NC0029980_Renewal (Application)_20211105

acd�$TATE o
41,
ROY COOPER
Governor
ELIZABETH S.BISER
Secretary ^n a `
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
November 05, 2021
Nestle Purina Petcare Company
Attn: Will Steiner, Factory Manager
863 E Meadow Rd
Eden, NC 27288-3636
Subject: Permit Renewal
Application No. NC0029980
Nestle Purina PetCare Company
Rockingham County
Dear Applicant:
The Water Quality Permitting Section acknowledges the November 3, 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. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://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,
%an
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
D E Q North CarolinaWinstonSalem Department
RegionalOffi
of Environmental Quality Division of Water Resources
Office 450 West Hanes Mill Road.Suite 300 Winston-Salem.North Carolina 27105
336 776 9800

Nestle Purina PetCare
Nestle Purina PetCare-Eden
863 E.Meadow Road
EDEN.NC 27288
CERTIFIED MAIL RECEIVED
RETURN RECEIPT REQUESTED
October 26, 2021 NOV 0 3 2021
Mr. Charles Weaver NCDEQ/DWR/NPDES
North Carolina Department of Environmental Quality
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Renewal Application— Nestle Purina PetCare Company, Eden, NCNPDES
Permit#0029980
Dear Mr. Weaver:
Please find enclosed the application for renewal of the NPDES Wastewater Discharge Permit for
Nestle Purina PetCare Company (NPPC), located at 863 E. Meadow Road, Eden, NC 27288
(Permit #00029980). NPPC is currently constructing its manufacturing operations at the site
and will discharge process wastewater to the City of Eden. Most of the wastewater collection
and treatment facilities formerly operated by Miller Coors have been demolished. The
remaining equipment includes the polishing lagoons, effluent chamber, flume, and discharge
structure in the Dan River. The polishing lagoons only collect stormwater and NPPC does not
anticipate any discharge from them under normal circumstances. However, NPPC requests
renewal of this permit for potential future use of the site Wastewater Treatment Plant. The
attached EPA Forms 1 and 2C are included for your review with additional documentation as
required by the permit forms.
Based on our discussions with Ms. Jenny Graznak of NCDEQ on October 8, 2021, as this system
is idle and not discharging wastewater, there are no sampling requirements for this renewal
process. The included forms reflect the best available information regarding the current status
of the facility. Should you have any questions regarding this submittal, please contact me at
[phone] or at [e-mail].
Sincerely,
(}4,4("-,_
Will Steiner
Factory Manager
cc: Mike Nohara-LeClair—St. Louis, MO
Cody Farinella —Eden, NC
Nrestle

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NC00029980 Nestle Purina PetCare OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 \.EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
1 1 1 Is the facility a new or existing publicly owned 1 1 2 Is the facility a new or existing treatment works
treatment works? treating domestic sewage?
If yes,STOP.Do NOT complete 0 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
n production facility? currently discharging process wastewater?
o ❑ Yes 4 Complete Form 1 ❑� No 0 Yes 4 Complete Form No
z and Form 28. 1 and Form 2C.
c 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?
El Yes 4 Complete Form 1 0 No 0 Yes 4 Complete Form No
ce 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
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 0 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
Nestle Purina PetCare Company
2.2 EPA Identification Number
.173
0
J
a
2.3 Facility Contact
Name(first and last) Title Phone number
Will Steiner Factory Manager 816-676-8003
a
C Email address
[e-mail]
2.4 Facility Mailing Address
ZStreet or P.O.box
863 E. Meadow Road
City or town State ZIP code
Eden NC 27288
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Fomi Approved 03/05/19
NC00029980 Nestle Purina PetCare OMB No.2040-0004
fir 2 2.5 Facility Location
Street,route number,or other specific identifier
a 0 863 E.Meadow Road
0)0
c 0 County name County code(if known)
Z.3
Rockingham
0
City or town State ZIP code
z Eden NC 27288
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
2047 Dog and Cat Food
m
0
.)
v
co
z 3.2 NAICS Code(s) Description(optional)
-a
311111 Dog and Cat Food Manufacturing
v
rn
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(1)(4))
4.1 Name of Operator
Nestle Purina PetCare Company
0 4.2 Is the name you listed in Item 4.1 also the owner?
c El Yes ElNo
4.3 Operator Status
ca ❑ Public—federal ❑Public—state ID Other public(specify)
El Private ❑Other(specify)
4.4 Phone Number of Operator
816-676-8003
4.5 Operator Address
0 Street or P.O.Box
863 E.Meadow Road
0
o
City or town State ZIP code
0 o Eden NC 27288
Rv
Email address of operator
[e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
A 2 5.1 Is the facility located on Indian Land?
5 03
❑Yes ❑r No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NC00029980 Nestle Purina PetCare 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)
d 0 NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
ow water) fluids)
E
w a ❑ PSD(air emissions) ❑ Nonattainment program(CM) ElNESHAPs(CM)
.% ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑Other(specify)
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.)
El 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.
Dry Dog and Cat Food Manufacturing
U)
N
C
y
0
m
O
d
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
d
iv 0 Yes El No 4 SKIP to Item 10.1.
16 j 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
_ NPDES permitting authority to determine what specific information needs to be submitted and when.)
o City of Eden Water Supply
V 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
when.)
❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA 0 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
NC00029980 Nestle Purina PetCare OMBNo.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
ElSection 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑r Section 2:Name,Mailing Address,and Location ❑ w/attachments
ElSection 3:SIC Codes ❑ w/attachments
❑✓ Section 4:Operator Information ❑ w/attachments
ElSection 5:Indian Land El wl attachments
El Section 6:Existing Environmental Permits ❑ wl attachments
d
w/topographic
❑✓ Section 7:Map ❑✓ map ❑ w/additional attachments
o ❑✓ Section 8:Nature of Business ❑ wl attachments
ti= ❑ Section 9:Cooling Water Intake Structures ❑ w/attachments
❑✓ Section 10:Variance Requests ❑ w/attachments
y 0 Section 11:Checklist and Certification Statement ❑ wl attachments
11.2 Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system.or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Will Steiner Factory Manager
Signature Date signed
/oil(4I2az1
Click to go back to the beginning of Form
EPA Form 3510-1(revised 3-19) Page 4

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NPDES Permit NC0029980
i Facility *
Nestle Purina PetCare Company Location
Stream Class: C
Sub-Basin: 03-02-03 Receiving Stream: Dan River
Latitude: 36°29 31" Longitude: 79°42'39" North Rockingham County
Map not to scale
I

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0029980 Nestle Purina PetCare OMBNo.2040-0004
Form U.S.Environmental Protection Agency
2C ..V A EP Application for NPDES Permit to Discharge Wastewater
NPDES f/'1 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.
° Number Receiving Water Name Latitude Longitude
001 Dan River 360 29' 31" 79- 42, 39"
0
SECTI011 2.LINE DRAWING(40 CFR 122.21(g)(2))
2.1 Haveyou attached a line drawingto this application that shows the water flow throughyour facilitywith a water
� PP 9
•c balance?(See instructions for drawing requirements.See Exhibit 2C-1 at end of instructions for example.)
J
c ❑ Yes ❑ No
SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(9)(3))
3.1 For each outfall identified under Item 1.1,provide average flow and treatment information.Add additional sheets if
necessary.
`*Outfall Number"" 001
Operations Contributing to Flow
Operation Average Flow
Dry Pet Food Manufacturing <1 mgd
E mgd
co
43
mgd
v
mgd
LL
Treatment Units
o, 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
Polishing Lagoons(5.5 MGD) 3-B,3-G,5-P Land Application of Biosolids
Effluent Basin and Parshall Flume(5.5 MGD) 4-A N/A
EPA Form 3510-2C(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0029980 Nestle Purina PetCare OMB No.2040-0004
3.1 **Outfall Number**
cont.
Operations Contributing to Flow
Operation Average Flow
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
0 0
-
C
E
n
N
r
**Outfall Number**
Operations Contributing to Flow
o Operation Average Flow
mgd
C,
> 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
3.2 Are you applying for an NPDES permit to operate a privately owned treatment works?
d ❑ Yes ❑✓ No 4 SKIP to Section 4.
3.3 Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No
EPA Form 3510-2C(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 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 ElNo 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 Frequency Flow Rate
Number (list) Average Average Long-Term Maximum Duration
DayslWeek Months/Year Average Daily
dayshxeek months/year mgd mgd days
dayshneek months/year mgd mgd days
LL
dayshxeek months/year mgd mgd days
dayshneek months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
dayshweek months/year mgd mgd days
dayslweek months/year mgd mgd days
dayslweek months/year mgd mgd days
SECTION 5.PRODUCTION 040 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?
0 Yes El No.4 SKIP to Section 6.
y 5.2 Provide the following information on applicable ELGs.
ELG Category ELG Subcategory Regulatory Citation
CO
(f
0.
5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)?
❑ Yes El No 4 SKIP to Section 6.
0
io 5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
Outfa
Unit of
Numbellr Operation,Product,or Material Quantity per Day Measure
N
CO
0
7
O
a`
EPA Form 3510-2C(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0029980 Nestle Purina PetCare OMBNo.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
Project (list outfall Discharge Required Projected
number)
-
C
N I
t0
G.
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 0 No 4 SKIP to Item 7.3.
7.2 If yes,indicate the applicable outfalls below.Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
7.3 Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
requested and attached the results to this application package?
Yes ri❑ No;a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
Table B.Toxic Metals,Cyanide,Total Phenols,and Organic Toxic Pollutants
7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
listed in Exhibit 2C-3?(See end of instructions for exhibit.)
❑ Yes ❑ No 4 SKIP to Item 7.8.
7.5 Have you checked"Testing Required"for all toxic metals,cyanide,and total phenols in Section 1 of Table B?
❑ 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 ❑Acid 0 Base/Neutral 0 Pesticide
❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide
❑Volatile ❑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
NC0029980 Nestle Purina PetCare 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 El 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 0 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 0 No
7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes Note that you qualify at the top of Table B, ❑ No
-d then SKIP to Item 7.12.
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?
❑ Yes El No
Table C.Certain Conventional and Non-Conventional Pollutants
t 7.12 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table C
for all outfalls?
Y El Yes ❑ No
7.13 Have you completed Table C by providing(1)quantitative data for those pollutants that are limited either directly or
-o indirectly in an ELG and/or(2)quantitative data or an explanation for those pollutants for which you have indicated
1p "Believed Present"?
Yes ❑ No
w Table D.Certain Hazardous Substances and Asbestos
7.14 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table D for
all outfalls?
❑r Yes ❑ No
7.15 Have you completed Table D by(1)describing the reasons the applicable pollutants are expected to be discharged
and(2)by providing quantitative data,if available?
❑✓ Yes ❑ No
Table E.2,3,7,8-Tetrachlorodibenzo-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 ❑ 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?
3 ❑ Yes ❑r No 4 SKIP to Section 9.
8.2 List the pollutants below.
P1. 4. 7.
2. 5.
3. 6. 9.
EPA Form 3510-2C(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
NC0029980 Nestle Purina PetCare OMBNo.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?
y ❑ Yes ❑ No 4 SKIP to Section 10.
! 9.2 Identify the tests and their Jurposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
Permitting Authority?
0
❑ Yes ❑ No
o
❑ Yes ❑ No
❑ 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 Meritech Labs
Laboratory address 642 Tamco Road,
Reidsville, NC 27320
Phone number 910-342-4748
Pollutant(s)analyzed Tables A and C,Section 1
SECTION 11.ADDITIONAL INFORMATION(40 CFR 122.21(g)(13))
11.1 Has the NPDES permitting authority requested additional information?
0 Yes 0 No 4 SKIP to Section 12.
0
11.2 List the information requested and attach it to this application.
1. 4.
0
0
: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
NC0029980 Nestle Purina PetCare OMBNo.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 ✓❑ wl line drawing ❑ w• /additional attachments
Section 3:Average Flows and w/list of each user of
Treatment ❑ w/attachments ❑ p• rivately owned treatment
works
❑r Section 4:Intermittent Flows ❑ wl attachments
❑✓ Section 5:Production ❑ w/attachments
w/optional additional
IDSection 6:Improvements ❑ wl attachments ❑ sheets describing any
additional pollution control
plans
❑ w/request for a waiver and ❑ w/explanation for identical
supporting information outfalls
d wl small business exemption w• /other attachments
d ❑ request ❑
❑ Section 7:Effluent and Intake ❑ w/Table A ❑ w/Table B
Characteristics
0
❑ w/Table C ❑ w/Table D
r ❑ w/analytical results as an
wl Table E ❑ attachment
❑ Section 8:Used or Manufacturedcrs ❑ wl attachments
Toxics
Section 9:Biological Toxicity ❑ wl attachments
t Tests
0
❑✓ Section 10:Contract Analyses ❑ wl attachments
❑✓ Section 11:Additional Information ❑ wl attachments
❑ Section 12:Checklist and ❑ w/attachments
Certification Statement
12.2 Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly
responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
accurate,and complete.I am aware that there are significant penalties for submitting false information,including the
possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Will Steiner Factory Manager
Signal a Date signed
/6/261202
EPA Form 3510-2C(Revised 3-19) Page 7

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare
001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1
Effluent Intake
(Optional)
Waiver
ble
Pollutant Requested Units Maximum Maximum Long-Term
(ffap (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.
Concentration mg/L
Biochemical oxygen demand
1' (BODs) ❑ lbs/day
Mass
Chemical oxygen demand
Concentration mg/L
2. (COD) El
Mass
Concentration mg/L
3. Total organic carbon(TOC) ❑
lbs/day
Mass
Concentration mg/L
4. Total suspended solids(TSS) ❑ lbs/day
Mass
Concentration mg/L
5. Ammonia(as N) ❑ lbs/day
Mass
6. Flow ❑ Rate MG 5.5 5.5 <1 N/A N/A N/A
Temperature(winter) 0 °C °C
7.
Temperature(summer) 0 °C °C
pH(minimum) 0 Standard units s.u.
8.
pH(maximum) ❑ Standard units s.u.
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 9

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 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
Maximum Maximum Long-
(and CAS Number,if available) Required Believed Believed (specify/ Daily Monthly Average Number Term Number
Present Absent
Discharge Discharge Dailyof Average of
(required) (if available) Discharge Analyses Value Analyses
(if available)
ri Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table.Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
1.1 Antimony,total Concentration
(7440-36-0) Mass
1.2 Arsenic,total Concentration
(7440-38-2) Mass
1.3 Beryllium,total Concentration
(7440-41-7) Mass
1.4 Cadmium,total Concentration
(7440-43-9) Mass
1.5 Chromium,total Concentration
12 El CI
(7440-47-3) Mass
1.6 Copper,total Concentration
0 El CI
(7440-50-8) Mass
1 7 Lead,total Concentration
El 1:3 El
(7439-92-1) Mass
1.8 Mercury,total Concentration
El CI 0
(7439-97-6) Mass
19 Nickel,total Concentration
(7440-02-0) Mass
1.10 Selenium,total Concentration mg/L
(7782-49-2) Mass lbs/day
1.11 Silver,total Concentration
(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
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)),
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units 7 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 DisDchargaily e Analyses Average Analyses
(required) (if available) Value
(if available)
Thallium,total Concentration
1.12 (7440-28-0) Mass
1.13 Zinc,total Concentration
(7440-66-6) Mass
Cyanide,total Concentration
1.14 (57-12-5) Mass
Concentration
1.15 Phenols,total 0 0 0 Mass
Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
2.1 Acrolein Concentration
(107-02-8) Mass
Acrylonitrile Concentration
2.2 (107-13-1) Mass
Benzene Concentration
2.3 El El ID
(71-43-2) Mass
Bromoform Concentration
2.4 (75-25-2) ✓ Mass
Carbon tetrachloride � ElConcentration
2.5 (56-23-5) Mass
Chlorobenzene El ✓
Concentration
2.6 (108-90-7) Mass
Chlorodibromomethane ❑ � Concentration
2.7 (124-48-1) Mass
Chloroethane Concentration
2.8 (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
NC0029980 Nestle Purina PetCare 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
Daily Monthly Term
Present Absent Daily of of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
2.9 2-chloroethylvinyl ether ❑ ❑ ❑ Concentration
(110-75-8) Mass
Concentration
2.10 Chloroform(67-66-3) 0 0 0 Mass
2.11 Dichlorobromomethane El 0 0 Concentration
(75-27-4) Mass
2.12 1,1-dichloroethane 0 0 ❑ Concentration
(75-34-3) Mass
213 1,2-dichloroethane 0 0 Concentration
(107-06-2) ✓ Mass
2.14 1,1-dichloroethylene ❑ ❑ Concentration
(75-35-4) ✓ Mass
2.15 1,2-dichloropropane 0 0 ❑ Concentration
(78-87-5) Mass
2.16 1,3-dichloropropylene El ❑ CIConcentration
(542-75-6) Mass
Ethylbenzene ✓ Concentration
2.17 (100-41-4) ❑ 0
Mass
2.18 Methyl bromide ❑ ❑ CIConcentration
(74-83-9) Mass
219 Methyl chloride 0 0 ❑ Concentration
(74-87-3) Mass
2.20 Methylene chloride ❑ ❑ CIConcentration
(75-09-2) Mass
2.21 1,1,2 2-tetrachloroethane 0 0
❑ 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
NC0029980 Nestle Purina PetCare 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 g
Units Lon •Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Value Analyses
(if available;
Tetrachloroethylene � r
Concentration
2.22 (127-18-4)
Mass
2.23 Toluene Concentration
(108-88-3) Mass
1,2-trans-dichloroethylene ElConcentration
2.24 (156-60-5) Mass
1,1,1-trichloroethane � ✓
Concentration
2.25 (71-55-6) Mass
1,1,2-trichloroethane ❑ ✓
Concentration
2.26 (79-00-5) Mass
2.27 Trichloroethylene 0 O Concentration
(79-01-6) Mass
Vinyl chloride Concentration
2.28 (75-01-4) Mass
Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds)
3.1 2-chlorophenol Concentration
(95-57-8) Mass
2,4-dichlorophenol Concentration
3.2 (120-83-2) Mass
2,4-dimethylphenol 0 Concentration
3.3 (105-67-9) Mass
4 6-dinitro-o-cresol ElConcentration
3.4 El 0
(534-52-1) Mass
2,4-dinitrophenol � Concentration
3.5 (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
NC0029980 Nestle Purina PetCare 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
Discharge Discharge Discharge Analyses AVatuee Analyses
(required) (if available)
(if available)
2-nitrophenol Concentration
3.6 (88-75-5) Mass
4-nitrophenol Concentration
3.7 (100-02-7) Mass
3.8 p-chloro-m-cresol El 0 Concentration
(59-50-7) ✓ Mass
3.9 Pentachlorophenol ❑ 0 Concentration
(87-86-5) ✓ Mass
Phenol Concentration
3.10 (108-95-2) 0 0 El Mass
3.11 2,4,6-trichlorophenol 0 0 Concentration
(88-05-2) ✓ Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
Acenaphthene Concentration
4.1 (83-32-9) � ❑ 0
Mass
Acenaphthylene Concentration
4.2 (208-96-8) Mass
Anthracene Concentration
4.3 (120-12-7) Mass
4.4 Benzidine Concentration
(92-87-5) ✓ Mass
Benzo(a)anthracene Concentration
4.5 (56-55-3) � � 0
Mass
Benzo(a)pyrene Concentration
4.6 (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
NC0029980 Nestle Purina PetCare 001 OMB No,2040-0004
TABLE B.TOXIC METALS.CYANIDE.TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))'
Presence or Absence
(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 Discharge Daily of Average of
(required) (if available) Dischar(ifavailable)ge Analyses Value Analyses
3,4-benzofluoranthene ElConcentration
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
Bis(2-chloroethoxy)methane � � Concentration
4.10 (111-91-1) Mass
Bis(2-chloroethyl)ether ❑ � Concentration
4.11 (111-44-4) Mass
4.12 Bis(2-chloroisopropyl)ether 0 Concentration
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate Concentration
El
(117-81-7) Mass
4-bromophenyl phenyl ether � ✓
Concentration
4.14 (101-55-3) Mass
Butyl benzyl phthalate � r
Concentration
4.15 (85-68-7)
Mass
2-chloronaphthalene � Concentration
4.16 (91-58-7) Mass
4-chlorophenyl phenyl ether Concentration
4.17 (7005-72-3) El 0 ✓ Mass
Chrysene Concentration
4.18 0 0 El
(218-01-9) Mass _
Dibenzo(a,h)anthracene Concentration
4.19 (53-70-3) 0 El 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
NC0029980 Nestle Purina PetCare 001 OMBNo.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
CAS Number,if available) Required Believed Believed (speoy) Maximum Maximum Average Number Long-
(andr Number
Present Absent Daily Monthly Daily of of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) (if available) Value
4.20 12-dichlorobenzene Concentration
0 El
(95-50-1) ✓ Mass
4.21 1,3-dichlorobenzene Concentration
0 El
(541-73-1) ✓ Mass
4.22 1,4-dichlorobenzene Concentration
(106-46-7) 0 Mass
4,23 3,3-dichlorobenzidine f Concentration
0 0
(91-94-1) 0 Mass
4.24 Diethyl phthalate Concentration
0 0
(84-66-2) 0 Mass
4.25 Dimethyl phthalate El 0 Concentration
(131-11-3) ✓ Mass
4.26 Di-n-butyl phthalate El El
0(84-74-2) ✓ Mass
4.27 2,4-dinitrotoluene , Concentration
0 0(121-14-2) 0 Mass
4.28 2 6-dinitrotoluene Concentration
(606-20-2) ✓ Mass
Di-n-octyl phthalate Concentration
✓
4.29 (117-84-0) Mass
4.30 1,2-Diphenylhydrazine 0 Concentration
(as azobenzene)(122-66-7) Mass
4.31 Fluoranthene Concentration
0 0
(206-44-0) ✓ Mass
4.32 Fluorene Concentration
0 0
(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
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))I
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
of of
Discharge Discharge DisDcharge An lyses Average Analyses
(required) (if available) Value
(if available)
Hexachlorobenzene Concentration
4.33 (118-74-1) Mass
4.34 Hexachlorobutadiene ❑ Concentration
(87-68-3) Mass
Hexachlorocyclopentadiene � ❑ Concentration
4.35 (77-47-4) Mass
4.36 Hexachloroethane ❑ Concentration
(67-72-1) Mass
4.37 Indeno(1,2,3-cd)pyrene C3 Concentration
(193-39-5) Mass
4.38 Isophorone a Concentration
(78-59-1) Mass
4.39 Naphthalene Concentration
(91-20-3) Mass
Nitrobenzene Concentration
4.40 (98-95-3)
Mass
N-nitrosodimethylamine ElConcentration
4.41 0 El
(62-75 9)
Mass
N-nitrosodi-n-propylamine El ✓
Concentration
4.42 (621-64-7) Mass
N-nitrosodiphenylamine � Concentration
4.43 (86-30-6) Mass
Phenanthrene � Concentration
4.44 (85-01-8) Mass
4.45 Pyrene Concentration
(129-00-0) Mass
EPA Form 3510-2C(Revised 3-19) Page 18
I

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 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 Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
4.46 1,2,4-trichlorobenzene Concentration
(120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction—Pesticides)
5.1 Aldrin Concentration
0 0 0
(309-00-2) Mass
a-BHC Concentration
5.2 (319-84-6) 0 0 0 Mass
p-BHC Concentration
5.3 (319-85-7) Mass
y-BHC Concentration
5.4 (58-89-9) Mass
S-BHC Concentration
5.5 (319-86-8) 0 0 Mass
5.6 Chlordane Concentration
0 0
(57-74-9) 0 Mass
5.7 4,4'-DDT Concentration
0 0
(50-29-3) 0 Mass
4,4'-DDE Concentration
5.8 (72-55-9) 0 0 0 Mass
4,4'-DDD Concentration
5.9 (72-54-8) 0 0 0 Mass
5.10 Dieldrin Concentration
0 0
(60-57-1) 0 Mass
a-endosulfan Concentration
5.11 (115-29-7) El El El 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
NC0029980 Nestle Purina PetCare 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
of of
Discharge Discharge DisDcharge Analyses Average Analyses
(required) (if available) Value
(if available)
R-endosulfan Concentration
5.12 (115 29 7) Mass
5.13 Endosulfan sulfate El o Concentration
(1031-07-8) ✓ Mass
5.14 Endrin Concentration
(72-20-8) Mass
Endrin aldehyde � Concentration
5.15 (7421-93-4) ✓ Mass
5.16 Heptachlor Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) 0 0 0 Mass
PCB-1242 Concentration
5.18 (53469-21-9) 0 0 0 '
Mass
PCB-1254 Concentration
5.19 (11097-69-1) 0 0 0 Mass
PCB-1221 Concentration
5.20 (11104-28-2) 0 0 0
Mass
PCB-1232 Concentration
5.21 (11141-16-5) ID 0 0 Mass
PCB-1248 Concentration
5.22 (12672-29-6) El El 0 Mass
PCB-1260 Concentration
5.23 (11096-82-5) 0 Mass
PCB-1016 Concentration
5.24 (12674-11-2) El El 0 Mass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number I Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 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 Daily of Term of
Disc iredd) ifavalable)Discharge A
Discharge Analyses Value Analyses
(if available)
Toxaphene Concentration
5.25 (8001-35-2) CI El 0 Mass
'Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 21

This page intentionally left blank.
I

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))'
Presence or Absence Intake Inta
(check one) Effluent (Optional)
Pollutant Units Maximum Long-Tenn
Believed Believed (specify) Maximum DailyLong-Term
Present Absent Discharge monthly Average Daily Number of Average Number of
two ) Discharge Discharge Analyses Value Analyses
(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,
Q Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the Presence or Absence"column of Table C for
each pollutant.
.1. Bromide ❑ ❑ Concentration
(24959-67-9) Mass
Chlorine,total Concentration
2' residual ❑ ❑ Mass
Concentration
3. Color 0 0 Mass
Concentration
4. Fecal coliform 0 ❑ Mass
5. Fluoride ❑ ❑ Concentration
(16984-48-8) Mass
Concentration
6 Nitrate-nitrite El ❑ Mass
7 Nitrogen,total ❑ 0 Concentration
organic(as N) Mass
Concentration
8. Oil and grease 0 ❑ Mass
Phosphorus(as Concentration
g' P),total ❑ ❑
(7723-14-0) Mass
Sulfate(as SO4) Concentration
10. (14808-79-8) ❑ ❑ Mass
Concentration
11, Sulfide(as S) ❑ 0 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
NC0029980 Nestle Purina PetCare o01 OMBNo.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))'
Presence or Absence
(check one) Effluent Intake
(Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum DailyLon -Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) (if available) (if available) Value
12. Sulfite(as SOS) ❑ ❑ Concentration
(14265-45-3) Mass
Concentration
13. Surfactants ❑ ❑ Mass
14. Aluminum,total ❑ ❑ Concentration
(7429-90-5) Mass
15. Barium,total ❑ 0
Concentration
(7440-39-3) Mass
Boron,total ID ❑ Concentration
16. (7440-42-8) Mass
17 Cobalt,total El ❑ Concentration
(7440-48-4) Mass
15. Iron,total ❑ ❑ Concentration
(7439-89-6) Mass
Magnesium,total Concentration
19. (7439-95-4) ❑ ❑
Mass
Molybdenum, Concentration
20. total ❑ ❑ Mass
(7439-98-7)
Manganese,total ❑ ❑ Concentration
21. (7439-96-5) Mass
22. Tin,total ❑ ❑ Concentration
(7440-31-5) Mass
Titanium,total 0 0 Concentration
23. (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
NC0029980 Nestle Purina PetCare 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)
Units
Pollutant Maximum Long-Term Long-Term
Believed Believed specify, Maximum Daily Monthly Average Daily Number of Number of
Present Absent Discharge Average
Discharge Discharge Analyses Analyses
(required)
(if available) (if available) Vatue
24. Radioactivity
Concentration
Alpha,total ❑ ❑ Mass
Concentration
Beta,total 0 ❑ Mass
Concentration
Radium,total ❑ ❑ Mass
Concentration
Radium 226,total 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 25

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EPA Identification Number NPDES Permit Number Facility Name Dutfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare o01 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 0 0
2. Acetaldehyde 0 0
3. Allyl alcohol 0 El
4. Allyl chloride ❑ 0
5. Amyl acetate 0 ❑
6. Aniline 0 0
7. Benzonitrile 0 0
8. Benzyl chloride 0 ❑
9. Butyl acetate ❑ ❑
10. Butylamine 0 0
11. Captan 0 0
12. Carbaryl 0 0
13. Carbofuran 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
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))'
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) 0 0
21. Diazinon ❑ 0
22. Dicamba 0 ❑
23. Dichlobenil ❑ ❑
24. Dichlone ❑ ❑
25. 2,2-dichloropropionic acid 0 0
26. Dichlorvos ❑ ❑
27. Diethyl amine ❑ ❑
28. Dimethyl amine ❑ ❑
29. Dintrobenzene ❑ ❑
30. Diquat ❑ ❑
31. Disulfoton ❑ ❑
32. Diuron ❑ ❑
33. Epichlorohydrin 0 ❑
34. Ethion 0 ❑
35. Ethylene diamine ❑ ❑
36. Ethylene dibromide ❑ 0
37. Formaldehyde ❑ 0
38. Furfural ❑ ❑
EPA Form 3510-2C(Revised 3-19) Page 28

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))'
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
39. Guthion ❑ ❑
40. Isoprene 0 ❑
41. Isopropanolamine 0 0
42. Kelthane 0 0
43. Kepone 0 0
44. Malathion 0 ❑
45. Mercaptodimethur 0 0
46, Methoxychlor 0 0
47. Methyl mercaptan 0 0
48. Methyl methacrylate ❑ ❑
49. Methyl parathion 0 ❑
50. Mevinphos 0 0
51. Mexacarbate 0 0
52. Monoethyl amine 0 0
53. Monomethyl amine 0 0
54. Naled 0 ❑
55. Naphthenic acid 0 0
56. Nitrotoluene ❑ 0
57. Parathion 0 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
NC0029980 Nestle Purina PetCare 001 OMB No.2040-0004
TABLED.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))!
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in DischargeAvailable Quantitative Data
Believed Believed
(specify units)
Present Absent
58. Phenolsulfonate ❑ 0
59, Phosgene 0 0
60. Propargite 0 ❑
61. Propylene oxide 0 0
62. Pyrethrins 0 0
63. Quinoline ❑ 0
64. Resorcinol 0 0
1 65. Strontium 0 0
66, Strychnine 0 0
67. Styrene 0 0
68. 2,4 5-T(2,4,5-trichlorophenoxyacetic ❑ ❑
acid)
69. TDE(tetrachlorodiphenyl ethane) 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 ❑ ❑
76. Vanadium 0 ❑
EPA Form 3510-2C(Revised 3-19) Page 30
I

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0029980 Nestle Purina PetCare 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 unas)
Present Absent
77. Vinyl acetate 0 0
78. Xylene ❑ ❑
79. Xylenol ❑ ❑
80. Zirconium ❑ ❑
'Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19)
Page 31

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
NC0029980 Nestle Purina PetCare 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 ❑ � �
Click to go back to the beginning of Form
EPA Form 3510-2C(Revised 3-19) Page 33

Nestle Purina PetCare Company— Eden, NC
WWTP Layout (as of 10/1/21)
Collection System
Currently No Discharge Polishing Lagoons (currently dormant)
(Stormwater Collection Only) ►
Effluent Chamber and Parshall Flume
Outfall 001 to Dan River