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HomeMy WebLinkAboutNC0051161_Renewal (Application)_20210304 ' t.,p r,.V4s ROY COOPER i c -- Governor MICHAEL S.REGAN u'� . Secretary -tea"` M��,v S.DANIEL SMITH NORTH CAROL.INA Director Environmental Quality March 04, 2021 Town of Burnsville Attn: Jimmy Stamey, Operations Manager PO Box 97 Burnsville, NC 28714-0097 Subject: Permit Renewal Application No. NC0075965 Burnsville WTP Yancey County Dear Applicant: The Water Quality Permitting Section acknowledges the February 24, 2021 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely,X Charles eaver Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D E Q North Caro ra Depa rtrrent of Environment Qusiay I Dyson of Water Resources Asheve Regars tiff ce 12i59D U.S.70 H ghvr$}' I S'.v'ann$nos, North C$rot,n$28778 :;........\ /••• 8282Efi-05DD KINDER ORGAN PLANTATION PIPE LINE COMPANY NPDES Permit Renewal Application Package RECEIVED NCDEQ-Water Resources Section MAR 0 4 2021 Attn: John Hennessey, Supervisor 1617 Mail Service Center NCDEQ/pWR/NPDES Raleigh, NC 27699-1617 DATE: March 2, 2021 PERMIT: NC0051161 LOCATION: Greensboro Tank Farm COMMENTS: NPDES Permit #NC0051161 Permit Renewal Application Package 1000 Windward Concourse,Suite 450 Alpharetta,GA 30005 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMBRECEIVED N 4 0-0004 Form U.S.Environmental Protection Agency 1 . EPA Application for NPDES Permit to Discharge Wastewater ;BAR 0 4 2021 NPDES GENERAL INFORMATION SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1)) f=S 1.1 Applicants Not Required to Submit Form 1 Is the facility a new or existing publicly owned Is the facility a new or existing treatment works 1.1.1 12 treatment works? 1. . treating domestic sewage? If yes, STOP. Do NOT complete E✓ No If yes,STOP. Do NOT ❑✓ No Form 1.Complete Form 2A. complete Form 1. Complete Form 2S. 1.2 Applicants Required to Submit Form 1 1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing, operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is a. production facility? currently discharging process wastewater? ElYes 4 Complete Form 1 No ❑✓ Yes 4 Complete Form ❑ No o and Form 2B. 1 and Form 2C. 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing, mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that commenced to discharge? discharges only nonprocess wastewater? Yes 4 Complete Form 1 ❑✓ No Yes 4 Complete Form No and Form 2D. 1 and Form 2E. 1.2.5 Is the facility a new or existing facility whose discharge is composed entirely of stormwater a associated with industrial activity or whose discharge is composed of both stormwater and non-stormwater? ❑✓ Yes 4 Complete Form 1 ❑ No and Form 2F unless exempted by 40 CFR 122.26(b)(14)(x)or b 15 . SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2)) 2.1 Facility Name Greensboro Breakout Tank Farm i o 2.2 EPA Identification Number U NCD093787307 tcl 2.3 Facility Contact Name(first and last) Title Phone number v Gordon Terhune (770)457-2507 a Email address gordon_terhune@kindermorgan.com 2.4 Facility Mailing Address Street or P.O. box 4064 Winters Chapel Road City or town State ZIP code Doraville Georgia 30360 EPA Form 3510-1(revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 1 2.5 Facility Location .w Street,route number,or other specific identifier Q v 6907-A West Market Street a) a County name County code(if known) n a Guilford R - City or town State ZIP code Greensboro North Carolina 27409 SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3)) 3.1 SIC Code(s) Description(optional) 4613 w m 0 0 U cn 3.2 NAICS Code(s) Description(optional) 486910 U Cl) SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4)) 4.1 Name of Operator Products(SE)Pipe Line Corporation 0 4.2 Is the name you listed in Item 4.1 also the owner? o ❑✓ Yes IDNo 4.3 Operator Status R ❑ Public—federal ❑ Public—state ❑ Other public(specify) ❑✓ Private ❑ Other(specify) 4.4 Phone Number of Operator (336)547-3677 4.5 Operator Address Street or P.O. Box E 6907-A West Market Street c c w City or town State ZIP code o U Greensboro North Carolina 27409 m Q Email address of operator jimmy_stamey@kindermorgan.com SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5)) c -a 5.1 Is the facility located on Indian Land? J ❑Yes ❑✓ No EPA Form 3510-1(revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6)) 6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each) ❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of water) fluids) o NC0051161 a ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM) a) w ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑✓ Other(specify) CAA-Title V 03980T14 SECTION 7.MAP(40 CFR 122.21(f)(7)) 7.1 Have you attached a topographic map containing all required information to this application?(See instructions for 0 specific requirements.) co ❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.) SECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8)) 8.1 Describe the nature of your business. This is a bulk storage facility for hydrocarbon fuels(diesel,gasoline,and kerosene/jet fuel). The terminal receives product via pipeline.The terminal stores the product and then breaks out the product to other pipelines or further along the same pipeline.Kinder Morgan does not own the product stored in the tanks. cu 0 R SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9)) 9.1 Does your facility use cooling water? .1113 m ❑ Yes ❑✓ No 4 SKIP to Item 10.1. c9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at a, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your oY NPDES permitting authority to determine what specific information needs to be submitted and when.) o co c SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10)) 10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and 1) when.) ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section Section 301(n)) 302(b)(2)) ❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a)) Section 301(c)and(g)) ❑✓ Not applicable EPA Form 3510-1(revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d)) 11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application. For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not all applicants are required to provide attachments. Column 1 Column 2 O Section 1:Activities Requiring an NPDES Permit ❑ w/attachments ❑✓ Section 2:Name, Mailing Address,and Location ❑ w/attachments O Section 3: SIC Codes ❑ wl attachments ❑✓ Section 4:Operator Information ❑ wl attachments ❑✓ Section 5: Indian Land ❑ wl attachments c ❑✓ Section 6: Existing Environmental Permits ❑ wl attachments ai w/topographic Section 7:Map ❑✓ map ❑❑✓ w/additional attachments o ❑✓ Section 8:Nature of Business ❑ wl attachments ❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments ❑✓ Section 10:Variance Requests ❑ w/attachments -a ❑✓ Section 11: Checklist and Certification Statement ❑ w/attachments 11.2 Certification Statement U I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name(print or type first and last name) Official title Jimmy Stamey Operations Manager Signat e Date signed GLm� j/i/C7 d o2 I EPA Form 3510-1(revised 3-19) Page 4 // Guth,1 EI-in \ DRAINAGE TO OUTFACES `� ? N TOTAL DRAINAGE AREA TO OUTFALL 001:9.09 ACRES T ',.,a-. TOTAL IMPERVIOUS AREA TO OUTFALL 001:5.08 ACRES = I /J ? '' av <... TOTAL DRAINAGE AREA TO OUTFALL 002:24.95 ACRES c r ' TOTAL IMPERVIOUS AREA TO OUTFALL 002:1.13 ACRES \ </ \ OUTFALLS 001 AND 002 FLOW TO AN UNNAMED TRIBUTARY c � ., OF EAST FORK DEEP RIVER(SOUTHWEST) QQF f Ct 0 1 txt"c o I ki 3l vi. ire AVE" `�i L`7'/ ! \` , , 2 W fall, �__. \\ 4p. /_\ , if yzi, s.:\,,,,,.N.,,,,.N., On c a n2 \ ti� Newcomers wDorisHenderson ;..n � et•canerers Sdr 2 iCFSSNA DR ` p v WAGO��.- f`,NJPV ,4 (fA RAI i)R / \` �, 2 N Western / D 'Gulfad HS ' e° SITE BOUNDARY o J n V rJ N. \\ n o BUgHfP _� ? 0 i:lit\ °pl4"'�o c„ Drainage Area A \� `Q gr'0,cr :to Outfall 002 , YA' ),-;$ ,. Zfi q,n �e _• �Fo 0 q,�� Drainage Area to Outfall 001 `' �= OUTFALL 002 0`. y 1. LAT:36°4'23.6346"N t'‘. ., LONG:-79°55'27.7278"W 5 '''''''''''.‹... `:p , 0 W ,-I I. a 9n\\ O 5 OUTFALL 001 °•pa LAT:36°4'22.1946"N j?,,\ LONG:-79°55'40.4178"W Z a a' .4�fp PLO Ct/iMf _ _"_-------- _g . —___ Irprq C n 0 y � r. q'a / ' U V O ~Q Q z I HORNADAY Rl e i.. G „c p _ # , CO , fakik�� eFFcnw000 ( . y <. N A ( ` / �Q. ( _ _ SAP: 0 2,000' 4,000 f, \, e a0 �I �,' ;� ,. r (FEET) i_, v O Shining'- -'\''' .\ -) rF ', QC Light Arad f' w .. - �, Off. • \ i f 3 REFERENCE: / r\: Y GIS BASE LAYERS WERE OBTAINED FROM THE ESRI ONLINE USGS NATIONAL TOPOGRAPHIC �0 a BASEMAP. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS p J Tank Containment Dike Area 3 DISPLAYED ARE APPROXIMATED.THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, �o- 0" Boundary UNLESS STATED OTHERWISE. N�JE. Property in I SCALE: FIGURE NO. SITE MAP 1 ° = 2,000 ' 41, EllDATE: I" amw PRODUCTS(SE) PIPELINE CORPORATION -GREENSBORO BREAKOUT TANK FARM,PC-1 2-27-21 1 MUM 6907-A WEST MARKET STREET PROJECT NUMBER GREENSBORO,GUILFORD COUNTY, NORTH CAROLINA 21 1299C EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 Form U.S Environmental Protection Agency 2F Application for NPDES Permit to Discharge Wastewater NPDES *-,EPA STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY SECTION 1.OUTFALL LOCATION(40 CFR 122.21(g)(1)) 1.1 Provide information on each of the facility's outfalls in the table below Outfall Receiving Water Name Latitude Longitude Number 001 UT to fast Fork Deep River 36° 4' 22.19" N -79° 55' 40.41" W 0 .m 002 UT to East Fork Deep River 36° 4' 23.63" N -79° 55' 27.72" W U 0 J o » o » 0 o » o » SECTION 2.IMPROVEMENTS(40 CFR 122.21(g)(6)) 2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing, upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could affect the discharges described in this application? ❑ Yes ❑✓ No 4 SKIP to Section 3. 2.2 Briefly identify each applicable project in the table below. Final Compliance Dates Brief Identification and Affected Outfalls Source(s)of Discharge Description of Project (list outfall numbers) Required Projected c E 0 E 2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects that may affect your discharges)that you now have underway or planned?(Optional Item) ❑ Yes ❑ No EPA Form 3510-2F(Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 3.SITE DRAINAGE MAP(40 CFR 122.26(c)(1)(i)(A)) 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for 2 2 ( specific guidance.) in 73- o Yes ❑ No SECTION 4.POLLUTANT SOURCES(40 CFR 122.26(c)(1)(i)(B)) 4.1 Provide information on the facility's pollutant sources in the table below. Outfall Impervious Surface Area Total Surface Area Drained Number (within a mile radius of the facility) (within a mile radius of the facility) specify units specify units 001 5.08 acres 9.09 acres specify units specify units 002 1.13 acres 24.95 acres specify units specify units specify units specify units specify units specify units specify units specify units 4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content requirements.) Significant materials including gasoline,diesel,and jet fuel/kerosene have been onsite within the three years prior to this application. The materials have been stored within steel tanks in a diked area in a manner to prevent exposure to storm water.The storm water collected in the tank containment dikes are directed to onsite settling ponds prior to co discharge through Outfalls 001 and 002. Water directed from Pond 001 to Pond 002,prior to discharge at Outfall 002, is directed through a carbon filtration system prior to entering Pond 002. There are no pesticides,herbicides,soil conditioners or fertilizers applied at this facility. 0 a. 4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in stormwater runoff.(See instructions for specific guidance.) Stormwater Treatment Codes from Outfall Number Control Measures and Treatment Exhibit 2F-1 (list) 001 Carbon Filtration System for Water from Pond for Outfall 001 when directed to Outfall 002 2-A 001 and 002 Containment Dike around Material Storage Tanks prior to discharge to Outfalls 001 and 002 N/A 001 Settling Pond prior to discharge at Outfall 001 1-U 002 Settling Pond prior to discharge at Outfall 002 1-U EPA Form 3510-2F(Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 5.NON STORMWATER DISCHARGES(40 CFR 122.26(c)(1)(i)(C)) 5.1 I certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the presence of non-stormwater discharges. Moreover, I certify that the outfalls identified as having non-stormwater discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application. Name(print or type first and last name) Official title Jimmy Stamey Operations Manager Signature s Date signed V4c, /c) c? ,02 I a) 5.2 Provide th t sting information requested in the table below. Outfall Onsite Drainage Points Number J Description of Testing Method Used Date(s)of Testing Directly Observed During Test _ 001 Visual 02/26/2021 Outfall 001 `o = 002 Visual 2/26/2021 Outfall 002 0 z _ SECTION 6.SIGNIFICANT LEAKS OR SPILLS(40 CFR 122.26(c)(1)(i)(D)) 6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years. None 0- CI) `o Y a) -J C 0 V C _) SECTION 7.DISCHARGE INFORMATION(40 CFR 122.26(c)(1)(i)(E)) See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must o complete.Not all applicants need to complete each table. 7.1 Is this a new source or new discharge? o ❑ Yes 4 See instructions regarding submission of ❑✓ No 4 See instructions regarding submission of estimated data. actual data. Tables A,B,C,and D N 7.2 Have you completed Table A for each outfall? ElYes ❑ No EPA Form 3510-2F(Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process wastewater? ❑ Yes ❑✓ No 4 SKIP to Item 7.5. 7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater? ❑✓ Yes ❑ No 7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge? ❑✓ Yes ❑ No 4 SKIP to Item 7.7. 7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and provided quantitative data or an explanation for those pollutants in Table C? ❑✓ Yes ❑ No 7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions? ❑ Yes-SKIP to Item 7.18. ❑✓ No 7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge? ❑✓ Yes ❑ No 4 SKIP to Item 7.10. - 7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in Table C? ❑✓ Yes ❑ No 0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater? 7.0 ❑✓ Yes ❑ No 4 SKIP to Item 7.12. E. 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in 0) concentrations of 10 ppb or greater? ❑✓ Yes ❑ No 0 7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations of 100 ppb or greater? ❑ Yes ❑✓ No 4 SKIP to Item 7.14. 7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be discharged in concentrations of 100 ppb or greater? ❑ Yes ❑ No 7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)? ❑✓ Yes ❑ No 7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge? ❑ Yes ❑✓ No 4 SKIP to Item 7.17. 7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an explanation in Table C? ❑ Yes ❑ No 7.17 Have you provided information for the storm event(s)sampled in Table D? ❑ Yes ❑✓ No EPA Form 3510-2F(Revised 3-19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 a Used or Manufactured Toxics 2 7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or manufactured as an intermediate or final product or byproduct? 0 ❑ Yes ❑✓ No 4 SKIP to Section 8. 0 7.19 List the pollutants below,including TCDD if applicable. 1. 4. 7. cti 2. 5. 8. 0 _ 0 3. 6. 9. SECTION 8.BIOLOGICAL TOXICITY TESTING DATA(40 CFR 122.21(g)(11)) 8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on a receiving water in relation to your discharge within the last three years? 0 ❑✓ Yes ❑ No 4 SKIP to Section 9. F 8.2 Identify the tests and their purposes below. Submitted to NPDES o Test(s) Purpose of Test(s) Date Submitted Permitting Authority? Acute WET Toxicity Annually Required by Permit ❑✓ Yes 0 No See ATTACHMENT for summa ry of last 3 years of submittals. ❑ Yes ❑ No ❑ Yes ❑ No SECTION 9.CONTRACT ANALYSIS INFORMATION(40 CFR 122.21(g)(12)) 9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or consulting firm? ❑✓ Yes ❑ No 4 SKIP to Section 10. 9.2 Provide information for each contract laboratory or consulting firm below. Laboratory Number 1 Laboratory Number 2 Laboratory Number 3 Name of laboratory/firm ESC Lab Sciences PACE Analytical-Purchased c ESC Lab Sciences E Laboratory address 12065 Lebanon Road 12065 Lebanon Road >, Mount Juliet,TN 37122 Mount Juliet,TN 37122 c6 o Phone number U (615)758-5858 (615)758-5858 Pollutant(s)analyzed Oil&Grease,Total Phenol. Oil&Grease,Total Phenol. BTEX,Naphthalene,MTBE, BTEX,Naphthalene,MTBE, Total Suspended Solids, Total Suspended Solids, Turbidity,Acute Toxicity Turbidity,Acute Toxicity,COD, BOD,TOC,TKN,Ammonia(as N),Total Phosphorus EPA Form 3510-2F(Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 10.CI-ECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d)) 10,1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to complete all sections or provide attachments. Column 1 Column 2 ElSection 1 0 wl attachments(e.g.,responses for additional outfalls) ElSection 2 ❑ w/attachments El Section 3 El wl site drainage map El Section 4 ❑ wl attachments El Section 5 ❑ wl attachments El Section 6 ❑ wl attachments cu El Section 7 ElTable A 0 wl small business exemption request as "' ElTable B El wl analytical results as an attachment 0 ❑✓ Table C ✓❑ Table D 0 ElSection 8 ❑✓ w/attachments c co ❑✓ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms) Y I w ElSection 10 0 o 10.2 Certification Statement I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name(print or type first and last name) Official title Jimmy Stamey Operations Manager Signat Date signed (-014Art. 5/02/02 0 a? 1 EPA Form 3510-2F(Revised 3-19) Page 6 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE A.CONVENTIONAL AND NON CONVBJTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))1 You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall.See instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify units) Number of Storm Information Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use 30 Minutes Composite 30 Minutes Composite codes in instructions) 1. Oil and grease <6.63 mg/L 5.706 mg/L 21 2. Biochemical oxygen demand(BOD5) <2.0 mg/L 1 3. Chemical oxygen demand(COD) <25.0 mg/L 1 4. Total suspended solids(TSS) 29.8 mg/L 14.07 mg/L 21 5. Total phosphorus <0.050 mg/L 1 6. Total Kjeldahl nitrogen(TKN) <0.50 mg/L 1 7. Total nitrogen(as N) <0.10 mg/L 1 pH(minimum) 7.09 S.U. 1 8. pH(maximum) 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(A))1 List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify units) Number of Storm Information Pollutant and CAS Number(if available) Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new source/new During First During First dischargers only;use 30 Minutes Composite 30 Minutes Composite codes in instructions) ---Not Applicable--- 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))1 List each pollutant shown in Exhibits 2F-2, 2F-3,and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall.See the instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify units) Number of Storm Information Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use 30 Minutes Composite 30 Minutes Composite codes in instructions) Oil and Grease <6.63 mg/L 30.14 mg/L 21 Benzene <1 µg/L 0.5 µg/L 15 Ethylbenzene <1 µg/L 0.5 µg/L 15 Toluene 1.44 µg/L 0.929 µg/L 15 Phenol <40 µg/L 20 µg/L 15 Naphthalene <5 µg/L 2.5 µg/L 15 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.STORM EVENT INFORMATION(40 CFR 122.26(c)(1)(i)(E)(6)) Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample. Number of Hours Between Duration of Storm Event Total Rainfall During Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event Date of Storm Event Storm Event During Rain Event On hours) End of Previous Measurable Rain (in gallons or specify units) (in inches) Event (in gpm or specify units) Provide a description of the method of flow measurement or estimate. There were no flow-weighted composite sampling events conducted. Only one discharge event is sampled per month. EPA Form 3510-2F(Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE A.CONVENTIONAL AND NON CONVENTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))1 You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify units) Number of Storm Information Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use 30 Minutes Composite 30 Minutes Composite ) codes in instructions 1. Oil and grease <6.24 mg/L 5.706 mg/L 54 2. Biochemical oxygen demand(BODe) <2.0 mg/L 1 3. Chemical oxygen demand(COD) <25.0 mg/L 1 4. Total suspended solids(TSS) 20.6 mg/L 10.68 mg/L 59 5. Total phosphorus <0.050 mg/L 1 6. Total Kjeldahl nitrogen(TKN) <0.50 mg/L 1 7. Total nitrogen(as N) <0.10 mg/L 1 pH(minimum) 7.15 S.U. 1 8. pH(maximum) 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(A))1 List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify units) Number of Storm Information Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use 30 Minutes Composite 30 Minutes Composite codes in instructions) Not Applicable 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))1 List each pollutant shown in Exhibits 2F-2, 2F-3,and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall.See the instructions for additional details and requirements. Maximum Daily Discharge Average Daily Discharge Source of (specify units) (specify_units) Number of Storm Information Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new DuringFirst Flow-Weighted DuringFirst Flow-Weighted Events Sampled Composite Composite dischargers only;use 30 Minutes 30 Minutes codes in instructions) Oil and Grease <6.24 mg/L 5.706 mg/L 54 Benzene <1 µg/L 0.5 µg/L 59 Ethylbenzene <1 µg/L 0.5 µg/L 20 Toluene <5 µg/L 0.805 µg/L 59 Phenol 83.9 µg/L 25.075 µg/L 20 Naphthalene <5 µg/L 2.5 µg/L 20 I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2F(Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19 NCD093787307 NC0OS1161 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE D.STORM EVENT INFORMATION(40 CFR 122.26(c)(1)(i)(E)(6)) Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample. Number of Hours Between Duration of Storm Event Total Rainfall During Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units) (in inches) (in gpm or specify units) Event Provide a description of the method of flow measurement or estimate. There were no flow-weighted composite sampling events conducted. Only one discharge event is sampled per month. EPA Form 3510-2F(Revised 3-19) Page 13 / \ y' E Gudfud Elan DRAINAGE TO OUTFALLS -' /' N TOTAL DRAINAGE AREA TO OUTFALL 001:9.09 ACRES \ j� ..„,t 1 TOTAL IMPERVIOUS AREA TO OUTFALL 001:5.08 ACRES04 ( I t' �f Eucrroll,,,^ TOTAL DRAINAGE AREA TO OUTFALL 002:24.95 ACRES PF y.. TOTAL IMPERVIOUS AREA TO OUTFALL 002:1.13 ACRES \ c —! '; OUTFALLS 001 AND 002 FLOW TO AN UNNAMED TRIBUTARY ) -4 • \ [OF EAST FORK DEEP RIVER(SOUTHWEST) it o (8>i 'f�` v 3 C`` u L.T \ ? ) .,• ' ire ` 1T�, W I ( 4 rsr t S D6Y AVE i-� µ .. 2 VI fR 1614 � /I/ :1- '\- • , -)/(--- ('' , ri,,2",-; jt '' \'.2:,,. C'.'‘ , if4h \ _ _ ' 1 D<ns Henderson ....--/ / / ' `'�- ' _{ New ccmerz Sdi s O J1P ''n NA DR c C ESS O � ti 1fAR, ',WING n R 2 Western / y Guilford HS Q° ' SITE BOUNDARY — r, 1x a \ c g F � 1 1 B � � I1 g � r 1 N pop!AF w or ;Drainage Area J A `p 4'D^cr :to OUtfall 002 Mq` i wHnRe LB I. / a r • A�q� r Drainage Area _ it,_, �90 to Outfall 001 4 i--J f ` C--?' ti/ �` OUTFALL 002 �9%-- n `'tea, ) l \ LAT:36°4'23.6346"N _ �''__` :1-,,, t� .....477, m , ,..„... E < �� t LONG:-79°55'27.7278"W o ' �Y S ,._. _. l ,fr Hi I ! CAT:364221946"N I 1 \LONG:-79°55'40.4178"W Z F o/44 � `\. c F P � o f _ ) ' . , ., v e I`� I' N '/ f Y..s, / „L ' Pk`' IfORNAOgY R'D 2. o 0 _ O,Q 1J dot BCECMW O \ f BRAM8116A7f Ft O �i* II !• 111 .-.1".........;:-,s _j (FEET) u ' i 3 REFERENCE: U CI C% Lj? r L GIS BASE LAYERS WERE OBTAINED FROM THE ESRI ONLINE USGS NATIONAL TOPOGRAPHIC . / c, a BASEMAP. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS - a O �. Tank Containment Dike Area °' DISPLAYED ARE APPROXIMATED.THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, quo- •t% o �,t. , Mil Property Boundary UNLESS STATED OTHERWISE. N4 p y SCALE: FIGURE NO. iir SITE MAP 1 " = 2,000 ' DATE: "I PRODUCTS(SE)PIPELINE CORPORATION -GREENSBORO BREAKOUT TANK FARM, PC-1 2-27-21 1 6907-A WEST MARKET STREET PROJECT NUMBER GREENSBORO,GUILFORD COUNTY, NORTH CAROLINA 211299C J FORM 2F SECTION 8.2 - BIOLOGICAL TOXICITY TESTS Identify last 3 tests and their purposes below: OUTFALL 001 Submitted to NPDES Test Purpose Date Submitted Permitting Authority Acute Wet Toxicity Permit Required Annually Yes 8/25/2018 Acute Wet Toxicity Permit Required Annually Yes 2/25/2019 Acute Wet Toxicity Permit Required Annually Yes 2/25/2020 Note:—Outfall 001 sampled for Acute Toxicity in February 2021,results will be entered into eDMR by March 10' and hard copy of AT form to NCDEQ by March 30,2021. OUTFALL 002 Test Purpose Submitted to NPDES Date Submitted Permitting Authority Acute Wet Toxicity Permit Required Annually Yes 2/25/2019 Acute Wet Toxicity Permit Required Annually Yes 2/25/2020 Acute Wet Toxicity Permit Required Annually Yes 2/25/2021 GREENSBORO BREAKOUT TANK FARM -OUTFALL 001- NPDES Permit#0051161 Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021 Total Analysis Results with Units Monthly Daily Max. TSS Recoverable Oil and Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Average Flow Discharge Grease Phenolics Month/Year Sampling Date (MGD) (MOD) (mg/L) (µg/L) (mg/L) (µg/L) (VOL) (µg/L) (µg/L) (µg/L) (µg/L) (NTU) (%Mortality) March 2016 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S April 2016 N/S 0 0 N/S N/S N/S N/S N/5 N/5 N/5 N/S N/S N/S N/5 May 2016 5/4/2016 0.0814 0.0837 20.9 <40 <5.32 <1 <1 <5 <3 <5 4.32 N/A >100 June 2016 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S July 2016 7/11/2016 0.1627 0.1627 8.4 <40 <5.56 <1 <1 <5 <3 <5 1.83 N/A N/A August 2016 N/5 0 0 N/S N/S N/s N/S N/S N/S N/5 N/S N/S N/S N/S September 2016 N/S 0 0 N/S N/S N/S N/S N/S N/S N/5 N/S N/S N/5 N/S October 2016 10/10/2016 0.0838 0.1221 13.6 <40 <5.56 <1 <1 <5 <4 <5 1.4 11.6 N/A November 2016 N/S 0 0 N/S N/S N/5 N/S N/S N/5 N/S N/S N/s N/S N/S December 2016 N/S 0 0 N/S N/S N/S N/S N/S N/S N/5 N/S N/S N/5 N/S January 2017 N/S 0 0 N/5 N/S N/S N/S N/S N/S N/S N/S N/S N/s N/S February 2017 N/S 0 0 N/S N/5 N/S N/S N/S N/S N/S N/S N/S N/S N/S March 2017 N/S 0 0 N/5 N/S N/S N/S N/5 N/S N/S N/S N/S N/S N/S April 2017 4/27/2017 0.0279 0.0488 29.8 <40 <6.33 <1 <1 <1 <3 <5 2 38.4 >90 May 2017 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S June 2017 6/27/2017 0.0791 0.1221 14.2 N/A <6.25 N/A _ N/A N/A N/A N/A <1 9.11 N/A July 2017 N/S 0 0 N/S N/S N/S N/S N/5 N/5 N/S N/S N/S N/S N/S August 2017 N/5 0 0 N/S N/S N/5 N/S N/S N/S N/S N/s N/S N/S N/S September 2017 9/8/2017 0.1116 0.1116 29.6 <40 <5.75 <1 <1 <1 <3 <5 3.94 8.1 N/A October 2017 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S November 2017 N/5 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/5 N/S N/5 December 2017 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S January 2018 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/5 February 2018 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S March 2018 N/S 0 0 N/S N/5 N/S N/S N/S N/S N/S N/S N/S N/S N/S April 2018 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S May 2018 N/S 0 0 N/5 N/S N/S N/S N/S N/5 N/S N/S N/S N/S N/S lune 2018 N/S 0 0 N/S N/S N/S N/5 N/S N/5 N/S N/S N/S N/S N/5 July 2018 7/25/2018 0.1461 0.1675 19.3 <40 <5.68 <1 <1 <1 <3 <5 2.08 19.4 >90 August 2018 8/3/2018 0.1256 0.1396 20.5 N/A <5.95 N/A N/A N/A N/A N/A <1 22.1 N/A September 2018 9/24/2018 0.1041 D.1675 14.2 N/A <6.02 N/A N/A N/A N/A N/A 8 12.7 N/A October 2018 10/12/2018 0.0663 0.0977 12.4 <40 <5.75 <1 <1 <1 <3 <5 1.05 11.9 N/A November 2018 N/S 0 0 N/S N/5 N/S N/S N/S N/S N/S N/s N/S N/S N/S December 2018 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/5 N/S N/S January 2019 1/2/2019 0.0949 0.1675 5.73 <40 <5.88 <1 <1 <1 <3 <5 4.69 5.42 >90 February 2019 2/25/2019 0.1151 0.1675 5.59 N/A <5.81 N/A N/A N/A N/A N/A 4.25 10.4 N/A March 2019 N/S 0 0 N/S N/S N/S N/5 N/S N/S N/s N/S N/S N/S N/S April 2019 N/S 0 0 N/S N/S N/S N/s N/S N/S N/S N/S N/5 N/S N/S May 2019 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/5 June 2019 6/10/2019 0.1276 0.1675 17.2 <40 <5.62 <1 <1 1.44 <3 <5 1.63 9.94 N/A July 2019 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S August 2019 8/5/2019 0.0558 0.0698 11.5 <40 <5.81 <1 <1 <1 <3 <5 1.27 13.7 N/A September 2019 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S October 2019 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/5 N/S N/s N/S November 2019 11/4/2019 0.0628 _ 0.0837 16.3 <40 <5.75 <1 <1 <1 <3 <5 <1 17.4 N/A December 2019 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/5 N/S N/S N/S January 2020 1/6/2020 0.0863 0.1675 8 <40 <5.56 <1 <1 <1 <3 <5 8.14 12.1 >90 February 2020 2/5/2020 0.1248 0.1675 7.9 N/A <5.75 N/A N/A N/A N/A N/A 5.02 8.51 N/A March 2020 N/S 0 0 N/S N/5 N/S N/S N/S N/S N/S N/5 N/S N/s N/S April 2020 N/S 0 0 N/S N/5 N/S N/S N/S N/s N/S N/S N/S N/S N/S Greensboro Breakout Facility Outfall 001 Total Analysis Results with Units Monthly Daily Max. Oil and y Average Flow Discharge TSS Recoverable Grease Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Phenolics Month/Year Sampling Date (MGD) (MGD) (mg/L) (µg/L) (mg/L) (µg/L) (pg/L) (µg/L) (µg/L) (µg/L) (µg/L) (NTU) (%Mortality) July 2020 N/S 0 0 N/S N/S N/S N/S N/S N/S _ N/S N/S N/S N/S N/S August 2020 8/17/2020 0.1012 0.1675 13 <40 <5.32 <1 <1 <1 <3 <5 2.19 10.1 N/A September 2020 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S October 2020 N/S 0 0 N/S N/S N/S N/S N/S N/5 N/S N/S N/S N/S N/S November 2020 11/2/2020 0.1296 0.1675 13.8 <40 <5.56 <1 <1 <1 <3 <5 1.44 12 N/A December 2020 12/3/2020 0.1308 0.1675 6.9 N/A <5.68 N/A N/A N/A N/A N/A 4.57 6 N/A January 2021 1/4/2021 0.0735 0.0907 6.7 <40 <5.68 <1 <1 <1 <3 <5 15.7 6.69 N/A Number of Analyses 59 59 21 15 21 15 15 15 15 15 21 19 4 Long-Term Average Daily Discharge 0.0354 14.07 20 30.14 0.5 0.5 0.929 1.53 2.5 3.579 12.92 Maximum Monthly Discharge 0.1627 0.1675 29.8 <40 <6.63 <1 <1 1.44 <4 <5 15.7 22.1 >90 NOTES: 1. In calculating Long Term Average Daily Discharges,1/2 of the MDL was used for those results that were below detection limits. 2.The maximum daily discharge that occurred during the month for which the result was reported. 3.The maximum total monthly discharge reported from 2016-2021 MGD-milllion gallons per day Reported analyses are shown as BOLD. N/A-Not analyzed.Not required in previous permit. N/S-No discharge this month,so not sample collected. mg/L milligrams per liter µg/L-micrograms per liter Greensboro Breakout Facility Outfall 001 GREENSBORO BREAKOUT TANK FARM -OUTFALL 002- NPDES Permit#0051161 Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021 Monthly Daily Max Total Oil and Analysis Results with Units INS Recoverable Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Average Flow Discharge Grease Phenolics Month/year Sampling Date (MGD) (MGD) (mg/L) (µg/L) (mg/I.) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (NTU) (%Mortality) March 2016 3/2/2016 0.0749 0.64 6.9 N/A N/A <1 N/A <5 N/A N/A <1 N/A N/A April 2016 4/1/2016 0.0623 0.807 4.7 <40 <5.62 <1 <1 <5 <3 <5 <1 N/A N/A May 2016 5/4/2016 0.308 1.7315 18.4 N/A N/A <1 N/A <5 N/A N/A <1 N/A >100 June 2016 6/3/2016 0.1148 0.7797 20 N/A N/A <1 N/A <5 N/A N/A 1.78 N/A N/A July 2016 7/1/2016 0.0872 0.56 5 <40 <6.25 <1 <1 <5 <3 <5 <1 N/A N/A August 2016 8/1/2016 0.1083 0.56 13.8 N/A N/A <1 N/A <5 N/A N/A <1 N/A N/A September 2016 9/2/2016 0.4098 0.3456 43.5 N/A N/A <1 N/A <5 N/A N/A 1.39 48.3 N/A October 2016 10/3/2016 0.1794 2.03 20.6 <40 <5.88 <1 <1 <5 <3 <5 1.73 18 N/A November 2016 11/16/2016 0.0158 0.1046 4.72 N/A <5.78 <1 N/A <5 N/A N/A 1.47 7.5 N/A December2016 12/1/2016 0.0352 0.327 9.4 N/A <5.26 <1 N/A <1 N/A N/A <1 8.68 N/A January 2017 1/4/2017 0.1023 0.7857 <2.5 <40 <5.88 <1 <1 <1 <3 <5 <1 4.93 >90 February 2017 2/3/2017 0.0113 0.0641 4.34 N/A <6.25 <1 N/A <1 N/A N/A 1.15 5.47 N/A March 2017 3/6/2017 0.0449 0.3163 6.6 N/A <5.81 <1 N/A <1 N/A N/A <1 8.5 N/A April 2017 4/6/2017 0.1058 0.8353 18 <40 <6.25 <1 <1 <1 <3 <5 <1 11.8 N/A May 2017 5/5/2017 1.303 4.5763 15.4 N/A <6.41 <1 N/A <1 N/A N/A <1 16 N/A June 2017 6/13/2017 0.1714 1.0007 19 N/A <6.25 <1 N/A <1 N/A N/A <1 25.1 N/A July 2017 7/21/2017 0.0139 0.0937 6.57 <40 <5.95 <1 <1 <1 <3 <5 <1 16.7 N/A August 2017 8/8/2017 0.0334 0.1776 17.4 N/A <5.32 <1 N/A <1 N/A N/A <1 8.55 N/A September 2017 9/5/2017 0.0583 0.4144 10.1 N/A <5.62 <1 N/A <1 N/A N/A <1 7.02 N/A October 2017 10/8/2017 0.0563 0.3575 12 <40 <5.81 <1 <1 <1 <3 <5 <1 12 N/A November 2017 11/1/2017 0.0212 0.1921 9.56 N.A <5.62 <1 N/A <1 N/A N/A 1.23 15 N/A December 2017 12/11/2017 0.0289 0.205 6.2 N/A <5.56 <1 N/A <1 N/A N/A 1.77 8.22 N/A January 2018 1/16/2018 0.0859 0.5617 4.2 <40 <5.56 <1 <1 <1 <3 <5 2.51 9.55 N/A February 2018 2/5/2018 0.0778 0.4913 5.75 N/A <5.62 <1 N/A <1 N/A N/A <1 16.1 >90 March 2018 3/2/2018 0.0935 0.3782 11.7 N/A <5.56 <1 N/A <1 N/A N/A <1 10.7 N/A April 2018 4/11/2018 0.0923 0.8878 12.8 83.9 <5.75 <1 <1 <1 <3 <5 1.23 16.5 N/A May 2018 5/18/2018 0.0585 0.3113 13.8 N/A <5.49 <1 N/A <1 N/A N/A <1 16.4 N/A June 2018 6/4/2018 0.0584 0.4378 16.4 N/A <5.75 <1 N/A <1 N/A N/A <1 20 N/A July 2018 7/25/2018 0.0961 0.8143 18 <40 <5.62 <1 <1 _ <1 <3 <5 <1 16.5 N/A August 2018 8/3/2018 0.178 1.281 15.2 N/A <6.02 <1 N/A <1 N/A N/A <1 17.6 N/A September 2018 9/5/2018 0.1553 1.292 10.5 N/A <5.88 <1 N/A <1 N/A N/A <1 24.6 N/A October 2018 10/1/2018 0.108 1.331 6.95 <40 <5.75 <1 <1 <1 <3 <5 <1 23.2 N/A November 2018 11/1/2018 0.1499 0.8275 5.89 N/A <5.49 <1 N/A <1 N/A N/A <1 9.43 N/A December 2018 12/3/2018 0.1154 0.5469 2.5 N/A <5.75 <1 N/A <1 N/A N/A 1.61 5.76 N/A January 2019 1/2/2019 0.1089 0.4948 4.08 <40 <5.81 <1 <1 <1 <3 <5 2.85 6.32 >90 February 2019 2/15/2019 0.1433 0.9365 <2.5 N/A <5.81 <1 N/A <1 N/A N/A 1.45 3.99 N/A March 2019 3/5/2019 0.0979 0.4156 4.2 N/A <5.95 <1 N/A <1 N/A N/A 1.03 7.26 N/A April 2019 4/8/2019 0.0943 0.4359 5.79 <40 <5.88 <1 <1 <1 <3 <5 1.79 9.3 N/A May 2019 5/8/2019 0.036 0.2866 <5 N/A <5.49 <1 N/A <1 N/A N/A <1 15.7 N/A June 2019 6/7/2019 0.0932 1.044 3.2 N/A <5.38 <1 N/A <1 N/A N/A <1 6.95 N/A July 2019 7/17/2019 0.0997 0.7239 11 <40 <5.56 <1 <1 <1 <3 <5 <1 12.3 N/A August 2019 8/5/2019 0.1476 0.7082 17.3 N/A <5.81 <1 N/A <1 N/A N/A <1 24.1 N/A September 2019 9/4/2019 0.02868 0.4044 20.6 N/A <5.75 <1 N/A <1 N/A N/A <1 25.4 N/A October 2019 10/11/2019 0.1029 0.7674 17.3 <40 <5.68 <1 <1 <1 <3 <5 <1 21.3 N/A November 2019 11/4/2019 0.0695 0.352 10.9 N/A <5.75 <1 N/A <1 N/A N/A <1 r. 19.4 N/A December 2019 12/2/2020 0.1058 0.6471 12.1 N/A <5.26 <1 N/A <1 N/A N/A <1 21.5 N/A January 2020 1/6/2020 0.1144 0.4258 9.26 <40 <5.56 <1 <1 <1 <3 <5 <1 6.99 >90 February 2020 2/5/2020 0.1646 1.683 2.5 N/A <5.81 <1 N/A <1 N/A N/A <1 12.7 N/A March 2020 3/5/2020 0.3096 1.409 7.5 N/A <5.49 <1 N/A <1 N/A N/A <1 10.5 N/A April 2020 4/16/2020 0.0645 0.9623 18.8 57.6 <5.75 <1 <1 <1 <3 <5 <1 24.2 N/A Greensboro Breakout Facility Outfall 002 Total Analysis Results with Units Monthly Daily Max Oil and TSS Recoverable Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Average Flow Discharge Grease Phenolics Month/Year Sampling Date (MGD) (MGD) (mg/L) (µg/L) (mg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (NTU) (%Mortality) May 2020 5/4/2020 0.2067 1.489 4.6 N/A <5.38 <1 N/A <1 N/A N/A <1 11.6 N/A June 2020 6/2/2020 0.0619 0.4611 10.6 N/A <5.81 <1 N/A <1 N/A N/A <1 13.4 N/A July 2020 7/15/2020 0.0213 0.1845 7.57 <40 <5.44 <1 <1 <1 <3 <5 <1 6.02 N/A August 2020 8/13/2020 0.1562 0.8345 17.2 N/A <5.56 <1 N/A <1 N/A N/A <1 19 N/A September2020 9/9/2020 0.1566 1.1852 12.7 N/A <5.26 <1 N/A <1 N/A N/A <1 16.7 N/A October 2020 10/2/2020 0.1445 1.316 18 <40 <5.49 <1 <1 <1 <3 <5 <1 16.3 N/A November 2020 11/2/2020 0.1485 1.774 9 N/A <5.56 <1 N/A <1 N/A N/A <1 10.5 N/A December 2020 12/3/2021 0.1264 1.132 4.8 N/A <5.49 <1 N/A <1 N/A N/A <1 6.7 N/A January 2021 1/4/2021 0.0881 0.4074 5.5 <40 <5,68 <1 <1 <1 <3 <5 <1 9.69 N/A Number of Analyses 59 59 59 20 54 59 20 59 20 20 59 53 5 Long-Term Average Daily Discharge 0.1272 10.68 25.075 5.706 0.5 0.5 0.805 1.5 2.5 0.770 14.07 Maximum Monthly Discharge 1.303 4.5763 20.6 83.9 <6.24 <1 <1 <5 <3 <5 2.85 48.3 >100 NOTES: In calculating Long Term Average Daily Discharges,1/2 of the MDL was used for those results that were below detection limits. MGD-milllion gallons per day Detections are shown as BOLD. N/A-Not analyzed.Not required in previous permit. mg/L milligrams per liter µg/L-micrograms per liter Greensboro Breakout Facility Outfall 002 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 Form U.S.Environmental Protection Agency 2C Cy/EPA Application for NPDES Permit to Discharge Wastewater NPDES EXISTING MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURE OPERATIONS SECTION 1.OUTFALL LOCATION(40 CFR 122.21(g)(1)) 1.1 Provide information on each of the facility's outfalls in the table below. o Numbelr Receiving Water Name Latitude Longitude �. 001 UT to East Fork Deep River 36° 4' 22.19" N -79° 55' 40.41° W 002 UT to East Fork Deep River 36° 41' 23.63" N -79° 55' 27.72" W 0 SECTION 2.LINE DRAWING(40 CFR 122.21(g)(2)) Q, 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water .3 balance?(See instructions for drawing requirements.See Exhibit 2C-1 at end of instructions for example.) J c6 o ❑✓ Yes ❑ No SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(g)(3)) 3.1 For each outfall identified under Item 1.1,provide average flow and treatment information.Add additional sheets if necessary. **Outfall Number** 0o1 Operations Contributing to Flow Operation Average Flow Stormwater from Tank Containment Dike F/overland flow 0.0354 mgd Imgd mgd LL Treatment Units Description Code from Final Disposal of Solid or cr)co (include size,flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than retention time,etc.) by Discharge Settling Basin(0.0608 MGD) 1-U EPA Form 3510-2C(Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 3.1 **Outfall Number** 002 cont. Operations Contributing to Flow Operation Average Flow Stormwater from Tank Containment Dikes A-E/overland 0.1272 mgd mgd mgd mgd Treatment Units Description Code from Final Disposal of Solid or (include size,flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than retention time,etc.) by Discharge 0 Equilization Pool/Carbon Filtration(0.0254 MGD) 2-A Carbon offsite by Tetrasolv Settling Basin(0.1272 MGD) 1-U 0 U a� E ai H **Outfall Number** y Operations Contributing to Flow o Operation Average Flow • Imgd mgd mgd Treatment Units Description Code from Final Disposal of Solid or (include size,flow rate through each treatment unit, Table 2C•1 Liquid Wastes Other Than retention time,etc.) by Discharge 3.2 Are you applying for an NPDES permit to operate a privately owned treatment works? d ❑ Yes ❑✓ No 4 SKIP to Section 4. CI N3.3 Have you attached a list that identifies each user of the treatment works? ❑ Yes ❑ No EPA Form 3510-2C(Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 4.INTERMITTENT FLOWS(40 CFR 122.21(g)(4)) 4.1 Except for storm runoff, leaks,or spills,are any discharges described in Sections 1 and 3 intermittent or seasonal? ❑ Yes ❑✓ No 4 SKIP to Section 5. 4.2 Provide information on intermittent or seasonal flows for each applicable outfall.Attach additional pages,if necessary. Outfall Operation Frecuency Flow Rate Number (list) Average Average Long-Term Maximum Duration Days/Week MonthslYear Average Daily days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days days/week months/year mgd mgd days SECTION 5.PRODUCTION(40 CFR 122.21(g)(5)) 5.1 Do any effluent limitation guidelines(ELGs)promulgated by EPA under Section 304 of the CWA apply to your facility? ❑ Yes ❑✓ No-4 SKIP to Section 6. 5.2 Provide the following information on applicable ELGs. w ELG Category ELG Subcategory Regulatory Citation Ui a 5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)? ❑ Yes ❑ No SKIP to Section 6. 5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs. Outfall Unit of Operation,Product,or Material Quantity per Day -p Number Measure O O d EPA Form 3510-2C(Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 6.IMPROVEMENTS(40 CFR 122.21(g)(6)) 6.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing, upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could affect the discharges described in this application? ❑ Yes ❑✓ No 4 SKIP to Item 6.3. 6.2 Briefly identify each applicable project in the table below. Affected Final Compliance Dates Brief Identification and Description of Outfalls Source(s)of o Project (list outfall Discharge Required Projected number) CCS (11 U a, C- 6.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects that may affect your discharges)that you now have underway or planned?(optional item) ❑ Yes ❑ No ✓❑ Not applicable SECTION 7.EFFLUENT AND INTAKE CHARACTERISTICS(40 CFR 122.21(g)(7)) See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must complete. Not all applicants need to complete each table. Table A.Conventional and Non-Conventional Pollutants 7.1 Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of your outfalls? ❑ Yes ❑✓ No 4 SKIP to Item 7.3. 7.2 If yes,indicate the applicable outfalls below.Attach waiver request and other required information to the application. Outfall Number Outfall Number Outfall Number tn 7.3 Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been N requested and attached the results to this application package? No;a waiver has been requested from my NPDES ❑✓ Yes ❑ permitting authority for all pollutants at all outfalls. Table B.Toxic Metals,Cyanide,Total Phenols,and Organic Toxic Pollutants 7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories co listed in Exhibit 2C-3?(See end of instructions for exhibit.) ❑ Yes ❑✓ No 4 SKIP to Item 7.8. 7.5 Have you checked"Testing Required"for all toxic metals,cyanide,and total phenols in Section 1 of Table B? ,;, ❑ Yes ❑ No 7.6 List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)identified in Exhibit 2C-3. Primary Industry Category Required GC/MS Fraction(s) (Check applicable boxes.) ❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide ❑Volatile 0 Acid ❑Base/Neutral 0 Pesticide ❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide EPA Form 3510-2C(Revised 3-19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 7.7 Have you checked"Testing Required"for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS fractions checked in Item 7.6? ❑ Yes ❑ No 7.8 Have you checked"Believed Present"or"Believed Absent"for all pollutants listed in Sections 1 through 5 of Table B where testing is not required? ❑✓ Yes ❑ No 7.9 Have you provided(1)quantitative data for those Section 1,Table B,pollutants for which you have indicated testing is required or(2)quantitative data or other required information for those Section 1,Table B,pollutants that you have indicated are"Believed Present"in your discharge? ✓❑ Yes ❑ No 7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions? ❑ Yes 4 Note that you qualify at the top of Table B, ❑✓ No then SKIP to Item 7.12. cp 7.11 Have you provided(1)quantitative data for those Sections 2 through 5,Table B,pollutants for which you have o determined testing is required or(2)quantitative data or an explanation for those Sections 2 through 5,Table B, pollutants you have indicated are"Believed Present"in your discharge? .N ✓❑ Yes 0 No ' Table C.Certain Conventional and Non-Conventional Pollutants 7.12 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table C for all outfalls? ❑✓Y Yes 0 No 0 7.13 Have you completed Table C by providing(1)quantitative data for those pollutants that are limited either directly or indirectly in an ELG and/or(2)quantitative data or an explanation for those pollutants for which you have indicated ;t` "Believed Present"? a) ❑✓ Yes 0 No Table D.Certain Hazardous Substances and Asbestos 7.14 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table D for all outfalls? ✓❑ Yes 0 No 7.15 Have you completed Table D by(1)describing the reasons the applicable pollutants are expected to be discharged and(2)by providing quantitative data,if available? ❑✓ Yes 0 No Table E.2,3,7,8-Tetrachlorodibenzo-p-Dioxin(2,3,7,8-TCDD) 7.16 Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions,or do you know or have reason to believe that TCDD is or may be present in the effluent? ❑ Yes 4 Complete Table E. ❑✓ No 4 SKIP to Section 8. 7.17 Have you completed Table E by reporting qualitative data for TCDD? ❑ Yes El No SECTION 8.USED OR MANUFACTURED TOXICS(40 CFR 122.21(g)(9)) 8.1 Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as an intermediate or final product or byproduct? 0 Yes ❑✓ No 4 SKIP to Section 9. 8.2 List the pollutants below. 1. 4. 7. o` 2. 5. 8. co 3. 6. 9. EPA Form 3510-2C(Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 9.BIOLOGICAL TOXICITY TESTS(40 CFR 122.21(g)(11)) 9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made within the last three years on(1)any of your discharges or(2)on a receiving water in relation to your discharge? �, ❑✓ Yes ❑ No 4 SKIP to Section 10. 9.2 Identify the tests and their aurposes below. Submitted to NPDES Test(s) Purpose of Test(s) Date Submitted Permitting Authority? o Acute WET Toxicity Permit Required Annually rcs ✓❑ Yes ❑ No 0 See ATTACHMENT for 00 summary of last 3 years ❑ Yes ❑ No of submittals for Outfall 001 and Outfall 002. ❑ Yes ❑ No SECTION 10.CONTRACT ANALYSES(40 CFR 122.21(g)(12)) 10.1 Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm? ❑✓ Yes ❑ No 4 SKIP to Section 11. 10.2 Provide information for each contract laboratory or consulting firm below. Laboratory Number 1 Laboratory Number 2 Laboratory Number 3 Name of laboratory/firm ESC Lab Sciences PACE Analytical Laboratory (purchased ESC Lab Sciences) Laboratory address 12065 Lebanon Road 12065 Lebanon Road Mount Juliet,TN 31722 Mount Juliet,TN 31722 0 0 Phone number (615)758-5858 (615)758-5858 Pollutant(s)analyzed Turbidity,TSS,Oil&Grease, Turbidity,TSS,Oil&Grease, Total Phenolics,BTEX, Total Phenolics,BTEX, Naphthalene,MTBE,Acute Naphthalene,MTBE,Acute Toxicity Toxicity,TOC,BOD,COD,Total Phosphorus,TKN,Ammonia as N SECTION 11.ADDITIONAL INFORMATION(40 CFR 122.21(g)(13)) 11.1 Has the NPDES permitting authority requested additional information? ❑ Yes ❑✓ No 4 SKIP to Section 12. 0 11.2 List the information requested and attach it to this application. `0 1. 4. 0 2. 5. 3. 6. EPA Form 3510-2C(Revised 3-19) Page 6 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm OMB No.2040-0004 SECTION 12.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d)) 12.1 In Column 1 below,mark the sections of Form 2C that you have completed and are submitting with your application. For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to complete all sections or provide attachments. Column 1 Column 2 ✓❑ Section 1: Outfall Location ❑ w/attachments ❑✓ Section 2:Line Drawing ✓❑ w/line drawing ❑ w/additional attachments Section 3:Average Flows and w/list of each user of ❑✓ Treatment ❑ w/attachments 0 privately owned treatment works ❑✓ Section 4: Intermittent Flows ❑ wl attachments ❑✓ Section 5:Production ❑ wl attachments wl optional additional ❑✓ Section 6:Improvements El w/attachments ❑ sheets describing any additional pollution control plans ❑ w/request for a waiver and ❑ w/explanation for identical supporting information outfalls w/small business exemption wl other attachments ❑ request ❑ Section 7: Effluent and Intake `" ❑✓Characteristics w/Table A ❑✓ w/Table B 0 ❑✓ w/Table C ❑✓ w/Table D ❑✓ w/Table E ❑ wl analytical results as an c� attachment ❑✓ Section 8:Used or Manufactured ❑ wl attachments �, Toxics ❑ Section 9: Biological Toxicity ❑ w/attachments -c Tests U ❑✓ Section 10:Contract Analyses ❑ wl attachments ❑✓ Section 11:Additional Information ❑ wl attachments ❑ Section 12:Checklist and ❑ w/attachments Certification Statement 12.2 Certification Statement I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true, accurate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations. Name(print or type first and last name) Official title Jimmy Stamey Operations Manager Signat a Date signed _ILI 3 p bot EPA Form 3510-2C(Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 - TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))l Effluent Intake Waiver (Optional) Pollutant Requested Units Maximum Maximum Long-Term (if applicable ) (specify) Daily Monthly Average Daily Number of Long-Term Number of Discharge Discharge Discharge Analyses Average Value Analyses (required) (if available) (if available) ❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall. Biochemical oxygen demand Concentration mg/L <2.0 1 1' El(BODS) Mass Chemical oxygen demand Concentration mg/L <25 1 2. ❑ (COD) Mass Concentration mg/1 <1.0 1 3. Total organic carbon(TOC) ❑ Mass Concentration mg/L 29.8 14.07 21 4. Total suspended solids(TSS) ❑ Mass Concentration mg/L <0.10 1 5. Ammonia(as N) ❑ Mass • 6. Flow ❑ Rate MGD 0.1675 0.1627 0.0354 59 Temperature(winter) 0 °C °C 9.1 1 7. Temperature(summer) 0 °C °C pH(minimum) 0 Standard units S.U. 7.09 1 8. — pH(maximum) ❑ Standard units s.u. 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 . TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term Daily Discharge Discharge Discharge Analyses Average Analyses (required) (if available) (if available) Value 0 Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2 through 5 of this table. Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge. Section 1.Toxic Metals,Cyanide,and Total Phenols Antimony,total Concentration 1.1 (7440 36 0) El 0 0 Mass Arsenic,total ✓ Concentration 1.2 (7440-38-2) El El Beryllium,total Concentration 1.3 El El (7440-41-7) Mass Cadmium,total Concentration 1.4 El (7440-43-9) El 0 Mass Chromium,total Concentration 1.5 (7440-47-3) 0 0 Mass Copper,total Concentration 1.6 0 0 (7440-50-8) Mass 1.7 Lead,total Concentration (7439-92-1) Mass Mercury,total Concentration 1.8 (7439-97-6) Mass 1.9 Nickel,total Concentration (7440-02-0) Mass 1.10 Selenium,total El Concentration El 0 (7782-49-2) Mass Silver,total Concentration 1.11 El (7440-22-4) 0 0 Mass EPA Form 3510-2C(Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC00511.61 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term Discharge e(required) (if available) DischargeDaily Analyses Averageischarge Value Analyses re wred (if available) Thallium,total Concentration 1.12 (7440 28 0) ❑ � Mass 1.13 Zinc,total Concentration ID El El (7440-66-6) Mass 1.14 Cyanide,total I: ElConcentration (57-12-5) Mass Concentration mg/L <40 20 15 1.15 Phenols,total I=1 0 ❑ Mass Section 2.Organic Toxic Pollutants(GCIMS Fraction—Volatile Compounds) Acrolein Concentration 2.1 (107 02 8) ❑ � Mass 2.2 Acrylonitrile Concentration (107-13-1) Mass 2.3 Benzene Concentration µg/L <1 0.5 15 (71-43-2) Mass 2.4 Bromoform Concentration El El 0 (75-25-2) Mass 2.5 Carbon tetrachloride Concentration (56-23-5) Mass Chlorobenzene Concentration 2.6 (108-90-7) Mass Chlorodibromomethane Concentration 2.7 (124-48-1) Mass 2.8 Chloroethane Concentration - El El El (75-00-3) Mass EPA Form 3510-2C(Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term Daily of of Discharge Discharge Average (required) (if available) Discharge Analyses Value Analyses (if available) 2-chloroethylvinyl ether Concentration 2'9 (110-75-8) Mass 2.10 Chloroform(67-66-3) 0 0 0 Concentration Mass 2.11 Dichlorobromomethane Concentration (75-27-4) Mass _ 212 11-dichloroethane 0 Concentration (75-34-3) Mass 213 12-dichloroethane 0 Concentration (107-06-2) Mass 2.14 1,1-dichloroethylene 0 Concentration (75-35-4) Mass 2.15 1,2-dichloropropane Concentration (78-87-5) Mass 2.16 1,3-dichloropropylene 0 Concentration (542-75-6) Mass 2.17 Ethylbenzene Concentration µg/L <1 0.5 15 15 (100-41-4) Mass 2.18 Methyl bromide Concentration (74-83-9) Mass 2.19 Methyl chloride Concentration (74-87-3) Mass 2.20 Methylene chloride Concentration (75-09-2) Mass 2.21 1 1,2 2-tetrachloroethane ID El Concentration (79-34-5) Mass EPA Form 3510-2C(Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of D(req ischai ed a Df availableischarle) Discharge harge Analyses AValuee Analyses (if available) 2.22 Tetrachloroethylene ElConcentration (127-18-4) Mass Toluene Concentration µg/L 1.44 0.929 15 2.23 (108-88-3) Mass 2.24 1,2-trans-dichloroethylene ❑ Concentration (156-60-5) Mass 2.25 1,1,1-trichloroethane ❑ Concentration (71-55-6) Mass 2.26 1,1,2-trichloroethane 0 Concentration (79-00-5) Mass 2.27 Trichloroethylene ❑ Concentration (79-01-6) Mass 2.28 Vinyl chloride Concentration (75-01-4) Mass Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds) 3.1 2-chlorophenol ❑ Concentration (95-57-8) Mass 3.2 2,4-dichlorophenol ❑ Concentration (120-83-2) Mass 3.3 2,4-dimethylphenol Concentration El El El (105-67-9) Mass 3.4 4,6-dinitro-o-cresol Concentration 0 El El (534-52-1) Mass 3.5 2,4-dinitrophenol Concentration El El 0 (51-28-5) Mass EPA Form 3510-2C(Revised 3-19) Page 14 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 . TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Discharge Discharge Discharge Average har a Analyses Analyses (required) (if available) (if available) Value 3.6 2-nitrophenol Concentration (88-75-5) Mass 4-nitrophenol Concentration 3.7 (100-02-7) Mass 3.8 P chloro m cresol 0 0 0 Concentration (59-50-7) Mass 3.9 Pentachlorophenol � Concentration El (87-86-5) Mass Phenol Concentration 3.10 (108-95-2) � � E Mass 3.11 2,4,6-trichlorophenol 0 Concentration (88-05-2) Mass Section 4.Organic Toxic Pollutants(GCIMS Fraction—Base/Neutral Compounds) 4.1 Acenaphthene Concentration 0 El El (83-32-9) Mass 4.2 Acenaphthylene Concentration (208-96-8) Mass 4.3 Anthracene Concentration El El El (120-12-7) Mass 4.4 Benzidine Concentration (92-87-5) Mass 4.5 Benzo(a)anthracene ElConcentration 0 El (56-55-3) Mass Benzo(a)pyrene Concentration 4.6 (50-32-8) El � � Mass EPA Form 3510-2C(Revised 3-19) Page 15 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 , TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term D(required) aily of of ifavalabischarge eDischarge) Discharge Analyses AverageValue Analyses (if available) 3,4-benzofluoranthene Concentration 4.7 (205-99-2) Mass 4.8 Benzo(ghi)perylene Concentration (191-24-2) Mass Benzo(k)fluoranthene Concentration 4.9 (207-08-9) Mass 4.10 Bis(2-chloroethoxy)methane Concentration 0 El El (111-91-1) Mass 4.11 Bis(2-chloroethyl)ether Concentration (111-44-4) Mass 4.12 Bis(2-chloroisopropyl)ether Concentration (102-80-1) Mass 4.13 Bis(2-ethylhexyl)phthalate 1:1 Concentration El ID (117-81-7) Mass 4.14 4-bromophenyl phenyl ether C3 Concentration El C3 (101-55-3) Mass 4.15 Butyl benzyl phthalate Concentration El El El (85-68-7) Mass 4.16 2-chloronaphthalene 1=I Concentration (91-58-7) Mass 4-chlorophenyl phenyl ether Concentration 4.17 (7005-72-3) Mass Chrysene Concentration 4.18 El(218-01-9) 0 Mass 4.19 Dibenzo(a,h)anthracene Concentration (53-70-3) Mass EPA Form 3510-2C(Revised 3-19) Page 16 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))l Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Daily of Term of Discharge e(required) (if available) Discharge Analyses Averageischarge Value Analyses re uired (if available) 4.20 1,2-dichlorobenzene Concentration (95-50-1) Mass 4.21 13-dichlorobenzene 0 Concentration (541-73-1) Mass 4.22 1,4-dichlorobenzene ❑ Concentration (106-46-7) Mass 4.23 3,3-dichlorobenzidine ❑ Concentration (91-94-1) Mass 4.24 Diethyl phthalate 0 Concentration (84-66-2) Mass 4.25 Dimethyl phthalate ❑ Concentration (131-11-3) Mass 4.26 Di-n-butyl phthalate ElConcentration (84-74-2) Mass 4.27 2,4-dinitrotoluene Concentration (121-14-2) Mass 2,6-dinitrotoluene Concentration 4.28 (606-20-2) � ❑ 0 Mass 4.29 Di n octyl phthalate Concentration El El 0 (117-84-0) Mass 1,2-Diphenylhydrazine Concentration 4.30 (as azobenzene)(122-66-7) Mass 4.31 Fluoranthene Concentration (206-44-0) Mass 4.32 Fluorene Concentration (86-73-7) Mass EPA Form 3510-2C(Revised 3-19) Page 17 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 . TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Termof Discharge Discharge DisDcharaily ge Analyses AverageValue Analyses (required) (if available) (if available) Hexachlorobenzene Concentration 4.33 (118-74-1) Mass 4.34 Hexachlorobutadiene 0 Concentration 0 El (87-68-3) Mass 4.35 Hexachlorocyclopentadiene Concentration El El 0 (77-47-4) Mass 4.36 Hexachloroethane El Concentration El (67-72-1) ✓ Mass Indeno(1,2,3-cd)pyrene Concentration 4.37 (193 39 5) � � El Mass 4.38 Isophorone Concentration El 0 El (78-59-1) Mass 4.39 Naphthalene 0 El El Concentration µg/L <5 2.5 15 (91-20-3) Mass 4.40 Nitrobenzene Concentration (98-95-3) Mass 4.41 N-nitrosodimethylamine ElConcentration (62-75-9) Mass 4.42 N-nitrosodi-n-propylamine 0 Concentration 0 El (621-64-7) Mass 4.43 N-nitrosodiphenylamine ElConcentration (86-30-6) Mass 4.44 Phenanthrene 0 Concentration (85-01-8) Mass Pyrene Concentration 4.45 (129-00-0) Mass EPA Form 3510-2C(Revised 3-19) Page 18 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(01 Presence or Absence Intake (check one) Effluent (optional) PollutantlParameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Daily of Term of Discharge e(required) f available)Discharge Discharge Analyses AValuee Analyses ( Q ) ( (if available) 1,2,4-trichlorobenzene Concentration 4.46 (120-82-1) ❑ ❑ ❑ Mass Section 5.Organic Toxic Pollutants(GCIMS Fraction—Pesticides) 5.1 Aldrin El ❑ ❑ Concentration (309-00-2) Mass a-BHC Concentration 5.2 (319-84-6) El 0 Mass 13-BHC Concentration 5.3 (319 85 7) 0 0 0 Mass y-BHC Concentration 5.4 (58 89 9) El El 0Mass b-BHC Concentration 5.5 (319 86 8) 0 0 0 Mass Chlordane Concentration 5.6 (57-74-9) El ElMass 5.7 4 4'-DDT 0 0 0 Concentration (50-29-3) Mass 4 4'-DDE Concentration 5.8 (72-55-9) 0 El El 5.9 4 4'-DDD El ❑ ❑ Concentration (72-54-8) Mass Dieldrin Concentration 5.10 (60-57-1) 0 0 0 Mass 5.11 a-endosulfan El ❑ ❑ Concentration (115-29-7) Mass EPA Form 3510-2C(Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Daily of Term of Discharge(regre Dischargef available) Discharge Analyses AverageValue Analyses (if available) p-endosulfan Concentration 5.12 (115 29 7) 0 Mass 5.13 Endosulfan sulfate Concentration 0 0 (1031-07-8) ✓ Mass 5.14 Endrin Concentration El El (72-20-8) ✓ Mass Endrin aldehyde Concentration 5.15 (7421-93-4) Mass 5.16 Heptachlor Concentration El 0 El (7644-8) Mass Heptachlor epoxide Concentration 5.17 (1024-57-3) El 0 0 Mass PCB-1242 Concentration 5.18 (53469-21-9) ❑ 0 0 Mass PCB-1254 Concentration 5.19 (11097-69-1) ❑ 0 0 Mass PCB-1221 Concentration 5.20 (11104-28-2) 0 ❑ ✓❑ Mass PCB-1232 Concentration 5.21 (11141-16-5) El 0 ✓❑ Mass PCB-1248 Concentration 5.22 (12672-29-6) ❑ 0 0 Mass PCB-1260 Concentration 5.23 (11096-82-5) 0 0 0 Mass PCB-1016 Concentration 5.24 (12674-11-2) 0 0 0 Mass EPA Form 3510-2C(Revised 3-19) Page 20 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Daily of Term of Discharge Discharge(if availablle) Discharge Analyses Average ee Analyses (required) (if available) Toxaphene Concentration 5.25 (8001-35-2) 0 0 0 Mass I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 21 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence Intake (check one) Effluent (Optional) Pollutant Units Maximum Long-Term Believed Believed (specify) Maximum Daily Long-Term Present Absent Discharge Monthly Average Daily Number of Average Number of Discharge Discharge Analyses Analyses (required) Value (if available) (if available) ❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for each pollutant. El Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for each pollutant. 1 Bromide ❑ 0 Concentration (24959-67-9) Mass Chlorine,total Concentration 2' El residual ❑ Mass 3. Color ❑ ElConcentration Mass Concentration 4. Fecal coliform ❑ ElMass 5 Fluoride ❑ 0 Concentration (16984-48-8) Mass 6 Nitrate-nitrite ❑ 0 Concentration Mass y Nitrogen,total ❑ 0 Concentration organic(as N) Mass Concentration mg/L <6.63 30.14 21 8. Oil and grease El ❑ Mass Phosphorus(as Concentration 9. P),total(7723-14-0) ❑ ❑ Mass 10. Sulfate(as SO4) ❑ ❑ Concentration (14808-79-8) Mass 11. Sulfide(as S) El 0 Concentration Mass EPA Form 3510-2C(Revised 3-19) Page 23 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence (check one) Effluent Intake (Optional) Units Pollutant Maximum Long-Term Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of Present Absent Discharge Discharge Discharge Analyses Average Analyses (required) (if available) (if available) Value 12. Sulfite(as SOa) 0 ❑✓ Concentration (14265-45-3) Mass Concentration 13. Surfactants ❑ ❑✓ Mass 14. Aluminum,total ❑ ✓❑ Concentration (7429-90-5) Mass 15. Barium,total ❑ ❑✓ Concentration (7440-39-3) Mass Boron,total Concentration 16. (744042-0) 0 0 Mass 17 Cobalt,total ❑ Concentration El (7440-48-4) Mass 18 Iron,total 0 ❑ Concentration (7439-89-6) Mass 19 Magnesium,total ❑ ❑✓ Concentration (7439-95-4) Mass Molybdenum, Concentration 20. total 0 ❑✓ (7439-98-7) Mass 21 Manganese,total ❑ ❑ Concentration (7439-96-5) Mass 22 Tin,total ❑ ❑ Concentration (7440-31-5) Mass 23 Titanium,total ❑ ❑✓ Concentration (7440-32-6) Mass EPA Form 3510-2C(Revised 3-19) Page 24 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 . TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence (check one) Effluent Intake (Optional) Pollutant Units Maximum Long-Term Believed Believed (specify) Maximum Daily Long-Term Present Absent Discharge Monthly Average Daily Number of Average Number of Discharge Discharge Analyses Analyses (required) Value (if available) (if available) 24. Radioactivity Concentration Alpha,total ❑ ❑✓ Mass Concentration Beta,total 0 0 Mass Radium,total ❑ Concentration Mass Concentration Radium 226,total 0 0 Mass 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 25 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))l Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 1. Asbestos ❑ ❑✓ 2. Acetaldehyde 0 ❑✓ 3. Allyl alcohol 0 ❑✓ 4. Allyl chloride 0 0 5. Amyl acetate 0 ❑✓ 6. Aniline 0 ❑✓ 7. Benzonitrile 0 0 8. Benzyl chloride 0 ❑✓ 9. Butyl acetate 0 0 10. Butylamine 0 0 11. Captan 0 0 12. Carbaryl 0 ❑✓ 13. Carbofuran 0 0 14. Carbon disulfide 0 0 15. Chlorpyrifos 0 ❑✓ 16. Coumaphos 0 0 17. Cresol 0 ❑✓ 18. Crotonaldehyde 0 0 19. Cyclohexane 0 0 EPA Form 3510-2C(Revised 3-19) Page 27 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 20. 2,4-D(2,4-dichlorophenoxyacetic acid) ❑ ❑✓ 21. Diazinon 0 0 22. Dicamba 0 ❑✓ 23. Dichlobenil 0 ❑✓ 24. Dichlone 0 ❑✓ 25. 2,2-dichloropropionic acid 0 ❑✓ 26. Dichlorvos ❑ ❑✓ 27. Diethyl amine 0 ❑✓ 28. Dimethyl amine 0 ❑✓ 29. Dintrobenzene 0 0 30. Diquat 0 ❑✓ 31. Disulfoton ❑ ❑✓ 32. Diuron ❑ ❑✓ 33. Epichlorohydrin 0 ❑✓ 34. Ethion ❑ ❑✓ 35. Ethylene diamine 0 ❑✓ 36. Ethylene dibromide 0 ❑✓ 37. Formaldehyde 0 ❑✓ 38. Furfural 0 ❑✓ EPA Form 3510-2C(Revised 3-19) Page 28 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii)p Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 39. Guthion ❑ 0 40. Isoprene ❑ ❑✓ 41. lsopropanolamine ❑ ❑✓ 42. Kelthane ❑ 0 43. Kepone 0 ❑✓ 44. Malathion ❑ ❑✓ 45. Mercaptodimethur ❑ ❑✓ 46. Methoxychlor ❑ ❑✓ 47. Methyl mercaptan ❑ ❑✓ 48. Methyl methacrylate 0 ❑✓ 49. Methyl parathion ❑ ❑✓ 50. Mevinphos ❑ ❑✓ 51. Mexacarbate ❑ ❑✓ 52. Monoethyl amine ❑ ❑✓ 53. Monomethyl amine ❑ ✓❑ 54. Naled ❑ 0 55. Naphthenic acid ❑ 0 56. Nitrotoluene ❑ ❑✓ 57. Parathion ❑ ❑✓ EPA Form 3510-2C(Revised 3-19) Page 29 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 58. Phenolsulfonate ❑ 0 59. Phosgene ❑ 0 60. Propargite ❑ 0 61. Propylene oxide 0 0 62. Pyrethrins 0 0 63. Quinoline 0 ❑✓ 64. Resorcinol 0 ❑✓ 65. Strontium ❑ ❑✓ 66. Strychnine ❑ 0 67. Styrene ❑ 0 68. 2,4,5-T(2,4,5-trichlorophenoxyacetic ❑ ❑ acid) 69. TDE(tetrachlorodiphenyl ethane) ❑ ❑✓ 70. 2,4,5-TP[2-(2,4,5-trichlorophenoxy) ❑ ❑ propanoic acid] 71. Trichlorofon ❑ 0 72. Triethanolamine ❑ 0 73. Triethylamine 0 ❑✓ 74. Trimethylamine ❑ ❑✓ 75. Uranium 0 ❑✓ 76. Vanadium ❑ 0 EPA Form 3510-2C(Revised 3-19) Page 30 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 77. Vinyl acetate ❑ ❑✓ 78. Xylene ❑ ❑✓ 79. Xylenol ❑ ❑✓ 80. Zirconium ❑ ✓❑ 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 31 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0051161 Greensboro Breakout Tank Farm 001 OMB No.2040-0004 • TABLE E.2,3,7,8 TETRACHLORODIBENZO P DIOXIN(2,3,7,8 TCDD)(40 CFR 122.21(g)(7)(viii)) TCDD Presence or Congeners Absence Pollutant Used or (check one) Results of Screening Procedure Manufactured Believed Believed Present Absent 2,3,7,8-TCDD ❑ 0 0 EPA Form 3510-2C(Revised 3-19) Page 33 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1 Effluent Intake Waiver (Optional) Pollutant Requested Units Maximum Maximum Long-Term (if applicable) (specify) Daily Monthly Average Daily Number of Long-Term Number of Discharge Discharge Discharge Analyses Average Value Analyses (required) (if available) (if available) ❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall. Biochemical oxygen demand Concentration mg/L <2.0 1 1. ❑ (BOD5) Mass Chemical oxygen demand Concentration mg/L <25 1 2' ❑ (COD) Mass Concentration mg/L <1.0 1 3. Total organic carbon(TOC) ❑ Mass Concentration mg/L 20.6 10.68 59 4. Total suspended solids(TSS) ❑ Mass Concentration mg/L <0.10 1 5. Ammonia(as N) ❑ Mass 6. Flow 0 Rate MGD 4.5763 1.303 0.1272 59 Temperature(winter) ❑ °C °C 9.0 1 7. Temperature(summer) ❑ °C °C pH(minimum) ❑ Standard units s.u. 7.15 1 8. pH(maximum) 0 Standard units s.u. 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term Daily Discharge Discharge Discharge Analyses Average Analyses (required) (if available) (if available)rValue ❑ Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2 through 5 of this table. Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge. Section 1.Toxic Metals,Cyanide,and Total Phenols Antimony,total Concentration 1.1 (7440-36-0) Mass Arsenic,total Concentration 1.2 (7440-38-2) Mass Beryllium,total Concentration 1.3 El (7440-41-7) 1=1 El Mass Cadmium,total Concentration 1.4 1=I El El (7440-43-9) Mass Chromium,total Concentration 1.5 El El El (7440-47-3) Mass Copper,total Concentration 1.6 El (7440-50-8) El El Mass Lead,total Concentration 1.7 El El El (7439-92-1) Mass Mercury,total Concentration 1.8 El El El (7439-97-6) Mass Nickel,total Concentration 1.9 (7440-02-0) Mass 1.10 Selenium,total Concentration 0 ElEl (7782-49-2) Mass Silver,total Concentration 1.11 0 El El (7440-22-4) Mass EPA Form 3510-2C(Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 - TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))l Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term of of Discharge Discharge Discharge Analyses Average Analyses (required) (if available) (if avails rge) Value 1.12 Thallium,total ❑ 0 ❑ Concentration (7440-28-0) Mass Zinc,total Concentration 1.13 (7440-66-6) ❑ ❑ Mass 1.14 Cyanide,total ❑ ❑ ❑ Concentration (57-12-5) Mass Concentration mg/L 83.9 25.07 20 1.15 Phenols,total 0 0 0 Mass Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds) Acrolein Concentration 2.1 ❑ 0 0 (107 02 8) Mass 2.2 Acrylonitrile ❑ 0 0 Concentration (107-13-1) Mass 2.3 Benzene 0 0 ❑ Concentration µg/L <1 0.5 59 (71-43-2) Mass 2 4 Bromoform El 0 0 Concentration (75-25-2) Mass 2.5 Carbon tetrachloride ❑ ❑ ❑ Concentration (56-23-5) Mass Chlorobenzene Concentration 2.6 (108-90-7) ❑ ❑ ❑ Mass 2.7 Chlorodibromomethane ❑ ❑ ❑ Concentration (124-48-1) Mass 2 8 Chloroethane El 0 ❑ Concentration (75-00-3) Mass EPA Form 3510-2C(Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 ' TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Discharge Discharge Di D harge Analyses Average Analyses (required) (if available) Value (if available) 2.9 2-chloroethylvinyl ether ElConcentration (110-75-8) Mass 2.10 Chloroform(67-66-3) 0 0 0 Concentration Mass 2.11 Dichlorobromomethane 0 Concentration El El(75-27-4) Mass 212 11-dichloroethane 0 Concentration (75-34-3) Mass 2.13 12-dichloroethane 0 Concentration (107-06-2) Mass 2.14 1,1-dichloroethylene El 0 m Concentration (75-35-4) Mass 2.15 12-dichloropropane 0 0 Concentration El (78-87-5) Mass 2.16 13-dichloropropylene El Concentration El El (542-75-6) Mass 1 2.17 Ethylbenzene 0 Concentration ug/L <1 0.5 20 20 0 0 (100-41-4) Mass 2.18 Methyl bromide Concentration El 0 El (74-83-9) Mass 2.19 Methyl chloride Concentration (74-87-3) Mass Methylene chloride � Concentration 2.20 El 0 (75-09-2) Mass 2.21 1 1,2 2-tetrachloroethane Concentration (79-34-5) Mass EPA Form 3510-2C(Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term of of D(req fireischargd a (if available) DischargeDaily verag Analyses ischarge AValuee Analyses (if available) 2.22 Tetrachloroethylene ❑ ❑ ❑ Concentration (127-18-4) Mass Toluene Concentration µg/L <5 0.805 59 2.23 (108 88 3) ❑✓ El El Mass 2.24 1 2-trans-dichloroethylene ❑ ❑ ❑ Concentration (156-60-5) Mass 2.25 1,1,1-trichloroethane El ❑ ElConcentration (71-55-6) Mass 2.26 1,1,2-trichloroethane El ❑ ❑ Concentration (79-00-5) Mass 2.27 Trichloroethylene El ❑ ❑ Concentration (79-01-6) Mass 2.28 Vinyl chloride El 0 ❑ Concentration (75-01-4) Mass Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds) 3.1 2-chlorophenol El ❑ ❑ Concentration (95-57-8) Mass 2,4-dichlorophenol Concentration 3.2 (120-83-2) ❑ ❑ ❑ Mass 2,4-dimethylphenol Concentration 3.3 (105-67-9) ❑ ❑ ❑ Mass 4,6-dinitro-o-cresol ❑ Concentration 3.4 ❑ ❑ (534-52-1) Mass 3.5 2,4-dinitrophenol 0 ❑ ❑ Concentration (51-28-5) Mass EPA Form 3510-2C(Revised 3-19) Page 14 • EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Discharge Df available) Discharge Analyses ischarge AValuee Analyses 3.6 2-nitrophenol Concentration El El l=1 (88-75-5) Mass 3.7 4-nitrophenol Concentration (100-02-7) Mass 3.8 p-chloro-m-cresol El 0 0 Concentration (59-50-7) Mass 3.9 Pentachlorophenol 0 Concentration El El (87-86-5) Mass Phenol Concentration 3.10 (108-95-2) Mass 3.11 2,4,6-trichlorophenol � Concentration (88-05-2) Mass Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base(Neutral Compounds) 4.1 Acenaphthene ElConcentration El El (83-32-9) Mass 4.2 Acenaphthylene 0 Concentration (208-96-8) Mass 4.3 Anthracene 0 Concentration 0 El(120-12-7) Mass 4.4 Benzidine Concentration ID El ID (92-87-5) Mass 4.5 Benzo(a)anthracene ElConcentration (56-55-3) Mass 4.6 Benzo(a)pyrene 0 Concentration (50-32-8) Mass EPA Form 3510-2C(Revised 3-19) Page 15 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Discharge Dischare f ava labs) Discharge Analyses AverageValue Analyses (if e) 4.7 3,4-benzofluoranthene Concentration (205-99-2) Mass 4.8 Benzo(ghi)perylene ❑ 0Concentration (191-24-2) Mass Benzo(k)fluoranthene Concentration 4.9 (207-08-9) Mass 4.10 Bis(2-chloroethoxy)methane ❑ 0Concentration (111-91-1) Mass 4.11 Bis(2-chloroethyl)ether El0Concentration (111-44-4) Mass 4.12 Bis(2-chloroisopropyl)ether Concentration El 0 El (102-80-1) Mass 4.13 Bis(2-ethylhexyl)phthalate El ❑✓ Concentration (117-81-7) Mass 4.14 4-bromophenyl phenyl ether 0Concentration (101-55-3) Mass 4.15 Butyl benzyl phthalate El 0 0Concentration (85-68-7) Mass 2-chloronaphthalene El Concentration 4.16 (91-58-7) Mass 4-chlorophenyl phenyl ether Concentration 4.17 El El 0 (7005-72-3) Mass 4.18 Chrysene Concentration (218-01-9) Mass 4.19 Dibenzo(a,h)anthracene El0Concentration (53-70-3) Mass EPA Form 3510-2C(Revised 3-19) Page 16 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 • NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term of of Discharge Discharge Discharge Analyses Average Analyses (required) (if available) (if available) Value 4.20 1,2-dichlorobenzene 1=1 ID Concentration El (95-50-1) Mass 4.21 13-dichlorobenzene 0 Concentration El El (541-73-1) Mass 4.22 1 4-dichlorobenzene 0 Concentration (106-46-7) Mass 4.23 3 3-dichlorobenzidine 0 Concentration 0 El (91-94-1) Mass 4.24 Diethyl phthalate Concentration (84-66-2) Mass 4.25 Dimethyl phthalate El0 Concentration (131-11-3) Mass 4.26 Di-n-butyl phthalate 0 a Concentration (84-74-2) Mass 4.27 2,4-dinitrotoluene Concentration (121-14-2) Mass 4.28 2,6-dinitrotoluene Concentration (606-20-2) Mass 4.29 Di-n-octyl phthalate Concentration El 0 El (117-84-0) Mass 4.30 1,2-Diphenylhydrazine 0 0 Concentration El (as azobenzene)(122-66-7) Mass 4.31 Fluoranthene Concentration (206-44-0) Mass 4.32 Fluorene Concentration El El El (86-73-7) Mass EPA Form 3510-2C(Revised 3-19) Page 17 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- g Number Present Absent Daily Monthly Dail of Term of Discharge (ifavalablle) Discharge Analyses ischarge AValuee Analyses ( ui (if available) 4.33 Hexachlorobenzene Concentration (118-74-1) Mass 4.34 Hexachlorobutadiene ❑ Concentration (87-68-3) Mass 4.35 Hexachlorocyclopentadiene ❑ ElConcentration (77-47-4) Mass 4.36 Hexachloroethane 0 Concentration (67-72-1) Mass 4.37 Indeno(1,2,3-cd)pyrene 0 Concentration (193-39-5) Mass 4.38 Isophorone Concentration 0 El El (78-59-1) Mass 4.39 Naphthalene Concentration tlg/L <5 2.5 20 El ElEl (91-20-3) Mass 4.40 Nitrobenzene Concentration (98-95-3) Mass 4.41 N-nitrosodimethylamine ElConcentration 0 El (62-75-9) Mass 4.42 N-nitrosodi-n-propylamine ❑ Concentration (621-64-7) Mass 4.43 N-nitrosodiphenylamine ❑ Concentration (86-30-6) Mass 4.44 Phenanthrene ❑ Concentration (85-01-8) Mass Pyrene Concentration 4.45 (129-00-0) � 0 Mass EPA Form 3510-2C(Revised 3-19) Page 18 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Disc h eddge Df available) DisDcharge Analyses ischarge AValuee Analyses (if available) 4.46 1,2,4-trichlorobenzene ❑ Concentration (120-82-1) Mass 1 Section 5.Organic Toxic Pollutants(GCIMS Fraction—Pesticides) 5.1 Aldrin Concentration El 0 El (309-00-2) Mass 5.2 a-BHC Concentration (319-84-6) Mass R-BHC Concentration 5.3 (319857) Mass y-BHC El El 0 Concentration 5.4 (58-89-9) Mass b-BHC Concentration 5.5 0 0 0 (319-86-8) Mass 5.6 Chlordane Concentration (57-74-9) Mass 5.7 4 4'-DDT Concentration 0 0 0 (50-29-3) Mass 5.8 4 4'-DDE ElConcentration (72-55-9) Mass 5.9 4,4'-DDD Concentration (72-54-8) Mass 5.10 Dieldrin Concentration (60-57-1) Mass 5.11 a-endosulfan ' Concentration (115-29-7) Mass EPA Form 3510-2C(Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 . NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1 Presence or Absence Intake (check one) Effluent (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term ischarge De aily of A of D(eqh aruidge) Df available) Di harg Analyses Value Analyses (if available) 5.12 13-endosulfan Concentration El El 0 (115-29-7) Mass Endosulfan sulfate Concentration 5.13 (1031-07-8) 0 0 Mass Endrin Concentration 5.14 (72 20 8) 0 0 Mass Endrin aldehyde Concentration 5.15 0 El El (7421-93-4) Mass 5.16 Heptachlor Concentration El El 0 (7644-8) Mass Heptachlor epoxide Concentration 5.17 (1024-57-3) 0 0 ❑✓ Mass PCB-1242 Concentration 5.18 (53469-21-9) 0 0 ❑✓ Mass PCB-1254 Concentration 5.19 (11097-69-1) 0 0 D✓ Mass PCB-1221 Concentration 5.20 (11104-28-2) 0 0 0 Mass PCB-1232 Concentration 5.21 (11141-16-5) 0 0 ❑✓ Mass PCB-1248 Concentration 5.22 (12672-29-6) 0 ❑ ❑✓ Mass PCB-1260 Concentration 5.23 (11096-82-5) 0 0 0 Mass PCB-1016 Concentration 5.24 (12674-11-2) El ❑ D✓ Mass EPA Form 3510-2C(Revised 3-19) Page 20 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p Presence or Absence (check one) Effluent Intake (optional) Pollutant/Parameter Testing Units Long-Term (and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number Present Absent Daily Monthly Term aily of of Discharge Discharge Discharge D Analyses Average Analyses (required) (if available) (if available) Value Toxaphene Concentration 5.25 (8001-35-2) 0 0 ✓❑ Mass 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 21 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 , NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence (check one) Effluent Intake (Optional) Pollutant Units Maximum Long-Term Believed Believed (specify) Maximum Daily Long-Term Present Absent Discharge Monthly Average Daily Number of Average Number of (required) Discharge Discharge Analyses Value Analyses (if available) I (if available) r-i❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for each pollutant. ❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for each pollutant. 1 Bromide 0 0 Concentration (24959-67-9) Mass Chlorine,total Concentration 2' El residual ElMass Concentration 3. Color 0 ElMass Concentration 4. Fecal coliform ❑ 0 Mass 5 Fluoride ❑ ❑ Concentration (16984-48-8) Mass Concentration 6 Nitrate-nitrite 0 ❑✓ Mass 7 Nitrogen,total ❑ ❑ Concentration organic(as N) Mass Concentration mg/L <6.24 5.706 54 8. Oil and grease ❑✓ 0 Mass Phosphorus(as Concentration 9. P),total(7723-14-0) ❑ ❑ Mass 10. Sulfate(as SO4) ❑ 0 Concentration (14808-79-8) Mass 11. Sulfide(as S) 0 0 Concentration Mass EPA Form 3510-2C(Revised 3-19) Page 23 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence (check one) Effluent Intake (Optional) • Pollutant Units Maximum 1 Long-Term Believed Believed (specify) Maximum Daily Long-Term Present Absent Discharge Monthly Average Daily Number of Average Number of Discharge Discharge Analyses Analyses (required) Value (if available) (if available) 12. Sulfite(as so3) ❑ ❑ Concentration (14265-45-3) Mass Concentration 13. Surfactants ❑ 0 Mass 14. Aluminum,total ❑ ❑ Concentration (7429-90-5) Mass 15. Barium,total ❑ ❑ Concentration (7440-39-3) Mass 16. Boron,total ❑ 0 Concentration (7440-42-8) Mass 17. Cobalt,total El ❑ Concentration (7440-48-4) Mass 18 Iron,total ❑ ❑ Concentration (7439-89-6) Mass 19. Magnesium,total ❑ ❑ Concentration (7439-95-4) Mass Molybdenum, Concentration 20. total ❑ ❑✓ Mass (7439-98-7) 21. Manganese,total ❑ ❑✓ Concentration (7439-96-5) Mass 22. Tin,total 0 ❑✓ Concentration (7440-31-5) Mass 23. Titanium,total ❑ ❑✓ Concentration (7440-32-6) Mass EPA Form 3510-2C(Revised 3-19) Page 24 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1 Presence or Absence (check one) Effluent Intake (Optional) Units Pollutant Maximum Lon Term Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of Present Absent Discharge Average (required) Discharge Discharge Analyses Value Analyses (if available) (if available) 24. Radioactivity Concentration Alpha,total 0 ❑✓ - Mass Concentration Beta,total 0 ❑✓ Mass Radium,total 0 Concentration 0 Mass Radium 226,total 0 0 Concentration Mass 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 25 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 1. Asbestos ❑ ✓❑ 2. Acetaldehyde 0 ❑✓ 3. Allyl alcohol 0 ❑✓ 4. Allyl chloride 0 0 5. Amyl acetate 0 0 6. Aniline 0 0 7. Benzonitrile ❑ 0 8. Benzyl chloride 0 0 9. Butyl acetate 0 0 10. Butylamine 0 ❑✓ 11. Captan 0 0 12. Carbaryl ❑ 0 13. Carbofuran 0 0 14. Carbon disulfide 0 0 15. Chlorpyrifos 0 0 16. Coumaphos 0 0 17. Cresol 0 0 18. Crotonaldehyde 0 0 19. Cyclohexane 0 0 EPA Form 3510-2C(Revised 3-19) Page 27 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 ' TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data Believed Believed (specify units) Present Absent 20. 2,4-D(2,4-dichlorophenoxyacetic acid) ❑ ❑✓ 21. Diazinon 0 p 22. Dicamba 0 ❑✓ 23. Dichlobenil 0 ❑✓ 24. Dichlone 0 ❑✓ 25. 2,2-dichloropropionic acid 0 ❑✓ 26. Dichlorvos 0 ❑✓ 27. Diethyl amine 0 ❑✓ 28. Dimethyl amine 0 ❑✓ 29. Dintrobenzene 0 ❑✓ 30. Diquat 0 ❑✓ 31. Disulfoton 0 ❑✓ 32. Diuron 0 ❑✓ 33. Epichlorohydrin 0 ❑✓ 34. Ethion 0 ❑✓ 35. Ethylene diamine 0 ❑✓ 36. Ethylene dibromide ❑ ❑✓ 37. Formaldehyde 0 ❑✓ 38. Furfural 0 ❑✓ EPA Form 3510-2C(Revised 3-19) Page 28 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) I Present Absent 39. Guthion ❑ ❑✓ 40. Isoprene ❑ ❑✓ 41. Isopropanolamine 0 ❑✓ 42. Kelthane ❑ ❑✓ 43. Kepone 0 ❑✓ 44. Malathion 0 ❑✓ 45. Mercaptodimethur ❑ ❑✓ 46. Methoxychlor 0 ❑✓ I 47. Methyl mercaptan 0 ❑✓ 48. Methyl methacrylate ❑ ❑✓ 49. Methyl parathion 0 ❑✓ 50. Mevinphos ❑ 0 51. Mexacarbate ❑ ❑✓ 52. Monoethyl amine 0 0 53. Monomethyl amine 0 0 54. Naled 0 0 55. Naphthenic acid ❑ 0 56. Nitrotoluene 0 0 57. Parathion ❑ 0 EPA Form 3510-2C(Revised 3-19) Page 29 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 . NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 58. Phenolsulfonate ❑ ❑✓ 59. Phosgene 0 ❑✓ 60. Propargite 0 ✓❑ 61. Propylene oxide 0 ✓❑ 62. Pyrethrins 0 ❑✓ 63. Quinoline 0 ❑✓ 64. Resorcinol 0 ❑✓ 1 65. Strontium 0 ❑✓ 66. Strychnine ❑ ❑✓ 67. Styrene 0 0 68. 2,4,5-T(2,4,5-trichlorophenoxyacetic ❑ ❑ acid) 69. TDE(tetrachlorodiphenyl ethane) 0 0 70. 2,4,5-TP[2-(2,4,5-trichlorophenoxy) ❑ propanoic acid] 71. Trichlorofon 0 ❑✓ 72. Triethanolamine 0 0 73. Triethylamine 0 0 74. Trimethylamine 0 0 75. Uranium 0 0 76. Vanadium 0 0 EPA Form 3510-2C(Revised 3-19) Page 30 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1 Presence or Absence Pollutant (check one) Available Quantitative Data Believed Believed Reason Pollutant Believed Present in Discharge (specify units) Present Absent 77. Vinyl acetate ❑ ❑✓ 78. Xylene 0 ❑✓ 79. Xylenol ❑ ❑✓ 80. Zirconium 0 ❑✓ Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2C(Revised 3-19) Page 31 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCD093787307 NC0000795 Greensboro Breakout Tank Farm 002 OMB No.2040-0004 • TABLE E.2,3,7,8 TETRACHLORODIBENZO P DIOXIN(2,3,7,8 TCDD)(40 CFR 122.21(g)(7)(viii)) TCDD Presence or Congeners Absence Pollutant Used or (check one) Results of Screening Procedure Manufactured Believed Believed Present Absent 2,3,7,8-TCDD ❑ 111 0 EPA Form 3510-2C(Revised 3-19) Page 33 Kinder Morgan Greensboro Breakout Tank Farm - Line Drawing • 6907-A West Market Street Greensboro, NC 27409 NPDES Permit # NC0051161 Average Monthly Flow to Outfall 001 is 0.0354 MGD) Tank Containment Onsite Outfall 001 11 Dike F Stormwater and Pond 001 111.11111111111111114 Lat: 36°4' 22.19" N Overland Surface Flow —_ Long:-79°55'40.41" W Estimate Monthly Flow This pond is directed to Outfall 001,only to Pond is 0.0608 MGD) during high rain events months when Outfall 002 can't handle the volume 0,000 gala equalization pool Estimate 20%of Average Monthly Flow to Onsite Pond and then to Outfall 002 is from this Source=0.0254 MGD) CaCar Filtration Tank Containme Dikes A through E and Overland Surface Flow Fsti� l‘r Ohs/te ate 8ig o hnaanatqfrer�e Outfall 002 S Sou rce en to 04�oth/yF Onsite Lat: 36°4' 23.63" N o, p18 fa//002 /o to Pond 002 Long:-79°55' 27.72"W 1 �v Mc'�l is fP Average Monthly Flow to Outfall 002 is 0.1272 MGD) • , FORM 2C SECTION 9.2- BIOLOGICAL TOXICITY TESTS Identify last 3 tests and their purposes below: OUTFALL 001 Test Purpose Submitted to NPDES Date Submitted Permitting Authority Acute Wet Toxicity Permit Required Annually Yes 8/25/2018 Acute Wet Toxicity Permit Required Annually Yes 2/25/2019 Acute Wet Toxicity Permit Required Annually Yes 2/25/2020 Note:—Outfall 001 sampled for Acute Toxicity in February 2021, results will be entered into eDMR by March 10th and hard copy of AT form to NCDEQ by March 30,2021. OUTFALL 002 Submitted to NPDES Test Purpose Date Submitted Permitting Authority Acute Wet Toxicity Permit Required Annually Yes 2/25/2019 Acute Wet Toxicity Permit Required Annually Yes 2/25/2020 Acute Wet Toxicity Permit Required Annually Yes 2/25/2021 • a I F • N N g N a N N ¢ N \\N N g N a N N ¢ In_ \ N N N N g ¢ 5. ¢ q Q N \\N a N N ¢ N g Q N N zZn ZzZzzzZZZZ n ZZZzzzz2ZZZZZZ nZZZZZ nzZ2ZZZZ2ZZZ n ZZZ o :99 • g • a 2- 'O = N N Q VI Q o o tO o N N N N .t N . N N ty V1 N N N N N N N N a N r 01 N N '? 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(NTU) (%Mortality) July 2020 N/S 0 0 N/S N/S N/5 N/5 N/5 N/S N/S N/S N/S N/5 N/S August 2020 8/17/2020 0.1012 0.1675 13 <40 <5.32 <1 <1 <1 <3 <5 2.19 10.1 N/A September 2020 N/S 0 0 N/S N/5 N/S N/S N/S N/S N/S N/S N/S N/S N/S October 2020 N/S 0 0 N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S November 2020 11/2/2020 0.1296 0.1675 13.8 <40 <5.56 <1 <1 <1 <3 <5 1.44 12 N/A December 2020 12/3/2020 0.1308 0.1675 6.9 N/A <5.68 N/A N/A N/A N/A N/A 4.57 6 N/A January 2021 1/4/2021 0.0735 0.0907 6.7 <40 <5.68 <1 <1 <1 <3 <5 15.7 6.69 N/A Number of Analyses 59 59 21 15 21 15 15 15 15 15 21 19 4 Long-Term Average Daily Discharge 0.0354 14.07 20 30.14 0.5 0.5 0.929 1.53 2.5 3.579 12.92 Maximum Monthly Discharge 0.1627 0.1675 29.8 <40 <6.63 <1 <1 1.44 <4 <5 15.7 22.1 >90 NOTES: 1. In calculating Long Term Average Daily Discharges,1/2 of the MDL was used for those results that were below detection limits. 2.The maximum daily discharge that occurred during the month for which the result was reported. 3.The maximum total monthly discharge reported from 2016-2021 MGD-milllion gallons per day Reported analyses are shown as BOLD. N/A-Not analyzed.Not required in previous permit. N/S-No discharge this month,so not sample collected. mg/L milligrams per liter µg/L-micrograms per liter Greensboro Breakout Facility Outfall 001 • GREENSBORO BREAKOUT TANK FARM -OUTFALL 002- NPDES Permit#0051161 Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021 Monthly Daily Max Total Oil and Analysis Results with Units T55 Recoverable Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Average Flow Discharge Grease Phenolics Month/Year Sampling Date (MGD) (MGD) (mg/L) (µg/L) (mg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) (NTU) (%Mortality) March 2016 3/2/2016 0.0749 0.64 6.9 N/A N/A <1 N/A <5 N/A N/A <I ' N/A N/A April 2016 4/1/2016 0.0623 0.807 4.7 <40 <5.62 <1 <1 <5 <3 <5 <1 N/A N/A May 2016 5/4/2016 0.308 1.7315 18.4 N/A N/A <1 N/A <5 N/A N/A <1 N/A >100 June 2016 6/3/2016 0.1148 0.7797 20 N/A N/A <1 N/A <5 N/A N/A 1.78 N/A N/A July 2016 7/1/2016 0.0872 0.56 5 <40 <6.25 <1 <1 <5 <3 <5 <1 N/A N/A August 2016 8/1/2016 0.1083 0.56 13.8 N/A N/A <1 N/A <5 N/A N/A <1 N/A N/A September 2016 9/2/2016 0.4098 0.3456 43.5 N/A N/A <1 N/A <5 N/A N/A 1.39 48.3 N/A October 2016 10/3/2016 0.1794 2.03 20.6 <40 <5.88 <1 <1 <5 <3 <5 1.73 18 N/A November 2016 11/16/2016 0.0158 0.1046 4.72 N/A <5.78 <1 N/A <5 N/A N/A 1,47 7.5 N/A December 2016 12/1/2016 0.0352 0.327 9.4 N/A <5.26 <1 N/A <1 N/A N/A <1 8.68 N/A January 2017 1/4/2017 0.1023 0.7857 <2.5 <40 <5.88 <1 <1 <1 <3 <5 <1 4.93 >90 February 2017 2/3/2017 0.0113 0.0641 4.34 N/A <6.25 <1 N/A <1 N/A N/A 1.15 5.47 N/A March 2017 3/6/2017 0.0449 0.3163 6.6 N/A <5.81 <1 N/A <1 N/A N/A <1 8.5 N/A April 2017 4/6/2017 0.1058 0.8353 18 <40 <6.25 <1 <1 <1 <3 <5 <1 11.8 N/A May 2017 5/5/2017 1.303 4.5763 15.4 N/A <6.41 <1 N/A <1 N/A N/A <1 16 N/A June 2017 6/13/2017 0.1714 1.0007 19 N/A <6.25 <1 N/A <1 N/A N/A <1 25.1 N/A July 2017 7/21/2017 0.0139 0.0937 6.57 <40 <5.95 <1 <1 <1 <3 <5 <1 16.7 N/A August 2017 8/8/2017 0.0334 0.1776 17.4 N/A <5.32 <1 N/A <1 N/A N/A <1 8.55 N/A September 2017 9/5/2017 0.0583 0.4144 10.1 N/A <5.62 <1 N/A <1 N/A N/A <1 7.02 N/A October 2017 10/8/2017 0.0563 0.3575 12 <40 <5.81 <1 <1 <1 <3 <5 <1 12 N/A November 2017 11/1/2017 0.0212 0.1921 9.56 N.A <5.62 <1 N/A <1 N/A N/A 1.23 15 N/A December 2017 12/11/2017 0.0289 0.205 6.2 N/A <5.56 <1 N/A <1 N/A N/A 1.77 8.22 N/A January 2018 1/16/2018 0.0859 0.5617 4.2 <40 <5.56 <1 <1 <1 <3 <5 2.51 9.55 N/A February 2018 2/5/2018 0.0778 0.4913 5.75 N/A <5.62 <1 N/A <1 N/A N/A <1 16.1 >90 March 2018 3/2/2018 0.0935 0.3782 11.7 N/A <5.56 <1 N/A <1 N/A N/A <1 10.7 N/A April 2018 4/11/2018 0.0923 0.8878 12.8 83.9 <5.75 <1 <1 <1 <3 <5 1.23 16.5 N/A May 2018 5/18/2018 0.0585 0.3113 13.8 N/A <5.49 <1 N/A <1 N/A N/A <1 16.4 N/A June 2018 6/4/2018 0.0584 0.4378 16.4 N/A <5.75 <1 N/A <1 N/A N/A <1 20 N/A July 2018 7/25/2018 0.0961 0.8143 18 <40 <5.62 <1 <1 <1 <3 <5 <1 16.5 N/A August 2018 8/3/2018 0.178 1.281 15.2 N/A <6.02 <1 N/A <1 N/A N/A <1 17.6 N/A September 2018 9/5/2018 0.1553 1.292 10.5 N/A <5.88 <1 N/A <1 N/A N/A <1 24.6 N/A October 2018 10/1/2018 0.108 1.331 6.95 <40 <5.75 <1 <1 <1 <3 <5 <1 23.2 N/A November 2018 11/1/2018 0.1499 0.8275 5.89 N/A <5.49 <1 N/A <1 N/A N/A <1 9.43 N/A December 2018 12/3/2018 0.1154 0.5469 2.5 N/A <5.75 <1 N/A <1 N/A N/A 1.61 5.76 N/A January 2019 1/2/2019 0.1089 0.4948 4.08 <40 <5.81 <1 <1 <1 <3 <5 2.85 6.32 >90 February 2019 2/15/2019 0.1433 0.9365 <2.5 N/A <5.81 <1 N/A <1 N/A N/A 1.45 3.99 N/A March 2019 3/5/2019 0.0979 0.4156 4.2 N/A <5.95 <1 N/A <1 N/A N/A 1.03 7.26 N/A April 2019 4/8/2019 0.0943 0.4359 5.79 <40 <5.88 <1 <1 <1 <3 <5 1.79 9.3 N/A May 2019 5/8/2019 0.036 0.2866 <5 N/A <5.49 <1 N/A <1 N/A N/A <1 15.7 N/A June 2019 6/7/2019 0.0932 1.044 3.2 N/A <5.38 <1 N/A <1 N/A _ N/A <1 6.95 N/A July 2019 7/17/2019 0.0997 0.7239 11 <40 <5.56 <1 <1 <1 <3 <5 <1 12.3 N/A August 2019 8/5/2019 0.1476 0.7082 17.3 N/A <5.81 <1 N/A <1 N/A N/A <1 24.1 N/A September 2019 9/4/2019 0.02868 0.4044 20.6 N/A <5.75 <1 N/A <1 N/A N/A <1 25.4 N/A October 2019 10/11/2019 0.1029 0.7674 17.3 <40 <5.68 <1 <1 <I <3 <5 <1 21.3 N/A November 2019 11/4/2019 0.0695 0.352 10.9 N/A <5.75 <1 N/A <1 N/A N/A <1 19.4 N/A December 2019 12/2/2020 0.1058 0.6471 12.1 N/A <5.26 <1 N/A <1 N/A N/A <1 21.5 N/A January 2020 1/6/2020 0.1144 0.4258 9.26 <40 <5.56 <1 <1 <1 <3 <5 <1 6.99 >90 February 2020 2/5/2020 0.1646 1.683 2.5 N/A <5.81 <1 N/A <1 N/A N/A <1 12.7 N/A March 2020 3/5/2020 0.3096 1.409 7.5 N/A <5.49 <1 N/A <1 N/A N/A <1 10.5 N/A April 2020 4/16/2020 0.0645 0.9623 18.8 57.6 <5.75 <1 <1 <1 <3 <5 <1 24.2 N/A Greensboro Breakout Facility Outfall 002 t.. g Monthly Daily Max Total Oil and Analysis Results with Units TSS Recoverable Benzene Ethylbenzene Toluene Xylenes Naphthalene MTBE Turbidity Acute Toxicity Average Flow Discharge Phenolics Grease Month/Year Sampling Date (MGD) (MGD) (mg/L) (µg/L) (mg/L) (µg/L) (µg/L) (µg/L) (µg/L) (µg/L) ()1g/l.) (NTU) (%Mortality) May 2020 5/4/2020 0.2067 1.489 4.6 I N/A <5.38 <1 N/A <1 N/A N/A ' <1 11.6 N/A June 2020 6/2/2020 0.0619 0.4611 10.6 N/A <5.81 <1 N/A <1 N/A N/A <1 13.4 N/A July 2020 7/15/2020 0.0213 0.1845 7.57 <40 <5.44 <1 <1 <1 <3 <5 <1 6.02 N/A August 2020 8/13/2020 0.1562 0.8345 17.2 N/A <5.56 <1 N/A <1 N/A N/A <1 19 N/A September 2020 9/9/2020 0.1566 1.1852 12.7 N/A <5.26 <1 N/A <1 N/A N/A <1 16.7 N/A October2020 10/2/2020 0.1445 1.316 18 <40 <5.49 <1 <1 <1 <3 <5 <1 16.3 N/A November 2020 11/2/2020 0.1485 1.774 9 N/A <5.56 <1 N/A <1 N/A N/A <1 10.5 N/A December 2020 12/3/2021 0.1264 1.132 4.8 N/A <5.49 <1 N/A <1 N/A N/A <1 6.7 N/A January 2021 1/4/2021 0.0881 0.4074 5.5 <40 <5.68 <1 <1 <1 <3 <5 <1 9.69 N/A Number of Analyses 59 59 59 20 54 59 20 59 20 20 59 53 5 Long-Term Average Daily Discharge 0.1272 10.68 25.075 5.706 0.5 0.5 0.805 1.5 2.5 0.770 14.07 Maximum Monthly Discharge 1.303 4.5763 20.6 83.9 <6.24 <1 <1 <5 <3 <5 2.85 48.3 >100 NOTES: In calculating Long Term Average Daily Discharges,1/2 of the MDL was used for those results that were below detection limits. MGD-milllion gallons per day Detections are shown as BOLD. N/A-Not analyzed.Not required in previous permit. mg/L milligrams per liter µg/L-micrograms per liter Greensboro Breakout Facility Outfall 002