NC0006564_Request for major modification package_20220621

Medical Products
Baxter
June 21, 2022
Ms. Julia Byrd, Environmental Engineer
North Carolina Department of Environmental Quality
Division of Water Resources
512 N. Salisbury St.
Raleigh, NC 27604
Subject: Baxter Healthcare Corp. Wastewater Treatment Plant Permit Major Modification
Permit No. NC0006564
Dear Ms. Byrd,
Baxter Healthcare is submitting this request for a major modification to NPDES Permit NC0006564
dated April 5, 2022. Our North Cove Facility (NCF) discharges into the North Fork Catawba River, a
Class B Trout stream and our treatment facility is a Grade III Biological WPCS. This major modification
request was prepared using information included in the permit fact sheet and our monitoring data
and focused on a) Heated Discharge for Trout waters, b) turbidity monitoring for trout waters and c)
provisions for superior performing facilities as detailed below. Please find enclosed a check for the
permit major modification processing fee and completed relevant sections of EPA Application Forms
1 & 2C, as well as applicable attachments and supporting information.
Temperature Modification
Baxter Healthcare has fully complied with past permit requirements and has not received any
notification — formal or informal — that the facility was in violation of its NPDES obligations related to
temperature. While Baxter believes the NCF remains compliant with permit requirements, we
understand stakeholder concerns regarding potential thermal impacts submitted during the public
comment period for the permit renewal deserve further investigation.
Baxter Healthcare Corporation
61 Pitts Station Road r PO Box 1390. Marion, North Carolina 28752
T 828.756 4151

Medical Products
Baxter
Baxter Healthcare is committed to operating our facilities in an environmentally responsible manner
and would like to demonstrate this commitment by dedicating additional resources including
engaging an experienced Professional Engineering firm to assess thermal effects in the North Fork of
the Catawba River and within our facility. Baxter proposes to develop a comprehensive Corrective
Action Plan (CAP) for Division of Water Resources (DWR) approval and work collaboratively with DWR
to implement, if needed, operational changes or capital projects to ensure compliance with 15A
NCAC 02B .0211 (18) and .0219 (1).
To complete the CAP development and plan our technical evaluations, Baxter Healthcare proposes
Inclusion of formal language in our modified NPDES permit that codifies our proposed approach with
timelines and milestone requirements. Proposed permit language is shown in Attachment 1.
Turbidity
Baxter Healthcare made a significant investment in 2017, constructing our current NCF wastewater
treatment facility. The treatment process includes a membrane bioreactor (MBR) step, producing
effluent with extremely low total suspended solids (TSS) as detailed in the attached TM (Attachment
2). Baxter Healthcare is confident that the facility is not contributing additional turbidity via its
efr.uent. Therefore. we are requesting a 12-month monitoring period with weekly sampling of
turbidity. At that time, sufficient data should be available to demonstrate that this monitoring is no
longer required. Baxter Healthcare is requesting that this approach be included in the modified
permit so that 'n 12 months' time another modification is not necessary if turbidity data support it.
Exceptional Performing Facility
With advanced treatment technologies in place and based on Environmental Protection Agency's
(EPA) 1996 Interim Guidance for Performance — Based Reductions of NPDES Permit Monitoring
Frequencies (the 1996 Guidance), Baxter believes the NCF is a prime candidate for several
modifications based on its history of outstanding effluent performance since completion of the
upgrade in 2017. The attached TM (Attachment 2) details relevant ratio statistics and associated EPA
recommendations based on the 1996 Guidance. A summary of requested modifications under this
guidance is shown in Table 1 below.
Table 1. Summary of Requested Major Permit Modifications for NPDES Permit NC0006564
Parameter
Ammonia
Permit Modification
Remove numeric limit for Winter Daily Max (>35 mg/L) to agree with Permit Fact
Sheet
Reduce monitoring frequency to quarterly in accordance with the 1996 Guidance
Baxter Healthcare Corporation
61 Pills Station Road / PO Box 1390 / Marion. North Carolina 28752
T 828.756.4 r51

Medical Products
Baxter
BOD
Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
COD
Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
TSS
Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
Fecal coliform
Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
Turbidity
Perform 1x/week effluent sampling for 12 months, then consider removal
The following attachments are included in this major modification request.
• EPA Application Form 1 — General Information
• EPA Application Form 2C — Existing Manufacturing, Commercial, Mining, and Silvicultural
Operations
• Topographic Map
• Process Flow Diagram
• Treatment Facility Process & Equipment
• Sludge Management Plan
• Proposed Changes for Temperature -Related Schedule of Compliance
• WET Testing Laboratory Results
• Operating NPDES Permit: NC0006564, Baxter Healthcare Corp, WWTP (dated 20160901)
• Stayed NPDES Permit: NC0006564, Baxter Healthcare Corp. WWTP (dated 20220405)
If you have any questions or need additional information, please contact me at [phone].
Respectfully Submitted,
Stephen Gouge
EHS Manager
Baxter Healthcare Corporation
Baxter Healthcare Corporation
61 Pitts Station Road / PO Box 13901 Marion. North Carolina 28752
T 828.756.4151

&EPA
United States
Environmental Protection Agency
Office of Water
Washington, D.C.
EPA Form 3510-1
Revised March 2019
Water Permits Division
Application Form 1
General Information
NPDES Permitting Program
Note: Alt applicants to the National Pollutant Discharge Elimination System (NPDES) permits
program, with the exception of publicly owned treatment works and other treatment works treating
domestic sewage, must complete Form 1. Additionally, all applicants must complete one or more of the
following forms: 2B, 2C, 2D, 2E, or 2F. To determine the specific forms you must complete, consult the
"General Instructions" for this form.

Paperwork Reduction Act Notice
The U.S. Environmental Protection Agency estimates the average burden to collect information
and complete Form 1 to be 2.9 hours for new applicants and 0.9 hours for applicants renewing
existing permits. This estimate includes time to review instructions, search existing data sources,
gather and maintain the needed data, and complete and review the collection of information.
New respondents must also prepare a topographic map. Send comments about the burden
estimate or any other aspect of this collection of information to the Chief, Information Policy
Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW,
Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of
Management and Budget, 725 17th Street, NW, Washington, DC 20503, marked "Attention:
Desk Officer for EPA."

DESCRIPTION OF NPDES PERMIT APPLICATION FORMS
CONTENTS OF FORM 1 PACKAGE
The application forms for individual National Pollutant Discharge
Elimination System (NPDES) permits include the following:
Form 1—General Information (included in this package).
Form 2—Forms Based on Facility or Activity Type (not included
in this package):
2A. New and Existing Publicly Owned Treatment Works
28. Concentrated Animal Feeding Operations and
Concentrated Aquatic Animal Production Facilities
2C. Existing Manufacturing, Commercial, Mining, and
Silviculture! Operations
2D. New Manufacturing, Commercial, Mining, and Silviculture!
Operations That Have Not Yet Commenced Discharge of
Process Wastewater
2E. Manufacturing, Commercial, Mining, and Silviculture!
Facilities Which Discharge Only Nonprocess Wastewater
2F. Stormwater Discharges Associated with Industrial Activity
2S. New and Existing Treatment Works Treating Domestic
Sewage
Fonn 1--General Instructions
Form 1—Line-by-Line Instructions
Form 1—Activities That Do Not Require Permits
Form 1—Glossary
Form 1-Application
FORM 1—GENERAL INSTRUCTIONS
Who Must Apply for an NPDES Permit?
With the exceptions described in "Form 1—Activities That Do Not
Require Permits," the federal Clean Water Act (33 U.S.C. 1251 et
seq.) prohibits any person from discharging pollutants into waters
of the United States without first having been issued a permit
under the NPDES program.
Who Must Complete Form 1?
All applicants, other than publicly owned treatment works
(POTWs) and treatment works treating domestic sewage
(TWTDS), muss submit Form 1. If you operate one of the
following facilities, you must submit Form 1: concentrated animal
feeding operations and aquatic animal production facilities;
manufacturing, commercial, mining, and silvicultural operations;
or other industrial facilities.
At the state level, either the U.S. Environmental Protection
Agency (EPA) or an approved state agency administers the
NPDES permit program. If you are located in a jurisdiction in
which an EPA regional office administers the NPDES permit
program, you should use Form 1 and all other applicable forms
described in these instructions. If you are located in a jurisdiction
where a state administers the NPDES permit program, contact
the state to determine the forms you should complete. States
often develop their own application forms rather than use the
federal forms. See htlp:llwww.epa.gov.'n6desln•des-state-
program-information for a list of states that have approved
NPDES permit programs and those that do not.
Exhibit 1-1 (see end of this section) provides contact information
for each of EPA's 10 regional offices. Since the exhibit's content is
subject to change, consult EPA's website for the latest information:
htto:Nwww.epa.Qov/aboutepa#regional.
Upon your request, and based on information supplied by you,
EPA or the authorized NPDES state will determine whether you
are required to obtain a permit for a particular facility or activity.
Be sure to contact EPA or your state if you have a question.
Form 1 collects general information only. You must also complete
a more detailed application based on your proposed discharge
activity, as follows:
• If your facility is a concentrated animal feeding operation
or a concentrated aquatic animal production facility, you
must also complete Form 2B.
• If your facility is an existing manufacturing, commercial,
mining, or silvicultural facility that currently discharges
process wastewater, you must also complete Form 2C.
• If your facility is a new manufacturing, commercial, mining,
or silvicultural facility that has yet to commence discharge of
process wastewater, you must also complete Form 2D.
• If your facility is a new or existing facility (including
manufacturing, commercial, mining, and silvicultural
facilities) that discharges only nonprocess wastewater,
you must also complete Form 2E.
• If your facility is a new or existing facility whose discharge
is composed entirely of stormwater associated with industrial
activity —excluding discharges from construction activity
under 122.26(b)(14)(x) or (b)(15)—you must also complete
Form 2F. If the discharge is composed of stormwater and
non-stormwater, you must complete Form 2F and you must
also complete Forms 2C, 2D, and/or 2E, as appropriate. See
Form 2F's instructions for further details.
1-1

FORM 1—GENERAL INSTRUCTIONS CONTINUED
Where to File Your Completed Form
• If you are in a jurisdiction with an approved state NPDES
permit program, file according to the instructions on the state
forms.
• If you are in a jurisdiction where EPA is the NPDES
permitting authority (Le., the state is not an NPDES-
authorized state), mail the completed application forms to the
EPA regional office that covers the state in which your facility
is located (see Exhibit 1-1).
When to File Your Completed Form
Because of statutory and regulatory requirements, the deadlines
for filing applications vary according to your facility or activity type
and the type of permit you need. The various permit application
deadlines are listed in Exhibit 1-2 at the end of this section.
Fees
EPA does not require applicants to pay a fee for applying for
NPDES permits. However, states that administer the NPDES
permit program may charge fees. Consult with state officials for
further information.
Public Availability of Submitted Information
EPA will make information from NPDES permit application forms
available to the public for inspection and copying upon request.
You may not claim any information on Form 1 (or related
attachments) as confidential.
You may make a claim of confidentiality for any information that
you submit to EPA that goes beyond the information required by
Form 1. If you do not assert a claim of confidentiality at the time
you submit your information to the NPDES permitting authority,
EPA may make the information available to the public without
further notice to you. EPA will handle claims of confidentiality in
accordance with the Agency's business confidentiality regulations
at Part 2 of Title 4 of the Code of Federal Regulations (CFR).
Completion of Forms
Print or type in the specified areas only. If you do not have enough
space on the form to answer a question, you may continue on
additional sheets, as necessary, using a format consistent with the
form.
The NPDES permitting authority could consider your application
incomplete if you do not provide an answer (or indicate "NA" for
"not applicable") for all questions on Form 1 and the applicable
Form 2.
Provide your EPA Identification Number from the Facility Registry
Service, NPDES permit number, and facility name at the top of
each page of Form 1 and any attachments. If your facility is new
(i.e., not yet constructed), write or type New Facility" in the space
provided for the EPA Identification Number and NPDES number.
If you do not know your EPA Identification Number, contact your
NPDES permitting authority. See Exhibit 1-1 for contact
information.
Do not leave any response areas blank unless the form directs
you to skip them. If the form directs you to respond to an item that
does not apply to your facility or activity, enter "NA" for "not
applicable" to show that you considered the item and determined
a response was not necessary for your facility.
The NPDES permitting authority will consider your application
complete when it and any supplementary material are received
and completed according to the authority's satisfaction. The
NPDES permitting authority will judge the completeness of any
application independently of the status of any other permit
application or permit for the same facility or activity.
1-2

FORM 1—GENERAL INSTRUCTIONS CONTINUED
Exhibit 1-1. Addresses of EPA Regional Contacts and Covered States
REGION 1
U.S. Environmental Protection Agency, Region 1
5 Post Office Square, Suite 100, Boston, MA 02109-3912
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: hlio:4tivww.epa.gcv'eh.w.ep,repo-eg.ion-1fie+-am:8nd
REGION 6
U.S. Environmental Protection Agency, Region 6
1445 Ross Avenue, Suite 1200, Dallas, TX 75202-2733
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http1.Miwe.epa.4owaxu'e;.a'apa-na,iar yn,rJ-mrlrpl
Covered states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode
Island, and Vermont
Covered states: Arkansas, Louisiana, New Mexico, Oklahoma, and Texas
REGION 2
U.S. Environmental Protection Agency, Region 2
290 Broadway, New York, NY 10007-1866
Phone: [phone]: toll free: [phone]
Fax: [phone]
Website: h:to:r+www.apa.gua axutep tpa-,regon-2
REGION 7
U.S. Environmental Protection Agency, Region 7
11201 Renner Boulevard, Lenexa, KS 66219
Phone: [phone]; toll free: [phone]
Website: htlplrwrww.coa,caw"abouteoa;era-reaian-7-midweal
Covered states: Iowa, Kansas, Missouri, and Nebraska
Covered states: New Jersey, New York, Virgin Islands, and Puerto Rico
REGION 3
U.S. Environmental Protection Agency, Region 3
1650 Arch Street, Philadelphia, PA 19103-2029
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: haplAvww.eca.govrahuulepaepa-ra4lon mid-eaI5c
REGION 8
U.S. Environmental Protection Agency, Region 8
1595 Wynkoop Street, Denver, CO 80202-1129
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: hdt;ratrrvw.epa.Qav/abouteparepa-repgn-Prmeurlair ar grain5
Covered states: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia,
and West Virginia
Covered states: Colorado, Montana, North Dakota, South Dakota. Utah, and
Wyoming
REGION 4
U.S. Environmental Protection Agency, Region 4
Sam Nunn Atlanta Federal Center
61 Forsyth Street, SW, Atlanta, GA 30303-8960
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: hrxdAwvw-epa. ovlaboutepi rabaut pe-re ,ic —4-Souk^east
REGION 9
U.S. Environmental Protection Agency, Region 9
75 Hawthorne Street, San Francisco, CA 94105
Phone: [phone]; toll free: (866) EPA -WEST
Fax: [phone]
Website: ,tiitpJirrwv,r.apa.pawaboalo-pa,'c.a-rauiar:- paois-southwest
Covered states: Arizona, California, Hawaii, Nevada, Guam, American Samoa,
and Trust territories
Covered slates: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina,
South Carolina, and Tennessee
REGION 5
U.S. Environmental Protection Agency, Region 5
77 West Jackson Boulevard. Chicago, IL 60604-3507
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: hlr,sAmw.epa.3cviel ...tin 'e.N-Tanon-5
REGION 10
U.S. Environmental Protection Agency, Region 10
1200 Sixth Avenue, Suite 900, Seattle, WA 98101
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: hno..1.4wrteoe.oan'abaute_ial pare on -
Covered stales: Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin
Covered states: Alaska, Idaho, Oregon, and Washington
Exhibit 1-2.
Permit Application
Filing Dates for NPDES Permit Applications
When to File
180 days before your present NPDES permit expires ar, if you are a
new discharger, 180 days before the date on which the discharge is
to commence unless the NPDES permitting authority has granted
permission fora later date
2B
180 days before your present NPDES permit expires or 180 days
prior to startup If you are a new faci!ily
2C
180 days before your present NPDES pemr.t expires.
2D
180 days prior to startup.
2E
180 days before your present NPDES permit expires, or 180 days
prior to startup if you are a new facility.
2F
Construction: 90 days prior to date construction is to commence.
Nonconsiruction:180 days before your present NPDES permit
expires or 180 days prior to startup if you are a new facility.
2S
180 days before your present NPDES permit expires or 180 days
prior to startup if you area new farility.
1-3

FORM 1—LINE-BY-LINE INSTRUCTIONS
Section 1. Activities Requiring an NPDES Permit
Item 1.1. Review the questions in Item 1.1 to determine if you are
required to submit Form 1. Be sure to check the Form 1—
Glossary for the legal definitions of any key terms.
If you answer "Yes" to a question in Item 1.1, then you do not
need to complete Form 1, but you must comply with the
application requirements specified.
Item 1.2. Respond to the questions in Items 1.2.1 to 1.2.5.1f you
answer "Yes" to any question, you must complete Form 1 and the
Fomi 2 application specified. See Exhibit 1-2 for filing deadlines.
If you answer "No" to every question in Items 1.1 and 1.2, then
you do not need an NPDES permit, and you do not need to
complete and retum any of the NPDES application forms.
Section 2. Name, Mailing Address, and Location
Item 2.1. Enter the facility's official or legal name. Do not use a
colloquial name.
Item 2.2. Provide your EPA Identification Number from the
Facility Registry Service if you have an existing facility. If you do
not know your EPA Identification Number, contact your NPDES
permitting authority. If your facility is new (i.e., not yet
constructed), write or type "New Facility."
Item 2.3. Give the name (first and last), title, work telephone
number, and email address of the person who is thoroughly
familiar with the operation of the facility and with the facts
reported in this application. The NPDES permitting authority will
contact the person listed if they have questions on the material
submitted.
item 2.4. Give the complete mailing address of the office to which
the NPDES permitting authority should send correspondence.
This often is not the address used to designate the location of the
facility or activity.
Item 2.5. Give the address or location of the facility identified
under Item 2.1. If the facility lacks a street name or route number,
give the most accurate, alternative geographic information (e.g.,
section number or quarter section number from county records or
"at intersection of Routes 425 and 22"). Also provide the county
name, county code (if known), city or town, state, and zip code.
For concentrated aquatic animal production facilities, provide the
address or location of the production area (i.e., the location where
the animals are contained, grown, or held).
Section 3. SIC and NAICS Codes
Items 3.1 and 3.2. List, in descending order of significance, up to
four 4-digit standard industrial classification (SIC) codes and
North American Industrial Classification System (NAICS) codes
that best describe your facility in terms of the principal products or
services it produces or provides. If the SIC or NAICS codes do
not adequately describe your facility's products or services, you
have the option to provide additional descriptive information.
You can find SIC code numbers and descriptions in the
1987 Standard Industrial Classification Manual, prepared by the
Executive Office of the President, Office of Management and
Budget. This document is available from the Government Printing
Office, Washington, D.C. An online version of the manual is also
available courtesy of the Occupational Safety and Health
Administration at http:."fj .osha.govlplshmslsic manual.html.
You can find NAICS code numbers and descriptions in the North
American Industrial Classification System Manual prepared by the
Executive Office of the President, Office of Management and
Budget. This document is available from the National Technical
Information Service (NTIS) in Alexandria, Virginia. It is also
available online at http:llwww.census.govleoslwwwlnaicsl.
Use the latest edition of the manuals. If you have any questions
about the appropriate SIC or NAICS codes for your facility,
contact your NPDES permitting authority.
Section 4. Operator Information
Item 4.1. Give the legal name of the person, firm, public
organization, or other entity that operates the facility described in
this application. This may or may not be the same as the facility's
name. The operator of the facility is the legal entity that controls
the facility's operation rather than the plant or site manager. Do
not use a colloquial name.
Item 4.2. Indicate whether the entity listed in response to Item 4.1
also owns the facility by marking the appropriate box.
Item 4.3. Indicate the ownership status of the operator of the
facility by marking the appropriate box. If the facility is a federal
facility (i.e., owned by the U.S. government), check the box for
"Public —federal." If the facility is owned by a state government,
check the box for "Public —state." If the facility is owned by a
county govemment, municipal (e.g., city or town) government,
tribal govemment, school district, water district, or other local
government entity, check the box for °Other public" and specify
the type of government entity. If the facility is owned by a
corporation or other private entity, check the box for "Private." If
the facility has mixed ownership (e.g., public/private) or is not
owned by an entity of the types previously listed, check the box
for °Other" and specify the type of entity.
Items 4.4 to 4.6. Enter the telephone number, address, and email
address of the operator identified in Item 4.1.
Section 5. Indian Land
item 5.1. Indicate whether the facility is located on Indian Land.
Section 6. Existing Environmental Permits
Item 6.1. Check the appropriate boxes and provide the permit
numbers for all relevant federal, state, and local environmental
permits or construction approvals received or applied for under
any of the programs listed below. If you have more than one
currently effective permit under a particular permit program for
your facility, list the additional permit numbers on the application
form or on a separate sheet of paper.
1-4

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
• Hazardous waste management program under the Resource
Conservation and Recovery Act (RCRA).
• Underground Injection Control (UIC) program under the Safe
Drinking Water Act (SDWA).
• NPDES program under the Clean Water Act (CWA).
• Prevention of Significant Deterioration (PSD) program under
the Clean Air Act (CAA).
• Nonattainment program under the CM.
• National Emission Standards for Hazardous Pollutants
(NESHAPs) preconstruction approval under the CM.
• Ocean dumping permits under the Marine Protection
Research and Sanctuaries Act (MPRSA).
• Dredge or fill permits under Section 404 of the CWA.
• Other federal, state, or local environmental permits.
Section 7. Map
Unless the facility is a concentrated animal feeding operation,
provide a topographic map(s) of the area extending at least one
mile beyond the property boundaries of the facility that dearly
shows the following:
• The legal boundaries of the facility.
• The location and serial number of each of your existing and
proposed intake and discharge structures.
• All hazardous waste management, storage, and disposal
facilities.
• Each well where you inject fluids underground.
• All wells, springs, surface water bodies, and drinking water
wells that are in the public record or otherwise known to you
and that are located in the map area.
If the facility has associated water intakes, discharge structures,
hazardous waste disposal sites, or injection wells and these items
are located more than one mile from the facility, include them on
the map if possible. If you cannot, attach additional sheets
describing the location of the structures, disposal site(s), or well(s)
and identify the U.S. Geological Survey (USGS) or other map
corresponding to the location(s).
On each map, indude the map scale, a meridian arrow showing
north, and latitude and longitude to the nearest second. Latitude
and longitude coordinates may be obtained in a variety of ways,
including use of hand held devices (e.g., a GPS enabled
smartphone), intemet mapping tools (e.g.,
httos.11mvnasadata_Iarc.nasa.govllatitudelonoitude-finderl),
geographic information systems (e.g., ArcView), or paper maps
from trusted sources (e.g., USGS).
On all maps of rivers, show the direction of the current. In tidal
waters, show the directions of ebb and flow tides.
You may develop your map by going to USGS's National Map
website at hiisq,'natior:aImn.k�ov_I. (For a map from this site, use
the traditional 7.5-minute quadrangle format. If none is available,
use a USGS 15-minute series map.) You may also use a plat or
other appropriate map. Briefly describe land uses in the map area
(e.g., residential, commercial). An example of an acceptable
location map is shown as Exhibit 1-3 at the end of these
instructions. Note: Exhibit 1-3 is provided for illustration only; it
does not show an actual facility.
If the facility is a concentrated animal feeding operation, you are
not required to provide the topographic map required by this
section of Form 1. Instead, you are required to provide a
topographic map as specified in Section 4 of Form 2B.
Item 7.1. Note that you have completed your topographic map
and attached it to the application.
Section 6. Nature of Business
Briefly describe the nature of your business (e.g., products
produced or services provided). See Examples 1 and 2.
Example 1
Facilities Subject to 40 CFR 426, Subparts F and G
Industry A is an auto tempered and auto laminated glass
manufacturing facility subject to effluent limitation guidelines
(ELGs) for the 'Automotive Glass Tempering" and "Automotive
Glass Laminating" subcategories of the 'Glass Manufacturing'
point source category at 40 CFR 426, subparts F and G. At the
facility, glass is cut and then passed through a series of
processes that grind and polish the edges, bend the glass, and
then temper the glass to produce side and back windows for
automobiles. Tempering involves heating the glass near the
melting point, then rapidly cooling it to increase its mechanical
and thermal endurance. The facility also produces automobile
windshields and undertakes processes that laminate a plastic
sheet between two layers of glass and that prepare the glass for
lamination (e.g., cutting, bending, and washing).
Example 2
Facility Not Subject to ELGs
Industry B undertakes batch -type resin manufacturing operations.
It has aboveground storage tanks for raw materials and finished
goods, resin loading operations, and warehouses for 55-gallon
drums of finished product. Industry B manufactures alkyd,
saturated and unsaturated polyester resins in batches using
reactor vessels and mix tanks. Most of the feedstock liquids are
pumped from storage tanks to the kettles and mixers via a closed
piping system. Additional feedstocks are added manually as
solids from bags and sacks via manways, which are located on
top of the kettles. The resin is then chemically reacted in the
kettles. After the reaction step finishes, the resin is transferred
from the kettles to the mix tanks, where solvents are added to
thin it. The primary byproduct of the reaction is water vapor
containing condensed soluble organics. The byproduct flows to
an isolation tank where the vapors are directed to an onsite
thermal oxidizer. The finished resin is then pumped through one
of three types of filtration systems into finished goods storage
tanks, 55-gallon drums, 350-gallon intermediate bulk container
totes, or directly into tanker trucks. A typical batch takes about 30
hours to complete.
1-5

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
Section 9. Cooling Water Intake Structures
Item 9.1. Indicate whether the facility uses cooling water. If yes,
continue to Item 9.2. If no, skip to Item 10.1.
Item 9.2. Identify the source of the cooling water. For example,
indicate whether the cooling water is from a surface water,
groundwater well, public water system, or treated effluent that
would otherwise be discharged to a water of the U.S.
If the facility uses a cooling water intake structure as described in
40 CFR 125, Subparts I and J, the facility may have additional
application requirements under 40 CFR 122.21(r). Note that the
information required by 40 CFR 122.21(r) is not requested as part
of Form 1. Contact your NPDES permitting authority to determine
the specifics of what you should provide and when.
Section 10. Variance Requests
An applicant (other than a POTW) may request a variance from
otherwise applicable effluent limitations under certain conditions
described at 40 CFR 122.21(m).
Item 10.1. If known at the time of application, check all of the
authorized variances that you plan to request or renew. Note that
you are not being asked to submit any other information at this
time. Contact your NPDES permitting authority to determine the
specifics of what you should provide and when. The ability to
request a variance is not limited to the time of application, and an
applicant may request a variance consistent with statutory and
regulatory requirements.
Section 11. Checklist and Certification
Item 11.1. Review the checklist provided. In Column 1, mark the
sections of Form 1 that you have completed and are submitting
with your application. In Column 2, indicate for each section
whether you are submitting attachments.
Item 11.2. The Clean Water Act provides for severe penalties for
submitting false information on this application form. CWA Section
309(c)(2) provides that, Any person who knowingly makes any
false statement, representation, or certification in any application,
...shall upon conviction, be punished by a fine of no more than
$10,000 or by imprisonment for not more than six months, or
both."
FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS
APPLICATION TO BE SIGNED AS FOLLOWS:
A. For a corporation, by a responsible corporate officer. For the
purpose of this section, a responsible corporate officer
means: (1) a president, secretary, treasurer, or vice-president
of the corporation in charge of a principal business function,
or any other person who performs similar policy- or decision -
making functions for the corporation, or (2) the manager of
one or more manufacturing, production, or operating facilities,
provided the manager is authorized to make management
decisions which govern the operation of the regulated facility
including having the explicit or implicit duty of making major
capital investment recommendations, and initiating and
directing other comprehensive measures to assure long term
environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary
systems are established or actions taken 10 gather complete
and accurate information for permit application requirements;
and where authority to sign documents has been assigned or
delegated to the manager in accordance with corporate
procedures.
B. For a partnership or sole proprietorship, by a general partner
or the proprietor, respectively.
C. For a municipality, slate, federal, or other public facility, by
either a principal executive officer or ranking elected official.
For purposes of this section, a principal executive officer of a
federal agency includes: (1) The chief executive officer of the
agency, or (2) a senior executive officer having responsibility
for the overall operations of a principal geographic unit of the
agency (e.g., Regional Administrators of EPA).
1.6

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1-7

FORM 1—ACTIVITIES THAT DO NOT REQUIRE PERMITS
You are not required to obtain an NPDES permit if your discharge
is in one of the following categories, as provided by the CWA and
NPDES regulations at 40 CFR 122 to 125. (However, under CWA
Sections 510 and 312, some discharges exempted from the
federal NPDES requirements may still be regulated by a state
permitting authority.)
• Any discharge of sewage from vessels and any effluent from
properly functioning marine engines, laundry, shower, and
galley sink wastes, or any other discharge incidental to the
normal operation of a vessel, including vessels of the Armed
Forces within the meaning of section 312 of the CWA and
recreational vessels within the meaning of section 502(25) of
the CWA. None of these exclusions apply to rubbish, trash,
garbage, or other such materials discharged overboard; nor
to other discharges when the vessel is operating in a
capacity other than as a means of transportation such as
when used as an energy or mining facility, a storage facility
or a seafood processing facility, or when secured to a
storage facility or a seafood processing facility, or when
secured to the bed of the ocean, contiguous zone or waters
of the United States for the purpose of mineral or oil
exploration or development.
• Discharges of dredged or fill material into waters of the
United States that are regulated under CWA Section 404.
• The introduction of sewage, industrial wastes, or other
pollutants into publicly owned treatment works by indirect
dischargers. Plans or agreements to switch to this method of
disposal in the future do not relieve dischargers of the
obligation to have and comply with permits until all
discharges of pollutants to waters of the United Stales are
eliminated. (See also 40 CFR 122.47(b).) This exclusion
does not apply to the introduction of pollutants to privately
owned treatment works or to other discharges through pipes,
sewers, or other conveyances owned by a state, municipality,
or other party not leading to treatment works.
• Any discharge in compliance with the instructions of an On -
Scene Coordinator pursuant to 40 CFR 300 (The National Oil
and Hazardous Substances Pollution Contingency Plan) or
33 CFR 153.10(e) (Pollution by Oil and Hazardous
Substances).
• Any introduction of pollutants from non point -source
agricultural and silvicultural activities, including stormwater
runoff from orchards, cultivated crops, pastures, range lands,
and forest lands, but not discharges from concentrated
animal feeding operations as defined in 40 CFR 122.23,
discharges from concentrated aquatic animal production
facilities as defined in 40 CFR 122.23, discharges from
concentrated aquatic animal production facilities as defined
in 40 CFR 122.24, discharges to aquaculture projects as
defined in 40 CFR 122.25, and discharges from silvicultural
point sources as defined in 40 CFR 122.27. Note: Per 40
CFR 122.26(b)(14)(ii), facilities classified within SIC 24,
Industry Group 241, that are rock crushing, gravel washing,
log sorting, or log storage facilities operated in connection
with silvicultural activities defined in 40 CFR 122.27(b)(2)-(3)
and Industry Groups 242 through 249; 26 (except 265 and
267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441,
and 373 (not included are all other types of silviculture
facilities) are considered stormwater discharges associated
with industrial activity, and are required to obtain an NPDES
permit.
• Return flows from irrigated agriculture.
• Discharges into a privately owned treatment works, except as
the NPDES permitting authority may otherwise require under
40 CFR 122.44(m).
• Discharges from a water transfer. "Water transfer" means an
activity that conveys or connects waters of the United States
without subjecting the transferred water to intervening
industrial, municipal, or commercial use. This exclusion does
not apply to pollutants introduced by the water transfer
activity itself to the water being transferred.
1-8

FORM 1—GLOSSARY
Note: This glossary includes terms used in the various NPDES application forms, including Form 1. The definitions are from the NPDES
regulations at 40 CFR 122.2 unless otherwise specified. If you have any questions conceming the meaning of any of these terms, contact
your NPDES permitting authority.
ANIMAL FEEDING OPERATION (defined at § 122.23) means a lot or facility (other than an aquatic animal production facility) where the
following conditions are met;
• Animals (other than aquatic animals) have been, are, or will be stabled or confined and fed or maintained for a total of 45 days or
more in any 12-month period; and
• Crops, vegetation, forage growth, or post -harvest residues are not sustained in the normal growing season over any portion of the lot
or facility.
APPLICATION means the EPA standard national forms for applying for a permit, including any additions, revisions, or modifications to the
forms; or forms approved by EPA for use in approved states, including any approved modifications or revisions.
APPROVED PROGRAM or APPROVED STATE means a State or interstate program which has been approved or authorized by EPA
under part 123.
AQUACULTURE PROJECT (defined at § 122.25) means a defined managed water area which uses discharges of pollutants into that
designated area for the maintenance or production of harvestable freshwater, estuarine, or marine plants or animals. DESIGNATED
PROJECT AREA means the portions of the waters of the United States within which the permittee or permit applicant plans to confine the
cult,vated species, using a method or plan or operation (including, but not limited to, physical confinement) which, on the basis of reliable
scientific evidence, is expected to ensure that specific individual organisms comprising an aquaculture crop will enjoy increased growth
attributable to the discharge of pol'utants, and be harvested within a defined geographic area
AVERAGE MONTHLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar month,
calculated as the sum of al' daily discharges measured during that month divided by the number of daily discharges measured during that
month.
AVERAGE WEEKLY DISCHARGE LIMITATION means the highest a'Iowable average of daily discharges over a calendar week,
calculated as the sum of all daily discharges measured during a calendar week divided by the number of daily discharges measured during
that week.
BEST MANAGEMENT PRACTICES (BMPs) means schedules of activities, prohibitions of practices, maintenance procedures, and other
management practices to prevent or reduce the pollution of waters of the United States. BMPs include treatment requirements, operation
procedures, and practices to control plant site runoff, spillage or leaks, sludge or waste disposal, or drainage from raw material storage.
BIOSOLIDS (see sewage sludge).
BYPASS (defined at § 122.41(m)) means the intentional diversion of waste streams from any portion of a treatment facility.
COMBINED SEWER OVERFLOW (CSO) means a discharge from a combined sewer system (CSS) at a point prior to the Publicly Owned
Treatment Works (POTW) Treatment Plant (defined at § 403.3(r)).
COMBINED SEWER SYSTEM (CSS) means a wastewater collection system owned by a State or municipality (as defined by section
502(4) of the CWA) which conveys sanitary wastewaters (domestic, commercial and industrial wastewaters) and storm water through a
single -pipe system to a Publidy Owned Treatment Works (POTW) Treatment Plant (as defined at § 403.3(r)).
CONCENTRATED ANIMAL FEEDING OPERATION (defined at § 122.23) means an animal feeding operation that is defined as a Large
CAFO or as a Medium CAFO by the terms of (A) or (B) below, or that is designated as a CAFO in accordance with 40 CFR 122.23(c). Two
or more AFOs under common ownership are considered to be a single AFO for the purposes of determining the number of animals at an
operation, if they adjoin each other or if they use a common area or system for the disposal of wastes.
A. LARGE CONCENTRATED ANIMAL FEEDING OPERATION (LARGE CAFO) means an AFO that stables or confines as many as or
more than the numbers of animals specified in any of the following categories:
1. 700 mature dairy cows, whether milked or dry;
2. 1,000 veal calves;
3. 1,000 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and cow/calf
pairs;
4. 2,500 swine each weighing 55 pounds or more;
5. 10,000 swine each weighing less than 55 pounds;
1-9

FORM 1—GLOSSARY CONTINUED
6. 500 horses;
7. 10,000 sheep or Iambs;
8. 55,000 turkeys;
9. 30,000 laying hens or broilers, if the AFO uses a I.quid manure handling system;
10. 125,000 chickens (other than laying hens), lithe AFO uses other than a liqu d manure handling system;
11. 82,000 laying hens, if the AFO uses other than a liqu!d manure handling system;
12. 30,000 ducks (if the AFO uses other than a :iquid manure handing system); or
13. 5,000 ducks (if the AFO uses a liquid manure handl.ng system).
B. MEDIUM CONCENTRATED ANIMAL FEEDING OPERATION (MEDIUM CAFO) means any AFO with the type and number of
animals that fall within any of the ranges listed below and which has been defined or designated as a CAFO. An AFO is defined as a
Medium CAFO if:
1. The type and number of animals that it stables and confines falls within any of the following ranges:
a. 200 to 699 mature dairy cows, whether milked or dry;
b. 300 to 999 veal calves;
c. 300 to 999 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and
cow/calf pairs;
d. 750 to 2,499 swine each weighing 55 pounds or more;
e. 3,000 to 9,999 swine each weighing less than 55 pounds;
f. 150 to 499 horses;
g. 3,000 to 9,999 sheep or Iambs;
h. 16,500 to 54,999 turkeys;
i. 9,000 to 29,999 laying hens or broilers, if the AFO uses a liquid manure handling system;
j. 37,500 to 124,999 chickens (other than laying hens), if the AFO uses other than a liquid manure handling system;
k. 25,000 to 81,999 lay ng hens, if the AFO uses other than a liquid manure handling system;
I. 10,000 to 29,999 ducks (if the AFO uses other than a liquid manure handling system); ore
m. 1,500 to 4,999 ducks (if the AFO uses a liquid manure handling system); and
2. Either one of the fo' lowing conditions are met
a. Pollutants are discharged into waters of the United States through a man-made ditch, flushing system, or other similar man-
made device; or
b. Pollutants are discharged directly into waters of the United States which originate outside of and pass over, across, or
through the facility or otherwise come into direct contact with animals confined in the operation.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY (defined at § 122.24) means a hatchery, fish farm, or other facility which
contains, grows, or holds aquatic animals in either of the following categories, or which the Director designates as such on a case -by -case
basis:
A. Cold water fsh spec es or other cold water aquatic animals including, but not limited to, the Salmonidae family of fish (e.g., trout and
salmon) in ponds, raceways, or other similar structures which discharge at least 30 days per year but does not include:
1. Facilities which produce less than 9,090 harvest weight kilograms (approximately 20,000 pounds) of aquatic animals per year;
and
2. Facilities which feed less than 2,272 kilograms (approximately 5,000 pounds) of food during the calendar month of maximum
feeding.
B. Warm water fish species or other warm water aquatic animals including, but not limited to, the Ameiuridae, Cetrarchiciae, and
Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and minnows) in ponds, raceways, or other similar structures which
discharge at least 30 days per year, but does not include;
1. Closed ponds which d scharge only during periods of excess runoff; or
2. Facilities which produce less than 45,454 harvest weight kilograms (approximately 100,000 pounds) of aquatic animals per year.
1-t0

FORM 1—GLOSSARY CONTINUED
CWA means the Clean Water Act (formerly referred to as the Federal Water Pollution Control Act or Federal Water Pollution Control Act
Amendments of 1972) Public Law 92-500, as amended by Public Law 95-217, Public Law 95-576, Public Law 96-483 and Public Law
97-117, 33 U.S.C. 1251 et seq.
CWA AND REGULATIONS means the Clean Water Act (CWA) and applicable regulations promulgated thereunder. In the case of an
approved State program, it includes State program requirements.
DAILY DISCHARGE means the "discharge of a pollutant" measured during a calendar day or any 24-hour period that reasonably
represents the calendar day for purposes of sampling. For pollutants with limitations expressed in units of mass, the °daily discharge° is
calculated as the tota' mass of the pollutant discharged over the day For pollutants with limitations expressed in other units of
measurement, the "daily discharge' is calculated as the average measurement of the pollutant over the day.
DIRECT DISCHARGE means the "discharge of a pollutant.'
DIRECTOR means the Regional Administrator or the State Director, as the context requires, or an authorized representative. When there
is no "approved Slate program," and there is an EPA administered program, "Drector" means the Regional Administrator. When there is
an approved State program, 'Director" normally means the State Director. In some circumstances, however, EPA retains the authority to
take cedar., actions even when there is an approved State program. (For example, when EPA has issued an NPDES permit prior to the
approval of a State program, EPA may retain jur'sdict'on over that permit after program approval, see § 123.1.) In such cases, the term
"Director" means the Regional Administrator and not the State Director.
DISCHARGE (OF A POLLUTANT) means:
• Any addition of any po'lutant or combination of pollutants to waters of the United States from any point source; or
• Any addition of any pollutant or combination of pollutants to the waters of the contiguous zone or the ocean from any point source
other Than a vessel or other floating craft which is being used as a means of transportation.
This definition includes discharges into waters of the United States from: surface runoff which is collected or channelled by man;
discharges through pipes, sewers, or other conveyances owned by a State, municipality, or other person which do not lead to a treatment
works; and discharges through pipes, sewers, or other conveyances, lead;ng into privately owned treatment works. This term does not
include an addition of pollutants by any "indirect discharger°.
DISCHARGE MONITORING REPORT means the EPA uniform national form, including any subsequent additions, revisions, or
modifications for the reporting of self -monitoring results by perrnittees. DMRs must be used by "approved States" as well as by EPA. EPA
will supply DMRs to any approved State upon request. The EPA national forms may be modified to substitute the state agency name,
address, logo, and other similar information, as appropriate, in place of EPA's.
DRAFT PERMIT means a document prepared under § 124.6 indicating the Director's tentative decision to issue or deny, modify, revoke
and reissue, terminate, or reissue a ''permit." A notice of intent to terminate a permit, and a notice of intent to deny a permit, as discussed
in § 124.5, are types of "draft permits." A denial of a request for modification, revocation and reissuance, or termination, as discussed in
§ 124.5, is not a "draft permit." A "proposed permit" is not a "draft permit"
EFFLUENT LIMITATION means any restriction imposed by the Director on quantities, discharge rates, and concentrations of °pollutants"
which are "discharged" from "point sources" into "waters of the United States," the waters of the "contiguous zone," or the ocean.
EFFLUENT LIMITATIONS GUIDELINES means a regulation published by the Administrator under section 304(b) of the CWA to adopt or
revise "effluent limitations."
ENVIRONMENTAL PROTECTION AGENCY (EPA) means the United States Environmental Protection Agency.
FACILITY or ACTIVITY means any NPDES "point source" or any other facility or activity (including land or appurtenances thereto) that .s
subject to regulation under the NPDES program.
GENERAL PERMIT means an NPDES "permit" issued under § 122.28 authorizing a category of discharges under the CWA within a
geographical area.
HAZARDOUS SUBSTANCE means any substance designated under 40 CFR part 116 pursuant to section 311 of the CWA.
INDIAN COUNTRY (or INDAN LANDS) means:
• Alf land within the limits of any Indian reservation under the jurisdiction of the United States Government, notwithstanding the
issuance of any patent, and, including rights -of -way running through the reservation;
• All dependent Indian communities with the borders of the United States whether within the originally or subsequently acquired territory
thereof, and whether within or without the limits of a state; and
• All Indian allotments, the Indian titles to which have not been extinguished, including rights -of -way running through the same.
1-11

FORM 1—GLOSSARY CONTINUED
INDIAN TRIBE means any Indian Tribe, band, group, or community recognized by the Secretary of the Interior and exercising
governmental authority over a Federal Indian reservation.
INDIRECT DISCHARGE means a nondomestic discharger introducing "pollutants" to a "pub;icly owned treatment works."
LARGE MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(4)) means all municipal separate storm sewers that
are either:
(i) Located in an incorporated place with a population of 250,000 or more as determined by the 1990 Decennia. Census by the Bureau of
the Census (Appendix F of 40 CFR 122); or
(ii) Located in the counties listed in appendix H of 40 CFR 122, except municipal separate storm sewers that are located in the
incorporated places, townships or towns within such counties: or
(iii) Owned or operated by a municipality other than those described in paragraphs (:) or (ii) and that are designated by the Director as part
of the large or medium municipal separate storm sewer system due to the interrelationship between the d scharges of the designated
storm sewer and the discharges from municipal separate storm sewers described under paragraphs (i) or (ii). In making this determination
the Director may consider the following factors:
(A) Physical interconnections between the municipal separate storm sewers;
(B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph (i);
(C) The quantity and nature of pollutants discharged to waters of the United States;
(D) The nature of the receiving waters; and
(E) Other relevant factors; or
(iv) The Director may, upon petition, designate as a large munic pal separate storm sewer system, municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or
other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (ii,).
LOG SORTING AND LOG STORAGE FACILITIES (defined at § 122.27) means facilities whose discharges result from the holding of
unprocessed wood, for example, logs or roundwood with bark or after removal of bark held in self-contained bodies of water (mill ponds or
log ponds) or stored on land where water is applied intentionally on the logs (wet decking). (See 40 CFR 429, subpart I, including the
effluent limitations guidelines.)
MAJOR FACILITY means any NPDES "facility or activity" classified as such by the Regional Administrator, or, in the case of "approved
State programs; the Regional Administrator in conjunction with the State Director.
MAXIMUM DAILY DISCHARGE LIMITATION means the highest allowable "daily discharge."
MEDIUM MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(7)) means all municipal separate storm sewers that
are ether:
(i) Located in an incorporated place with a population of 100,000 or more but less than 250,000, as determined by the 1990 Decennial
Census by the Bureau of the Census (appendix G of 40 CFR 122); or
(ii) Located in the counties listed in appendix I of 40 CFR 122, except municipal separate storm sewers that are located in the incorporated
places, townships or towns within such counties; or
(iii) Owned or operated by a municipality other than those described in paragraph (i) or (ii) and that are designated by the Director as part
of the !arge or medium municipal separate storm sewer system due 10 the interrelationship between the discharges of the designated
storm sewer and the discharges from municipal separate storm sewers described under paragraph (i) or (ii). In making this determination
the Director may consider the following factors:
(A) Physical interconnections between the municipal separate storm sewers;
(B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph (i);
(C) The quantity and nature of pollutants discharged to waters of the United States;
(D) The nature of the receiving waters; or
(E) Other relevant factors; or
1-12

FORM 1—GLOSSARY CONTINUED
(iv) The Director may, upon petition, designate as a medium municipal separate storm sewer system, municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or
other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (iii) of this section.
MUNICIPALITY means a city, town, borough, county, parish, district, association, or other public body created by or under State law and
having jurisdiction over disposal of sewage, industrial wastes, or other wastes, or an Indian tribe or an authorized Indian tribal organization,
or a designated and approved management agency under section 208 of the CWA.
MUNICIPAL SEPARATE STORM SEWER (defined at § 122.26(b)(8)) means a conveyance or system of conveyances (including roads
with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-made channels, or storm drains):
• Owned or operated by a State, city, town, borough, county, parish, district, association, or other public body (created by or pursuant to
State law) having jurisdiction over disposal of sewage, industrial wastes, stormwater, or other wastes, including special districts under
State law such as a sewer district, flood control district or drainage district, or similar entity, or an Indian tribe or an authorized Indian
tribal organization, or a designated and approved management agency under section 208 of the CWA that discharges to waters of the
United States.
• Designed or used for collecting or conveying stormwater.
• Which is not a combined sewer, and
• Which is not part of a POTW as defined at 40 CFR 122.2.
MUNICIPAL SLUDGE (see sewage sludge)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) means the national program for issuing, modifying, revoking
and reissuing, terminating, monitoring and enforcing permits, and imposing and enforcing pretreatment requirements, under sections 307,
402, 318, and 405 of the CWA. The term includes an "approved program."
NEW DISCHARGER means any building, structure, facility, or installation:
• From which there is or may be a "discharge of pollutants;"
• That did not commence the "discharge of pollutants" at a particular "site" prior to August 13, 1979;
• Which is not a "new source; and
• Which has never received a finally effective NPDES permit for discharges at that "site."
This definition includes an "indirect discharger" which commences discharging into "waters of the United States" after August 13,1979. It
also means any existing mobile point source (other than an offshore or coastal oil and gas exploratory drilling rig or a coastal oil and gas
developmental drilling rig) such as a seafood processing rig, seafood processing vessel, or aggregate plant, that begins discharging at a
"site" for which it does not have a permit; and any offshore or coastal mobile oil and gas exploratory drilling rig or coastal mobile oil and gas
developmental drilling rig that commences the discharge of pollutants after August 13, 1979, at a "site" under EPA's permitting jurisdiction
for which it is not covered by an individual or general permit and which is located in an area determined by the Regional Administrator in
the issuance of a final permit to be an area of biological concern. In determining whether an area is an area of biological concern, the
Regional Administrator shall consider the factors specified in 40 CFR 125.122(a)(1) through (10).
An offshore or coastal mobile exploratory drilling rig or coastal mobile developmental drilling rig will be considered a "new discharger" only
for the duration of its discharge in an area of biological concem.
NEW SOURCE means any building, structure, facility, or installation from which there is or may be a "discharge of pollutants," the
construction of which commenced:
• After promulgation of standards of performance under section 306 of the CWA which are applicable to such source, or
• After proposal of standards of performance in accordance with section 306 of the CWA which are applicable to such source, but only
if the standards are promulgated in accordance with section 306 within 120 days of their proposal.
OWNER OR OPERATOR means the owner or operator of any "facility or activity" subject to regulation under the NPDES program.
PERMIT means an authorization, license, or equivalent control document issued by EPA or an "approved State' to implement the
requirements of This part and parts 123 and 124. "Permit" includes an NPDES "general permit" (§ 122.28). Permit does not indude any
permit which has not yet been the subject of final agency action, such as a "draft permit" or a "proposed permit."
PESTICIDE DISCHARGES TO WATERS OF THE UNITED STATES FROM PESTICIDE APPLICATION means the application of
biological pesticides, and the application of chemical pesticides that leave a residue, from point sources to waters of the United States. In
the context of this definition of pesticide discharges to waters of the United States from pesticide application, this does not include
1-13

FORM 1—GLOSSARY CONTINUED
agricultura: storm water discharges and retum Rows from irrigated agriculture, which are excluded by law (33 U.S.C. 1342(1); 33 U.S.C.
1362(14)).
PESTICIDE RESIDUE for the purpose of determ ning whether a N PDES permit is needed for discharges to waters of the United States
from pesticide application. means that portion of a pesticide application that is discharged from a point source to waters of the United
States and no longer provides pesticidal benefits. It also includes any degradates of the pesticide.
POINT SOURCE means any discernible, confined, and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel,
conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, landfill leachate collection system, vessel or
other floating craft from which pollutants are or may be discharged. This term does not include retum flows from irrigated agriculture or
agricultural stormwater runoff. (See § 122.3).
POLLUTANT means dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge, munitions,
chemical wastes, biological materials, radioactive materials (except those regulated under the Atomic Energy Act of 1954, as amended (42
U.S.C. 2011 et seq.)), heat, wrecked or discarded equipment, rock, sand, cellar dirt and industrial, municipal, and agricultural waste
discharged into water. It does not mean:
• Sewage from vessels; or
• Water, gas, or other material which is injected into a well to facilitate production of oil or gas, or water derived in association with oil
and gas production and disposed of in a well, ;f the well used either to facilitate production or for disposal purposes is approved by
authority of the State in which the well is located, and if the State determines that the injection or disposal will not result in the
degradation of ground or surface water resources. Note: Radioactive materials covered by the Atomic Energy Act are those
encompassed in its definition of source, byproduct, or special nuclear materials. Examples of materials not covered include radium
and accelerator -produced isotopes. See Train v. Colorado Public Interest Research Group, Inc., 426 U.S. 1 (1976).
PRIMARY INDUSTRY CATEGORY means any industry category listed in the NRDC settlement agreement (Natural Resources Defense
Council et al. v. Train, 8 E.R.C. 2120 (D.D.C. 1976), modified 12 E.R.C. 1833 (D.D.C. 1979)); also listed in appendix A of part 122.
PRIVATELY OWNED TREATMENT WORKS means any device or system which is (1) used to treat wastes from any facility whose
operator is not the operator of the treatment works and (2) not a "POTW."
PROCESS WASTEWATER means any water which, dunng manufacturing or processing, comes into direct contact with or results from the
production or use of any raw material, intermediate product, finished product, byproduct, or waste product.
PROPOSED PERMIT means a state NPDES "permit" prepared after the close of the public comment period (and, when applicable, any
public hearing and administrative appeals) which is sent to EPA for review before final issuance by the State. A "proposed permit° is not a
"draft permit?
PUBLICLY OWNED TREATMENT WORKS or POTW (defined at § 403.3) means a treatment works as defined by CWA Section 212,
which is owned by a state or municipality (as defned by CWA Section 502(4)). This definition includes any devices or systems used in the
storage, treatment, recycling, and reclamation) of municipal sewage or industrial wastes of a liqu.d nature. Th s definition also includes
sewers, pipes, and other conveyances only if they convey wastewater to a POTW. The term a so means the municipa'ity as defined in
CWA Section 502(4), which has jurisdiction over the indirect discharges to and the discharges from such a treatment works.
REGIONAL ADMINISTRATOR means the Regional Administrator of the appropriate Regional Office of the Environmental Protection
Agency or the authorized representative of the Regional Admnistrator.
ROCK CRUSHING AND GRAVEL WASHING FACILITIES (defined at § 122.27) means facilities which process crushed and broken
stone, gravel, and riprap (See 40 CFR 436, subpart B, including the effluent limitations guidel.nes).
SCHEDULE OF COMPLIANCE means a schedule of remedial measures included in a "permit", including an enforceable sequence of
interim requirements (for example, actions, operations, or milestone events) leading to compliance w'th the CWA and regulations.
SECONDARY INDUSTRY CATEGORY means any industry category which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the wastes from toilets and other receptacles intended to receive or retain
body wastes that are discharged from vessels and regulated under section 312 of the CWA, except that with respect to commercial
vessels on the Great Lakes this term includes graywater. For the purposes of this definition, "graywater" means galley, bath, and shower
water.
SEWAGE SLUDGE means any solid, semi -solid, or liquid residue removed during the treatment of municipal waste water or domestic
sewage. Sewage sludge includes, but is not limited to, solids removed during primary, secondary, or advanced waste water treatment,
scum, septage, portable toilet pumpings, type III marine sanitation device pumpings (33 CFR 159), and sewage sludge products. Sewage
sludge does not include grit or screenings, or ash generated during the incineration of sewage sludge.
1-14

FORM 1—GLOSSARY CONTINUED
SILVICULTURAL POINT SOURCE (defined at § 122.27) means any discernible, confined, and discrete conveyance related to rock
crushing, gravel washing, log sorting, or log storage facilities which are operated in connection with silvicultural activities and from which
pollutants are discharged into waters of the United States. This term does not include non -point source silvicultural activities such as
nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed buming, pest and fire control,
harvesting operations, surface drainage, or road construction and maintenance from which there is natural runoff. However, some of these
activities (such as stream crossing for roads) may involve point source discharges of dredged or fill material which may require a CWA
Section 404 permit (see 33 CFR 209.120 and part 233).
SITE means the land or water area where any °facility or activity" is physically located or conducted, including adjacent land used in
connection with the facility or activity.
SLUDGE -ONLY FACILITY means any "treatment works treating domestic sewage whose methods of sewage sludge use or disposal are
subject to regulations promulgated pursuant to section 405(d) of the CWA and is required to obtain a permit under § 122.1(b)(2).
STANDARDS FOR SEWAGE SLUDGE USE OR DISPOSAL means the regulations promulgated pursuant to section 405(d) of the CWA
which govem minimum requirements for sludge quality, management practices, and monitoring and reporting applicable to sewage sludge
or the use or disposal of sewage sludge by any person.
STATE means any of the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Virgin Islands, American
Samoa, the Commonwealth of the Northam Mariana Islands, the Trust Territory of the Pacific Islands, or an Indian Tribe as defined in
these regulations which meets the requirements of § 123.31 of this chapter.
STATE DIRECTOR means the chief administrative officer of any State or interstate agency operating an "approved program," or the
delegated representative of the State Director. If responsibility is divided among two or more State or interstate agencies, "State Director"
means the chief administrative officer of the State or interstate agency authorized to perform the particular procedure or function to which
reference is made.
STORMWATER (or STORM WATER) (defined at § 122.26(b)(13)) means stormwater runoff, snow melt runoff, and surface runoff and
drainage.
STORMWATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY (defined at § 122.26(b)(14)) means the discharge from any
conveyance that is used for collecting and conveying stormwater and that is directly related to manufacturing, processing or raw materials
storage areas at an industrial plant. The term does not include discharges from facilities or activities excluded from the NPDES program
under this part 122. For the categories of industries identified in this section, the term includes, but is not limited to, stormwater discharges
from industrial plant yards; immediate access roads and rail lines used or traveled by carriers of raw materials, manufactured products,
waste material, or by-products used or created by the facility; material handling sites; refuse sites; sites used for the application or disposal
of process waste waters (as defined at 40 CFR 401); sites used for the storage and maintenance of material handling equipment; sites
used for residual treatment, storage, or disposal; shipping and receiving areas; manufacturing buildings; storage areas (including tank
farms) for raw materials, and intermediate and final products; and areas where industrial activity has taken place in the past and significant
materials remain and are exposed to stormwater. For the purposes of this paragraph, material handling activities include storage, loading
and unloading, transportation, or conveyance of any raw material, intermediate product, final product, by-product or waste product. The
term excludes areas located on plant lands separate from the planes industrial activities, such as office buildings and accompanying
parking lots as long as the drainage from the excluded areas is not mixed with stormwater drained from the above described areas.
Industrial facilities (including industrial facilities that are federally, State, or municipally owned or operated that meet the description of the
facilities listed in paragraphs 1 through 14 below) include those facilities designated under the provisions of 40 CFR 122.26(a)(1)(v). The
following categories of facilities are considered to be engaging in °industrial activity" for purposes of 40 CFR 122.26(b)(14);
1. Facilities subject to stormwater effluent limitations guidelines, new source performance standards, or toxic pollutant effluent standards
under 40 CFR Subchapter N (except facilities with toxic pollutant effluent standards which are exempted under paragraph 11 below);
2. Facilities classified as Standard Industrial Classification 24, Industry Group 241 that are rock crushing, grave, washing, log sorting, or
log storage facilities operated in connection with silvicultural activities defined in 40 CFR 122.27(b)(2)-(3) and Industry Groups 242
through 249; 26 (except 265 and 267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441, 373; (not included are all other types of
silvicultural facilities);
3. Facilities classified as Standard Industrial Classifications 10 through 14 (mineral industry) including active or inactive mining
operations (except for areas of coal mining operations no longer meeting the definition of a reclamation area under 40 CFR 434.11(1)
because the performance bond issued to the facility by the appropriate SMCRA authority has been released, or except for areas of
non -coal mining operations which have been released from applicable State or Federal reclamation requirements after
December 17, 1990) and oil and gas exploration, production, processing, or treatment operations, or transmission facilities that
discharge stormwater contaminated by contact with or that has come into contact with, any overburden, raw material, intermedate
products, finished products, byproducts or waste products located on the site of such operat ons; (inactive mining operations are
mining sites that are not being actively mined, but which have an identifiable owner/operator, inactive mining sites do not include sites
1-15

FORM 1—GLOSSARY CONTINUED
where mining claims are being maintained prior to disturbances associated with the extraction, beneficiation, or processing of mined
materials, nor sites where minimal activities are undertaken for the sole purpose of maintaining a mining claim);
4. Hazardous waste treatment, storage, or disposal facilities, including those that are operating under interim status or a permit under
subtitle C of RCRA;
5. Landfills, land application sites, and open dumps that receive or have received any industrial wastes (waste that is received from any
of the facilities described under this subsection) including those that are subject to regulation under subtitle D of RCRA;
6. Facilities involved in the recycling of materials, including metal scrapyards, battery reclaimers, salvage yards, and automobile
junkyards, including but limited to those classified as Standard Industrial Classification 5015 and 5093;
7. Steam electric power generating facilities, including coal handling sites:
8. Transportation facilities classified as Standard Industrial Classifications 40, 41, 42 (except 4221-25), 43, 44, 45, and 5171 which have
vehicle maintenance shops, equipment cleaning operations, or airport deicing operations. Only those portions of the facility that are
either involved in vehicle maintenance (including vehicle rehabilitation, mechanical repairs, painting, fueling. and lubrication),
equipment cleaning operations, airport deicing operations, or which are otherwise identified under paragraphs 1-7 or 9-11 are
associated with industrial activity;
9. Treatment works treating domestic sewage or any other sewage sludge or wastewater treatment device or system, used in the
storage treatment, recyding, and reclamation of municipal or domestic sewage, including 'and dedicated to the disposal of sewage
sludge that are located within the confines of the facility, with a design flow of 1.0 mgd or more, or required to have an approved
pretreatment program under 40 CFR 403. Not included are farm lands, domestic gardens or lands used for sludge management
where sludge is beneficially reused and which are not physically located in the confines of the facifty, or areas that are in compliance
with section 405 of the CWA;
10. Construction activity including clearing, grading and excavation, except operations that result in the disturbance of less than five acres
of total land area. Construction activity also includes the disturbance of less than five acres of total land area that is a part of a larger
common plan of development or sale if the larger common p'an will ultimately disturb five acres or more;
11. Facilities under Standard Industrial Class fications 20, 21, 22, 23, 2434, 25, 265, 267. 27, 283, 285, 30, 31 (except 311), 323, 34
(except 3441), 35, 36, 37 (except 373), 38, 39, and 4221-25.
TOXIC POLLUTANT means any pollutant listed as toxic under section 307(a)(1) or, in the case of "sludge use or disposal practices," any
pollutant identified in regu'ations implementing section 405(d) of the CWA.
TREATMENT WORKS TREATING DOMESTIC SEWAGE (TWTDS) means a POTW or any other sewage sludge or waste water
treatment devices or systems, regardless of ownership (including federal facilities), used in the storage, treatment, recycling, and
reclamation of municipal or domestic sewage, including land dedicated for the disposal of sewage sludge. This definition does not include
septic tanks or similar devices. For purposes of this definition, "domestic sewage" includes waste and waste water from humans or
household operations that are discharged to or otherwise enter a treatment works. In States where there is no approved State sludge
management program under section 405(f) of the CWA, the Regional Administrator may designate any person subject to the standards for
sewage sludge use and disposal in 40 CFR 503 as a "treatment works treating domestic sewage," where he or she finds that there is a
potential for adverse effects on publ.c health and the environment from poor sludge quality or poor sludge handling, use or disposal
practices, or where he or she finds that such designation is necessary to ensure that such person is in compliance with 40 CFR 503.
UPSET (defined at § 122.41(n)) means an exceptional incident in which there is unintentional and temporary noncompliance with
technology based permit effluent limitations because of factors beyond the reasonable control of the permittee. An upset does not include
noncompliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of
preventive maintenance, or careless or improper operation.
VARIANCE means any mechanism or provision under section 301 or 316 of the CWA or under 40 CFR 125, or in the applicable "effluent
limitations guidelines" which allows modification to or waiver of the generally applicable effluent limitation requirements or time deadlines of
the CWA. This includes provisions which allow the establishment of alternative limitations based on fundamentally different factors or on
sections 301(c), 301(g), 301(h), 301(i), or316(a) of the CWA.
WATERS OF THE UNITED STATES as defined at § 122.2.
WHOLE EFFLUENT TOXICITY (WET) means the aggregate toxic effect of an effluent measured directly by a toxicity test.
1-16

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03105/19
NC0059140765 NC0006564 Baxter Healthcare Corporation 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
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes,STOP.Do NOT complete 0 No If yes,STOP.Do NOT 0 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
production facility? currently discharging process wastewater?
aYes 4 Complete Form 1 0 No 0 Yes 4 Complete Form El No
z and Form 2B. 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?
g El Yes 4 Complete Form 1 �✓ No ❑ Yes 4 Complete Form El 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
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
Baxter Healthcare Corporation
o 2.2 EPA Identification Number
NCD059140765
Ce 2.3 Facility Contact
Name(first and last) Title Phone number
Stephen Gouge Env.Health&Safety Superintendent {828)756-6608
Email address
[e-mail]
s 2.4 Facility Mailing Address
Street or P.O.box
65 Pitts Station Road
City or town State ZIP code
Marion NC 28752
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NCD059140765 NC0006564 Baxter Healthcare Corporation OMB No.2040.0004
u'e 2.5 Facility Location
E Street,route number,or other specific identifier
o US Highway 221 at North Cove
en 0
g County name County code(if known)
i t McDowell
0
RCity or town State ZIP code
Z R Marion NC 28752
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code{s) Description(optional)
2834 Pharmaceutical Preparations
g
1
t)
co
U
s
3.2 NAICS Code(s) Description(optional)
1
to
a
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Baxter Healthcare Corporation
o 4.2 Is the name you listed in Item 4.1 also the owner?
um
i ❑ Yes El No
4.3 Operator Status
i 0 Public—federal ❑ Public—state ❑ Other public(specify)
S.a CI Private El Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address . .
ss Street or P.O.Box
m
1 " 65 Pitts Station Road
g City or town I State ZIP code
o o Marion NC 28752
S. Email address of operator
o [e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
c 5.1 Is the facility located on Ind an Land?
3 ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Fadlily Name Form Approved 03105119
NCD059140765 NC0006564 Baxter Healthcare Corporation 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)
Il NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
Q A NC0006564,NCG060030,NI
I
El PSD(air emissions) ❑Nonattainment program(CAA) ❑ NESHAPs(CM)
05600T12
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) El Other(specify)
WQ0031725,WQ0010689
SECTION 7. MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographc map containing all required information to this application?(See instructions for
specific requirements.)
❑r Yes ❑ No ❑CAFO—Not Applicable(See requ'rements in Form 2B.)
SECTION 8. NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Baxter Healthcare Corporation,North Cove Facility,manufactures sterile liquid solutions in flexible bags for
intravenous therapy and other medical procedures.
N
m
V..
z
SECTION 9. COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
ElYes ❑ No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
c 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
S NPDES permitting authority to determine what specific information needs to be submitted and when.)
g Treated non-contact cooling water and boiler feed water.
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))
,6 ❑ 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 Facdily Name Form Approved 03/05/19
NCD059140765 NC0006564 Baxter Healthcare Corporation 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 ❑ wl attachments
❑✓ Section 2:Name,Mailing Address,and Location ❑ wl attachments
O Section 3:SIC Codes ❑ w/attachments
O Section 4:Operator Information ❑ wl attachments
✓❑ Section 5:Indian Land ❑ wl attachments
ElSection 6:Existing Environmental Permits ❑ wl attachments
wl topographic
ElSection 7:Map ✓❑ map 1-1 wl additional attachments
c 0 Section 8:Nature of Business ❑ wl attachments
0 Section 9:Cooling Water Intake Structures ❑ wl attachments
(.' ❑ Section 10:Variance Requests ❑ wl attachments
0 Section 11:Checklist and Certification Statement ❑ wl attachments
t 11.2 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 property 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.lam 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
Stephen Gouge EHS Manager
Signature Date signed
(201�
EPA Form 3510-1(revised 3-19) Rage 4

United States
Environmental Protection Agency
Office of Water
Washington, D.G.
EPA Form 3510-2C
Revised March 2019
Water Permits Division
&EPA Application Form 2C
Existing Manufacturing,
Commercial, Mining, and
Silvicultural Operations
NPDES Permitting Program
Note: Complete this form and Form 1 if your facility is an existing manufacturing, commercial, mining,
or silvicultural facility that currently discharges process wastewater.

Paperwork Reduction Act Notice
The U.S. Environmental Protection Agency estimates the average burden to collect information and
complete Form 2C to be 32.5 hours. This estimate includes time for reviewing instructions, searching
existing data sources, gathering and maintaining the needed data, and completing and reviewing the
collection of information. Send comments about the burden estimate or any other aspect of this
collection of information to the Chief, Information Policy Branch (PM-223), U.S. Environmental
Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, and to the Office of
Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW,
Washington, DC 20503, marked "Attention: Desk Officer for EPA."

FORM 2C—INSTRUCTIONS
General Instructions
Who Must Complete Form 2C?
You must complete Form 2C if you answered "Yes' to Item 1.2.2 on
Form 1—that is, if you are an existing manufacturing, commercial,
mining, or silvicultural facility that currently discharges process
wastewater.
Where to File Your Completed Form
Submit your completed application package (Forms 1 and 2C) to
your National Pollutant Discharge Elimination System (NPDES)
permitting authority. Consult Exhibit 1-1 of Form 1's "General
Instructions' to identify your NPDES permitting authority.
Public Availability of Submitted Information
The U.S. Environmental Protection Agency (EPA) will make
information from NPDES permit application forms available to the
public for inspection and copying upon request. You may not claim
any information on Form 2C (or related attachments) as
confidential.
You may make a claim of confidentiality for any information that you
submit to EPA that goes beyond the information required by Form
2C. Note that NPDES authorities will deny claims for treating any
effluent data as confidential. If you do not assert a daim of
confidentiality al the time you submit your information to the
NPDES permitting authority, EPA may make the information
available to the public without further notice to you. EPA will handle
claims of confidentiality in accordance with the Agency's business
confidentiality regulations at Part 2 of Title 40 of the Code of
Federal Regulations (CFR).
Completion of Forms
Print or type in the specified areas only. if you do not have enough
space on the form to answer a question, you may continue on
additional sheets, as necessary, using a format consistent with the
form.
Provide your EPA Identification Number from the Federal Registry
Service, NPDES permit number, and facility name at the top of
each page of Form 2C and any attachments. If you do not know
your EPA Identification Number, contact your NPDES permitting
authority. See Exhibit 1-1 of Form 1's "General Instructions" for
contact information. Additionally, for Tables A through E, provide
the applicable outfall number at the top of each page.
Do not leave any response areas blank unless the form directs you
to skip them. If the form directs you to respond to an item that does
not apply to your facility or activity, enter "NA" for "not applicable" to
show that you considered the item and determined a response was
not necessary for your facility.
The NPDES permitting authority will consider your application
complete when it and any supplementary material are received and
completed according to the authority's satisfaction. The NPDES
permitting authority will judge the completeness of any application
independently of the status of any other permit application or permit
for the same facility or activity.
Definitions
The legal definitions of all key terms used in these instructions and
Form 2C are in the "Glossary" at the end of the "General
Instructions" in Form 1.
Line•by-Line Instructions
Section 1. Outfall Location
Item 1.1. Identify each of the facility's outfall structures by number.
For each outfall, specify the latitude and longitude to the nearest
15 seconds and name of the receiving water. The application form
provides reporting space for three outfalls. If your facility has more
than this number, attach additional sheets as necessary. The
location of each outfall (i.e., where the coordinates are collected)
shall be the point where the discharge is released into a water of
the United States. Latitude and longitude coordinates may be
obtained in a variety of ways, including use of hand held devices
(e.g., a GPS enabled smartphone), intemet mapping tools (e.g.,
httcs:#mynasa data.larc. n asa,00vwlatitudelong itud e-finder,'),
geographic information systems (e.g., ArcView), or paper maps
from trusted sources (e.g., U.S. Geological Survey or USGS).For
further guidance, refer to
http:I/www.eoa.novigeospatialflat tudela ng itud e-data-standard.
Section 2. Line Drawing
Item 2.1. Attach a line drawing showing water flow through your
facility, from intake to discharge. Indicate the sources of intake
water (e.g., city, well, stream, other); operations contributing
wastewater 10 the effluent including process and production areas,
sanitary flows, cooling water, and stormwater runoff; and treatment
units labeled to correspond to the more detailed descriptions under
Section 3. You may group similar operations into a single unit.
Construct a water balance on the line drawing by showing average
flows (specify units) between intakes, operations, treatment units,
and outfalls. Show all significant losses of water to products, the
atmosphere, and discharge. You should use actual measurements
wherever available; otherwise use your best estimate. If you cannot
determine a water balance for your activities (such as mining
activities), provide a pictorial description of the nature and amount
of any sources of water and any collection and treatment measures.
An example of an acceptable line drawing is provided in Exhibit
2C-1 at the end of these instructions.
Section 3. Average Flows and Treatment
Item 3.1. For each outfall identified under Item 1.1, provide the
following information: (1) all processes, operations, or production
areas that contribute wastewater to the effluent for the outfall,
including process wastewater, sanitary wastewater, cooling water,
and stormwater runoff; (2) average flow of wastewater contributed
by each operation in million gallons per day (mgd); (3) a description
of the treatment unit (including size of each treatment unit, flow rate
through each treatment unit, retention time, etc.); (4) the applicable
treatment code(s) from Exhibit 2C-2 (see end of instructions); and
(5) the ultimate disposal of any solid or fluid wastes that are not
discharged to the receiving water. You may describe processes,
operations, or production areas in general terms (e.g., "dye -making
reactor or "distillation tower"). You may estimate the average flow
of point sources composed of stormwater; however, you must
2C-1

FORM 2C—INSTRUCTIONS CONTINUED
indicate the basis of the rainfall event and the method of estimation.
Add additional sheets as necessary.
Item 3.2. Answer whether you are applying for an NPDES permit to
operate a privately owned treatment works. If yes, continue to Item
3.3. If no, skip to Section 4.
Item 3.3. Attach a list to your application that includes the identity of
each user of the treatment works, then answer "Yes" to Item 3.3.
Section 4. Intermittent Flows
Item 4.1. Answer "Yes" or "No" to indicate whether any of the
discharges you described in Sections 1 and 3 of Form 2C are
intermittent or seasonal, except for stormwater runoff, spillage, or
leaks. An intermittent discharge is one that is not continuous. A
continuous discharge is one that occurs without interruption during
the operating hours of the facility, except for infrequent shutdowns
for maintenance, process changes, or other similar activities. A
discharge is seasonal if it occurs only during certain parts of the
year. If yes, continue to Item 4.2. If no, skip to Section 5.
Item 4.2. By relevant outfall number, identify each operation that
has intermittent or seasonal discharges. Indicate the average
frequency (days per week and months per year), the long-term
average and maximum daily flow rates in mgd, and the duration of
the intermittent or seasonal discharges. Base your answers on
actual data if available. Otherwise, provide your best estimate.
Report the average of all daily values measured during days when
the discharge occurred for "Long -Terri Average," and report the
highest daily value for "Maximum Daily."
Section 5. Production
Item 5.1. Indicate whether any effluent limitation guidelines (ELGs)
promulgated under Section 304 of the Clean Water Act (CWA)
apply to your facility. If yes, continue to Item 5.2. If no, skip to
Section 6. All ELGs promulgated by EPA appear in the Federal
Register and are published annually in 40 CFR Subchapter N. An
ELG applies if you have any operations contributing process
wastewater in any subcategory covered by a Best Practicable
Control Technology Currently Available (BPT), Best Conventional
Pollutant Control Technology (BCT), or Best Available Technology
Economically Achievable (BAT) guideline. If you are unsure
whether you are covered by a promulgated ELG, consult your
NPDES permitting authority (see Exhibit 1-1 of the "General
instructions" of Form 1). You must check "Yes" if an applicable ELG
has been promulgated, even if the ELG is being contested in court.
If you believe that a promulgated ELG has been remanded for
reconsideration by a court and does not apply to your operations,
you may answer "No" to Item 5.1 and skip to Section 6.
Item 5.2. Complete Item 5.2 by indicating the applicable ELG
category, ELG subcategory, and corresponding regulatory citation.
See the example below.
3
5.2
ELG Category
ELG
Subcategory
Regulatory
Citation
1°
Pulp, Paper,
and
Paperboard
Pap
Secondary Fiber
Non-Deink
Subcategory
40 CFR 430,
Subpart J
2.
Point Source
Category
Item 5.3. Indicate if the limitations in the applicable ELGs are
expressed in terms of production or other measure of operation. For
operational parameter, it is expressed in terms of production (e.g.,
"pounds of biological oxygen demand per cubic foot of logs from
which bark is removed," or "pounds of total suspended solids per
megawatt hour of electrical energy consumed by smelting
furnace"). An example of an ELG not expressed in terms of a
measure of operation is one that limits the concentration of
pollutants. If yes, continue to Item 5.4. If no, skip to Section 6.
Item 5.4. Indicate the operations, products, or materials produced
at the facility for each outfall. For each operation, product, or
material produced, denote the quantity produced per day using the
measurement units specified in the applicable ELG. The NPDES
permitting authority will use the production information to apply
ELGs to your facility. You may not claim that the production
information you submit is confidential. You do not need to indicate
how you calculated the reported information. The production figures
provided must be based on a reasonable measure of actual daily
production, not on design capacity or on predictions of future
operations. To obtain alternate limits under40 CFR 122.45(b)(2)(ii),
you must define your maximum production capability and
demonstrate to the NPDES permitting authority that your actual
production is substantially below maximum production capability
and that there is a reasonable potential for an increase above
actual production during the duration of the permit.
Section 6. Improvements
Item 6.1. Indicate if you are 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 your application. The requirements include,
but are not limited to, permit conditions, administrative enforcement
orders, enforcement compliance schedule letters, stipulations, court
orders, and grant or loan conditions. If yes, continue to Item 6.2. If
no, skip to Item 6.3.
Item 6.2. Briefly identify and describe each applicable project (e.g.,
consent decree, enforcement order, or permit condition). For each
condition, specify the affected outfall number(s), the source(s) of
the discharge, the projected final compliance date, and the
required final compliance date.
Item 6.3. OPTIONAL ITEM. If desired, attach descriptions of any
additional water pollution control programs (or other environmental
projects that could affect your discharges) that are now underway
or planned. Indicate in your attachments whether each program is
actually underway or is planned, and indicate your actual or
planned schedule for construction.
Section 7. Effluent and Intake Characteristics
Items 7.1 to 7.17. These items require you to collect and report
data for the parameters and pollutants listed in Tables A through E,
located at the end of Form 2C. The instructions for completing the
tables are table -specific in addition to the criteria for determining
who should complete them. In general, the following conditions
apply:
2C-2

FORM 2C—INSTRUCTIONS CONTINUED
Table
Pollutants/Parameters
Who Completes?
A
Conventional and non-
conventional pollutants
Ali applicants from all outfalls unless a
waiver is obtained from the NPDES
permittirj authority.
B
Toxic metals, cyanide, total
phenols, and organic toxic
pollutants
Applicants in the primary industry
categories listed in Exhibit 2C-3 al the
end of these instructions.
C
Certain conventional and
non -conventional pollutants
Applicants subject to ELGs that limit
pollutants directly or indirectly and
applicants who believe pollutants may
be present in their facility's discharge.
D
Certain hazardous
substances and asbestos
Applicants who believe pollutants may
be present in their facility's discharge.
E
2,3,7,B-tetrachiorodibenzo-
p-dioxrn (2,3.7.8-TCDD)
Applicants that use or manufacture the
pollutant or believe the pollutant may
be present in the facility's discharge.
Important note: Read the "General Instructions for Reporting,
Sampling, and Analysis" on pages 2C-5 and 2C-6 before
completing Section 7 and Tables A through E.
Item 7.1 and Table A. All applicants must report at least one
analysis for each conventional and non -conventional pollutant listed
in Table A for each outfall (one table per outfall). This includes
outfalls discharging only noncontact cooling water or stormwater
runoff. However, at your request, the NPDES permitting authority
may waive the requirement to test for one or more of the listed
pollutants for specific outfalls, upon a determination that available
information is adequate to support issuance of your NPDES permit
with less stringent reporting requirements. You may also request a
waiver from your NPDES permitting authority for one or more of the
Table A pollutants for your industry category or subcategory.
Indicate whether you are requesting a waiver in response to Item
7.1. If yes, continue to Item 7.2. If no, skip to Item 7.3.
Item 7.2. Specify the outfalls for which you are requesting a waiver.
Next, indicate on Table A for the applicable outfalls the pollutants
for which the waiver is being requested. Attach your waiver request
and supporting information to your completed Form 2C.
Item 7.3. Test your effluent from each outfall for each pollutant
listed in Table A for which you have not requested a waiver. You
may also conduct optional tests of your intake water for the Table A
pollutants. See the "General Instructions for Reporting, Sampling,
and Analysis" on pages 2C-5 and 2C-6 for further information.
Item 7.4 and Table B. This item asks whether any of the facility's
processes that contribute wastewater fat into one or more of the
primary industry categories listed in Exhibit 2C-3. If you are
applying for a permit for a privately owned treatment works,
determine your testing requirements based on the industrial
categories of your contributors. This exercise is simply to determine
your testing requirements only. You are not giving up your right to
challenge your inclusion in the category determined for testing (e.g.,
for deciding whether an ERG is applicable) before your permit is
issued. If yes, continue to Item 7.5. If no, skip to Item 7.8.
Complete a separate Table B for each outfall. Section 1 of Table B
lists toxic metals, cyanide, and total phenols. Sections 2 through 5
of Table B list the pollutants in each of the gas
chromatography/mass spectrometry (GCIMS) fractions. Note that
inclusion of total phenols in Section 1 of Table B does not mean
that EPA is classifying the group as toxic pollutants.
Item 7.5. Because you indicated in Item 7.4 that the facility's
processes contribute wastewater that falls into one or more of the
primary industry categories, check "Testing Required" for all toxic
metals, cyanide, and total phenols in Section 1 of Table B. Answer
"Yes" to Item 7.5 once you have completed this task.
Item 7.6. Because you indicated in Item 7.4 that the facility's
processes contribute wastewater that falls into one or more of the
primary industry categories, list the primary industry categories
applicable to your facility. Next, review Exhibit 2C-3 to determine
whether testing is required and for which GCIMS fraction(s): volatile
compounds, acid compounds, base/neutral compounds, and
pesticides. Check the applicable boxes for each GCIMS fraction
requiring testing.
Item 7.7. For each of the required GCIMS fractions, check "Testing
Required" for each of the pollutants in the required fraction in
Sections 2 through 5 of Table B. Answer "Yes" to Item 7.7 once you
have completed this task.
Item 7.8 and Sections 1 through 5 of Table B. For all other cases
(secondary industries, nonprocess wastewater outfalls, and
nonrequired GCIMS fractions) and remaining pollutants, check
"Believed Present" or "Believed Absent' in Sections 1 through 5 of
Table B to indicate whether you have reason to believe that any of
the pollutants listed are discharged from your outfalls. Answer "Yes"
to Item 7.8 after you have completed this step.
Item 7.9 and Section 1 of Table B. For each pollutant you know or
have reason to believe is present in your discharge from each
applicable outfall in concentrations of 10 parts per billion (ppb) or
greater, you must report quantitative data. For every pollutant
expected to be discharged in concentrations less than 10 ppb, you
must submit quantitative data or briefly describe the reasons the
pollutant is expected to be discharged. For pollutants in intake
water, see the discussion under "General Instructions for Reporting,
Sampling, and Analysis" below. Answer "Yes" to Item 7.9 once you
have completed Section 1 of Table B.
Item 7.10. This item asks if you qualify as a "small business." If so,
you are exempt from submitting quantitative data for the organic
toxic pollutants on Table B (Sections 2 through 5). You still must
indicate, though, whether you believe any of the pollutants listed in
Sections 1 through 5 are present in your discharge per the
Instructions at Item 7.8 above.
You can qualify as a small business in two ways: (1) If your facility
is a coal mine and if your probable total annual production is less
than 100,000 tons per year, you may submit past production data
or estimated future production (such as a schedule of estimated
total production under 30 CFR 795.14(c)) instead of conducting
analyses for the organic toxic pollutants. (2) If your facility is not a
coal mine and if your gross total annual sales for the most recent
three years average less than $100,000 per year (in second
quarter 1980 dollars), you may submit sales data for those years
instead of conducting analyses for the organic toxic pollutants.
The production or sales data must be for the facility that is the
source of the discharge. The data should not be limited to
production or sales for the process or processes that contribute to
the discharge, unless those are the only processes at your facility.
2C-3

FORM 2C--INSTRUCTIONS CONTINUED
For sales data, in situations involving intra-corporate transfer of
goods and services, the transfer price per unit should approximate
market prices for those goods and services as dosely as possible.
Sales figures for years after 1980 should be indexed to the second
quarter of 1980 by using the gross national product price deflator
(second quarter of 1980 = 100). This index is available online from
the U.S. Department of Commerce, Bureau of Economic Analysis
at http:llbea.govinationallpdf/SNTables.Of.
If you qualify as a small business according to the criteria above,
answer "Yes" to Item 7.10. Check the box at the top of Table B to
show that you are not required to submit quantitative data for the
organic toxic pollutants (Sections 2 through 5 of Table B), then
skip to Item 7.12. Otherwise, answer "No" and continue to Item
7.11.
Item 7.11 and Sections 2 through 5 of Table B. Unless you
qualify as a small business (see Item 7.10), you must provide
quantitative data for all pollutants for which you marked "Testing
Required" in Sections 2 through 5 of Table B. You must also
provide quantitative data for all pollutants you marked as "Believed
Present in Sections 2 through 5 of Table B if you discharge those
pollutants in concentrations of 10 ppb or greater, except for
acrolein, acrylonitrile, 2,4-dinitrophenol, and 2-methyl-4,6-
dinitrophenol. If you discharge any of the four latter pollutants in
concentrations of 100 ppb or greater, you must report quantitative
data. If you discharge the pollutants in Sections 2 through 5 of
Table B less than these thresholds (i.e., <100 ppb for acrolein,
acrylonitrile, 2,4-dinitrophenol, and 2-methyl-4,6-dinitrophenol and
<10 ppb for all others), you must submit quantitative data or briefly
describe the reasons the pollutant is in your discharge.
For pollutants in intake water, see the discussion under °General
Instructions for Reporting, Sampling, and Analysis" on pages
2C-5 and 2C-6 for further information.
Once you have completed these tasks, answer "Yes" to Item 7.11.
Item 7.12 and Table C. For each outfall (including outfalls
containing only noncontact cooling water or stormwater runoff),
indicate whether you know or have reason to believe that any of
the pollutants listed on Table C are present in your discharge. If
so, mark the box in the "Believed Present" column for each
applicable pollutant. If not, mark the box in the "Believed Absent"
column for each applicable pollutant. Answer "Yes" to Item 7.12
once you have completed the required task for each outfall.
Item 7.13 and Table C. You are required to report quantitative
data for any Table C pollutants that are directly limited in an
applicable ELG or are indirectly limited in an applicable ELG
through an expressed limitation on an indicator (e.g., use of total
suspended solids (TSS) as an indicator to control the discharge
of iron and aluminum). For all other pollutants that you marked as
'Believed Present," you must either report quantitative data or
briefly describe the reasons the pollutant is expected to be
discharged.
For pollutants in intake water, see the discussion under "General
Instructions for Reporting, Sampling, and Analysis" on pages
2C-5 and 2C-6 for further information.
Answer "Yes" to Item 7.13 when you have fully completed the
tasks associated with Table C and Items 7.12 and 7.13 above.
Item 7.14 and Table D. For each outfall, indicate if you believe that
any pollutant listed in Table D is 'Believed Present" or "Believed
Absent" in your facility's effluent. Check the boxes in the applicable
columns on Table D next to each pollutant. For every pollutant
believed present, you must briefly describe the reasons the
pollutant is expected to be discharged and report any quantitative
data you have for that pollutant. Note that you are not required to
perform analytical tests for any of the Table D pollutants at this time.
However, if you have prior test results, you must report them.
Item 7.15. Answer °Yes" to this Item when you have completed
Table D.
Under 40 CFR 117.12(a)(2), certain discharges of hazardous substances
(fisted In Exhibit 2C-4 at the end of these instructions) may be exempted from
the requirements of Section 311 of the CWA, which establishes reporting
requirements, dvM penalties, and liability for cleanup costs for spills doll and
hazardous substances. A discharge of a particular substance can be exempted
If the origin, source, and amount of the discharged substances are identified in
the NPDES permit application or in the permit, if the permit contains a
requirement for treatment of the discharge, and if the treatment is in place.
Exemptions are allowed from the requirements of CWA Section 311.
Applications for exemptions must set forth the following information:
1. The substance and the amount of each substance that may be discharged.
2. The origin and source of the discharge of the substance.
3. The treatment to be provided for the discharge by:
a. An onsile treatment system separate from any treatment system
treating your normal discharge;
b. A treatment system designed to treat your normal discharge and that is
additionally capable of treating the amount of the substance identified
under paragraph 1 above; or
c. Any combination of the above.
See 40 CFR 117.12(a)(2) and (c) or contact your NPDES permitting authority
for further Information on exduslons from CWA Section 311.
Item 7.16. Indicate whether:
• Your facility uses or manufactures 2,4,5-trichlorophenoxy
acetic acid (2,4,5-T); 2-(2,4,5-trichlorophenoxy) propanoic acid
(Silvex, 2,4,5-TP); 2-(2,4,5-trichlorophenoxy) ethyl 2,2-dichloro-
propionate (Erbon); 0,0-dimethyl 0-(2,4,5-trichlorophenyl)
phosphorothioate (Ronnel); 2,4,5,-trchlorophenol (TCP); or
hexachlorophene (HCP).
• You know or have reason to believe that 2.3.7,8-
tetrachlorodibenzo-p-dioxin (TCDD) is or may be present in an
effluent.
If yes, continue to Item 7.17. If no, skip to Section 8.
Item 7.17 and Table E. If you answered "Yes" to Item 7.16, you
must report qualitative data, generated using a screening procedure
not calibrated with analytical standards, for TCDD. Your screening
analyses must be perforated using gas chromatography with an
electron capture detector. A TCDD standard for quantitation is not
required. Describe the results of your screening analysis (e.g., "no
measurable baseline deflection at the retention time of TCDD" or "a
measurable peak within the tolerances of the retention time of
TCDD.") on Table E. The NPDES permitting authority may require
you to perform a quantitative analysis if you report a positive result.
Answer "Yes" to Item 7.17 when you have completed Table E.
2C-4

General Instructions for Reporting, Sampling, and Analysis
Important note: Read these instructions before completing Tables
A through E and Section 7 of Form 2C.
General items
Complete the applicable tables for each outfall at your facility. Be
sure to note the EPA Identification Number, NPDES permit number,
facility name, and applicable outfall number at the top of each page
of the tables and any associated attachments.
You may report some or all of the required data by attaching
separate sheets of paper instead of completing Tables A through E
for each of your outfalls so long as the sheets contain all of the
required information and are similar in format to Tables A through
E. For example, you may be able to print a report in a compatible
format from the data system used in your GC/MS analysis
completed under Table B.
Table A requires you to report at least one analysis for each
pollutant listed. Tables B through D require you to report analytical
data in two ways. For some pollutants, you may be required to
check the box in the "Testing Required' column and test and report
the levels of the pollutants in your discharge whether or not you
expect them to be present in your discharge. For all other
pollutants, you must check the box in either the °Believed Present
or "Believed Absent" columns based on your best estimate and test
for those you believe to be present (with some exceptions). Base
your determination that a pollutant is present in or absent from your
discharge on your knowledge of your raw materials, maintenance
chemicals, intermediate and final products and byproducts, and any
previous analyses known to you of your effluent or similar effluent.
For example, if you manufacture pesticides, you should expect
those pesticides to be present in contaminated stormwater runoff.
If you would expect a pollutant to be present solely because of its
presence in your intake water, you must mark "Believed Present"
but you are not required to analyze for that pollutant. Instead, mark
an "X" in the long-term average value of the "Intake" column;
optionally, you may instead provide intake data.
Reporting of Effluent Data
Report sampling results for all pollutants in Tables A through C as
concentration and total mass, except for flow, temperature, pH,
color, and fecal coliform organisms. If you are reporting
quantitative data under Table D, report concentration only.
Flow, temperature, pH, color, and fecal coliform organisms must be
reported as mgd, degrees Celsius (°C), standard units, color units,
and most probable number per 100 milliliters (MPN/100 mL),
respectively. Use the following abbreviations in the columns
requiring 'units" in Tables A through D.
Concentration
Mass
ppm = parts per million
mglL = milligrams per liter
ppb = parts per billion
pg/L = micrograms per liter
MPN = most probable number per
100 milliliters
Is = pounds
ton = tons (English tons)
mg = milligrams
g = grams
kg = kilograms
T = tonnes (metric tons)
All reporting of values for metals must be in terms of "total
recoverable metal,' unless:
• An applicable, promulgated ELG specifies the limitation for
the metal in dissolved, valent, or total form;
• All approved analytical methods for the metal inherently
measure only its dissolved form (e.g., hexavalent chromium);
or
• The permitting authority has determined that in establishing
case -by -case limitations it is necessary to express the
limitations of the metal in dissolved, valent, or total form to
carry out the provisions of the CWA.
Note that you are not required to complete the "Maximum Monthly
Discharge" and the "Long -Term Average Daily Discharge' columns
of Tables A through C; however, these fields should be completed
if data are available.
If you measure only one daily value, complete the "Maximum Daily
Discharge" columns of the tables and enter'1" in the "Number of
Analyses" columns. The NPDES permitting authority may require
additional analyses to further characterize your discharges.
For composite samples, the daily value is the total mass or
average concentration found in a composite sample taken over the
operating hours of the facility during a 24-hour period. For grab
samples, the daily value is the arithmetic or flow -weighted total
mass or average concentration found in a series of at least four
grab samples taken over the operating hours of the facility during a
24-hour period.
If you measure more than one daily value for a pollutant and those
values are representative of your wastestream, you must report
them. You must describe your method of testing and data analysis.
When an applicant has two or more outfalls with substantially
identical effluents, the NPDES permitting authority may allow the
applicant to test only one outfall and report those quantitative data
as applying to the substantially identical outfall. If the permitting
authority grants your request, attach a separate sheet to the
application form identifying the outfall tested and describing why the
other outfall(s) are substantially identical.
Reporting of Intake Data
You are not required to report data under the "Intake" columns of
Tables A through C unless you wish to demonstrate your eligibility
for a "net" effluent limitation for one or more pollutants in Tables A
through C (i.e., an effluent limitation adjusted by subtracting the
average level of the pollutant(s) present in your intake water).
NPDES regulations allow net limitations only in certain
circumstances. To demonstrate your eligibility, under the Intake"
columns report the average of the results of analyses of your intake
water and discuss the requirements for a net limitation with your
NPDES permitting authority. If your water is treated before use, test
the water after it has been treated.
2C-5

General Instructions for Reporting, Sampling, and Analysis Continued
Sampling
The collection of samples for the reported analyses should be
supervised by a person experienced in performing sampling of
industrial wastewater. You may contact your NPDES permitting
authority for detailed guidance on sampling techniques and for
answers to specific questions. See Exhibit 1-1 of Form 1 for
contact information. Any specific requirements in the applicable
analytical methods —for example, sample containers, sample
preservation, holding times, and the collection of duplicate
samples —must be followed.
The time when you sample should be representative of your normal
operation, to the extent feasible, with all processes that contribute
wastewater in normal operation, and with your treatment system
operating properly with no system upsets. Collect samples from the
center of the flow channel, where turbulence is at a maximum, at a
site specified in your present NPDES permit, or at any site
adequate for the collection of a representative sample.
Grab samples must be used for pH, temperature, cyanide, total
phenols, residual chlorine, oil and grease, fecal coliform (including
E coh), and enterococci (previously known as fecal streptococcus
at 40 CFR 122.26(d)(2)(iii)(A)(3)), and volatile organic compounds.
For all other pollutants, a 24-hour composite sample, using a
minimum of four grab samples, must be used unless specified
otherwise at 40 CFR 136. However, a minimum of one grab
sample may be taken for effluents from holding ponds or other
impoundments with a retention period greater than 24 hours.
For stormwater discharges, a minimum of one to four grab
samples must be taken, depending on the duration of the
discharge. One grab sample must be taken in the first hour (or
less) of discharge, with one more grab sample (up to a minimum of
four) taken in each succeeding hour of discharge for discharges
lasting four hours or more.
Except for stormwater discharges, the NPDES permitting authority
may waive composite sampling requirements for any outfall for
which you demonstrate that use of an automatic sampler is
infeasible and that the minimum of four grab samples will be
representative of your discharge. Results of analyses of individual
grab samples for any parameter may be averaged to obtain the
daily average. Grab samples that are not required to be analyzed
immediately may be composited in the laboratory, if the container,
preservation, and holding time requirements are met and if sample
integrity is not compromised during compositing. See Table II at 40
CFR 136.3 for further information.
A grab sample is an individual sample of at least 100 milliliters
collected at a randomly chosen time over a period not exceeding
15 minutes.
A composite sample is a combination of at least eight sample
aliquots of at least 100 milliliters, collected at periodic intervals
during the operating hours of a facility over a 24-hour period. The
composite must be flow proportional; either the time interval
between each aliquot or the volume of each aliquot must be
proportional to either the stream flow at the time of sampling or the
total stream flow since the collection of the previous aliquot.
Aliquots may be collected manually or automatically. For "GC/MS
Fraction —Volatile Compounds" in Table B, aliquots must be
combined in the laboratory immediately before analysis. Four
(rather than eight) aliquots or grab samples should be collected for
this fraction. These four samples should be collected during actual
hours of discharge over a 24-hour period and need not be flow
proportioned. Only one analysis is required.
Use of Historical Data
Existing data may be used, if available, in lieu of sampling
conducted solely for the purposes of this application, provided that
all data requirements are met; sampling was performed, collected,
and analyzed no more than 4.5 years prior to submission; all data
are representative of the discharge; and all available representative
data are considered in the values reported.
Analysis
Except as specified below, all required quantitative data shall be
collected in accordance with sufficiently sensitive analytical
methods approved under 40 CFR 136 or required under 40 CFR
chapter I, subchapter N or 0. A method is "sufficiently sensitive'
when:
• The method minimum level (MI) is at or below the level of the
applicable water quality criterion for the measured pollutant or
pollutant parameter.
• The method ML is above the water quality criterion, but the
amount of the pollutant or pollutant parameter in the facility's
discharge is high enough that the method detects and
quantifies the level of the pollutant or pollutant parameter in
the discharge.
• The method has the lowest ML of the analytical methods
approved under 40 CFR 136 or required under 40 CFR
chapter I, subchapter N or 0 for the measured pollutant or
pollutant parameter.
Consistent with 40 CFR 136, you may provide matrix- or sample -
specific MU rather than the published levels. Further, where you
can demonstrate that, despite a good faith effort to use a method
that would otherwise meet the definition of °sufficiently sensitive,"
the analytical results are not consistent with the quality assurance
(QA)/quality control (QC) specifications for that method, then the
NPDES permitting authority may determine that the method is not
performing adequately and the NPDES permitting authority should
select a different method from the remaining EPA -approved
methods that is sufficiently sensitive consistent with 40 CFR
122.21(e)(3)(i). Where no other EPA -approved methods exist, you
must select a method consistent with 40 CFR 122.21(e)(3)(ii).
When there is no analytical method that has been approved under
40 CFR 136; required under 40 CFR chapter I, subchapter N or 0,
and is not otherwise required by the NPDES permitting authority,
you may use any suitable method but shall provide a description of
the method. When selecting a suitable method, other factors such
as a method's precision, accuracy, or resolution, may be
considered when assessing the performance of the method.
2C-6

FORM 2C—INSTRUCTIONS CONTINUED
Section 8. Used or Manufactured Toxics
Item 8.1. Indicate if any pollutant listed in Table B is used or
manufactured in your faciity as an intermediate or final product or
byproduct. If yes, continue to Item 8.2. If no, skip to Section 9.
Item 8.2. List the applicable toxic pollutants. Note that the NPDES
permitting authority may waive or modify the requirement f you
demonstrate that it would be unduly burdensome to identify each
toxic pollutant and the permitting authority has adequate
information to issue you a permit. You may not clam this
information as confidential. Note that you do not need to distingush
between use or production of the pollutants or list amounts
Section 9. Biological Toxicity Tests
Item 9.1. Indicate if 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
dscharge within the last three years. If yes, continue to Item 9.2 If
no, skip to Section 10.
Item 9.2. Identify the tests known to have been performed and the
purposes of each. For each test, check "Yes" or 'No" to indicate if
you have submitted the test results to the NPDES permitting
authority and the date the resu:ts were submitted The NPDES
permitting authority may ask you to provide additional details after
reviewing your application.
Section 10. Contract Analyses
Item 10.1. Indicate if any of the analyses reported in Section 7 were
performed by a contract laboratory or consulting firm. If yes,
continue to Item 10.2. If no, skip to Section 11.
Item 10.2. Identify each laboratory or firm used in the table
provided. For each, provide the name, address, and phone number
of the laboratory or firm and the pollutants analyzed.
Section 11. Additional Information
Item 11.1. In addition to the information reported on the application
form, the NPDES permitting authority may request additional
information reasonably required to assess the discharges of the
facility and to determine whether to issue an NPDES permit. The
additional information may include additional quantitative data and
bioassays to assess the relative toxicity of discharges to aquatic life
and requirements to determine the cause of the toxicity. Indicate
under Item 11.1 whether the NPDES permitting authority has
requested additional information from you. If yes, continue to Item
11.2. If no, skip to Section 12.
Item 11.2. List the items requested and attach the required
information to the application.
Section 12. Checklist and Certification Statement
Item 12.1. Review the checklist provided. In Column 1, mark the
sections of Form 2C that you have completed and are submitting
with your application. in Column 2, indicate for each section
whether you are submitting attachments.
Item 12.2. The CWA provides for severe penalties for submitting
false information on this application form. Section 309(c)(2) of the
CWA provides that -Any person who knowingly makes any false
statement, representation, or certification in any application, ...shall
upon conviction, be punished by a fine of no more than $10,000 or
by mprsonment for not more than six months or both."
FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS
APPLICATION TO BE SIGNED AS FOLLOWS:
A.
B.
C.
For a corporation, by a responsible corporate officer. For the
purpose of this section, a responsible corporate officer means:
(1) a president, secretary, treasurer, or vice-president of the
corporation in charge of a principal business function, or any
other person who performs similar policy- or decision -making
functions for the corporation, or (2) the manager of one or
more manufacturing, production, or operating facilities,
provided the manager is authorized to make management
decisions which govem the operation of the regulated facility
including having the explicit or implicit duty of making major
capital investment recommendations, and initiating and
directing other comprehensive measures to assure long term
environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary
systems are established or actions taken to gather complete
and accurate information for permit application requirements;
and where authority to sign documents has been assigned or
delegated to the manager in accordance with corporate
procedures.
For a partnership or sole proprietorship, by a general partner
or the proprietor, respectively.
For a municipality, state, federal, or other public facility, by
either a principal executive officer or ranking elected official.
For purposes of this section, a principal executive officer of a
federal agency includes: (1) The chief executive officer of the
agency, or (2) a senior executive officer having responsibility
for the overall operations of a principal geographic unit of the
agency (e.g., Regional Administrators of EPA).
END
Submit your completed Form 1, Form 2C, and
all associated attachments
(and any other required NPDES application forms)
to your NPDES permitting authority.
2C-7

Exhibit 2C-1. Example Line Drawing
Blue River
ixko00GPD
45,000 GPO :45,000 GPD
4
Stormwater
Max. 20,000 GPD
Dyeing
40,000 GPD
Neutralization Loss
Tank 6.000 GPD
1.34,000 GPD
Municipal
Water Supply
30 000 GPD
Blue River
10,000 GPO
Cooling Water
40,000 10.000
GPD GPD
Waste Outfall001
Treatment 70 000 GPD + Stoimwaler
Plant #1
Waste
Treatment
Plant #2
Outfall 002
* 50,000 GPD
5,000 GPD
To Atmosphere
To Product
5,000 GPD
Schematic of Water Flow
Brown Mills, Inc
City, County, State
2•8

1-A
1-B
1-C
1-D
1-E
1-F
1-G
1-H
1-I
1-J
1-K
1-L
2-A
2-B
2-C
2-D
2-E
2-F
3-A
3-B
3-C
3-D
4-A
4-B
Exhibit 2C-2. Codes for Treatment Units and Disposal of Wastes Not Discharged
Ammonia stripping
Dialysis
Diatomaceous earth filtration
Distillation
Electrodialysis
Evaporation
Flocculation
Flotation
Foam fractionation
Freezing
Gas -phase separation
Grinding (comminutors)
Carbon adsorption
Chemical oxidation
Chemical precipitation
Coagulation
Dechlorination
Disinfection (chlorine)
Activated sludge
Aerated lagoons
Anaerobic treatment
Nitrification-denitrification
Discharge to surface water
Ocean discharge to outfall
5-A Aerobic digestion
5-B Anaerobic digestion
5-C Belt filtration
5-D Centrifugation
5-E Chemical conditioning
5-F Chlorine treatment
5-G ....... Composting
5-H ....m Drying beds
5-1 Elutr•ation
5-J Flotation thickening
5-K Freezing
5-L Gravity thickening
1.
PHYSICAL TREATMENT PROCESSES
1-M Grit removal
1-N Microsiraining
1-0 Mixing
1-P Moving bed filters
1-0 Multimedia filtration
1-R Rapid sand filtration
1-S Reverse osmosis (hyperfrltration)
1-T Screening
1-U Sedimentation (settling)
1-V Slow sand filtration
1-W Solvent extraction
1-X Sorption
2. CHEMICAL TREATMENT PROCESSES
2-G Disinfection (ozone)
2-H Disinfection (other)
2-1 Electrochemical treatment
2-J Ion exchange
2-K Neutralization
2-L Reduction
3. BIOLOGICAL TREATMENT PROCESSES
3-E Pre -aeration
3-F Spray irrigation/land application
3-G Stabilization ponds
3-H Trickling filtration
4. WASTEWATER DISPOSAL PROCESSES
4-C Reuse/recycle of treated effluent
4-D Underground injection
5. SLUDGE TREATMENT AND DISPOSAL PROCESSES
5-M Heat drying
5-N .,, Heat treatment
5-0 Incineration
5-P Land application
5-0 Landfill
5-R Pressure filtration
5-S Pyrolysis
5-T S udge lagoons
5-U Vacuum filtration
5-V Vibration
5-W Wet oxidation
2C-9

Exhibit 2c Testing Requirements for Organic Toxic Pollutants industry Categories'
GC/MS FRACTION*
INDUSTRY CATEGORY Wage Ac'd ElaselNeutal Pesticide
Adhesives and seal anb3
Aluminum forming X X x 0
Auto and other laundries X X X X
Eiattery MenUfaCtUring X X. 0
Coal mifIllg El __
_.. 0
Coil onativ X X X 0
Capper farming X X X n
Electric and e'ectronic compourik X X X X
Electroplat ng X X X 0
Explosives manufacturing ri X X 0
Foundries .1 FFFF X X X D
Gum and wood icherricals Oil subpals won't D and F) X X 0 D
Gum and wood cherniaals. Subpart 0 (tall oli rosin)........— X X x 0
Gum and wonif chemicals, Subpar! F rosin-lrased X X
Inorganic chemicals manufackeng X X X Ei
Iran and steel manufachshg X X X 0
Leather tanning aixl finishing X X X 0
Mechanical products manufacturhg X X x 0
N onferro US mela's rnanufactuiring X X X X
ore mining, Subpart Et (base arti prsciods metals) .. X El
Grgani c chemicals rearitiacheing X X X X
Paint and ink funnutalloo X X x 0
hackles X X X X
Petroleum reining .. X ( I 0
Pharmaceutical pceparatons X X x D
Photographic equIpenent and supplies X X X a
Kist c and synthetic matenals manufacturing X X X X
Rest; wocessing IAA X E7 0
Printing and publishing X X X X
Pulp and paperodard mils X X X X
/uhber processing X X X I i
Soap and detergent manufacturing X X X i .
Steam electric power plants X X
Textile mil s (except Subpart G, Greig a flitinS) X X X E
Timber products processing .......... ..... ..... ........... . .I.1 X X X X
See note at con! u s ion of 40 CFR 122, AP pendix D (103) for explanation of effeel of suspens.ons on testing requirements for primary
i r.d u stry calega ri es.
t The pol.utants in each fraction are I sted in Table B.
X Testing is required.
= Testing is not required.
2c-ia

1. Acetaldehyde
2. Acetic acid
3. Acetic anhydride
4. Acetone cyanohydrin
5. Acetyl bromide
6. Acetyl chloride
7. Acrolen
8. Acrylonitrile
9. Adipic acid
10. Aldrin
11. Allyl alcohd
12. Allyl chloride
13. Aluminum sulfate
14. Ammonia
15. Ammonium acetate
16. Ammonium benzoate
17. Ammonium bicarbonate
18. Ammonium bichramate
19. Ammonium bfiuoride
20. Ammonium bisuifite
21. Ammonium carbamate
22. Ammonium carbonate
23. Ammonium chloride
24. Ammonium chromate
25. Ammonium citrate
26. Ammonium fluoroborate
27. Ammonium fluoride
28. Ammonium hydroxide
29. Ammonium oxalate
30. Ammonium silicofluoride
31. Ammonium sulfamate
32. Ammonium sulfide
33. Ammonium sulfite
34. Ammonium tartrate
35. Ammonium thiocyanate
36. Ammonium thiosulfate
37. Amyl acetate
38. Aniline
39. Antimony pentachbride
40. Antimony potassium tartrate
41. Antimony trtbramide
42. Antimony tdchloride
43. Antimony trifluoride
44. Antimony trioxide
45. Arsenic disulfide
46. Arsenic pentoxide
47. Arsenic trichloride
48. Arsenic trioxide
49. Arsenic tisulfde
50. Barium cyanide
51. Benzene
52. Benzoic acid
53. Benzonitnle
54. Benzoyl chloride
55. Benzyl chloride
56. Beryllium chloride
57. Beryllium fluoride
58. Beryllium nitrate
59. Butylacetate
60. n-butyfphthalate
61. Butylamine
62. Butyric acid
63. Cadmium acetate
64. Cadmium bromide
65. Cadmium chloride
66. Calcium arsenate
67. Calcium arsenite
68. Caldum carbide
69. Calcium chromate
70. Calcium cyanide
71. Calcium dodecylbenzenesulfanate
72. Caldum hypochlorite
Exhibit 2C-4. Hazardous Substances
73. Captan
74. Carbaryl
75. Carbofuran
76. Carbon disulfide
77. Carbon tetrachloride
78. Chlordane
79. Chlorine
80. Chlorobe nzene
81. Chloroform
82. Chloropyrifos
83, Chlorosulfonic add
84. Chromic acetate
85. Chromic acid
86. Chromic sulfate
87. Chromous chloride
88. Coballous bromide
89. Cobaltous formate
90, Cobaltoussulfamate
91. Coumaphos
92. Cresol
93. Crolonaldehyde
94. Cupric acetate
95. Cupric acetoarsenite
96. Cupric chloride
97. Cupric nitrate
98. Cupric oxalate
99. Cupric sulfate
100. Cupric sulfate ammoniated
101. Cupric tartrate
102. Cyanogen chloride
103. Cydohexane
104. 2,4-D acid (2,4.dichlorophenoxyacetic acid)
105. 2,4-D esters (2,4-dichlorophenoxyacetic add esters)
106, DDT
107. Diazinon
108. Dicamba
109. Dichlobenir
110. Dichlone
111. Dichlorobenzene
112. Dichloropropane
113. Dichloropropene
114. Dichloropropene-dichloproropane mix
115. 2,2-dich!oropropion c acid
116. Dichlorvos
117. Dieldrin
118. Diethylamine
119. Dimethylamine
120. Dinitrobenzene
121. Dinitrophenol
122. Dinitrotoluene
123. Diquat
124. Disulfoton
125. Diuron
126. Dodecylbenzesulfonic acid
127. Endosulfan
128 Endrin
129. Epichlorohydrn
130. Ethion
131, Ethylbenzene
132. Ethylenediamine
133. Ethylene dibromide
134. Ethylene dichloride
135. Ethylene diamineletracetic acid (EDT&
136. Fenic ammonium citrate
137, Ferric ammonium oxalate
138. Fenic chloride
139. Ferric fluoride
140. Ferric nitrate
141. Ferric sulfate
142. Ferrous ammonium sulfate
143. Ferrous chbride
144. Ferrous sulfate
145. Fomnaldehyde
146. Formic add
147. Fumaric acid
148. Furfural
149. Guthion
150. Heptachlor
151. Hexachlorocydapentadiene
152. Hydrochloric acid
153. Hydrofluoric add
154. Hydrogen cyanide
155. Hydrogen sulfide
156. Isoprene
157. Isopmpanolamine dodecylbenzenesulfonate
158. Kelthane
159. Kepone
160. Lead acetate
161. Lead arsenate
162. Lead chloride
163. Lead fluoborate
164. Lead fluorite
165. Lead iodide
166. Lead nitrate
167. Lead staarate
168. Lead sulfate
169. Lead sulfide
170. Lead thiocyanate
171. Lindane
172. Lithium chromate
173. Malathion
174. Maleic add
175. Maleic anhydride
176. Mercaptodimethur
177. Mercuric cyanide
178. Mercuric nitrate
179. Mercuric sulfate
180. Mercuric thiocyanate
181. Mercurous nitrate
182. Methoxychlor
183. Methyl mercaptan
184. Methyl methacrytate
185. Methyl parathion
186.Mevnphos
187. Mexacarbate
188. Monoethylamne
189. Monomethylamine
190. Naled
191. Naphthalene
192. Naphthenic acid
193. Nicke, ammonium sulfate
194. Nicke• chloride
195. Nicke hydroxide
196, Nicke n.trate
197. Nicke' sulfate
198. Nitric acid
199. Nitrobenzene
200. Nitrogen dioxide
201. Nitrophenol
202. Nitrotoiuene
203. Paraformaldehyde
204. Parathion
205. Pentachloropheno:
206, Pheno
207. Phosgene
208. Phosphoric add
209, Phosphorus
210. Phosphorus oxychloride
211. Phosphorus pentasu fide
212 Phosphorus trichtoride
213 Polychlorinated blphenyls (PCB)
214. Potassium arsenate
215 Potassium arsenite
2C-11

216. Potassium bichromate
217. Potassium chromate
218. Potassium cyanide
219. Potassium hydroxide
220. Potassium permanganate
221. Propargite
222. Propionic add
223. Propionic anhydride
224. Propylene oxide
225. Pyrethrins
226. Quinoline
227. Resorcinol
228. Selenium oxide
229. Silver nitrate
230. Sodium
231. Sodium arsenate
232. Sodium arsenite
233. Sodium bichromate
234. Sodium biltuoride
235. Sodium bisulfite
236. Sodium chromate
237. Sodium cyanide
238. Sodium dodecylbenzenesulfonate
239. Sodium fluoride
240. Sodium hydrosulfide
241. Sodium hydroxide
242. Sodium hypochlorite
243. Sodium methylate
244. Sodium nitrite
Exhibit 2C-4. Hazardous Substances
245. Sodium phosphate ?dibas!ci
246. Sodium phosphate ?tribasic)
247. Sodium selenite
248. Strontium chromate
249. Strychnine
250. Styrene
251. Sulfuric acid
252. Sulfur monochloride
253. 2,4,5-T add (2,4,5-Iridilorophenoxyacetic add)
254. 2,4,5-T amines (2,4,5-Irichlorophenoxy acetic acid
amines)
255.2,4,5-T esters (2,4,5•trichlorophenoxy acetic acid
esters)
256.2,4,5-T salts (2,4,54richlorophenoxy acetic acid salts)
257. 2,4,5-TP acid (2,4,5•trichlorophenoxy propanoic acid)
258.2,4,5-TP add esters (2,4,5-Irichlorophenoxy propanoic
acid esters)
259. TDE (tetrachlorodiphenyl ethane}
260. Tetraethyl lead
261. Tetraethyl pyrophosphate
262. Thallium sulfate
263. Toluene
264. Toxaphene
265. Trtchlorofon
266. Trichloroethylene
267. Trichlorophenol
268. Trielhanolamine dodecylbenzenesulfonate
269. Trielhylamine
270. Trimethylamine
271. Uranyl acetate
272. Uranyl nitrate
273. Vanadium penoxide
274. Vanadyl sulfate
275. Vinyl acetate
276. Vinylidene chloride
277. Xylene
278. Xylenol
279. Zinc acetate
280. Zinc ammonium chloride
281. Zinc borate
282. Zinc bromide
283. Zinc carbonate
284. Zinc chloride
285. Zinc cyanide
286. Lnc fluoride
287. Lnc formate
288. Lnc hydrosulfite
289. Zinc nitrate
290. Zinc phenolsulfonate
291. Zinc phosphide
292. Zinc silicofluoride
293. Zinc sulfate
294. Zirconium nitrate
295. Lrconium potassium fluoride
296. Lrconium sulfate
297. Zirconium tetrachloride
2C-1.2

EPA identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Form Approved 03/05/19
OMB No. 2040-0004
Form
2C
NPDES
=,EPA
U.S Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater
EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTION 1. OUTFALL LOCAT ON (40 CFR 122.21(g)(1))
0
J
0
1.1 Provide information on each of the facility's outfalls in the table below.
Outfall
Number
Receiving Water Name
Latitude
Longitude
001
North Fork Catawba
35' 50' 14"
81° 59' 55"
•
°
SECTION 2. LINE DRAWING (40 CFR 122.21(9)(2))
2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
EJ Yes ❑ No
SECTION 3. AVERAGE FLOWS AND TREATMENT (40 CFR 122.21(g)(3))
Average Flows and Treatment
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 Contibuting to Flow
Operation
Average Flow
Ground Water
1.422 mgd
Cooling Ponds
0.175 mgd
Boiler Feed Water
0.329 mgd
Sanitary Water
0.150 mgd
Description Code from Final Disposal of Solid or
(include size, flow rate through each treatment unit, Liquid Wastes Other Than
retention time, etc.) Table 2C•1 by Discharge
Pre -Screening
1-0
Equalization (1.3 MG)
N/A
Fine Screening (2, Rotary Drum Screens
1-0
Neutralization (pH Adjus, t)
2-K
EPA Form 3510-2C (Revised 3-19)
FP] 1

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
I Form Approved 03105119
OMB No. 2040-0004
Average Flows and Treatment Continued
3.1
Cont.
**Outfa11 Number* 001
Operations Contributing
to Flow
Operation
Average Flow
Process Water
0.350 mgd
mgd
mgd
Treatment
Description
(include size, flow rate through each treatment unit,
retention time, etc.)
Units
Code from
Table 2C-1
mgd
Final Disposal of Solid or
Liquid Wastes Other Than
by Discharge
Mixing (Nutrient Addition)
1-0
Activated Sludge (Bioreactor)
3-A
Multimedia Filter (MBR)
1-Q
Disinfection (UV)
2-H
**Outfall Number* 001
Operations Cont
ibuting to Flow
Operation
Average Flow
mgd
mgd
mgd
mgd
Treatment
Units
Description
(include size, flow rate through each treatment unit,
retention time, etc.)
Code from
Table 2C-1
Final Disposal of Solid or
Liquid Wastes Other Than
by Discharge
Discharge to Surface Water
4-A
(Sludge) Aerobic Digester
5-A
(Sludge) Centrifuge
5-D
(Sludge) Land Application
5-P
m m
1. a
3.2
Are
0
you applying for an NPDES permit to operate a privately owned
Yes
•
treatment works?
No -I SKIP to Section 4.
3.3
Have you attached a list that identifies each user of the treatment
❑ Yes
MI
works?
No
EPA Form 3510-2C (Revised 3-i9)
Pa eZ

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Form Approved 03105/19
OMB No. 2040-0004
SECTION
4. INTERMITTENT
FLOWS (40 CFR 122.21(g)(4))
odayslweek
Vdayslweek
Edayshveek
4.1
Except for storm runoff, leaks, or spills, are any discharges described
❑ Yes
In
in Sections 1 and 3 intermittent or seasonal?
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
Frec
uency
Flow
Rate
Number
(list)
Average
Days/Week
Average
MonthslYear
Long -Term
Average
Maximum
Daily
Duration
dayshveek
months/year
mgd
mgd
days
monthslyear
mgd
mgd
days
months/year
mgd
mgd
days
monthslyear
mgd
mgd
days
dayshveek
monthslyear
mgd
mgd
days
dayslweek
monthslyear
mgd
mgd
days
dayslweek
months/year
mgd
mgd
days
dayshveek
months/year
mgd
mgd
days
dayshveek
monthslyear
mgd
mgd
days
SECTION
5. PRODUCTION
(40
CFR 122.21(g)(5))
11
m
S
Q
5.1
Do
51
any effluent
Yes
limitation guidelines
(ELGs) promulgated
by EPA under Section
0 No 4
304 of the CWA apply to your
SKIP to Section 6.
facility?
5.2
Provide the following information on applicable ELGs.
ELG Category
ELG Subcategory
Regulatory Citation
Pharmaceutical Manufacturing
Mixing/Compounding & Formulation
40 CFR 439, subpart D
Plastics Molding & Forming
Contact Cooling & Heating Water
40 CFR 463, subpart A
Secondary Treatment Regulation
Secondary Treatment Standards
40 CFR 133
Production -Based Limitations
5.3
Are
•
any of the applicable ELGs expressed in terms of production
Yes
ri
(or other measure of operation)?
No 4 SKIP to Section 6.
5.4
Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
Outfall
Number
Operation, Product, or Material
per Da
Quantity y
unit of
Measure
EPA Form 3510-2C (Revised 3-19)
Pagc. 3

EPA Identification Number NPDES Permit Number
NCD059140765 NC0006564
Facility Name
Baxter Healthcare Corporation
Form Approved 03/05/19
OMB No. 2040-0004
SECTION
6. IMPROVEMENTS
(40 CFR 122.21(g)(6))
i
E
>
2
-a
c
N
H
m
s°
o,
a
6.1
Are you presently required by any federal, state,
upgrading, or operating wastewater treatment
affect the discharges described in this application?
or local authority
equipment or
to meet an implementation
practices or any other environmental
schedule for constructing,
programs that could
6.3.
■ Yes
MI No 4 SKIP to Item
6.2
Briefly identify each applicable project in the table below.
Brief Identification and Description of
Project
Affected
Outfalls
(list outfall
number)
Source(s) of
Discharge
Final Compliance Dates
Required
Projected
6.3
Have you attached sheets describing any additional
that may affect your discharges) that you now have
water pollution
underway
control programs
or planned? (optional item)
(or other environmental projects
Not applicable
• Yes • No
•
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 10 complete each table.
Effluent and Intake Characteristics
Table A. Conventional and Non -Conventional Pollutants
7.1
Are you requesting a waiver from your NPDES
your outfalls?
permitting authority
for one or more of
the Table A pollutants for any of
7.3.
MI Yes
• No 4 SKIP to Item
7.2
If yes, indicate the applicable outfalls below.
Outfall Number 001
Attach waiver request and other required information to the application.
Outfall Number Duffel! Number
7.3
Have you completed monitoring for all Table
requested and attached the results to this application
A pollutants at each of your outfalls for which a waiver has not been
package?
❑ No; a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
0 Yes
Table B.
Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
7.4
Do any of the facility's processes that contribute
listed in Exhibit 2C-3? (See end of instructions
wastewater
for exhibit.)
fall into one or more of the
primary industry categories
7.8.
• Yes
• No 4 SKIP to Item
7.5
Have you checked "Testing Required" for all
toxic metals, cyanide, and total phenols in Section 1 of Table B?
❑ No
■ Yes
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
P
Required GC/MS Fractlon(s)
(Check applicable boxes.)
❑ Volatile ❑ Acid 0 Base/Neutral 0 Pesticide
❑ Volatile D Acid 0 Base/Neutral 0 Pesticide
❑ Volatile 0 Acid 0 Base/Neutral 0 Pesticide
EPA Form 3510-2C (Revised 3-19}
Page 4

EPA Identi1calion Number
NCD059140765
NPDES Peril Number
NC0006564
Facility Name
Baxter Healthcare Corporation
For Approved 03/05/19
OMB No.2040 0004
cn
Used or Manufactured
Toxics —i Effluent and Intake Characteristics Continued
0
7.7
Have you checked
GC/MS fractions
'Testing Required' for all required
checked in Item 7.6?
pollutants in Sections 2 through
5 of Table B for each of the
■ Yes
■ No
7.8
Have you checked
where testing
"Believed Present" or "Believed
is not required?
Absent" for all pollutants listed in Sections
1 through 5 of Table B
• Yes
• No
7.9
Have you provided
required or (2)
indicated are
(1) quantitative data for those
quantitative data or other required information
"Believed Present" in your discharge?
Section 1, Table B, pollutants for which
for those Section 1, Table
you have indicated testing is
B, pollutants that you have
■ Yes
■ No
7.10
Does the applicant
qualify for a small business exemption under the criteria specified in the instructions?
Note that qualify at the top of Table 8, ❑ No
then SKIP to Item 7.12.
Yes 4
•you
7.11
Have you provided
determined testing
pollutants you
(1) quantitative data for those
is required or (2) quantitative data
have indicated are "Believed Present"
Sections 2 through 5, Table B, pollutants
or an explanation for those Sections
in your discharge?
for which you have
2 through 5, Table B,
• Yes
• No
Table C. Certain Conventional and Non -Conventional Pollutants
7.12
Have you indicated
for all outfalls?
whether pollutants are "Believed Present' or "Believed Absent' for all pollutants listed on Table C
El No
■ Yes
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
'Believed Present'?
0 Yes ❑ No
Table D.
Certain Hazardous Substances and Asbestos
7.14
Have you indicated
all outfalls?
whether pollutants are 'Believed
Present" or "Believed Absent' for
all pollutants listed in Table D for
• Yes
■ No
7.15
Have you completed
and (2) by providing
Table D by (1) describing the
quantitative data, if available?
reasons the applicable pollutants are
expected to be discharged
■ 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
know or have reason to believe that TCDD is or may
❑ Yes + Complete Table E.
the 2,3,7,8-TCDD congeners listed
be present in the effluent?
in the instructions, or do you
8.
• No 4 SKIP to Section
7.17
Have you completed
Table E by reporting qualitative
data for TCDD?
• Yes
• No
8. USED
OR MANUFACTURED TOXICS (40 CFR 122.21(g)(9))
8.1
Is any pollutant
an intermediate
listed in Table B a substance or a component of a substance used or manufactured at your facility as
or final product or byproduct?
El No 4 SKIP to Section 9.
IN Yes
8.2
List the pollutants below.
1. 4. 7.
2. 5. 8.
3. 6. 9.
EPA Form 3510-2C (Revised 3.19)
Page 5

EPA Identification Number
NCD059140765
NPDES Permit Number Facility Name
NC0006564 Baxter Healthcare Corporation
Form Approved 03/05/19
CMBNo.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.
M
9.2
Identify the tests and their
ourposes below.
x
Test(s)
Purpose of Test(s)
Submitted to NPDES
Permitting Authority?
Date Submitted
0
❑ Yes
■
No
g
Ts
'm
❑ Yes ❑ No
■ Yes
■
No
SECTION
10. CONTRACT
ANALYSES (40 CFR
122.21(g)(12))
10.1
Were
0
any of the analyses reported in Section 7 performed by
Yes
a
■
contract laboratory or consulting firm?
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
Pace Analytical
Environmental Testing
Solutions
Water Quality Lab and
Operations, Inc.
inn
�
i
i
Laboratory address
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
PO Box 7565
Asheville, NC 28802
PO Sox 1167
Banner Elk, NC 28604
0
Phone number
[phone]
[phone]
[phone]
Pollulant(s) analyzed
Oil and Grease, Ammonia,
Total Nitrogen, Total
Phosphorus, Priority
Pollutants
Aquatic Toxicity
Biological Oxygen Demand
SECTION
11. ADDITIONAL
INFORMATION
(40 CFR 122.21(g)(13))
c
0
11.1
Has
0
the NPDES permitting authority requested additional
Yes
information?
•
No 4 SKIP to Section 12.
1
'=
m
11.2
List the information requested and attach it to this application.
1 Modification Request Summary TM 4
c
0
as
-0
2. Draft Compliance Action Plan for Effluent Temperature 5
1 imita
3. 6.
EPA Form 3510-2C (Revised 3-19)
F age fi

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Form Approved 03/05/19
OMB No. 2040-0004
SECTION. 12. CHECKL STAND CERTIFICAT.cJN ST ATFMCNT .:4C1 CER 122.22?a1 and d)
Checklist and Certification Statement
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
a
❑
Section 1: Outfall Location
Section 2: Line Drawing
Section 3: Average Flows and
Treatment
❑ Section 4: Intermittent Flows
Column 2
❑✓ wl attachments
▪ w/ line drawing
❑ w! attachments
❑ wl attachments
El Section 5: Production
❑ wl attachments
❑ w/ additional attachments
wl list of each user of
❑ privately owned treatment
works
❑ Section 6: Improvements
❑ wl attachments
0 Section 7: Effluent and Intake
Characteristics
wl request fora waiver and
supporting information
wl small business exemption
request
wl Table A
wl Table C
wl Table E
❑ Section 8: Used or Manufactured
Toxics
❑ wl attachments
❑ Section 9: Biological Toxicity
Tests
✓❑ Section 10: Contract Analyses
❑ wl attachments
❑ wl attachments
wl optional additional
❑ sheets describing any
additional pollution control
plans
❑ wl explanation for identical
outfalls
❑ w/ other attachments
❑ wl Table B
❑ wl Table D
❑ wl analytical results as an
attachment
❑ Section 11: Additional Information
▪ wl attachments
❑ Section 12: Checklist and
Certification. Statement
12.2
❑ wl attachments
Certification Statement
l 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, Prue,
accurate, and complete.l 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)
Stephen Gouge
Signature
9'37
Official title
EHS Manager
Date signed
6 J2112621_
EPA Form 3510-2C (Revised 3-19) Page 7

This page intentionally left blank.

Intake
0 • tonal
Number of
Analyses
this table for the noted outfall.
Long -Term
Average Value
R 122.21(g)(7)(iii))'
Effluent
Maximum Maximum Long -Term
Daily Monthly Average Daily Number of
Discharge Discharge Discharge Analyses
(required) (iifavailable) __ Cdavailable)
rs
M.
N
CO
679
NA
«
z
is
§§§
_
476
o
MI
N
CD
N
CD
0utfall Number
001
CO
3.89
q
co4-4
NA
«
§
8
k
a
d
.4
-
Cr
d
,
,
Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on
§
@
a
L
46.60
NA
NA
co
21.86
§
17.03
§
co
N
30.44
,
,
EPA Identification Number NPDES Permit Number Facility Name
NCD059140765 NC0006564 Baxter Healthcare Corporation
m
k
to
r4
a
q
U
NA
NA
ea
d
N
U
o
2
a
Q
r
35
a
®
7.7
b
CO
\
=k
_I D .
o
k
o
E
E
■
mg/L
■
mg/L
2
%
E
MGD
p
°C
-
Concentration
Mass
Concentration
Mass
Concentration
Mass
§
ƒ
c
0
0
®
co
M
Concentration
Mass
c2
°C
2
Standard units
Standard units
>
j
§ re Ls
0
0
0
III
NI
•
•
•
\
}
o 'Fs
w o
> a.
o
2
Biochemical oxygen demand
(BOD5)
Chemical oxygen demand
(COD)
Total organic carbon (TOC)
Z.
1/3
k
k
§
I-
Ammonia (as N)
LL
Temperature (winter)
Temperature (summer)
E
§
.c
CL
E
K
cg
CIL
'Cr
—
MIa
a
4oi
■
EPA Form 3510-2C (Revised 3-19)

This page intentionally left blank.

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
0utfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE,
Pollutant/Parameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required(may)
AND ORGANIC TOXIC
Presence or Absence
{cited( one)
POLLUTANTS (40 CFR
Units
122.21(g)(7)(v))1
Effluent
Intake
(optimal)
Believed
Present
Believed
AbsentDaily
Maximum
Daily
Discha a
(required)
Maximum
Monthly
D(savailablge) e
Long -Term
Average
Discharge
(€f avarable)
Number
of
Analyses
Long -
Term
AVa uee
Number
of
Analyses
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
(7440-36-0)
Concentration
■
Mass
1 2
Arsenic, total
(7440-38-2)
El
Concentration
■
■
Mass
1 3
Beryllium, total
(7440-41-7)
Concentration
■
■
Mass
14
Cadmium, total
(7440-43-9)
0
Concentration
•■
■
Mass
1.5
Chromium, total
(7440-47-3)
Concentration
■
■
Mass
1.6
Copper, total
(7440-50-8)
❑
Concentration
■
■
Mass
1.7
Lead, total
(7439-92-1)
0
Concentration
•
•
Mass
1.8
Mercury, total
(7439-97-6)
Concentration
•
III
■
Mass
19
Nickel, total
0(7440-02-0)
Concentration
•
•
Mass
1.10
Selenium, total
(7782-49-2)
ID
0
Concentration
•
Mass
1.11
Silver, total
(7440-22-4)
El
Concentration
■
•
Mass
EPA Form 3510-2C (Revised 3-19)
Page 11

EPA Identification Number
NCD059140765
NPDES Permd Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Dutfall Number
001
Form Approved 03105119
OMB No.2040-0004
TABLE 8. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Units
(spay)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(davailable)
Long -Term
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
1.12
Thallium, total
(7440-28-0)
0
Concentration
•
•
Mass
1.13
Zinc, total
(7440-66-6)
Concentration
Mass
14
1.(57-12-5)
Cyanide, total
❑
Concentration
Mass
1.15
Phenols, total
ID
0
Concentration
•
Mass
Section 2. Organic Toxic Pollutants (GC/MS
Fraction
—Volatile Compounds)
2.1
Acrolein
(107-02-8)
Concentration
Mass
2 2
Acrylonitrile
Concentration
•(107-13-1)
.
Mass
2.3
Benzene
(71-43-2)
Concentration
Mass
2.4
Bromoform
(75-25-2)
0
Concentration
Mass
2.5
Carbon tetrachloride
(56-23-5)
Concentration
Mass
2.6
Chlorobenzene
(108-90-7)
Concentration
Mass
2.7
Chlorodibromomethane
(124-48-1)
0
0
Concentration
•Mass
2.8
Chloroethane
(75-00-3)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 12

EPA Identification Number
NCD059140765
NPDES Peroit Number
NC0006564
Faaiity Name
Baxter Healthcare Corporation
Outfalr Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
Pollutant/Parameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
(ssv y)
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long-TermAverag
Daily
i
Discharge
(schavailable)
Number
of
Analyses
Long-
Term
Average
Value
Number
Analf
y
2.9
2-chloroethylvinyl ether
(110-75-8)
o
Concentration
Mass
2.10
Chloroform (67-66-3)
El
ElConcentration
•
Mass
2.11
Dichlorobromomethane
(75-27-4)
Concentration
Mass
2.12
1,1-dichloroethane
(75-34-3)
Concentration
Mass
2.13
12-dichloroethane
(107-06-2)
Concentration
Mass
2.14
11-dichloroethylene
(75-35-4)
El
o
Concentration
Mass
215
1,2-dichloropropane
(78-87-5)
Concentration
Mass
216
1,3-dichloropropylene
(542-75-6)
El.
Concentration
Mass
217
Ethylbenzene
(100-41-4)
Concentration
Mass
218
Methyl bromide
(74-83-9)
Concentration
Mass
219
Methyl chloride
El
.
•(74-87-3)
Mass
2.20
Methylene chloride
(75-09-2)
El
Concentration
Mass
2.21
1 12 2- tetrachloroethane
(79-34-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))1
intake
(optional)
Presence or Absence
(check one)
Effluent
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
9
Believed
Present
Believed
Absent
Units
()
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
fdavailable)
Long -Term
Average
Daily
Discharge
Cif available)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2 22
Tetrachloroethylene
Concentration
(127-18-4)
•
■
CI
Mass
2 23
Toluene
Concentration
(108-88-3)
❑
•
Mass
2 24
1,2-trans-dichloroethylene
Concentration
(156-60-5)
El
El
El
Mass
2 25
1 1,1-trichloroethane
Concentration
(71-55-6)
•
■
■
Mass
2 26
1,1,2-trichloroethane
Concentration
(79-00-5)
•
•
0
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)
31
2-chlorophenol
(95-57-8)
■
■
■
Concentration
Mass
3 2
2,4-dichlorophenol
(120-83-2)
■
•Mass
•
■
Concentration
3.3
2,4-dimethylphenol
(105-67-9)
ID
❑
■
Concentration
Mass
3.4
4 6-dinitrocresol
(534-52-1)
■
El
0
Concentration
Mass
3.5
2,4-dinitrophenol
(51-28-5)
M
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 14

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03105/19
OMB No.204D-0004
TABLE
B. TOXIC METALS, CYANIDE,
Pollutant/Parameter
(and CAS Number, ifavatiable)
TOTAL PHIENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one}
POLLUTANTS (40 CFR
Units
(specify)
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
�favahlaabblle}
Long -Term
Average
Daily
Discharge
Of available)
Number
of
Analyses
Long-
Term
Ava age
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)
Concentration
Mass
3.7
4-nitrophenol
(100-02-7)
Concentration
Mass
3.8
p-chloro-m-cresol
(59-50-7)
Concentration
I
Mass
3.9
Pentachlorophenol
(87-86-5)
Concentration
Mass
3.10
Phenol
(108-95-2)
El
El
Concentration
II
Mass
3
2,4,6-trichlorophenol
(88-05-2)
❑
Concentration
1
MI
Mass
Section 4. Organic Toxic Pollutants (GCIMS
Fraction
--Base !Neutral
Compounds)
41
Acenaphthene
(83-32-9)
Concentration
Mass
4.2
Acenaphthylene
(208-96-8)
Concentration
Mass
4.3
Anthracene
(120-12-7)
Concentration
IN
�
�
Mass
4.4
Benzidine
(92-87-5)
Concentration
Mass
4.5
Benzo (a) anthracene
(56-55-3)
El
•
Mass
4.6
Benzo (a) pyrene
(50-32-8)
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19}
Page 15

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outlet Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))'
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available:!
(and
Testing
Required
Presence or Absence
(check one)
Units
(spay)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(If available)
Long -Tenn
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long -
Term
Average
Number
of
Analyses
4.7
3,4-benzofluoranthene
(205-99-2)
Concentration
Mass
4.8
Benzo (ghi) perylene
(191-24-2)
Concentration
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
❑
o
Concentration
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
Concentration
Mass
411
Bis (2-chloroethyl) ether
(111-44-4)
Concentration
Mass
412
Bis (2-chloroisopropyl) ether
(102-80-1)
�
Concentration
•
•
Mass
4.13
Bis (2-ethylhexyl) phthalate
(117-81-7)
Concentration
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
Concentration
Mass
4.15
Butyl benzyl phthalate
Concentration
NI
•(85-68-7)
•
Mass
416
2-chloronaphthalene
(91-58-7)
Concentration
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
Concentration
Mass
4.18
Chrysene
(218-01-9)
Concentration
Mass
4.19
Dibenzo (a,h) anthracene
(53-70-3)
El
Concentration
.
.
Mass
EPA Form 3510-2C (Revised 3-19)
Page 16

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03105119
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
Pollutant!Parameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
Units
(spy)
122.21(07)(v))1
Effluent
Intake
OP l)
Believed
Present
Believed
Absent
Maximum
Daily
(sue Discharge
Maximum
Monthly
Discharg{if available)
Long -Term
Average
Daily
Discharge
fii avahble}
Number
of
Analyses
Long _
Terns
Average
Value
Number
of
Analyses
4.20
12-dichlorobenzene
(95-50-1)
0
Concentration
■
■
Mass
4.21
1,3-dichlorobenzene
(541-73-1)
El
Concentration
■
■
Mass
4.22
1,4-dichlorobenzene
(106-46-7)
Concentration
■
■
Mass
4.23
3,3-dichlorobenzidine
(91-94-1)
Concentration
■
■
■
Mass
4.24
Diethyl phthalate
(84-66-2)
0
❑
Concentration
■
Mass
4.25
Dimethyl phthalate
(131-11-3)
Concentration
III
■
Mass
426
Di-n-butyl phthalate
Concentration
■
•(84-74-2)
■
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
Concentration
■
•
Mass
4.2$
2,6-dinitrotoluene
(606-20-2)
�
Concentration
■
■
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
Concentration
■
■
■
Mass
4.34
1,2-Diphenylhydrazine
(as azobenzene) (122-66-7)
0
Concentration
•
■
Mass
4.31
Fluoranthene
(206-44-0)
Concentration
■
■
■
Mass
4.32
Fluorene
(86-73-7)
0
El
Concentration
■
Mass
EPA Form 3510-2C (Revised 3-19)
Page 17

EPA Identification Number
NCD059140765
TABLE B. TOXIC METALS, CYANIDE,
NPDES Permit
NC0006564
TOTAL PHENOLS,
Number
AND ORGANIC
Facility Name
Baxter Healthcare Corporation
TOXIC POLLUTANTS (40 CFR
0utta
122.21(9)(7)(01
I Number
001
Effluent
Form Approved 03A5119
OMB No.2040 0004
Intake
OPOIxiaQ
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Units
Believed
Present
Believed(�;y)
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Lon -Term
Average
Daily
Discharge
(ifavailable)
Number
of
Analyses
Long _
Term
Average
Value
Number
of
Analyses
4.33
Hexachlorobenzene
(118-74-1)
Concentration
Mass
4
Hexachlorobutadiene
(87-68-3)
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77-47-4)
0
Concentration
••
Mass
4
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
Concentration
Mass
4.38
Isophorone
(78-59-1)
Concentration
Mass
4.39
Naphthalene
(91-20-3)
Concentration
Mass
4.40
Nitrobenzene
(98-95-3)
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
0
Concentration
.
.
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
El
•
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
❑
Concentration
•
•
Mass
4
Phenanthrene
(85-01-8)
Concentration
Mass
4.45
Pyrene
(129-00-0)
Concentration
.
.
.
Mass
EPA Form 3510-2C (Revised 3-19)
Page 18

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03105/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
Testing
Required
AND ORGANIC
Presence or Absence
(check one)
OXIC POLLUTANTS (40 CFR
Units
(speY)
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(limitable)(rfavailabe)
Long -Tenn
Average
Daily
Discharge
Number
of
Analyses
Long
Term
Average
Value
Number
of
Analyses
4.46
1 2 4-trichlorobenzene
(120-82-1)
Concentration
Mass
Section 5. Organic Toxic Pollutants (GC/MS
Fraction—Pestic
des)
5.1
Aldrin
(309-00-2)
Concentration
Mass
5.2
a-BHC
(319-84-6)
El
El
Concentration
II
Mass
5'3
-BHC
(319-85-7)
El
Concentration
M
MI
Mass
5 4
y-BHC
(58-89-9)
Concentration
Mass
5.5
5-BHC
(319-86-8)
Concentration
Mass
5.6
Chlordane
(57-74-9)
Concentration
Mass
5.7
4 4'-DDT
(50-29-3)
Concentration
Mass
5.8
4,4'-DDE
(72-55-9)
Concentration
Mass
5.9
4,4'-DDD
(72-54-8)
Concentration
Mass
5.10
Dieldrin
(60-57-1)
El
Concentration
•
•
5.11
a-endosulfan
(115-29-7)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03/05/19
OMB No.2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR 122.21(g)(7)(v))1
Pollutant/Parameter Testing
(and CAS Number, if available) Required
Presence or Absence
(checkone)
Believed Believed
Present Absent
Units
()
5.12
ft-endosulfan
(115-29-7)
5.13
El
❑ Concentration
Mass
Concentration
Endosulfan sulfate
(1031-07-8)
El
O ❑
Maximum
Daily
Discharge
(required)
Effluent
Maximum
Monthly
Discharge
(if available)
Long Term
Average
Daily
Discharge
if available
Number
of
Analyses
Intake
(optional)
Long -
Term
Average
Value
Number
of
Analyses
Mass
5.14
Endrin
(72-20-8)
O 0 ❑
5.15
Endrin aldehyde
(7421-93-4)
5.16
Heptachlor
(76-44-8)
5.17
Concentration
Mass
❑ ❑ 0
O 0
Heptachlor epoxide
(1024-57-3)
Concentration
Mass
Concentration
Mass
O ❑
PCB-1242
5.18 (53469-21-9)
5.19
PCB-1254
(11097-69-1)
PCB-1221
5.20 (11104-28-2)
PCB-1232 ❑
5.21 (11141-16-5)
El
PCB-1248
5.22 (12672-29-6) ❑
PCB-1260
5.23 I (11096-82-5)
5.24
PCB-1016
(12674-11-2)
Concentration
Mass
Concentration
Mass
0
Concentration
Mass
O 0
Concentration
Mass
Concentration
Mass
O ❑
Concentration
Mass
O ❑
Concentration
Mass
O 0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Pager 20

EPA Idenlficalon Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Duffel! Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE,
PollutantlParameter
(and
and CAS Number, if available}
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
Units
(spY ,
122.21(g)(7)(v))l
Effluent
Intake
(optional)
Believed
Present
Believed
AbsentDaily
Maximum
Daily
Dischargere)
MaximumLong-
MonthlyAverage
Discharge
of available)
Long -Term
Discharge
(if avallable)
Number
of
Analyses
Term
Averagevaag
Number
of
Analyses
Toxaphene
5.25 (8001-35-2)
Concentration
•
M
•
Mass
Sampling shall be conducted according to sufficient y 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.

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
0utfaU Number
001
Form Approved 03/05/19
OMB Na.2040-0004
TABLE C. CERTAIN CONVENTIONAL
Presence
AND NON CONVENTIONAL
or Absence
(check one)
POLLUTANTS
itPollutant B°
(specify)
(40 CFR 122.21(g)(7)(vi))'
Effluent
Intake
(Optional)
Believed
Present
Believed
Absent
Maximum Daily
DischargeAverage
(required)
Maximum
Monthly
Discharge
(if available)
tang -Tenn
Average Daily
Discharge
Of available)
Number of
Analyses
tang Term
Value
Number of
Analyses
■
■
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
(24959.67-9)
■
■
Concentration
Mass
2
Chlorine, total
residual
0
■
Concentration
Mass
3.
Color
III■
Concentration
Mass
4.
Fecal ooliform
p
Concentration
#/100mL
<1
<1
-
679
Mass
-
-
-
-
679
5'
Fluoride
(16984 48-8)
•
■
Concentration
Mass
6
Nitrate -nitrite
■
■
Concentration
Mass
7
Nitrogen, total
organic (as N)
•
Concentration
mg/L
23.4
23.4
-
52
Mass
Ib
189.30
189.30
-
52
8.
Oil and grease
El
0
Concentration
mg/L
10.19
6.00
-
226
Mass
Ib
84.99
55.39
-
226
g'
Phosphorus (as
P), total (7723.14-0)
■
Concentration
mg/L
5.5
5.5
-
52
Mass
Ib
17.89
17.89
-
52
10.
Sulfate (as SO4)
(14808-79-8)
■
■
Concentration
Mass
11.
Sulfide (as S)
■
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 23

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Faal ty Name
Baxter Healthcare Corporation
TABLE C. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (,0 CFR 122.211g)
13.
outran Number
001
Maximum Daily
Discharge
(required)
corm Approves uJivana
OMB No. 2040-0004
Maximum Long Term
Monthly Average Daily Number of
Discharge Discharge Analyses
damnable 8t availablet
Aluminum, total
(7429-90-5)
18 Barium, total
(7440-39-3)
Mass
Concentration
Mass
17 Cobalt, total
(7440-48-4)
18.
Iron, total
(7439-89-6)
19.
Magnesium, total
(7439-95-4)
❑ ❑
I0.
Molybdenum,
tots!
(7439-98-7)
Manganese, total
(7439-96-5)
Tin, total
(7440-31-5)
Concentration
Mass
Concentration
Mass
Concentration
Mass
❑ ❑
❑ ❑
Mass
Concentration
Mass
Concentration
Mass
0 0
23.Titanium, total
(7440-32-6)
❑ ❑
Concentration
Mass
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 24

TABLE
EPA Identification Number
NCD059140765
C. CERTAIN CONVENTIONAL
Pollutant
Presence
NPDES Permit
NC0006564
AND NON CONVENTIONAL
or Absence
(check one)
Number
Baxter Healthcare
POLLUTANTS
Un
(spedfy)
Facility Name
Corporation
(40 CFR 122.21(g)(7)(vi))1
0utfall Number
001
Effluent
Form Approved 03/05/19
OMB No. 2040-0004
Intake
(Optional)
Believed
Present
Believed
Absent
Maximum Daily
Discharge
(��
Maximum
Monthly
Discharred)ge
{rf available}
Long -Tenn
Average Daily
Discharge
(If available)
Number of
Analyses
Long -Term
Average
Value
Number of
Analyses
24.
Radioactivity
Alpha, total
0
Concentration
•
Mass
Beta, total
0
Concentration
•
Mass
Radium, total
Concentration
•
•
Mass
Radium 226, total
El
Concentration
■
Mass
Sampling shall be conducted according to sufficiently sensitive test procedures (Le., 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

This page intentionally left blank.

EPA Identification Number
NCD059140765
NPDES Permit Number Facility Name
NC0006564 Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03105/19
OMB No.2040-0004
TABLE
D. CERTAIN HAZARDOUS
Pollutant
SUBSTANCES
AND ASBESTOS (40 CFR 12221(g)(7)(vii))1
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(speaty units)
Believed
Present
Believed
Absent
1.
Asbestos
0
❑
2.
Acetaldehyde
0
0
3.
Ally! alcohol
0
■
4.
AIIyI chloride
0
■
5.
Amyl acetate
0
■
6.
Aniline
0
■
7.
Benzonitrile
■
■
8.
Benzyl chloride
0
■
9.
Butyl acetate
■
■
10.
Butylamine
■
■
11.
Captan
■
■
12.
Carbaryl
0
■
13.
Carbofuran
0
■
14.
Carbon disulfide
■
■
15.
Chlorpyrifos
■
■
16.
Coumaphos
■
■
17.
Cresol
0
■
18.
Crotonaldehyde
■
■
19.
Cydohexane
■
■
EPA Form 3510-2C (Revised 3-19)
Page 27

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
Outfall Number
001
Form Approved 03105119
OMB No. 2040.0004
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS
(40 CFR 12221(g)(7)(vii))1
Absence
one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(spedry units)
Pollutant
Presence or
(check
Believed
Present
Believed
Absent
20.
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
■
21.
Diazinon
■
■
22.
Dicamba
❑
❑
23.
Dichlobenil
■
■
24.
Dichlone
❑
■
25.
2,2-dichloropropionic acid
❑
■
26.
Dichlorvos
❑
■
27.
Diethyl amine
■
■
28.
Dimethyl amine
■
■
29.
Dintrobenzene
❑
■
30.
Diquat
0
■
31.
Disulfoton
■
■
32.
Diuron
■
■
33.
Epichlorohydrin
■
■
34.
Ethion
■
■
35.
Ethylene diamine
■
■
36.
Ethylene dibromide
■
■
37.
Formaldehyde
■
■
38.
Furfural
■
■
EPA Form 3510-2C (Revised 3-19)
Page 28

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
0utfall Number
001
Form Approved 03/05I19
OMB No. 2040-0004
TABLE
D. CERTAIN HAZARDOUS
Pollutant
SUBSTANCES
AND ASBESTOS (40 CFR 12221(g)(7)(vii))1
Presence or Absence
(deck one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
39.
Guthion
■
■
40.
Isoprene
0
■
41.
Isopropanolamine
❑
■
42.
Kelthane
0
■
43.
Kepone
❑
■
44.
Malathion
❑
■
45.
Mercaptodimethur
❑
■
46.
Methoxychlor
0
■
47.
Methyl mercaptan
■
IN
48.
Methyl methacrylate
■
■
49.
Methyl parathion
■
■
50.
Mevinphos
❑
•
51.
Mexacarbate
■
■
52.
Monoethyl amine
■
■
53.
Monomethyl amine
■
■
54.
Naled
IN
■
55.
Naphthenic acid
■
■
56.
Nitrotoluene
❑
■
57.
Parathion
❑
0
EPA Form 3510-2C (Revised 3-19)
Page 29

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
0utrall Number
001
Form Approved 03/05/19
OMB No.2040-0004
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS (40 CFR 122
21(g)(7)(vii))1
Available Quantitative Data
(stet' units)
Pollutant
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Believed
Present
Believed
Absent
58.
Phenolsulfonate
❑
■
59.
Phosgene
■
■
60.
Propargite
■
■
61.
Propylene oxide
■
■
62.
Pyrethrins
❑
■
63.
Quinoline
■
■
64.
Resorcinol
❑
❑
65.
Strontium
❑
■
66.
Strychnine
❑
❑
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
■
■
72.
Triethanolamine
■
■
73.
Triethylamine
■
■
74.
Trimethylamine
■
IN
75.
Uranium
❑
■
76.
Vanadium
❑
■
EPA Form 3510-2C (Revised 3-19)
Page 30

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Fadlity Name
Baxter Healthcare Corporation
DutraII Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE
D. CERTAIN HAZARDOUS
SUBSTANCES
AND ASBESTOS (40 CFR 12221(g)(7)(vii))1
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
77.
Vinyl acetate
■
■
78.
Xylene
❑
■
79.
Xylenol
■
■
80.
Zirconium
❑
■
1 Sampling shall be conducted according to sufficiently sensitive tes 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

This page intentionally left blank.

EPA Identification Number
NCD059140765
NPDES Permit Number
NC0006564
Facility Name
Baxter Healthcare Corporation
TABLE E. 2,3,7,8 TETRACHLORODIBENZO P DIOXIN (2,3,7,8 TCDD) (40 CFR 122.21(g)(7)(viii))
Outfall Number
001
Form Approved 03I05119
OMB No. 2040-0004
Pollutant
TCDD
Congeners
Used or
Manufactured
Presence or
Absence
(check one)
Believed Believed
Present Absent
Results of Screening Procedure
2,3,7,8-TCDD
EPA Form 3510-2C (Revised 3-19)
Page 33

Attachments
Attachment A: Topographic Map
Attachment B: Process Flow Diagram
Attachment C: Treatment Facility Processes & Equipment
Attachment D: Current NPDES Permit: NC0006564, Baxter Healthcare Corp. WWTP
Attachment E: Fact Sheet NPDES Permit: NC0006564

Attachment A
Topographic Map

82°2'0"W 82°1'0"W
82°0'0"W 81 °59'0"W 81 °58'0"W
35°51'0"N—
35°50'0"N---
35°49'0"N
Van Noy Branch
('kr
Lonor, arch
O
�i-
440Untl
Baxter Healthcare Corp.
0, Branch
Conley titai)ch
WWTP
Rbr
c
th Fork Catawba Rive
001 _ invdle Rd
O
Pisgah
National
Forest
North Fork
Catawba River
—35°51'0"N
—35°50'0"N
3268 Black Fork.
Service Layer Credits: Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS, FAO,
NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan, METI, Esri China (Hong Kong),
swisstopo, © OpenStreetMap contributors, and the GIS User Community
82°2'0"W 82°1'0"W 82°0'0"W
1 1
81 °59'0"W 81 °58'0"W
35°49'0"N
Legend
Q Site Boundary
N
0
2,500 5,000
I I I
Feet
Exhibit #
Topographic Map
Baxter Healthcare Facility
Marion, NC

Attachment B
Process Flow Diagram

WELL
1
WELL
3
WELL
5
90GPM 150GPM 650GPM
WELL
9
WELL
11
WELL
12
650GPM 650GPM 650GPM
RAW WATER
1.442
Sterilization (SCW)
137
Extruder Troughs
86
Cooling Tower 1
Cooling Tower 3
Cooling Tower 7 & 8
Cooling Tower 9
Cooling Tower 10 & 11
Water Softeners
Boiler Feedwater /
Potable
329
Sanitary / Domestic
-150
NORTH COVE WATER VALUE STREAM
Updated: 10/23/09
Deionized Water
826
CFT Backwash - 34
Cation Regen.-25
Anion Regen. - 25
EVAPORATION
#1-
#3-
#7, 8 -
•
Condensate Return
-128
Distilled Water
600
Blowdowns - 70
Silo Dumps - 10
Cooling
Recirculation
EVAPORATION
65
SPRAY PONDS
Product
350
DW Auxiliary (EBR,
Flush, Rinse, Waste)
-250
NEUTRALIZATION
TANK
WWTP
Influent - 745
Ponds-175
EFFLUENT TO RIVER
920

2
3
4
5
6
fes, ARCADIS
8
8
a
1
E UWLUENT SAMPLE
EMI
D
C
B
A
TRADE & SANITARY
SEYYER
44MPLER
INFLUENT ViETWELL
-0
INFLUENT
WETVIELL
TRANSFER
PUMPS (1+1)
O(STERILIZER WATER
TOC
FLOATING AERATORS
EFX
11l 11l
PRIMARY EO
FLOATING AERATORS
0
PRIMARY
FEED PUMPS
(1+1)
pu111F0AM
Ill Jll
HIGH -STRENGTH EO
0
NIGH -STRENGTH
FEED PUMPS
(1+1)
3
—.2—
0
MORE ACTOR 1
BKIREACTOR 2
BIOREACTOR 3
TO PH ADJUST AND
MIX TANK
3
B10REAcTOR1'LOWERS MBR( 10WERS)
(3+
DISTRSURC+1
CHANNEL
s
!CITRIC ACID
iYPoO1LGRITE
MBR1
MDR 2
v v
M
FILTRATE ACI(PULSE
PUMP (3+1)
MBR 3
RAS PUMPS
(3+1)
DIGESTER±1LOWERS
•
CONVEYOR
DRUM SCREEN
DRUM SCREEN
RAS
SCREENINGS
IIREA
s
SAMPLER-.
W111FOAM
ADJUSTMENT
TANK
MD(
TANK
0
UV DISINFECTION UV DISINFECTION
FILTRATE TANK
HOLDING POND
FED iIFN.T SLAIN
—IT0 OU1FAIL
>
LT,
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LEGAL EMIT Y:
ARCADIS G811 OF
NORTH CM0UN4. INC.
CERTIFICATE OF AUTHORIZATION NO. 7917
SENS
MARION. NC
ifilaxtep
NORTH CONE WWTP
ATLBAXNC.EN01
0
7 JAY 2016
FM CONSTRUCTION
AS
N0.
DATE
ISSUED FOR
BY
COPYRIGHT: ARUM O&M OF
2016 NORTH CAROLINA. INC
DATE JULY 2016
PROJECT NO. ATLBAKIC.FN01
FLE NAME 6R-00-G-03
Dame) BY: F. SIMMONS
DRAWN BY: R. OBERINipER
CHECKED BY: C. STANFILL
SHEET 1111.E
AREA 00 - GENEWLL
PROCESS FLOW
DIAGRAM
SCALE:
NONE
AR-OO-G-03
SHEET 3 OF 176

Attachment C
Treatment Facility Processes & Equipment

Treatment Facility Equipment, by Process
Component
1.
Quantity/Description
Equalization
Screening
3; Inclined
Tanks
2; 1.3 MG capacity total
Pumps
2 duty, 2 standby
Surface Aerators
4 total (2 per EQ tank)
Primary Treatment
Screens
1 duty, 1 stand-by; Rotary Drum, fine
pH Adjustment Tank
1; dose and mix Sodium Hydroxide
Mix Tank
1; mix Influent and RAS
Primary Blowers
1 duty, 1 stand-by; mix the pH and Mix Tanks
Secondary Treatment
Bioreactor
3; aeration basins 0.54 MG capacity total
Diffusers
Fine Bubble
Bioreactor Blowers
3 duty, 1 standby
Membrane Tanks
3, MBR
Permeate Pumps
3 duty, 1 shelf -spare
Membrane Blowers
3 duty, 1 standby
RAS
3 duty, 2 standby
Disinfection
Ultraviolet
2 banks in series
Solids Treatment
Aerobic Digesters
2; 0.43 MG capacity total
Digester Blowers
2 duty, 1 standby
Dewatered Sludge Pumps
1 duty, 1 standby
Dewatering
1; Centrifuge
Chemical Systems
Baxter Healthcare Corp.
NPDES Permit Modification Application
Attachment C

Sodium Hypochlorite
2 duty dosing pumps, 1 bulk container; for
MBR cleaning cycle
Citric Acid
1 duty dosing pump, 1 bulk container; for
MBR cleaning cycle
Phosphoric Acid
1 duty, 1 standby dosing pump, 1 bulk
container; for pH adjustment
Urea
1 duty, 1 standby dosing pump, 1 bulk
container; supplemental nutrients
Sodium Hydroxide
1 duty, 1 standby dosing pump, 1 bulk
container; for pH adjustment
Antifoam
3 duty dosing pumps, 2 bulk containers; foam
control in EQ and pH Adjustment Tank
1. Source of Baxter Healthcare Corp WWTP process and equipment information is the Marion WWTP Upgrade
Basis of Design Report, Arcadis 2015
Baxter Healthcare Corp.
NPDES Permit Modification Application
Attachment C

Attachment D
Current NPDES Permit NC0006564, Baxter Healthcare Corp. WWTP

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
April 5, 2022
Mr. Stephen Gouge, Environmental Health & Safety
Superintendent Baxter Healthcare Corporation
65 Pitts Station Road
Marion, North Carolina 28752
Subject:
Final NPDES Permit Renewal
Permit NC0006564
Baxter Healthcare Corp. WWTP
McDowell County
Grade III Biological WPCS
SIC Code 2834
Dear Mr. Gouge:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between North Carolina, and the U.S. Environmental Protection Agency dated October 15, 2007
(or as subsequently amended).
The following changes were made to the draft permit sent to you on January 13, 2022:
• Oil & Grease: Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40
CFR 122.44(1) prohibit backsliding of effluent limitations in NPDES permits. These
provisions require effluent limitations in a reissued permit to be as stringent as those in the
previous permit, with some exceptions where limitations may be relaxed. Per US EPA
(Interim Guidance, 1996), monitoring requirements are not considered effluent limitations
under Section 402(o) of the Clean Water Act, and therefore anti -backsliding prohibitions
would not be triggered by reductions in monitoring frequencies. Therefore, effluent limits
for oil and grease stipulated in the previous permit are maintained, but the monitoring
requirement is reduced to twice per month. [See A. (1.)].
• pH: Correction was made to pH monitoring requirement which was revised from daily to
three times per week. 15A NCAC 02B .0508 [See A. (1.)].
• TN/TP: Correction made to TN and TP monitoring requirement, which was revised from
quarterly to monthly, per 5A NCAC 02B .0508 [See A. (1.)].
• Turbidity: Effluent turbidity monitoring three times per week were added to the permit,
per 15A NCAC 02B .0211 (21) and .0219 (1) [See A. (1.)].
• Temperature: Footnote was added to effluent temperature requirement per 15A NCAC
02B .0211 (18) and .0219 (1) [See A. (1.), Footnote 8].
• Nutrient Re -Opener: Special Condition was added to the permit, per 15A NCAC 02H
.0112(b)(1) and 0.114(a), the Director may reopen this permit to require supplemental
nutrient monitoring of the discharge for the purpose of supporting water quality modeling
efforts within the Catawba River Basin [See A. (4)].

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
The final permit maintains the following significant changes identified in the letter sent on
January 13, 2022:
• Hardness: Effluent hardness and instream hardness sampling, upstream of the discharge,
have been added to the permit at a monitoring frequency of quarterly. The Division is
implementing dissolved metals standards in all permits, per the 2016 revisions to State
water quality standards. As such, the NPDES Permitting Unit will need site -specific
effluent hardness data and instream hardness data, upstream of the discharge, for each
facility monitoring these metals in order to calculate permit limitations. [See A. (1.)].
• Ammonia -nitrogen: Per the results of instream waste concentration (IWC)-based
calculations for ammonia -nitrogen, seasonal ammonia nitrogen limits have been added to
reflect appropriate, separate limits for summer and winter months [See A. (1.)].
• Chronic Toxicity: Some of the wording has updated in Special Condition A. (2.), Chronic
Toxicity Permit Limit, please review each paragraph carefully.
• Language has been added to Footnote 1 to account for influent, effluent, upstream and
downstream abbreviations [See A. (1.)].
• A notation was made concerning the Electronic Reporting Rule — NPDES Electronic
Reporting Rule — Phase 2 Extension. EPA extended the Phase 2 deadline to December 21,
2025. The current compliance date, effective January 4, 2021, was extended as a final
regulation change published in the November 2, 2020, Federal Register.
• Federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and program reports. The requirement to continue reporting discharge monitoring
data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR)
internet application has been added to your NPDES permit [See Special Condition A. (3.)].
• Parameter codes have been added to the Effluent Limitations and Monitoring Requirements
[ See A. (1.)].
• Regulatory citations have been added to the permit.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
The NPDES standard conditions (Parts II, III, and IV) are the same as in your current permit
except that agency and division names have been updated. The latest version is available at
https://bit.ly/3k5NFaL and can be viewed online or downloaded as a PDF file.
Page 2 of 3

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
Please note that this permit is not transferable except after notice to the Division. The Division
may require modification or revocation and reissuance of the permit. This permit does not affect
the legal requirements to obtain other permits which may be required by the Division of Water
Resources or any other Federal, State, or Local governmental regulations.
If you have any questions concerning this permit, please contact Julia Byrd at [phone] or
via email at [e-mail].
Sincerely,
DocuSigned by:
ONAI POW 44GI ,
"-57287E56E81A40D...
for Richard E. Rogers Jr., Director
Division of Water Resources, NCDEQ
Hardcopy: NPDES Files
Central Files
Ecopy: US EPA Region 4
DWR/Asheville Regional Office / Water Quality
DWR/Aquatic Toxicology Branch/Cindy Moore and Zach Thomas
Todd Bell, President, Lake James Environmental Association ([e-mail])
Brandon Jones, Catawba Riverkeeper ([e-mail])
Page 3 of 3

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Baxter Healthcare Corporation
is hereby authorized to discharge wastewater from a facility located at
Baxter Healthcare Corporation
U.S. Highway 221
At North Cove
McDowell County
to receiving waters designated as North Fork Catawba River in the Catawba River Basin in
accordance with effluent limitations, monitoring requirements, and other applicable conditions set
forth in Parts I, II, III and IV hereof.
This permit shall become effective April 15, 2022.
This permit and authorization to discharge shall expire at midnight on March 31, 2027.
Signed this day April 5, 2022.
DocuSigned by:
POW) POW 11A-I ,
-57287E56E81A40D...
for Richard E. Rogers Jr., Director
Division of Water Resources
By Authority of the Environmental Management
Commission
Page 1 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this
permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive
authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and
provisions included herein.
Baxter Healthcare Corporation is hereby authorized to:
1. Continue operation of a 1.2 MGD wastewater treatment system, consisting of:
• Equalization
• Neutralization
• Nutrient addition
• Membrane tanks
• Aeration basin
• Aerobic digestion
• UV disinfection
For a facility located at the Baxter Healthcare Corporation, US Highway 221 at North Cove,
McDowell County,
2. Discharge treated wastewater from said treatment works via Outfall 001, at the location
specified on the attached map into the North Fork Catawba River, currently classified B-
Trout waters in subbasin 03-08-30 [HUC: 03050101] of the Catawba River Basin.
Page 2 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
Part I
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0400 et seq.]
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
[15A NCAC 08G .0302] Grade III Biological Water Pollution Control System
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge treated non -contact cooling water, boiler feed water, process wastewater, and
sanitary wastewater from outfall 001. Such discharges shall be limited and monitored9 by the Permittee as
specified below:
PARAMETER
Parameter Code
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
Monthly Average
Daily Maximum
Measurement
Frequency
Sample
Type
Sample
Locations
Flow 50050
1.2 MGD
Continuous
Recording
I or E
BOD5 (20°C)2 QD310
460.9 pounds/day
691.4 pounds/day
3/Week
Composite
I and E
CODS 00340
1,292.8 pounds/day
1,939.2 pounds/day
3/Week
Composite
I and E
Total Suspended Solids QD530
278.0 pounds/day
417.0 pounds/day
3/Week
Composite
E
Ammonia (NH3 as N) (conc) C0610
(April 1 -October 31)
5.3 mg/L
26.4 mg/L
Weekly
Composite
E
Ammonia (NH3 as N) (conc) C0610
(November 1 — March 31)
14.7 mg/L
35.0 mg/L
Weekly
Composite
E
Fecal Coliform
(geometric mean) 31616
200/100 mL
400/100 mL
3/Week
Grab
E
Total Residual Chlorine4 50060
28 pg/L
3/Week
Grab
E
Dissolved Oxygen 00300
Monitor and Report
3/Week
Grab
E
Temperature, °C8, 00010
Monitor and Report
3/Week
Grab
E
Conductivity 00094
Monitor and Report
3/Week
Grab
E
Turbidity, NTU
Monitor and Report
3/Week
Grab
E
Oil and Grease 00556
47.7 pounds/day
95.4 pounds/day
2/Month
Grab
E
pH 00400
Between 6.0 and 9.0 standard units
3/Week
Grab
E
Temperature, °C'-$- 00010
Monitor and Report
3/Week
Grab
U and D
Total Nitrogen, mg/L C0600
Monitor and Report
Monthly
Composite
E
Total Phosphorus, mg/L C0665
Monitor and Report
Monthly
Composite
E
Fecal Coliform' 31616
(geometric mean)
Monitor and Report
3/Week
Grab
U and D
Conductivity' 00094
Monitor and Report
3/Week
Grab
U and D
Dissolved Oxygen' 00300
Monitor and Report
3/Week
Grab
U and D
Total Hardness 00900
[as CaCO3 mg/L]
Monitor and Report
Quarterly
Composite
E
Total Hardness 00900
[as CaCO3 mg/L6]
Monitor and Report
Quarterly
Grab
U
Chronic Toxicity5 TGP3B
See Note 5
Quarterly
Composite
E
Footnotes:
1. Sample Locations: E — Effluent. U - Upstream: at least 100 feet upstream from the outfall. D - Downstream at
NCSR 1552.
2. The monthly average effluent BOD5 concentration shall not exceed the respective influent value multiplied by 0.3
per 40 CFR 439.12(a).
3. The monthly average effluent COD concentration shall not exceed the respective influent value multiplied by 0.572
per 40 CFR 439.12(d).
Page 3 of 8

DocuSign Envelope ID: 41A710A5-006D-4A42-ACBE-3EE3F0D9F281
NC0006564
4. Chlorine limit and monitoring requirements apply only if chlorine is used. The facility shall report all effluent TRC
values reported by a NC certified laboratory including field certified. However, effluent values below 50 µg/L will be
treated as zero for compliance purposes.
5. Chronic Toxicity (Ceriodaphnia) at 16%: Feb, May, Aug, Nov (see A. (2.)).
6. The Permittee shall sample instream hardness, upstream of the facility's discharge. The sample shall be
representative of the hardness in the receiving stream. If the Permittee is a member of the Monitoring Coalition
Program, sampling for instream hardness may be waived as long as the Monitoring Coalition agrees to sample
hardness at the nearest upstream location, at a minimum frequency of quarterly, and the Permittee has obtained
approval from DWR - NPDES Permitting Unit that the upstream station being monitored by the Coalition is
representative of the receiving stream for this discharge. The Permittee is responsible for submitting instream
hardness test results with its permit renewal application package. If Coalition membership is cancelled or the
Coalition terminates instream hardness sampling at the approved station, the Permittee will immediately notify the
Division and resume sampling for instream hardness, upstream of its discharge.
7. Sample collected three times per week during June 1 through September 30 and once per week October 1 through
May 31.
8. The facility shall not exceed the instream water temperature of 20°C and not exceed 0.5°C above the background
temperature.
9. Starting on December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's
eDMR application system. Please See Special Condition A. (3.).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 4 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
A. (2.) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
[15A NCAC 02B .0200 et seq.]
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality
to Ceriodaphnia dubia at an effluent concentration of 16.0%.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the
"North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised December 2010, or subsequent
versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised- December
2010) or subsequent versions. The tests will be performed during the months of February, May, August,
and November. These months signify the first month of each three-month toxicity testing quarter assigned
to the facility. Effluent sampling for this testing must be obtained during representative effluent discharge and
shall be performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below
the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of
the two following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity
Test Procedure" (Revised -December 2010) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B
for the pass/fail results and THP3B for the Chronic Value. Additionally, DWR Form AT-3 (original) is to be
sent to the following address:
Attention: North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Or, results can be sent to the email, [e-mail].
Completed Aquatic Toxicity Test Forms shall be filed with the Water Sciences Section no later than 30 days
after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate
signature. Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is
employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test form
indicating the facility name, permit number, pipe number, county, and the month/year of the report with the
notation of "No Flow" in the comment area of the form. The report shall be submitted to the Water Sciences
Section at the address cited above.
Should the Permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will
be required during the following month. Assessment of toxicity compliance is based on the toxicity testing
quarter, which is the three-month time interval that begins on the first day of the month in which toxicity
testing is required by this permit and continues until the final day of the third month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of
Water Resources indicate potential impacts to the receiving stream, this permit may be re -opened and
modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control
organism survival, minimum control organism reproduction, and appropriate environmental controls, shall
constitute an invalid test and will require immediate follow-up testing to be completed no later than the last
day of the month following the month of the initial monitoring.
Page 5 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
A. (3.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program
reports and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit monitoring data and reports electronically to the Environmental Protection Agency (EPA). The final
NPDES Electronic Reporting Rule was adopted and became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)]
Effective December 21, 2016, the permittee shall report discharge monitoring data electronically using
the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring
data and submit DMRs electronically using the internet. Until such time that the state's eDMR
application is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR),
permittees will be required to submit all discharge monitoring data to the state electronically using eDMR
and will be required to complete the eDMR submission by printing, signing, and submitting one signed
original and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a Permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above. See "How to Request
a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Starting on December 21, 2025, the Permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
NPDES Electronic Reporting Rule — Phase 2 Extension. EPA extended the Phase 2 deadline from
December 21, 2020, to December 21, 2025. The current compliance date will be extended if the
implementation date is extended as a final regulation change in the federal register.
The Permittee may seek an electronic reporting waiver from the Division (see "How to Request a Waiver
from Electronic Reporting" section below).
Page 6 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the Permittee must identify the initial recipient at the time of each
electronic submission. The Permittee should use the EPA's website resources to identify the initial recipient
for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity (EPA or
the state authorized by EPA to implement the NPDES program) that is the designated entity for receiving
electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each type
of electronic submission and for each state. Instructions on how to access and use the appropriate electronic
reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting Rule is found at:
https. / /www.federalregister.gov/documents /2015 / 10/22/2015-24954/national-pollutant-discharge-
elimination-system-npdes-electronic-reporting-rule
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
3. How to Request a Waiver from Electronic Reporting
The Permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic
reporting waiver, a Permittee must first submit an electronic reporting waiver request to the Division.
Requests for temporary electronic reporting waivers must be submitted in writing to the Division for written
approval at least sixty (60) days prior to the date the facility would be required under this permit to begin
submitting monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and
shall thereupon expire. At such time, monitoring data and reports shall be submitted electronically to the
Division unless the Permittee re -applies for and is granted a new temporary electronic reporting waiver by the
Division. Approved electronic reporting waivers are not transferrable. Only Permittees with an approved
reporting waiver request may submit monitoring data and reports on paper to the Division for the period that
the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the
following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.)
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section
B. (11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A
person, and not a position, must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account
and login credentials to access the eDMR system. For more information on North Carolina's eDMR system,
registering for eDMR and obtaining an eDMR user account, please visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I cert, under penalg of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualf ed personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who manage the ystem, or those persons directly responsible forgathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are signicant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
5. Records Retention [Supplements Section D. (6.)]
The Permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41].
Page 7 of 8

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NC0006564
A. (4.) Nutrient Re -opener
[G.S. 143-215.1].
Pursuant to N.C. General Statutes section 143-215.1 and the implementing rules found in North Carolina
Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a), the Director may reopen this permit to
require supplemental nutrient monitoring of the discharge. The purpose of additional monitoring will be to
support water quality modeling efforts within the Catawba River Basin and shall be consistent with a
monitoring plan developed jointly by the Division and affected stakeholders. In addition, the results of water
quality modeling may require that limits for total nitrogen and total phosphorous be imposed in this permit
upon renewal.
Page 8 of 8

DocuSign Envelope ID: 41A710A5-CO6D-4A42-ACBE-3EE3F0D9F281
Latitude.
Longitude:
Quad #:
Stream Class:
Receiving Stream:
Permitted Flow:
Facility Information
35°5010" Sub -Basin:
82°00'Ol"
D 10 SE - Little Switzerland
B Trout
North Folk Catawba -River
1_21V1GD
03-08-30
Baxter Healthcare Corporation
NC0006564
McDowell County

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PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
(3)
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(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWR or "the Division"
The Division of Water Resources, Department of Environmental Quality.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Resources.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
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imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II.C.4), "Upsets" (Part II.C.5) and "Power Failures"
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
g.
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"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 fines and imprisonment for knowing violations."
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(0].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class II, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.41(j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908) or visit https://deq.nc.gov/about/divisions/water-resources/water-
resources-data/water-sciences-home-page/laboratory-certification-branch for information regarding laboratory
certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
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These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
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particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
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of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that primarily collect or treat municipal or domestic wastewater and have
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The report shall summarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
c.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and (j) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
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1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
Any trucked or hauled pollutants, except at discharge points designated by the POTW.
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
(3)
(5)
(7)
(8)
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
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3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.44(j)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.44(j)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.44(j)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(0(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts ILD and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
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enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
.0906(b)(4)]
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. These
permits shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits
from all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916, and .0917; 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct (AtC)
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance of an AtC, the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)]
7. POTW Inspection & Monitoring of their Ills
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant Industrial Users (SIUs) at least once per calendar year for all SIU permit -limited
parameters including flow except as allowed under 15A NCAC .0908(e); and
c. At least once per year, document an evaluation of any non -significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
8. IU Self Monitoring and Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or in 15A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.44(j)(2) and 40 CFR 403.12]
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et. seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other, shall be consistent with the Enforcement Response
Plan (ERP) approved by the Division. [15A NCAC 02H .0903(b)(7), .0906(b)(8) and .0905; 40 CFR 403.8(f)(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC 02H .0904 (b) may be required to submit a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual Report
(PAR) describing its pretreatment activities over the previous calendar year to the Division at the following
address:
Version 11/09/2011.2

DocuSign Envelope ID: 41A710A5-COED-4A42-ACBE-3EE3F0D9F281
NPDES Permit Standard Conditions
Page 18 of 18
NC DEQ / Division of Water Resources / Water Quality Permitting Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken, or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the Division;
c. Significant Non -Compliance Report (SNCR)
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment requirements, and the
nature of the violations on forms or in a format provided by the Division;
d. Industrial Data Summary Forms (IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SIUs). These
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules, public notice of
lUs in SNC, a summary of data or other information related to significant noncompliance determinations for
IUs that are not considered SIUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (lUs) that were in significant noncompliance (SNC)
as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month period. [15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .0905; 40 CFR 403.8(0(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications, POTW
monitoring of their Significant Industrial Users (SIUs), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 11/09/2011.2

Attachment E
Fact Sheet NPDES Permit NC0006564

Fact Sheet
NPDES Permit No. NC0006564
Permit Writer/Email Contact Julia Byrd, [e-mail]:
Date: December 30, 2021
Division/Branch: NC Division of Water Resources/NPDES Complex Permitting
Fact Sheet Template: Version 09Jan2017
Permitting Action:
❑X Renewal
❑ Renewal with Expansion
❑ New Discharge
❑ Modification (Fact Sheet should be tailored to mod request)
1. Basic Facility Information
Facility Information
Applicant/Facility Name:
Baxter Healthcare Corporation
Applicant Address:
65 Pitts Station Rd, Marion, NC 28752
Facility Address:
US Highway 221 at North Cove, Marion, NC 28752
Permitted Flow:
1.2 MGD
Facility Type/Waste:
50% domestic/50% industrial
Facility Class:
Class 3
Treatment Units:
Non -contact Cooling Water, Boiler Feed Water, Process Water, and
Sanitary Wastewater
Pretreatment Program (Y/N)
N
County:
McDowell
Region
Asheville
Briefly describe the proposed permitting action and facility background:
NPDES permitting history
The Baxter Corporation requires a National Pollutant Discharge Elimination System (NPDES) discharge
permit to dispose of treated non -contact cooling water, boiler feed water, process wastewater, and sanitary
wastewater through surface water discharge. The facility manufactures sterile liquid solutions in flexible
bags for medical procedures. Baxter Corporation's NPDES permit expired January 31, 2020; the renewal
application was received by the Division July 19, 2019.
The source of the wastewater is non -contact cooling water, boiler feed water, process water, and sanitary
wastewater. The facility upgraded its wastewater treatment system and relocated the outfall (001) 550 ft.
upstream to accommodate the upgrade.
After treatment, wastewater is discharged through outfall 001 into the North Fork Catawba River, which is
classified B-Trout Waters, in the Catawba River Basin.
In 1995, the Division of Water Resources issued an Authorization to Construct that permitted the
construction of a new outfall into the North Fork Catawba River 3.2 miles upstream of the confluence with
Armstrong Creek. Prior to 1996, Baxter Healthcare and American Threads discharged through outfalls
constructed at the same location in the North Fork Catawba River (0.2 miles downstream of the confluence
with Armstrong Creek).
Page 1 of 10

STREAM CONDITIONS
Baxter Healthcare discharges into the North Fork Catawba River, 3.2 miles upstream of the confluence with
Armstrong Creek. In 1994, DWR modeled the North Fork Catawba River from Baxter Corporation's outfall
to Lake James. The model included the interactions of Baxter's discharge with American Threads (no
longer exists). The North Fork Catawba River changes classification at the confluence of Armstrong Creek
and North Fork Catawba River. The upstream classification is B —Tr and the downstream classification is
C. The model was based on the BOD load of 1321 (daily max) and 880 (monthly average). The current
load is substantially lower.
The model indicated that dissolved oxygen concentrations from the outfall to the confluence with
Armstrong Creek did not fall below the state standard of 6.0 mg/L for trout waters. The lowest predicted
value in this reach did not fall below 7.0 mg/L.
Current permitting actions:
Baxter Corporation's NPDES permit expired January 31, 2020; the renewal application was received by
the Division July 19, 2019. The application cover letter indicated that no significant manufacturing changes
occurred since the last renewal. Based on results of testing over the course of the permit cycle, it is not
anticipated that oil and grease will be present in effluent; therefore, the applicant requested that oil and
grease limits are removed, or monitoring reduced in the reissued permit. The current permit limits for Oil
and Grease are based on 40 CFR 463 Subpart A as applicable to cooling water from extruders, and Best
Professional Judgement (BPJ) for sanitary wastewater. The current monthly average and daily maximum
limits, 47.7 and 95.4 pounds per day, respectively will be maintained but monitoring reduced to twice per
month.
The limits based on TBELS calculated during this review were less stringent than the previous permit.
Since the facility has no current plans for future expansion no changes are proposed. Based on results of
the Waste Load Allocation (WLA) conducted for this review, seasonal ammonia -nitrogen limits will be
added, as well as upstream and effluent hardness monitoring. Turbidity monitoring and a footnote to
effluent temperature monitoring was added, per 15A NCAC 02B .0211(18) and (21), and .0219, the
temperature for trout waters shall not be increased more than 0.5 C° due to the discharge of heated liquids.
2. Receiving Waterbodv Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s):
Outfall 001— North Fork Catawba River
Stream Segment:
11-24-(2.5)
Stream Classification:
B, Tr
Drainage Area (mi2):
31.5
Summer 7Q10 (cfs)
10.2
Winter 7Q10 (cfs):
15.2
30Q2 (cfs):
Average Flow (cfs):
63
IWC (% effluent):
16
303(d) listed/parameter:
No
Subject to TMDL/parameter:
Yes- Statewide Mercury TMDL implementation.
Basin/Sub-basin/HUC:
North Fork Catawba River/03-08-30/03050101
USGS Topo Quad:
DIOSE
Page 2 of 10

3. Effluent Data Summary
Effluent data for Outfall 001 is summarized below for the period of November 2017 to November 2021.
Table. Effluent Data Summary Outfall 001
Parameter
Units
Average
Max
Min
Permit
Limit
Flow
MGD
0.94
0.19
MA 1.2
BOD5, 20°C
lbs/day
19.39
124.66
<3.21
MA 460.9
DM 691.4
COD
lbs/day
38.71
154.69
<8.02
MA 1,292.8
DM 1,939.2
Total Suspended Solids
lbs/day
9.26
68.75
<1.6
MA 278
DM 417
Fecal Colifonn
#/100mL
MA 200
DM400
Total Residual Chlorine4
µg/1
limits only apply if chlorine
is used
DM 28.0
< 50
compliance)
Temperature
° C
25.92
35
9.3
Monitor
3/week
Conductivity
µS/cm
1,283.14
2,397
429
Monitor
3/week
Dissolved Oxygen,
mg/1
7.64
12.2
5.7
Monitor
3/week
pH
SU
--
7.6
6.4
6.0 > pH <
9.0
Oil & Grease
lbs/day
39.90
84.99
<8.02
MA 47.7
DM 95.4
NH3-N
mg/1
0.15
3.1
<0.1
Monitor
2/month
Total Nitrogen
(NO2 + NO3 + TKN)
mg/1
7.40
23.4
0.85
Monitor
1/month
Total Phosphorus
mg/1
1.63
5.5
0.09
Monitor
1/month
Chronic Toxicity
pass/fail
Monitor
1/quarter
MA -Monthly Average, WA -Weekly Average, DM -Daily Maximum, DA=Daily Average
Page 3 of 10

4. Instream Data Summary
Instream monitoring may be required in certain situations, for example: 1) to verify model predictions when
model results for instream DO are within 1 mg/1 of instream standard at full permitted flow; 2) to verify
model predictions for outfall diffuser; 3) to provide data for future TMDL; 4) based on other instream
concerns. Instream monitoring may be conducted by the Permittee, and there are also Monitoring Coalitions
established in several basins that conduct instream sampling for the Permittee (in which case instream
monitoring is waived in the permit as long as coalition membership is maintained).
If applicable, summarize any instream data and what instream monitoring will be proposed for this permit
action: The current permit requires instream monitoring for dissolved oxygen, temperature, fecal coliform,
and conductivity for Class B, Trout Waters, per 15A NCAC 02B .0200. Review of instream data for the
past four years is summarized below.
Location
Dissolved Oxygen (mg/L)
Conductivity (µS/cm)
Temperature (°C)
Avg
Max
Min
Avg
Max
Min
Avg
Max
Min
Upstream
9.94
15
6
77.11
124
27
15.84
23.8
0
Downstream
9.28
16.9
6.2
86.33
151
36
16.51
24.3
0
Students t-tests were run at a 95% confidence interval to analyze relationships between instream samples.
A statistically significant difference is determined when the t-test p-value result is < 0.05.
Review of instream data from the last four years, indicates that statistical differences exist between
upstream and downstream samples for temperature, conductivity, and dissolved oxygen. Minimum
downstream dissolved oxygen reported was 6.0 mg/L. There were differences in temperatures upstream
and downstream reported which could violate standard 15A NCAC 02B .0211(18), which requires that the
temperature for trout waters shall not be increased by more than 0.5 °C above the background temperature
and not exceed 20 °C. Footnote will be added to the effluent temperature monitoring limit in the permit.
Quarterly upstream hardness will be added in the reissued permit, but no changes are proposed for instream
monitoring requirements.
Is this facility a member of a Monitoring Coalition with waived instream monitoring (Y/N): No
Name of Monitoring Coalition: NA
5. Compliance Summary
Summarize the compliance record with permit effluent limits (past 5 years): The facility reported one
exceedance of the daily maximum limit for fecal coliforms; and one violation of the monitoring frequency
for fecal coliforms in 2017.
Summarize the compliance record with aquatic toxicity test limits and any second species test results (past
5 years): The facility passed 16 of 16 quarterly chronic toxicity tests between January 2018 and November
2021.
Summarize the results from the most recent compliance inspection: The last facility inspection conducted
December 28, 2021, reported that the facility was well maintained and operated.
Page 4 of 10

6. Water Quality -Based Effluent Limitations (WQBELs)
Dilution and Mixing Zones
In accordance with 15A NCAC 2B.0206, the following streamflows are used for dilution considerations
for development of WQBELs: 1Q10 streamflow (acute Aquatic Life); 7Q10 streamflow (chronic Aquatic
Life; non -carcinogen HH); 30Q2 streamflow (aesthetics); annual average flow (carcinogen, HH).
If applicable, describe any other dilution factors considered (e.g., based on CORMIX model results): NA
If applicable, describe any mixing zones established in accordance with 15A NCAC 2B. 0204(b): NA
Oxygen -Consuming Waste Limitations
Limitations for oxygen -consuming waste (e.g., BOD) are generally based on water quality modeling to
ensure protection of the instream dissolved oxygen (DO) water quality standard. Secondary TBEL limits
(e.g., BOD= 30 mg/1 for Municipals) may be appropriate if deemed more stringent based on dilution and
model results.
If permit limits are more stringent than TBELs, describe how limits were developed: NA
Ammonia and Total Residual Chlorine Limitations
Limitations for ammonia are based on protection of aquatic life utilizing an ammonia chronic criterion of
1.0 mg/1 (summer) and 1.8 mg/1 (winter). Acute ammonia limits are derived from chronic criteria, utilizing
a multiplication factor of 3 for Municipals and a multiplication factor of 5 for Non -Municipals.
Limitations for Total Residual Chlorine (TRC) are based on the NC water quality standard for protection
of aquatic life (17 ug/1) and capped at 28 ug/1 (acute impacts). Due to analytical issues, all TRC values
reported below 50 ug/1 are considered compliant with their permit limit.
Describe any proposed changes to ammonia and/or TRC limits for this permit renewal: The current permit
requires ammonia nitrogen monitoring twice per monthly, with no limits. Based on results from the WLA
conducted seasonal monthly average and daily maximum limits will be added to the reissued permit for the
protection of aquatic life in the receiving stream as follows:
Monthly Average
Daily Maximum
Summer
5.3 mg/L
26.4 mg/L
Winter
14.7 mg/L
No limit (> 35 mg/L)
Reasonable Potential Analysis (RPA) for Toxicants
The need for toxicant limits is based upon a demonstration of reasonable potential to exceed water quality
standards, a statistical evaluation that is conducted during every permit renewal utilizing the most recent
effluent data for each outfall. The RPA is conducted in accordance with 40 CFR 122.44 (d) (i). The NC
RPA procedure utilizes the following: 1) 95% Confidence Level/95% Probability; 2) assumption of zero
background; 3) use of 1/2 detection limit for "less than" values; and 4) streamflows used for dilution
consideration based on 15A NCAC 2B.0206. Effective April 6, 2016, NC began implementation of
dissolved metals criteria in the RPA process in accordance with guidance titled NPDES Implementation of
Instream Dissolved Metals Standards, dated June 10, 2016.
A reasonable potential analysis was conducted on effluent toxicant data collected between November 2017
and November 2021. Pollutants of concern included toxicants with positive detections and associated water
quality standards/criteria. Based on this analysis, the following permitting actions are proposed for this
permit:
Page 5 of 10

• Effluent Limit with Monitoring. The following parameters will receive a water quality -based
effluent limit (WQBEL) since they demonstrated a reasonable potential to exceed applicable water
quality standards/criteria: None
• Monitoring Only. The following parameters will receive a monitor -only requirement since they
did not demonstrate reasonable potential to exceed applicable water quality standards/criteria, but
the maximum predicted concentration was >50% of the allowable concentration: None
• No Limit or Monitoring: The following parameters will not receive a limit or monitoring, since
they did not demonstrate reasonable potential to exceed applicable water quality standards/criteria
and the maximum predicted concentration was <50% of the allowable concentration: None
Toxicity Testing Limitations
Permit limits and monitoring requirements for Whole Effluent Toxicity (WET) have been established in
accordance with Division guidance (per WET Memo, 8/2/1999). Per WET guidance, all NPDES permits
issued to Major facilities or any facility discharging "complex" wastewater (contains anything other than
domestic waste) will contain appropriate WET limits and monitoring requirements, with several exceptions.
The State has received prior EPA approval to use an Alternative WET Test Procedure in NPDES permits,
using single concentration screening tests, with multiple dilution follow-up upon a test failure.
Describe proposed toxicity test requirement: The current permit requires quarterly chronic toxicity testing
at 16% using Ceriodaphnia dubia. No changes are proposed.
Mercury Statewide TMDL Evaluation
There is a statewide TMDL for mercury approved by EPA in 2012. The TMDL target was to comply with
EPA's mercury fish tissue criteria (0.3 mg/kg) for human health protection. The TMDL established a
wasteload allocation for point sources of 37 kg/year (81 lb/year) and is applicable to municipals and
industrial facilities with known mercury discharges. Given the small contribution of mercury from point
sources (-2% of total load), the TMDL emphasizes mercury minimization plans (MMPs) for point source
control. Municipal facilities > 2 MGD and discharging quantifiable levels of mercury (>1 ng/1) will receive
an MMP requirement. Industrials are evaluated on a case -by -case basis, depending on if mercury is a
pollutant of concern. Effluent limits may also be added if annual average effluent concentrations exceed
the WQBEL value (based on the NC WQS of 12 ng/1) and/or if any individual value exceeds a TBEL value
of 47 ng/1
Describe proposed permit actions based on mercury evaluation: The current permit does not include limits
or monitoring requirements. Mercury is not expected to be present in effluent, no MMP or limit is required.
No changes are proposed.
Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs/Nutrient Management Strategies and their implementation within
this permit: The facility is currently required to monitor TN and TP monthly, no changes are proposed.
Other WQBEL Considerations
If applicable, describe any other parameters of concern evaluated for WQBELs: NA
If applicable, describe any special actions (HQW or ORW) this receiving stream and classification shall
comply with in order to protect the designated waterbody: NA
If applicable, describe any compliance schedules proposed for this permit renewal in accordance with 15A
NCAC 2H.0107(c)(2)(B), 40CFR 122.47, and EPA May 2007 Memo: NA
If applicable, describe any water quality standards variances proposed in accordance with NCGS 143-
215.3(e) and 15A NCAC 2B. 0226 for this permit renewal: NA
Page 6 of 10

7. Technology -Based Effluent Limitations (TBELs)
Describe what this facility produces: Pharmaceuticals, sterile liquid in flexible bags.
List the federal effluent limitations guideline (ELG) for this facility: 40 CFR 439 Subpart D, 40 CFR 463
Subpart A, 40 CFR 133 secondary treatment standards, and BPJ.
If the ELG is based on production or flow, document how the average production/flow value was calculated:
This ELG is based on the following flows: cooling water from the extruders, non -contact cooling water,
boiler feed, process, and sanitary wastewater streams. The pollutant loading for each process are
summarized below. The information was provided by the facility in 2004, since there have not been any
significant changes in manufacturing, these data were used in the 2004, 2010, 2016, and this permit renewal.
Source flow
Extrusion
Boiler feed
Process
Sanitary
BOD5 (lb/day) COD (lb/day) TSS (lb/day)
106.2 174.2 97.1
0 0 84.1
1,900.9 3,088.8 28.9
666.7 1,092.9 229
For ELG limits, document the calculations used to develop TBEL limits:
• BOD5, COD, and TSS are based on 40 CFR 439 Subpart D and secondary treatment standards for
the sanitary wastewater component.
• Oil and Grease limits for the cooling water from the extruders are based on 40 CFR 463 Subpart
A, the sanitary wastewater limits are based on BPJ of 30 mg/L DM and 60 mg/L MA.
Comparison of the recalculated limits using current flow data and current permit limits are summarized
below for comparison. The calculated limits are less stringent than the current permit. Since the facility
has no current plans for expansion no changes are proposed.
Table. TBEL Development per 40 CFR 133, 40 CFR 439 Subpart D, 40 CFR 463 Subpart A
Pollutant
Daily Max
Limit
(lb /d)
Current Limit
(lb/d)
Monthly Average
Limit
(lb/d)
Current Limit
(lb/d)
BOD5
645.21
691.40
430.14
460.90
COD
1,766.79
1,939.20
1,177.86
1,292.80
TSS
1,123.48
417.00
748.99
278.00
O&G
95.86
95.40
47.93
47.70
If any limits are based on best professional judgement (BPJ), describe development: The allocation for Oil
and Grease for the sanitary wastewater are based on BPJ of 30 mg/L DM and 60 mg/L MA.
Document any TBELs that are more stringent than WQBELs: The TBELs limits for BOD, COD, Oil and
Grease, and TSS are more stringent than the 1994 model conducted by the Division.
Document any TBELs that are less stringent than previous permit: NA
Page 7 of 10

8. Antidegradation Review (New/Expanding Discharge):
The objective of an antidegradation review is to ensure that a new or increased pollutant loading will not
degrade water quality. Permitting actions for new or expanding discharges require an antidegradation
review in accordance with 15A NCAC 2B.0201. Each applicant for a new/expanding NPDES permit must
document an effort to consider non -discharge alternatives per 15A NCAC 2H.0105(c)(2). In all cases,
existing instream water uses and the level of water quality necessary to protect the existing use is maintained
and protected.
If applicable, describe the results of the antidegradation review, including the Engineering Alternatives
Analysis (EAA) and any water quality modeling results: NA
9. Antibacksliding Review:
Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40 CFR 122.44(1) prohibit
backsliding of effluent limitations in NPDES permits. These provisions require effluent limitations in a
reissued permit to be as stringent as those in the previous permit, with some exceptions where limitations
may be relaxed (e.g., based on new information, increases in production may warrant less stringent TBEL
limits, or WQBELs may be less stringent based on updated RPA or dilution).
Are any effluent limitations less stringent than previous permit (YES/NO): NO
If YES, confirm that antibacksliding provisions are not violated: NA
10. Monitoring Requirements
Monitoring frequencies for NPDES permitting are established in accordance with the following regulations
and guidance: 1) State Regulation for Surface Water Monitoring, 15A NCAC 2B.0500; 2) NPDES
Guidance, Monitoring Frequency for Toxic Substances (7/15/2010 Memo); 3) NPDES Guidance, Reduced
Monitoring Frequencies for Facilities with Superior Compliance (10/22/2012 Memo); 4) Best Professional
Judgement (BPJ). Per US EPA (Interim Guidance, 1996), monitoring requirements are not considered
effluent limitations under Section 402(o) of the Clean Water Act, and therefore anti -backsliding
prohibitions would not be triggered by reductions in monitoring frequencies.
11. Electronic Reporting Requirements
The US EPA NPDES Electronic Reporting Rule was finalized on December 21, 2015. Effective December
21, 2016, NPDES regulated facilities are required to submit Discharge Monitoring Reports (DMRs)
electronically. While NPDES regulated facilities would initially be required to submit additional NPDES
reports electronically effective December 21, 2020, EPA extended this deadline from December 21, 2020,
to December 21, 2025. The current compliance date, effective January 4, 2021, was extended as a final
regulation change published in the November 2, 2020 Federal Register This permit contains the
requirements for electronic reporting, consistent with Federal requirements.
Page 8 of 10

12.Summary of Proposed Permitting Actions:
A. Table. Current Permit Conditions and Proposed Changes 1.2 MGD
Parameter
Current Permit
Proposed Change
Basis for Condition/Change
Flow
MA 1.2 MGD
No change
15A NCAC 2B .0505
BOD5, 20°C
MA 460.9 lbs/day
DM 691.4 lbs/day
No change
TBEL. 40 CFR 439 Subpart D /Secondary
treatment standards/40 CFR 133/15A
NCAC 2B .0406
COD
MA 1,292.8 lbs/day
DM 1,939.2 lbs/day
No change
TBEL. 40 CFR 439 Subpart D /Secondary
treatment standards/40 CFR 133/15A
NCAC 2B .0406
Total Suspended
Solids
MA 278.01bs/day
DM 417.01bs/day
No change
TBEL. 40 CFR 439 Subpart D /Secondary
treatment standards/40 CFR 133/15A
NCAC 2B .0406
NH3-N summer,
mg/L
Monitor 2/month
MA 5.3 mg/L
DM 26.4 mg/L
WQBEL. Based on protection of aquatic
life. 15A NCAC 2B.0200
NH3-N winter, mg/L
Monitor 2/month
MA 14.7 mg/L
WQBEL. Based on protection of aquatic
life. 15A NCAC 2B.0200
Fecal Coliform
MA 200 /100m1
DM 400 /100m1
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200
Total Residual
Chlorine'
28 µg/L
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200
Turbidity, NTU
None
DM 10 NTUs
WQBEL. State WQ standard, 15A NCAC
2B .0211(21)
Temperature, °C
Monitor 3/week
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
Conductivity,
µS/cm
Monitor 3/week
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
Dissolved Oxygen,
mg/L
Monitor 3/week
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
pH
>6.0 and < 9.0 SU
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
Oil & Grease
MA 47.7 lbs/day
DM 95.4 lbs/day
Monitor weekly
MA 47.7 lbs/day
DM 95.4 lbs/day
Monitor 2/month
TBEL. 40 CFR 463/BPJ/40 CFR 133 /15A
NCAC 2B .0406
Total Nitrogen
(NO2 + NO3 +
TKN), mg/L
Monitor 1/month
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
Total Phosphorus,
mg/L
Monitor 1/month
No change
WQBEL. State WQ standard, 15A NCAC
2B .0200 and 15A NCAC 02B .0500
Chronic Toxicity
Monitor 1/quarter
No change
WQBEL. No toxics in toxic amounts. 15A
NCAC 2B.0200 and 15A NCAC 2B.0500
Total hardness as
CaCO3, mg/L
None
Monitor 1/quarter
Hardness -dependent dissolved metals WQ
standard, 2016
MGD - Million gallons per day, MA - Monthly Average, WA - Weekly Average, DM - Daily Max
Page 9 of 10

13. Public Notice Schedule:
Permit to Public Notice: 01/27/2021
Per 15A NCAC 2H .0109 & .0111, The Division will receive comments for a period of 30 days following
the publication date of the public notice. Any request for a public hearing shall be submitted to the
Director within the 30 days comment period indicating the interest of the party filing such request and the
reasons why a hearing is warranted.
14. NPDES Division Contact
If you have any questions regarding any of the above information or on the attached permit, please
contact Julia Byrd at [phone] or via email at [e-mail].
15. Fact Sheet Addendum (if applicable):
Were there any changes made since the Draft Permit was public noticed (Yes/No): Yes
If Yes, list changes and their basis below:
1. Supplement to Permit Cover Sheet, item 2 was revised to remove authorization to discharge at the
location designated "Old Outfall" (35°50' 15" N, 82°00'00" W) which was permanently closed.
See attached correspondences.
2. pH monitoring requirement revised from daily to three times per week. 15A NCAC 02B .0508 for
class III facilities with SIC codes 2800-2899.
3. Effluent turbidity monitoring three times per week was added per 15A NCAC 02B .0211(21)
4. Footnote 8 added to instream Temperature (A.1), the facility shall not exceed the instream water
temperature of 20°C and not exceed 0.5°C above the background temperature.
5. Correction made to TN and TP monitoring requirement, changed from quarterly to monthly.
16. Fact Sheet Attachments (if applicable):
• Monitor Violations Summary
• WET Testing and Self -Monitoring Summary
• Compliance Inspection Report December 2021
• NPDES Implementation of Instream Dissolved Metals Standards — Freshwater Standards
• NH3/TRC WLA Calculations
• TBELs limits calculations
• Correspondences: Old Outfall closure
• Affidavit of draft permit for public notice
• Public comments to draft permit and DWR responses: Baxter Health Corporation, Catawba
Riverkeeper Foundation, Lake James Environmental Association
Page 10 of 10

Subject
Project Name
Date
Prepared for
Prepared by
Supporting Data for Major Modification Request Based on EPA's 1996 Guidance
Baxter Healthcare Corp. VWVTP NPDES Permit Assistance
NC0006564
June 15, 2022
•klA
0
44.
Baxter Healthcare Corporation {•
Jacobs Engineering Group Inc.
Michelle Mayes, PE
Jennifer Bell, PE
Jaime Robinson
Executive Summary
Baxter Healthcare Corporation's 2017 installation of a Grade III Biological WPCS with activated sludge
bioreactors, membrane bioreactors (MBR), and ultraviolet (UV) disinfection at the North Cove Facility's
(Facility) and its operational diligence have resulted in outstanding effluent quality since that new system
became operational. Since that time, Baxter Healthcare has not monitored an exceedance of an effluent
limitation at the Facility. The facility is committed to continued operations in an environmentally
responsible manner as part of its Environmental Management System (EMS). The North Carolina
Department of Environmental Quality (NCDEQ) conducted a facility inspection on December 28, 2021
and found the facility to be well maintained and operated (NCDEQ, 2021).
With advanced treatment technologies in place and given the Environmental Protection Agency's (EPA)
1996 Interim Guidance for Performance — Based Reductions of NPDES Permit Monitoring Frequencies
(the 1996 Guidance), Baxter believes the North Cove Facility is a prime candidate for permit modification
to reduce monitoring frequency for certain parameters. Baxter Healthcare is seeking a major modification
to the North Cove facility's NPDES Permit #0006564 that adheres to statutes, provides clear guidance for
compliance, and focuses resources on the most impactful discharge attributes to best protect water
quality and the natural environment. Table ES-1 outlines these requests.
Data demonstrating the exceptional performance of the facility for the 4.5 years of data included in the
major permit modification request is included in Table ES-2.
Table ES-1. Summary of Requested Major Permit Modifications for NPDES Permit NC0006564
Parameter
Permit Modification
Ammonia (NH3-N) Remove numeric limit for Winter Daily Max (>35 mg/L) to be consistent with
the Permit Fact Sheet
Reduce monitoring frequency to quarterly in accordance with the 1996
Guidance
Biochemical Oxygen Reduce monitoring frequency to weekly in accordance with the 1996
Demand (BOD5) Guidance
Chemical Oxygen Reduce monitoring frequency to weekly in accordance with the 1996
Demand (COD) Guidance
Fecal Coliform Reduce monitoring frequency to weekly in accordance with the 1996
Guidance
Total Suspended Reduce monitoring frequency to weekly in accordance with the 1996
Solids (TSS) Guidance
Turbidity Perform weekly effluent sampling for 12 months, then consider removal

Table ES-2. Summary Statistics for Select Permit Parameters
NCR Statistics
Parameter From DMR Data (January 2018 to April
2022)
Ammonia
Average: 0.14 mg/L
Upstream: 0.22 mg/L1
BDLNH32: 83% (86 samples)
BOD5 BDLBOD5: 82% (556 samples)
COD BDLcoD: 55% (369 samples)
Fecal Coliform BDLFECAL': 100% (679 samples)
TSS BDLrss3: 94% (637 samples)
Turbidity Average: 0.1 NTU4, 5
Maximum: 0.4 NTU4
From NPDES Permit Fact Sheet
2 BDL — Below Detection Limit
3 Using updated Detection Limit value of 2.5 mg/L
4 Using 2021 daily turbidity data from downstream of Membrane Bioreactor (MBR)
5 NTU — Nephelometric Turbidity Units

1. Introduction
Baxter Healthcare Corporation's North Cove Facility has operated in McDowell County for over 50 years
and employs over 3,000 North Carolinians. This facility is the top provider of intravenous (IV) solutions in
the U.S and operates as a Standard Industrial Classification (SIC) Code 2834, Class III facility. Baxter
Healthcare is proud of the facility's ISO 14001 certification and actively maintains an environmental
management system (EMS).
1.1 About the Facility
The North Cove Facility holds National Pollutant Discharge Elimination System (NPDES) Permit
NC0006564 and discharges to the North Fork Catawba River, a Class B Trout water in the Catawba River
watershed. The permitted flow is 1.2 million gallons per day (MGD) and the instream waste concentration
(IWC) in the North Fork Catawba River is 16 percent when the river is flowing at its 7-day,10-year low flow
(7Q10) of 10.2 cubic feet per second (cfs). NCDEQ conducted a facility inspection on December 28, 2021
and found the facility to be well maintained and operated (NCDEQ, 2021).
The facility treats a 50/50 mix of domestic and industrial wastewater comprised of sanitary wastewater,
non -contact cooling water, boiler feed water and process water. The facility then discharges treated
effluent through outfall 001. This outfall is located adjacent to the facility as indicated on the topographical
map provided in Attachment A of the permit modification application. In addition to monitoring the facility
effluent at outfall 001, upstream and downstream monitoring points in the North Fork Catawba River are
included in the NPDES permit.
Baxter Healthcare made an investment of $24M in state-of-the-art treatment facility upgrades completed
in 2017 following the completion of an engineering alternatives analysis and detailed design process
(Arcadis, 2015). New treatment systems included two equalization basins, screening, pH neutralization,
activated sludge bioreactors, membrane bioreactors (MBR), and ultraviolet (UV) disinfection. Compared
to conventional secondary treatment, which relies on bioreactors for nutrient removal and secondary
clarifiers for solids separation, the MBR system allows for higher mixed liquor suspended solids (MLSS)
concentrations and provides improved solids liquids separation. Typical MBR MLSS operating ranges are
1.5 to 2 times higher than conventional secondary treatment systems, resulting in greater nutrient
removal (nitrogen, phosphorus, and carbon). Additionally, the membranes act as a barrier to solids, only
allowing water and compounds in solution to pass through, resulting in lower total suspended solids
(TSS) loading in the effluent.
These investments have resulted in over 85 percent of effluent data reported on Discharge Monitoring
Reports (DMRs) to NCDEQ being reported as below the detection limit (BDL). Baxter Healthcare provided
the DMRs to Jacobs for the purposes of this evaluation. Table 1-1 summarizes the facility's outstanding
effluent quality for select parameters.

Table 1-1. Summary of WWTP Effluent Limits and Quality (January 2018 through April 2022)
Parameter
Permit Limit' Detection Limit & Method Historical Trend
Biochemical Oxygen 460.9 pounds/day
Demand (BOD5)
2.0 mg/L
SM5210 B-2016
82% of samples BDL
Chemical Oxygen Demand 1,292.8 pounds/day
(COD)
5.0 mg/L
Hach Method 8000
(aqueous)
55% of samples BDL
Ammonia (NH3-N)
5.3 mg/L (summer)
14.7 mg/L (winter)
0.1 mg/L
SM4500 NH3D
83% of samples BDL
Total Suspended Solids 278.0 pounds/day
(TSS)
2.5 mg/L
SM2540 D-2015
94% of samples BDL
Fecal Coliform
200 colonies/100 20 colonies/100mL 100% of samples BDL
mL
SM9222 D-2015
1 Monthly Average Effluent limits from 2022 NPDES permit NC0006564
BDL — Below Detection Limit
1.2 Applicability of 1996 EPA Guidance for Exceptionally Performing Facilities
Monitoring frequencies are established in 15A NCAC 2B .0508 for discharges from facilities including the
Baxter Healthcare North Cove Facility with specific Standard Industrial Classification (SIC) categories.
However, both 15A NCAC 02B.0508(b)(1) and the 1996 EPA Guidance allow for a reduction in or waiver
of monitoring frequencies if it can be demonstrated that the objectives of the standard monitoring
frequencies can be achieved with less frequent sampling intervals (EPA, 1996). The goal of these
programs is to incentivize strong performance and to reduce unnecessary reporting for pollutants
discharged consistently at levels below permit requirements. The 1996 EPA Guidance provides an
applicable approach for setting monitoring frequencies for industrial dischargers such as Baxter
Healthcare. Considerations applicable to the North Cove Facility include facility enforcement history,
parameter compliance history, performance history compared to the permit limit, and continued eligibility
for reductions. Table 1-2 summarizes these considerations and applicable facility information.
Table 1-2. Applicability of 1996 Guidance for NPDES Permit NC0006564
Consideration North Cove Facility Performance
Enforcement history 100% compliance for all effluent parameters since the Facility's
new wastewater treatment system became operational in 2017.
Parameter compliance history
100% compliance for all parameters in 2016 permit since the new
wastewater treatment system became operational. No effluent
violations in last year.
Performance history compared 85% of data below detection limits (see Table 1-1).
to permit limits
Continued eligibility for
reductions
Baxter Healthcare understands that continued exceptional
performance is expected for reduced monitoring frequencies to
remain in effect in future permits.
Baxter Healthcare is seeking to reduce the frequency of monitoring under the 1996 Guidance for the
pollutants listed in Table 1-3 by demonstrating the superior compliance performance of its facility over the
last permit cycle. These requests for reduced monitoring frequency require a major modification to
NPDES Permit NC0006564.

Table 1-3. Summary of Requested Major Permit Modifications for NPDES Permit NC0006564
Parameter Permit Modification
Ammonia Remove numeric limit for Winter Daily Max (>35 mg/L) to agree with Permit Fact
Sheet
Reduce monitoring frequency to quarterly in accordance with the 1996 Guidance
BOD5 Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
COD Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
Fecal Coliform Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
TSS Reduce monitoring frequency to weekly in accordance with the 1996 Guidance
Turbidity Perform 1 x/week effluent sampling for 12 months, then consider removal
The 1996 Guidance uses the ratio of the long term effluent average to the monthly average limit as the
basis for a reduction in monitoring frequency (Figure 1-1, EPA, 1996). The following sections present
supporting data to reduce monitoring frequencies using this ratio.
Table 1
Ratio of Long Term Effluent Average
to 14Ionthly Average Limit
Baseline
Monitoring 75-66% 65-50% 49-25% <25%
7/wk 5./wk 4/wk 3/wk 1/wk
6/wk 4/ wk 31wk 2/wk 1/z�-k
5 /wk 4/wk 31wk 2/wk 1/t�-k
4/wk 3 'wk 2lwk 1 /wk 1/wk
3/wk 3 / vk 2/wk 1 /wk 1it1-k
2/wk 2/wk 1/wk 2/iuo limo
1/wk 1/wk 1/wk 2/mo 1/2mos
2/month 2/mo 2'mo 2/mo 1 /quarter
1/iuonth 1.mo 1/mo 1/quarter 1/6mos
Figure 1-1. Table 1 from EPA 1996 Guidance
2. Frequency Reduction 3 Times per Week to Weekly
Baxter Healthcare is requesting that monitoring frequencies be reduced for BOD5, COD, TSS, and fecal
coliform from 3 times per week to weekly given the ratio of the long term effluent average to monthly
average limit listed in Table 2-1. Each ratio is below 25%. For ratios below 25%, the 1996 Guidance
allows for a reduction in sampling frequency to weekly, as shown in Figure 1-1.

Table 2-1. Long Term Effluent Average to Permit Limit Ratio for BOD5, COD, and Fecal Coliform
Long Term Effluent Average' Monthly Average Ratio Below <25%?
2022 Permit Limit
Parameter
BOD5 < 20.4 pounds/day 460.9 pounds/day < 4.4% Yes
COD < 38.8 pounds/day 1,292.8 pounds/day < 3.0% Yes
Fecal coliform < 1 colony/100 mL
200 colonies/100 mL < 0.5% Yes
TSS
< 10.4 pounds/day 278.0 pounds/day
< 3.7 cyo
Yes
1 Data for period January 2018 through April 2022
2.1 Biochemical Oxygen Demand (BOD5)
The BOD5 limit is a technology -based effluent limit (TBEL) applicable under 40 CFR 439 Subpart D and
secondary treatment standards for sanitary wastewater, which comprises half of the facility's waste
stream. The Permit Fact Sheet calculations were less stringent than the 2016 permit and no changes
were included in the 2022 permit (NCDEQ, 2021). The 2022 NPDES permit limits are listed in Table 2-1.
With a long term effluent average to monthly permit limit ratio of less than 4.4%, data support a reduction
in monitoring frequency from 3 times per week to weekly under the 1996 Guidance (Figure 1-1). Effluent
BOD5 values were taken from the facility's daily monitoring report (DMR) forms and provided as a loading
rate (pounds per day). The reported value was then converted to a concentration (mg/L) to compare
effluent quality to the detection limit. Supporting data statistics are included in Table 2-2. Of the 679
samples taken from January 2018 through April 2022, 82% returned data below detection limit. Maximum
day effluent BOD5 load for the reporting period is 124.7 pounds/day. BOD5 trends presented in Figure 2-1
show the system typically operates below the detection limit of 2.0 mg/L.
Table 2-2. Effluent BOD5 Data (January 2018 through April 2022)
BOD5 Permit Limit
Effluent Values
Monthly Average 460.9 pounds/day 38.7 pounds/day 4.3 mg/L
Daily Maximum 691.4 pounds/day
124.7 pounds/day 17.0 mg/L

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12/2017 7/2018 1/2019 8/2019 2/2020 9/2020 4/2021 10/2021 5/2022
DATE
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2.2 Chemical Oxygen Demand (COD)
The COD limit is based on 40 CFR 439 Subpart D and secondary treatment standards for sanitary
wastewater, which comprises 50% of the waste stream. The Permit Fact Sheet calculations were less
stringent than the 2016 permit and no changes were included in the 2022 permit (NCDEQ, 2021). COD is
closely related to BOD, with the amount of organic matter that can be chemically oxidized always higher
than that which can be biologically oxidized. Effluent COD values were provided as a loading rate
(pounds per day) in facility DMRs. The reported values were converted to a concentration (mg/L) to
compare effluent quality to the detection limit. Of the 679 samples taken from January 2018 through April
2022, 55% were below the detection limit of 5 mg/L. Maximum day effluent COD for the reporting period
is 154.7 pounds/day, or 8% of the permitted daily maximum limit (Table 2-3).
Table 2-3. Effluent COD Data (January 2018 through April 2022)
COD
Permit Limit Effluent Values
Monthly Average 1,292.8 pounds/day 46.6 pounds/day 5.8 mg/L
Daily Maximum 1,939.2 pounds/day
154.7 pounds/day 15.0 mg/L
COD trends presented in Figure 2-2 indicate the system typically operates at a COD below 10.0 mg/L and
55% of samples are below the detection limit of 5 mg/L. With this history of strong performance of the
facility, the North Cove Facility meets the 1996 Guidance for reduction from 3 times per week to weekly.

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2.3 Fecal Coliform
The facility's NPDES permit limit for fecal coliform is a water quality -based effluent limit (WQBEL) and
listed in Table 2-4. Of the 679 samples taken over the 4.5-year period, all samples returned below the
detection limit. With this history of strong performance of the facility and its UV system, the North Cove
Facility meets the 1996 Guidance for reduction from 3 times per week to weekly.
Table 2-4. Effluent Fecal Coliform Data (January 2018 through April 2022)
Fecal Coliform Permit Limit Effluent Values
Monthly Average
200 colonies/100 mL < 1 colonies/100 mL (BDL)
Daily Maximum
400 colonies/100 mL < 1 colonies/100 mL (BDL)
2.4 Total Suspended Solids (TSS)
Supporting TSS data are included to demonstrate that Baxter Healthcare expects effluent turbidity to be
very low. Baxter Healthcare analyzes samples for TSS in their effluent prior to discharge through outfall
001. TSS data was reported in DMRs as pounds per day and has been converted to a concentration
(mg/L) for comparison to the detection limit. Of the 679 samples taken from January 2018 through April
2022, 94% were below the detection limit for TSS. Maximum day effluent TSS for the reporting period is
68.8 pounds/day, or 16% of the permitted daily maximum limit (Table 2-5).

Table 2-5. Effluent TSS Data (January 2018 through April 2022)
TSS Permit Limit
Effluent Values
Monthly Average 278.0 pounds/day 21.7 pounds/day 2.8 mg/L
Daily Maximum 417.0 pounds/day
68.8 pounds/day 6.8 mg/L
TSS trends presented in Figure 2-3 indicate the system typically operates below the detection limit of 2.5
mg/L.
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DATE
Figure 2-3. North Cove Facility Effluent TSS trends
3. Ammonia Monitoring Frequency Reduction from Weekly to Quarterly
Baxter Healthcare is requesting that monitoring frequencies be reduced for ammonia from weekly to
quarterly given the ratio of the long term effluent average concentration to monthly average permit limit
listed in Table 3-1. The long term effluent average ratio is below 25% of both summer and winter monthly
average permit limits.

Table 3-1. Long Term Effluent Average to Permit Limit Ratio for Ammonia
Long Term Effluent Monthly Average 2022 Ratio Below <25%?
Parameter Average' Permit Limit
Ammonia 0.2 mg/L 5.3 mg/L (summer) 2.6% Yes
14.7 mg/L (winter) 0.1% Yes
Data for period January 2018 through April 2022
The 2016 permit included ammonia as monitor and report only (2 times per month). The 2022 permit
included the addition of ammonia limits along with a weekly monitoring frequency. The 2022 Permit Fact
Sheet lists the ammonia limit as being a Water Quality Based Effluent Limit (WQBEL), based on an
ammonia chronic criterion of 1.0 mg/L (summer) and 1.8 mg/L (winter). Permit limits to prevent acute
toxicity to aquatic life were derived from the chronic aquatic life criteria with a multiplication factor of 5 for
non -municipal discharges such as the North Cove Facility. Waste load allocation calculations were
performed by NCDEQ, resulting in the addition of limits to the 2022 permit. Table 3-2 presents the
ammonia effluent permit limits as included in the Permit Fact Sheet (NCDEQ, 2021).
Table 3-2. Ammonia Effluent Limits presented in Fact Sheet issued on December 21, 2021
Monthly Average Daily Maximum
Summer
5.3 mg/L 26.4 mg/L
Winter
14.7 mg/L No Limit
Winter Daily Maximum Limit
Baxter Healthcare requests that the 2022 NPDES permit's ammonia numeric daily maximum limit (winter)
of 35.0 mg/L be removed in accordance with the Permit Fact Sheet and NCDEQ policy so that the
inconsistency is corrected. The calculated winter daily maximum value was calculated as 73.5 mg/L and
as this value is greater than 35.0 mg/L. No winter daily maximum limit is necessary as listed in the
Summary of Proposed Permitting Actions in the Permit Fact Sheet (NCDEQ, 2021).
Monitoring Frequency
The 2022 permit requires an ammonia monitoring frequency of weekly. Baxter Healthcare questions why
this change in frequency was made given the low levels of ammonia in the effluent. Table 3-3
summarizes the effluent monitoring data for ammonia. Of the 104 samples taken from January 2018
through April 2022, 83% were below the detection limit of 0.1 mg/L (Figure 3-1).
The maximum day effluent ammonia concentration for the reporting period is 3.9 mg/L. The long term
effluent average concentration to monthly average limit for the summer monitoring period is 2.6%, and
being the greater of the summer and winter ratios, Baxter Healthcare is requesting that the monitoring
frequency be reduced to quarterly sampling.
Table 3-3. Effluent Ammonia Data (January 2018 through April 2022)
Ammonia Summer Limit Winter Limit
Effluent Values
Monthly Average 5.3 mg/L
14.7 mg/L 0.2 mg/L (Summer)
2.0 mg/L (Winter)
Daily Maximum 26.4 mg/L
35.0 mg/L 0.2 mg/L (Summer)
3.9 mg/L (Winter)

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12/2017 7/2018 1/2019 8/2019 2/2020 9/2020 4/2021 10/2021 5/2022
DATE
Figure 3-1. North Cove Facility Effluent Ammonia Trends
4. Removal of Interdependent Parameters
4.1 Turbidity
Turbidity monitoring was added to the NPDES permit per 15A NCAC 02B .0211(21) at a frequency of 3
times per week. The North Cove Facility does not have a reasonable potential to cause an exceedance of
the water quality standard for turbidity in trout waters. Turbidity monitoring data from the MBR system
(just upstream of the UV system and final discharge point) and effluent TSS data, which is directly related
to turbidity, both show the treatment system effectively removes solids. This MBR system was part of the
investment in upgrades in 2017. In 2021, the maximum turbidity measurement from these monitors was
0.41 NTU. With only the UV system in the treatment process between the MBR system and the discharge
location, it is unlikely that turbidity would increase to levels approaching the water quality standard for
trout waters. TSS data presented in Section 2.4 also support the conclusion that there is not a reasonable
potential to cause an exceedance of the water quality standard for turbidity.
Baxter Healthcare is proposing the removal of the current turbidity monitoring requirement and inclusion
of a requirement similar to that taken by NCDEQ for other facilities: weekly sampling for a duration of 12
months and, after that monitoring is completed, a review of that data by NCDEQ. If these data
demonstrate that effluent turbidity is very low and not contributing to instream turbidity, then NCDEQ will
remove this monitoring requirement from the permit entirely.

5. Summary of Requested Modifications
Table 5-1 summarizes the requested monitoring frequency revisions included in the 2022 NPDES permit
major modification request.
Table 5-1. Requested Monitoring Frequency Revisions
Parameter 2022 Permit Monitoring Modified Permit Monitoring
Frequency Frequency
BOD5 3/week Weekly
COD
3/week Weekly
Fecal coliform
3/week Weekly
TSS
3/week Weekly
Ammonia
Summer: weekly Quarterly
Winter: weekly Quarterly
Turbidity
Weekly for 12 months, then
3/week removal if supported by data
6. References
Arcadis. 2015. Marion Wastewater Treatment Plant Upgrade Engineering Alternatives Analysis. Prepared
for Baxter Healthcare Corporation. Dated October 2015.
North Carolina Department of Environmental Quality (NCDEQ). 2022. NPDES Permit No. NC0006564.
North Carolina Department of Environmental Quality (NCDEQ). 2021. Fact Sheet, NPDES Permit No.
NC0006564.
U.S. Environmental Protection Agency (EPA). 1996. Interim Guidance for Performance — Based
Reductions of NPDES Permit Monitoring Frequencies. Prepared by the Office of Water and Office of
Enforcement and Compliance Assurance. Dated April 19, 1996.

ATTACHMENT 1
Baxter North Cove NPDES Permit
Proposed Changes for Temperature -Related Schedule of Compliance
A. Revise Footnote 8 to the Table in Section I.A.1 of the Permit to read as follows: "See
Section XXXX for compliance schedule."
B. Section XXXX Schedule of Compliance
1. Within 6 months from the effective date of the permit the Permittee shall submit to the
Division of Water Resources a Corrective Action Plan summarizing the actions or strategy to
be taken to achieve compliance with the instream temperature water quality standard for
trout waters. Specific dates for completion or implementation of each action shall be
included.
2. Within two years from the effective date of the permit submit a report to the Division
summarizing actions taken in accordance with the Corrective Action Plan.
3. Within three years from the effective date of the permit submit a report to the Division
summarizing actions taken in accordance with the Corrective Action Plan.
4. Within four years from the effective date of the permit submit a report to the Division
summarizing actions taken in accordance with the Corrective Action Plan.
5. Achieve compliance with the instream temperature water quality standard for trout
waters within five years of the permit effective date.
Upon approval of the Corrective Action Plan by the Division, the report and actions become an
enforceable part of this permit. Any modifications to the schedule shall be requested to the
Division at least ninety (90) days before the deadline. Modifications to the schedule in excess
of four months will be subject to public notice.
At any point prior to the final compliance deadline of April , 2027, the Permittee may
terminate this Compliance Schedule by providing written notice to the Division of Water
Resources that the permitted facility has achieved compliance with the instream
temperature water quality standard for trout waters Permittee will not be required to submit
any progress report or milestone deliverables due after the date of termination.
The Corrective Action Plan and reports shall include the owner's name, NPDES permit
number and Permittee contact person, and shall be submitted to:
(1) NCDEQ /Division of Water Resources (2) NCDEQ / Division of Water Resources
NPDES Compliance and Expedited Permitting Asheville Regional Office
1617 Mail Service Center 2090 U.S. 70 Highway
Raleigh, NC 27699-1617 Swannanoa, NC 28778

ATTACHMENT 1
Description of Actions Contemplated in Development and Implementation of Corrective
Action Plan1-
• September 2022 to October 2024 — Sampling, Characterization and modeling of the
receiving stream
• January 2023 — Corrective Action Plan submission
• January 2023 to March 2023 — DEQ Comment period (if desired by DEQ)
• April 2023 to May 2023 — Baxter Response and Resolution of DEQ Comments (if
desired by DEQ)
• June 2023 to July 2024 — Alternatives Evaluation and Schematic Design
• April 2024 — Annual report due
• November 2024 — DEQ Comment Period (if desired by DEQ)
• December 2024 to February 2025 — Baxter Response and Resolution of DEQ
Comments (if desired by DEQ)
• April 2025 — Annual report due
• February 2025 to October 2025 — Engineering and Final Design
• October 2025 to June 2026 — Permitting Procurement & EQ Lead Time
• April 2026 — Annual report due
• June 2026 to February 2027 — Installation and startup
• October 2026 — NPDES Permit Renewal Application due
• April 2027 — Compliance deadline, final report due, new permit limits effective
1 Note that actual start dates for the compliance schedule will depend on the date of final permit
reissuance. These dates are based on the April 2022 issuance date for the new permit and are intended
to be illustrative.