NC0051161_Fact Sheet_20220425

Fact Sheet
NPDES Permit No. NC0051161
Permit Writer/Email Contact: Derek Denard / [e-mail]
Date: April 25, 2022
Division/Branch: NC Division of Water Resources/Water Quality Permitting Section
Compliance & Expediated Permitting Branch
Permitting Action:
❑x Renewal
❑ Renewal with Expansion
❑ New Discharge
❑ Modification (Fact Sheet should be tailored to mod request)
See Permit Application Attachments A NC0051161 Renewal (Application)_20210304_82p
Complete applicable sections below. If not applicable, enter NA.
1. Basic Facility Information
Facility Information
Applicant/Facility Name:
Products (SE) Pipe Line Corporation (PPL) / Greensboro Breakout
Tank Farm
Applicant Address:
6907-A West Market Street, Greensboro, NC 27409
Facility Address:
6907-A West Market Street, Greensboro, NC 27409
Permitted Flow:
Not limited
Facility Type/Waste:
100% Industrial, fuel (bulk storage)
Facility Class:
Grade I Physical Chemical WPCS
Treatment Units:
See below
Pretreatment Program (Y/N)
N
County:
Guilford
Region
Winston-Salem
Briefly describe the proposed permitting action and facility background:
This facility is an industrial (flow <1 MGD) Surface -Water Pollution Prevention System for stormwater
in proximity to above -ground storage tanks (ASTs), surface bulk -storage of petroleum hydrocarbon fuels
in excess of one million gallons and ethanol, and fuel -truck loading racks, utilizing:
• secondary containment berms surrounding petroleum bulk -storage tanks that drain to either catch
basin 001 or 002, by manually operated discharge valves, normally kept closed
• catch basin 001 that
Page 1 of 10

o typically does not discharge via Outfall 001, but is activated, if needed, during significant
rainfall events
o utilizes duplex pumps that route collected stormwater to an equalization pool and treatment
building
• two (2) oil/water separators, each installed below a catchment basin
• a 300,000 gallon above ground equalization (EQ) pool with
o a level sensor to control pumping to the GAC's
• a treatment building consisting of
o two (2) pumps
o four (4) granular activated carbon vessels (GAC) that are manually rotated so only two (2)
operate at a time (flow is routed to a retention pond at Outfall 002)
• a retention pond (Outfall 002) including
o a skimmer device
o an ultrasonic flow sensor
Plantation Pipe Line Company requested renewal of permit NC0051161 for their Greensboro Breakout
Tank Farm in Guilford County; this permitted discharge is treated stormwater to East Fork Deep River,
Cape Fear River Basin.
2. Receiving Waterbodv Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s):
Outfalls 001 and 002 / UT to East Fork Deep River
Stream Segment:
17-2-(0.3)b
Stream Classification:
WS-IV:*
Drainage Area (mi2):
--
Summer 7Q10 (cfs)
0
Winter 7Q10 (cfs):
0.08
30Q2 (cfs):
0.08
Average Flow (cfs):
0.3
IWC (% effluent):
100
303(d) listed/parameter:
Benthos (Nar, AL, FW), Cat. 5, Exceeding Criteria, Fair, Poor
or Severe Bioclassification, 2006.
See Attachments B_ NC_ 2020_Category5_303dlist 13
& C NC2020INTEGRATED REPORT 116.
Subject to TMDL/parameter:
East Fork of the Deep River TMDL, Turbidity, Fecal
Coliform, 3/3/2004,
https ://file s.nc. gov/ncdeq/W ater%20Quality/Planning/TMDL/
FINAL%2OTMDLS/Cape%20Fear/EastForkDeepRiverTMD
LsFinal.pdf
Basin/Sub-basin/HUC:
Cape Fear / 03-06-08 / 030300030102
USGS Topo Quad:
Guilford, NC
Page 2of10

3. Effluent Data Summary
Effluent data for Outfalls 001 and 002is summarized below for the period of Ju12018 through Dec2021.
Table 1. Flow Summary (MGD)
Parameter
Cullall
50050 - Flow, in conduit or thru treatment plant
UoM = Unit of measurement
® 001
Data
Year Max
2018
2019
2020
2021
001 Total
-' 002
002 Total
Table 2. Effluent Data Summary (MGD) - Following Page.
2018
2019
2020
2021
Min Average Count
UoM
0.1675 0.0035 0.1155 20 mgd
0.1675 0.00558 0.1029 21 d
0.1675 0.0058 0.1176 35 mid
0.1675 0.0488 0.1196 26 mgd
0.1675 0.0035' 0.1147 102 mid I
1.331 0.0002 0.1499 164 mgd]
1.044 0.0001 0.0976 351 mgd
1.7743 0.0001 0.1421 360 mgd
4.1547 0.0004 0.1186 331 mgd
4.1547 0.0001 0.1238 1206 mgd
Data
Parameter Y'
Outfall L:.J
Max 1 Min I Average I Count
UoM
R 00070 - Turbidity
001
22.1 5.42! 12.7019
ntu
002
25.4 3.9914.36' 42
ntu
1I 00556 - Oil & Grease
001
13.9 5.32 6.17 19
mg/1
002
5560 5.26 137.87' 42
mg/1
1E22417 - Methyl Tert Butyl Ether (MTBE)
001
15.7 1 3.9 19
ug/1
002
31 1 1.1 42
ug/1 1
E7 32730 - Phenolics, Total Recoverable
001
40' 40 40 12
ugll
002
57.6 40 41.3 14
ug/1
a 34010 - Toluene
001
1.44 1 1.04 12
ug/1
002
1. 1 1. 42
ug/1
El 34030 - Benzene
001
11 1 / 1 / 12
ug/1
002
1 1 1, 42
ug/1
El 34371 - Elhylbenzene
001
1 1 1 12
u�ll 1
002
1, 1 11 14
/I 1
R 34696 - Naphthalene
001
5 5 5 12
uia/I I
002
5 5 5 14
ug/1
El 50050 - Flow, in conduit or thru treatment plant
001
0.1675 0.0035 ` 0.1147 102
mgd 1
002 4.1547 0.0001 0.1238 1206
---c_;
- 81551 - Xylene (mix of m+o+p)
001
3 31 3 12
ug/l 1
002
_
3 31 3 14
ugjl 1
_
C0530 - Solids, Total Suspended - Concentrator
001
21.3 5.59 12.42 19
mg/1
002
20.6 2.5 10.47 42
mg/1 1
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: There is no instream monitoring required. No changes are proposed.
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): No violations noted for
Jan2017 through Nov2021.
Summarize the compliance record with aquatic toxicity test limits and any second species test results
(past 5 years): No violations noted. [See Attachment D November 2021 WET Summary - HQ 72-73]
Summarize the results from the most recent compliance inspection: See Attachment
E NC0051161 20180402 Compliance Evaluation Inspection_5p.
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): Not
modeled.
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.
Page 4of10

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: NA.
Reasonable Potential Analysis (RPA) for Toxicants
If applicable, conduct RPA analysis and complete information below.
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 Y2 detection limit for "less than" values; and 4) streamflows used for dilution
consideration based on 15A NCAC 2B.0206. Effective April6, 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 Ju12018 and
Dec2021. 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:
• 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: Outfall 001 MTBE.
• 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:
Total Recoverable Phenolics, Benzene, Naphthalene, Toluene, Ethyl Benzene, Xylene, and
MTBE (except Outfall 001).
• Summary of new limits added based on RPA: None
• Summary of existing limits deleted based on RPA: None
If applicable, attach a spreadsheet of the RPA results [See Attachments F_NC0051161 001 RPA
20226p and GNC0051161 002 RPA 20226p] as well as a copy of the Dissolved Metals
Implementation Fact Sheet for freshwater/saltwater [Not applicable] to this Fact Sheet. Include a printout
of the RPA Dissolved to Total Metal Calculator sheet if this is a Municipality with a Pretreatment
Program.
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
Page 5 of 10

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: If Acute WET -test fails [TGE6C], the Permittee shall test
each subsequent discharge event until testing indicates "pass," after which Quarterly monitoring shall
resume in accord with Section A. (5.). If after a subsequent five (5) consecutive Quarterly events, WET
results demonstrate no toxicity (i.e., "pass"), the Permittee may petition the Division to relax monitoring,
as data may warrant.
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 (NIMPs) 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 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: NA.
Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs/Nutrient Management Strategies and their implementation
within this permit: NA.
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.
7. Technology -Based Effluent Limitations (TBELs)
Secondary treatment requirements for TSS (30 mg/1 Monthly Average and 45 mg/1 for Daily Maximum
Limit).
Page 6 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): Yes.
If YES, confirm that antibacksliding provisions are not violated: Turbidity limits were removed from the
effluent because the water quality standard is a narrative standard based on instream conditions.
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.
For instream monitoring, refer to Section 4.
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. Effective December 21, 2020, NPDES regulated facilities will be required to
submit additional NPDES reports electronically. This permit contains the requirements for electronic
reporting, consistent with Federal requirements.
Page 7 of 10

12. Summary of Proposed Permitting Actions:
A. Table. Current Permit Conditions and Proposed Changes — Outfall 001 and 002.
Parameter
Current Permit
Proposed Change
Basis for Condition/Change
Flow
Monitor Only
No change
15A NCAC 2B .0505
Total Suspended
Solids (TSS)
MA 30 mg/1
DM 45 mg/1
No change
TBEL. Secondary treatment
standards/40 CFR 133 / 15A
NCAC 2B .0406
Turbidity
MA 50 NTU.
DM 50 NTU
Footnote: Effluent shall not cause
receiving stream turbidity to
exceed 50 NTU. If receiving -
stream background exceeds 50
NTU, the effluent shall not
increase background levels. Non-
compliance with this Standard
may require additional stream
monitoring and a Turbidity
Corrective Action Plan (TCAP).
The Turbidity
limits and footnote
were removed
from the effluent.
The Turbidity
Water quality
standard will be
maintained in the
permit as a
narrative condition
for instream
monitoring
WQBEL. State WQ narrative
standard, 15A NCAC 02B
.0211 (21)
Total Recoverable
Phenolics
Monitor Only
No change
WQBEL. State WQ narrative
standard, 15A NCAC 02B
.0211 (13). Aesthetic
narrative standard for taste &
odor in fish tissue. Based on
public policy document.
EPA QCW 1976
Oil and Grease
(mg/L) [EPA
Method 1664 SGT-
HEM]
Monitor Only
No change
WQBEL. State WQ narrative
standard, 15A NCAC 02B
.0211 (12); EPA QCW 1976
Benzene
Monitor Only
No change
WQBEL. State WQ standard,
15A NCAC 02B .0216
(3)(h)(ii)((C)
Ethyl Benzene
Monitor Only
No change
EPA National Recommended
Water Quality Criteria for
Aquatic Life & Human
Health
MTBE (Methyl
Tertiary -butyl
Ether)
For Outfall 001
MA 19.0 µg/l
DM 19.0 µg/1
No change based
on updated RPA.
North Carolina In -Stream
Target Values for Surface
Waters, Established per
Page 8 of 10

No limits for Outfall 002.
language in 15A NCAC 02B
.0202 & .0208.
ECOTOX 9/15 & CALEPA
1999
Naphthalene
Monitor Only
No change
North Carolina In -Stream
Target Values for Surface
Waters, Established per
language in 15A NCAC 02B
.0202 & .0208.
ECOTOX 9/15 & CALEPA
1999
Toluene
Monitor Only
No change
WQBEL. State WQ, 15A
NCAC 02B .0211 (19)
Xylene
Monitor Only
No change
North Carolina In -Stream
Target Values for Surface
Waters, Established per
language in 15A NCAC 02B
.0202 & .0208.
IRIS & ECOTOX 6/12
Flow Measurement
Rational Condition
Required
No change
G.S. 143-215.1(b)
Production
Modifications to
Treatment System
Disposal System
Condition
Required
No change
G.S. 143-215.1(a)
Acute Toxicity
Acute Toxicity monitoring
(Fathead Minnow, 24-hour),
Annual
Updated condition
WQBEL. No toxics in toxic
amounts. 15A NCAC
2B.0200 and 15A NCAC
2B.0500
eDMR Condition
Required
Updated condition
In accordance with EPA
Electronic Reporting Rule
2015.
MGD — Million gallons per day, MA - Monthly Average WA — Weekly Average, DM — Daily Max
The draft permit includes the following significant changes from the existing permit:
1. The facility classification Grade I Physical Chemical Water Pollution Control System (WPCS)
was added to the effluent page.
2. The Turbidity limits were removed from the effluent tables for Outfalls 001 and 002. The
Turbidity water quality standard will be maintained in the permit as a footnote narrative
condition for instream.
Page 9 of 10

3. Removed the following footnote for Naphthalene: Provided that the Permittee can
demonstrate to the Division that its facility does not now, nor has ever, stored diesel fuel or
other heavy fuels, it may petition to remove monitoring for naphthalene.
4. The practical quantitation limits (PQL) footnote was removed. This requirement is covered
by a condition in NPDES Standard Conditions Part II. Section D. (4.).
5. Concurrent sampling with WET testing is no longer required.
6. The Acute WET test condition was updated. See Condition A. (5.).
7. The electronic reporting permit special condition A. (6.) was updated. Footnote 1 for
electronic reporting was updated for Conditions A. (1.) through A. (2.).
13. Public Notice Schedule:
Permit to Public Notice: 02/09/2022 [See Attachment I]
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. 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:
This final permit includes the following changes from the February 8, 2022 draft permit:
• The owner's name was updated to "Products (SE) Pipe Line Corporation (PPL)".
• The facility name was updated to "PPL-Greensboro Breakout Tank Farm".
15. Fact Sheet Attachments (list in order of reference):
A. NC0051161 Renewal (Application)_20210304_82p
B. NC 2020 Category5_303dlist 13
C. NC 2020 INTEGRATED REPORT 116
D. November 2021 WET Summary - HQ 72-73
E. NC0051161_20180402_Compliance Evaluation Inspection_5p
F. NC0051161 001 RPA 20226p
G. NC0051161 002 RPA 2022_6p
H. Peer Review _20220207_lp
I. PWS Review Memo _20220208_7p
J. NC0051161Affidavit 202202112p
K. Aquatic Tox Branch_Comments _20220215_2p
L. Permittee Comments 202202173p
M. Business Corporation Annual Report _20210721_lp
N. N NC0051161 Owner (Name Change) _20220405_2p
Page l0 of 10

1
KINDER MORGAN
PLANTATION PIPE LINE
COMPANY
NPDES Permit Renewal Application Package
NCDEQ-Water Resources Section
Attn: John Hennessey, Supervisor
1617 Mail Service Center
Raleigh, NC 27699-1617
DATE:
PERMIT:
LOCATION:
March 2, 2021
NC0051161
Greensboro Tank Farm
RECEIVED
MAR 0 4 2021
NCDEQ/DWR/NPDES
COMMENTS: NPDES Permit #NC0051161 Permit Renewal Application Package
1000 Windward Concourse, Suite 450
Alpharetta, GA 30005

EPA Identification Number
NCD093787307
Form
1
NPDES
.=.EPA
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
U.S. Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater r4AR 0 4 202T
GENERAL INFORMATION
SECTION 1. ACTIVITIES REQUIRING AN NPDES PERMIT (40 CFR 122,21(f) and (f)(1))
Activities Requiring an NPDES Permit
1.1 Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
treatment works?
If yes, STOP. Do NOT complete 0 No
Form 1. Complete Form 2A.
1.1.2
Is the facility a new or existing treatment works
treating domestic sewage?
If yes, STOP. Do NOT No
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
1.2.1
Is the facility a concentrated animal feeding
operation or a concentrated aquatic animal
production facility?
Yes -4 Complete Form 1 No
and Form 2B.
1.2.2
Is the facility an existing manufacturing,
commercial, mining, or silvicultural facility that is
currently discharging process wastewater?
❑r Yes 4 Complete Form ❑ No
1 and Form 2C.
1.2.3
is the facility a new manufacturing, commercial,
mining, or silvicultural facility that has not yet
commenced to discharge?
Yes 4 Complete Form 1 D No
and Form 2D.
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?
0 Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
(b)(15).
1.2.4 Is the facility a new or existing manufacturing,
commercial, mining, or silvicultural facility that
discharges only nonprocess wastewater?
• Yes 3 Complete Form []r No
1 and Form 2E.
SECTION 2. NAME, MAILING ADDRESS, AND LOCATION (40 CFR 122,210)(2))
2.1
2.2
2.3
2.4
Facility Name
Greensboro Breakout Tank Farm
EPA Identification Number
NCD093787307
Facility Contact
Name (first and last)
Gordon
Title
Terhune
Phone number
[phone]
Email address
[e-mail]
Facility Mailing Address
Street or P.O. box
4064 Winters Chapel Road
City or town
Doraville
State
Georgia
ZIP code
30360
Form Approved 03105/19
OMB No. 2040-0004
RECEIVE-0
ES
EPA Form 3510-1 (revised 3-19)
Page 1

EPA Identifica5on Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
2.5
Facility Location
Street, route number, or other specific identifier
6907-A West Market Street
County name
Guilford
City or town
Greensboro
County code (if known)
State
North Carolina
ZIP code
27409
SECTION 3. SIC AND NAICS CODES (40 CFR 122.21(f)(3))
3.1
3.2
SIC Code(s)
4613
NAICS Code(s)
486910
Description (optional)
Description (optional)
SECTION 4. OPERATOR INFORMATION (40 CFR 122.21(f)(4))
4.1 Name of Operator
Products (SE) Pipe Line Corporation
4.2 Is the name you listed in Item 4.1 also the owner?
❑ Yes ❑ No
4.3 Operator Status
❑ Public —federal ❑ Public —state
❑r Private ❑ Other (specify)
4.4 Phone Number of Operator
[phone]
❑ Other public (specify)
4.5 Operator Address
Street or P.O. Box
6907-A West Market Street
ZIP code
27409
Email address of operator
[e-mail]
SECTION 5. INDIAN LAND (40 CFR 122.21(f)(5))
5.1
-0 113
Is the facility located on Indian Land?
❑ Yes No
EPA Form 3510-1 (revised 3-19)
Page 2

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
(Greensboro Breakout Tank Farm
Pnrm dnnrnuarl flimcmo
OMB No. 2040-0004
SECTION 6. EXISTING ENVIRONMENTAL PERMITS (40 CFR 122.21(f)(6))
6.1
Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
• NPDES (discharges to surface
water)
NC0051161
D RCRA (hazardous wastes)
❑ UIC (underground injection of
fluids)
❑ PSD (air emissions)
❑ Nonattainment program (CM)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section 404)
❑ Other (specify)
CAA - Title V 03980T14
SECTION 7. MAP (40 CFR 122.21(f)(7))
7.1
oir
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
O Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS (40 CFR 122.21(f)(8))
8.1
Describe the nature of your business.
This is a bulk storage facility for hydrocarbon fuels (diesel, gasoline, and kerosene/jet fuel). The terminal receives
product via pipeline. The terminal stores the product and then breaks out the product to other pipelines or further
along the same pipeline. Kinder Morgan does not own the product stared in the tanks.
SECTION 9. COOLING WATER INTAKE STRUCTURES (40 CFR 122.210)(9))
9.1
Does your facility use cooling water?
❑ Yes D No 3 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
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
SECTION 10. VARIANCE REQUESTS (40 CFR 122.21(f)(10))
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA
Section 301(c) and (g))
O Not applicable
❑ Thermal discharges (CWA Section 316(a))
EPA Form 3510-1 (revised 3-19)
Page 3

EPA Identifica -on Number
NC0093787307
WOES Permit Number
NCOOS1161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03n35l19
OMB No. 2040.0004
SECTION
11. CHECKLIST
AND CERTIFICATION STATEMENT (40
In Column 1 below, mark the sections of Form 1 that
Far each section, specify in Column 2 any attachments
that not all applicants are required to provide attachments.
CFR 122.22(a) and (d))
you have completed and are submitting with your application.
that you are enclosing to alert the permitting authority. Note
E
as
1-,-3
ul
o
m
a,
c'
c
w
s
61
U
11.1
Column 1
Column 2
1: Activities Requiring an NPDES Permit
El wi attachments
r Section
2: Name, Mailing Address, and Location
❑ w/ attachments
J Section
3: SIC Codes
❑ wl attachments
r Section
4: Operator Information
❑ wl attachments
/ Section
5: Indian Land
0 Section
• wl attachments
6: Existing Environmental Permits
FI Section
• w/ attachments
❑,r Section 7: Map
wl topographic
❑ ❑ wl additional attachments
map
8: Nature of Business
NI Section
• wl attachments
9: Cooling Water Intake Structures
❑ wl attachments
III Section
❑r Section 10: Variance Requests
❑ w/ attachments
11: Checklist and Certification Statement
❑ wl attachments
J Section
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 properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Jimmy Stamey
Official title
Operations Manager
Signat e
(2.4171^ACN „St:
Date signed
1 A 91/4 d 0 2 I
EPA Forrn 3510.1 (revised 3.19)
Page 4

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0
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ing Path C:\Users\
a
4°.
DRAINAGE TO OUTFALLS
TOTAL DRAINAGE AREA TO OUTFALL 001: 9.09 ACRES
TOTAL IMPERVIOUS AREA TO OUTFALL 001: 5.08 ACRES
TOTAL DRAINAGE AREA TO OUTFALL 002: 24.95 ACRES
TOTAL IMPERVIOUS AREA TO OUTFALL 002: 1.13 ACRES
%f
OUTFALLS 001 AND 002 FLOW TO AN UNNAMED TRIBUTARY
OF EAST FORK DEEP RIVER (SOUTHWEST)
'
O,
0
7:C;SSNA OP
J
BE l Q .
O,y
2,000"-k,„
Drainage A
to Ou
(FEET)
Cn,ilad El em
9
SITE BOUNDARY
rea
tfall OOl
�'�
�a� •
�z OUTFALL 002
LAT: 36°4'23.6346" N LONG:-79°55'21.7278" W
d 0
REFERENCE:
GIS BASE LAYERS WERE OBTAINED FROM THE ESRI ONLINE USGS NATIONAL TOPOGRAPHIC
BASEMAP THIS MAP 15 FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS
DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION,
UNLESS STATED OTHERWISE.
OUTFALL 001
LAT:36°4'22.1946" N
LONG:-79°55'40.4178" W
rlORkADAr
•_ . J Tank Containment Dike Area
Property Boundary
SITE MAP
SCALE:
' = 2,000
PRODUCTS (SE) PIPELINE CORPORATION - GREENSBORO BREAKOUT TANK FARM, PC-1
6907-A WEST MARKET STREET
GREENSBORO, GUILFORD COUNTY, NORTH CAROLINA
DATE:
2-27-21
PROJECT NUMBER
211299C
FIGURE N0.
1
J

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051151
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
Form
2F
NPDES
■.EPA
U.S Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater
STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION 1. OUTFALL LOCATION (40 CFR 122.21(g)(1))
1.1
Provide information on each of the facility's outfalls in the table below
Outfall
Number
Receiving Water Name
001 UT to East Fork Deep River
002 UT to East Fork Deep River
Latitude
36' 4 22.19" N
36° 4 ' 23.63" N
Longitude
-79° 55' 40.41" W
-79° 55' 27.72" W
SECTION 2. IMPROVEMENTS (40 CFR 122.21(g)(6))
2.1 Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes 0 No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and
Description of Project
Affected Outfalis
(list outfall numbers)
Source(s) of Discharge
Final Compliance Dates
Required Projected
2.3 Have you attached sheets describing any additional water pollution control programs (or other environmental projects
that may affect your discharges) that you now have underway or planned? (Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F (Revised 3-19) Page 1

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
DMB No.2040-0004
SECTION
3. SITE
DRAINAGE MAP (40 CFR 122.26(c)(1)(i)(A))
a)
0.1 CO m
N'sM
a`
3.1
Have
specific
!FA
you attached a site drainage map containing all required information to this application? (See instructions for
guidance.)
Yes ❑ No
SECTION
4. POLLUTANT
SOURCES (40 CFR 122.26(0(1Hi)(13))
4.1
Provide information on the facility's pollutant sources in the table below.
Outfall
Number
Impervious Surface Area
(within a mile radius of the facility)
Total Surface Area Drained
(within a mile radius of the facility)
001
5.08
specify units
acres
0'0B
specify units
acres
002
1.13
specify units
acres
24.95
specify units
acres
specify Units
specify units
specify units
specify units
specify units
specify units
specify units
specify units
,n
4.1
b_
c°o
co
0
a
4.2
Provide a narrative description of the facility's significant material in the space below. (See instructions for content
requirements.)
Significant materials including gasoline, diesel, and jet fuel/kerosene have been onsite within the three years prior to
this application. The materials have been stored within steel tanks in a diked area in a manner to prevent exposure to
storm water. The storm water collected in the tank containment dikes are directed to onsite settling ponds prior to
discharge through Out -fails 001 and 002. Water directed from Pond 001 to Pond 002, prior to discharge at Outfall 002,
is directed through a carbon filtration system prior to entering Pond 002. There are no pesticides, herbicides, soil
conditioners or fertilizers applied at this facility.
4.3
Provide the location and a description of existing structural and non-structural control measures to reduce pollutants In
stormwater runoff. (See instructions for specific guidance.)
Stormwater Treatment
Outfall
Number
Control Measures and Treatment
Codes
from
Exhibit
zF-1
(list)
001
Carbon Filtration System for Water from Pond for Outfall 001 when directed to Outfall 002
2-A
001 and 002
Containment Dike around Material Storage Tanks prior to discharge to Outfalls 001 and 002
N/A
001
Settling Pond prior to discharge at Outfall 001
1-U
002
Settling Pond prior to discharge at Outfall 002
1-U
EPA Form 3510-2F (Revised 3-19)
Page 2

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03r05l19
OMB No. 2040-0004
SECTION 5. NON STORMWATER DISCHARGES (40 CFR 122.26(c)(1)(i)(C))
5.1
5.2
l certify under penalty of law that the outfall(s) covered by This application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, 1 certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application.
Name (print or type first and last name)
Jimmy 5tamey
Signature
Provide the testing information requested in the table below.
Outfall
Number
001
Description of Testing Method Used
002
Vitiudl
Official title
Operations Manager
Date signed Date signed
Date(s) of Testing
02/26/2021
Onsite Drainage Points
Directly Observed
During Test
Out -fail 001
Visual
2/26/2021
Outfall 002
SECTION 6. SIGNIFICANT LEAKS OR SPILLS (40 CFR 122.26(c)(1)(i)(D))
6.1
Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
None
SECTION T. DISCHARGE INFORMATION (40 CFR 122.26(c)(1)(i)(E))
Discharge Information
See the instructions to determine the pollutants and parameters you are required to monitor and, in tum, the tables you must
complete. Not all applicants need to complete each table,
7.1
Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of
estimated data.
▪ No 4 See instructions regarding submission of
actual data.
Tables A, B, C, and D
7.2
Have you completed Table A for each outfall?
O Yes
❑ No
EPA Form 3510-2F (Revised 3.19)
Page 3

EPA Identification Number
NCD093787307
HPOES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03105119
OMB No.2040-0004
Discharge Information Continued
7.3
Is the facility subject to an effluent limitation guideline
wastewater?
❑ Yes
(ELG) or effluent limitations in an
NPDES permit for its process
7.5.
151 No 4 SKIP to Item
7.4
Have you completed
indirectly in
Table 8 by providing quantitative data for those pollutants that are (1) limited either directly or
an ELG and/or (2) subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ No
0 Yes
7.5
Do you know or have reason to believe any pollutants
0 Yes
in Exhibit 2F-2 are present in the
discharge?
7.7.
• No 4 SKIP to Item
7,6
Have you listed
provided quantitative
all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
data or an explanation for those pollutants in Table C?
❑ No
r Yes
7.7
Do you qualify for a small business exemption under
❑ Yes +SKIP to Item 7.18.
the criteria specified in the Instructions?
'4 No
7.8
Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
0 Yes ❑ No 4 SKIP to Item 7.10.
7.9
Have you listed
Table C?
all pollutants in Exhibit 2F-3 that you
know or have reason to believe
are present in the discharge in
J Yes
■ No
7.10
Do you expect
any of the pollutants in Exhibit 2F-3
to be discharged in concentrations
of 10 ppb or greater?
7.12.
'4 Yes
■ No 4 SKIP to Item
7.11
Have you provided
concentrations
quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
of 10 ppb or greater?
0 No
J Yes
7.12
Do you expect acrolein, acrylonitrile, 2,4-dinitrophenol,
of 100 ppb or greater?
❑ Yes
or 2-methy1-4,6-dinitrophenol to
be discharged in concentrations
7.14.
0 No 3 SKIP to Item
7.13
Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14
Have you provided quantitative data or an explanation
discharge at concentrations less than 10 ppb (or less
❑,� Yes
in Table C for pollutants you expect
than 100 ppb for the pollutants identified
to be present in the
in item 7.12)?
• No
7.15
Do you know or have reason to believe any pollutants
❑ Yes
in Exhibit 2F-4 are present in the
discharge?
7.17.
151 No 4 SKIP to Item
7.16
Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ Na
7.17
Have you provided
information for the storm event(s)
sampled in Table D?
■ Yes
0 No
EPA Form 3510-2F (Revised 3-19)
Page 4

EPA Identification Number
NCD093787307
NPDES Pe rnit Number
N00051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
cn
rn
Biological Toxicity Testing Data _9 Discharge Information Continued
p
Used or Manufactured Toxics
7.18
Is any
manufactured
•
pollutant listed on Exhibits 2F-2 through 2F-4 a substance
as an intermediate or final product or byproduct?
Yes
0
or a component of a substance used or
No 3 SKIP to Section 8.
7.19
List the pollutants below, including TCDD if applicable.
1. 4. 7.
2. 5. 8.
3. 6. 9.
8. BIOLOGICAL
8.1
TOXICITY TESTING DATA (40 CFR 122.21(g)(11))
Da you have any knowledge or reason to believe that any biological
any of your discharges or on a receiving wafer in relation to your
❑r Yes
discharge
•
test for acute or chronic toxicity has been made on
within the last three years?
No -1 SKIP to Section 9.
8.2
Identify the tests and their purposes belowNPDE.
Test(s)
Purpose of Test(s)
Submitted to
Permitting Authority?
Date Submitted
Acute WET Toxicity
Annually Required by Permit
0
Yes ❑ No
See ATTACHMENT for summa
ry of last 3 years of submittals.
•
Yes
•
No
■
Yes
■
No
9. CONTRACT
ANALYSIS INFORMATION
(40 CFR 122.21(g)(12))
Contract Analysis information
9.1
Were
consulting
0
any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or
firm?
Yes ❑ No 4 SKIP to Section 10.
9.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1
Laboratory Number2
Laboratory Number 3
Name of laboratory/firm
ESC Lab Sciences
PACE Analytical - Purchased
ESC Lab Sciences
Laboratory address
12065 Lebanon Road
Mount Juliet, TN 37122
12065 Lebanon Road
Mount Juliet, TN 37122
Phone number
[phone]
[phone]
Pollutant(s) analyzed
Oil & Grease, Total Phenol.
BTEX, Naphthalene,MTBE,
Total Suspended Solids,
Turbidity, Acute Toxicity
Oil & Grease, Total Phenol.
BTEX, Naphthalene,MTBE,
Total Suspended Solids,
Turbidity, Acute Toxicity, COD,
130D, TOC, TKN, Ammonia (as
N), Total Phosphorus
EPA Form 3510-2F (Revised 3.19)
Page 5

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
SECTION 10. CHECKLIST
AND CERTIFICATION
STATEMENT (40 CFR 122.22(a) and (d))
sections of Form 2F that you have completed and are submitting with your application. For
2 any attachments that you are enclosing to alert the permitting authority. Note that not
complete all sections or provide attachments.
Checklist and Certification Statement
10.1
In Column 1 below, mark the
each section, specify in Column
all applicants are required to
Column 1
Column 2
1
❑ w/ attachments (e.g., responses for additional outfalls)
0 Section
2
J Section
■ w/ attachments
3
0 wl site drainage map
J Section
4
J Section
■ wl attachments
0 Section 5
■ wl attachments
0 Section 6
• w/ attachments
0 Section 7
exemption request
as an attachment
0 Table A ■
Ail small business
0 Table B is
w/ analytical results
0 Table C 0
Table D
8
J Section
0 wlattachments
9
(e.g., responses for additional contact laboratories or firms)
0 Section
• wlattachments
10
0 Section
•
10.2
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Jimmy Starney
Official title
Operations Manager
Signat
Date signed.............4%.,
EPA Form 3510.2F (Revised 3-19)
Page 6

EPA Identification Number NPOES Permit Number
NCD093787307 NC0051161
TABLE A. CONVENTIONAL AND NON CONVENTIONAL PARAMETERS
Facility Name
Greensboro Breakout Tank Farm
(40 CFR 122.26(c)(1)(i)(E)(3))l
Outfall Number
001
Form Approved 011)5119
OMB No. 2040.0004
You must provide the results of at least one analysis
for every pollutant in this table. Complete one table for each outfall. See instructions for additional details and requirements.
Maximum Daily Discharge
(specify units)
Average Daily Discharge
[specify units)
Number of Storm
Events Sampled
Source of
Information
[new sourcelnew
dischargers only; use
codes in instructions]
Pollutant or Parameter
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
poring First
30 Minutes
Flow -Weighted
Composite
21
1
�■
'
1
.. . . . ..
21
1
.. .. ..
r
1
.. ..
' '
1
8.
pH (minimum)
7.09 5.u.
1
pH (maximum)
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter i, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F (Revised 3-19)
Page 7

EPA Identification Number
NC0093787307
NPDES Permit Number
NC0051161
FadFity Name
Greensboro Breakout Tank Farm
Dudall Number
001
Form Approved 03/05119
OMB No.2040-0004
TABLE B. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.26(c)(1)(i)(E)(4) and 40 CFR 122.21(g)(7)(vi)(A))1
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
wastewater (if the
Pollutant and CAS Number (if available)
Maximum Daily Discharge
{specify units}
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
{new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow Weighted
Composite
---Not Applicable ---
1
'Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F (Revised 3-19)
Page 9

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
OutfaII Number
001
Form Approved 03 05/19
OMB No. 2040-0004
TABLE C. TOXIC POLLUTANTS, CERTAIN HAZARDOUS SUBSTANCES, AND ASBESTOS (40 CFR 122.26(c)(1)(i)(E)(4) and 40 CFR 122.21(g)(7)(vi)(B) and (vii))1
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe
details and requirements.
is present. Complete one table for each outfall. See the instructions for additional
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(new source/new
dischargers only; use
codes in instructions)
Grab Sample Taken i
During First Flow -Weighted
30 Minutes Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Oil and Grease
<6.63 mg/L
30.14 mg/L
21
Benzene
<1 }ig/L
0.5 µg/L
15
Ethylbenzene
<1 .ig/L
0.5 µg/L
15
Toluene
1.44 µg/L
0.929 µg/L
15
Phenol
<40 µg/L
20 µg/L
15
Naphthalene
<5 µg/L
2.5 µg/L
15
1 Sampling shall be conducted according to suffic ently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F (Revised 3-19)
Page 11

EPA identification Number
NC0093787307
NPDES Permit Number Facility name
NC0051161 Greensboro Breakout Tank Farm
TABLE D. STORM EVENT INFORMATION (40 CFR 122.25(c)(1)(i)(E)(6))
Outfali Number
001
Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Form Approved 03105/19
OMB No. 2040-0004
Date of Storm Event Duration of Storm Event
n hoJrs;,
Total Rainfall During
Storm Event
(:r :i•;c-)es;
Number of Hours Between
Beginning of Storm Measured and
End of Previous Measurable Rain
Event
Maximum Flow Rate
During Rain Event
(in gpm or specify units)
Total Flow from Rain Event
(in gallons or specify units)
Provide a description of the method of flow measurement or estimate.
There were no flow -weighted composite sampling events conducted. Only one discharge event is sampled per month.
EPA Form 3510-2F (Revised 3-19) Page 13

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 01009
OMB No. 2040-0004
TABLE A. CONVENTIONAL AND NON CONVENTIONAL PARAMETERS
(40 CFR 122.26(c)(1)(i)(E)(3))r
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each Dutfel]. See instructions for additional details and requirements.
Maximum Daily Discharge
(spccify units)
Average Daily Discharge
(specify units)
Number of StormInformation
Events Sampled
Source of
(new sourcelnew
dischargers only; use
codes in insVuCtions)
Pollutant or Parameter
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
1.
Oil and grease
<6.24 mg/L
5.706 mg/L
54
1
2.
Biochemical oxygen demand (BODs)
<2.0 mg/L
3.
Chemical oxygen demand (COD)
<25.0 mg/L
1
4.
Total suspended solids (TSS)
20.6 mg/L
10.68 mg/L
59
5.
Total phosphorus
<0.050 mg/L
1
6.
Total Kjeldahl nitrogen (TKN)
<0.50 mg/L
1
7.
Total nitrogen (as N)
<0.10 mg/L
1
8.
pH (minimum)
7.15 S.U.
1
pH (maximum)
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F CRevised 3-19)
Page 7

EPA Identification Number
NCD093787307
NPDES Permit Number
NC00511b1
Facility Name
Greensboro Breakout Tank Farm
0utfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.26(c)(1 ) i)(E)(4) and 40 CFR 122.21(g)(7)(vi)(A))1
List each pollutant that is limited in an effluent limitation guideline (ELG) that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (if the
facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and requirements.
f
Pollutant and CAS Number (if available)
Maximum Daily Discharge
(specify units)
Average Daily Discharge
(specify units)
Number of Storm
Events Sampled
Source of
Information
(newsourcelnew
dischargers only; use
codes in instructions)
Grab Sample Taken Flow -Weighted
During First
30 Minutes Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
---Not Applicable ---
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F (Revised 3-19)
Page 9

EPA Identification Number
NCD093787307
NPDES Permit Number
NCOD51161
Facility Name
Greensboro Breakout Tank Farm
Outfal! Number
DD2
Form Approved 03+05l19
OMB No. 2040-0004
TABLE C. TOXIC POLLUTANTS, CERTAIN HAZARDOUS SUBSTANCES, AND ASBESTOS (40 CFR 122.26(c)(1)(i)(E)(4) and 4D CFR 122.21(g)(7)(vi)(B) and (vii))l
List each pollutant shown in Exhibits 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present. Complete one table for each outfall. See the instructions for additional
details and requirements.
Pollutant and CAS Number {if available}
Maximum Daily Discharge
{sped units}
Average Daily
(specifyMits)
Grab Sample Taken
During First
3D Minutes
Discharge
Flow•Weighted
Composite
Number of Storm
Events Sampled
Source of
Information
{new seurcelnew
dischargersanly; use
codes in instructions)
Grab Sample Taken
During First
3D Minutes
Flow -Weighted
Composite
Oil and Grease
<6.24 mg/L
5.706 mg/L
54
Benzene
<1 µg/L
0.5 µg/L
59
Ethylbenzene
<1 µg/L
0.5 µg/L
2C
Toluene
<5 µg/L
0.805 }tg/L
59
Phenol
83.9 µg/L
25.075 µg/L
2C
Naphthalene
a5 µg/L
2.5 µg/L
20
1
i
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F iRevised 3-19)
Page 11

EPA Identification Number
NCD093787307
NPDES Permit Number Facility name
NC0051161 Greensboro Breakout Tank Farm
TABLE D. STORM EVENT INFORMATION (40 CFR 122.26(0(1)(i)(E)(6))
Outfall Number
002
Provide data for the storm event(s) that resulted in the maximum daily discharges for the flow -weighted composite sample.
Date of Storm Event Duration of Storm Event
(in hours)
Total Rainfall During
Storm Event
(in inches)
Form Approved 034)5/19
OMB No. 2040-0004
Number of Hours Between
Beginning of Storm Measured and
End of Previous Measurable Rain
Event
Maximum Flow Rate
During Ratn Event
{in gpm ar specify units}
Total Flow from Rain Event
(in gallons ar specify units)
Provide a description of the method of flow measurement or estimate.
There were no flow -weighted composite sampling events conducted. Only one discharge event is sampled per month.
EPA Form 3510-2F (Revised 3-19) Page 13

nic 02-27.2021
9
0
C
E
c
0
0
f7
E
s
DRAINAGE TO OUTFALLS
TOTAL DRAINAGE AREA TO OUTFALL 001: 9.09 ACRES
TOTAL IMPERVIOUS AREA TO OUTFALL 001: 5.08 ACRES
TOTAL DRAINAGE AREA TO OUTFALL 002: 24.95 ACRES
TOTAL IMPERVIOUS AREA TO OUTFALL 002: 1.13 ACRES
1 OUTFALLS 001 AND 602 FLOW TO AN UNNAIVIED TRIBUTARY
OF EAST FORK DEEP RIVER (SOUTHWEST)
6❑l1NG l7R
OP
r�
1 CESSNA bR
2,0001T 4,000
Tl
//
Drainage Area
to Outfall 001
e SITE BOUNDARY
G
4 ` v
Gu i,c d Clem
%„,aq
l Fef.71'�' PUC,A[SA,r
§.-`Jf S
f W MAR!
OUTFALL 002
LAT: 36°4'23.6346" N
LONG:-79°55'27,7278" W
OUTFALL 001
LAT: 36°4'22.1946" N
LONG:-79°55'40,4178" W
.PlORNA DAY R•D •
BUM&f(Are Pp
t �jl SAFE RI]
'11•1(FEET}
REFERENCE:
GIS BASE LAYERS WERE OBTAINED FROM THE ESRI ONLINE USGS NATIONAL TOPOGRAPHIC
BASEMAP THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS
DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION,
UNLESS STATED OTHERWISE -
SITE MAP
PRODUCTS (SE) PIPELINE CORPORATION - GREENSBORO BREAKOUT TANK FARM, PC-1
6907-A WEST MARKET STREET
GREENSBORO, GUILFORD COUNTY, NORTH CAROLINA
Tank Containment Dike Area
Property Boundary
SCALE:
" = 2,000
DATE:
2-27-21
PROJECT NUMBER
211299C
FIGURE NO,
1

FORM 2F
SECTION 8.2 - BIOLOGICAL TOXICITY TESTS
Identify last 3 tests and their purposes below:
OUTFALL 001
Test
Acute Wet Toxicity
Acute Wet Toxicity
Purpose
Permit Required Annually
Permit Required Annually
Submitted to NPDES
Permitting Authority
Yes
Date Submitted
8/25/2018
Yes
2/25/2019
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2020
Note: — 0utfall 001 sampled for Acute Toxicity in February 2021, results will be entered into eDMR by March 10th
and hard copy of AT form to NCDEC! by March 30, 2021.
OUTFALL 002
Test
Purpose
Submitted to NPDES
Permitting Authority
Date Submitted
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2019
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2020
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2021

GREENSBORO BREAKOUT TANK FARM - OUTFALL 001 - NPQES Permit # 0051161
Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021
Analysis Result with Units
Monthly
Average Flow
(MGD)
Dairy Max.
Discharge
IM60)
TSS
tmg/L)
Total
Recoverable
phenolics
(pg/L)
Oil and
Grease
(mg/L)
Benzene
(pg/L)
Ethylbenxene
1pg/L)
Toluene
(Jrg/L)
Xylenes
(pg/Lj
Naphthalene
{Pei)
MTBE
(pg/L)
Turbidity
CNTU)
Acute Toxicity
(%Mortality)
Month/Year
Sampling Date
March 2016
NJS
C
C
N/S
N/5
1/S
N/5
NIS
N/5
N/5
N/5
N/5
NIS
VS
April 2016
NA
0
0
N/5
NJ5
N/5
N/5
NJS
N/S
N/5
NA
N/5
N/S
Mey2016
5/4/2016
0.0614
0.0837
20.9
c40
<5.32
<I
<1
<5
<3
<5
4.32
N/A
a100
June 2016
N/5
0
0
N/5
N/5
N/S
NJ5
N/S
N/5
NJ5
N/5
N/5
N/5
NA
July 2016
7/11/2016
0.1627
0.1627
8.4
<40
<5.56
<1
<1
<5
<3
<5
1.83
N/A
N/A
August 2016
N/5
0
0
NIS
N/5
N/S
N/5
N/S
_
N/5
N/5
NA.
NIS
N/S
N/S
September 2016
N/S
0
0
N/S
N/S
N/5
N/5
N/5
N/5
NIS
N/5
N/5
N/5
NJ5
October 2016
10/10/2016
0.0838
0.1221
13.6
<40
<5.56
<1
<1
<5
<4
<5
1A
11.6
N/A
November 2016
N/S
0
0
N/5
N/5
N/S
NA
NA
N/S
N/5
N/5
N/S
N/5
NJ5
December2016
NIS
0
0
N/5
N/S
NA
N/5
NJ5
N/5
NIS
NJ5
NIS
N/5
N/5
January 2017
N/5
0
0
N/5
N/5
N/S
HA
NIS
N/5
N/5
N/S
N/5
N/5
N/5
February 2017
NIS
0
0
N/5
N/5
NA
N/S
N/S
N/S
N/S
N/S
NA
NJ5
N/5
March 2017
N/5
0
0
N/5
N/S
N/S
NA
NI5
N/S
N/S
N/S
NA
NA
N/5
Aprll2017
4/27/2017
0.0279
0.0488
29.8
<40
<6.33
<1
<1
<1
<3
<5
2
38.4
>90
May 2017
N/5
0
0
N/5
N/5
N/S
NA
NIS
N/5
N/5
N/5
NA
NJ5
N/5
June 2017
6/27/2017
0.0791
0.1221
14.2
N/A
<6.26
N/A
N/A
N/A
N/A
NIA
<1
9.11
N/A
_ July 2017
N/S
0
0
N/5
N/S
N/5
NJ5
hl/5
N/5
N/5
N/S
N/5
NJ5
N/5
August 2017
NIS
0
0
NJ5
N/5
N/5
NA.
N/5
r N/5
N/5
NIS
N/S
NJ5
N/5
September 2017
9/8/2017
0.1116
0.1116
29.6
<40
<5.75
<1
<1
<1
<3
<5
3.94
8.1
N/A
October 2017
N/5
0
0
N5
N/5
N/5
NJ5
N/5
N/5
N/5
N/5
N/5
NA
N/S
November 2017
N/5
0
0
N/S
NA
NJ5
N/5
NA
NI5
N/5
N/5
NA
N/5
N/5
December 2017
N/5
0
0
N/S
N/S
NJ5
N/5
NJ5
N/5
N/5
N/5
N/5
N/5
NIS
January 2018
NIS
0
0
NA
NIS
NJ5
N/5
NJ5
NIS
NIS
N/5
NA
N/5
NIS
February 2018
NIS
0
0
NA
NA
NJ5
N/5
NJ5
NJ5
N/5
N/5
NA
N/5
N/5
March 2018
NA
0
0
NJ5
N/5
N/5
N/5
NJ5
N/5
N/S
N/5
NA
N/5
N/5
April 2018
N/5
0
0
NJ5
NA
N/S
N/5
N/5
NJ5
N/S
N/5
NA
N/5
N/5
May 2018
N/5
0
0
N/5
N/5
N/S
N/5
NA
NA
N/5
N/5
N/5
N/5
N/5
lune 2018
NIS
0
0
N/5
N/5
N/5
N/5
NA
NA
N/S
NIS
NA
N/5
N/5
July 2018
7/25/2018
0.1461
0.1675
19.3
<40
<5.66
<1
<1
<1
<3
<5
2.08
19.4
>90
August2018
8/3/2018
0.1256
0.1396
20.5
N/A
<5.95
N/A
N/A
N/A
N/A
N/A
<1
22.1
N/A
September 2018
9/24/2018
0.1041
0.1675
14.2
N/A
<6.02
NIA
N/A
N/A
NIA
N/A
8
12.7
N/A
October 2018
10/12/2018
0.0663
0.0977
12.4
<40
<5.75
<1
<1
<1
<3
<5
1.05
11.9
N/A
November2018
NJ5
0
0
N/5
N/5
N/5
N/5
N/5
N/S
NIS
N/5
NA
N/5
NIS
December 2018
NJ5
0
0
NJ5
N/5
N/5
N/S
N/5
NJS
N/5
lv/5
NJ5
N/5
N/5
January 2019
1/2/2019
0.0949
0.1675
5.73
<40
<5.88
<1
<1
<1
<3
<5
4.69
5.42
>90
February 2019
2/25/2019
0.1151
0.1675
5.59
N/A
<5.81
N/A
N/A
N/A
N/A
N/A
4.25
10.4
N/A
March 2019
NJ5
0
0
NA
N/5
N/5
N/S
NJ5
N/5
N/5
N/5
NJ5
NA
N/S
April 2019
NJ5
0
0
Ng
N/5
N/S
N/S
N/5
N/5
NIS
N/S
NJ5
NA.
NIS
May 2019
N/5
0
0
NA
N15
N/5
NIS
N/5
N/5
N/S
N/5
NJ5
N/5
N/5
June 2019
6/10/2019
0.1276
0.1675
17.2
<40
<5.62
<1
<1
1.44
<3
<5
1.63
9,94
N/A
July 2019
N/5
0
0
N/5
N/5
N/5
N/5
N/S
N/5
N/5
N/5
N/5
N/5
N/5
August 2019
B/5/2019
0.0558
0.0698
11.5
<40
<5.81
<1
<1
<1
<3
<5
1.27
13.7
N/A
September 2019
N/5
0
0
N/S
N/5
NA
N/5
N/S
NA
N/5
N/5
N/5
N/5
N/5
October 2019
N/5
0
0
N/5
N/S
N/S
N/S
NA
NJ5
N/5
NIS
HIS
N/5
N/5
November2019
11/4/2019
0.0628
0.0837
16.3
<40
<5.75
<1
<1
<1
<3
<5
<1
17.4
N/A
December 2019
N/5
0
0
N/5
N/S
N/5
N/5
N/5
NJS
N/5
N/5
N/S
N/5
_1
N/S
January 2020
1/6/2020
0.0863
0.1675
8
<40
<5.56
<1
<1
<1
<3
<5
8.14
12.1
>90
February 2020
2/5/2020
0.1248
0.1675
7.9
N/A
<5.75
N/A
N/A
N/A
N/A
N/A
5.02
8.51
N/A
March 2020
NIS
0
0
N/S
N/5
NJS
NJS
N/5
N/5
N/5
_
N/5
NIS
N/5
N/5
April 2020
N/5
0
0
N/5
N/S
N/5
N/S
NJ5
NJ5
N/5
N/5
N/5
N/5
N/S
Greensboro Breakout Facility 0utfall001

Analysis Results with Units
Monthly
Average Flow
(MGD}
Daily Max.
Discharge
(MGD)
T55 .
[mq/L)
Total41/14,
Recoverable
Phenolics
(pg/L]
❑iE and
Grease
(me L)
Benzene
(pg1L)
Ethy I isenzene
{pg/Ll
Toluene
{Jtg/L}
Mylrnps
({sg/L}
Naphthalene
[µg/L}
MTBE
(iJL]
Turbidity
(NW)
Acute Toxicity
• jyt 1 ,,
Month/Year
Sampling Date
July 2020
N/5 0 ..
Ni'S
N/S
N/5
N/5
N/S
.. J/5
NIS
N/5
August 2020
8/17/2020
0.1012
0.1575
13
<40
<5.32
<1
<1
<1
<3
<5
2.19
10.1
N/A
September 2020
N/5
0
0
N/5
N/5
N/S
N/5
N/5
N/5
N/5
N/S
N/5
N/S
N/5
October 2020
N/S
0
0
N/5
N/S
N/S
N/5
N/S
N/S
N/5
N/S
N/S
NIS
N/S
November 2020
11/2/2020
0.1296
0.1675
13.3
<40
<5.56
<1
<1
<1
<3
<5
1.44
12
N/A
December 2020
12/3/2020
0.1308
0.1675
6.9
N/A
<5.68
N/A
N/A
N/A
N/A
N/A
4.57
6
N/A
January 2021
1/4/2021
0.0735
0.0907
6.7
<40
<5.68
_ <1
<1
41
43
<5
15.7
5.69
N/A
Number pt Analyses
59
59
21
15
21
15
15
15
15
15
21
19
4
Long -Term Average Daily Discharge
0.0354
14.07
20
30.14
0.5
0.5
0.929
1.53
2.5
3.579
12.92
Maximum Monthly Discharge
0.1627
0.1675
29.8
<40
<6.63
<1
<1
1.44
<4
<5
15.7
22.1
>90
NOTES:
1. In calculating Long Term Average Daily Discharges, 1/2 of the M❑L was used for those results that were below detection limits.
2. The maximum daily discharge that occurred during the month for which the result was reported.
3. The maximum total monthly discharge reported From 2016. 2021
MG D - mllllion gallons per day
Reported analyses are shown as BOLD.
N/A - Not analyzed. Not required In previous permlt.
N/5 - No discharge this month, so not sample collected.
mg/L milligrams per liter
pg/L - micrograms per liter
Greensboro Breakout Facility Outfall 001

GREENSBORO BREAKOUT TANK FARM - OUTFALL 002 - NPDES Permit 4 0051161
Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021
Analysis Results with Units
Mpnthly
Average Flow
(MGO]
Daily Max
Discharge
(MGM
T55
NA)
Total
Recoverable
Phenolics
(}l>i/L}
Oil and
Grease
(ml/L]
Benzene
(µg/L]
Ethylbenzene
{µ8/L}
Toluene
(µg/L] _
Xylenes
y.fig/Lj
Naphthalene
(i<JL]
MTBL
tg/Ll
Turbidity
RIM
Amine
(94 Mortailty(
NIA
Mori hJYear
Sampling Date
March 2016
3/2/2016
0.0749
G.64
5.3
N/A
N/A
e1
N/A
c5
N/A
N/A
cl
N/A
April 2016
4/1/2016
0.0623
0.807
4.7
<40
<5.62
<1
<1
<5
<3
<5
<1
N/A
N/A
May2016
5/4/2016
0.305
1.7315
18.4
N/A
N/A
<1
N/A
<5
N/A
N/A
e1
N/A
a100
lune 2016
6/3/2016
0.1148
0.7797
20
N/A
N/A
<1
N/A
<5
N/A
N/A
1.78
N/A
N/A
July 2016
7/1/2016
0.0872
0.56
5 _
<40
<6.25
<1
<1
<5
<3
<5
<1
N/A
N/A
August 2016
8/1/2016
0.1083
0.56 _
13.8
N/A
N/A
<1
N/A
<5
N/A
N/A
<1
N/A
N/A
September 2016
9/2/2016
0A098
0.3456
43.5
N/A
N/A
<1
N/A
<5
N/A
WA
1.39
48,3
N/A
October 2016
10/3/2016
0.1794
2.03
20.6
_ <40
<5.88
<1
<1
<5
<3
<5
1.73
18
N/A
November 2016
11/26/2016
0.0158
0.1046
4.72
N/A
<5.78
<1
NIA
c5
N/A
N/A
1.47
7.5
N/A
December 2016
12/1/2016
0.0352
0.327
9.4
N/A
<5.26
e1
N/A
<1
N/A
WA
e1
8.68
N/A
January 2017
1/4/2017
0.1023
0.7857
<2.5
<40 _
<5.86
<1
<1
<1
<3
<5
<1
4.93
a90
February 2017
2/3/2017
0.0113
0.0641
4.34
N/A
<6.25
<1
NIA
<1
N/A
WA
1.15
5.47
N/A
March 2017
3/6/2017
0.0449
0.3163
6.6
N/A
<5.81
<1
N/A
<1
N/A
WA
e1
8.5
N/A
Apnl 2017
4/6/2017
0.1058
0.8353
18
<40
<6.25
<1
<1
<1
<3
<5
<1
11.8
N/A
May 2017
5/5/2017
1.303
4.5763
15.4
N/A
<6.41
<1
NIA
<1
N/A
N/A
<1
16
N/A
Tune 2017
6/13/2017
0.1714
1.0007
19
N/A
<6.25
<1
NIA
<1
N/A
N/A
<1
25.1
N/A
July 2017
7/21/2017
0.0139
0.0937
6.57
<40
<5.95
<1
<1
<1
e3
<5
<1
16.7
N/A
August 2017
8/8/2017
0.0334
0.1776
17.4
N/A
<5.32
<1
N/A
<1
N/A
N/A
<1
8.55
N/A
September 2017
9/5/2017
0-0583
0.4144
10.1
N/A
<5.62
<1
NIA
<1
N/A
N/A
<1
7.02
N/A
October2017
10/8/2017
0.0563
0.3575
12
<40
<5.81
<1
<1
<1
<3
<5
<1
12
N/A
November 2017
11/1_/2017
0.0212
0.1921
9-56
WA
<5.62 _
<1
N/A
<1
N/A
NLA
1.23
15
N/A
December 2017
12/11/2017
0-0289
0-205
6.2
NIA
<5.56
<1
N/A
<1
N/A
WA
1.77
8.22
N/A
January 2018
1/16/2018
0.0859
0.5617
4.2
<40
<5.56
<1
<1
<I
<3
<5
2.51
9.55
N/A
February 2018
2/5/2018
0.0778
0.4913
5.75
N/A
<5.62
<1
N/A
<1
N/A
N/A
<1
16.1
<90
March 2018
3/2/2018
0.0935
0-3782
11.7
N/A
<5.56
<I
N/A
<1
WA
N/A
<L
10.7
N/A
April 2018
4/11/2018
0.0923
0.8878
12.8
83.9
<5.75
<1
<1
<1
c3
<5
1.23
16.5
N/A
May 2018
5/18/2018
0.0585
0.3119
13.8
N/A
<5.49
<1
N/A
_
<1
N/A
N/A
e1
16.4
N/A
lure 2018
6/4/2018
0.0584
0.4378
16.4
N/A
<5.75
<1
N/A
<1
N/A
NIA
<1
20
N/A
July 2018
7/25/2018
0-0961
0.8143
18
<40
<5.62
<1
<1
<1
<3
<5
<1
16.5
WA
August2018
8/3/2018
0.178
1.281
15.2
N/A
<6.02
<1
N/A
<1
_
N/A
N/A
<1
17.6
N/A
September 2018
9/5/2018
0.1553
1.292
I0.5
N/A
<5.88
<1
N/A
<1
N/A
N/A
<1
24.6
N/A
October2018
10/1/2018
0.108
1-331
6.95
<40
<5.75
<1
<1
<1
<3
<5
<1
23.2
N/A
November 2018
11/1/2018
0.1499
0.8275
5.89
N/A
<5.49
<1
N/A
<1
N/A
NIA
<1
9.43
N/A
December2018
12/3/2018
0.1154
0.5469
2.5
N/A
<5.75
<1
N/A
<1
NIA
N/A
1.61
5.76
N/A
January 2019
1/2/2019
0.1089
0.4948
4.08
<40
<5.81_
<1
<1
<1
<3
<5
2.85
6.32
>90
February2019
2/15/2019
0.1433
0.9365
<2.5
N/A
<5.61
<1
N/A
<1
N/A
N/A
1.45
3.99
N/A
March 2019
3/5/2019
0.0979
0.4156
4.2
N/A
<5.95
<1
N/A
e1
N/A
N/A
1.03
7.26
N/A
Ault 2019
4/8/2019
0.0943
0.4359
5.79
<40
<5.88
<1
<1
<1
<3
c5
1.79
_
9.3
N/A
May 2019
5/8/2019
9-036
0.2866
<5
N/A
<5.49
<1
N/A
<1
N/A
N/A
<1
15.7
N/A
lune 2019
6/7/2019
0.0932
1.044
3.2
N/A
<5.38
<1
N/A
<2
N/A
N/A
<1
6.95
N/A
July 2019
7/17/2019
0.0997
0.7239
11
<40
<5.56
<1
<1
<1
<3
<5
<1
12.3
N/A
August2019
8/5/2019
0.1476
0.7082
17.3
N/A
<5.81
<1
N/A
<1
N/A
WA
<1
24.1
N/A
September2019
9/4/2019
0.02868
0A044
20.6
WA
<5.75
<1
NIA_
<1
N/A
NIA
<1
25A
N/A
October 2019
10/11/2019
0.1029
0.7674
17.3
e40
<5.68
<1
<1
<1
<3
<5
<1
21.3
N/A
November 2019
11/4/2019
0.0695
0.352
10.9
WA
<5.75
<1
N/A
<1
N/A
N/A
<1
19A
N/A
December 2019
12/2/2020
0.1058
0.6471
12.1
N/A
<5.26
<1
N/A_
<1
N/A
_
N/A
<1
21.5
N/A
January 2020
1/6/2020
0.1144
0.4258 _
9.26
<40
<5.56
<1
<1
<1
<3
e5
e1
6.99
a90
February2020
2/5/2020
0.1646
1.683
2.5
N/A
<5.81
<1
N/A
<1
N/A
NIA
<1
12.7
WA
March 2020
3/5/2020
0.3096
1A09
7.5
N/A
<5.49
<1
N/A
<1
N/A
N/A
<1
10.5
N/A
Aprll 2020
4/16/2020
0.0645
0.9623
18.8
57.6
<5.75
<1
<1
<1
<3
<5
<1
24.2.
64/0
Greensboro Breakout Facility 0 utfai1002

Analysis Results with [Jolts
Monthly
Average FkOw
. .161§B.)
Daily Max
Discharge
IMGDI
T55
}mgjLl
Total
Recoverable
Phenolics
[WL]
Oil and
Grease
[mg/L)
Benzene
Ipk/Ll
Ethylbenxene
(pg/L)
Toluene
(ikJLI
xyl en es
(WO
Naphthalene
fpg/L)
MT8E
Iytg/L}
Turbidity
INTLI
Acute Toxicity
.(%AgplpHty
Month/Year
Sampling Date
Flay 2020
5/4/2020
0.2067
1.483
4.6 NIA
•.......-. .. N/A
<1
N/A
N/A
<1
11.6
N/A
June 2020
6/2/2020
0.0619
0.4611
10.6
N/A
<5.81
e1
N/A
<1
N/A
N/A
<1
13.4
N/A
July2020
7/15/2020
0.0213
0.1845
737
<40
<5.44
<1.
<1
<1
<3
<5
<1
6.02
N/A
August 2020
8/13/2020
0.1562
0.8345
17.2
N/A
<5.56
c1
N/A
<1
N/A
N/A
<1
19
N/A
September 2020
9/9/2020
0.1566
1.1852
12.7
N/A
<5.26
<1
N/A
e1
N/A
N/A
<1
16.7
N/A
October 2020
10/2/2020
0.1445
1.316
18
<40
<5.49
<1
<1
<1
<3
<5
<1
16.3
N/A
November 2020
11/2/2020
0.1485
1.774
9
N/A
<5.56
<1
le/A
<1
N/A
N/A
<1
10.5
N/A
December 2020
12/3/2021
0.1264
1.132
4.8
N/A
<5.49
<1
NIA
<1
N/A
N/A
<1
6.7
N/A
January 2021
1/4/2021
0.0881
0.4074
5.5
<40
<5.68
<1
c1
<1
<3
<5
<1
9.69
N/A
Ntinber of Analyses
59
59
59
20
54
59
20
59
20
20
59
53
5
Long -Term Average Daily Discharge
0.1272
10.68
25.075
5.706
0-5
0-5
0.805
1.5
2.5
0.770
14.07
Maximum Monthly Discharge
1.303
4.5763
20.6
83.9
<6.24
<1
<1
<5
<3
<5
2.85
48.3
>100
In calculating Long Term Average Daily Discharges, 1/2 of the MDL was used for those results that were below detection limits.
MGD - milllion gallons per day
Detections are shown as BOLD.
N/A- Not analy0ed. Not required in previous permit.
mg/L milligrams per liter
µg/L - micrograms per liter
Greensboro Breakout Facility Outfall 002

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approval 115N5115
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 LOCATION (40 CFR 122.21(g)(1))
1.1
Cutfall Location
Provide information on each of the facility's outfalls in the table below.
Outfall
Number
001
Receiving Water Name
UT to East Fork Deep River
Latitude
36` 4' 22.19" N
Longitude
-79° 55' 40.41" W
002
UT to East Fork Deep River
36° 41 ' 23.63" N
-79° 55' 27.72" W
SECTION 2. LINE DRAWING (40 CFR 122.21(g)(2))
2.1
� 3
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.)
❑� Yes ❑ No
SECTION 3. AVERAGE FLOWS AND TREATMENT (40 CFR 122.21(g)(3))
3.1
For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
'Outfall Number** pp1
Operations Contributing to Flow
Operation
Stormwater from Tank Containment Dike F/overland flow
Average Flow
0.0354 mgd
mgd
mgd
mgd
Treatment Units
Description
(include size, flow rate through each treatment unit,
retention time, etc.)
Settling Basin (0.0608 NI GD)
Code from
Table 2C-1
Final Disposal of Solid or
Liquid Wastes Other Than
by Discharge
EPA Form 3510.2C (Revised 3-19)
Page 1

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05119
OMB No. 2040-0004
Average Flows and Treatment Continued
3.1
cont.
**Duffel! Number** 002
O •erations Contributin
• to Flow
Operation
Average Flow
Stormwater from Tank Containment Dikes A - E/overland
0.1272 mgd
mgd
mgd
mgd
Treatment
Units
Description
(include size, flow rate through each treatment unit,
retention time, etc.)
Code from
Table 2C-9
Final Disposal of Solid or
Liquid Wastes Other Than
by Discharge
Equilization Pool / Carbon Filtration (0.0254 MGD)
2-A
Carbon offsite by 1 etrasoly
Settling Basin (0.1272 MGD)
1-U
**Outfall Number**
Operations Contributing
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
d
rn =
3.2
Are
•
you applying for an NPDES permit to operate a privately owned treatment works?
Yes 0 No 4 SKIP to Section 4.
3.3
Have
■
you attached a list that identifies each user of the treatment
Yes
•
works?
No
EPA Form 3510.2C {Revised 3.19)
Page 2

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
SECTION 4. INTERMITTENT
FLOWS (40 CFR 122.21(g)(4))
Except for storm runoff, leaks, or spills, are any discharges described
❑ Yes
r
in Sections 1 and 3 intermittent or seasonal?
No 4 SKIP to Section 5.
4.1
ati
u4
.....
P
c
4.2
Provide information on intermittent or seasonal flows for each applicable outfall. Attach additional pages, if necessary.
Frequency
Flow
Rate
Outfall
Number
Operation
(list)
Average
DayslWeek
Average
MonthsfYear
Long -Term
Average
Maximum
Daily
Duration
days/week
months/year
mgd
mgd
days
d .ysAveek
months/year
mgd
mgd
days
d.
mgd
days
d.ys/week
months/year
mgd
mgd
days
mgd
days
d.ysAveek
months/year
mgd
mgd
days
d .
j
mgd
days
daysAveek
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
SECTION
5. PRODUCTION
(40
CFR 122.21(g)(5))
5.1
Do any effluent
0 Yes
limitation guidelines
(ELGs) promulgated
by EPA under Section
❑r No 4
304 of the CWA apply to your facility?
SKIP to Section 6.
cn
w
R
U
0.
Q
5.2
Provide the following information on applicable ELGs.
ELG Category
ELG Subcategory
Regulatory Citation
c
❑
5.3
Are any of the applicable ELGs expressed in terms of production
0 Yes
•
(or other measure of operation)?
No 4 SKIP to Section 6,
fq
-a
d
N
MI
Co
7
O
I
5.4
Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
O tfall
Number
Operation, Product, or Material
Quantity per Day
Unit of
Measure
EPA Form 3510-2C (Revised 3-19)
Page 3

EPA Identification Number
NCl/093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
SECTION 6. IMPROVEMENTS
(40 CFR 122.21(06))
6.1
Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes []r No 4 SKIP to Item 6.3.
6.2
Briefly identify each applicable project in the table below.
E
Affected
1 Final Compliance Dates
t
o
Brief Identification and Description of
Project
Outfalls
(list outfall
number)
Source(s) of
Discharge
Required
Projected
E—
—
— -
--
N
co
ii7
a
m
6.3
Have you attached sheets describing any
that may affect your discharges) that you
❑ Yes
additional water pollution control programs
now have underway or planned? (optional
■ No
item)
J
(or other environmental projects
Not applicable
SECTION
7. EFFLUENT
AND INTAKE CHARACTERISTICS (40 CFR 122.21(9)(7))
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
7.1
Are you requesting a waiver from your NPDES permitting authority
your outfalls?
• Yes 15I
for one or more of the Table A pollutants for any of
No 4 SKIP to item 7.3.
7.2
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
N
U
`
7.3
Have
requested
you completed monitoring for all Table A pollutants at each
and attached the results to this application package?
Yes
•
of your outfalls for which a waiver has not been
No; a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
C6
U
Table B.
Toxic Metals, Cyanide, Total Phenols, and Organic Toxic
Pollutants
,L,
CO
C
7.4
Do
listed
•
any of the facility's processes that contribute wastewater fall
in Exhibit 2C-3? (See end of instructions for exhibit.)
Yes
SI
into one or more of the primary industry categories
No 4 SKIP to Item 7.8,
a
,,
7.5
Have you checked "Testing Required" for all toxic metals, cyanide,
❑ Yes
•
and total phenols in Section 1 of Table B?
No
7.6
List the applicable primary industry categories and check the boxes indicating the required GC/MS fractions) identified
in Exhibit 2C-3,
Primary Industry Category
Required GC/MS Fraction(s)
(Check applicable boxes.)
❑ Volatile 0 Acid 0 BaselNeutral 0 Pesticide
❑ Volatile 0 Acid 0 Base/Neutral 0 Pesticide
❑ Volatile 0 Acid 0 Base/Neutral 0 Pesticide
EPA Form 3510-2C (Revised 3-19)
Page 4

EPA Identification Number
NC0093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05119
OMB No. 2040-0004
m
Used or Manufactured n Toxics Effluent and Intake Characteristics Continued
a
7.7
Have you checked
GC/MS fractions
"Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the
checked in Item 7.6?
❑ No
■ Yes
7.8
Have you checked "Believed Present' or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
❑r Yes El No
7.9
Have you provided
required or (2)
indicated are
(1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
quantitative data or other required information for those Section 1, Table B, pollutants that you have
"Believed Present" in your discharge?
❑ No
12 Yes
7.10
Does the applicant
Yes 4
qualify for a small business exemption
Note that qualify at the top of Table
then SKIP to Item 7.12.
under the criteria specified in
B,
the instructions?
•you
0 No
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,
I!i 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
r Yes
• No
7.13
Have you completed
indirectly in an
"Believed Present"?
Table C by providing (1) quantitative data for those pollutants that are limited either directly or
ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
❑ No
0 Yes
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated
all outfells?
whether pollutants are "Believed Present" or "Believed Absent' for all pollutants listed in Table D for
❑ No
r Yes
7.15
Have you completed
and (2) by providing
Table D by (1) describing the reasons the applicable pollutants are expected to be discharged
quantitative data, if available?
❑ No
r Yes
Table E. 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (2,3,7,8-TCDD)
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑ No 4 SKIP to Section 8,
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
8. USED
OR MANUFACTURED TOXICS (40 CFR 122.21(g)(9))
8.1
Is any pollutant listed in Table B a substance or a
an intermediate or final product or byproduct?
❑ Yes
component of a substance used or
manufactured at your facility as
9.
121 No 4 SKIP to Section
8.2
List the pollutants below.
1. 4, 7.
2. 5. 8.
3. 6. 9.
EPA Form 3510.2C (Revised 3-19)
Page 5

CDA IAon KF.-e6nn AL,mhnr
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Frrm Annrnuarl111111c/1CI
OMB Na. 2040-0004
SECTION 9. BIOLOGICAL TOXICITY TESTS (40 CFR 122.21(g)(11))
9.1
9.2
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?
❑J Yes
Identify the tests and their purposes below.
❑ No 4 SKIP to Section 10.
Test(s)
Purpose of Test(s)
Submitted to NPDES
Permitting Authority?
Date Submitted
Acute WET Toxicity
Permit Required Annually
❑ Yes ❑ No
See ATTACHMENT for
summary of last 3 years
❑ Yes ❑ No
of submittals for Outfall
001 and Outfall 002.
❑ Yes ❑ No
SECTION 10. CONTRACT ANALYSES (40 CFR 122.21(g)(12))
10.1
10.2
Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
❑r Yes
❑ No -) SKIP to Section 11.
Provide information for each contract laboratory or consulting firm below.
Name of laboratory/firm
Laboratory Number 1
ESC Lab Sciences
Laboratory Number 2
PACE Analytical Laboratory
(purchased ESC Lab Sciences)
Laboratory Number 3
Laboratory address
12065 Lebanon Road
Mount Juliet, TN 31722
12065 Lebanon Road
Mount Juliet, TN 31722
Phone number
[phone]
[phone]
Pollutant(s) analyzed
Turbidity, TSS, Oil & Grease,
Total Phenolics, BTEX,
Naphthalene, MTBE, Acute
Toxicity
Turbidity, TSS, Oil & Grease,
Total Phenolics, BTEX,
Naphthalene, MTBE, Acute
Toxicity, TOC, BOD, COD, Total
Phosphorus, TKN, Ammonia as
N
SECTION 11. ADDITIONAL INFORMATION (40 CFR 122.21(g)(13))
Additional Information
11.1
Has the NPDES permitting authority requested additional information?
❑ Yes
No -4 SKIP to Section 12.
11.2
List the information requested and attach it to this application.
1.
4.
5.
6.
EPA Form 3510-2C (Revised 3-19)
Page 6

EPA Identification Number
NCD093787367
NPDES Permit Number
NCoos1161
Facility Name
Greensboro Breakout Tank Farm
Form Approved 03/05/19
OMB No. 2040-0004
SECTION 12. CHECKLIST AND
CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
below, mark the sections of Form 2C that you have completed and are submitting with your application.
specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
are required to complete all sections or provide attachments.
a
u)
0
ca
c
Lai
12.1
In Column 1
For each section,
that not all applicants
Column 1 Column 2
ZI Section 1: Outfall Location
❑ w/ attachments
2: Line Drawing
0 w/ line drawing
0 Section
■ w/ additional attachments
Section
3: Average Flows and
w/ list of each user of
attachments ❑ privately owned treatment
works
r
■ wl
Treatment
El Section 4: Intermittent Flows
❑ w/ attachments
5: Production
❑ wl attachments
0 Section
0 Section 6: Improvements
attachments
wl optional additional
lbino
• wl
IIIaddeto acy
additionaall pollution control
plans
Section
7: Effluent and Intake
request for a waiver and
information
small business exemption
Table A
Table C
Table E
w/ explanation for identical
wl
supporting
outfalls
• wJ
• wi other attachments
request
❑r w/ Table B
0 wl Table D
0 wl analytical results as an
attachment
0
r wl
Characteristics
1 wl
12 wl
Section
8: Used or Manufactured
CI wl attachments
Toxics
❑ Section 9: Biological Toxicity
Tests
w/ attachments
10: Contract Analyses
❑ w/ attachments
0 Section
11: Additional Information
attachments
1 Section
• w/
Section
12: Checklist and
Statement
attachments
0
• w/
Certification
12.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Jimmy Stamey
Official title
Operations Manager
SignatL
a
Date signed
3 /02 /07 0 r
EPA Form 3510-2C (Revised 3-19)
Page 7

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
0utfall Number
001
Form Approved 03/05119
OMB No. 2040-0004
TABLE A, CONVENTIONAL AND NON
Pollutant
CONVENTIONAL
Waiver
Requested
{if applicable }
POLLUTANTS (40 CFR
Units
{specify)
122.21(g)(7)(iii))'
Effluent
Intake
{Options]
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average Daily
Discharge
(if available)
Number of
Analyses
Long -Term
Average Value
Number of
Analyses
❑
Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
1'
Biochemical oxygen demand
(BODS)
Concentration
mg/L
<2.0
1
Mass
2
Chemical oxygen demand
(COD)
Concentration
mg/L
<25
1
•
Mass
3.
Total organic carbon (TOC)
Concentration
mg/L
<1.0
1
■
Mass
4.
Total suspended solids (TSS)
Concentration
mg/L
29.8
14.07
21
■
Mass
5.
Ammonia (as N)
Concentration
mg/L
<0.10
1
■
Mass
6.
Flow
0
Rate
MGD
0.1675
0.1627
0.0354
59
7.
Temperature (winter)
0
°C
°C
9.1
1
Temperature (summer)
°C
°C
■
8.
pH (minimum)
❑
Standard units
5.u.
7.09
1
pH (maximum)
Standard units
s.u.
•
1 Sampling shall be conducted according to sufficiently sensitive test p ocedures (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 O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 9

ENA Ipentitcanon Number
NCD093787307
NFL/ S h'ermrt Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
DuUall Number
001
Form Approved 03/05f19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
AND ORGANIC TOXIC
POLLUTANTS (40 CFR
122.21(g)(7)(v))1
PollutantiParameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Units
(specify)
Effluent
Intake
(optional)
Believed :
Present
Believed
Absent
Maximum Maximum
pally Monthly
Discharge 1 Discharge
(required) (if available)
Long -Term
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long-
Term
Average
Value
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)
❑
Concentration
■
Mass
1.3
Beryllium, total
(7440-41-7)
0EI
Concentration
■
Mass
1.4
Cadmium, total
(7440-43-9)
Concentration
■
■
■
Mass
1.5
Chromium, total
(7440-47-3)
El
Concentration
■
■
Mass
1 6
Copper, total
(7440-50-8)
Concentration
■
■
r
Mass
1.7
Lead, total
0(7439-92-1)
El
Concentration
0
Mass
1.8
Mercury, total
(7439-97-6)
Concentration
•■
51
Mass
_
1.9
Nickel, total
(7440-02-0)
Concentration
■
■
■
Mass
1'10
Selenium, total
(7782-49-2)
El
Concentration
■
■
Mass
1.11
Silver, total
(7440-22-4)
ElMass
Concentration
■
EPA Form 3510-2C i:Revised 3-19)
Page 11

EPA Identification Number
NC0093787307
NPDES Permit Number
NCOOS116I
Facility Name
Greensboro Breakout Tank Farm
outfall Number
001
Form Approved 0105119
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 122.21(g)(7)(v)p
Units
(specify}
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
pail
Discharge
(if cha e)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
1.12
Thallium, total
(7440-28-0)
❑
❑
Concentration
•
Mass
1.13
Zinc, total
❑
❑
Concentration
•(7440-66-6)
Mass
1.14
Cyanide, total
(57-12-5)
❑
Concentration
•
0
Mass
1.15
Phenols, total
❑
Concentration
mg/L
<40
20
15
i
■
Mass
Section 2. Organic Toxic Pollutants (GC1MS Fraction
—Volatile Compounds)
2.1
Acrolein
(107-02-8)
❑
0
i
Concentration
Mass
2'2
Acrylonitrile
(107-13-1 )
12Mass
Concentration
III I51
2.3
Benzene
(71-43-2)
❑
Concentration
µg/L
<1
0.5
15
Mass
2.4
Bromoform
(75-25-2)
❑
❑
Concentration
0
Mass
2.5
Carbon tetrachloride
(56-23-5)
0
Concentration
■
i
Mass
_
2.6
Chlorobenzene
(108-90-7)
0
0
Concentration
Mass
2.7
Chlorodibromomethane
(124-48-1)
El
Concentration
•
r
Mass
2.8
Chioroethane
(75-00-3)
El
•
igl
Mass
EPA Form 3510-2C (Revised 3-19)
Page 12

EPA Identification Number
NC0093787307
NPUt5 Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Outrall Number
001
Form Approved 03O5/19
0M8 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
{specify}
122.21(9)(7)(01
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
{itavailable}
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2 9
2-chloroethylvinyl ether
(110-75-8)
Concentration
Mass
2.10
Chloroform (67-66-3)
0
El
Concentration
i
Mass
2.11
Dichlorobromomethane
(75-27-4)
❑
�
Concentration
Mass
2.12
11-dichloroethane
Concentration
II
•(75-34-3)
0
Mass
2.13
12-dichloroethane
(107-06-2)
Concentration
Mass
2.14
1,1-dichloraethylene
(75-35-4)
�
Concentration
Mass
215
12-dichlorapropane
(78-87-5)
El
Concentration
•
0
Mass
2.16
1,3-dichloropropyiene
(542-75-6)
Concentration
Mass
217
Ethylbenzene
(100-41-4)
Concentration
l./L
<1
0.5
15
15
Mass
218
Methyl bromide
(74-83-9)
❑
Concentration
Mass
219
Methyl chloride
�
Concentration
•(74-87-3)
Mass
2.20
Methylene chloride
(75-09-2)
❑
Concentration
Mass
2.21
1 1,2 2- tetrachloroethane
0(79-34-5)
Concentration
0
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

EPA identification Number
NCD093787307
NPDES Permit Number
NC0051161
Fadlity Name
Greensboro Breakout Tank Farm
Outfall Number
0D1
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));
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Units
{spedfy}
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
(if available!
Number
of
Analyses
Long _
Term
Average
Value
Number
°#
Analyses
2 z2
Tetracfiloroelfiylene
(127-18-4)
❑
■
•
Concentration
Mass
2.23
Toluene
(108-88-3)
❑
0
■
Concentration
I.gIL
1.44
0.929
15
Mass
2 24
1 2 trans dichloroethylene
(156-60-5)
El
NI
Concentration
Mass
2 25
1,1,1-trichloroethane
{71-55-6;
■
❑
0
Concentration
Mass
2 26
1 1,2-tricnloroethane
{79-00-5)
■
■
17
Concentration
Mass
2 27
Trichloroethylene
(79-01-6)
I:
Et
El
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
❑
■
Concentration
Mass
Section 3. Organic Toxic Pollutants (GC/MS Fraction
—Acid
Compounds)
3.1
2-chlorophenof
(95-57-8)
❑
■
❑
Concentration
Mass
3.2
2 4-dichlorophenol
(120-83-2)
El
•
J
Concentration
Mass
3.3
2 4-dimethylphenol
(105-67-9)
❑
■
■
Concentration
Mass
3.4
4,6-dinitro-o-cresol
(534-52-1)
El
■
ElConcentration
Mass
3.5
2 4-dinitrophenol
(51-28-5;
❑
■
El
Concentration
EPA Form 3510-2C (Revised 3-19)
Page 14

EPA Identification Number
NC7093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
001
Form Approved 03'05/19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
PoIlutantVParameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
Units
{specify}
122.21(07)0))1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
aily
Discharge a
g
(if available)
Number
of
Analyses
Long.
Term
Average
value
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)
Concentration
■
Mass
3.7
4-nitrophenol
(100-Q2-7)
Concentration
Mass
3.8
p-chloro-m-cresol
(59-50-7)
Concentration
0
Mass
3
Pentachlorophenol
(87-86-5)
❑
❑
❑
Concentration
Mass
3.10
Phenol
(108-95-2)
0
Concentration
Mass
3,11
2 4,6-trichlorophenol
(88-05-2)
❑
Concentration
Mass
Section 4. Organic Toxic Pollutants (GC/MS Fraction
—Base !Neutral
Compounds)
4.1
Acenaphthene
0
0(83-32-9)
❑
Concentration
Mass
4'2
Acenaphthylene
(208-96-8)
❑
Concentration
•
MI
Mass
4.3
Anthracene
(120-12-7)
❑
❑
Concentration
12
Mass
4.4
Benzidine
❑
Concentration
•(92-87-5)
Mass
4.5
Benzo (a) anthracene
(56-55-3)
❑
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32-8)
❑
Concentration
II
0
Mass
L
EPA Form 3510-2C (Revised 3-19)
Page 15

EPA Identification Number
NCD093787307
NPDES Permit Number
NCOO51161
Facility Name
Greensboro Breakout Tank Farm
outfall 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
Units
(specify)
122.21(07)(vjj=
Effluent
Intake
(op onal)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)Value
Long -Term
Average
Daily
Discharge
(ifavailableL _
Number
of
Analyses
Lang-
Term
Average
Number
of
Analyses
4'7
3 4-benzofluoranthene
(205-99-2)
0
El
Concentration
0
Mass
4.8
Benz° (ghi) perylene
(191-24-2)
Concentration
Mass
4
Benzo (k) fluoranthene
(207-08-9)
Concentration
Mass
4,10
Bis (2-chloroethoxy) methane
El
Concentration
•(111-91-1)
r
Mass
4.11
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)
El
El
•
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
Concentration
Mass
4 15
Butyl benzyl phthalate
(85-68-7)
El0
El
Concentration
Mass
416
2-chioronaphthalene
(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)
ElConcentration
051
Mass
EPA Form 3510-2C (Revised 3-19)
Page 16

TABLE
EPA Identification Number
NCD093787307
B. TOXIC METALS, CYANIDE,
NPDES Permit
NCO051161
TOTAL PHENOLS,
Number
AND ORGANIC
Facility Name
Greensboro Breakout Tank Farm
TOXIC POLLUTANTS (40 CFR
Outfall Number
ooi
122.21(g)(7)(v))1
Form Approved 03/05/19
OMB No.2040-0004
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Discharge
(if availa e)
Number
of
An Analyses
Long -
Term
Average
Value
Number
of
Analyses
4 20
1,2-dichlorobenzene
(95-50-1)
❑
Concentration
III
0
Mass
4
1 3-dichlorobenzene
(541-73-1)
Concentration
•21
Mass
4 22
1 4-dichlorobenzene
(106-46-7)
Concentration
0
Mass
4.23
3 3-dichlorobenzidine
(91-94-1)
❑
ElConcentration
•
Mass
4.24
Diethyl phthalate
(84-66-2)
El
0
©
Concentration
Mass
4 25
Dimethyl phthalate
(131-11-3)
❑
Concentration
Mass
4 26
Di-n-butyl phthalate
(84-74-2)
©
Concentration
Mass
4 27
2 4-dinitrotoluene
(121-14-2)
0
Concentration
Mass
4.28
2 6-dinitrotoluene
(606-20-2)
El
0
Concentration
Mass
4 29
Di-n-octyl phthalate
(117-84-0)
Concentration
d
Mass
4.30
1,2-Diphenylhydrazine
(as azobenzene) (122-66-7)
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
❑
0
Concentration
•
Mass
4.32
Fluorene
(86-73-7)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 17

EPA Identdication Number
NCD093787307
NPDES Permit Number
NCD051161
Facility Name
Greensboro Breakout Tank Farm
Ouifell Number
001
Form Approved 03/05/19
OMB No. 2040-0004 •
TABLE
B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
check one)
POLLUTANTS (40 CFR
Units
(specify)
122.21(g)(7)(v))1
E f#lue nt
Intake
(InoInttaake
Pollutant/Parameter
(and CAS Number, if available)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Dischar(if ]
Long -Term
Average
gaily
Discharge
(if available)
Number
of
Analyses
Long-
Term
AValuee
Number
of
Analyses
4.33
Hexachlorobenzene
(118-74-1)
❑
•
❑
Concentration
Mass
4.34
Hexachlorobutadiene
(87-68-3)
❑
El
Concentration
Mass
4.35
Hexachlorocyclopentadiene
(77-47-4)
❑
❑
Concentration
Mass
4.36
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
El
Concentration
4.38
Isophorone
(78-59-1)
❑
Concentration
Mass
4.39
Naphthalene
(91-20-3)
❑
❑
Concentration
µg/L
<5
2.5
15
•
Mass
4.40
Nitrobenzene
(98-95-3)
Concentration
Mass
4.41
N-nitrosodimethylamine
❑
Concentration
III
•(62-75-9)
Mass
4.42
N-nitrosodi-n-propylamine
(621-64-7)
Concentration
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
Concentration
�
Mass
~
4,44
Phenanthrene
(85-01-8)
ElConcentration
Mass
4.45
Pyrene
(129-00-0)
El
❑
Concentration
12
Mass
EPA Form 3510-2C (Revised 3-19)
Page 15

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
AND ORGANIC TOXIC
POLLUTANTS (4D CFR
Units
(specify)
122.21(07)(v001
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
(if avalahe}
Long -Term
Average
Daily
DischargDischare e
(if available)
Number
of
Analyses
Long.
Term
AValuee
Number
of
Analyses
4.46
124-trichlorobenzene
(120-82-1)
❑
ElMass
Concentration
Section 5. Organic Toxic Pollutants (GCIMS Fraction
—Pesticides)
5.1
Aldrin
(309-00-2)
❑
Concentration
■
Mass
5.2
a-BHC
(319-84-6)
❑
❑
Concentration
Mass
5.3
R BHC
(319-85-7)
0
Concentration
■
■
Mass
5.4
V-BHC
(58-89-9)
El
Concentration
•
12
Mass
5'5
5-BHC
(319-86-8)
Concentration
•
■
Mass
5.6
Chlordane
Concentration
•(57-74-9)
■
Mass
5
4 4'-DDT
(50-29-3)
❑
Concentration
■
12
Mass
5.6
4 4'-DDE
(72-55-9)
Concentration
•
■
■
Mass
5.9
4 4'-DDD
(72-54-8)
❑
0
Concentration
Mass
5.10
Dieldrin
El
El(60-57-1)
Concentration
0
Mass
511
a-endosulfan
(115-29-7)
Concentration
0
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

EPA Identification Number
NCQ093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
Outfall 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
Units
(specify)
122.21(07)(W
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
{if available}
Long -Term
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
5.12
3-endosulfan
(115-29-7)
❑
Concentration
Mass
5'13
Endosulfan sulfate
(1031-07-8)
0
Concentration
Mass
514
Endrin
(72-20-8)
❑
Concentration
Mass
5 15
Endrin aldehyde
(7421-93-4)
❑
Concentration
•
0
Mass
516
Heptachlor
(76-44-8)
Concentration
Mass
5.17
Heptachlor epoxide
(1024-57-3)
❑
0
Concentration
MI
Mass
5.18
PCB-1242
(53469-21-9)
❑
Concentration
•
r
Mass
5.19
PCB-1254
(11097-69-1)
❑
Concentration
•
0
Mass
5.20
PCB-1221
(11104-28-2)
❑
0
Concentration
■
Mass
5.21
PCB-1232
(11141-16-5)
❑
0
0
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
D
Concentration
•
Mass
5.23
PCB-1260
(11096-82-5)
❑
Concentration
M
•
Mass
5.24
PCB-1016
(12674-11-2)
❑
Concentration
•
SI
Mass
EPA Form 3510-2C (Revised 3-19)
Page 20

EPA Identification Number
NCD0937873D7
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
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
Units
(specify)
122.21(07)(v))1
Effluent
Intake
pp,i nal)
PollutantiParameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Believed
Present
Believed
Absent
Maximum
Daily
D{reghed}e
Maximum
Monthly
©favalabe]
Long -Term
Average
Daily
Dischargge e
(if available)
Number
of
Analyses
Long-
Term
AValuee
Number
of
Analyses
Toxaphene
5.25 (8001-35-2)
0
0
Concentration
•
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 21

EPA Identification Number
NCD093787307
TABLE C. CERTAIN CONVENTIONAL
Presence
NPDES Permit
NC0051161
AND NON CONVENTIONAL
or Absence
(check one)
Number Facility
Greensboro
POLLUTANTS
Name
Breakout Tank Farm
(40 CFR 122.21(g)(7)(vi))1
Dutfall Number I
001 1
Effluent
Form Approved 03105l19
OMB No. 2040-0004
Intake
(Optional)
Pollutant
Believed
Present
Believed
Absent
Units
(specify)
Maximum Daily
I Discharge
(required;
Maximum
Monthly
Discharge
(if available)
Long -Term
Average Daily
Discharge
(if available)
Number of
Analyses
Long -Term
Average
Average
Value
Number of
Analyses
❑
IN
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
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"
each pollutant.
column of Table C for
column of Table C for
1
,
Bromide
(24959-67-9)
❑
❑
Concentration
Mass
2.
Chlorine, total
residual
ElMass
12
Concentration
3.
Color
0
Concentration
Mass
4.
Fecal coliform
•
0
Concentration
Mass
5
Fluoride
(16984.48-8)
II
151
Concentration
Mass
6
Nitrate -nitrite
11
0
Concentration
Mass
7'
Nitrogen, total
organic (as N)
El
Concentration
Mass
8.
Oil and grease
0
0
Concentration
mg/L
<6.63
30.14
21
Mass
9'
Phosphorus (as
P)51
, total (7723-14-0)
Concentration
Mass
10.Sulfate
(as SO4)
(14808-79-8)
•
0
Concentration
Mass
11.
Sulfide (as S)
IDConcentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 23

TABLE
EPA Identification Number
NCD093787307
C. CERTAIN CONVENTIONAL
Pollutant
Presence
NPDES Permit
NC0051161
AND NON CONVENTIONAL
or Absence
(check one)
Number Facility
Greensboro
POLLUTANTS
Units
(specify)
Name
Breakout Tank Farm
(40 CFR 122.21(g)(7)(vi))1
Outfall Number
001
Form Approved 03075/19
OMB No. 2040-0004
Intake
(Optional)
Effluent
Believed
Present
Believed
Absent
Maximum Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average Daily
Discharge
(if available)
Number of
Analyses
Long -Term
Average
Value
Number of
Analyses
17
Sulfite (as SO3)
(14265-45-3)
C
©
Concentration
Mass
13.
Surfactants
0
Concentration
■
Mass
14.Aluminum,
total
(7429-90-5)
Concentration
■
0
Mass
15.Barium,
total
(7440-39-3)
❑
Concentration
0
Mass
16
Boron, total
(7440-42.S)
D
Concentration
•
Mass
17
Cobalt,total
(7440-48-4)
Concentration
•0
Mass
18
Iron total
(7439-89-6)
Concentration
•0
Mass
19.Magnesium,
total
(7439-95-4)
Concentration
•
r
Mass
20.
Molybdenum,
total
(7439-98-7)
Concentration
■
J
Mass
21
Manganese, total
(7439-96-5)
Concentration
Mass
22
Tin total
(7440-31-5)
Concentration
•
NI
Mass
23,Titanium,
total
(7440-32-6)
Concentration
■
NI
Mass
EPA Farm 3510-2C (Revised 3-19)
Page 24

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
TABLE C. CERTAIN CO VENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.21(g)(7)(vi))3
Pollutant
24, Radioactivity
Presence or Absence
(check one)
Believed
Present
Alpha, total
Beta, total
Radium, total
Units
Believed (specify)
Absent
Outfall Number
001
Effluent
Maximum Daily
Discharge
(required)
Form Approved 03r05119
OMB No.2040-0004
Intake
(Optional)
Maximum Long -Term
Monthly Average Daily
Discharge Discharge
(if available) (if available)
Concentration
Number of
Analyses
Long -Term
Average
Value
Number of
Analyses
Mass
❑ 0
Concentration
Mass
r❑
Concentration
Mass
Radium 226, total ❑ [�
Concentration
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter NI or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 25

EPA Identification Number
NCD093787307
NPDES Permit Number
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
Form Approved 034)5119
OMB No. 2040-0004
TABLE
1.
D. CERTAIN HAZARDOUS SUBSTANCES
Pollutant
AND ASBESTOS (40 CFR 122.21(g)(7)(vii))1
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
—
Asbestos
❑
r
2.
Acetaldehyde
0
r
Allyl alcohol
0
■
Ally! chloride
❑
0
Amyl acetate
0
■
6.
Aniline
■
!A
7.
Benzonitrile
❑
r
8.
Benzyl chloride
■
r
9.
Butyl acetate
0
■
10.
Butylamine
0
■
11.
Captan
0
■
12.
Carbaryl
0
■
13.
Carbofuran
0
■
14.
Carbon disulfide
0
0
15.
Chlorpyrifos
■
r
16.
Coumaphos
0
■
17.
Cresol
0
0
18.
Crotonaldehyde
0
151
19.
Cyclohexane
■
151
EPA Form 3510-2C (Revised 3-19)
Page 27

EPA Identification Number
NCO093787307
NPDES Permit Number
Facility Name
Greensboro Breakout Tank Farm
Out -fail Number
Form Approved 03/O5f19
OMB No. 2040-0004
TABLE
D. CERTAIN HAZARDOUS
SUBSTANCES
AND ASBESTOS (40 CFR 122.21(g)(7)(vii))l
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Pollutant
Presence or Absence
{check one}
Believed
Present
Believed
Absent
20.
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
r
21.
Diazinon
❑
r
22.
Dicamba
❑
0
23.
Dichlobenil
❑r
■
24.
Dichlone
❑r
■
25.
2,2-dichioropropionic acid
■
0
26.
Dichlorvos
0
❑r
27.
Diethyl amine
❑
r
28.
Dimethyl amine
■ r
29.
Dintrobenzene
■ 1 r
30.
Diquat
■ r
31.
Disulfoton
■
r
32.
Diuron
0
r
33.
Epichlorohydrin
❑
r
34.
Ethion
■
r
35.
Ethylene diamine
■
r
36.
Ethylene dibromide
■
0
37.
Formaldehyde
■
0
38.
Furfural
■
r
EPA Form 3510-2C (Revised 3-19)
Page 28

TABLE
EPA Identification Number I NPDES
NC00937S7307 11
D. CERTAIN HAZARDOUS SUBSTANCES
Permit Number
NC0051161 Greensboro
AND ASBESTOS (40 CFR 122.21(g)(7)(vii))1
Facility Name
Breakout Tank Farm
Oudall Number
D01
Form Approved 03,05119
OMB No. 2040-0004
Pollutant
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge Available Quantitative Data
Is;.e ,fy �r• Is;
Believed
Present
Believed
Absent
39.
Guthion
❑
r
40.
Isoprene
❑
151
41.
Isopropanolamine
0
151
42.
Kelthane
■
0
43.
Kepone
■
FA
44.
Malathion
❑
151
45.
Mercaptadimethur
1
■
46.
Methoxychlor
■
r
47.
Methyl mercaptan
0
p
48.
Methyl methacrylate
0
0
49.
Methyl parathion
0
■
50.
Mevinphos
0
❑r
51.
Mexacarbate
■
r
52.
Monoethyl amine
■
r
53.
Monomethyi amine
0
■
54.
Naled
0
GI
55.
Naphthenic acid
❑[]r
56.
Nitrotoluene
0
r
57,
Parathion
0
MI
EPA Form 3510-2C [Revised 3-19)
Page 29

TABLE
58.
EPA Identification Number
NCD093787307
D. CERTAIN HAZARDOUS
NPDES
SUBSTANCES
Permit Number
NCD051161
AND ASBESTOS (40
Greensboro
CFR 122.21(g)(7)(vii))1
Facility Name
Breakout Tank Farm
Outfall Number
001
Form Approved 03/05/19
OMB No. 2040.0004
Pollutant
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
Phenolsulfonate
■
r
59.
Phosgene
■
/
60.
Propargite
■
/
61,
Propylene oxide !
❑
0
62.
Pyrethrins
❑
❑r
63.
Quinoline
❑
SI
64,
Resorcinol
■
0
65.
Strontium
■
0
66.
Strychnine
❑r
■
67.
Styrene
■
SI
fib
2,4 5-T (2,4,5-trichlorophenoxyacetic
acid)
❑
•
69.
TEE (tetrachlorodiphenyl ethane)
❑r
■
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
propanoic acid]
❑
❑
71.
Trichlorofon
0
D
72.
Triethanolamine
❑
0
73.
Triethylamine
0
❑J
74.
Trimethylamine
■
12
75.
Uranium
■
p
76.
Vanadium
CI
■
EPA Form 3510-2C (Revised 3-19)
Page 30

TABLE
EPA Identification Number
NCD093787307
D. CERTAIN HAZARDOUS
NPDES
SUBSTANCES
Pennit Number
NC0051161
AND ASBESTOS (40
Greensboro
CFR 122.21(g)(7)(vii))1
Facility Name
Breakout Tank Farm
0utfail Number Farm Approved 03 05/19
001 OMB No. 2040-0004
Pollutant
Presence or Absence
(check one)
Available Quantitative Data
Believed
Present
Believed
Absent
Reason Pollutant Believed Present in Discharge
(specify units)
77.
Vinyl acetate
❑
0
78.
Xylene
❑
0
79.
Xylenol
❑
0
80.
Zirconium
❑
i
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 O. See instructions and 40 CFR 122.21(04
EPA Form 3510-2C (Revised 3-19)
Page 3'

EPA Identification Number
NC0093787307
NPDES Permit Number
NC0051161
Facility Name
Greensboro Breakout Tank Farm
TABLE E. 2,3,7,8 TETRACHLORODIBENZO P DIOXIN (2,3,7,8 TCDD) (40 CFR 122.21(g)(7)(viii))
Pollutant
2,3,7,8-TCDD
TCDD
Congeners
Used or
Manufactured
Presence or
Absence
(check one)
Believed Believed
Present Absent
0
Outfall Number
001
Form Approved 03/D5/19
OMB No. 2040-0004
Results of Screening Procedure
EPA Form 3510-2C (Revised 3-19)
Page 33

This page intentionally left blank.

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
0uttall Number
002
Form Approved 03,05/19
OMB No. 2040-0004
TABLE
A. CONVENTIONAL AND NON CONVENTIONAL
POLLUTANTS (40 CFR
Units
(specdY)
122.21(g)(7)(iii))1
Intake
(Optional)
Pollutant
Waiver
Requeested
(iequ[ste
Effluent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(it available)
Long -Term
Average Daily
Discharge
(if available)
Number of
Analyses
Long -Term
Average Value
Number of
Analyses
❑
Check here if you have applied to your NPDES permitting authonty for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand
(BODs)
•
Concentration
mg/L
<2.0
1
Mass
2'
Chemical oxygen demand
(COD)
■
Concentration
mg/L
<25
1
Mass
3.
Total organic carbon (TOC)
❑
Concentration
mg/L
<1.0
1
Mass
4.
Total suspended solids (TSS)
Concentration
mg/L
20.6
10.68
59
■
Mass
5.
Ammonia (as N)
Concentration
mg/L
<0.10
1
■
Mass
6.
Flow
Rate
MGD
4.5763
1.303
0.1272
59
•
7.
Temperature (winter)
0
°C
°C
9.0
1
Temperature (summer)
°C
°C
■
8.
pH (minimum)
0
Standard units
s.u.
7.15
1
pH (maximum)
❑
Standard units
s.u.
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 9

EPA Identification Number
NCD093787307
NPDES Perrnil Number
NC000079 5
Facility Name
Greensboro Breakout Tank Farm
Outtal! Number
002
Form Approved 03/05119
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR 122.21(07)(01
PollutantlParameter
(and CAS Number, if available)
Testing
Required
Presence or Absence
(check one)
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
(f available)
Number
of
Analyses
Lang-
Term
Average
Value
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)
El
Concentration
••
Mass
1.2
Arsenic, total
(7440-38-2)
0
Concentration
■
Mass
1.3
Beryllium, total
(7440-41-7)
Concentration
Mass
1.4
Cadmium, total
(7440-43-9)
Concentration
1
■
!�
Mass
1.5
Chromium, total
(7440-47-3)
011
Concentration
Mass
1.6
Copper, total
(7440-50-8)
Concentration
■
f
Mass
1.7
Lead, total
0(7439-92-1)
Concentration
■
Mass
1.8
Mercury,total
(7439-97-6)
Concentration
Mass
1.9
Nickel, total
(7440-02-0)
❑
Ei
Concentration
•
Mass
1.10
Selenium, total
(7782-49-2)
El
Concentration
■
12
Mass
1.11
Silver, total
(7440-22-4)
Concentration
•
■
Mass
EPA Form 3510-2C (Revised 3-19)
Page 11

tF'a Idenuncaton Number
NCD093787307
NPDES Permit Number
NC0000795
Faality Name
Greensboro Breakout Tank Farm
Outfell Number
002
Form Approved 0105!19
OMS 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
(specify)
122.21(g)(7)(v))l
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
Of available)
Number
of
Analyses
Long- Number
Term
Average of
Analyses
Value
1.12
Thallium, total
(7440-28-0)
0
Concentration 1
II
Mass
1.13
Zinc, total
(7440-66-6)
Concentration
Mass
1,14
Cyanide, total
(57-12-5)
0
Concentration
Mass
1.15
Phenols, total
Concentration
mg/L
83.9
25.07
20
Mass
Section 2. Organic Toxic Pollutants (GCIMS Fraction
—Volatile Compounds)
21
Acrolein
(107-02-8)
Concentration
0
Mass
2'2
Acrylonitrile
(107-13-1)
ID
Concentration
II
r
Mass
2.3
Benzene
(71-43-2)
0
❑
Concentration
µg/L
<1
0.5
59
Si
Mass
2 4
Bromoform
(75-25-2)
ID
Concentration
f
Mass
2 5
Carbon tetrachloride
(56-23-5)
Concentration
Mass
2 5
Chlorobenzene
(108-90-7)
Concentration
Mass
2 7
Chlorodibromomethane
(124-48-1)
0
Concentration
Mass
2.8
Chloroethane
(75-00-3)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 12

EPA Identificalion Number
NCd093787307
NPDES Permit Number
NCO000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
PollutantlParameter
(and CAS Number, if available)
TOTAL PHENOLS,
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
Discharge
Long -Term
Average
Daily
Discharge '
(if availaole)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2.9
2-chlaroethylvinyl ether
(110-75-8)
Concentration
■
■
Mass
2.10
Chloroform (67-66-3)
El
0
Concentration
0
Mass
2.11
Dichlorobromomethane
(75-27-4)
El
El
Concentration
II
Mass
•
212
11-dichloroethane
(75-34-3)
Concentration
■
■
Mass
213
1,2-dichloroethane
(107-06-2)
Concentration
■
■
■
Mass
214
11-dichloroethylene
(75-35-4)
El
El
Concentration
■
Mass
215
12-dichloropropane
(78-87-5)
El
Concentration
III
■
Mass
216
1,3-dichloropropyiene
(542-75-6)
❑
Concentration
Mass
217
Ethylbenzene
(100-41-4)
El
❑
Concentration
µ I_
c1
0.5
20
20
0
Mass
218
Methyl bromide
(74-83-9)
�
ID
Concentration
■
Mass
219
Methyl chloride
(74-87-3)
El
El
Concentration
0
Mass
2 20
Methylene chloride
(75-09-2)
Concentration
•
■
0
Mass
2.21
1,1,2 2- tetrachloroethane
(79-34-5)
El
IIConcentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
9utfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
PollutantlParameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
{check aney
POLLUTANTS (40 CFR
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
{required}
Maximum
Monthly
Discharge
(if avaiIab1e)
Long -Term
Average
aily
Dischar a
g
(if available;
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
2.22
Tetrachloroethylene
(127-18-4)
❑
■
El
Concentration
Mass
2.23
Toluene
(108-88-3)
SI
■
❑
Concentration
µg/L
<5
0.805
59
Mass
2.24
1 2-trans-dichioroethylene
(156-60-5)
•■
■
0
Concentration
Mass
2.25
1 1,1-trichloroethane
•■
0(71-55-6)
0
Concentration
Mass
2.26
11,2-trichloraethane
(79-00-5)
•■
❑
El
Concentration
Mass
2.27
Trichloroethylene
(79-01-6)
■
❑
SI
Concentration
Mass
2.28
Vinyl chloride
(75-01-4)
0
0
Concentration
Mass
Section 3. Organic Toxic Pollutants (GC/MS
Fraction
—Acid
Compounds)
31
2-chlorophenol
(95-57-8)
■
■
151
Concentration
Mass
3.2
2,4-dichlorophenol
(120-83-2)
II
■
SI
Concentration
Mass
3.3
2 4-dimethylphenol
(105-67-9)
■
■
7
Concentration
Mass
3.4
4 6-dinitro-c-cresol
(534-52-1)
❑
■
■
Concentration
Mass
3.5
2 4-dinitrophenol
(51-28-5)
❑
0
0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 14

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
0utfall Number
002
Form Approved 03N5/19
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
Units
(specify)
122.21(g)(7)(v))1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
3.6
2-nitrophenol
(88 75 5)
0
❑
Concentration
0
Mass
3.7
4-nitrophenol
(100-02-7)
❑
Concentration
■
'�
Mass
3.8
p-chloro-m-cresol
(59-50-7)
Concentration
■
0
Mass
3.9
Pentachlorophenol
(87-86-5)
❑
❑
❑
Concentration
Mass
3.10
Phenol
(108-95-2)
❑
Concentration
■
■
Mass
3.11
2,4,6-trichlorophenal
(88-05-2)
❑
❑
Concentration
■
Mass
Section 4. Organic Toxic Pollutants (GC1MS Fraction
—Base /Neutral
Com
sounds)
4.1
Acenaphthene
(83-32-9)
❑
Concentration
■
Mass
4.2
Acenaphthylene
(208-96-8)
El
❑
Concentration
■
Mass
4.3
Anthracene
(120-12-7)
❑
Concentration
■
51
Mass
4.4
Benzidine
(92-87-5)
El
❑
Concentration
■
Mass
4.5
Benzo (a) anthracene
(56-55-3)
❑
❑
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32-8)
0
❑
Concentration
•
Mass
EPA Form 3510-2C (Revised 3-19)
Page 15

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03r05/19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
PollutantlParameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (4Q CFR
Units
(specify)
122.21 )(7 (v))l
Effluent
Intake
(optional)
Believed Believed
Present Absent
Maximum
Daily
Dischargeaily
(required)
(e
Maximum
Monthly
Dischargevailab
}
Long -Term I
Average Number
of
Discharge Analyses
(if available)
Long -
Term
AverageValue
Number
of
Analyses
4.7
3 4-benzofluoranthene
(205-99-2)
Concentration
•■
■
12
Mass
4.8
Benzo (ghi) perylene
(191-24-2)
❑
Concentration
■
Mass
4.9
Benzo (k) fluoranthene
(207-08-9)
Concentration
■
■
0
Mass
4.10
Bis (2-chloroethoxy) methane
(111-91-1)
❑
Concentration
■
SI
Mass
4.11
Bis (2-chloroethyi) ether
(111-44-4)
❑
0
Concentration
■
Mass
412
Bis (2-chloroisopropyl) ether
(102-80-1)
Concentration
Mass
4,13
Bis (2-ethylhexyl) phthalate
(117-81-7)
Concentration
■
•
0
Mass
4.14
4-bromophenyl phenyl ether
(101-55-3)
❑
Concentration
Mass
4.15
Butyl benzyl phthalate
(85-68-7)
❑
❑
❑
Concentration
r
Mass
4.16
2-chloronaphthalene
(91-58-7)
ID
Concentration
•
Mass
4.17
4-chlorophenyl phenyl ether
(7005-72-3)
❑
❑
Concentration
■
Mass
4.18
Chrysene
(218-01-9)
❑
El
Concentration
■
419
Dibenzo (a,b) anthracene
(53-70-3)
❑
Concentration
■
•Mass
EPA Form 3510-2C (Revised 3-19)
Page 16

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
0utfall Number
002
Form Approved 03/05/19
OMB No. 2040-0004
Presence or Absence
(check one)
Units
{speafy}
Effluent
Intake
(op cnaIntake
ij
Pollutant/Parameter
(and CAS Number, if available}
Testing
Required
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)Value
Long -Term
Average
Daily
Discharge
(if availablI
Number
Analyses
Long-
Term
Average
Number
Analyses
4.20
12-dichlorobenzene
(95-50-1)
Concentration
Mass
4.21
1 3-dichlorobenzene
(541-73-1)
Concentration
0
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
0
0(84-66-2)
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
©
Concentration
Mass
4.26
Di-n-butyl phthalate
(84-74-2)
Concentration
Mass
4.27
2,4-dinitrotoluene
(121-14-2)
Concentration
Mass
4,28
2 6-dinitrotoluene
(606-20-2)
Concentration
Mass
4.29
Di-n-octyl phthalate
(117-84-0)
Concentration
Mass
4.3i}
1,2-Diphenylhydrazine
(as azobenzene) (122-66-7)
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
Concentration
Mass
4.32
Fluorene
(86-73-7)
Concentration
0
Mass
EPA Form 3510-2C (Revised 3-19)
Page 17

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/05119
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
(specify)
122.21(g)(7)(v))'
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
DischargeDaily
(if available)
Number
Analyses
Lang-
Term
Average
Value
Number
Analyses
4.33
Hexachlorobenzene
0(118-74-1)
Concentration
II0
Mass
4.34
14.35
Hexachlorobutadiene
0
0(87-68-3)
Concentration
®
Mass
Hexachlorocyclopentadiene
(77-47-4)
El
lEl
Concentration
■
Mass
4,36
Hexachloroethane
(67-72-1)
Concentration
■
SI
Mass
4.37
Indeno (1,2,3-cd) pyrene
(193-39-5)
❑
0
Concentration
■
Mass
4.38
Isophorone
(78-59-1)
El
El
El
Concentration
Mass
4.39
Naphthalene
(91-20-3)
El
Concentration
lisle
¢5
2.5
20
■
Mass
4,40
Nitrobenzene
(98-95-3)
Concentration
■
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
❑
El
Concentration
•
Mass
4,42
N-nitrosodi-n-propylamine
(621-64-7)
Concentration
■
Mass
4.43
N-nitrosodiphenylamine
(86-30-6)
El0
Concentration
Mass
4.44
Phenanthrene
0(85-01-8)
Concentration
■
0
Mass
4.45
Pyrene
(129-00-0)
Concentration
■
■
f
Mass
EPA Form 3510-2C (Revised 3-19)
Page 18

EPA Identification Number
N Ct7093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/05f19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE,
PollutantlParameter
(and CAS Number, if available)
TOTAL PHENOLS,
Testing
Required
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
Units
(specify)
122.21(07)(v}}1
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Dischargeof
(required)aily
Maximum
Monthly
Discharge
available)
Long -Term
Average Number
of
Discharge Analyses
(if available)
Long-
Term
AValuee
Number
Analyses
4.46
1 2 4-trichlorobenzene
(120-82-1)
Concentration
Mass
Section 5. Organic Toxic Pollutants (GC/MS Fraction
--Pesticides)
51
Aldrin
(309-00-2)
Concentration
Mass
a-BHCEl
(319-84-6)
Concentration
151
Mass
13-BHC
(319-85-7)
Concentration
Mass
y BHC
(58-89-9)
Concentration
•
•
0
Mass
5-BHC
(319-86-8)
0
0
Concentration
0
Mass
ChlordaneEl
(57-74-9)
0
Concentration
0
Mass
4,4'-DDT
(50-29-3)
Concentration
0
Mass
4,4'-DDE
(72-55-9)
Concentration
0
Mass
4,4'-DD❑
(72-54-8)
Concentration
Mass
Qieldrin
(60-57-1)Mass
0
Concentration
�
0
5.11
a-endosulfan
0(115-29-7)
Concentration
0
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

TABLE
EPA Identification Number
NC17D93787307
B. TOXIC METALS, CYANIDE,
Pollutant/Parameter
(and CAS Number, if available)
NPDES Permit
NC0000795
TOTAL PHENOLS,
Testing
Required
Number
AND ORGANIC
Presence or Absence
{check one)
Greensboro
TOXIC
Facility Name
Breakout Tank Farm
POLLUTANTS (40 CFR
Units
(specify)
0utfall Number
002
122.21( s) 7 (v)p
Effluent
Form Approved 03/05/19
OMB No. 2040-0004
Intake
{optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
[if available]
Long -Term �
Average
Dail
Discharge .
(if available)
Number
of
Analyses
Long
Term
Average
Value
Number
of
Analyses
512
R-endosulfan
(115-29-7)
0
Concentration
Mass
5.13
Endosulfan sulfate
(1031-07-8)
0
Concentration
•
Mass
514
Endrin
(72-20-8)
El
Mass
5.15
Endrin aldehyde
(7421-93-4)
El
Mass
516
Heptachlor
(76-44-8)
Concentration
Mass
5.17
Heptachlor epoxide
(1024-57-3)
❑
Concentration
•
a
Mass
5.18
PCB-1242
(53469-21-9)
Concentration
•
•
0
Mass
5.19
PCB-1254
(11097-69-1)
0
Concentration
•
r
Mass
5.20
PCB-1221
(11104-28-2)
0
❑
Concentration
0
Mass
5.21
PCB-1232
(11141-16-5)
❑
Concentration
•
19
Mass
5.22
PCB-1248
(12672-29-6)
Concentration
•
•
0
Mass
5.23
PCB-1260
(11096-82-5)
0
Concentration
•
r
Mass
5.24
PCB-1016
(12674-11-2)
Concentration
■
■
12
Mass
EPA Form 3510-2C {Revised 3-19)
Page 20

EPA Identification Number
NC D093787307
NPOES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/O5l19
OMB No. 2040-0004
TABLE
B. TOXIC METALS, CYANIDE,
TOTAL PHENOLS,
AND ORGANIC TOXIC
Presence or Absence
(check one)
POLLUTANTS (40 CFR
Units
{specify}
122.21(g)(7)(01
Effluent
Intake
(optional)
PollutantiParameter
(and CAS Number, if available)
Testing
Required
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
aily
Discharge
[if available
Number
of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
Toxaphene
5.25 (8001-35-2)
0
Concentration
•
51
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 1, subchapter N or D. See instructions and 40 CFR 122.21(03).
EPA Form 3510-2C (Revised 3-19)
Page 2.

I EPA Identification Number
NCD093787307
TABLE C. CERTAIN CONVENTIONAL
NPDES Permit
NC0000795
AND NON CONVENTIONAL
Number
POLLUTANTS
Facility
Greensboro
Name
Breakout Tank Farm
(40 CFR 122.21(g)(7)(vi))1
0utfall Number
002
Form Approved 03005!19
OMB No. 2040-0004
Presence or Absence
(check one)
Effluent Intak e
(Optional)
Pollutant
Believed
Present
Believed
Absent
Units
(specify)
Maximum Daily
Discharge
(required)
Maximum
Monthly
Discharge
Of available)
Long -Term
Average Daily
Discharge
(if available)
LAveragrm
Number of Average
Analyses
Value
Number of
Analyses
•
•
Check here if you believe all pollutants on Table C to he 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
I Mass
2.
Chlorine, total
residual
El
El
Concentration
3.
Color•
t0
Concentration
Mass
4.
Fecal coliform
❑
0
Concentration
Mass
S
Fluoride
(16984 48.8)
❑
❑
Concentration
Mass
6
Nitrate -nitrite
■
E
Concentration
Mass
7'
Nitrogen, total
organic (as N)
r
Concentration
Mass
8.
Oil and grease
NI
❑
Concentration
mg/L
<6.24
5.706
54
Mass
9'
Phosphorus (as
P), total (7723-14-0)
Concentration
Mass
14.
Sulfate (as SO4)
(14808-79-8)
❑
Concentration
Mass
11.
Sulfide (as S)
I■
El
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 23

EPA Identification Number
NCD093787307
NPOES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/05/19
OMB No.2040.0004
TABLE C. CERTAIN CONVENTIONAL
Presence
AND NON CONVENTIONAL
or Absence
(check one)
POLLUTANTS
(40 CFR 122.21(g)(7)(vi))1
Effluent
Intake
(Optional)
Pollutant
Believed
Present
Believed
Absent
Units
(specify)
to .
• .
Long•Term
Average Daily
Discharge
(if available)
f
Long -Term
Number of
Analyses Average
Value
J
Number of
Analyses
Sulfite (as SC3)
•
0
Concentration
12
(14265-45-3)
Mass
13.
Surfactants
D
0
Concentration
Mass
14.Aluminum,
total
SI
Concentration
(7429-90-5)
Mass
16,Barium,
total
0
0
Concentration
(7440-39-3)
Mass
total
•
Concentration
16.Boron,
(7440.42-8)
r
Mass
17
Cabalt tots[
0
Concentration
(7440-48-4)
Mass
18.Iron,
total
Concentration
(7439-89-6)
Mass
19.Magnesium,
total
M
0
Concentration
(7439-95-4)
Mass
Molybdenum,
Concentration
20.
total
(7439-98-7)
■
r
Mass
Manganese, total
•
0
Concentration
21,
(7439-96-5)
Mass
22
Tin, total
0
i
Concentration
(7440-31-5)
Mass
Titanium, total
�
NI
Concentration
23
(7440-32-6)
Mass
EPA Form 3510-2C (Revised 3-19)
Page 24

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
TABLE C. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS (40 CFR 122.21(g)(7)(vi)j1
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
24. Radioactivity
Alpha, total
Beta, total
Radium, total
Radium 226. total
El
0
Units
(specify)
Maximum Daily
Discharge
(required)
Outfall Number
002
Effluent
Form Approved 03105/19
OMB No. 2040-0004
Intake
(Optional)
Maximum Long -Term
Monthly Average Daily Number of
Discharge Discharge Analyses
if available if available
Concentration
Mass
Concentration
Long -Term
Average
Value
Number of
Analyses
Mass
Concentration
Mass
Concentration
Mass
'Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19)
Page 25

EPA Identification Number
NCD093787307
TABLE D. CERTAIN HAZARDOUS
NPDES
SUBSTANCES
Permit Number
NC0000795
AND ASBESTOS (40
Presence or Absence
(check one)
Greensboro
CFR 122.21(g)(7)(vii))1
Facility Name 1 Ou faII Number
Breakout Tank Farm 002
Reason Pollutant Believed Present in Discharge
Form Approved 03A5119
OMB No.2040-0404
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
1.
Asbestos
0
0
2.
Acetaldehyde
0
0
3.
Allyl alcohol
■
0
4.
Allyl chloride
0
12
5.
Amyl acetate
0
■
6.
Aniline
0
51
7.
Benzonitrife
■
Igl
8.
Benzyl chloride
0
■
9.
Butyl acetate
■
0
10.
Butylamine
■
0
11.
Captan
■
F4
12.
Carbaryl
❑
IS
13.
Carbofuran
■
r
14.
Carbon disulfide
■
r
15.
Chlorpyrifos
■
r
16.
Coumaphos
❑r
■
17.
Cresol
■
121
18.
Crotonaldehyde
❑
NI
19.
Cyclohexane
■
SI
EPA Form 3510-2C (Revised 3-19)
Page 27

TABLE
EPA Identification Number
NCD093787307
D. CERTAIN HAZARDOUS
Pollutant
NPDES
SUBSTANCES
Permit Number
NC0000795
AND ASBESTOS
Presence or Absence
(check one)
Greensboro
(40 CFR 122,21(g)(7)(vii))'
Facility Name
Breakout Tank Farm
Outfall Number
002
Form Approved 03/05/19
OMB No.2040-0004
Reason Pollutant
Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
20.
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
0
21.
Diazinon
■
151
22.
Dicamba
❑
17
23.
Dichlobenil
❑
151
24.
Dichlone
■
0
25.
2,2-dichforopropionic acid
❑
❑r
26.
Dichlorvos
❑
12
27.
Diethyl amine
❑
r
28.
Dimethyi amine
[]r
■
29.
Dintrabenzene
0
0
30.
Diquat
■
r
31.
Disulfoton
■
p
32.
Duran
0
r
33.
Epichlorohydrin
■
r
34.
Ethion
■
r
35.
Ethylene diamine
■
r
36.
Ethylene dibromide
0
Igl
37.
Formaldehyde
❑r
■
38.
Furfural
0
19
EPA Form 3510-2C (Revised 3-19)
Page 28

TABLE
39.
EPA identification Number
NC0093787307
D. CERTAIN HAZARDOUS
NPDES
SUBSTANCES
Permit Number
NC0000795
AND ASBESTOS (40
Facility Name
Greensboro Breakout Tank Farm
CFR 122.21(g]070iifll
Outfall Number
007
Form Approved 03/05/19
OMB No.2040-0004
Pollutant
Guthion
Presence or Absence
!check one)
Reason Pollutant
Believed Present in Discharge
Available Quantitative Data
{specify units}
Believed
Present
Believed
Absent
0
r
Isoprene
0
IN
Isopropanolamine
0
■
Kelthane
❑
r
Kepone
0
■
Malathion
❑
0
45.
Mercaptodimethur
❑
0
46.
Methoxychlor
0
0
47.
Methyl mercaptan
❑
r
48.
Methyl methacrylate
■
151
49.
Methyl parathion
0
■
/ 50.
Mevinphos
■
r
51.
Mexacarbate
0
0
52,
Monoethyl amine
0
■
53.
Monomethyl amine
0
■
54.
Naled
0
■
55.
Naphthenic acid
❑
0
56.
Nitrotoluene
■
151
57.
Parathion
❑
0
EPA Form 3510-2C (Revised 3-19)
Page 29

EPA Identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
Outfall Number
002
Form Approved 03/05119
OMB No.2040-0004
TABLE
D. CERTAIN HAZARDOUS SUBSTANCES
Pollutant
AND ASBESTOS (40 CFR 12221(g)(7)(vii))1
Presence or Absence
(check one)
Available Quantitative Data
Believed
Present
Believed
Absent
Reason Pollutant Believed Present in Discharge
(specify units)
58.
Phenolsulfonate
0
0
__
59.
Phosgene
0
❑r
60.
Propargite
■
0
61,
Propylene oxide
■
i
62.
Pyrethrins
■
r
63.
Quinoline
■
0
64.
Resorcinol
■
0
65,
Strontium
❑
0
66.
Strychnine
■
0
67.
Styrene
0
0
68
2,4,5-T (2,4,5-trichlorophenoxyacetic
acid)
69.
TDE (tetrachlorodiphenyl ethane)
❑
p
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
propanoic acid]
71.
Trichlorofon
■
0
72.
Triethanolamine
■
0
73.
Triethylamine
■
0
74.
Trimethylamine
■
0
75.
Uranium
■
❑r
76.
Vanadium
■
0
EPA Form 3510-2C (Revised 3-19)
Page 30

EPA Identification Number
NCDD93787307
NPDES Permit Number
NCOOD0795
Facility Name
Greensboro Breakout Tank Farm
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS (40 CFR 12221(g)(7)(vii))1
77.
Pollutant
Presence or Absence
(check ane)
Believed
Present
Vinyl acetate
78.
Xylene
79.
Xylenol
Believed
Absent
❑r
❑r
Outfall Number
002
Reason Pollutant Believed Present in Discharge
CI
80.
Zirconium
Form Approved 03/05/19
OMB No. 2040-0004
Available Quantitative Data
{specify units}
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3-19) Page 31

EPA identification Number
NCD093787307
NPDES Permit Number
NC0000795
Facility Name
Greensboro Breakout Tank Farm
TABLE E. 2,3,7,8 TETRACHLORODIBENZO P DIOXIN (2,3,7,8 TCDD) (40 CFR 122.21(g)(7)(viii))
Pollutant
2,3,7,8-TCDD
TCDD
Congeners
Used or
Manufactured
Presence or
Absence
(check one)
Believed
Present
Believed
Absent
Outfali Number
002
Results of Screening Procedure
Form Approved 03/05/19
OMB No. 2040-0004
❑ ❑
El
EPA Form 3510-2C (Revised 3-19)
Page 33

Kinder Morgan Greensboro Breakout Tank Farm - Line Drawing
6907-A West Market Street
Greensboro, NC 27409
NPDES Permit # NC0051161
Tank Containment
Dike F stormwater and
Overland Surface Flow
Estimate Monthly Flow
to Pond is 0.0608 MGD)
Average Monthly Flaw to
Outfall 001 is ❑.0354 MGD}
This pond is directed to Outfall 001, only
during high rain events months when
Outfall 002 can't handle the volume
300,000 gallon
equalization pool
Estimate 20% of Average Monthly Flow to
Onsite Pond and then to Outfall 002 is from
this Source = 0.0254 MGD)
Tank Containment
Dikes A through E and
Overland surface Figi
carbon
filtration '
to m
❑utfall 001
Lat: 36° 4' 22.19" N
Long: -79° 55' 40.41" W
❑utfall 002
Lat: 36° 4` 23.63" N
Long: -79° 55' 27.72" W
Average Monthly Flow t❑
Outfall 002 is 0.1272 MGD)

FORM 2C
SECTION 9.2 - BIOLOGICAL TOXICITY TESTS
Identify last 3 tests and their purposes below:
OUTFALL 001
Test
Acute Wet Toxicity
Acute Wet Toxicity
Purpose
Permit Required Annually
Permit Required Annually
Submitted to NPDES
Permitting Authority
Yes
Yes
Date Submitted
8/25/2018
2/25/2019
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2020
Note: — Outfall 001 sampled for Acute Toxicity in February 2021, results will be entered into eDMR by March 10 h
and hard copy of AT form to NCDEQ by March 30, 2021.
OUTFALL 002
Test Purpose
Submitted to NPDES
Permitting Authority
Date Submitted
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2019
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2020
Acute Wet Toxicity
Permit Required Annually
Yes
2/25/2021

GREENSBORO BREAKOUT TANK FARM - OUTFALL 001 - NPDES Permit # 0051161
5tormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021
Acute Toxicity
{% Mortality)
4g4a4NaN00NN4
2 2
n 2
2 2
2 2
2 2
2 2
i'
v.fY,e
2 2
2 2
xk.4
z z
N
z 2
1444
2 2
N
2 2
N N
2 2
g a
2
a¢
2 2
N N
2 2
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2 2
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2 2
v. Q
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2 2
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r v
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7 Z
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N N
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2 2
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2 2
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2 2
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N N
Z z
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N N
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z v
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2 z
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m N
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N N
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N N
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2 V
N N
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2 2
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2 v
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2 2
N N
2 2
N
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N N
2 2
N 0
2 2
N 0
2 2
0 N
2 2
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v z
Q
z v
in N
2 2
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N N
2 z
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z '
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v 2
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2 °2
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2 2
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v 2
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v z
N
z v
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2 z
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2,,
N Q
2 2
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N
2
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z z
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z 2
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2 2
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2 2
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2 v
N
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2 i.
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v 2
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N/A
V, V,
z 2
2 2
5
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V Z
V N
v 2
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2 v
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2 z
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2 z
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N
4 pp
N 6
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p
N N
N N
N N
N 2
=
Q pp
N
p=
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N N
p
N 9
Y22
N N
O N
4/2
9=
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N Ni
It'E
vi N
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m N
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2
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N N
2
N N
2 2
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of H
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2 2
N
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N N
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2 2
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2 2
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m N
g, M,,
n g
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z z
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N N
z z
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z .r.,
N N
z g
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z 2
SIN
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ap n
N of
2 Z
K W
ot c1 'A—
c-
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0 0
n
g 0
0
n
H
0 0
0 0
0 0
0 o
CO
a
d
5
o
d
o 0
'ti
0 0
0 0
0 0
0 0
0 o
n m
d
d 6
n n
S
6 6
0 0
n n
6 6
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n
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6
m
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6
a a
N
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6
n n
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6 6
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N ,n
a
v
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66
0 0
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66
0 0
,n
n
0 N
0
CO
v,
0 g
0
0 a
A
o 0
0
24
g
60
0 0
Analysis Results with Units
Sampling Date
NIS
,o
N 0
2=
N
N ry
Z .--,
N 0
2 2
'a
^0 N
2 2
o
N N
2 Z
N N
2 Z
n
ry N
n 2
<
n
ry N.
n 2
n.
N
2
m
N.
2 2
V, ,n
2 2
0 =n
2 2
V, N
2 2
m
N=
2
N
01 m
N ary
m N'A
mo,o
°p
N N
2
o
N a
2
.-i
ary N
Z
N N
Z Z
.
ry N
s Z
.
4 0
N Z
m
on
N ry
Z=
,y
a
0 a
2 z
H�
o
}�
a
0
2
�'O R-I
a r.
L
~`
}'
w,o
N n
p, T=2-mn
,u
a a
H
.'
N
,ary
nn
aN
October 2016
November 2016
,O
H'�-'n'"nn
N
n
E
o
n❑
L
5 2'a
LLgQ
O
N
T
June 2017
July 2017
n
r��
n N
1 v
a a
0
IOctober 2017
November 2017
n
ry�
H
eEi g
r =
a
I february 2019
March 2018
oomm
a N
ry
o.„,a.,
aY,a'
ry ry
W
°,N
,v
«
N
9
a,or"„
a
w
f
8r N
2
December 201E
January 2019
February 2019
March 2019
mm
AR,
I
a2
June 2019
July2019
Ot
mo
N yy
«' A
a E
1
N
T
n o
a
L 2
o E
I
2
m
a n
ry H
L b
E;4i
0
N 0
b N
..c
w
April 2020
Greensboro Breakout FaciIRty Outfali 001

Analysis Results with Units
monthly
Average Flow
(MGD4
Daily Max.otal
❑ischarge
(MD)
TSS
[m8/L1
Recoverable
Phenolics
1pg/L1
Oil
Oil and
Grease
IMP-)
(WO(pg/L)
Ethylbenzene
Toluene
{pg/L]
Xylenes
t118/L}
Naphthalene
4.8/0
MTBE
i118/14
Turbidity
(NW)j%J
Acute Toxicity
y]
Month/Year
Sampling Date
i;Atr 2020
N/5
0
C
N/S
N/S
N/S
N/S
N/S
N/5
N/3
.. 1
N/S
NIS
N/S
Augus12020
8/17/2020
0.1012
0.1675
13
<40
<5.32
<1
<1
<1
<3
<5
2.19
10.1
N/A
September2020
N/5
0
0
N/5
N/5
N/5
N/$
NIS
NIS
N/5
NIS
N/S
N/5
N/S
Dctober2020
N/S
0
0
N/5
N/S
N/5
NIS
N/S
N/S
N/5
N/5
N/S
NIS
N/5
November2020
11/2/2020
0.1296
0.1675
13.8
<40
<5.56
<1
<1
<1
c3
<5
1.44
12
N/A
December 2020
12/3/2020
0.1308
0.1675
6.9
NIA
<5.68
N/A
N/A
N/A
N/A
N/A
4.57
6
N/A
January 2021
1/4/2021
0.1735
0.0907
6.7
<40
<5.68
<1
<1
<1
<3
<5
15.7
6.69
N/A
Number of Analyses
59
59
21
15
21
15
15
15
15
15
21
19
4
Long -Term Average Daily Discharge
0.0354
14.07
20
30.14
0.5
0.5
0.929
1.53
2.5
3.579
12.92
Maximum Monthly Discharge
0.1627
0.1675
29.8
<40
<6.63
<1
<1
1.44
c4
<5
15.7
22.1
>90
N TE
1. In calculating Long Term Average Daily Discharges, 1/2 of the MDL was used for those results that were below detection limits.
2. The maximum daily discharge that occurred during the month for which the result was reported.
3. The maximum total monthly discharge reported from 2016.2021
MGD - mililon gallons per day
Reported analyses are shown as BOLD.
N/A- Not analyzed. Not required In previous permit.
N/5 - No discharge this month, so not sample collected.
mg/1 milligrams per liter
pg1L- micrograms per liter
Greensboro Breakout Facility Outfall001

GREENSBORO BREAKOUT TANK FARM - OUTFALL 002 - NPDES Permit # 0051161
Stormwater Analysis Summary for Period of 3/01/2016 to 2/1/2021
Analysts 6<5<11s with Units
Monthly
Monthly
Average Flow
[MGDI
Daily Max
Discharge
(h4GO)
Im8/Ll
Total
Recoverable
Phenolics
(pjIU
OH and
Grease
(mg/U
8enxene
(KM
Ethylbensene
(p8/L1
Toluene
(µg/L)
Xytenes
4)elu
Naphthalene
(14/L1
MTBE
jj t JU
Turbidity
(MU)
N/A
Acute Tokiclty
LANIMIlliiiil
N/A
Month/Year
Sampling Dace
March 2016
3/2/2016 C::745 C.64
6 9
N/A
N/A
<1
.</A
<..
N/A
N/A
<1
April 2016
4/1/2016
0.0623
0.807
4.7
<40
<5.62
<1
<1
<5
<3
<5
<1
N/A
N/A
May 2016
5/4/2016
0.308
1.7315
18.4
N/A
N/A
<1
N/A
<5
N/A
N/A
<1
N/A
<100
June 2016
6/3/2016
0.1148
0.7797
20
N/A
N/A
<1
N/A
<5
N/A
N/A
1.78
N/A
N/A
July 2016
7/1/2016
0.0872
0.56
5
<40
<6.25
<1
<1
<5
<3
<5
<1
N/A
N/A
August2016
6/1/2016
0.1083
0.56
13.8
N/A
WA
<1
N/A
<5
N/A
N/A
c1
N/A
N/A
5eptember2016
9/2/2016
0.4098
0.3456
43.5
N/A
N/A
<1
N/A
<5
N/A
N/A
1.39
48.3
N/A
October 2016
10/3/2016
0.1794
2.03
20.6
<40
<5.88
<1
e1
<5
<3
<5
1.73
18
N/A
November2016
11/16/2016
0.0158
0.1046
4.72
N/A
<5.78
e1
N/A
<5
N/A
N/A
1.47
7.5
N/A
December 2016
12/1/2016
0.0352
0.327
9.4
N/A
<5.26
C3
N/A
<1
N/A
N/A
e1
8.68
N/A
January 2017
1/4/2017
0.1023
0.7857
<2.5
<40
<5.88
<1
e1
e1
<3
<5
<1
4.93
a90
February 2017
2/3/2017
0.011.3
0.0641
4.34
N/A
<6.25
<1
N/A
<1
N/A
N/A
1.15
5.47
N/A
March 2017
3/6/2017
0.0449
0.3163
6.6
N/A
<5.81
C1
N/A
<1
N/A
N/A
<1
8.5
N/A
ApnI2017
4/6/2017
0.1058
0.6353
18
<40
<6.25
<1
41
e1
<3
<5
<1
11.8
N/A
May 2017
5/5/2017
1.303
4.5763
15.4
N/A
e6.41
e1
N/A
<1
N/A
N/A
<1
16
N/A
lune 2017
6/13/2017
0.1714
1.0007
19
N/A
<6.25
<1
N/A
<1
N/A
N/A
e1
25.1
N/A
July 2017
7/21/2017
0.0139
0.0937
6.57
<40
<5.95
<1
<1
<1
e3
<5
<1
16.7
N/A
August2017
8/8/2017
0.0334
0.1776
17.4
N/A
<5.32
<1
N/A
<1
N/A
N/A
<1
8.55
N/A
September 2017
9/5/2017
0.0583
0.4144
10.1
N/A
<5.62
e1
N/A
<1
N/A
N/A
e1
7.02
N/A
October2017
10/8/2017
0-0563
0.3575
12
<40
<5.81
<1
<1
<1
c3
<5
<1
12
N/A
Npvember2017
11/1/2017
0.0212
0.1921
9.56
N.A
<5.62
<1
N/A
<1
N/A
N/A
1.23
15
N/A
December2017
12/11/2017
0.0289
0.205
6.2
N/A
<5.56
e1
N/A
<1
N/A
N/A
1.77
8.22
N/A
January 2018
1/16/2018
0.0859
0.5617
4.2
<40
<5.56
<1
<1
<1
<3
<5
2.51
9.55
N/A
February2018
2/5/2018
0.0778
0.4913
5.75
N/A
<5.62
<1
N/A
<1
N/A
N/A
<1
16.1
>90
March 2018
3/2/2018
0.0935
0.3782
11.7
N/A
<5.56
<1
N/A
<1
N/A
N/A
<3
10.7
N/A
April 2018
4/11/2018
0.0923
0.8878
12.8
83.9
<5.75
<1
<1
<1
<3
<5
1.23
16.5
N/A
May 2010
S/18/2018
0-0585
0.3113
13.8
N/A
<5.49
<1
N/A
<1
NIA
N/A
<1
16.4
N/A
Tune 2018
6/4/2018
0.0584
0.4378
16.4
N/A
<5.75
<1
N/A
<1
N/A
N/A
<1
20
N/A
1uty2018
7/25/2018
0.0961
0.8143
18
<40
<5.62
<1
<1
<1
<3
<5
<1
16.5
N/A
August2018
8/3/2018
0.178
1.281
15.2
N/A
<6.02
<1
N/A
<1
N/A
N/A
e1
17.6
N/A
September 2018
9/5/2018
0.1553
1.292
10.5
N/A
<5.88
<1
N/A
<1
N/A
N/A
<1
24.6
N/A
October 2018
10/1/2018 _
0.108
1.331
6.95
<40
<5.75
<1
<1
<1
<3
<5
<1
23.2
N/A
November 2018
11/1/2018
0-1499
0.8275
5.89
N/A
e5.49
<1
N/A
e1
N/A
N/A
<1
9.43
N/A
December2018
12/3/2018
0.1154
0.5469
2.5
N/A
<5.75
<1
N/A
41
N/A
N/A
1.61
5.76
N/A
January 2019
1/2/2019
0.1089
0.4948
4.08
<40
45.81
e1
<1
<1
<3
<5
2.85
6.32
>90
February2019
2/15/2019
0.1433
0.9365
<2.5
N/A
<5.91
<1
N/A
<1
N/A
N/A
1.45
3.99
N/A
March 2019
3/5/2019
0-0979
0.4156
4.2
N/A
<5.95
<1
N/A
<1
NIA
N/A
1.03
7.26
N/A
April 2019
4/8/2019
0.0943
0.4359
5.79
<40
<5.88
<1
<1
<1
<3
<5
1.79
9.3
N/A
May 2019
5/8/2019
0.036
0.2866
<5
N/A
<5.49
<1
N/A
<1
N/A
N/A
<1
15.7
N/A
lune 2019
6/7/2019
0.0932
1.044
3.2
N/A
<5.38
<1
N/A
<1
N/A
N/A
e1
6.95
N/A
July 2019
7/17/2019
0.0997
0.7239
11
<40
<5.56
<1
<1
<1
e3
<5
<1
12-3
N/A
August 2019
8/5/2019
0.1476
0.7082
17.3
N/A
<5.81
<1
N/A
r1
N/A
N/A
<1
24.1
N/A
September2019
9/4/2019
0.02868
0.4044
20.6
N/A
45.75
<1
N/A
<1
N/A
N/A
e1
25.4
N/A
October 2019
10/11/2019
0-1029
0.7674
17.3
<40
<5.68
<1
<1
<1
<3
e5
<1
21.3
N/A
November2019
11/4/2019
0.0695
0.352
10.9
N/A
<5.75
<1
N/A
<1
N/A
N/A
<1
19.4
N/A
December 2019
12/2/2020
0.1058
0.6471
12.1
N/A
<5.26
<1
N/A
c1
N/A
N/A
<1
21.5
N/A
January 2020
1/6/2020
0.1144
0.4258
9.26
<40
<5.56
<1
<1
<1
<3
45
<1
6.99
>90
February2020
2/5/2020
0.1646
1.683
2.5
N/A
<5.81
<1
N/A
<1
N/A
N/A
<1
12.7
N/A
March 2020
3/5/2020
0.3096
1.409
7.5
N/A
<5.49
<1
N/A
<1
N/A
N/A
<1
10.5
N/A
April 2020
4/16/2020
0-0645
0.9623
18.8
57.6
<5.75
<1
<1
<1
<3
<5
<1
24.2
N/A
Greensboro Breakout Facility Outten l 002

Analysis Results with units
Monthly
Average Flaw
iMGD)
Daily Max
Discharge
LMGD1
TSS
(mgJLj
Total
Recoverable
Phenolics
Well
-r
011 and
Grease
(MOO
Benzene
la6/Ll
Ethylbenxene
(ygJQ
Toluene
pgJL)
%yle nes
ii ILl
Naphthalene
(WRI.}
MTBf
WWU
Turbidity
IfiTul
Acute Tsek4y
.474Mortality)
N/A
Month/Year 1 Sampling Date
May2020 5/4/2020 C.::,:,67
1.469
4.6
N/A .,
e5.38
<1
N/A
e1
3/A
N/A
<1
11.6
June 2020
6/2/2020 J
0.0619
0.4811
10.6
N/A
<5.81
<1
N/A
<1
N/A
N/A
41
13.4
N/A
July 2020
7/15/2020
0.0213
0.1645
7.57
r,40
<5.44
<1
<1
<1
<.3
e5
<1
6.02
N/A
AuguSt2020
8/13/2020
0.1562
0.6345
17.2
NIA
45.56
41
N/A
<1
N/A
N/A
<1
19
N/A
September 2020
9/9/2020
0.1566
1.1852
12.7
NIA
45.26
41
N/A
<1
N/A
N/A
<1
16.7
N/A
October 2020
10/2/2020
0.1445
1.316
16
<40
<5.49
e1
<1
<l
4.3
<5
<1
16.3
N/A
NOvember2020
11/2/2020
0.1485
1.774
9
N/A
<5.56
<1
N/A
e1
N/A
N/A
<1
10.5
N/A
December 2020
12/3/2021
0.1264
1.132
48
N/A
45.49
<1
N/A
<1
N/A
N/A
<1
6.7
N/A
January 2021
1/4/2021
0.0881
0.4074
5.5
<40
<5.68
<1
e1
<1
<3
<5
<1
9.69
WA
Number of AnalySeS
59
59
59
20
54
59
20
59
20
20
59
53
5
Long -Term Average Daily Discharge
0.1272
10.68
25.075
8.706
0.5
03
0.905
1.5
2.5
0.770
14.07
Ma%imum M Onthiy Discharge
1.303
4.5763
20.6
83.9
<6.24
<1
<1
<5
r3
<5
2.85
48.3
a100
NOTES:
In calculating Long Term Average Daily Discharges, 1/2 of the MDL was used for those results that were below detection limits.
MGD - mania n gallons per day
Detections are shown as BOLD.
N/A- Not analyzed. Not required in previous permit.
mg/L milligrams per liter
lrg/L - micrograms per filer
Greer<b0r0 Breakout facility Outfall002

AU Name
AU ID
Description
Sandy Creek
4165
NORTH CAROLINA 2020 303(D) LIST
Deep Cape Fear River Basin
AU Number Classification Length or Area Units
17-16-(1)b
WS-III
19.3
From SR 2495 to a point 0.6 mile upstream of NC Hwy 22
FW Acres
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Chlorophyll a (40 µg/I, AL, NC)
5 Exceeding Criteria
Exceeding Criteria with Statistical
Confidence
7 2016,
Sandy Creek
4166
17-16-(3.5)
W S-I I I; CA 4.6
From a point 0.6 mile upstream of NC Hwy 22 to Ramseur water supply
PARAMETER
Chlorophyll a (40 µg/I, AL, NC)
FW Acres
IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
5 Exceeding Criteria Exceeding Criteria with Statistical 7 2018,
Confidence
East Fork Deep River
4177
17-2-(0.3)b
WS IV:*
From Thatcher Road to a point 0.4 mile downstream of Guilford County SR 1541
4.8
FW Miles
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW)
5
Exceeding Criteria
Fair, Poor or Severe Bioclassification , 20161
Long Branch
4182
17-2-1-(1)
WS-IV:*
From source to a point 0.5 mile downstream of Guilford County SR 1541
3.5
FW Miles
PARAMETER — IR CATEGORY CRITERIA
REASON FOR RATIN
Benthos (Nar, AL, FW)
Fish Community (Nar, AL, FW)
5
5
Exceeding Criteria
Exceeding Criteria
03D YEAR .
Fair, Poor or Severe Bioclassification
Fair, Poor or Severe Bioclassification
2006
2006
Long Branch
4183
17-2-1-(2)
W S-I V; CA: *
0.5
From a point 0.5 mile downstream of Guilford County SR 1541 to East Fork Deep River
FW Miles
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW)
Fish Community (Nar, AL, FW)
5
5
Exceeding Criteria
Exceeding Criteria
Fair, Poor or Severe Bioclassification
Fair, Poor or Severe Bioclassification
2006
2006
Brush Creek
4195
17-23b
5.0
FW Miles
From Little Brush Creek to Deep River
PARAMETERI CATECITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW)
5
Exceeding Criteria
Fair, Poor or Severe Bioclassification
2020
Cabin Creek
4229
17-26-5-(1)b
WS-III
1.2
FW Miles
From Cotton Creek to Moore County SR 1281
PARAMETERITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW)
5
Exceeding Criteria
Fair, Poor or Severe Bioclassification
2000
7/21/2021
NC 2020 303d List- Approved by EPA June 23,2021
Page 13 of 188

Deep
AU Name
AU ID
Description
NORTH CAROLINA 2020 INTEGRATED REPORT
Cape Fear River Basin
AU Number Classification AU LengthArea AU Units
East Fork Deep River
4177
17-2-(0.3)b
WS-IV:*
4.8
FW Miles
From Thatcher Road to a point 0.4 mile downstream of Guilford County SR 1541
2020 Draft Water Quality Assessments
PARAMETER
MinIR CATEGORY CRITERIA STATUS REASON FOR RATING
Benthos (Nar, AL, FW)
Water Temperature (322C, AL, LP&CP)
Dissolved Oxygen (4 mg/I, AL, FW)
pH (6 su, AL, FW)
pH (9.0, AL, FW)
NO2+NO3-N (10 mg/I, WS, WS)
Hardness (100 mg/L, WS, WS)
Turbidity (50 NTU, AL, FW miles)
Fecal Coliform (GM 200/400, REC, FW)
5
1
1
1
1
1
1
1
3t
Exceeding Criteria
Meeting Criteria
Meeting Criteria
Meeting Criteria
Meeting Criteria
Fair, Poor or Severe Bioclassificatior
Meeting Criteria with Statistical Con
Meeting Criteria with Statistical Con
Meeting Criteria with Statistical Con
Meeting Criteria with Statistical Con
Meeting Criteria
Meeting Criteria
Meeting Criteria
Data Inconclusive
Meeting Criteria with Statistical Con
Meeting Criteria with Statistical Con
Meeting Criteria with Statistical Con
Approved TMDL
East Fork Deep River
4178
17-2-(0.7)
W S-I V; CA: *
0.8
FW Miles
From a point 0.4 mile downstream of Guilford County SR 1541 to High Point Lake, Deep River
2020 Draft Water Quality Assessments
PARAMETER
ir
IR CATEGORY CRITERIA STATUS REASON FOR RATING
Benthos (Nar, AL, FW)
Fecal Coliform (GM 200/400, REC, FW)
1
1t
Meeting Criteria
Meeting Criteria
Excellent, Good, Natural, Good -Fair,
Approved TMDL
Long Branch
41821
17-2-1-(1)
WS-IV:*
3.5
FW Miles
1From source to a point 0.5 mile downstream of Guilford County SR 1541
2020 Draft Water Quality Assessments
PARAMETER
-.IIAIR CATEGORY CRITERIA STATUS REASON FOR RATING
Benthos (Nar, AL, FW)
Fish Community (Nar, AL, FW)
5
Exceeding Criteria
Exceeding Criteria
Fair, Poor or Severe Bioclassificatior
Fair, Poor or Severe Bioclassificatior
7/21/2021 NC 2020 INTEGRATED REPORT Category 5 assessments approved by EPA June 23,2021
Page 116 of 1334

Whole Effluent Toxicity Testing and Self Monitoring Summary
- 7 - -
_ I 9 q II
, • 0 0 •
0 • 0 0 •
,
,
t
,
,
,
a
•
•
,
,
• ,
• ,
P ! S
, ,-
, ,
, ,
Plantation Pipeline Co. (001)
Fthd24PF
2018
2019
2020
2021
NC0051161/001
Begin: 1/1/2017 Acu Fthd 24hr PF Lim
J F M
H
Pass
Pass
Pass
County: Guilford
NonComp:
A
q
,
,
f
,
,
M
1
•
•
•
,
, ,
•
q
. ,
. ,
s
•
Region: WSRO
7Q10: 0.0
J
J
Pass
•�
q
Basin:
PF:
f
,
q
•
,
1
,
,
,
f
• ,
q s f
CPF08
IWC:
A
NA Freq: A
5
0
•
,
q
,
,
f
,
,
,
q
,
,
f
SOC_JOC:
Legend: P= Fathead minnow (Pimphales promelas), H=No Flow (facility is active), s = Split test between Certified Labs
Page 72 of 100

Whole Effluent Toxicity Testing and Self Monitoring Summary
Plantation Pipeline Co. (002) NC0051161/002 County: Guilford Region: WSRO
Fthd24PF Begin: 1/1/2017 Acu Fthd 24hr PF Lim NonComp: 7Q10: 0.00
J F M A M J
2018 >100 Pass - -
2019 Pass - - -
2020 Pass - - -
2021 Pass - - -
Basin: CPF08 Jan Apr Jul Oct
PF: IWC: NA Freq: A
J A 5
0
SOC_JOC:
N D
• • • • •
•: q! l % % i i II 1 e,
• , • , , • , , • , , • ,
• , • , , • , , • , , • ,
• , • , , • , , • , , • ,
• • , , • , , • , , • , ,
• • , , • , •, • , , • , ,
•- •• ••
_ I ! S q I! L % q! % 1 1 L
• , , • , , • , , • , , •
• , , • , , • , , • , , •
• , , • , , • , , • , , ,
•• • •••
• •••
• I It q q ‘ % q II f f O.
• , , , , , • , , • , , •
• , , • , , • , , , , , ,
•• • •••
•� •• •
• a ! 9 1 f! % % q! i 1 f! •,
_ _ , , • , , • , , •• • ,
• •• •• • • , , • , , • , ,
• . , , . , , • • , • , ,
Legend: P= Fathead minnow (Pimphales promelas), H=No Flow (facility is active), s = Split test between Certified Labs
Page 73 of 100

To MPDES (rlini f
Water Resources
Environmental Quality
April 2, 2018
Mr. James Stanley, Operations Manager
Plantation Pipe Line Company
6907-A West Market Street
Greensboro, NC 27409
SUBJECT: Compliance Evaluation Inspection
Plantation Pipe Line — Greensboro Breakout Tank Farm
NPDES Permit No. NC0051161
Guilford County
Dear Mr. Stanley:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
RECEIVED/DENR/DWR
APR 11 2018
Water Resources
Permitting Section
On March 22, 2018, Jenny Graznak of this office met with you and Kelly Joyce to perform a Compliance
Evaluation Inspection on the stormwater discharge from the Plantation Pipe Line Greensboro Breakout
Tank Farm located at 6907-A West Market Street. The facility was found to be compliant with the NPDES
permit. The inspection findings are detailed below and an inspection checklist is attached.
1. Permit
The current permit became effective on January 1, 2017 and will expire on August 31, 2021. The facility
had a copy of the permit on file for review during the inspection.
2. Self -Monitoring Program
The monthly Discharge Monitoring Reports (DMRs) were reviewed for calendar year 2017. The facility
was compliant with the NPDES effluent limits for this period. Also, it was noted that all sampling was
performed per the frequencies specified in the permit.
3. Records/Reports
A review of the facility files showed that all records are maintained according to the permit. A comparison
of the January 2017 DMR with the corresponding certified laboratory data sheets from R&A Labs showed
that all results were properly transcribed onto the self-monitonng report. All records and data associated
with the permit appear to be well organized and maintained.
4. Flow Measurement
The periodic flow at Outfall 001 is estimated by measuring the water height through a small trapezoidal
flume. An ultrasonic flow meter is used to measure the discharge volume from Outfall 002 (constant flow).
The calibration of the meter was checked by the operators on August 29, 2017 with a bucket test.
5. Facility Site Review
The Plantation Pipeline facility has the following stormwater control structures:
• Secondary containment berms surrounding the petroleum bulk -storage tanks drain to either catch
basin 001 or 002.
• Catch basin 001 typically does not discharge via Outfall 001, but is activated if needed during
significant rainfall events. Activation occurred in April, June, and September of 2017. Catch basin
-x othMg COOro-upares
State of North Carolina 1 Environmental Quality
450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone [phone] FAX [phone]

001 has duplex pumps that routh the collected stormwater to the 300,000-gallon above ground
equalization pool and treatment building
• The treatment building contains two pumps and four granular activated carbon vessels (GAC) that
receive stormwater from the equalization pool.
• Flow from the GAC units is routed to the retention pond at Outfall 002 (constant flow) which has
a skimmer device and an ultrasonic flow sensor.
6. Effluent/Receiving Waters
Both outfalls discharge to a ditch that flows toward Burnt Poplar Road. The effluent eventually reaches a
tributary of East Fork Deep River, class WS-IV* waters of the Cape Fear River Basin. The discharge at
Outfall 002 appeared clear durmg the inspection.
This office appreciates your continued efforts to comply with the permit conditions. Should you have any
questions concerning this report, please contact Jenny Graznak or me at [phone].
Sincerely,
Sherri V. Knight, P E.
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: Johnny Tapia ([e-mail])
Jimmy Stamey (jimmy [e-mail])
Central Files
WSRO

United States Environmental Protection Agency
EPA Washington, D C 20460
- Water Compliance Inspection Report
Form Approved
OMB No 2040-0057
Approval expires 8-31-98
Section A National Data System Coding (i.e , PCS)
Transaction Code NPDES yr/mo/day Inspection
1 LI 2 15 3 I NC0051161 111 121 18/03/22 117
Type
18 l r l
IIIIIIIIIII(66
Inspector Fac Type
19 I c I 20I
21IIIIII I11111lll1l III IIII I I IIIII
t
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
i 71 L I 72 sJ
67 I I 70 LJ �, it L
Reserved
73 I I 174 751
I I I
1 1 1 1 1 1 18°
Section B FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Greensboro Petroleum Breakout Facility
6907-A W Market St
Greensboro NC 27409
Entry Time/Date
11 OOAM 18/03/22
Permit Effective Date
17/01/01
Exit Time/Date
12 30PM 18/03/22
Permit Expiration Date
21/08/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Michael Kelly Joyce/ORC/336-601-2211/
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
James L Stamey,6907-A W Market St Greensboro NC 27409/Operations
Manager/336-547-3673/ No
Section C Areas Evaluated Dunng Inspection (Check only those areas evaluated)
Permit Flow Measurement Effluent/Receiving Waters
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Jenn er F Graznak WSRO WQ//336-771-5000/
`1 )
Date
1 L.I./Z /'Z() r a
de
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
i'
;, Wald, '�� Jam •• ��4�� �
i1
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
Page# 1

NPDES yr/mo/day Inspection Type
31 NC0051161 111 121 16/03/22 117 18 I I
(Cont.)
1
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1 Permit
The current permit became effective on January 1, 2017 and will expire on August 31, 2021. The facility
had a copy of the permit on file for review during the inspection.
2. Self -Monitoring Program
The monthly Discharge Monitoring Reports (DMRs) were reviewed for calendar year 2017. The facility
was compliant with the NPDES effluent limits for this period. Also, it was noted that all sampling was
performed per the frequencies specified in the permit.
3 Records/Reports
A review of the facility files showed that all records are maintained according to the permit. A
comparison of the January 2017 DMR with the corresponding certified laboratory data sheets from
R&A Labs showed that all results were properly transcribed onto the self -monitoring report. All records
and data associated with the permit appear to be well organized and maintained.
4. Flow Measurement
The periodic flow at Outfall 001 is estimated by measuring the water height through a small trapezoidal
flume An ultrasonic flow meter is used to measure the discharge volume from Outfall 002 (constant
flow). The calibration of the meter was checked by the operators on August 29, 2017 with a bucket
test.
5 Facility Site Review
The Plantation Pipeline facility has the following stormwater control structures
• Secondary containment berms surrounding the petroleum bulk -storage tanks drain to either catch
basin 001 or 002
• Catch basin 001 typically does not discharge via Outfall 001, but is activated if needed during a
significant rainfall events. Activation occurred ir, April, June, and September of 2017. Catch basin 001
has duplex pumps that route the collected storrwater to the 300,000-gallon above ground equalization
pool and treatment building
• The treatment building contains two pumps and four granular activated carbon vessels (GAC) that
receive stormwater from the equalization pool.
• Flow from the GAC units is routed to the retention pond at Outfall 002 (constant flow) which has a
skimmer device and an ultrasonic flow sensor.
6. Effluent/Receiving Waters
Both outfalls discharge to a'ditch that flows toward Burnt Poplar Road The effluent eventually reaches
a tributary of East Fork Deep River, class WS-IV* waters of the Cape Fear River Basin. The discharge
at Outfall 002 appeared clear dunng the inspection.
Page# 2

Permit. NC0051161
Inspection Date: 03/22/2018
Owner - Facility. Greensboro Petroleum Breakout Facility
Inspection Type Compliance Evaluation
Permit
(If the present permit expires in 6 months or Tess) Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for Inspection?
Yes No NA NE
❑ ❑ • ❑
• ❑ ❑ ❑
❑ • ❑ ❑
• ❑ ❑ ❑
II ❑ ❑ ❑
Comment. The current permit became effective on January 1, 2017 and will expire on August 31, 2021.
The facility had a copy of the permit on file for review during the inspection.
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Yes No NA NE
MOOD
II ❑ ❑ ❑
II ❑ ❑ ❑
00110
Comment The periodic flow at Outfall 001 is estimated by measuring the water height through a small
trapezoidal flume. An ultrasonic flow meter is used to measure the discharge volume from
Outfall 002 (constant flow) The calibration of the meter was checked by the operators on
August 29, 2017 with a bucket test.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Yes No NA NE
MOOD
ED DO
❑ ❑ II ❑
Comment No discharge was observed at Outfall 001, since this outfall is only activated during high
rainfall events. The discharge at Outfall 002 appeared clear durinq the inspection.
Page# 3

2016 Generic RPA (non -hardness dependent) - 95% Probability/95% Confidence
MAXIMUM DATA POINTS = 58
REQUIRED DATA ENTRY
Table 1. Project Information
Facility Name
WWTPIWTP Class
NPDES Permit
Outfall
Flow, Qw (MGD)
Receiving Stream
Stream Class
7Q10s (cfs)
7Q1Ow (cfs)
30Q2 (cfs)
QA (cfs)
1 Q10s (cfs)
Data Source(s)
❑ CHECK TO APPLY MODEL
❑ CHECK IF HQW OR ORW
Plantation Pipe Line Company - Greensboro
PC-1
NC0051161
001
0.16750
UT to East Fork Deep River
WS-IV:*
0.00
0.08
0.08
0.30
0.00
BIMS data JuI2018 to Dec2021
Follow directions for data entry. In some cases a
comment menu list the available choices or a
dropdown menu will provide a list you may select
from. Error message occur if data entry does not
meet input criteria.
Table 2. Parameters of Concern
Par01
Par02
Par03
Par04
Par05
Par06
Par07
Par08
Par09
Par10
Par11
Par12
Par13
Par14
Par15
Par16
Par17
Par18
Par19
Par20
Par21
Par22
Name
Type Chronic
Modifier Acute
PQL Units
Benzene
C
1.19
WS
pg/L
Toluene
NC
11
FW
pg/L
Ethylbenzene
NC
68
WS
pg/L
Xylenes, Mixture
NC
670
FW
pg/L
Napthalene
NC
12
FW
pg/L
MTBE (Methyl Tertiary -butyl Ether)
NC
19
FW
pg/L
Phenolics, Total Recoverable
NC
300
A
pg/L
NC0051161 001 RPA 2022, input
2/18/2022

REASONABLE POTENTIAL ANALYSIS
Benzene
Date Data BDL=1/2DL Results
1 7/25/2018 < 1 0.5 Std Dev.
2 10/12/2018 < 1 0.5 Mean
3 1/2/2019 < 1 0.5 C.V.
4 6/10/2019 < 1 0.5 n
5 8/5/2019 < 1 0.5
6 11/4/2019 < 1 0.5 MultFactor = 1.0000
7 1/6/2020 < 1 0.5 Max. Value 0.5 pg/L
8 8/17/2020 < 1 0.5 Max. Pred Cw NO DETECTS pg/L
9 11/2/2020 < 1 0.5
10 1/4/2021 < 1 0.5
11 4/1/2021 < 1 0.5
12 7/19/2021 < 1 0.5
13
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
0.5000
0.0000
12
2
Toluene
Date Data
7/25/2018 < 1
10/12/2018 < 1
1/2/2019 < 1
6/10/2019 1.4
8/5/2019 < 1
11/4/2019 < 1
1/6/2020 < 1
8/17/2020 < 1
11/2/2020 < 1
1/4/2021 < 1
4/1/2021 < 1
7/19/2021 < 1
BDL=1/2DL Results
0.5 Std Dev.
0.5 Mean
0.5 C.V.
1.44 n
0.5
0.5 Mult Factor =
0.5 Max. Value
0.5 Max. Pred Cw
0.5
0.5
0.5
0.5
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
0.2714
0.5783
0.4692
12
1.4800
1.4 pg/L
2.1 pg/L
-2-
NC0051161 001 RPA 2022, data
2/18/2022

REASONABLE POTENTIAL ANALYSIS
Ethyl benzene
Date Data BDL=1/2DL Results
1 7/25/2018 < 1 0.5 Std Dev.
2 10/12/2018 < 1 0.5 Mean
3 1/2/2019 < 1 0.5 C.V.
4 6/10/2019 < 1 0.5 n
5 8/5/2019 < 1 0.5
6 11/4/2019 < 1 0.5 MultFactor = 1.0000
7 1/6/2020 < 1 0.5 Max. Value 0.5 pg/L
8 8/17/2020 < 1 0.5 Max. Pred Cw NO DETECTS pg/L
9 11/2/2020 < 1 0.5
10 1/4/2021 < 1 0.5
11 4/1/2021 < 1 0.5
12 7/19/2021 < 1 0.5
13
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
0.5000
0.0000
12
4
Xylenes, Mixture
Date Data BDL=1/2DL Results
1 7/25/2018 < 3 1.5 Std Dev.
2 10/12/2018 < 3 1.5 Mean
3 1/2/2019 < 3 1.5 C.V.
4 6/10/2019 < 3 1.5 n
5 8/5/2019 < 3 1.5
6 11/4/2019 < 3 1.5 MultFactor = 1.0000
7 1/6/2020 < 3 1.5 Max. Value 1.5 pg/L
8 8/17/2020 < 3 1.5 Max. Pred Cw NO DETECTS pg/L
9 11/2/2020 < 3 1.5
10 1/4/2021 < 3 1.5
11 4/1/2021 < 3 1.5
12 7/19/2021 < 3 1.5
13
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
1.5000
0.0000
12
-3-
NC0051161 001 RPA 2022, data
2/18/2022

REASONABLE POTENTIAL ANALYSIS
Napthalene
Date Data BDL=1/2DL Results
1 7/25/2018 < 5 2.5 Std Dev.
2 10/12/2018 < 5 2.5 Mean
3 1/2/2019 < 5 2.5 C.V.
4 6/10/2019 < 5 2.5 n
5 8/5/2019 < 5 2.5
6 11/4/2019 < 5 2.5 MultFactor = 1.0000
7 1/6/2020 < 5 2.5 Max. Value 2.5 pg/L
8 8/17/2020 < 5 2.5 Max. Pred Cw NO DETECTS pg/L
9 11/2/2020 < 5 2.5
10 1/4/2021 < 5 2.5
11 4/1/2021 < 5 2.5
12 7/19/2021 < 5 2.5
13
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
2.5000
0.0000
12
MTBE (Methyl Tertiary -butyl Ether)
Date Data
7/25/2018 2.08
8/3/2018 < 1
9/24/2018 8
10/12/2018 1.05
1/2/2019 4.69
2/25/2019 4.25
6/10/2019 1.63
8/5/2019 1.27
11/4/2019 < 1
1/6/2020 8.14
2/5/2020 5.02
8/17/2020 2.19
11/2/2020 1.44
12/3/2020 4.57
1/4/2021 15.7
2/1/2021 5.6
4/1/2021 3.42
5/12/2021 2.55
7/19/2021 1.23
BDL=1/2DL Results
2.08 Std Dev.
0.5 Mean
8 C.V.
1.05 n
4.69
4.25 Mult Factor =
1.63 Max. Value
1.27 Max. Pred Cw
0.5
8.14
5.02
2.19
1.44
4.57
15.7
5.6
3.42
2.55
1.23
Use 'PASTE
SPECIAL -Values"
then "COPY" .
Maximum data
points = 58
3.6829
3.8858
0.9478
19
1.6000
15.7 pg/L
25.1 pg/L
NC0051161 001 RPA 2022, data
- 4 - 2/18/2022

REASONABLE POTENTIAL ANALYSIS
Phenolics, Total Recoverable
Date Data
7/25/2018 < 40
10/12/2018 < 40
1/2/2019 < 40
6/10/2019 < 40
8/5/2019 < 40
11/4/2019 < 40
1/6/2020 < 40
8/17/2020 < 40
11/2/2020 < 40
1/4/2021 < 40
4/1/2021 < 40
7/19/2021 < 40
BDL=1/2DL Results
20 Std Dev.
20 Mean
20 C.V.
20 n
20
20 Mult Factor = 1.0000
20 Max. Value 20.0 pg/L
20 Max. Pred Cw NO DETECTS pg/L
20
20
20
20
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
0.0000
20.0000
0.0000
12
-5-
NC0051161 001 RPA 2022, data
2/18/2022

Plantation Pipe Line Company - Greensboro
NC0051161
Qw (MGD) = 0.16750
1Q1OS (cfs) = 0.00
7Q1OS (cfs) = 0.00
7Q1OW (cfs) = 0.08
30Q2 (cfs) = 0.08
Avg. Stream Flow, QA (cfs) = 0.30
Receiving Stream: UT to East Fork Deep River
REASONABLE POTENTIAL ANALYSIS
2016 Generic RPA (non -hardness dependent) - 95% Probability/95% Confidence
MAXIMUM DATA POINTS = 58
WWTP/WTP Class: PC-1
IWC @ 1Q1OS = 100.00%
IWC @ 7Q1OS = 100.00%
IWC @ 7Q10W = 76.44%
IWC @ 30Q2 = 76.44%
IWC @ QA = 46.39%
Stream Class: WS-IV:*
Outfall 001
Qw = 0.1675 MGD
PARAMETER
TYPE
(1)
STANDARDS & CRITERIA (2)
PQL
UNITS
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
NC WQS / Applied 1/z FAV /
Chronic Standard Acute
n # Det. Max Pred Cw Allowable Cw
Benzene
C
1.19 WS
pg/L
12 0
NO DETECTS
Acute: NO WQS
— _ _ _ — — _ _ _
Chronic: 2.57
Max MDL = 1
_ _ _ — — — — — — — — — — —
No detects
Toluene
NC
11 FW
pg/L
12 1
2.1
Acute: NO WQS
___ _ _______ ___
Chronic: 11.00
No value > Allowable Cw
_ ___ _ _ _ _ _ _ _ ___
No RP, Predicted Max < 50% of Allowbale Cw
Ethylbenzene
NC
68 WS
pg/L
12 0
NO DETECTS
Acute: NO WQS
___ _ _______ ___
Chronic: 68.00
Max MDL = 1
_ _ _______________________
No detects
Xylenes, Mixture
NC
670 FW
pg/L
12 0
NO DETECTS___
Acute: NO WQS
_ _____ _ ___
Chronic: 670.00
Max MDL =3
_ _ _______________________
No detects
Napthalene
NC
12 FW
pg/L
12 0
NO DETECTS
Acute: NO WQS
___ _ _______ ___
Chronic: 12.00
Max MDL = 5
_ _ _______________________
No detects
MTBE (Methyl Tertiary -butyl Ether)
NC
19 FW
pg/L
19 17
25.1
Acute: NO WQS
___ _ _______ ___
Chronic: 19.00
No value > Allowable Cw
_ _ ___ _ _ _ _ _ _ _ _ ___
RP shown apply Monthly Monitoring with Limit
Phenolics, Total Recoverable
NC
300 A
pg/L
12 0
NO DETECTS___
Acute: NO WQS
_ _____ _ ___
Chronic: 392.44
Max MDL = 40
_ _ _______________________
No detects
Page 6 of 6
NC0051161 001 RPA 2022, rpa
2/18/2022

2016 Generic RPA (non -hardness dependent) - 95% Probability/95% Confidence
MAXIMUM DATA POINTS = 58
REQUIRED DATA ENTRY
Table 1. Project Information
Facility Name
WWTPIWTP Class
NPDES Permit
Outfall
Flow, Qw (MGD)
Receiving Stream
Stream Class
7Q10s (cfs)
7Q1Ow (cfs)
30Q2 (cfs)
QA (cfs)
1 Q10s (cfs)
Data Source(s)
❑ CHECK TO APPLY MODEL
❑ CHECK IF HQW OR ORW
Plantation Pipe Line Company - Greensboro
PC-1
NC0051161
002
4.15470
UT to East Fork Deep River
WS-IV:*
0.00
0.08
0.08
0.30
0.00
BIMS data JuI2018 to Dec2021
Follow directions for data entry. In some cases a
comment menu list the available choices or a
dropdown menu will provide a list you may select
from. Error message occur if data entry does not
meet input criteria.
Table 2. Parameters of Concern
Par01
Par02
Par03
Par04
Par05
Par06
Par07
Par08
Par09
Par10
Par11
Par12
Par13
Par14
Par15
Par16
Par17
Par18
Par19
Par20
Par21
Par22
Name
Type Chronic Modifier Acute
PQL Units
Benzene
C
1.19
WS
pg/L
Toluene
NC
11
FW
pg/L
Ethylbenzene
NC
68
WS
pg/L
Xylenes, Mixture
NC
670
FW
pg/L
Napthalene
NC
12
FW
pg/L
MTBE (Methyl Tertiary -butyl Ether)
NC
19
FW
pg/L
Phenolics, Total Recoverable
NC
300
A
pg/L
NC0051161 002 RPA 2022, input
2/20/2022

REASONABLE POTENTIAL ANALYSIS
Benzene
Date Data BDL=1/2DL Results
0.5 Std Dev.
0.5 Mean
0.5 C.V.
0.5 n
0.5
0.5 Mult Factor = 1.0000
0.5 Max. Value 0.5 pg/L
0.5 Max. Pred Cw NO DETECTS pg/L
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
7/25/2018
8/3/2018
9/5/2018
10/1/2018
11/1/2018
12/3/2018
1/2/2019
2/5/2019
3/5/2019
4/8/2019
5/8/2019
6/7/2019
7/17/2019
8/5/2019
9/4/2019
10/11/2019
11/4/2019
12/2/2019
1/6/2020
2/5/2020
3/5/2020
4/16/2020
5/4/2020
6/2/2020
7/15/2020
8/13/2020
9/9/2020
10/2/2020
11/2/2020
12/3/2020
1/4/2021
2/1/2021
3/1/2021
4/1/2021
5/4/2021
6/1/2021
7/7/2021
8/4/2021
9/9/2021
10/7/2021
11/4/2021
12/16/2021
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
0.0000
0.5000
0.0000
42
2
Toluene
Date Data
7/25/2018
8/3/2018
9/5/2018
10/1/2018
11/1/2018
12/3/2018
1/2/2019
2/5/2019
3/5/2019
4/8/2019
5/8/2019
6/7/2019
7/17/2019
8/5/2019
9/4/2019
10/11/2019
11/4/2019
12/2/2019
1/6/2020
2/5/2020
3/5/2020
4/16/2020
5/4/2020
6/2/2020
7/15/2020
8/13/2020
9/9/2020
10/2/2020
11/2/2020
12/3/2020
1/4/2021
2/1/2021
3/1/2021
4/1/2021
5/4/2021
6/1/2021
7/7/2021
8/4/2021
9/9/2021
10/7/2021
11/4/2021
12/16/2021
BDL=1/2DL Results
0.5 Std Dev.
0.5 Mean
0.5 C.V.
0.5 n
0.5
0.5 Mult Factor = 1.0000
0.5 Max. Value 0.5 pg/L
0.5 Max. Pred Cw NO DETECTS pg/L
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
0.0000
0.5000
0.0000
42
-2-
NC0051161 002 RPA 2022, data
2/20/2022

REASONABLE POTENTIAL ANALYSIS
Ethyl benzene
Date Data BDL=1/2DL Results
1 7/25/2018 < 1 0.5 Std Dev.
2 10/1/2018 < 1 0.5 Mean
3 1/2/2019 < 1 0.5 C.V.
4 4/8/2019 < 1 0.5 n
5 7/17/2019 < 1 0.5
6 10/11/2019 < 1 0.5 MultFactor = 1.0000
7 1/6/2020 < 1 0.5 Max. Value 0.5 pg/L
8 4/16/2020 < 1 0.5 Max. Pred Cw NO DETECTS pg/L
9 7/15/2020 < 1 0.5
10 10/2/2020 < 1 0.5
11 1/4/2021 < 1 0.5
12 4/1/2021 < 1 0.5
13 7/7/2021 < 1 0.5
14 10/7/2021 < 1 0.5
15
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
0.5000
0.0000
14
4
Xylenes, Mixture
Date Data BDL=1/2DL Results
1 7/25/2018 < 3 1.5 Std Dev.
2 10/1/2018 < 3 1.5 Mean
3 1/2/2019 < 3 1.5 C.V.
4 4/8/2019 < 3 1.5 n
5 7/17/2019 < 3 1.5
6 10/11/2019 < 3 1.5 MultFactor = 1.0000
7 1/6/2020 < 3 1.5 Max. Value 1.5 pg/L
8 4/16/2020 < 3 1.5 Max. Pred Cw NO DETECTS pg/L
9 7/15/2020 < 3 1.5
10 10/2/2020 < 3 1.5
11 1/4/2021 < 3 1.5
12 4/1/2021 < 3 1.5
13 7/7/2021 < 3 1.5
14 10/7/2021 < 3 1.5
15
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
1.5000
0.0000
14
-3-
NC0051161 002 RPA 2022, data
2/20/2022

REASONABLE POTENTIAL ANALYSIS
Napthalene
Date Data BDL=1/2DL Results
1 7/25/2018 < 5 2.5 Std Dev.
2 10/1/2018 < 5 2.5 Mean
3 1/2/2019 < 5 2.5 C.V.
4 4/8/2019 < 5 2.5 n
5 7/17/2019 < 5 2.5
6 10/11/2019 < 5 2.5 MultFactor = 1.0000
7 1/6/2020 < 5 2.5 Max. Value 2.5 pg/L
8 4/16/2020 < 5 2.5 Max. Pred Cw NO DETECTS pg/L
9 7/15/2020 < 5 2.5
10 10/2/2020 < 5 2.5
11 1/4/2021 < 5 2.5
12 4/1/2021 < 5 2.5
13 7/7/2021 < 5 2.5
14 10/7/2021 < 5 2.5
15
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
0.0000
2.5000
0.0000
14
MTBE (Methyl Tertiary -butyl Ether)
Date Data
7/25/2018 < 1
8/3/2018 < 1
9/5/2018 < 1
10/1/2018 < 1
11/1/2018 < 1
12/3/2018 1.61
1/2/2019 2.85
2/5/2019 1.45
3/5/2019 1.03
4/8/2019 1.79
5/8/2019 < 1
6/7/2019 < 1
7/17/2019 < 1
8/5/2019 < 1
9/4/2019 < 1
10/11/2019 < 1
11/4/2019 < 1
12/2/2019 < 1
1/6/2020 < 1
2/5/2020 < 1
3/5/2020 < 1
4/16/2020 < 1
5/4/2020 < 1
6/2/2020 < 1
7/15/2020 < 1
8/13/2020 < 1
9/9/2020 < 1
10/2/2020 < 1
11/2/2020 < 3
12/3/2020 < 1
1/4/2021 1
2/1/2021 < 1
3/1/2021 < 1
4/1/2021 < 1
5/4/2021 < 1
6/1/2021 < 1
7/7/2021 < 1
8/4/2021 < 1
9/9/2021 < 1
10/7/2021 < 1
11/4/2021 < 1
12/16/2021 < 1
BDL=1/2DL Results
0.5 Std Dev.
0.5 Mean
0.5 C.V.
0.5 n
0.5
1.61 Mult Factor =
2.85 Max. Value
1.45 Max. Pred Cw
1.03
1.79
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
1.5
0.5
1
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
Use 'PASTE
SPECIAL -Values"
then "COPY" .
Maximum data
points = 58
0.4796
0.6840
0.7011
42
1.1100
2.9 pg/L
3.2 pg/L
-4-
NC0051161 002 RPA 2022, data
2/20/2022

REASONABLE POTENTIAL ANALYSIS
Phenolics, Total Recoverable
Date Data
7/25/2018 < 40
10/1/2018 < 40
1/2/2019 < 40
4/8/2019 < 40
7/17/2019 < 40
10/11/2019 < 40
1/6/2020 < 40
4/16/2020 58
7/15/2020 < 40
10/2/2020 < 40
1/4/2021 < 40
4/1/2021 < 40
7/7/2021 < 40
10/7/2021 < 40
BDL=1/2DL Results
20 Std Dev.
20 Mean
20 C.V.
20 n
20
20 Mult Factor =
20 Max. Value
57.6 Max. Pred Cw
20
20
20
20
20
20
Use "PASTE SPECIAL -
Values" then "COPY" .
Maximum data points =
58
10.0490
22.6857
0.4430
14
1.3900
57.6 pg/L
80.1 pg/L
-5-
NC0051161 002 RPA 2022, data
2/20/2022

Plantation Pipe Line Company - Greensboro
NC0051161
Qw (MGD) = 4.15470
1Q1OS (cfs) = 0.00
7Q1OS (cfs) = 0.00
7Q1OW (cfs) = 0.08
30Q2 (cfs) = 0.08
Avg. Stream Flow, QA (cfs) = 0.30
Receiving Stream: UT to East Fork Deep River
REASONABLE POTENTIAL ANALYSIS
2016 Generic RPA (non -hardness dependent) - 95% Probability/95% Confidence
MAXIMUM DATA POINTS = 58
WWTP/WTP Class: PC-1
IWC @ 1Q1OS = 100.00%
IWC @ 7Q10S = 100.00%
IWC @ 7Q1OW = 98.77%
IWC @ 30Q2 = 98.77%
IWC @ QA = 95.55%
Stream Class: WS-IV:*
Outfall 002
Qw = 4.1547 MGD
PARAMETER
TYPE
(1)
STANDARDS & CRITERIA (2)
PQL
UNITS
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
NC WQS / Applied 1/z FAV /
Chronic Standard Acute
n # Det. Max Pred Cw Allowable Cw
Benzene
C
1.19 WS
pg/L
42 0
NO DETECTS___
Acute: NO WQS
_ _-_-___ _-_
Chronic: 1.25
Max MDL = 1
_-_-_-_-_-_-_-_-_-_-_-_-_-_
No detects
Toluene
NC
11 FW
pg/L
42 0
NO DETECTS
Acute: NO WQS
___ _ _______ ___
Chronic: 11.00
Max MDL = 1
_ _ _______________________
No detects
Ethylbenzene
NC
68 WS
pg/L
14 0
NO DETECTS
Acute: NO WQS
___ _ _-_-___ ___
Chronic: 68.00
Max MDL = 1
_-_-_-_-_-_-_-_-_-_-_-_-_-_
No detects
Xylenes,Mixture
NC
670 FW
pg/L
14 0
NO DETECTS___
Acute: NO WQS
_ _-_ _ ___
Chronic: 670.00
Max MDL=3
_-_-_-_-_-_-_-_-_-_-_-_-_-_
No detects
Napthalene
NC
12 FW
pg/L
14 0
NO DETECTS
Acute: NO WQS
___ _ _______ ___
Chronic: 12.00
Max MDL = 5
_ _ _______________________
No detects
MTBE (Methyl Tertiary -butyl Ether)
NC
19 FW
pg/L
42 6
3.2
Acute: NO WQS
___ _ _______ ___
Chronic: 19.00
No value > Allowable Cw
_ ___ _ _ _ _ _ _ _ ___
No RP, Predicted Max < 50% of Allowbale Cw
Phenolics, Total Recoverable
NC
300 A
pg/L
14 1
80.1
Acute: NO WQS
___ _ _____ _ ___
Chronic: 303.73
No value > Allowable Cw
_ ___ _ _ _ _ _ _ _ ___
No RP, Predicted Max < 50% of Allowbale Cw
Page 6 of 6
NC0051161 002 RPA 2022, rpa
2/20/2022

2/7/22, 6:33 PM Mail - Denard, Derek - Outlook
Re: Peer Review - NC0051161
Phillips, Emily <[e-mail]>
Mon 2/7/2022 12:16 PM
To: Denard, Derek <[e-mail]>
Looks good Derek
Get Outlook for iOS
From: Denard, Derek <[e-mail]>
Sent: Friday, February 4, 2022 4:02:01 PM
To: Phillips, Emily <[e-mail]>
Subject: Peer Review - NC0051161
Emily,
Please find the a ached dra. permit NC0051161 for peer review.
Thanks,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAMcIDB7LiuVOpLOkhnscJlw%3D 1/1

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
MEMORANDUM
NORTH CAROLINA
Environmental Quality
February 8, 2022
To: Eric Hudson [[e-mail]]
NC DEQ / DWR / PWS / WSRO
From:
Derek C. Denard, Environmental Specialist
DWR / WQPS / Compliance & Expediated Permitting Branch
919-707-3618
Subject: Review of Discharge to Surface Waters Designated Water Supply (WS)
■ UT to East Fork Deep River [16-(1)], WS-IV:*
03-06-08 [HUC: 30300030102] Cape Fear River Basin
for:
Renewal of NPDES Permit NC0051161
Plantation Pipe Line Company / Greensboro Petroleum Breakout Facility
Guilford County
Please provide your comments by 03/09/2022 [email OK]
RESPONSE:
Signed:
I concur with the issuance of this permit provided the Permittee properly operates and
maintains the facility; the Permittee meets the stated effluent limits prior to discharge; and the
discharge does not contravene the designated water quality standards.
I concur with issuance of the above permit provided the following conditions are met:
I oppose the issuance of the above permit based on reasons stated below, or attached:
Date:
2
cc: file
NORTH
Department of Environmental Quality
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

2/14/22, 3:20 PM Mail - Denard, Derek - Outlook
RE: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of
NPDES Permit NC0031046 - Colonial Pipeline Company/ Greensboro Junction
Kirby, Ben <[e-mail]>
Tue 2/8/2022 12:2
To: Denard, Derek <[e-mail]>
Cc: Hudson, Eric <[e-mail]>
Thanks for the summary! Just wanted to check on that.
Thanks,
Ben Kirby, E.I.
Assistant Regional Engineer
Public Water Supply Section
NC Dept. of Environmental Quality
Winston-Salem Regional Office
450 W Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Office: 336-776-9668
Work Cell: 336-403-1090
[e-mail]
Email correspondence to and from this address is subject to the
NC Public Records Law and may be disclosed to third parties.
From: Denard, Derek <[e-mail]>
Sent: Tuesday, February 8, 2022 12:22 PM
To: Kirby, Ben <[e-mail]>
Cc: Hudson, Eric <[e-mail]>
Subject: Re: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0031046 - Colonial Pipeline Company / Greensboro Junc on
Ben,
Yes, "Commission" was omi. ed from the line below the signature. Thanks for catching that for me.
The acute fathead minnow WET test is assigned in accordance with the attached permitting strategy.
Also attached is the boiler plate permit condi on freshwater acute limit PF fathead minnow TGE6C. I
believe they don't have an opLon of using Ceriodaphnia dubia in this condi on that was approved by the
aqua c tox branch and the water quality permit sec on.
Addi onally, WET strategy was worked out in 1999 (see attached memo Coleen Sulllins, August 2,
1999). From what I gather, since this facility is an episodic stormwater discharge under zero flow
condi ons (7Q10/30Q2 = 0, IWC = 100%), acute fathead minnow was the organism selected.
If is my best effort in a few minutes at putting the WET test history together for bulk storage terminals.
Thanks,
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAGyFDiNeJy9KvwxuTivOvBE%... 1/3

2/14/22, 3:20 PM Mail - Denard, Derek - Outlook
Derek
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Kirby, Ben <[e-mail]>
Sent: Tuesday, February 8, 2022 11:35 AM
To: Denard, Derek <[e-mail]>
Cc: Hudson, Eric <[e-mail]>
Subject: RE: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0031046 - Colonial Pipeline Company / Greensboro Junc on
Derek,
I attached the signed memo.
Note on Permit Page 1 of 13, below the signature line should read "By Authority of the Environmental
Management Commission."
I was also wondering about Part I, A.(9.) — Acute Toxicity. It requires that the fathead minnow be used in acute
toxicity tesLng. Is there a reason the permittee isn't presented the op on of using other acceptable species (e.g.,
Ceriodaphnia dubia)?
Thanks,
Ben Kirby, E.I.
Assistant Regional Engineer
Public Water Supply Section
NC Dept. of Environmental Quality
Winston-Salem Regional Office
450 W Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Office: 336-776-9668
Work Cell: 336-403-1090
[e-mail]
Email correspondence to and from this address is subject to the
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTESZDctNGI5MC04Zjli LWU4MjVhZTBhMmJkMgAQAGyF DiNeJy9KvwxuTivOvBE%... 2/3

2/14/22, 3:20 PM Mail - Denard, Derek - Outlook
NC Public Records Law and may be disclosed to third parties.
From: Hudson, Eric <[e-mail]>
Sent: Tuesday, February 8, 2022 9:02 AM
To: Kirby, Ben <[e-mail]>
Subject: FW: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0031046 - Colonial Pipeline Company / Greensboro Junc on
Another NPDES renewal.
Thanks,
Eric
From: Denard, Derek <[e-mail]>
Sent: Monday, February 7, 2022 1:55 PM
To: Hudson, Eric <[e-mail]>
Subject: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0031046 - Colonial Pipeline Company / Greensboro Junc on
Eric,
Please find the attached memo requesLng review of discharge to Surface Waters Designated Water
Supply (WS) for renewal of NPDES Permit NC0031046 - Colonial Pipeline Company / Greensboro
JuncLon. Please provide your comments by 03/09/2022 [email OK].
Thanks,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTESZDctNGI5MC04Zjli LWU4MjVhZTBhMmJkMgAQAGyF DiNeJy9KvwxuTivOvBE%... 3/3

2/14/22, 3:13 PM Mail - Denard, Derek - Outlook
Re: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of
NPDES Permit NC0051161 - Plantation Pipe Line Company/ Greensboro Petroleum
Breakout Facility
Denard, Derek <[e-mail]>
Tue 2/8/2022 12:22 PM
To: Kirby, Ben <[e-mail]>
Cc: Hudson, Eric <[e-mail]>
Thanks!
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Kirby, Ben <[e-mail]>
Sent: Tuesday, February 8, 2022 11:29 AM
To: Denard, Derek <[e-mail]>
Cc: Hudson, Eric <[e-mail]>
Subject: RE: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0051161 - Planta on Pipe Line Company / Greensboro Petroleum Breakout Facility
Derek,
I a ached the signed memo.
I was wondering about Part I, A.(5.) — Acute Toxicity. It requires that the fathead minnow be used in acute toxicity
tes ng. Is there a reason the permi ee isn't presented the op on of using other acceptable species (e.g.,
Ceriodaphnia dubia)?
Thanks,
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAPhUaC4PuRREvwk7tXIgQ2U... 1/3

2/14/22, 3:13 PM Mail - Denard, Derek - Outlook
Ben Kirby, E.I.
Assistant Regional Engineer
Public Water Supply Section
NC Dept. of Environmental Quality
Winston-Salem Regional Office
450 W Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Office: 336-776-9668
Work Cell: 336-403-1090
[e-mail]
Email correspondence to and from this address is subject to the
NC Public Records Law and may be disclosed to third parties.
From: Hudson, Eric <[e-mail]>
Sent: Tuesday, February 8, 2022 9:01 AM
To: Kirby, Ben <[e-mail]>
Subject: FW: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0051161 - Planta on Pipe Line Company / Greensboro Petroleum Breakout Facility
Hi Ben,
Here is an NPDES renewal.
Thanks,
Eric
From: Denard, Derek <[e-mail]>
Sent: Monday, February 7, 2022 6:33 PM
To: Hudson, Eric <[e-mail]>
Subject: Review of Discharge to Surface Waters Designated Water Supply (WS) - Renewal of NPDES Permit
NC0051161 - Planta on Pipe Line Company / Greensboro Petroleum Breakout Facility
Eric,
Please find the a ached memo reques ng review of discharge to surface waters designated water
supply (WS) for the renewal of NPDES Permit NC0051161, Planta on Pipe Line Company - Greensboro
Petroleum Breakout Facility. Please provide your comments by 03/09/2022 [email OK].
Thanks,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTESZDctNGI5MC04ZjIi LWU4MjVhZTBhMmJkMgAQAPh UaC4Pu RREvwk7tXIgQ2U... 2/3

2/14/22, 3:13 PM
919 707 9000 main DWR
[e-mail]
Mail - Denard, Derek - Outlook
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTESZDctNGI5MC04ZjIi LWU4MjVhZTBhMmJkMgAQAPh UaC4Pu RREvwk7tXIgQ2U... 3/3

Greensboro News Record
Advertising Affidavit
200 E. Market St
Greensboro, NC. 27401
[phone]
NCDEQ-DIVISION OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGIH, NC 27699-1617
Account Number
4019534
Date
February 09, 2022
PC Number Order
Category Description
0000767702 Legal Notices Public Notice North Carolina Environmental Management Commission! NPDES Unit 1617 Mail
Publisher of the
Greensboro News Record
Before the undersigned, a Notary Public duly commissioned, qualified, and authorized by
law to administer oaths, personally appeared the Publisher's Representative who by being
duly sworn deposes and says: that he/she is authorized to make this affidavit and sworn
statement; that the notice or other legal advertisement, a copy of which is attached hereto,
was published in the Greensboro News Record on the following dates:
02/09/2022
and that the said newspaper in which such notice, paper document, or legal advertisement
was published, was at the time of each and every such publication, a newspaper meeting all
the requirements and qualifications of Section 1-597 of the General Statutes of North
Carolina.
Sworn to and subscribed before me the 9th day
Crystal MiCkl Robins°
Notary Public
Commonwealth of Virginia
State of Virginia Reg. No. 7932290
County of Hanover My Comm. Expires June 30, 2025
My commission expires:
ling Representative
(Notary Public)
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Public Notice
North Carolina Environmental
Management Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699.1617
Notice of Intent to Issue a NPDES
Wastewater Permit NC0031046
Greensboro Junction WWTF, and
NC0051161 Greensboro Petroleum
Breakout Facility
The North Carolina Environmental
Management Commission proposes
to issue a NPDES wastewater dis-
charge permit to the person(s) listed
below. Written comments regarding
the proposed permit will be accept-
ed until 30 days after the publish
date of this notice. The Director of
the NC Division of Water Resources
(DWR) may hold a public hearing
should there be a significant degree
of public interest. Please mail com-
ments and/or information requests
to DWR at the above address. Inter-
ested persons may visit the DWR at
512 N. Salisbury Street, Raleigh, NC
27604 to review information on file.
Additional information on NPDES
permits and this notice may be
found on our website: http://deq.nc.
gov/a bou t/d ivisio ns/wate r-
resou rces/water-resources-
per m its/was tewate r- branc h/n pdes -
wastewater/public-notices,or by
calling [phone]. Colonial
Pipeline Company [411 Gallimore
Dairy Road, Greensboro, NC 27409]
has requested renewal of permit
NC0031046 for its Greensboro Junc-
tion in Guilford County. This permit-
ted facility discharges treated
stormwater to East Fork Deep River
in the Cape Fear River Basin. Some
parameters are water quality limit-
ed. This discharge may affect future
allocations in this segment of East
Fork Deep River. Plantation Pipe Line
Company [6907-A West Market
Street, Greensboro, NC 27409] has
requested renewal of permit
NC0051161 for its Greensboro Break-
out Tank Farm in Guilford County.
This permitted facility discharges
treated stormwater to East Fork
Deep River in the Cape Fear River
Basin. Some parameters are water
quality limited. This discharge may
affect future allocations in this seg-
ment of East Fork Deep River.

3/16/22, 10:14 PM Mail - Denard, Derek - Outlook
RE: Draft NPDES Permit NC0051161 - Plantation Pipe Line Company - Greensboro
Petroleum Breakout Facility
Thomas, Zachary T <[e-mail]>
.41 PM
To: Denard, Derek <[e-mail]>
Cc: Moore, Cindy <[e-mail]>; Wiggins, Kent <[e-mail]>
Hi Derek,
Everything for Tox looks good for this permit as well.
I would raise the same ques on about the annual permit language with this one as well.
Thank you,
Zach Thomas
Environmental Specialist II
Aqua c Toxicology Branch, Compliance and Enforcement Officer
NCDEQ— Division of Water Resources — Water Sciences Sec on
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted opera ons to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shi. s. To accommodate these staffing changes, all DEQ office IocaLons are IimiLIng
public access to appointments only. Please check with the appropriate staff before visiLng our offices, as we may
be able to handle your requests by phone or email. We appreciate your pa ence as we con nue to serve the
public during this challenging me.
919.743.8439 Office
919.743.8517 Fax
[e-mail]
1621 Mail Service Center
Raleigh, NC 27699-1621
Submit ATForms electronically to: [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Law
and may be disclosed to third par es.
From: Denard, Derek
Sent: Monday, February 7, 2022 3:02 PM
To: [e-mail]; Terhune, Gordon <[e-mail]>; Claudia B
Irvin <[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Snider, Lon <[e-mail]>; Thomas, Zachary T
<[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
Subject: Draft NPDES Permit NC0051161 - PlantaLon Pipe Line Company - Greensboro Petroleum Breakout Facility
https://outlook.office365.com/mail/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAONku2FeT61Lt52Rf5GKQm4%3D 1/2

3/16/22, 10:14 PM Mail - Denard, Derek - Outlook
Mr. Stamey,
Please find the attached Draft NPDES Permit NC0051161for the Plantalon Pipe Line Company - Greensboro
Petroleum Breakout Facility. Please provide your comments, if any, to me at the address below no later than 30
days a. er receiving this draft permit.
In order to provide more convenience, control, and security to our permi. ees and assist them in processing their
transacEons, the Division of Water Resources is currently transi oning towards electronic correspondence. This
will hopefully provide more efficient service to our permittees and other partners and will allow us to more
effec vely process and track documents. We are wri ng to ask you for your approval of the transmittal of
documents related to your permitting and related acl]vLes with the Division in an electronic format. Documents
will be emailed to the appropriate contact person(s) in your organiza on in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an electronic
manner is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open and
view the document(s) and have saved/printed a copy for your records.
If you have any ques ons, please feel free to contact me.
Sincerely,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAONku2FeT61 Lt52Rf5GKQm4%3D 2/2

2/17/22, 10:55 AM Mail - Denard, Derek - Outlook
Re: [External] RE: Draft NPDES Permit NC0051161 - Plantation Pipe Line Company -
Greensboro Petroleum Breakout Facility
Denard, Derek <[e-mail]>
2/17/2022 10:34 AM
To: Terhune, Gordon <[e-mail]>; Stamey, Jimmy <[e-mail]>; Claudia B
Irvin <[e-mail]>
0 1 attachments (40 KB)
Name -Ownership Change Form 2017.docx;
Gordon,
I can update the permi ee name for the final permit document, but I am not able to make changes to
our database. Please complete the a ached form and submit to the address indicated on the form. They
will need original wet signatures.
Thanks,
Derek
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Terhune, Gordon <[e-mail]>
Sent: Thursday, February 17, 2022 10:22 AM
To: Denard, Derek <[e-mail]>; Stamey, Jimmy <[e-mail]>; Claudia B
Irvin <[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Snider, Lon <[e-mail]>; Thomas, Zachary T
<[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAONku2FeT61 Lt52Rf5GKQm4... 1/3

2/17/22, 10:55 AM Mail - Denard, Derek - Outlook
<[e-mail]>
Subject: [External] RE: Dra. NPDES Permit NC0051161 - Planta on Pipe Line Company - Greensboro Petroleum
Breakout Facility
CAUTION: External email. Do not click links or open a5achments unless you verify. Send all suspicious email as an a achment
to Report Spam.
Mr. Denard, good morning.
Kinder Morgan-PPL has received the draft permit and reviewed it. The only comment is the Plantalon Pipeline
Company (PPL) has changed its name to Products (SE) Pipe Line Corpora on (PPL). Otherwise, we have no
addi onal comments on the contents of the draft and we are acceptable to receiving future transmi al of
documents in an electronic format.
Please let us know if you require any addi onal informaLon or have addi onal ques ons.
Thank you,
Gordon Terhune
Kinder Morgan
FES — EHS Specialist
From: Denard, Derek <[e-mail]>
Sent: Monday, February 7, 2022 3:02 PM
To: Stamey, Jimmy <[e-mail]>; Terhune, Gordon
<[e-mail]>; Claudia B Irvin <[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Snider, Lon <[e-mail]>; Thomas, Zachary T
<[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
Subject: Draft NPDES Permit NC0051161 - PlantaLon Pipe Line Company - Greensboro Petroleum Breakout Facility
[This email message was received from the Internet and came from outside of Kinder Morgan.]
WARNING: EXTERNAL EMAIL: PROCEED WITH CAUTION.
Do not respond, click on links or open attachments unless you recognize the sender or know the
content is safe.
Mr. Stamey,
Please find the a ached Draft NPDES Permit NC0051161for the PlantaLon Pipe Line Company - Greensboro
Petroleum Breakout Facility. Please provide your comments, if any, to me at the address below no later than 30
days a. er receiving this draft permit.
In order to provide more convenience, control, and security to our permi. ees and assist them in processing their
transacEons, the Division of Water Resources is currently transiEoning towards electronic correspondence. This
will hopefully provide more efficient service to our permittees and other partners and will allow us to more
effecEvely process and track documents. We are wriEng to ask you for your approval of the transmittal of
documents related to your permitting and related acEvi es with the Division in an electronic format. Documents
will be emailed to the appropriate contact person(s) in your organiza on in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an electronic
manner is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open and
view the document(s) and have saved/printed a copy for your records.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04Zjli LWU4MjVhZTBhMmJkMgAQA0Nku2FeT61 Lt52Rf5GKQm4... 2/3

2/17/22, 10:55 AM Mail - Denard, Derek - Outlook
If you have any ques ons, please feel free to contact me.
Sincerely,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAONku2FeT61 Lt52Rf5GKQm4... 3/3

BUSINESS CORPORATION ANNUAL REPORT
10-2017
NAME OF BUSINESS CORPORATION:
Products (SE) Pipe Line Corporation
•
SECRETARY OF STATE ID NUMBER: 0115284
REPORT FOR THE FISCAL YEAR END: 12/31/2020
SECTION A: REGISTERED AGENT'S INFORMATION
STATE OF FORMATION: DE
1. NAME OF REGISTERED AGENT: CT Corporation System
Filing Office Use Only
E - Filed Annual Report
0115284
CA202120202197
7/21/2021 02:15
❑X Changes
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION
Raleigh, NC 27615-6417
1. DESCRIPTION OF NATURE OF BUSINESS: Refined Petroleum Pipelines
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
1001 Louisiana Street, Ste 1000 1001 Louisiana Street, Ste 1000
Houston, TX 77002-5089 Houston, TX 77002-5089
6. Select one of the following if applicable. (Optional see instructions)
The company is a veteran -owned small business
The company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Adam Forman
NAME: Chris Graeter NAME: Dax Sanders
TITLE: Secretary TITLE: Treasurer TITLE: President
ADDRESS: 1001 Louisiana Street ADDRESS: ADDRESS:
Suite 1000
Houston, TX 77002
1001 Louisiana St, Ste 1000 1001 Louisiana Street, Ste 100
HOUSTON, TX 77002 Houston, TX 77002
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entity.
Adam Forman 7/21/2021
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Adam Forman Secretary
Print or Type Name of Officer Print or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

ROY COOPER
i_s
MICHAEL S. REGAN
LINDA CULPEPPER
Water Resources
ENVIRONMEr, TAL QUALITY
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company NGDEQID IRINPDES
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC0051161 or NCG5 1 1 1 1
1. Facility Name: PPL-Greensboro Breakout Tank Farm RECEIVED
�} 05 202Z
_X_b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
Products (SE) Pipe Line Corporation (PPL)
3. New owner's or signing official's name and title: Jimmy Stamey
(Person legally responsible for permit)
Manager - Operations
(Title)
4. Mailing address: 6907-A W. Market Street City: Greensboro
State: NC_ Zip Code: 27419 Phone: [phone]
E-mail address: Jimmy Stamey0Kinder Morgan.com
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divi sions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

NPDES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
1, -'4 n tq S G--7777v►6, attest that this application for a
name/ownership change has beeri reviewed and is accurate and complete to the best of my
knowledge. 1 understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature:
6VVY‘12-k2i j
2t2
Date: 3 a 9 e a g
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR I NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 11/2017