NCS000591_Renewal Application_20220506

SDC 26, L
April 11, 2022
LC
7401 Statesville Blvd
Salisbury, NC 28147
336-486-8665
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center DECEIVE®
Raleigh, NC 27699-1612
RE: MAY 0 6 z022
Stormwater Permit Renewal
Stormwater Permit No. NCS000591 DEM-StortnwarerPmgM
To Whom it may concern:
Attached is the Stormwater permit renewal with ownership information. Please note
this property has been sold on two different occasions in the last 5 years and no
manufacturing has taken place. The site is sitting idle and has been the last 5 years.
I have filled out the renewal with as much information I could find on the site. (All
servers and data onsite no longer exist). The renewal needs to be exactly as the
2017 or last renewal processed. I have the electronic copies on file if needed.
Please feel free to contact me Daniel Maiden the environmental consultant at 336-
486-8665 or danielmaiden760)vahoo.com if you have any questions or need further
information.
Sincerely,
0
Daniel Maiden
Environmental Consultant
Enclosures:
Permit Renewal with attachments and information on hand

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105/19
NCD041043811
NCS000591
SDC 26, LLC
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
1
:80EPA
Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
SECTION•
r r
1.1 Applicants Not
Required to Submit Form 1
1.1.1
s the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
if yes, STOP. Do NOT complete No
If yes, STOP. Do NOT 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 silviculture] facility that is
a
production facility?
currently discharging process wastewater?
o❑
Yes 4 Complete Form 1 �s No
❑ Yes 4 Complete Form No
z
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 Complete Form No
N
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?
�r Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15.
SECTION
rr' AND • r .i
2.1
Facility Name
SDC 26, LLC
0
2.2
EPA ldentificafionNumber
U
0
NC0041043811
a
2.3
Facility Contact
d
Name (first and last)
Title
Phone number
a
Chris Santoro
Site Mgr
[phone]
Q
Email address
[e-mail]
2.4
Facility Mailing Address
E
z
Street or P.O. box
7401 Statesville Blvd
City or town
State
ZIP code
Salisbury
NC
28147
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105119
NCD041043811
NCS000591
SDC 26, LLC
OMB No. 20404004
H m
2.5
Facility Location
Street, route number, or other specific identifier
C to
7401 Statesville Blvd
o
County name
County code (if known)
Rowan
015
E J
E -a
City or town
State ZIP code
z m
Salisbury
NC 28147
SECTION1
NAICS CODES1
3.1
SIC Code(s)
Description (optional)
2821
Plant is shutdown. No manufacturing onsite
N
d
0
0
U
I U
z
3.2
NAICS Codes)
Description (optional)
a
A
2824
Plant is shutdown. No manufacturing onsite
U
N
4.1
Name of Operator
SDC 26, LLC
0
4.2
Is the name you listed in Item 4.1 also the owner?
E
`0
El Yes ❑ No
E
4.3
Operator Status
❑ Public —federal ❑ Public —state ❑ Other public (specify)
c
21 Private ❑ Other (specify)
4.4
1 Phone Number of Operator
[phone]
4.5
Op tor Address
ao
Street or P.O. Box
d
7401 Statesville Blvd
City or town
State
ZIP code
`o o
Salisbury
NC
28147
m U
fl
Email address of operator
C
[e-mail]
SECTION1
1 1
v
5.1
Is the facility located on Indian Land?
_ c
❑ Yes ❑✓ No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Identificafion Number NPDES Permit Number Facility Name Form Approved 03105119
NCDO41043811 NCS000591 SDC 26, LLC OMB No. 2040-0004
SECTION• I
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
d
© NPDES (discharges to surface
2 RCRA (hazardous wastes)
❑ UIC (underground injection of
water)
fluids)
NC5000591-NC0004944
NCD041043811
w a
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
X
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
SECTIONI
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
2E
Z Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Farm 2B.)
SECTIONOF
1
8.1
Describe the nature of your business.
Former manufacture of polyester fibers- No Manufacturing onsite- Site Closure
N
y
m
O
d
N
Z
SECTION••
1
9.1
Does your facility use cooling water?
d
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
2
9.2
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
d
NPDES permitting authority to determine what specific information needs to be submitted and when.)
O y
O ,p
U �
SECTIONI
• 1 1
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(in)? (Check all that
apply. Consult with your NPDES permitting authority, to determine what information needs to be submitted and
y
when.)
d
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section301(n)) 302(b)(2))
A
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
❑r Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA ldentificadon Number NPDES Permit Number Facility Name Farm Approved03105119
NCD041043811 NCS000591 SDC 26, LLC OMB No. 2040-0004
SECTION•
CERTIFICATION STATEMENT (40
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 7
Column 2
Section 1: Activities Requiring an NPDES Permit
❑ wl attachments
❑� Section 2: Name, Mailing Address, and Location
❑ w/ attachments
Section 3: SIC Codes
❑ wl attachments
❑✓ Section 4: Operator Information
❑ wl attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
❑� Section 6: Existing Environmental Permits
❑ w/ attachments
m
R❑�
Section 7: Map
0 'laopogrephic O w/ additional attachments
y
g
❑✓ Section 8: Nature of Business
❑ w/ attachments
r`
z
❑✓ Section 9: Cooling Water Intake Structures
❑ w/ attachments
❑✓ Section 10: Variance Requests
❑ w/ attachments
v
c
H
❑✓ Section 11: Checklist and Certification Statement
❑ w/ attachments
Y
d
11.2
Certification Statement
U
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official fitie
Daniel Maiden
Environmental consultant
Si a e
VO4/11/2022
Date signed
EPA Form 3510-1 (revised 3-19) Page 4

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources — Stormwater Program
Facility Name:
sflczs.LLc
Permit Number:
NCS000591
Location Address:
740181sicsyilioBlvd
BRIM^ NC 20147
County:
Rowan
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that,qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
Imprisonment for knowing violations."
Sign (according to permit sign tory requirements) and return this Certification. DO NOT
SEND STORMWATER PONLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature
Date 4.11-2022
Leah Weiss ownet/Rep
Print or type name of person signing above Title
SPPP Certification 10/13

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followine information in our Permit Database for vour permit as of 4/11/2022.
Outfall #: 005
Outfall Description: unknown
Outfall Lattitude:
35.711940 Outfall Longitude:
-80,608330
Represented by Outfall:
% Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Yadkin
Second Creek (North Second Creek)
12-108-21 C
Outfall #: 00A
Outfall Description: unknown
Outfall Lattitude:
35.713330 Outfall Longitude:
-80.512500
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Yadkin
Withrow Creek
12-108-21-3 C
Outfall #: 00B
Outfall Description: unknown
Outfall Lattitude:
35.708890 Outfall Longitude:
-80,603890
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Yadkin
Second ,Creek (North Second Creek)
12-108-21 C
Outfall #: 00C
Outfall Description: unknown
Outfall Lattitude:
35.711110 Outfall Longitude:
-80.610830
Represented by Outfall:
% Stormwater:
100 % Industrial:
Stream Waterbody
Basin -
Waterbody Name
Index Number Classification
Yadkin
Withrow Creek
12-108-21-3 C
Outfall #: 00D
Outfall Description: unknown
Outfall Lattitude:
35.711670 Outfall Longitude:
-80.610830
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Yadkin
Second Creek (North Second Creek)
12-108-21 C
4/11/2022 Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
NCD041043811 NCS000591 SDC 26, LLC OMB No. 2040.0004
Form U.S Environmental Protection Agency
2F 80hEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION 1. OUTFALL LOCATION40
1.1 Provide information on each of the facility's outfalis in the table below
Ou#all �Rdceivin Wat�r3Name iatit de`-
g ;Lang�tud ,,
=Nmbry -
A Withrow Creek IT 71 " -80° 51'
o
B N Second Creek 35° 70' -80° 60' "
�o=
.. 35' 71' -80' 61
- .�.. C Withrow Creek
D N Second Creek
.Q- 3.� 71' -80' 61•
005 N Second Creek 35° 71 " -8d' 6d "
SECTION"• 41 . •
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.
i$0 ldentifica#io�niand Affecte�ti 3utfalts 1 Ffna[�Garr4pi a»ceipates
° u #.o So rce( f'D1sd>ai�ge .
aQesaatp ono Project ;(I oct lErniunbsrs� i ,
Regulred � Proja�ied
m
aE
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 3510-217 (Revised 3-19) Page 1

Vl�
EPA Idenfificatlon Number NPDES Permit Number Facility Name Form Approved 03/05119
NCD041D43811 NCS000591 SDC 26, LLC OMB No. 2040-0004
SECTION 3. SITE 1'• I
3.1 Have you attached a site drainage map containing all required information to this application? (See instructions for
d m specific guidance.)
� A
=
o ® Yes ❑ No
POLLUTANTSECTION 4. e t
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)
spectlyunits
specify, units
specify units
specify units
specify units
specify units
specify units
specityunits
specify units
Specify units
specify units
specifyunifs
4.2
Provide a narrative description of the facility's significant material in the space below. (See instructions for content
requirements.)
See attachments provided
m
0
h
c
m
0
o_
4.3
Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall
from
Number
Control Measures and Treatment
Exhibit
2F-1
(list)
N/A
EPA Form 3510.2F (Revised 3-19)
Page 2

EPA Idenlificafian Number NPDES Permit Number Facility Name Form Approved 03105119
NCD041043811 NC5000591 SDC 26, U-C OMB No. 2040-0004
SECTION•N STORMWATER • r
5.1 1 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
Daniel Maiden
Environmental Consultant
Sign re
Date signed
'
�LL
oa/rr/zozz
rn
5.2
Provide the testing information requested in the table below.
Outfall
Onsite Drainage Points
o
Number
Description of Testing Method Used
Date(s) of Testing
Directly Observed
`u
During Test
m
�
`o
See attached
rn
c
0
2
SECTIONOR
1 1
6.1
Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
N/A
rn
`o
Y
1
J
C
t�1
C
C
OI
tq
SECTIONDISCHARGE
INFORMATION1
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?
le
❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
—�`
estimated data. actual data.
m
Tables A, B, C, and D
H
7.2
Have you completed Table A for each outfall?
❑ Yes ❑ No
EPA Form 3510-2F (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCD041043811
NCS000591
SDC 26, LLC
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
7.10
Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
o,
❑ Yes ❑ No 4 SKIP to Item 7.12.
7.11
Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 ppb or greater?
a'
❑ Yes ❑ No
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 2F4 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 03105119
NCD041043811
NCS000591
SDC 26, LLC
OMB No. 2040-0004
Used or Manufactured Toxics
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
U
❑ Yes ❑ No 4 SKIP to Section 8.
0
0
%
7.19
List the pollutants below, including TCDD if applicable.
1. 4. 7.
d
A
2. 5. 8.
r
U
c
3. 6. 9.
SECTION
8. BIOLOGICAL
TOXICITY TESTING DATA (40 CFR 122.21 (g)(1 1))
8.1
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity, has been made on
A
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
❑ Yes 19 04/27/2022
No 4 SKIP to Section 9.
.y
8.2
Identify the tests and their purposes below.
D
x
Test(s)
Purpose of Test(s)
Submitted to NPDES
PermittingAuthority?Date
Submitted
0
~
❑ Yes ❑ No
A
U
O
❑ Yes ❑ No
o
'm
❑ Yes ❑ No
SECTION•
• • .r
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
0
0
0
w
y
Laboratory address
y
a
A
c
a
U
A
c
Phone number
U
Pollutant(s) analyzed
EPA Form 3510-2F (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NCD041043811 NCS000591 SDC 26, LLC OMB No. 2040-0004
SECTION1
CHECKLIST
AND CERTIFICATIONI . .
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 com lete all sections or provide attachments.
Column t
Column 2
❑� Section 1
❑✓ w/ attachments (e.g., responses for additional outfalls)
0 Section 2
w/ attachments
Section 3
w/ site drainage map
❑ Section 4
❑ w/ attachments
❑ Section 5
❑ w/ attachments
❑ Section 6
❑ w/ attachments
e
a
❑ Section 7
❑ Table A ❑ w/ small business exemption request
n
`o
❑ Table B ❑ w/ analytical results as an attachment
❑ Table C ❑ Table D
c
❑ Section 8
❑ w/attachments
a
c
H
❑ Section 9
❑ w/attachments (e.g., responses for additional contact laboratories or fines)
Y
z
❑ Section 10
❑
r,
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 titre
Daniel Maiden
Environmental Consultant
Sig ature ,
Date signed
04/27/2022
EPA Forth 3510-2F (Revised 3-19) Page 6

9, Identification
ES Permit Num
Facility Name
NCD04043811�r I NPDNCS000591 ber SDC 26, LLC Oudall Number I Fo OMB No. 2040-0/004
TABLE A. CONVENTIONAL AND NON CONVENTIONAL PARAMETERS (40 CFR 122.26(c)(1)(i)(E)(3))'
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and requirements.
Pollutant or Parameter
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(newsourcelnew
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
- Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
1.
Oil and grease
2.
Biochemical oxygen demand (BOD5)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
5.
Total phosphorus
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
pH (minimum)
8.
pH (maximum)
r Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510.21' (Revised 3-19) Page 7

This page intentionally left blank.

k Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCD041043811 I NCS000591 I SDC 26, LLC I I 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))'
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.
�ol�tftant,and CAS:N m�er: if ailable
P..�.,�;ft5
_
!M,Daiji Discharge.
i
_
.Grab Ste` 1e,T a _. _!
Fbw-.Wei #e
9
DY�ng Fitt --,_
Composite
30`a�lint tes:
'AverageDa �y
µ 1.
_ _ _
.. G dam a Ta �a
^�rab .p�
; .
Duriin �,F�rsE-
30 Minutes '
bscharge
�bnits _ _ _ _
-
Flow Vlletghfed
Co po
gym -.:'site
_
-
ftb ero
-
Even Sa p1 d
Source; of.
a�
Iriforrii-" io
(R".�wsortra'ne�iv
dischd�ets anly; �i e
codes In ifistrugons)
I Sampling shall be conducted according to sufflcienfly 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

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EPA Identification Number NPDES Permit Number
NCDO41O43811 I NCS000591
Facility Name
SDC 26, LLC
Outfall Number
Form Approved 03/05/19
OMB No. 2040-0004
POLLUTANTS,TABLE C. TOXIC CERTAIN HAZARDOUS SUBSTANCES, AND ASBESTOSt i
List each pollutant shown in Exhibits 2F-2, 2F-3, and 21F4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
1
Pollutan srt CAS Number (rFaVa�able}�
:.
-
-
Mtum Dakly'Discharg
Y
.
s nrts . ,
Aveirage Daly Discharge:
1
units
!i S
Numb�ro tonttn:
Evens Samle
Soitr;e of
ln�n>�afion
ne v i. ew
drscfia rs ott , ase
codes n iristrtrr orts)
Grab S m�"ie:Tat4ep
Du ng First
30�Mlnu%s
Flow-We�igfs#d
-
Com�ostte,
Graff Sampi1oulCen:
Dui ng FlrsF
30 Minutes
Flo eigtftel:
composito. _
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

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EPA ldenfification Number NPDES Permit Number Facility name Outlet Number
Form Approved 03/05119
NCD041043811 NCS000891 SDC 26, LLC
OMB No. 2040-0004
INFORMATIONTABLE D. STORM EVENT •r
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 spacify units)
(in inches)
Event
(in gpm or specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (Revised 3-19) Page 13