HomeMy WebLinkAboutNCS000528_Renewal application_20230606 '!%WATERS EDGE ENVIRONMENTAL, LLC
1434 CHESTER ROAD.RALEIGH, NC 27608• PHONE 919.219.5820
May 23, 2023
Brianna Young, MS (she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/ Division of Energy, Mineral, and Land Resources (DEMLR)
1612 Mail Service Center, Raleigh,NC 27699
Reference: NPDES Stormwater Permit Renewal Application
Premiere Fibers Facility
10056 US S.R. 52N
Ansonville, North Carolina 28007
Stormwater Permit No. NCS000528
Waters Edge Job No. R9-21
Dear Ms. Young:
�. We are attaching the NPDES Stormwater Permit Renewal application for the above-mentioned facility
located in Ansonville, Anson County, North Carolina. We have the following attachments:
• EPA NPDES Permit Summary Report-Appendix A
• EPA NPDES Renewal- Certification- Appendix A
EPA NPDES Supplemental Information Form- Appendix A
• EPA Form 3510-1-Appendix B
'• • EPA Form 3510-2f-Appendix C
• Laboratory Documentation of Representative Sampling Event for parameters specified in Item
7.2 and Table A (oil & Grease, total P, total Kjeldahl N, and total N- Appendix D
• Figure I- USGS Project Location Map with Outfall Drainage Areas
• Figure 2- Project Location Map
• Figure 3- Site Map with five (5) outfalls, groundwater monitoring well locations, and exterior
structures including loading and unloading docks.
If you have any questions, or if we may be of further assistance, please contact me at
prahnL�watersedgeenv.com or 919.219.5820.
Sincerely,
Waters Edge Environmental, LLC
Phillip L. Rahn
QED
.;� President
.,a v .I I.tli.11
cc: Mr. Dewey Fulton and Mr. Chris Fowler- Premier Fibers D �ALR Stprm��ater Program
23-021
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LEGEND Ansonville
t ) 1-mile Radius 43� 1 �'
Property Boundary fo, 7:,;Iu Cs_,
o Outfall 1-2 Drainage Area .:,
AYLES
1000 0 1000 20DO 3000 4000 5000 6000 70M 8000 9000 SD000
Outfall 3-5 Drainage Area ; 6Pt: e,nr. FEET
Job No. Tuljo Quad Bare Title Project Location Man�silh Outfall Drainage Areas
,MLWATERS EDGE ENVI RONM ENTAL, LLC R9-21 Ansonville 3.15.2023
File Name hi,qure 5'cale Prvjecr 1'rcn,iere Filers
23-023 I bar scale Ansonville.North Carolina
_C2
LEGEND
Property Boundary 0 5 1,000
500,
Job No. Topo Quad Dare rifle
Project Locafion map
WATERS EDGE ENVIRONMENTAL, LLC
AnsonvilIc 1 3 152023
I'de Name iFigure Scale Project Premiere Fibers
23-023 2 bar scale Ansonville.North Caerolina
STORAGE LOCATIONS
A Nitrogen Tank k '. Kx<�•
B Raw Materials Silos
C Diesel Fuel Tank
D Propane Tank f"
E Trash Dumpster ;
F Hydrogen Cylinders
G Receiving/Loading Dock + owl ,�
H Metal Dumpster
I Drum Storage
7.
S -
t 7 �'
r � +
R t- LEGEND
Monitoring Well
-in
Deep Monitoring Well
Outfall Sampling Location
Outfall Boundaries
job Image/Photo Date Title Site Map with Monitoring Wells and Oull'ail
WATERS EDGE ENVIRONMENTAL. LLC R9-21 2022 Google Farth 3 20 2023 Locations
File Name Figure Sc Premierrl,ihers
23-023 3 hat scale Anson isle.North Carolina
NC Division of Energy, Mineral and Land Resources
W NPDES Stormwater Permit Summary
NC DCMLR has the following information in our Permit Database for vour perinit as of 3/28/2023.
Permit Number: NCS000528 Permit Status: Expired
Permit Type: Stormwater Discharge, Individual
Facility Name: Premiere_Fibers
Facility Addressi: 10056 US Hwy 52 N
Facility Address2:
City, State&Zip: Ansonyille, NC 28007
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
.Click Here for "Change of Name/Ownership"Form)
Owner Name: Premiere Fibers
Owner Type: Non-Government Owner Type Group: Organization
*** Legally Responsible for Permit***
(Responsible corporate officer/p rinci pie executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation. Dewey Fulton Title:
Addressi: PO Box 8930
v. Address2:
City,State&Zip: Bristol, VA 24203
Work Phone: 423-306-7339 Fax: 276-669-3304
�. Email Address: dewev.fulton@universalfibers.com
*** Permit Annual Fee Billing ***
Billing Month: September
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Kevin Bowers PO Box 436,Ansonville, NC 28007-0436 704-826-8321 704-826-6159 kbowers@premierFb
ers.com
Dewey Fulton PO Box 8930, Bristol, VA 24203 276-645-9719
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
3/28/2023 Page 1
NC Division of Energy,, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 3/28/2023.
Contact Name JW& Address Phone Fax EMU
Dewey Fulton PO Box 8930,Bristol,VA 24203 276-645-9719
4
Type Contact Name 1-ft Address ne Fax Email
air
...........
R ..L NOW
Tvae Contact Name Title Address one Fax
do
UP
Outfall#: 001 Outfall Description: unknown
Outfall Lattitude: 35.212780 Outfall Longitude: -80.110560 Represented by Outfall:
%Stormwater: 100 %Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Buffalo Creek 13-18-1 C
r.
Ad
,w, 3/28/2023 Page 2
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STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
a
North Carolina Division of Energy, Mineral, and Land Resources—Stormwater Program
Facility Name: Premiere Fibms
Permit Number NCs000528
Location Address: ,Goss us Highway 52 North
lid Ansonvi0e,NC 28007
County: Anson
I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
r
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
.. Sign(according to permit signatory requirements)and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
a.r Signature _ Da go„�Lkweo GU r
A Print or type me of person signing above Itle
a14
ems.
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SPPP Certification 10/13
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SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
}4 Initials
DF 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities(including storage of materials, disposal areas, process areas and
loading and unloading areas),drainage structures,drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
DF
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled,and storm event data.
DF 3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports.The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
DF 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
.r the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
DF 5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
DF 6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility(Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e.do not withhold renewal submittal
w waiting on lab results)
p
EPA Identification Number NPDES Perm t Number Faality Name Form Approved 03105119
NCD986230159 NCSODOS28 Premiere Fibers OMB No.2040-0004
Form U.S.Environmental Protection Agency
t t"YEPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION ! '• 1
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.i.1 treatment works? 1.1.2 treating domestic sewage?
If yes,STOP. Do NOT complete 0 No If yes,STOP. Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
E operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
Ej Yes 4 Complete Form 1 21 No ❑ Yes -* Complete Form 0 No
z and Form 2S. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
C Yes 4 Complete Form 1 0 No ❑ Yes 4 Complete Form []✓ No
R and Form 2D. 1 and Form 2E.
d)
47 1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
0✓ Yes 4 Complete Form 1 ❑ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTIOND•- AND LOCATION(40
2.1 Facilit
y Name
Premiere Fibers
0 2.2 EPA Identification Number
u
O NCD986230159
ro 2.3 Facility Contact
Name(first and last) Title Phone number
Dewey Fuiton Corporate Engineer (276)645-9719
to Email address
dewey.fulton@universalfibers.com
2A Facility Mailing Address
E Street or P.O.box
R
PO Box 8930
City or town State ZIP code
Bristol VA 24203
EPA Form 3510-1(revised 3-19) Page 1
EPA Identification Number NPDES Permit Number Fa6lity Name Form Approved 03/05/19
NCD986230159 NCS000528 Premiere Fibers OMB No.204M004
y 2.5 Facility Location
Street,route number,or other specific identifier
Q �0 10056 US Highway 52 North
a�
0 County name County code(if known)
Anson
E City or town State ZIP code
E -o
z m Ansonville NC 28007
SECTION • NAICS CODES1
3.1 SIC Code(s) Description(optional)
2824 Man made organic fiber
N
Gl
0
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z 3.2 NAICS Code(s) Description(optional)
�rs
C
325220
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_ 4.1 Name of Operator
Premiere Fibers
0 4.2 Is the name you listed in Item 4.1 also the owner?
E 0 ❑✓ Yes ❑ No
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4.3 Operator Status
0
�— 2 ❑ Public—federal ❑ Public—state ❑ Other public(specify)
o IDPrivate ElOther(specify)
4.4 Phone Number of Operator
(276)645-9719
4.5 Operator Address
Street or P.O. Box
E PO Box 8930
c .S City or town State ZIP code
0 o Bristol VA 24203
o Email address of operator
0 dewey.fulton@universalfibers.com
SECTION • • !
0 c 5.1 Is the facility located on Indian Land?
❑Yes ❑✓ Na
EPA Form 3510-1(revised 3-19) Page 2
EPA IdenbficalJon Number NPDES Permit Number Facility Name Form Approved 03105119
NCD986230159 NC5000528 Premiere Fibers OMB No.2040-0004
SECTION •• I
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
d m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o water) fluids)
NC5000528 NCD986230159
w ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
�a
X ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
LU
SECTI• 1
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
m specific requirements.)
` ❑/ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 213.)
SECTIONOF I
8.1 Describe the nature of your business.
Man-made organic fiber-SIC 2824
N
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7
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Gl
7
2
SECTION •! I
9.1 Does your facility use cooling water?
�- ❑ Yes ❑ No 4 SKIP to Item 10.1.
v ' 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
o Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
ca
SECTION1 VARIANCE REQUESTS 1 1
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.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
x Section 301(n)) 302(b)(2))
d
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
Not applicable
EPA Form 3510-1(revised 3-19) Page 3
EPA ldentir:cat on Number WDES Permit Number Facihty Name Form Approved 03105119
NCD996230159 NCSr10052$ Premiere Fibers OMB No 2040-0004
SECTION1 CERTIFICATION STATEMENT(40 . .
111 In Column 1 below,mark the sections of Form t that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are r uired to provide attachments.
Column 1 Column 2
Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑� Section 2:Name,Mailing Address,and Location ❑ wl attachments
0 Section 3:SIC Codes ❑ wl attachments
0 Section 4:Operator Information ❑ wl attachments
❑J Section 5:Indian Land ❑ wl attachments
e
0 Section S:Existing Environmental Permits ❑ wl attachments
❑ Section 7:Map 0 w'topographic ❑✓ w/additional attachments
14map
n 0 Section 8:Nature of Business ❑ wl attachments
a
❑ Section 9:Cooling Water Intake Structures ❑ wi attachments
V
Section 10:Variance Requests El wi attachments
c
[]� Section 11:Checklist and Certification Statement ❑ w/attachments
Y
11.2 Cartificatlon Statement
U
t certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel property gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete. t am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
4074
� f
Sign tufe Dale signed
.R
� Z5 ZVZ15
EPA Form 3510.1(revised 3-19) Page 4
EPA Identification Number NPDES Permit Number Facility Name Form Approved D3105119
NCD986230159 NCS000529 Premiere Fibers OMB No.2040-0004
Form U.S Environmental Protection Agency
2F 8,EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
LOCATIONr
1.1 Provide information on each of the facili 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
1 Buffalo Creek 35' 07' 14" N 80° 06' 20" W
c
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u
2 Buffalo Creek 35' 07 14" N 80' 06' 16" W
0
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3 Buffalo Creek 35' 07' 11" N 80, 06' 15" W
4 Buffalo Creek 35' 07 08" N 80, 06' 16' W
5 Buffalo Creek 35` 07' 08" N 80, 06' 15 W
SECTION - 1 s
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes [. No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description of Project (list outfatl numbers) Source(s)of Discharge
Required Projected
c
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E
0
a.
E
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
w
EPA Identification Number NPDES Permit Number Facility Name Fors Approved 03/05119
NCD986230259 NC5000528 Premiere Fibers OMB No.2040-0004
SECTION 3.SITE /'A 1
3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
0 cc C specific guidance.)
in 'cc M
® Yes ❑ No
r
SECTIONPOLLUTANT SOURCESi
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
` Number (within a mile radius of the fadlity) (within a mile radius of the facility)
specify units specify units
1 1.13 acres 30.13 acres
—• specify units specify units
2 0.46 acres 30.13 acres
specify units specify units
3 0.46 acres 54.54 acres
specify units specify units
4 0.55 acres 54.54 acres
•--• specify units specify units
5 0.07 acres 54.53 acres
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Premiere Fibers is a converter of Nylon-Type 6,Nylon-Type 6.6 and Polyester pellets into a wound fiber. Synthetic oils
a) are applied for future processing.
0
0
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions fors ecific uidance.
5tormwater Treatment
Codes
from
Outfall
Number Control Measures and Treatment Exhibit
2F-1
list
1 No control measures
2 No control measures
3 No control measures
4 No control measures
5 No control measures
EPA Form 3510-2F(Revised 3-19) Page 2
EPA Wenfificaton Number NPDES Permit Number racirrly Name Farm Approved 03105/19
NCD986230159 NC5000528 Premiere Fibers OMB No.2D40-OD04
SECTION •N STORMWATER 1 r
5.1 1 certify under penalty of taw that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, / certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C,2D,or 2E application.
Name(print or type first and last name) Official titte
Dewey Fulton
Signature Date signe
72� 2c�Z
s' 5,2 Provide the testing information requested in the table below.
OuNall Onsite Drainage Points
Number During
of Testing Method Used Dates)of Testing Directly Observed
Duran Test
i Direct Observation 04/25/2023 Yes
2 Direct Observation 04/25/2023 Yes
0
Z
3 Direct Observation 04/25/2023 Yes
4 Direct Observation 04/25/2023 Yes
5 Direct Observation 04/25/2023 Yes
SECTIONOR 1 1
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
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None
n
0
se
a
». c
iA
SECTION
DISCHARGE INFORMATION1
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
com lete.Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
a ❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated d ata. actual data.
CE' Tables A,B,C,and D
u 7.2 Have you completed Table A for each outfall?
[]✓ Yes ❑ No
EPA Farm 3510-2F(Revised 3.19) Page 3
AM
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986230159 NCSOOO528 FPremiere Fibers OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
y„F wastewater?
❑ Yes ❑✓ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
a� indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑✓ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
r� provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
.� ❑ Yes ❑✓ No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
c Table C?
1
,� �`o� ❑ Yes No
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes ❑✓ No-*SKIP to Item 7.12.
�+ o
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
oM concentrations of 10 ppb or greater?
sr El Yes ❑✓ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
&d ❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
*p ❑ Yes [D No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes ❑✓ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
r.� ❑ Yes 0 No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑ Yes ❑✓ No
.w
EPA Form 3510-2F(Revised 3-19) Page 4
ors
EPA ideritEfication Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD986230159 NCS000528 Premiere Fibers OMB No.2040-0004
Used or Manufactured Toxics
- 7.18 Is any pollutant listed on Exhibits 21 through 2F-4 a substance or a component of a substance used or
8 manufactured as an intermediate or final product or byproduct?
a ❑ Yes �]✓ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
m
cc 2. 5. 8.
U
c3 3. 6. 9.
I
SECTIONe eG ICAL TOXICITY TESTING DATA i
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
ro any of your discharges or on a receiving water in relation to your discharge within the last three years?
❑ Yes ✓❑ No 4 SKIP to Section 9.
N
8.2 Identify the tests and their purposes below.
Test(s) Purpose of Test(s) Submitted to NPDES gate Submitted
x Permitting Authority?
Q
~ ❑ Yes ❑ No
U_
o ❑ Yes ❑ No
m0
❑ Yes ❑ No
SECTION 9.CONTRACT ANALYSIS INFORMATIONi
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑ Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
Pace Analytical
0
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0
N Laboratory address 370 West Meadow Road
U)
? Eden,North Carolina
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Phone number
ca (336)623-8921
Pollutant(s)analyzed TSS,COD,and pH(analyzed
semi-annually
0&G,Total P,
Total Kjeldahl nitrogen,and
Total Nitrogen were analyzed
on 4/25/2023
EPA Form 3510-2F(Revised 3-19) Page 5
EPA IdenVication Number NPpES Permit Number raa_Ihy Name Farm Approved 03/05/19
NCD9S623p159 NCS000528 Premiere Fibers OMB No.2040-0004
SECTION 1 1 CERTIFICATION STATEMENT(40 and
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to com fete all sections or provide attachments.
Column 1 Column 2
❑✓ Section 1 ❑ w/attachments(e.g„responses for additional outfalls)
.....................__..........................._......... _._-----._._._........_....__--_......_...._.._._....._._.._................ ...._........_........._..........
❑ Section 2 ❑ wi attachments
Section 3 ❑ wl site drainage map
�. Section 4 ❑ wi attachments
❑ Section 5 ❑ wl attachments
.�. ✓n_ Section 6 ❑ wl attachments
❑� Section 7 El Table A ❑ wl small business exemption request
.�
_ ❑ Table B ❑ wl analyticai results as an attachment
0
❑ Table C ❑ Table D
'~ ❑✓ Section 8 ❑ w/afachments
❑ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
�" ❑ Section 10 ❑
10.2 Certification Statement
l certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted.Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is,to the best of my knowledge and belief, true, accurate,and
complete.l am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Dewey Fulton Director-Health,Safety and Environment
Signatur Date signedff
o
EPA Form 3510.2F(Revised 3-19) Page 6
EPA Identification Number NPDES Permit Number Facility Name 0utfall Number Farm Approved 03195119
NCD986230159 NCS000523 Premiere Fibers 001 0Mt3 No.2040-0004
TABLE A.CONVENTIONAL AND • • • r
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease ND 1 NA
2. Biochemical oxygen demand(BOD5) NA NA NA NA NA NA
3. Chemical oxygen demand(COD) NA NA NA NA NA NA
4. Total suspended solids(TSS) NA NA NA NA NA NA
5. Total phosphorus 0.082 mg/L NA NA NA 1 NA
6, Total Kjeldahl nitrogen(TKN) 1.1 mg/L NA NA NA 1 NA
7. Total nitrogen(as N) 1.4 mg/L NA NA NA 1 NA
pH(minimum) NA NA NA NA
t3.
pH(maximum) NA NA NA NA
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 IdenKcation Number NPDES Permit Number Facility Name Outfall Number Form Approved 03 D5119
NCD986230159 NCS000528 Premier Fibers 002 OMB No.2040-OOD4
TABLE A. / / 1 NON CONVENTIONALr
You must provide the results of at least one anal sis toreveTy pollutant in this table.Complete one table for each autfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units} Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (newsourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease ND 1 NA
2. Biochemical oxygen demand(BOD5) NA NA NA NA NA NA
3. Chemical oxygen demand(COD) NA NA NA NA NA NA
4. Total suspended solids(TSS) NA NA NA NA NA NA
5. Total phosphorus 0.077m8/L NA NA NA 1 NA
6. Total Kjeldahl nitrogen(TKN) 1.3mg/L NA NA NA 1 NA
7. Total nitrogen(as N) 1.6 mg/L NA NA NA 1 NA
pH(minimum) NA NA NA NA
8.
pH(maximum) NA NA NA NA
f 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 1,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7
EPA Identificalion Number NPDES Permit Number Facility Name Outfall Number Form Approved 03 05119
NCD986230159 NC5000528 Premier Fibers 003 OMB No.2040-0004
TABLE A.CONVENTIONAL • • s r
You must provide the results of at least one anal sis for every pollutant in this table.Complete ane table for each oulfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted During First Flow•Weighfed Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite ?
codes in instructions
1. Oil and grease ND 1 NA
2. Biochemical oxygen demand(BOD5) NA NA NA NA NA NA
3. Chemical oxygen demand(COD) NA NA NA NA NA NA
4. Total suspended solids(TSS) NA NA NA NA NA NA
b. Total phosphorus ND NA NA NA 1 NA
6. Total Kjeldahl nitrogen(TKN) 0.72 mg/L NA NA NA 1 NA
7. Total nitrogen(as N) 1.7 mg/L NA NA i NA
NA
pH(minimum) NA NA NA NA
B,
pH(maximum) NA NA NA NA
'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 NPDES Permit Number Facility Name outfall Number Form Approved 03+95119
NCD986230159 NCS000528 Premier Fibers 004 OMB No.204W004
TABLE A.CONVENTIONAL AND • • • t
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each out€all.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify unds) (Specltyt1flit,S) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
34 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease ND 1 NA
2. Biochemical oxygen demand(BOD5) NA NA NA NA NA NA
3. Chemical oxygen demand(COD) NA NA NA NA NA NA
4. Total suspended solids(TSS) NA NA NA NA NA NA
5. Total phosphorus 0.080 mg/L NA NA NA 1 NA
6. Total Kjeldahl nitrogen(TKN) 0.70 mg/L NA NA NA 1 NA
7. Total nitrogen(as N) 1.5 mg/L NA NA Alili
1 NA
pH(minimum) NA NA NA NA
pH(maximum) NA NA NA NA
-------------
'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 3514-2F(Revised 3-19) Page 7
l I I b I I 1 1 I I 1 ! 4 ! r I 1 1
EPA Identification Number NPDES Permit Number Facility Name putfall Number Form Approved 03105119
NCD986230159 NC5000528 Premier Fibers 005 OMB No.2040-0004
TABLE A.CONVENTIONAL A • NON CONVENTIONAL
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease ND 1 NA
2. Biochemical oxygen demand(BOD5) NA NA NA NA NA NA
3. Chemical oxygen demand(COD) NA NA NA NA NA NA
4. Total suspended solids(TSS) NA NA NA NA NA NA
5. Total phosphorus 0.12 mg/L NA NA NA 1 NA
6. Total Kjeldahl nitrogen(TKN) 1.3 mg/L NA NA NA i NA
7. Total nitrogen(as N) 2.6 mg/L NA NA NA 1 NA
pH(minimum) NA NA NA NA
8.
pH(maximum) NA NA NA NA
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I:subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510.21'(Revised 3-19) Page 7
This page intentionally left blank.
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
NCD98623O159 NCSO0O528 Premiere Fibers 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON • • '• 41 CFR 122.26(c)(1)(i)(E)(4) 40
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.
Maximum Daily Discharge Average Daily Discharge Source of
(spec! units s units Number of Storm, Information
Pollutant and CAS Number(ff available) Grab Sample Taken Grab Sample Taken (new sourcehiew
During First Flow-Weighted During First Flow-Welghted Events Sampled dischargers only,use
Composite During
30 Minutes 30 Minutes codes in instructions)
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 9
This page intentionally left blank.
EPA Identification Number NPDES Permit Number Facility Name Outtall Number Form Approved 03105I19
NCD986230159 NC5000528 Premiere Fibers 001 OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CIFIR 122.21(g)(7)(vi)(B)and(vii))'
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.
Maximum daily Discharge Average Daily Discharge Source of
s eci units s eci units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new sourcelnew
During First Flow-Weighted During First Ffow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Sampling shall be conducted according to sufficiently sens4ive 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 349) Paoe 11
--I —This page intentionally left blank.
an
Pace Analytical Services,LLC
ace Analytical 2]5 East Meadow Road-Suite A
Eden,NC 27288
www.pacelabsxom
{336}623-8921
May 10, 2023
Mr. Phil Rahn
Waters Edge Environmental
1434 Chester Road
Raleigh, NC 27606
RE: Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
Dear Mr. Rahn:
Enclosed are the analytical results for sample(s) received by the laboratory on May 01, 2023. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services-Asheville
• Pace Analytical Services-Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
(704)875-9092
Project Manager
Enclosures
P p,CCAF�.
? '. REPORT OF LABORATORY ANALYSIS
;r+ This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 Of 16
Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytieaf Eden,NC 27288
www,paceiabs.com (336)623-8921
i
CERTIFICATIONS
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
Pace Analytical Services Charlotte
South Carolina Laboratory ID:99006 South Carolina Certification#:99006001
9800 Kil Ave.Ste 100,Huntersville,NC 28078 South Carolina Drinking Water Cert.#:99006003
North Carolina Drinking Water Certification#:37706 Florida/NELAP Certification#:E87627
North Carolina Field Services Certification#:5342 Kentucky UST Certification#:84
North Carolina Wastewater Certification#: 12 Louisiana DoH Drinking Water#:LA029
South Carolina Laboratory ID:99006 Virginia/VELAP Certification#:460221
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030
Florida/NEtAP Certification#:E87648 South Carolina Certification#:99030001 --
North Carolina Drinking Water Certification#:37712 Virginia/VELAP Certification#:460222
North Carolina Wastewater Certification#:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
wiftut the written consent of Pace Analytical Services,LLC. Page 2 of 16
Pace Analytical Services,LLC
1! '2ceAnalytical 205 East Meadow Road-Suite
Eden,NC 27288
www.pacalabs.com (336)623-8921
SAMPLE SUMMARY
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
Lab ID Sample I❑ Matrix Date Collected Date Received
92664918001 OUTFALL 001 Water 04/25/23 11:00 05/01123 09:12
92664918002 OUTFALL 002 Water 04/25123 11:15 05/01/23 09:12
92664918003 OUTFALL 003 Water 04/25123 11:30 05/01/23 09:12
92664918004 OUTFALL 004 Water 04125/23 11:45 05/01/23 09:12
92664918005 OUTFALL 005 Water 04/25/23 12:00 05/01/23 09:12
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 16
Pace Analytical Services,LLC
_ ace Analytical n 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacelabs.com (336)623.8921
SAMPLE ANALYTE COUNT
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
Analytes
Lab ID Sample 10 Method Analysts Reported Laboratory
92664918001 OUTFALL 001 EPA 1664E REL 1 PASI-C
TKN+NO3+NO2 Calculation MAB2 1 PASI-A
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 Zip 1 PASI-A
92664918002 OUTFALL 002 EPA 1664E REL 1 PASI-C
TKN+NO3+NO2 Calculation MAB2 1 PASI-A ..
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA305.1 Rev 2.01993 Zip 1 PASI-A
92664918003 OUTFALL 003 EPA 1664E REL 1 PASI-C
TKN+NO3+NO2 Calculation MAB2 1 PASI-A
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 Zip 1 PASI-A
92664918004 OUTFALL 004 EPA 1664B REL 1 PASI-C
TKN+NO3+NO2 Calculation MA82 1 PASI-A
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 Zip 1 PASI-A
92664918005 OUTFALL 005 EPA 1664B REL 1 PASI-C
TKN+NO3+NO2 Calculation MA82 1 PASI-A
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 Zip 1 PASI-A
PAS I-A=Pace Analytical Services-Asheville
PAS I-C=Pace Analytical Services-Charlotte
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in Full,
without the written consent of Pace Analytical Services,LLC. Page 4 of 16
Pace Analytical Services,LLC
ac /(n�f' tica J 205 East Meadow Road-Suite A
r�t�l'1 I}/t11� l Eden,NC 27288
www.pacelabs.com
(336)623-8921
ANALYTICAL RESULTS
Project: PREMIERE FIBERS R9.21
Pace Project No.: 92664918
Sample; OUTFALL 001 Lab ID: 92664918001 Collected: 04/25/23 11:00 Received: 05/01/23 09:12 Matrix: Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664B
Pace Analytical Services-Chadotte
Oil and Grease ND mglL 4.9 1.1 1 05/10/23 05:03
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 1.4 mglL 0.040 0,040 1 05/09/23 12:21
351.2 Total Kjeldahl Nitrogen Analytical Method:EPA 351.2 Rev 2.0 1993 Preparation Method:EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 1.1 mg1L 0.50 0.25 1 05/08/23 19:30 05/09/23 04:41 7727-37-9
353.2 Nitrogen,N021NO3 pros. Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 0.28 mg1L 0.040 0.017 1 05/05/23 08:40
365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2,0 1993 Preparation Method: EPA365.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Phosphorus 0.082 mglL 0.050 0.025 1 05I10I2311:40 05I1012315:01 7723-14.0
Sample: OUTFALL 002 Lab ID: 92664918002 Collected: 04/25/23 11:15 Received: 05/01/23 09:12 Matrix:Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664E
Pace Analytical Services-Charlotte
Oil and Grease ND mg1L 5.0 1.1 1 05/10/23 05:03
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 1.6 mglL 0.040 0.040 1 05/09/23 12:21
351.2 Total Kjeldahl Nitrogen Analytical Method:EPA 351.2 Rev 2.0 1993 Preparation Method:EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 1.3 mglL 0.50 0.25 1 05/08/23 19:30 05/09/23 04A2 7727-37-9
353.2 Nitrogen,NO2/NO3 pres. Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 0.27 mglL 0.040 0.017 1 05/05/23 08:43
365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2.0 1993 Preparation Method:EPA 365.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Phosphorus 0.077 mglL 0.050 0.025 1 05/1012311:40 05/10/2315:05 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05110/2023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 16
Pace Analytical Services,L LC
�CBAnaly " 205 East Meadow Road-Suite A
i G Il.�l^�f r Eden,NC 27288
www.pacelabs.com (336)623-8921
ANALYTICAL RESULTS
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918 .r
Sample: OUTFALL 003 Lab ID: 92664918003 Collected: 04/25/23 11:30 Received: 05/01/23 09:12 Matrix: Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method: EPA 1664E
Pace Analytical Services-Charlotte
Oil and Grease ND mg1L 4.8 1.1 1 05/10/23 05:03
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analyti cal Services-Asheville
Total Nitrogen 1.7 mg1L 0.04D 0.040 1 05/09/23 12:21
351.2 Total Kjeldahl Nitrogen Analytical Method:EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 0.72 mg/L 0.50 0.25 1 05/08/23 19:30 05/09/23 04:44 7727-37-9
353.2 Nitrogen,NO2/NO3 pros. Analytical Method: EPA353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 1.0 mglL 0.040 0.017 1 05/05/23 08:45
365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2.0 1993 Preparation Method:EPA 365.1 Rev 2.0 1993
Pace Analytical Services-Asheville ^
Phosphorus ND mglL 1).050 0.025 1 05110/2311:40 05110/2315:07 7723-14-0
Sample: OUTFALL 004 Lab ID: 92664918004 Collected: 04/25/23 11 A5 Received: 05/01/23 09:12 Matrix: Water ^
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method: EPA 1664E
Pace Analytical Services-Charlotte
Oil and Grease ND mg1L 4.8 1.1 1 05/09/23 03:35
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 1.5 mg1L 0.040 0,040 1 05109t23 12:21
351.2 Total Kjeldahl Nitrogen Analytical Method:EPA351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 0.70 mg/L 0.50 0.25 1 05/08/23 19:30 05/09/23 04:47 7727-37-9
353.2 Nitrogen,NO2/NO3 pres. Analytical Method:EPA353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 0.81 mg1L 0.040 0.017 1 05/05/23 08:46
365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2.0 1993 Preparation Method:EPA 365.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Phosphorus 0.080 mg/L 0,050 0,025 1 05/10/23 11 A0 05/10/23 15:08 7723-14-0
REPORT OF LABORATORY ANALYSIS "^
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 16
Pace Analytical Services,LLC
1!2ce
p��r,j�^ r' 205 East Meadow Road-Suite A
H ly t� f Eden,NC 27288
a www.pacelabs.com
(336)623-892 1
ANALYTICAL RESULTS
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
Sample: OUTFALL 005 Lab IQ: 92664918005 Collected: 04/25/23 12:00 Received: 05/01/23 09:12 Matrix: Water
Report
Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual
HEM,Oil and Grease Analytical Method:EPA 1664B
Pace Analytical Services-Charlotte
i Oil and Grease ND mg1L 4.8 1.1 1 05/10123 05:03
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 2.6 mg/L 0.040 0.040 1 05/09123 12:21
351.2 Total Kjeldahl Nitrogen Analytical Method:EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 1.3 mg1L 0.50 0.25 1 05/08/23 19:30 05/09/23 04:53 7727-37-9
353.2 Nitrogen,NO2IN03 pres. Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 1.3 mg/L 0.040 0.017 1 05/05/23 08:47
365.1 Phosphorus,Total Analytical Method:EPA 365.1 Rev 2.0 1993 Preparation Method:EPA 365.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Phosphorus 0.12 mg/L 0.050 0.025 1 05/10/2311:40 05110/2315:09 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 16
Pace Analytical Services,LLC
accAnalyfical r 205 East Meadow Road-Suite AEden,
Eden,NC 27288
www,pacela6s.com (336)623-8921
QUALITY CONTROL DATA `
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
QC Batch: 773091 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664E Analysis Description: 1664 HEM,Oil and Grease
Laboratory: Pace Analytical Services-Charlotte .�
Associated Lab Samples: 92664918004
METHOD BLANK: 4012808 Matrix: Water
Associated Lab Samples: 92664918004
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Oil and Grease mg1L ND 5.0 1A 05/09/23 03:35
LABORATORY CONTROL SAMPLE: 4012809
Spike LCS LCS %Rec ^
Parameter Units Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 40 34.2 86 78-114
MATRIX SPIKE SAMPLE: 4012810
92665487001 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 38.8 32.5 82 78-114 ^
SAMPLE DUPLICATE: 4012811
357959520D1 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Oil and Grease mg1L 1.81 1.5J 30
Results presented°n this page are In the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS —
This report shall not be reproduced,except in full.
Date:05110/2023 04:39 PM without the written consent of Pace Analytical Services.LLC. Page 8 of 16
Pace Analytical Services,LLC
aceAnalyticai` 205 East Meadow Road-Suite A
Eden,NC 27283
a www.pacslahs.com (336)623-8921
QUALITY CONTROL DATA
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
QC Batch: 773286 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM,Oil and Grease
Laboratory: Pace Analytical Services-Charlotte
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918005
METHOD BLANK: 4013763 Matrix: Water
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918005
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 1.1 05/10/23 05:03
LABORATORY CONTROL SAMPLE: 4013764
Spike LCS LCS %Rec
Parameter Units Cone. Result %Rec Limits Qualifiers
Oil and Grease mg/L 40 35.8 90 78-114
MATRIX SPIKE SAMPLE: 4014797
92665800001 Spike MS MS %Rec
4 Parameter Units Result Cone. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 39.2 35.0 83 78-114
SAMPLE DUPLICATE: 4013766
92665830001 Dup Max
Parameter Units Result Result RPD RPD Qualifiers
Oil and Grease mg1L ND ND 30
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit is presented to the tight or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 16
Pace Analytical Services,LLC
aceAnalyrica1 Y 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacolabs.com (336)623-8921
QUALITY CONTROL DATA
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
QC Batch: 773107 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918004,92664918005
METHOD BLANK: 4012953 Matrix: Water
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918004,92664918005
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Nitrogen,Kjeldahl,Total mgJL ND 0.50 0.25 05/09/23 04:25 .�
LABORATORY CONTROL SAMPLE: 4012954
Spike LCS LCS %Rec --
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Kjeldahl,Total mg1L 10 10A 101 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4012955 4012956
MS MSD
92664918003 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Qual
Nitrogen,Kjeldahl,Total mg/L 0.72 10 10 11.0 10.4 103 97 90-110 5 10
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4012957 4012958
MS MSD
92664918004 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Conc, Conc. Result Result %Rec %Rec Limits RPD RPD Qual
Nitrogen,Kjeldahl,Total mg/L 0.70 10 10 10.7 11.5 100 108 90-110 6 10
Results presented on this page are in the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full,
Date:05/1012023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 16
a�
Pace Analytical Services,LLC
�ce /!n�ry1ra 1 x 205 East Meadow Road-Suite A
,1! H!1 J !U r Eden,NC 27288
www.pacolabs.com (336)623-8921
QUALITY CONTROL DATA
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918
QC Batch: 772073 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate+Nitrite,preserved
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92654918001,92664918002,92664918003,92664918004,92664918005
METHOD BLANK: 4008048 Matrix: Water
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918004,92664918005
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Nitrogen,NO2 plus NO3 mg1L ND 0.040 0.017 05/05123 08:22
LABORATORY CONTROL SAMPLE: 4008049
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,NO2 plus NO3 mg1L 2.5 2.5 100 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4008050 4008051
Ms MSD
10651039001 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Conc, Conc. Result Result %Rec %Rec Limits RPD RPD Qual
Nitrogen,NO2 plus NO3 mg1L 0.58 2.5 2.5 2.9 3.0 94 95 90-110 1 10
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4008052 4008053
MS MSD
10651039002 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD RPD Qual
Nitrogen,NO2 plus NO3 mg1L 0.52 2.5 2.5 2.8 2.8 92 93 90-110 1 10
Results presented on this page are In the units indicated by the"Units'column except where an alternate unit is presented to the right of the result.
'— REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services.LLC. Page 11 of 16
Pace Analytical Services,LLC
aceAnalytrcal' 245 East Meadow Road-Suite R
/ Eden,NC 27288
www.pacelrabs.com (336)623-8921
QUALITY CONTROL DATA
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918 �-
QC Batch: 773403 Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus,Total
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918004,92664918005
METHOD BLANK: 4014363 Matrix: Water
Associated Lab Samples: 92664918001,92664918002,92664918003,92664918004,92664918005
Blank Reporting
Parameter Units Result Limit MDL Analyzed Qualifiers
Phosphorus mg/L ND 0.050 0.025 05/1012315:00
LABORATORY CONTROL SAMPLE: 4014364
Spike LCS LCS %Rec
Parameter Units Cone. Result %Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.5 101 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4014365 4014366
MS MSD
92664918001 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Cone. Cone. Result Result %Rec %Rec Limits RPD RPD Qual
Phosphorus mg/L 0.082 2.5 2.5 2.7 2.7 106 106 90-110 0 10
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4014367 4014368
MS MSD
92664918002 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Cone. Cone. Result Result %Rec %Rec Limits RPD RPD Qual
Phosphorus mg/L 0.077 2.5 2.5 2.7 2.7 105 105 90-110 0 10
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS r'
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services,LLC. Page 12 of 16
Pace Analytical Services,LLC
//*0"aceAnalXical r 2oe East Meadow goad-Suite A
Eden,NC 27288
www.pacoiabs.cora
(336)623-8921
QUALIFIERS
Project: PREMIERE FIBERS R9-21
_. Pace Project No.: 92664918
DEFINITIONS
OF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
NO-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
3-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited anaiytes.
TNI-The NEtAC Institute.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05/10/2023 04:39 PM without the written consent of Pace Analytical Services,I.I.C. Page 13 of 16
Pace Analytical Services,LLC
_ aceAnalytical�� 205 East Meadow Road-Suite A
Eden,NC 2728B
www.pacelabs.com (336)623-8921
I
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: PREMIERE FIBERS R9-21
Pace Project No.: 92664918 �^
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92664918001 OUTFAL.L 001 EPA 1664E 773286
92664918002 OUTFALL 002 EPA 1664B 773286
92664918003 OUTFALL 003 EPA 1664B 773286
92664918004 OUTFALL 004 EPA 1664B 773091
92664918005 OUTFALL 005 EPA 1664B 773286
92664918001 OUTFALL 001 TKN+NO3+NO2 773293
Calculation
92664918002 OUTFALL 002 TKN+NO3+NO2 773293
Calculation
92664918003 OUTFALL 003 TKN+NO3+NO2 773293
Calculation
92664918004 OUTFALL 004 TKN+NO3+NO2 773293
Calculation
92664918005 OUTFALL 005 TKN+NO3+NO2 773293
Calculation
92664918001 OUTFALL 001 EPA 351.2 Rev 2.0 1993 773107 EPA 351.2 Rev 2.0 1993 773188 -
92664918002 OUTFALL 002 EPA 351.2 Rev 2.0 1993 773107 EPA 351.2 Rev 2.0 1993 773188
92664918003 OUTFALL 003 EPA 351.2 Rev 2.0 1993 773107 EPA 351.2 Rev 2.0 1993 773188
92664918004 OUTFALL 004 EPA 351.2 Rev 2.0 1993 773107 EPA 351.2 Rev 2.0 1993 773188
92664918005 OUTFALL 005 EPA 351.2 Rev 2.0 1993 773107 EPA 351.2 Rev 2.0 1993 773188
92664918001 OUTFALL 001 EPA 353.2 Rev 2.0 1993 772073
92664918002 OUTFALL 002 EPA 353.2 Rev 2.0 1993 772073
92664918003 OUTFALL 003 EPA 353.2 Rev 2.0 1993 772073
92664918004 OUTFALL 004 EPA 353.2 Rev 2.0 1993 772073
92664918005 OUTFALL 005 EPA 353.2 Rev 2.0 1993 772073
92664916001 OUTFALL 001 EPA 365.1 Rev 2.0 1993 773403 EPA 365.1 Rev 2.0 1993 773582
92664918002 OUTFALL 002 EPA 365.1 Rev 2.0 1993 773403 EPA 365.1 Rev 2.0 1993 773582
92664918003 OUTFALL 003 EPA 365.1 Rev 2.0 1993 773403 EPA 365.1 Rev 2.0 1993 773582
92664918004 OUTFALL 004 EPA 365.1 Rev 2.0 1993 773403 EPA 365.1 Rev 2.0 1993 773582
92664918005 OUTFALL 005 EPA 365.1 Rev 2.0 1993 773403 EPA 365.1 Rev 2,0 1993 773582
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full.
Date:05/10/2023 0439 PM without the written consent of Pace Analytical Services.LLC- Page 14 of 16
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(6)methand.Q odlum bisulfate,(B)sodium thiosutfate,(9)hexan m m e,(A)atcorblcadd,(B)amoniu sullate,
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Is verified and within the acceptance range for �n7irf
preservation samples. PM ltWB Rus Date 6/23
Exceptions:VOA,Collform,TOC,Oil and Grease,DROJ8015(water)DOC,LLHg
**Bottom half of box is to list number of bottles ` ' l�S=Wa ,e's Ed
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` Note: Whenever there is a discrepancy affecting North Carolina compliance samples,a copy of this form will be sent to the North Carolina DEHNR Certification Office(i.e.
r.r i Out of hold,Incorrect preservative,out of temp,incorrect containers)
Qualtrax Document ID:70677 Page 2 of 2
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