due to a high overall project cost.
c) Spray irrigation has not been considered due to a high overall project cost.
15)Additional Information Requirements:
a) See attached Figure 1 (7.5 minute USGS Topographic Map). Since this is not a direct
discharge point see Figure 2.
b) See attached Figure 2 (Site Map) since the discharge is not directly to the stream this
Figures shows the stormwater drainage basin 01 which will be the non-point runoff area
for the wastewaters described in this application.
c) See attached letter designating Golder Associates as the consulting engineer
representing Buckeye for this application.
d) & e) Final Plans &Specifications are not applicable. Only minor mechanical changes
are required upon approval of this application.
2

_
USGS Mount Holly Quad ,„„:.---,,, - -1 ii- -- _ -, ' • ,' )',), -
•
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astewater Disch-arge "-•• • ' -
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-
1000 FEET ,
5.4)1
tOCk
,__.,. __, 0 METERS
, _____, ,____, -
Source:TOPO!National Geographic (0, 2001
USGS "Mt. Holly,NC" Topographic Map
Buckeye Mt.Holly
100 Buckeye Drive
Mt.Holly,NC 28210
SCALE:As Shown DATE:04/07/11 PREPARED BY:RLR PROJECT NO: FIG.NO: 1

T s
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7 / r_ •- r .,Ar is., q; w: '19 � ►§ ° { .3 ' - 1DO BUCKEYE DRIVE
F+• .,'.� s%s. X - .rr t 4 '• i4'�..• 9 MT.HOLLY,NC 28210
1111,
= c :� ,.Y ti' tx ,l' - ,A N.• fig' r. - SITE SKETCH
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SOURCE:WPC CLT4-04-189 DATE.DULY 29,2905E

BIOCIDE/CHEMICAL TREATMENT(1 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7_ (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. =_Boiler Blowdown: 0.00115 (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
(7Q10)(0.646) + (A.D.D) = (0.00115)(100)/[(0.7)(0.646)+(0.00115)=0.254 %
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?
ChemTreat BL-8631: s.g.= 1.254: 8,625 lbs. Purchased in 2010 (Assuming 100% in Boiler Blowdown)
Please list the active ingredients and percent composition:
Potassium Hydroxide(CAS 1310-58-3) 7 to 13
Tetrapotassium pyrophosphate(CAS 7320-34-5) 7 to 13 %
Sodium Sulfite(CAS 7757-83-7) 1 to 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.= 10,718 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: NPDES#: NC
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.)
Other flows combining are: Cooling Tower Blowdown at 2,900 GPD, Roof Washdown at 50 GPD, and
AHU1 in PM1 at 1,100 GPD =
Volume= 0.0052 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A
What is the decay rate (D.K.) of the product? If unknown, assume no decay(D.K.=0) 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 1L X 0.69 = =Decay Rate (D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
* D.F. _ (A.D.D.) + D.K.) = 0.00115/0.0052+ 0 = 0.221
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. _ (D'R')(D.F.)(Volume)(3785) = 10,718/(0.221)(0.0052)(3785)= 2,464 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) _100 (2,464)(0.254)/100 = 6.26 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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/I)
Ceriodaphnia dubia 48 hr 1768.05
Fathead Minnow 96 hr 1830.107
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 1768.05
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 = 17.7 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
17.7 mg/liter
From Part II enter the receiving stream concentration:
6.26 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
acceptable for use. Since 17.7> 6.26 this chemical and chemical quantity is acceptable.
Person in Responsible Charge
of
N int)
ignature Date
Person mpleting 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
Attn: Todd Christenson
D.W.Q.Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Supplemental Metals Analysis
f 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%
No Metals
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):
1 x 106 pg/g
DC (pg/I) = DC (grams/million gal) x = pg/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 (%) _ ok
BF = MF x 100 = x (100) _
Calculate the concentration of metal in the discharge(M):
M = DC x BF = pg/I x = pg/I
Calculate the instream metal concentration (IMC) at low-flow conditions:
IMC = M x I 100%) = pg/I x 100 % = pg/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 (6/2000) 4

( ImTreat,Inc.
111 MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat BL8631
Product Use: Boiler Water Treatment
Supplier's Name: ChemTreat, Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: July 22, 2011
Section 2. Hazard(s) Identification
Signal Word: DANGER!
Hazard Statement(s): Causes severe skin burns and eye damage.
Causes serious eye damage.
Harmful in contact with skin.
Harmful if inhaled.
Harmful if swallowed.
Precautionary Statement(s): Wear protective gloves/clothing and eye/face protection. Do not
breathe dust/fume/gas/mist/vapors/spray. Do not eat, drink or smoke
when using this product. Wash hands thoroughly after handling. Use
only outdoors or in a well—ventilated area.
Section 3. Composition/Hazardous Ingredients
Component , -} CAS Registry#r `, Wt°t°
Sodium bisulfite 7631-90-5 1—5
Tetrapotassium pyrophosphate 7320-34-5 7—13
Potassium hydroxide 1310-58-3 7—13
ChemTreat BL8631
Page 1

ChemTreat,Inc.
Ili MSDS
Section 4. First Aid Measures
Inhalation: Remove victim to fresh air and keep at rest in a position comfortable
for breathing. Immediately call a poison center or doctor/physician.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. Immediately call
a poison center or doctor/physician.
Skin: Immediately remove/take off all contaminated clothing. Rinse skin with
water/shower. Wash contaminated clothing before re—use. Immediately
call a poison center or doctor/physician.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician.
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Product may emit toxic gases or fumes under fire conditions.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil,
waterways, drains, and sewers.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: If RQ (Reportable Quantity) is exceeded, report to National
Spill Response Office at 1-800-424-8802.
ChemTreat BL8631
Page 2

ImTreat,Inc.
;1111 MSDS
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
Section 8. Exposure Controls/Personal Protection
Exposure Limits
Component E„ § ' 3 ' Source r Exposure Limits 44,4041C 'f-' 4
Sodium bisulfite ACGIH TLV 5 mg/al'TWA
Tetrapotassium pyrophosphate N/E
Potassium hydroxide ACGIH TLV 2 mg/m'Ceiling
Carcinogenicity Category
,.. .0
Component �� �_��`° �..., �� °,-�,�P �. Source ,,,,>> Code "'7"� Brief Description , r.����.���'�3 ._, ��`
Sodium bisulfite N/E
Tetrapotassium pyrophosphate N/E
Potassium hydroxide N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant, wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
ChemTreat BL8631
Page 3

ChemTreat,lnc.
111111 MSDS
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid,Brown, Opaque
Specific Gravity: 1.254 @ 20°C
pH: 14.0 @ 20°C, 100.0%
Freezing Point: <-11°F
Flash Point: N/D
Odor: Mild
Melting Point: N/A
Boiling Point: 212°F
Solubility in Water: Complete
Evaporation Rate: <1
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: N/A
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 10.46 lb/ga
Vapor Pressure: <17.5
% VOC N/D
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Strong oxidizers,Acids, Cationic polymers
Substances:
Hazardous Decomposition Oxides of carbon, Sulfur dioxide gas
Products:
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
Chemical Name Exposure *-to- Type of Effect Concentration i; Species
Sodium bisulfite Oral LD50 2000 mg/kg Rat
Tetrapotassium pyrophosphate Oral LD50 2980 mg/kg Rat
Dermal LD50 >7940 mg/kg Rabbit
Potassium hydroxide Oral LD50 365 mg/kg Rat
Comments: None.
ChemTreat BL8631
Page 4

ChemTreat,Inc.
- MSDS
Section 12. Ecological Information
Species ?.14. 9- Duration"4 / Type'of Effect:`',, , s hest Results -)ix,
Fathead Minnow 7d NOEC 1000 mg/1
96h LC50 1830.107 mg/1
Ceriodaphnia dubia 7d NOEC 250 mg/1
48h LC50 1768.05 mg/1
Comments: None.
Section 13. Disposal Considerations
Dispose of in accordance with local, state and federal regulations.
EPA corrosivity characteristic hazardous waste D002 when disposed of in the original product form.
Section 14. Transport Information
DOT Classification
DOT Name: POTASSIUM HYDROXIDE SOLUTION
Technical Name: N/A
Hazard Class: Corrosive
UN/NAM UN1814
Packing Group: PGII
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada(DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
ChemTreat BL8631
Page 5

ChemTreat,lnc.
MSDS
Other Sections
*- v Section 313 Section 302 EHS
Component • »Y _ `_ Toxic Chemical TPQ CERCLA RQ
Sodium bisulfite N/A N/A 5000
Tetrapotassium pyrophosphate N/A N/A N/A
Potassium hydroxide N/A N/A 1000
Comments: None.
State Regulations
California Proposition 65: None known.
Special Regulations
Component :�_: States rn a
Sodium bisulfite MA,MN,NY,PA,WA
Tetrapotassium pyrophosphate None
Potassium hydroxide MA,MN,NY,PA,WA
International Regulations
Canada
WHMIS Classification: D2B (Toxic Material)
E (Corrosive Material)
Controlled Product Regulations This product has been classified in accordance with
(CPR): the hazard criteria of the Controlled Products
Regulations (CPR) and the MSDS contains all
the information required by the CPR.
Section 16. Other Information
HMIS Hazard Rating
Health: 2
Flammability: 0
Physical Hazard: 0
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System (HMIS)is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
ChemTreat BL8631
Page 6

cIimTreat,Inc_
111?711 MSDS
their use.
NSF: N/A
FDA: All ingredients in this product are authorized in 21 CFR
173.310 for use as "Boiler Water Additives"where the steam
may contact food.
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
Only when prepared by the following ChemTreat facilities: Ashland,
VA; Eldridge, IA;Nederland, TX;Vernon, CA.
FIFRA: N/A
Other: None
Abbreviations
Abbrevi.tko NA :. Definition aa ekk t ' °„K i ` . =: ;
< Less Than
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
ChemTreat BL8631
Page 7

BIOCIDE/CHEMICAL TREATMENT(2 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. =_Boiler Blowdown: 0.00115 (in M.G.D.)
Please calculate the Instream Waste Concentration (IWC in percent)of this discharge using the data entered
above.
00
IWC = (A. (A.D.D) = (0.115)/[(0.7)(0.646)+(0.00115)=0.254 %
(7Q10)(O.64.646) + (A.
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?
ChemTreat BL-1253: s.g. = 1.171: 5,907 lbs. Purchased in 2010 (Assuming 100% in Boiler Blowdown)
Please list the active ingredients and percent composition:
Sodium Sulfite(CAS 7757-83-7) 7 to 13 yo
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.= 7,341 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 453.59 i.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: NPDES#: NC
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.)
Other flows combining are: Cooling Tower Blowdown at 2,900 GPD, Roof Washdown at 50 GPD,and
AHU1 in PM1 at 1,100 GPD =
Volume= 0.0052 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A
What is the decay rate(D.K.) of the product? If unknown, assume no decay(D.K.=0) 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 i..1... X 0.69 = =Decay Rate(D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
*D.F. _ (A.D.D.) + (D.K.) = 0.00115/0.0052 + (0 ) = 0.221
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. _ (D'R') = 7,341/(0.221)(0.0052)(3785) = 1,688 mg/I
(D.F.)(Volu me)(3785)
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%)100 _ (1,688)(0.254)/100 = 4.29 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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/I)
Ceriodaphnia 48 hour >1,000 mg/I
Fathead Minnow 96 hour > 1,000 mg/l
Mysid shrimp 48 hour > 1,000 mg/I
Sheephead Minnow 96 hour > 1,000 mg/I
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 1,000 mg/I
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 = 10 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
10 mg/liter
From Part II enter the receiving stream concentration:
4.29 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use. Since 10>4.29 this chemical and quantity is acceptable.
Person in Responsible Charge
g --5�— ?‘) //
nature Date
Person Com eting 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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Supplemental Metals Analysis
f 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%
No metals
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:
DC DR _ ( grams/day) grams/million gallons
ADD = ( million gallons/day)
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
DC (Ng/1) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF - 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 = pg/I
Calculate the instream metal concentration (IMC)at low-flow conditions:
IMC = M x I 100%) _ pg/I x 100 % = Ng/1
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 Ng/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

ChemTreat Inc.
11111 MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat BL1253
Product Use: Boiler Water Treatment
Supplier's Name: ChemTreat, Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: April 26,2011
Section 2. Hazard(s) Identification
Signal Word: WARNING!
Hazard Statement(s): May be harmful in contact with skin.
May be harmful if inhaled.
May be harmful if swallowed.
Precautionary Statement(s): Sulfites may cause sensitization to susceptible individuals.
Section 3. Composition/Hazardous Ingredients
Component gtot m A.. GAS Registry# ,. Wt./.
Sodium sulfite 7757-83-7 7-13
Section 4. First Aid Measures
Inhalation: Remove to fresh air and keep at rest in a position comfortable for
breathing. Call a poison center or doctor/physician if you feel
unwell.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. If eye irritation
persists, get medical advice/attention.
Skin: Wash with plenty of soap and water. Call a poison center or
doctor/physician if you feel unwell.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician if you feel unwell.
Notes to Physician: N/A
ChemTreat BL1253
Page 1

(ImTreat,Inc.
- MSDS
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Use water spray to keep containers cool.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil,
waterways, drains, and sewers.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: None.
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
ChemTreat BL1253
Page 2

( ImTreat,Inc.
i1111 MSDS
Section 8. Exposure Controls/Personal Protection
Exposure Limits
Component . °=,,s r , Source Exposure Limits Y i. `,W sa,4 '�0" ,
Sodium sulfite N/E
Carcinogenicity Category
Component � > x,.mom Source Cods 'N, Brief Description P rrm° u w
Sodium sulfite N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant,wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid,Light Straw, Clear
Specific Gravity: 1.170 @ 20°C
pH: 8.0 @ 20°C, 100.0%
Freezing Point: 23°F
Flash Point: N/D
Odor: Odorless
Melting Point: N/A
Boiling Point: 212°F
Solubility in Water: Complete
Evaporation Rate: N/D
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: <100
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 9.76 lb/ga
Vapor Pressure: N/D
% VOC 0
ChemTreat BL1253
Page 3

li( mTreat,Inc.
MSDS
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Strong oxidizers, Strong acids
Substances:
Hazardous Decomposition Oxides of sulfur, Sodium sulfide residue
Products:
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
Chemical Name � . , ! Exposure-' Type of Effect Concentration t Species
Sodium sulfite Oral LD50 820 mg/kg Mouse
Comments: None.
Section 12. Ecological Information
p r ; 3 'w Duration ,.00'". Type of Effect Test Results °x = W,
Species ,.', ,�
Sheepshead Minnow 96h LC50 >1000 mg/1
Mysid Shrimp 48h LC50 >1000 mg/1
Fathead Minnow 96h LC50 >1000 mg/1
Ceriodaphnia dubia 48h LC50 >1000 mg/1
Comments: None.
Section 13. Disposal Considerations
Dispose of in accordance with local, state and federal regulations.
Not a RCRA—regulated hazardous waste when disposed in the original product form.
ChemTreat BL1253
Page 4

ChemTreat Inc_
7
MSDS
Section 14. Transport Information
DOT Classification
DOT Name: COMPOUND, INDUSTRIAL WATER TREATMENT, LIQUID
Technical Name: N/A
Hazard Class: Not D.O.T. Regulated.
UN/NAti: N/A
Packing Group: N/A
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada (DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Other Sections
"' er Section 313 Section 302 ENS �E
Com•orient : - • -- To e-„' T` a CERCLA RCt-
Sodium sulfite N/A N/A N/A
Comments: None.
State Regulations
California Proposition 65: None known.
ChemTreat BL1253
Page 5

( I .imTreat,Inc.
.00
11114) MSDS
Special Regulations
�
Component ��'�r�tis� �s � � � � � �,w;:;, States
Sodium sulfite None
International Regulations
Canada
WHMIS Classification: N/A
Controlled Product Regulations N/A
(CPR):
Section 16. Other Information
HMIS Hazard Rating
Health: 2
Flammability: 0
Physical Hazard: 0
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS)is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: This product conforms to the requirements of the NSF Nonfood
Compounds Registration Program,Registration#144394; Category
G6, G7.
FDA: All ingredients in this product are authorized in 21 CFR
173.310 for use as "Boiler Water Additives"where the steam
may contact food.
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
Only when prepared by the following ChemTreat facilities: Ashland,
VA; Eldridge, IA;Nederland, TX;Vernon, CA.
FIFRA: N/A
Other: None
ChemTreat BL1253
Page 6

ChemTreat Inc_
MSDS
Abbreviations
Abbreviation- f `2
< Less Than
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
ChemTreat BL1253
Page 7

BIOCIDE/CHEMICAL TREATMENT(3 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. = Cooling Tower Blowdown: 0.0029 (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.) = 0.29/[(0.7)(0.646)+(0.0029)] =0.637
(7Q10)(0.646) + (A.D.D)
A
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?
ChemTreat CL-4907: s.g.= 1.3070: 1,800 lbs. Purchased in 2010(Assuming 100% in Cooling Tower
Blowdown) Note: This chemical may also be utilized in the Cooling Tower as a daily shock treatment for
algae. During the warm summer months up to an additional 20 lbs./day may be used for shock treatment.
Please list the active ingredients and percent composition:
Sodium Hypochlorite(CAS 7681-52-9) 7.45
Sodium Bromide (CAS 7647-15-6) 10.28_
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(baseline)= 2,237 grams/24hr period (Baseline Usage 12 months/year)
D.R.(additional shock treatment)=9,072 grams/24hr period (Months of June,July,August and Sept./year)
D.R.(total with shock treatment)= 11,309 grams/24hr period (Months of June,July,August and Sept./year)
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 453.59o.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: NPDES#: NC
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.)
Other flows combining are: Boiler Blowdown at 1,150 GPD, Roof Washdown at 50 GPD,and AHU1 in PM1
at 1,100 GPD=
Volume= 0.0052 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. 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. (Note: 2 hours per attached Environmental Information Sheet)
H.L. =0.083 Days
The decay rate is equal to 0.69/0.083 = 8.31 =Decay Rate(D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
* D.F. _ (A.D.D.) + D.K.) = 0.0029/0.0052 + (8.31) = 8.868
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. _ (D'R') 2,237/(8.868)(0.0052)(3785)= 12.8 ( t Baseline)= mg/I aasene
(D.F.)(Volume)(3785) )
Dischg Conc. - (D'R')- (D.F.)(Volume)(3785) = 11,309/(8.868)(0.0052)(3785)= 64.8 mg/I (with Shock Treatment)
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%)100 _ (12.8)(0.637)/100 = 0.082 mg/I (at Baseline)
(Dischg. Co x (IWC%)100 _ (64.8)(0.637)/100 = 0.413 mg/I (with Shock Treatment)
100
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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/I)
Daphnia magna 48 hour 32.4mg/I
Cold Water Fish 96 hour 19.0 mg/I
Warm Water Fish 96 hour 29.6 mg/I
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 19.0 mg/I
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = 0.95 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:
0.95 mg/liter
From Part II enter the receiving stream concentration:
0.082 mg/liter @ Baseline
0.413 mg/liter with Shock Treatment
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
acceptable for use. Since both 0.082 and 0.413<0.95 this chemical and quantity are acceptable. This
includes during both the baseline months as well as the summer months when shock treatments may be
applicable due to the presence of algae.
Person in Responsible Charge
,,<_U,2a/ - /,(D CC v
nnt)
ignature 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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Supplemental Metals Analysis
f 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%
No metals
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:
DC DR ( grams/day) grams/million gallons
ADD - ( million gallons/day)
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
DC (pg/I) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF - FW - ( grams/mole) -
Calculate the fraction of metal in the biocidal compound (BF):
BF = MF x x MCC (%) _ % _
100 (100)
Calculate the concentration of metal in the discharge(M):
M = DC x BF = pg/I x = pg/I
Calculate the instream metal concentration (IMC)at low-flow conditions:
IMC = M x I 100%) = pg/I x 100 % _ pg/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 (6/2000) 4

CHEMTREAT CL-4907
E6Chemireat,Inc. ENVIRONMENTAL INFORMATION
Product Description: ChemTreat CL4907 is a liquid product containing stabilized
sodium hypochlorite and sodium bromide. When introduced into the treated system the
compounds hydrolyze to produce active halogen compounds.
Active Ingredient Composition:
Component CAS Registry# Weight %
Sodium hypochlorite 7681-52-9 7.45
Sodium bromide 7647-15-6 10.28
% Actives
Total available Bromine 16% (expressed as total available Chlorine 7%)
Decay Rate: When ChemTreat CL4907 dissociates hypobromus acid and(HOBr)
hypochlorus acid(HOC1) are formed which are powerful oxidants. At higher pH levels
best suited for this product HOBr is predominantly responsible for the biocidal activity.
HOBr will further dissociate to produce the less active OBI ions. Organic matter and
microorganisms rapidly reduce free halogen. The stabilized formulation increases the
half-life of halogen function compounds. While the half-life is dependent on system
demand, two studies of similar compounds under typical cooling tower conditions yielded
half-lives of 2 hours.
Aquatic Data:
Results below are based on the active product(reported as Cl2).
Cold Water Fish, acute toxicity, LC50 1.35 ppm(max) (96 hr)
Warm Water Fish, acute toxicity, LC50 2.1 ppm(max) (96 hr)
Invertebrate (D. magna), acute toxicity, LC50 2.3 ppm(max) (48 hr)
When expressed as product.
Cold Water Fish, acute toxicity, LC50 19.01 ppm(max) (96 hr)
Warm Water Fish, acute toxicity, LC50 29.6 ppm(max) (96 hr)
Invertebrate (D. magna), acute toxicity, LC50 32.4 ppm(max) (48 hr)
Inhibition Criteria: It is unlikely that any halogen residual would be found from using
CL4907 in conditions at the headworks of a POTW. A halogen residual of 1.0 ppm
measured as C12 would be inhibitory until reduced by overwhelming organic demand.

(JImT,eat,Inc.
• DS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat CL4907
Product Use: Cooling Water Microbiocide
Manufacturer's Name: ChemTreat,Inc.
Emergency Telephone Number: [phone]
Address(Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: February 18,2009
Section 2. Hazard(s) Identification
Signal Word: DANGER!
Hazard Statement(s): Causes severe skin burns and eye damage.
Harmful in contact with skin.
May be harmful if inhaled.
Harmful if swallowed.
Toxic to aquatic life.
Precautionary Statement(s): Wear protective gloves/clothing and eye/face protection. Do not
breathe dust/fume/gas/mist/vapors/spray. Do not eat, drink or smoke
when using this product.Wash hands thoroughly after handling.Use
only outdoors or in a well—ventilated area.
Section 3. Composition/Hazardous Ingredients
Component CAS Registry# Wt.%
Sodium hypochlorite 7681-52-9 7.45
Sodium bromide 7647-15-6 10.28
Section 4. First Aid Measures
Inhalation: Remove to fresh air and keep at rest in a position comfortable for
breathing. Call a poison center or doctor/physician if you feel
unwell.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. Immediately call
a poison center or doctor/physician.
Skin: Immediately remove/take off all contaminated clothing. Rinse skin with
water/shower.Wash contaminated clothing before re—use. Immediately
ChemTreat CL4907
Page 1

ChemTreat Inc.
' DS
call a poison center or doctor/physician.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician.
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Thermal decomposition releases bromine and chlorine.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: This pesticide is toxic to fish and aquatic organisms.
Do not discharge effluent containing this product into lakes,ponds,
streams, estuaries, oceans or public waters unless in accordance with
the requirements of a National Pollutant Discharge Elimination
System(NPDES)permit, and the permitting authority has been
notified in writing prior to discharge. Do not discharge effluent
containing this product to sewer systems without previously notifying
the local sewage treatment plant authority. For guidance contact
your State Water Board or Regional Office of the EPA.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: If RQ (Reportable Quantity)is exceeded,report to National
Spill Response Office at 1-800-424-8802.
ChemTreat CL4907
Page 2

ChemTreat Inc_
MSDS
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protection Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
Section 8. Exposure Controls/Personal Protection
Exposure Limits
Component3. Sourcer Exposure Limits :.
Sodium hypochlorite N/E
Sodium bromide N/E
Carcinogenicity Category
Component � � t €' Source Code ,' . , fl - F. _ �,
p ...,,,-. .�A,x; � .,r��> -�� �,r,r� �: � ,...� :Brief Description � e �
Sodium hypochlorite N/E
Sodium bromide N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant, wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
ChemTreat CL4907
Page 3

ChemTreat,Inc_
111 II- MSDS
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid, Orange, Clear
Specific Gravity: 1.3070
pH: 13.6
Freezing Point: 36°F
Flash Point: N/D
Odor: Mild
Melting Point: N/A
Boiling Point: N/D
Solubility in Water: Complete
Evaporation Rate: N/D
Vapor Density: N/A
Molecular Weight: N/D
Viscosity: <100
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 10.90 lb/ga
Vapor Pressure: N/D
% VOC N/D
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Strong acids, Copper/copper alloys, Iron, Strong oxidizers
Substances:
Hazardous Decomposition Nitrogen,Bromine,Hydrobromic acid vapors or gases may be formed.
Products:
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
Chemical Name e.. . = Exposure 4 Type of Effect Concentration Species
ChemTreat CL4907 Oral LD50 >5000 mg/kg Rat
Dermal LD50 >2000 mg/kg Rat
Inhalation LC50 >2.13 mg/1 Rat
Comments: None.
ChemTreat CL4907
Page 4

( ImTreat,Inc.
MSDS
Section 12. Ecological Information
Species Duration Type of Effect Test Resultsa
Daphnia magna 48h LC50 2.3 ppm
Comments: Based on active ingredient
Section 13. Disposal Considerations
PESTICIDE DISPOSAL: Pesticide wastes are acutely hazardous. Improper disposal of excess pesticide, spray mixture or
rinsate is a violation of Federal Law. If these wastes cannot be disposed of by use according to label instructions,
contact your State Pesticide or Environmental Control Agency, or the Hazardous Waste representative at the nearest
EPA Regional Office for guidance. METAL CONTAINERS: Triple rinse (or equivalent). Offer for recycling or
reconditioning or puncture and dispose of in a sanitary landfill, or by other procedures approved by state and local
authorities. PLASTIC CONTAINERS: Do not reuse empty container. Triple rinse(or equivalent). Then puncture and
dispose of in a sanitary landfill, or, if allowed by state and local authorities,by burning. If burned, stay out of
smoke. TOTES: Verify that the tote is empty. Do not rinse or clean. Seal tote and contact appropriate vendor for tote
pickup.
EPA corrosivity characteristic hazardous waste D002 when disposed of in the original product form.
Section 14. Transport Information
DOT Classification
DOT Name: CORROSIVE LIQUIDS,N.O.S.
Technical Name: (BROMIDE SALTS)
Hazard Class: Corrosive
UN/NA#: UN 1760
Packing Group: PGIII
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada (DSL/NDSL): All ingredients listed.
Federal Regulations
ChemTreat CL4907
Page 5

ImTreat,Inc.
Ai) MSDS
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Other Sections
rt Section 313 Section 302 EHS
t Componen � � „ q,e Toxic Chemical TPQ CERCLA RQ`
Sodium hypochlorite N/A N/A 100
Sodium bromide N/A N/A N/A
State Regulations
California Proposition 65: None known.
Special Regulations
Component .1 States 4 g_,_
Sodium hypochlorite MA,NY,PA
Sodium bromide None
International Regulations
Canada
WHMIS Classification: N/A
Controlled Product Regulations N/A
(CPR):
Section 16. Other Information
HMIS Hazard Rating
Health: 2
Flammability: 0
Physical Hazard: 0
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS)is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
ChemTreat CL4907
Page 6

ChemTreat Inc_
1117-1111 MSDS
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: N/A
FDA: N/A
KOSHER: This product has not been evaluated for Kosher approval.
FIFRA: This product is an EPA registered biocide. 63838-5-15300
Other: None
Abbreviations
Abbreviation . �_, }ennition ,
< � Less Than ' � Y
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
ChemTreat CL4907
Page 7

BIOCIDE/CHEMICAL TREATMENT(4 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. = Cooling Tower Blowdown: 0.0029 (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.) = 0.29/[(0.7)(0.646)+(0.0029)] =0.637 %
(7Q10)(0.646) + (A.D.D)
A.
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?
ChemTreat CL-4882: s.g. = 1.216: 1,659 lbs. Purchased in 2010 (Assuming 100% in Cooling Tower
Blowdown)
Please list the active ingredients and percent composition:
Potassium Hydroxide(CAS 1310-58-3) 1 to 5 %
Tertapotassium pyrophosphate(CAS 7320-34-5) 3 to 7 ok
Tolyltriazole,Sodium Salt(CAS 64665-57-2) 3 to 7 %
2-Phosphono-1,2,4-Butanecarboxylic Acid (CAS 37971-36-1) 1 to 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.= 2,061 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 453.59q.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: NPDES#: NC
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.)
Other flows combining are: Boiler Blowdown at 1,150 GPD, Roof Washdown at 50 GPD, and AHU1 in PM1
at 1,100 GPD =
Volume= 0.0052 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. N/A
What is the decay rate (D.K.) of the product? If unknown, assume no decay(D.K.=0) 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 = =Decay Rate (D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
* D.F. _ (A.D.D.) + (D.K.) = 0.0029/0.0052 + (0 ) = 0.558
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. _ (D'R')(D.F.)(Volume)(3785) = 2,061/(0.558)(0.0052)(3785)= 188 mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%)100 _ (188)(0.637)/100 = 1.2 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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/I)
_Ceriodaphnia dubia 48 hr 707
Fathead minnow 96 hr 613
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 613
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 = 6.1 mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
6.1 mg/liter
From Part II enter the receiving stream concentration:
1.2 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use. Since 1.2< 6.1 the chemical and quantity are acceptable.
Person in Responsible Charge
#/ - /L i
A
/ignature 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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Supplemental Metals Analysis
f 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 CuSO4.5H20 63.546 g/mole 249.680 g/mole 0.2%
No metals
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:
DC DR _ ( grams/day) grams/million gallons
ADD = ( million gallons/day)
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
DC (pg/I) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF - 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 = pg/I
Calculate the instream metal concentration (IMC)at low-flow conditions:
IMC = M x I 100%) _ pg/I x 100 % _ pg/I
Regulated limitation of metal (from below): pg/I
NC General Statutes 15A NCAC 2B.0211 define:
Copper-7 Ng/I water quality action level* Zinc-50 Nil water quality action level*
Chromium-50 Ng/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

(JImTreat,Inc.
11111 MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: Quadrasperse CL4882
Product Use: Cooling Water Treatment
Supplier's Name: ChemTreat, Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: July 18,2011
Section 2. Hazard(s) Identification
Signal Word: DANGER!
Hazard Statement(s): Causes severe skin burns and eye damage.
Causes serious eye damage.
Harmful in contact with skin.
Harmful if inhaled.
Harmful if swallowed.
Precautionary Statement(s): Wear protective gloves/clothing and eye/face protection. Do not
breathe dust/fume/gas/mist/vapors/spray. Do not eat, drink or smoke
when using this product. Wash hands thoroughly after handling. Use
only outdoors or in a well—ventilated area.
Section 3. Composition/Hazardous Ingredients
Component CAS Registry# ,; Wt%
,w .
Tetrapotassium pyrophosphate 7320-34-5 3—7
Tolyltriazole,sodium salt 64665-57-2 3—7
2—Phosphono-1,2,4—butane tricarboxylic acid 37971-36-1 1—5
Potassium hydroxide 1310-58-3 1—5
Quadrasperse CL4882
Page 1

hemTreat Inc_
ill- MSDS
Section 4. First Aid Measures
Inhalation: Remove victim to fresh air and keep at rest in a position comfortable
for breathing. Immediately call a poison center or doctor/physician.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. Immediately call
a poison center or doctor/physician.
Skin: Immediately remove/take off all contaminated clothing. Rinse skin with
water/shower. Wash contaminated clothing before re—use. Immediately
call a poison center or doctor/physician.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician.
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Product may emit toxic gases or fumes under fire conditions.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil,
waterways, drains, and sewers.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: If RQ (Reportable Quantity) is exceeded,report to National
Spill Response Office at 1-800-424-8802.
Quadrasperse CL4882
Page 2

ChemTreat Inc.
MSDS
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
Keep from freezing.
Section 8. Exposure Controls/Personal Protection
Exposure Limits
3� §,a Rir'�r w 1: s .�h"�i' 4 a t,
Component '"` � ����' �� ,. ,� ,e �� Source � : Exposure Limits ' , � � L� .. . .
Tetrapotassium pyrophosphate N/E
Tolyltriazole,sodium salt N/E
2—Phosphono-1,2,4—butane tricarboxylic acid N/E
Potassium hydroxide ACGIH TLV 2 mg/m3 Ceiling
Carcinogenicity Category
Component AA:f ~Source CodeBrief Description ,
Tetrapotassiumpyrophosphate N/E
Tolyltriazole,sodium salt N/E
2—Phosphono-1,2,4—butane tricarboxylic acid N/E
Potassium hydroxide N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant,wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
Quadrasperse CL4882
Page 3

( IimTreat,Inc.
111;) MSDS
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid,Amber, Clear
Specific Gravity: 1.201 @ 20°C
pH: 13.0 @ 20°C, 100.0%
Freezing Point: 25°F
Flash Point: N/D
Odor: Mild
Melting Point: N/A
Boiling Point: 212°F
Solubility in Water: Complete
Evaporation Rate: As Water
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: N/A
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 10.02 lb/ga
Vapor Pressure: As Water
% VOC 0
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Acids, Strong oxidizers
Substances:
Hazardous Decomposition Oxides of carbon, Oxides of nitrogen
Products:
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
Chemical Name ;=8 ZMU, Exposure'A*'` Type of Effect Concentration a Species
Tetrapotassium pyrophosphate Oral LD50 2980 mg/kg Rat
Dermal LD50 >7940 mg/kg Rabbit
Tolyltriazole,sodium salt Oral LD50 920 mg/kg Rat
Dermal LD50 >2 g/kg Rabbit
2—Phosphono-1,2,4—butane tricarboxylic acid Oral LD50 >6500 mg/kg Rat
Potassium hydroxide Oral LD50 365 mg/kg Rat
Comments: None.
Quadrasperse CL4882
Page 4

Treat,Inc.
MSDS
Section 12. Ecological Information
Species 7`4'b p . 0.. Duration .,; Wco Type of Effect Test Results
Ceriodaphnia dubia 48h LC50 707 mg/1
Fathead Minnow 96h LC50 613 mg/1
Comments: None.
Section 13. Disposal Considerations
Dispose of in accordance with local, state and federal regulations.
EPA corrosivity characteristic hazardous waste D002 when disposed of in the original product form.
Section 14. Transport Information
DOT Classification
DOT Name: POTASSIUM HYDROXIDE SOLUTION
Technical Name: N/A
Hazard Class: Corrosive
UN/NA#: UN1814
Packing Group: PGII
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada(DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Quadrasperse CL4882
Page 5

(ImTreat,Inc.
MSDS
Other Sections
k it -3� � . M,, Section 313 Section 302 ENS �a€
Component �u�� t
°� ' '� '����� �"`� � Toxic Chemical TPQ CERCLA RQ
Tetrapotassium pyrophosphate N/A N/A N/A
Tolyltriazole,sodium salt N/A N/A N/A
2—Phosphono-1,2,4—butane tricarboxylic acid N/A N/A N/A
Potassium hydroxide N/A N/A 1000
Comments: None.
State Regulations
California Proposition 65: None known.
Special Regulations
Component' � States i
Tetrapotassium pyrophosphate None
Tolyltriazole,sodium salt None
2—Phosphono-1,2,4—butane tricarboxylic acid None
Potassium hydroxide MA,MN,NY,PA,WA
International Regulations
Canada
WHMIS Classification: D2B (Toxic Material)
E (Corrosive Material)
Controlled Product Regulations This product has been classified in accordance with
(CPR): the hazard criteria of the Controlled Products
Regulations(CPR) and the MSDS contains all
the information required by the CPR.
Section 16. Other Information
HMIS Hazard Rating
Health: 3
Flammability: 0
Physical Hazard: 1
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS) is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
Quadrasperse CL4882
Page 6

ChemTreat,Inc.
11111 MSDS
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: N/A
FDA: N/A
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
Only when prepared by the following ChemTreat facilities: Ashland,
VA; Eldridge,IA;Nederland, TX;Vernon, CA.
FIFRA: N/A
Other: None
Abbreviations
Abbreviation �_ Definition s
< Less Than
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
Quadrasperse CL4882
Page 7

BIOCIDE/CHEMICAL TREATMENT(5 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. = Cooling Tower Blowdown: 0.0029 (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 0
IWC = (7Q10)(0.646) + (A.D.D) = ( )(0.646) + ( ) =0.637 /o
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?
ChemTreat CL-2156: s.g. = 1.027: 771 lbs. Purchased in 2010 (Assuming 100% in Cooling Tower
Blowdown)
Please list the active ingredients and percent composition:
5-chloro-2-methyl-4-isothiazolin-3-one (CAS 26172-55-4) 1.11 %
2-methyl-4-isothiazolin-3-one(CAS 2682-20-4) 0.39 %
Magnesium Nitrate (CAS 10377-60-3) 1.61 ok
Magnesium Chloride(CAS 7786-30-3) 0.96 %
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.= 957 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 453.59q.
128 fl. oz. 1 gal. water 1 lb.

Facility Name: NPDES#: NC
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.)
Other flows combining are: Boiler Blowdown at 1,150 GPD, Roof Washdown at 50 GPD,and AHU1 in PM1
at 1,100 GPD =
Volume= 0.0052 million gallons
What is the pH of the handling system prior to biocide addition? If unknown, enter N/A. 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. =0.0625 Days(Half Life is 1.5 hours (from cooling tower study on the information sheet since this is a
cooling tower)
The decay rate is equal to 1 HL X 0.69 = 0.69/0.0625= 11.04 =Decay Rate(D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
* D.F. _ (A.D.D.) + (D.K.) = 0.0029/0.0052+ (11.04) = 11.6
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. _ (D'R')(D.F.)(Volume)(3785) = 957/(11.6)(0.0052)(3785)= 4.2_mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%)100 _ (4.2)(0.637)/100 = 0.026 mg/I
Receiving Stream Concentration
Ill. 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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (moil)
Daphnia magna 48 hour 8.4 mg/I
Bluegill Sunfish 96 hour 23 mg/I_
Rainbow Trout 96 hour 16 mg/I
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: 8.4 mg/I
If the half life (H.L.) is less than 4 days, perform the following calculation.
Regulated Limitation = 0.05 x LC50 = 0.042 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:
0.042 mg/liter
From Part II enter the receiving stream concentration:
0.026 mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use. Since 0.026< 0.042 this chemical and quantity are acceptable.
Person in Responsible Charge
UC'c�
ri
g
Signature Date
Person Com eting 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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Supplemental Metals Analysis
` 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%
No metals
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:
DC DR _ ( grams/day) grams/million gallons
ADD - ( million gallons/day)
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
)C (pg/I) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF - 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 = pg/I
Calculate the instream metal concentration (IMC) at low-flow conditions:
lW
(o ) _ %
IMC = M x 100% - pg/I x 100 = pg/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 (6/2000) 4

CHEMTREAT CL-2156
Chem fiats inc.
ENVIRONMENTAL INFORMATION
Product Description: ChemTreat CL-2156 is a formulation of two organosulfur
antimicrobials designed to control algae, bacteria and fungi in recirculating cooling water
systems.
Active Ingredient Composition:
1. 5-chloro-2-methyl-4-isothiazolin-3-one: 1.11%
2. 2-methyl-4-isothiazolin-3-one: 0.39%
Decay Rate: A table of the biotic half-lives determined by studies of the active
ingredients in CL-2156 is presented below. The aquatic studies were performed by adding
1 ppm of each antimicrobial to a mixture of sediment and water obtained from the
Delaware River.
Biotic Half-life (hrs.)
Study Ingredient 1. Ingredient 2.
Aerobic Aquatic Microcosm 17 9
Anaerobic Aquatic Microcosm 5
Aerobic Soil (Terrestrial) 6
The above data demonstrates that both of the active ingredients of ChemTreat CL-2156
biodegrade very rapidly with half-lives of less than 1 day. This data is on file with the
U.S. EPA.
In another study,the biodegradation was examined under conditions typically
encountered in an industrial water treatment system at a temperature of 35°C and a pH of
8.5. The system was given a dose equivalent to 100 ppm of CL-2156. Under these
conditions the half-life of was 1.5 hours.
Aquatic Toxicology: Values shown as product calculated from tests on active
ingredients.
Species Duration Type of Effect Test Results
Bluegill Sunfish 96h LC50 23 mg/1
Daphnia magna 48h EC50 8.4 mg/1
Rainbow Trout 96h LC50 16 mg/1
Inhibition Criteria: Studies conducted with up to 2.2 ppm of the active ingredients (150
ppm as product) in ChemTreat CL-2156 in the influents did not affect the ability of the
activated sludge units to process organic wastes.
Octanol-Water Partition Coefficient:
Log Pow ingredient 1 = 0.4 Log Pow ingredient 2=-0.5

(JImTreat,Inc.
MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat CL2156
Product Use: Cooling Water Microbiocide and Paper
Slimicide
Supplier's Name: ChemTreat, Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: February 1,2011
Section 2. Hazard(s) Identification P �
Signal Word: DANGER!
Hazard Statement(s): Causes severe skin burns and eye damage.
Causes serious eye damage.
Harmful in contact with skin.
Harmful if inhaled.
Harmful if swallowed.
Harmful to aquatic life.
Precautionary Statement(s): Wear protective gloves/clothing and eye/face protection. Do not
breathe dust/fume/gas/mist/vapors/spray. Do not eat, drink or smoke
when using this product. Wash hands thoroughly after handling.Use
only outdoors or in a well—ventilated area.
Section 3. Composition/Hazardous Ingredients
Component r - . , u 0" ik t' .E : CAS Registry# A ..4 <'Wt.°/s
5—chloro-2—methyl-4—isothiazolin-3—one 26172-55-4 1.11
2—methyl-4—isothiazolin-3—one 2682-20-4 0.39
Magnesium nitrate 10377-60-3 1.61
Magnesium chloride 7786-30-3 0.96
ChemTreat CL2156
Page 1

CmTreat,Inc.
MSDS
Section 4. First Aid Measures
Inhalation: Remove victim to fresh air and keep at rest in a position comfortable
for breathing. Immediately call a poison center or doctor/physician.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. Immediately call
a poison center or doctor/physician.
Skin: Immediately remove/take off all contaminated clothing. Rinse skin with
water/shower. Wash contaminated clothing before re—use. Immediately
call a poison center or doctor/physician.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician.
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Use water spray to keep containers cool.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: This pesticide is toxic to fish and wildlife.
Do not discharge effluent containing this product into lakes,ponds,
streams, estuaries, oceans or public waters unless in accordance with
the requirements of a National Pollutant Discharge Elimination
System(NPDES)permit, and the permitting authority has been
notified in writing prior to discharge. Do not discharge effluent
containing this product to sewer systems without previously notifying
the local sewage treatment plant authority. For guidance contact
your State Water Board or Regional Office of the EPA.
ChemTreat CL2156
Page 2

(JImTreat,Inc.
MSDS
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: None.
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors, mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
Do not store in steel containers.
Do not store below 32°F.
Do not store above 131°F.
Section 8. Exposure Controls/Personal Protection
Exposure Limits
Component '44 '` v Source # #,. Exposure Limits 010 r anw
5—chloro-2—methyl-4—isothiazolin-3—one N/E
2—methyl-4—isothiazolin-3—one N/E
Magnesium nitrate N/E
Magnesium chloride N/E
Carcinogenicity Category
Component t ar ,.. ', Source a !:` Code',' , Brief Description _.
5—chloro-2—methyl-4—isothiazolin-3—one N/E
2—methyl-4—isothiazolin-3—one N/E
Magnesium nitrate N/E
Magnesium chloride N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
ChemTreat CL2156
Page 3

ChemTreat Inc_
7i I- MSDS
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant,wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid, Colorless, Clear
Specific Gravity: 1.027 @ 20°C
pH: 3.8 @ 20°C, 100.0%
Freezing Point: 34°F
Flash Point: N/D
Odor: Mild
Melting Point: N/A
Boiling Point: 212°F
Solubility in Water: Complete
Evaporation Rate: <1
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: <100
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 8.57 lb/ga
Vapor Pressure: 0.62 mmHg
VOC <0.1
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Strong oxidizers, Strong bases
Substances:
Hazardous Decomposition Oxides of nitrogen,Hydrogen chloride, Sulfur dioxide gas
Products:
Possibility of Hazardous None known.
Reactions:
ChemTreat CL2156
Page 4

ChemTreat,lnc.
41(111) MSDS
Section 11. Toxicological Information
Chemical Name °r % C, a Exposure rht Type of Effect Concentration Species
ChemTreat CL2156 Oral LD50 5500 mg/kg Rat
Dermal LD50 >2000 mg/kg Rat
Comments: None.
Section 12. Ecological Information
Species Duration -, Type of Effect - Test Results
Bluegill Sunfish 96h LC50 23 mg/I
Daphnia magna 48h EC50 8.4 mg/1
Rainbow Trout 96h LC50 16 mg/I
Comments: None.
Section 13. Disposal Considerations
PESTICIDE DISPOSAL: Pesticide wastes are acutely hazardous. Improper disposal of excess pesticide, spray mixture or
rinsate is a violation of Federal Law. If these wastes cannot be disposed of by use according to label instructions,
contact your State Pesticide or Environmental Control Agency, or the Hazardous Waste representative at the nearest
EPA Regional Office for guidance. METAL CONTAINERS: Triple rinse (or equivalent). Offer for recycling or
reconditioning or puncture and dispose of in a sanitary landfill, or by other procedures approved by state and local
authorities. PLASTIC CONTAINERS: Do not reuse empty container. Triple rinse (or equivalent). Then puncture and
dispose of in a sanitary landfill, or, if allowed by state and local authorities,by burning. If burned, stay out of
smoke. TOTES: Verify that the tote is empty. Do not rinse or clean. Seal tote and contact appropriate vendor for tote
pickup.
Section 14. Transport Information
DOT Classification
DOT Name: CORROSIVE LIQUID,ACIDIC, ORGANIC,N.O.S.
Technical Name: (5—CHLORO-2—METHYL-4—ISOTHIAZOLIN-3—ONE
AND 2—METHYL-4—ISOTHIAZOLIN-3—ONE)
Hazard Class: Corrosive
UN/NA#: UN3265
Packing Group: PGIII
ChemTreat CL2156
Page 5

hemTreat Inc.
1111 MSDS
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada(DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Other Sections
. P�. 4 1 Section 313 Section 302 ENS
Component 11 4: - "' Toxic Chemical TPQ CERCLA
5—chloro-2—methyl-4—isothiazolin-3—one N/A N/A N/A
2—methyl-4—isothiazolin-3—one N/A N/A N/A
Magnesium nitrate Yes N/A N/A
Magnesium chloride N/A N/A N/A
State Regulations
California Proposition 65: None known.
Special Regulations
Component 44141 " ' w,,,t ,fir r ,. .. 'c.,c State$ Aft N.. .Y P „u ., jP„ d r
5—chloro-2—methyl-4—isothiazolin-3—one None
2—methyl-4—isothiazolin-3—one None
Magnesium nitrate MA,PA
Magnesium chloride None
International Regulations
ChemTreat CL2156
Page 6

Ii, mTreat,Inc.
MSDS
Canada
WHMIS Classification: N/A
Controlled Product Regulations N/A
(CPR):
Section 16. Other Information
HMIS Hazard Rating
Health: 3
Flammability: 0
Physical Hazard: 0
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS)is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: N/A
FDA: N/A
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
Only when prepared by the following ChemTreat facilities: Ashland,
VA;Nederland, TX;Vernon, CA.
FIFRA: This product is an EPA registered biocide. 707-133-15300
Other: None
Abbreviations
Abbreviation Definition ,
Less Than
.._ . „. .. � �.
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
ChemTreat CL2156
Page 7

dmTreat,Inc.
11111111 MSDS
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
• ,Y:�
ChemTreat CL2156
Page 8

BIOCIDE/CHEMICAL TREATMENT(6 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES#NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. = Cooling Tower Blowdown: 0.0029 (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.) = 0.29/[(0.7)(0.646)+(0.0029)] =0.637 ok
(7Q 10)(0.646) + (A.D.D)(
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?
ChemTreat CL-2032: s.g.= 1.012: 0 lbs. per day(Assuming 100% in Cooling Tower Blowdown and all is
lost to discharge within one day operation).This algaecide is currently used in the Cooling Tower during
summer months of June,July,August and/or September to mitigate algae growth. The use of this
chemical will be discontinued in the event that a non-contact wastewater discharge permit is approved
and implemented.
Please list the active ingredients and percent composition:
2-(Tert-butylamino)-4-chloro-6-(ethylamino)-s-trizine(CAS 5915-41-3) 4.0 %
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.= 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: NPDES#: NC
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.)
Other flows combining are: Boiler Blowdown at 1,150 GPD, Roof Washdown at 50 GPD,and AHU1 in PM1
at 1,100 GPD=
Volume= 0.0052 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.=0) 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 = =Decay Rate(D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
* D.F. _ (A.D.D.) + (D.K.) _
(Volume)
Calculate Steady State Discharge Concentration:
Dischg Conc. = (D'R') mg/I
(D.F.)(Volume)(3785)
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) _ mg/I
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/I). Please provide copies of the sources of this data. (See MSDS from ChemTreat and e-
mail from ChemTreat)
Organism Test Duration LC50/EC50 (mg/I)
Daphnia pulex_ 48 hour 5750 mg/I
Fathead Minnow 96 hour 4364 mg/I
Algae (from ChemTreat) Application rate 25 mg/I
D.W.Q. Form 101 (6/2000) 2

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50: mg/I
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 = mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
mg/liter
From Part II enter the receiving stream concentration:
mg/liter
IV. Analysis.
If the receiving stream concentration is greater than the calculated regulated limitation, then this biocide is
unacceptable for use.
This algaecide is currently used in the Cooling Tower during summer months of June,July,August and/or
September to mitigate algae growth. The use of this chemical will be discontinued in the event that a non-
contact wastewater discharge permit is approved and implemented.
Person in Responsible Charge
/6/0Cf.,e1
Name int)
gnature 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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
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:
DC DR _ ( grams/day) _ grams/million gallons
ADD = ( million gallons/day) -
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
DC (pg/I) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF = FW - ( grams/mole) -
Calculate the fraction of metal in the biocidal compound (BF):
MCC (%) _ cyo
BF = MF x 100 = x (100)
Calculate the concentration of metal in the discharge(M):
M = DC x BF = pg/I x = pg/I
Calculate the instream metal concentration (IMC)at low-flow conditions:
IMC = M x IWCO(0%) _ pg/I x 100 % = pg/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 (6/2000) 4

(JImTreat,Inc.
MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat CL2032
Product Use: Cooling Water Microbiocide and Algicide
Supplier's Name: ChemTreat,Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: February 16,2010
Section 2. Hazard(s) Identification
Signal Word: WARNING!
Hazard Statement(s): May be harmful in contact with skin.
May be harmful if inhaled.
Harmful if swallowed.
Precautionary Statement(s): No significant health risks are expected from exposures under normal
conditions of use.
Section 3. Composition/Hazardous Ingredients
Component 0 y GAS Registry# a Wt.% „ 1
.max �ati� �, �r
2—(Tert—butylamino)-4—chloro-6—(ethylamino)—s—triazine 5915-41-3 4
Section 4. First Aid Measures
Inhalation: Remove to fresh air and keep at rest in a position comfortable for
breathing. Call a poison center or doctor/physician if you feel
unwell.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. If eye irritation
persists, get medical advice/attention.
Skin: Wash with plenty of soap and water. Call a poison center or
doctor/physician if you feel unwell.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
CENTER or doctor/physician.
ChemTreat CL2032
Page 1

cmTreat,Inc.
4111 MSDS
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from None known.
the Chemical:
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: Do not discharge effluent containing this product into lakes,ponds,
streams, estuaries, oceans or public waters unless in accordance with
the requirements of a National Pollutant Discharge Elimination
System (NPDES)permit, and the permitting authority has been
notified in writing prior to discharge. Do not discharge effluent
containing this product to sewer systems without previously notifying
the local sewage treatment plant authority. For guidance contact
your State Water Board or Regional Office of the EPA.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: None.
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
ChemTreat CL2032
Page 2

ChemTreat,Inc.
11A11 MSDS
Section 8. Exposure Controls/Personal Protection
Exposure Limits
Component " -; Source `` ' Exposur .." 3
2-(Tert-butylamino)-4-chloro-6-(ethylamino)-s-tria N/E
zine
Carcinogenicity Category
Corn onent a i,FS' F= i _ -Source '. Code « Brief Descri.tionf..;;,
2-(Tert-butylamino)-4-chloro-6-(etylamino)-s-tria N/E
zine
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant,wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid Emulsion, Straw, Opaque
Specific Gravity: 1.0120
pH: 7.4
Freezing Point: 32°F
Flash Point: N/D
Odor: Mild
Melting Point: N/D
Boiling Point: N/D
Solubility in Water: N/D
Evaporation Rate: N/D
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: N/A
Flammable Limits: N/A
Autoignition Temperature: N/A
ChemTreat CL2032
Page 3

,
ChemTreat,lnc.
' -MSDS
Density: 8.44 lb/ga
Vapor Pressure: N/D
% VOC N/D
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Strong oxidizers, Strong acids, Strong Alkalies
Substances:
Hazardous Decomposition Carbon dioxide, Carbon monoxide, Oxides of nitrogen, Oxides of
Products: sulfur, Toxic vapors/fumes/gases., Chlorine compounds
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
Chemical Name , , 3 ,°° Exposure .d t, Type of Effect Concentration ` 4: 4 Species
ChemTreat CL2032 Oral LD50 1350 mg/kg Rat
Dermal LD50 >4400 mg/kg Rabbit
Comments: None.
Section 12. Ecological Information
Species , ? , " 9 ;7 Duration `x Type of Effect;: // Test Results
Fathead Minnow 48h LC50 4364 mg/1
Daphnia pulex 48h LC50 5750 mg/1
Comments: None.
Section 13. Disposal Considerations
PESTICIDE DISPOSAL: Pesticide wastes are toxic. Improper disposal of excess pesticide, spray mixture, or rinsate is a
violation of Federal Law. If these wastes cannot be disposed of by use according to label instructions, contact your
State Pesticide or Environmental Control Agency, or the Hazardous Waste representative at the nearest EPA Regional
Office for guidance. CONTAINER DISPOSAL: Triple rinse(or equivalent). Then offer for recycling or reconditioning, or
puncture and dispose of in a sanitary landfill, or incineration, or if allowed by state and local authorities,by
burning. If burned, stay out of smoke.
ChemTreat CL2032
Page 4

ImTreat,Inc.
MSDS
Section 14. Transport Information
DOT Classification
DOT Name: COMPOUND, INDUSTRIAL WATER TREATMENT,LIQUID
Technical Name: N/A
Hazard Class: Not D.O.T. Regulated.
UN/NA#: N/A
Packing Group: N/A
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada(DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Other Sections
Section 313 Section 302 EHS
Component '41%1° r::;: ,, _ 3` m Toxic Chemical TPQ CERCLA RQ .t,
2—(Tert—butylamino)-4—chloro-6—(ethylamino)—s—tria N/A N/A N/A
zine
State Regulations
California Proposition 65: None known.
Special Regulations
component rrT �",l: ` k
statesi
2—(Tert—butylamino)-4—chloro-6—(ethylamino)—s—triazine None
ChemTreat CL2032
Page 5

ChemTreat,lnc.
141 MSDS
International Regulations
Canada
WHMIS Classification: N/A
Controlled Product Regulations N/A
(CPR):
Section 16. Other Information
HMIS Hazard Rating
Health: 1
Flammability: 1
Physical Hazard: 0
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS) is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: N/A
FDA: N/A
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
FIFRA: This product is an EPA registered biocide. 83451-9-15300
Other: None
Abbreviations
Abbreviation :��_ Definition ,
Less Than
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL Personal Exposure Limit
STEL Short Term Exposure Limit
ChemTreat CL2032
Page 6

(JImTreat,Inc. 24
111111 MSDS
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
d.(b
t
r.
I
144,
ChemTreat CL2032
Page 7
.V S A

BIOCIDE/CHEMICAL TREATMENT(7 of 7)
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: Buckeye Mt. Holly LLC (Mt. Holly NC)
NPDES# NC: Same as Existing Stormwater Permit Outfall: #001
County: Gaston
Receiving Stream: South Stanley Creek 7Q10: 0.7 (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. =_Hot Water Boiler and Chiller(HWB&C): 0.0 (in M.G.D.)
This chemical is used in the Hot Water Boiler and the Chiller. These systems are closed loop systems.
During maintenance the contents are collected and either reused in the system, or hauled off for disposal.
The chemicals should not be discharged to the outfall.
Based on the above information the form has not been included, however,the MSD sheet has been
included for reference only.
Please calculate the Instream Waste Concentration (IWC in percent) of this discharge using the data entered
above.
(A.D.D.) X 100 ( ) X 100 0
IWC = (7Q10)(0.646) + (A.D.D) - ( )(0.646) + ( ) - /0
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?
ChemTreat CL-280: s.g.= 1.115: 4,608 lbs. Purchased in 2010 (Assuming 100% in HWB&C)
Please list the active ingredients and percent composition:
%
ok
What feed or dosage rate (D.R.) is used in this application?The units must be converted to maximum grams

Facility Name: NPDES#: NC
of whole product used in a 24hr period.
D.R.= 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 453.59q.
128 fl. oz. 1 gal. water 1 lb.
D.W.Q.Form 101 (6/2000) 2

Facility Name: NPDES#: NC
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= 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.=0)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 = =Decay Rate (D.K.)
Calculate degradation factor(D.F.). This is the first order loss coefficient.
A.D.D.)* D.F. - (Volume) + (D.K.) - ( ) + ( ) _
Calculate Steady State Discharge Concentration:
Dischg Conc. - (D.F.)(Volume)(3785) - ( )( ))(3785) = mg/I
Calculate concentration of biocide instream during low flow conditions.
(Receiving Stream Concentration)
(Dischg. Conc.) x (IWC%) _ ( ) x ( ) _ 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/I). Please provide copies of the sources of this data.
Organism Test Duration LC50/EC50 (mg/I)
D.W.Q. Form 101 (6/2000) 3

Facility Name: NPDES#: NC
Choose the lowest LC50/EC50 listed above:
Enter the LC50/EC50:
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 = mg/I
Choose the appropriate regulated limitation from the calculations immediately above and place in this blank:
mg/liter
From Part II enter the receiving stream concentration:
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
P°/-7 4,V /e G(oCc�
Nam 'nt)
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
Attn: Todd Christenson
D.W.Q. Form 101 (6/2000) 4

Facility Name: NPDES#: NC
Supplemental Metals Analysis
" copper, zinc, or chromium are present in the proposed biocidal compound, complete this worksheet. A separate form
lust 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:
DC DR _ ( grams/day) _ grams/million gallons
ADD = ( million gallons/day) -
Convert DC to micrograms/liter(ppb):
1 x 106 pg/g
DC (pg/I) = DC (grams/million gal) x = pg/I
3.785 x 106 liters/million gal.
Calculate the fraction of metal in the metal-containing compound (MF):
MW ( grams/mole)
MF - 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 = pg/I
Calculate the instream metal concentration (IMC) at low-flow conditions:
IMC = M x I 100%) = pg/I x 100 % pg/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 Ng/l 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) 5

hemTreat Inc.
MSDS
MATERIAL SAFETY DATA SHEET
Section 1. Chemical Product and Company Identification
Product Name: ChemTreat CL280
Product Use: Closed System Treatment
Supplier's Name: ChemTreat, Inc.
Emergency Telephone Number: [phone] (Toll Free)
[phone]
Address (Corporate Headquarters): 4461 Cox Road
Glen Allen,VA 23060
Telephone Number for Information: [phone]
Date of MSDS: January 6,2011
Section 2. Hazard(s) Identification
Signal Word: WARNING!
Hazard Statement(s): Causes serious eye irritation.
May be harmful in contact with skin.
May be harmful if inhaled.
May be harmful if swallowed.
Precautionary Statement(s): No significant health risks are expected from exposures under normal
conditions of use.
Section 3. Composition/Hazardous Ingredients
Component Xs f'dNdnd ij,. <. „ ia. �p p i4 use .*Sodium tetraborate pentahydrate 12179-04-3 1—5
Nitrous acid,sodium salt 7632-00-0 10—30
Section 4. First Aid Measures
Inhalation: Remove to fresh air and keep at rest in a position comfortable for
breathing. Call a poison center or doctor/physician if you feel
unwell.
Eyes: Rinse cautiously with water for several minutes. Remove contact
lenses, if present and easy to do. Continue rinsing. If eye irritation
persists, get medical advice/attention.
Skin: Wash with plenty of soap and water. Call a poison center or
doctor/physician if you feel unwell.
Ingestion: DO NOT INDUCE VOMITING. Rinse mouth. Call a POISON
ChemTreat CL280
Page 1

(JIemTreat,Inc_
1114I MSDS
CENTER or doctor/physician if you feel unwell.
Notes to Physician: N/A
Additional First Aid Remarks: N/A
Section 5. Fire Fighting Measures
Flammability of the Product: Not flammable.
Suitable Extinguishing Media: Use extinguishing media suitable to surrounding fire.
Specific Hazards Arising from Use water spray to keep containers cool.
the Chemical: Although product will not burn,high temperatures can result in
decomposition and the release of nitrogen oxides.
Protective Equipment: If product is involved in a fire,wear full protective clothing
including a positive—pressure,NIOSH approved, self—contained
breathing apparatus.
Section 6. Accidental Release Measures
Personal Precautions: Use appropriate Personal Protective Equipment(PPE).
Environmental Precautions: Avoid dispersal of spilled material and runoff and contact with soil,
waterways, drains, and sewers.
Methods for Cleaning up: Contain and recover liquid when possible. Flush spill area with water
spray.
Other Statements: If RQ (Reportable Quantity) is exceeded, report to National
Spill Response Office at 1-800-424-8802.
Section 7. Handling and Storage
Handling: Wear appropriate Personal Protective Equipment(PPE)when
handling this product. Do not get in eyes, or on skin and clothing.
Wash thoroughly after handling. Do not ingest. Avoid breathing
vapors,mist or dust.
Storage: Store away from incompatible materials (see Section 10). Store at
ambient temperatures. Keep container securely closed when not in use.
Label precautions also apply to empty container. Recondition or
dispose of empty containers in accordance with government regulations.
For Industrial use only.
Store away from combustible materials.
ChemTreat CL280
Page 2

(JImTreat,Inc_
MSDS
Section 8. Exposure Controls/Personal Protection
Exposure Limits
_
Component � �,I.... __ Source Exposure Limits 'a ; , � � ,
Sodium tetraborate pentahydrate ACGIH TLV 6 mg/m3 Ceiling;Aerosol
Nitrous acid,sodium salt N/E
Carcinogenicity Category
Component i ; � '`Source'"' Code‘a 'Brief Description ,.t r
Sodium tetraborate pentahydrate ACGIH TLV—A4 Not classifiable as a human carcinogen.
Nitrous acid,sodium salt N/E
Engineering Controls: Use only with adequate ventilation. The use of local ventilation is
recommended to control emission near the source.
Personal Protection
Eyes: Wear chemical splash goggles or safety glasses with full—face
shield. Maintain eyewash fountain in work area.
Skin: Maintain quick—drench facilities in work area.
Wear butyl rubber or neoprene gloves. Wash them after each use and
replace as necessary. If conditions warrant,wear protective clothing
such as boots, aprons, and coveralls to prevent skin contact.
Respiratory: If misting occurs,use NIOSH approved organic vapor/acid gas dual
cartridge respirator with a dust/mist prefilter in accordance with 29
CFR 1910.134.
Section 9. Physical and Chemical Properties
Physical State and Appearance: Liquid, Straw, Clear
Specific Gravity: 1.115 @ 20°C
pH: 12.3 @ 20°C, 100.0%
Freezing Point: 18°F
Flash Point: N/D
Odor: Mild
Melting Point: N/D
Boiling Point: 212°F
Solubility in Water: Complete
Evaporation Rate: <1
Vapor Density: N/D
Molecular Weight: N/D
Viscosity: N/A
Flammable Limits: N/A
Autoignition Temperature: N/A
Density: 9.30 lb/ga
ChemTreat CL280
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ChemTreat,Inc.
MSDS
Vapor Pressure: <17.5
% VOC 0
Section 10. Stability and Reactivity
Chemical Stability: Stable at normal temperatures and pressures.
Incompatibility with Various Acids, Strong oxidizers, Amines,Reducing agents
Substances:
Hazardous Decomposition Nitrogen oxide
Products:
Possibility of Hazardous None known.
Reactions:
Section 11. Toxicological Information
po Type of Effect Concentration Species 'Chemical Name �3 � � Ez sure. � �. n
Sodium tetraborate pentahydrate Oral LD50 >3200 mg/kg Rat
Dermal LD50 >2000 mg/kg Rabbit
Nitrous acid,sodium salt Oral LD50 132 mg/kg Rat
Comments: None.
Section 12. Ecological Information
Species °? rt 21 ' P *:::.4„ Duration r,Ty _Type of Effect' s Pest Results
Ceriodaphnia dubia 48h LC50 500 mg/1
Fathead Minnow 96h LC50 658.9 mg/1
Comments: None.
Section 13. Disposal Considerations
Dispose of in accordance with local, state and federal regulations.
ChemTreat CL280
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IiimTreat,Inc.
41111 MSDS
Section 14. Transport Information
DOT Classification
DOT Name: ENVIRONMENTALLY HAZARDOUS SUBSTANCES,
LIQUID,N.O.S.
Technical Name: (SODIUM NITRITE)
Hazard Class: Environmentally Hazardous
UN/NA#: UN3082
Packing Group: PGIII
Section 15. Regulatory Information
Inventory Status
United States (TSCA): All ingredients listed.
Canada (DSL/NDSL): All ingredients listed.
Federal Regulations
SARA Title III Rules
Sections 311/312 Hazard Classes
Fire Hazard: No
Reactive Hazard: No
Release of Pressure: No
Acute Health Hazard: Yes
Chronic Health Hazard: No
Other Sections
2;1. Section 313 Section 302 EHS '.
Component UA a . Toxic Chemical TPQ CERCLA RQ
Sodium tetraborate pentahydrate N/A N/A N/A
Nitrous acid,sodium salt Yes N/A 100
State Regulations
California Proposition 65: None known.
ChemTreat CL280
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EIimTreat,Inc_
111(111 MSDS
Special Regulations
Component ` =� ' �.,. § °'`Staten,- h._ �. - :, 4 �.�� �„ .
° �i � �a
Sodium tetraborate pentahydrate MA,WA
Nitrous acid,sodium salt DE,MA,NJ,NY,PA
International Regulations
Canada
WHMIS Classification: D2B (Toxic Material)
Controlled Product Regulations This product has been classified in accordance with
(CPR): the hazard criteria of the Controlled Products
Regulations (CPR) and the MSDS contains all
the information required by the CPR.
Section 16. Other Information
HMIS Hazard Rating
Health: 2
Flammability: 0
Physical Hazard: 1
PPE: X
Notes: The PPE rating depends on circumstances of use. See
Section 8 for recommended PPE.
The Hazardous Material Information System(HMIS) is a
voluntary, subjective alpha—numeric symbolic system for
recommending hazard risk and personal protection equipment
information. It is a subjective rating system based on the
evaluator's understanding of the chemical associated risks.
The end—user must determine if the code is appropriate for
their use.
NSF: N/A
FDA: N/A
KOSHER: This product is certified by the Orthodox Union as kosher pareve.
Only when prepared by the following ChemTreat facilities: Ashland,
VA; Eldridge, IA;Nederland, TX; Vernon, CA.
FIFRA: N/A
Other: None
ChemTreat CL280
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ImTreat,Inc_
MSDS
Abbreviations
Abbreviation . 'a@ InitiO wR — - ^.“
Less Than
> Greater Than
ACGIH American Conference of Governmental Industrial Hygienists
EHS Environmental Health and Safety Dept
N/A Not Applicable
N/D Not Determined
N/E Not Established
OSHA Occupational Health and Safety Dept
PEL _ Personal Exposure Limit
STEL Short Term Exposure Limit
TLV Threshold Limit Value
TWA Time Weight Average
UNK Unknown
Prepared by: Regulatory Affairs Department
Disclaimer
Although the information and recommendations set forth herein(hereinafter"information")are presented in good faith and believed to be correct as of the date hereof,ChemTreat,
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 or reliance upon
information.No representation or warranties,either expressed 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.
ChemTreat CL280
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