NC0081931_Permit (Issuance)_20070507

NPDES DOCUHENT SCANNINL COVER SHEET
NC0081931
High Rock Powerhouse
NPDES Permit:
Document Type:
(Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Inspection
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
May 7, 2007
This document is printed on reuse paper - ignore any
content on the reizerse +side

o�-9Q
William G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
May 7, 2007
Mr. Mark J. Gross
Vice President of Operations
P.O. Box 576
Badin, North Carolina 28009
Michael F. Easley, Governor
Subject: Issuance of NPDES Permit NC0081931
High Rock Powerhouse
Rowan County
Dear Mr. Gross:
•
Division personnel have reviewed and approved your application for modification of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes the following changes from your current permit:
> A stormwater discharge outfall (004) has been added. See Effluent Limitation and Monitoring
Requirements A. (2.).
> A special condition for Best Management Practices (BMP) for stormwater discharge from the
secondary containment around the transformer has been added. See Condition A. (3.).
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center,
Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management
Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Agyeman Adu-Poku at telephone
number [phone], extension 508.
Sincerely,
Alan W. Klimek, P.E.
cc: Central Files
NPDES File
Mooresville Regional Office / Surface Water Protection
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North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterqualitv.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
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Permit No. NC0081931
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Alcoa Power Generating, Inc.
is hereby authorized to discharge wastewater from a facility located at
High Rock Powerhouse
3344 Bringles Ferry Road
Denton, North Carolina
Rowan County
to receiving waters designated as Yadkin River in the Yadkin -Pee Dee River Basin in accordance
with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This permit shall become effective June 1, 2007.
This permit and authorization to discharge shall expire at midnight on January 31, 2009
Signed this day May 7, 2007.
--79>
Alan Klimek, P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit No. NC0081931
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no
longer effective. Therefore, the exclusive authority to operate and discharge from this facility
arises under the permit conditions, requirements, terms, and provisions included herein.
The Alcoa Power Generating, Inc. is hereby authorized to:
1. Continue to discharge once -through cooling water from outfalls 001, 002 and 003 located
at High Rock Powerhouse, at 3344 Bringles Ferry Road, in Rowan County,
2. Stormwater Discharge System — The facility is permitted to periodically discharge
stormwater from secondary containment for transformers through a stormwater
conveyance system, an outfall 004 located at High Rock Powerhouse, at 3344 Bringles
Ferry Road, in Rowan County,
3. Discharge from said treatment works at the location specified on the attached map into
Yadkin River, which is classified as a Class WS-IV, and B CA waters in the Yadkin
River Basin.

Facility Information
titude: 35°36'03"
Longitude: 80°14'03"
uad #: E18SW
Stream Class: WS-W and B
Receiving Stream: Yadkin River
Permitted Flow: NIA
Sub -Basin:
03-07-08
NC0081931
High Rock Powerhouse

A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Permit No. NC0081931
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge once -through cooling water from
outfall(s) serial number 001, 002 and 003. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT' CHARACTERISTICS':
[ontfily
yer tge
Flow (MGD)
Temperature'
1
DISCHARGE LIMITATIONS'
;Weekly Average
Daily:Maximum
Monitoring Requirements
Effluent Measurement
Frequency
Annual
Annual
Sample.
Type
Estimate
Grab
Sample
Location*
E
pH2
Annual
Grab
NOTES:
* Sample Location: E — Effluent or at the point closest to discharge where a representative sample of the discharge can feasibly be obtained.
I The temperature of the effluent will be regulated so that the temperature of the receiving stream does not increase by more than 2.8 °C above the natural water
temperature. In no case should the receiving stream temperature exceed 32 °C due to the facility's operation. Temperature of the effluent may be obtained
anywhere downstream of the heat exchanger effluent that is representative of the discharge.
2 The pH of the effluent shall not be less than 6.0 standard units nor greater than 9.0 standard units, unless ambient river conditions prevent compliance with this
range.
The Permittee shall obtain authorization from the Division prior to the use of any chemical additive in the discharge. The permittee shall notify the Director in
writing at least ninety (90) days prior to instituting the use of any additional additive in the discharge, which may be toxic to aquatic life (other than additives
previously approved by the division). Such notification shall include the completion of a Biocide Worksheet Form 101 (if applicable), a copy of the MSDS for the
additive, and a map indicating the discharge point and receiving stream.
Monitoring results obtained during the calendar year shall be recorded and reported on a Discharge Monitoring Report (DMR) form and postmarked no later than January
30`t' following the completed reporting period. The first DMR is due January 30' 2001. Samples obtained for monitoring purposes may be collected anytime during the
calendar year.
There shall be no discharge of floating solids or visible foam (other than trace amounts) in the effluent, unless ambient river conditions prevent compliance.

A. (2). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Permit No. NC0081931
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge stormwater water from outfall(s) serial
number 004. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
x
DISCHARGE LIMITA'TIQNS x
a h
Monitoring kequireme its
Monthly,-s.
Average
Weekly Awrp: e
�
LDal . Maximum
Effluent Murem easent
;''Frequency ,;:
Sample
Type ,
Sample
Location*. •
BMP
NOTES:
1 See special condition A. (3).
The Permittee shall obtain authorization from the Division prior to the use of any chemical additive in the discharge. The permittee shall notify the Director in
writing at least ninety (90) days prior to instituting the use of any additional additive in the discharge, which may be toxic to aquatic life (other than additives
previously approved by the division). Such notification shall include the completion of a Biocide Worksheet Form 101 (if applicable), a copy of the MSDS for the
additive, and a map indicating the discharge point and receiving stream.
There shall be no discharge of floating solids or visible foam (other than trace amounts) in the effluent, unless ambient river conditions prevent compliance.
A. (3). Best Management Practices (BMP) for Periodic Stormwater Discharge
The permittee is authorized by the Division to use Best Management Practices (BMP) at the stormwater discharge from the secondary containment
around the transformers under the following conditions:
• Designing sumps with underflow weirs/devices to prevent discharge of oily stormwater.
• Weekly inspection of the transformers for leaks/drips of oil.
• Routine preventive maintenance procedures to address any leaks/drips of oil
• Inspection of the sump for the presence of oil as indicated by a visible sheen prior to discharge.
• Maintaining a log of the time, date, and volume of stormwater discharge per discharge event.

MEMORANDUM
To:
From:
Subject:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
February 28, 2007
Britt Setzer
NC DENR / DEH / Regional Engineer
Mooresville Regional Office
Agyeman Adu-Poku
Li)
NPDES Western Prograrh
Alan W. Klimek, P.E. Director
Division of Water Quality
RECEIVED
Mooresville Regional Office
MAR 012007
NCDENR
PubflC Weer SUM
Review of Draft NPDES Permit Modification NC0081931
High Rock Powerhouse
Rowan County
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by March 30, 2007. If you have any questions on the draft permit, please contact me
at the telephone number or e-mail address listed at the bottom of this page.
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
Concurs with issuance of the above permit, provided the following conditions are met:
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed
Date: '77/0 7
/22J 001
DENR - WAiER QUALITYJ
No `hCarolina
�tlrt`ura!!!
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet: www.ncwaterquality.ore Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
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Customer Service
1-877-623-6748

To: NPDES Unit
Water Quality Section
Attention: Adu-Poku Agyeman
SOC Priority Project: No
Date: January 31, 2007
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Rowan
NPDES Permit No.: NC0081931
MRO No.: 07-01
PART I - GENERAL INFORMATION
1. Facility and Address: High Rock Powerhouse - Permit Modification
c/o Yadkin, Inc.
Post Office Box 576
Badin, N.C. 28009
"V N ri\
u
3 0 200 ._--'
DENR - WATER QUALITY
POINT SOURCE BRANCH
2. Date of Investigation: May 27, 1999
3. Report Prepared By: Michael L. Parker, Environ. Engineer. II
4. Person Contacted and Telephone Number: Mr. Mark Gross, [phone].
5. Directions to Site: The High Rock Powerhouse is accessed via a private dirt road on the left
(north) side of SR 1002, immediately after crossing the Yadkin River from Stanly County
into Davidson County.
6. Discharge Point(s), List for all discharge Points: -
Latitude: 35 ° 36' 03"
Longitude: 80° 14' 03"
Attach a USGS Map Extract and indicate treatment plant site and discharge point on map.
USGS Quad No.: E 18 SW
7. Size (land available for expansion and upgrading): There is little, if any, area available for
the construction of wastewater treatment facilities.
8. Topography (relationship to flood plain included): The Powerhouse spans the main segment
of the Yadkin River; however, the hydroelectric generation facilities are not subject to
flooding.
9. Location of Nearest Dwelling: The nearest dwelling is at least 1000 feet from the site.

Page Two
10. Receiving Stream or Affected Surface Waters: Yadkin River
a. Classification: WS-IV and B, CA
b. River Basin and Subbasin No.: Yadkin 03-07-08
c. Describe receiving stream features and pertinent downstream uses: The Yadkin
River is used for primary and secondary recreation and electricity generation. There
are no known water intakes several miles below this Powerhouse.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater: 0.01728 MGD`
Intermittent depending on powerhouse usage and electrical needs.
b. Current permitted capacity: N/A
c. Actual treatment capacity: N/A
d. Description of existing or substantially constructed treatment works: There are no
existing treatment works nor are any proposed. For domestic wastewater disposal,
employees have an on -site subsurface disposal system.
e. Possible toxic impacts to surface waters: None. There are no biocides added to the
cooling water at this facility.
d. Pretreatment Program (POTWs only): N/A
2. Residuals handling and disposal scheme: There are no residuals generated.
3. Treatment Plant Classification: This facility does not meet the minimum criteria for a class I
rating.
4. SIC Code(s): 4911 Wastewater Code(s): 48 MTU Code(s): N/A
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants Funds (municipals only)?
Construction Grant funds were not used in the construction of this facility.

Page Three
2. Special monitoring requests: The applicant has requested that in lieu of monitoring
requirements that BMP's be utilized including, but not limited to:
• Designing the secondary containment sumps with underflow weirs to prevent the discharge
of oily water (any contaminated water will be removed by a waste oil reclamation firm and
transported off -site for disposal).
• Weekly inspections of the transformers for leaks
• Inspecting the sump for the presence of oil prior to discharge and,
• Maintaining a log to document date, time, and volume of water to be discharged.
3. Additional effluent limits requests: None at this time unless recommended by the NPDES
Unit.
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, Alcoa Power Generating, Inc., operates a powerhouse (dam) on the Yadkin
River known as the High Rock Powerhouse, which generates hydroelectric power. Complex
electrical generation machinery exists at this facility that requires cooling water during operation. In
this modification request, Alcoa plans to construct secondary containment around existing
transformers located at the subject facility. This secondary containment will require the occasional
removal of storm water (SW) that will accumulate in the containment area and ultimately be
discharged through existing SW outfalls.
In lieu of additional monitoring, Alcoa has requested that BMP's be utilized to ascertain
permit compliance. It should be pointed out that these are existing transformers, and any leakage
that may have occurred from these units in the past would have entered the existing SW drainage
without being monitored. This Office has no objection to allowing Alcoa to utilize BMP's in lieu of
additional monitoring, however, it is recommended that the NPDES permit contain a requirement
that any discharges from the secondary containment structure be reported along with the annual
monitoring currently required by the permit.
It is recommended that the NPDES Permit be modified as requested.
Signature of Report Preparer
Date
Water Quality Regional Supervisor Da e
h:\dsr\dsr07\highrock.dsr

Salisbury Post
AFFIDAVIT OF PUBLICATION
NC DEPT OF ENVIROMENT--LEGAL & NATURAL RESOURCES
DWQ
NORTH CAROLINA
ROWAN COUNTY
Before the undersigned a Notary Public of said County and State, duly
commisioned, qualified, and authorized by law to administer oaths, personally
appeared WINFRED MENTION, who being first duly sworn, deposes and says
that he is ASSISTANT ADVERTISING DIRECTOR of the SALISBURY POST,
published, issued and entered as second class mail in the City of Salisbury, in
said County and State, that he is authorized to make this affidavit and sworn
statement,that the notice or other legal advertisement a true copy of which is
attached hereto, was published in the SALISBURY POST , on the
following dates:
03/02/2007
and that the said newspaper in which such notice, paper documnet or legal
advertisement was published, at the time of each and every such publication,
a newspaper meeting all the requirements and qualifications of Section I-597
of the General Statutes of North Carolina and was a qualified newspaper within
the meaning of Section I-597 of the General Statutes of North Carolina.
NO. 54842 PUBLIC NOTICE S
$91.09
Sworn and subscribed before me
This 8th day of March, 2007
aAA-- T. 4,10,0A.L.
NOTARY PUBLIC
My Commision Expires
rpp@NOWR
17)
1 6 2007
DE:Z -

POST PUBLISHING COMPANY
AD INSERTION ORDER
(CONTINUED)
Salesperson: Legals Printed at 03/08/07 16:18
Acct#: 3227 Ad#: 87938 Status: E
No. 54842
PUBLIC NOTICE
State of North Carolina
ENVIRONMENTAL MANAGEMENT
COMMISSION NPDES UNIT
1617 Mali Service Center, Raleigh, NC 27699-1617
Notification of Intent to issue a
NPDES Wastewater Permit
On the basis of thorough staff review and application
of NC General Statue 143.21, Public law 92-500 and
other lawful standards and regulations, the North
Carolina Environmental Management Commission
proposes to issue a National Pollutant Discharge
Elimination System (NPDES) wastewater discharge
permit to the person(s) listed below effective 45 days
from the publish date of this notice.
Written comments regarding the proposed permit will
be accepted until 30 days after the publish data of
this notice. All comments received prior to that date
are considered in the final determinations regarding
the proposed permit. The Director of the NC Division
of Water Quality may decide to hold a public meeting
for the proposed permit should the Division receive a
significant degree of public interest.
Copies of the draft permit and other supporting infor-
mation on fife used to determine conditions present
in the draft permit are available upon request and
payment of the costs of reproduction. Mail comments
and/or requests for information to the NC Division of
Water Quality at the above address or call the Point
Source Branch at [phone], extension 363.
Comments can also be emailed to Carolvn.Brvan-
[e-mail]. Please include the NPDES permit
number (attached) in any communication. Interested
persons may also visit the Division of Water Quality
at 512 N. Salisbury Street, Raleigh, NC 27604-1148
between the hours of 8:00 a.m. and 5:00 p.m. to re-
view information on file.
The Alcoa Power Generating, Inc. (3344 Bringles
Ferry Road, Denton, NC 27239) has applied for mod-
ification of NPDES permit NC0081931 for the High
Rock Powerhouse in Rowan County. This permitted
facility discharges once -through cooling water and
stormwater to the Yadkin River in the Yadkin Pee -
Dee River Basin. This discharge may affect future al-
locations in this portion of the Yadkin Pee -Dee River
Basin.

ALCOA
January 10, 2007
N. C. Department of Environment and Natural Resources
Division'of Water Quality
1617 Mail Service Center
Raleigh, N. C. 27699-1617
Attention: Ms Susan Wilson
RE: STORMWATER DISCHARGE PERMITTING -
FALLS POWERHOUSE — NC0076775
NARROWS POWERHOUSE — NC0081957
TUCKERTOWN POWERHOUSE — NC0081949
HIGH ROCK POWERHOUSE — NC0081931
Alcoa Primary Metals
Alcoa Power Generating Inc.
Yadkin Division
293 NC 740 Hwy
PO Box 576
Badin, NC 28009-0576 USA
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
2432 3709
ALCOA POWER GENERATING, INC
Dear Ms. Wilson:
Alcoa Power Generating, Inc has plans to install secondary containment for transformers which are part of the
substations located at the Falls, Tuckertown, and High Rock Powerhouses. The Narrows Powerhouse does not have
transformers on site and thus will not be installing any containment at this location. The installation of secondary
containment will require the periodic removal of storm water which accumulates in the containment area and
discharge through existing storm water conveyance systems. Historically, the storm water from these substations
has been passively discharged through these same existing storm water conveyance systems.
As per previous conversations regarding this matter, Alcoa Power Generating, Inc would like to request that Best
Management Practices (BMP's) be utilized for permitting these discharges in lieu of monitoring requirements and
associated permit limits. The Best Management Practices that we are proposing would include designing the sumps
with underflow weirs/devices to prevent the discharge of oily water, weekly inspections of the transformers for
leaks / drips of oil, routine preventative maintenance procedures to address any leaks / drips of oil, inspection of
the sump for the presence of oil as indicated by a visible sheen prior to discharging, and maintaining a log to
document the time, date, and volume of water discharged per discharge event.
To this end, please find attached an application to amend the the High Rock Powerhouse NPDES permit to include
this discharge, as well as, a check for the permit fee in the amount of $215.00.
If you should have any questions or comments, please don't hesitate to contact me @ 704-422-5774 or Larry
McCaskill @ 704-422-5639.
Yours Very T
Mark J. Css
Vice Presi ent of Operations
Alcoa Power Generating, Inc
cc:email
Z. T. Gibson
W. L. McCaskill
J. D. Morton — NAEHS W. M. Bunker
R. Dworek — PGH Legal

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities:
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number
NC0081931
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name ALCOA POWER GENERATING, INC
Facility Name HIGH ROCK POWERHOUSE
Mailing Address P.O BOX 576
City BADIN
State / Zip Code N.C. 28009
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road
City
State / Zip Code
County
3344 BRINGLES FERRY ROAD
DENTON
N.C. 27239
ROWAN
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name ALCOA POWER GENERATING, INC
Mailing Address P.O BOX 576
City BADIN
State / Zip Code N.C. 28009
Telephone Number [phone]
Fax Number [phone]
Dana 1 of A
CAA! WANK

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
4. Ownership Status:
Federal ❑ State ❑
Private ® Public ❑
5. Standard Industrial Classification (SIC) code(s): 4911
6. Number of employees: 4
7. Describe the treatment system List all installed waste treatment components with capacities,
describe the processes that generate wastewaters. If the space provided is not sufficient attach a
separate sheet of paper with the system description.
N/A
8. Is facility covered under federal effluent limitation guidelines? No ® Yes ❑
If yes, specify the category?
9. Principal product(s) produced: ELECTRICITY
Principal raw material(s) consumed: N / A
Briefly describe the manufacturing process(es):
Rana') of A
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NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
HYDROELECTRIC GENERATION
10. Amount of principal product produced or raw material consumed
cific amounts consumed and/or units of production over the last three years]
L
Product Produced or Raw Material
Consumed
(AVERAGE)
Product Produced or Raw Material
Consumed
(PEAK
per Day
415 MW
852 MW
per Month
12,625 MW
25,915 MW
per Year
151,503 MW
310,980 MW
11. Frequency of discharge: Continuous El
If intermittent:
Days per week discharge occurs: <1 Duration:
12. Types of wastewater discharged to surface waters only
Intermittent El
<1
Discharge
Flow
(GALLONS PER DAY)
Sanitary - monthly average
N/A
Utility water, etc. - monthly average
N/A
Process water - monthly average
N/A
Stormwater - monthly average
UNDETERMINED
Other - monthly average
Explain: COOLING WATER
1,555,200
Dana '2 of A
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NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Monthly Average
total discharge (all types)
1,555,200
13. Number of separate discharge points: 3
Outfall Identification number(s) 001, 002, 003
14. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
YADKIN RIVER
15. Effluent Data
Provide data for the parameters listed. Temperature and pH shall be grab samples, for all other parameters 24-hour
composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly
average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Units of
Measurement
Average
Biochemical Oxygen Demand (GODS)
Chemical Oxygen Demand (COD)
Total Organic Carbon
Total Suspended Solids
Ammonia as N
Temperature (Summer)
Temperature (Winter)
pH
Fecal Coliform (If sanitary waste is
present)
Total Residual Chlorine (if chlorine is
used)
16. List all permits, construction approvals and/or applications (check all that apply and provide permit
numbers or check none if not applicable):
Type
Permit Number Type
Permit
Number
D.ncAnfA
pia' ming

. r
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program
NESHAPS (CAA)
Ocean Dumping (MPRSA)
NC0081931 Dredge or fill (Section 404 or
Other
17. List any chemicals that may be discharged (Please list and explain source and potential
amounts.)
Oil & Grease - deminimus quantities - Stormwater discharge from secondary containment
of transformers
18. Is this facility located on Indian country? (check one)
Yes D No
19. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Mark J. Gross
Vice President of Operations
Printed name of P rson Sig ��! g Title
/ Z - 1/45--- 0-4,
Signature o • licant Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor
punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18
U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than
5 years, or both, for a similar offense.)
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