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HomeMy WebLinkAboutNC0088960_Permit Issuance_20130927��� RUM North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder Governor Director September 27, 2013 Bradley R. McKain, President Blanchard Terminal Company, LLC 539 South Main Street Findlay, Ohio 45840 John Skvarla, III Secretary Subject: Issuance of NPDES Permit NCO088960 Blanchard Terminal 2026 West Oak Street, Selma Johnston County Dear Mr. McKain: The Division of Water Resources (DWR or the Division) hereby issues the attached NPDES permit for the subject facility. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007, or as subsequently amended. DWR understands that you have purchased the subject site since last renewal, and wish to pursue the active request to renew the permit (received September 25, 2012), submitted by previous owner BP. Changes to the Previous Permit rsee Fact Sheet — Renewal Summary]. Based on revised EPA surface water -quality standards, DWR has replaced monitoring for Phenol [single compound] with Total Recoverable Phenolics [32730]. This is required of all discharges to Water Supply (WS) waters. We have also added monitoring for Naphthalene [code 34696] to detect the presence of diesel fuel. Based on revised EPA standards for Human Health of 1500 µg/L, and for Water Supply (WS) at 19µg/L, the Division has deleted quarterly monitoring for Methyl Tertiary Butyl Either (MTBE) and its associated Special Condition. Blanchard requested verbally that DWR reduce the sampling frequency from Monthly to Quarterly [meeting on August 8.2013 with Brad Lambert, Steve Chalupa, John Hennessy, and Joe Corporon]. This has been granted except for the parameters Turbidity and Total Suspended Solids (TSS), based on analytical data received over the last permit cycle. Please note that Quarterly samples shall be collected concurrently with WET -test samples [see Section A. (1)]. 1617 Mail Service Center, Ralegh, North Carolina 27699-1617 CnrthCarolina Location: 512 N. Salisbury St Raleigh, North Carolina 27604 N / Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1877-623-6748 )WA 191/9 w Internet www.rmaterresources.org i/ An Equal Opportunity) Afimialive Action Employer DWR has removed the table footnote [Section A. (1.)] suggesting a "quiescent zone" for sampling Oil and Grease (O&G). This suggested sampling has been questioned as "non -operational" considering the. mandate to sample during discharge. Finally, we have updated your facility description and site map, and add parameter codes to permit Section A. (L) for your convenience. If any parts, measurement frequencies, or sampling.requirements contained in this permit are unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within thirty (30) days after receiving this letter. Your request must take the form of a written petition conforming to Chapter 150B of the North Carolina General Statutes, and you must file it with the office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this permit shall be final and binding. This pemmt is not transferable except after notifying the Division of Water Resources. The Division may require permit modification, or revocation and re -issuance. Please note that this permit does not affect your legal obligation to obtain other permits required by the Division of Water Resources, the Division of Land Resources, the Coastal Area Management Act, or other federal or local governments. If you have questions, or if we can be of further service, please contact Joe R. Corporon, L.G. ROC at fioe.corooron&cdetingovl or call (919) 807-6394. Re ec ly, Thomas A. Reeder ktwR Enclosure: NPDES Permit NCO08896O (Issuance Final) Dow... at Resources cc: Raleigh Regional Office RRO/SWPS, Danny Smith, Supervisor NPDES Program Files ec: RRO, Mitch Hayes Marathon Petroleum, Brad Lambert (MPQ fablambert@marathonpetroleum.com] C 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 rolina Location: 512 N. Salisbury St. Ralegh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807&1921 Customer Service: 1-877-623-6748 _ /` j7&M`11/ Internet www.newaterresources.org [� i/ An Equal Opportunity \ Afirmabve Action Employer Permit NCO088960 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER RESOURCES PERMIT TO DISCHARGE STORMWATER/WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) In compliance with the provisions 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, Blanchard Terminal Company, LLC is hereby authorized to discharge stormwater/wastewater from an outfall located at the Blanchard Terminal 2026 West Oak Street, Selma Johnston County to receiving waters designated as an unnamed tributary of Mill Creek within the Neuse River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11,111 and IV hereof. This permit shall become effective November 1, 2013. This permit and authorization to discharge shall expire at midnight on March. 31, 2018. Signed this day September 27, 2013. U66X - - Tho A. Reeder, Director Div ion of Water Resources By Authority of the Environmental Management Commission Page 1 of 4 Permit NCO088960 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked, and as of this 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 described herein. Blanchard Terminal Company, LLC is hereby authorized to: 1. continue to operate a Surface -Water Pollution Control System to manage stormwater and related petroleum -contact water held in proximity to above -ground storage tanks (ASTs) and appurtenant piping for the distribution of hydrocarbon fuels [surface bulk -storage exceeding one (1) million gallons], the system. consisting of: • earthen berms [dikes] surrounding ASTs [secondary -containment area(s)] • gravity drain piping with discharge gate valve and outfall sample point; hand -operated, normally closed located at the Blanchard Terminal, 2026. West Oak Street, Selma; and therefrom 2. discharge from said treatment works via Outfall 001, located on the attached map, to an unnamed tributary (UT) to Mill Creek [Stream Segment 27-40], a waterbody currently classified WS-1V NSW within Subbasin 03-04-02 of the Neuse River Basin. Page 2 of 4 Permit NCO088960 •M I A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Beginning upon the effective date and lasting until permit expiration, the Permittee is authorized to discharge treated wastewater/stormwater from Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: -• i .y..l. A vr'•1"Ts "•? S t T. J-. {`�_,, a pr-led '.^l^O;•thl e Y e Y L-.�/a• R..A .',J'- -s'•x w*s�_-:. lY Wa�i[re" en7t riai_vavr w'' � am e� ..F'r 't-+v-:r Flow 1 50050 Episodic 1 Effluent Total Suspended Solids C0530 45.0 m Monthly Grab Effluent Turbidi 00076 Monthly Grab Effluent Oil and Grease 2 00556 Quarterly Grab Effluent Benzene 34030 Quarterly Grab Effluent Toluene 34010 Quarterly Grab Effluent Eth lbenzene 34371 Quarterly Grab Effluent X lene 81551 Quarterly Grab Effluent Naphthalene 34696 Quarterly Grab Effluent Total Recoverable Phenolics 32730 Quarterly Grab Effluent EPA Method 625 76028 Semi -Annually Grab Effluent WET Testing 4 TAE6C Annually 4 Grab Effluent Footnotes: 1. Flow Flow shall be monitored with each discharge event and may be monitored in one of four ways: a. measure flow continuously; b. Rational Method -- calculate flow based on total rainfall per unit area, including built -on area draining to the outfall; c. estimate flow at 20-minute intervals during the entire discharge event; or d. report flow based on discharge pump logs. 2. Samples to be collected concurrently with WET Test sampling. 3. Whole Effluent Toxicity (WET) Testing — Acute WET testing has been relaxed from Quarterly to Annually based on past compliance. Testing will continue Annually provided that the Permittee maintains WET -test results showing "pass" [LC50 > 100] for each annual event. If WET -test results show "fail," the sampling frequency shall immediately increase to Quarterly in accord with Section A. (2.), and the Permittee shall not regain eligibility for annual testing until five (5) consecutive calendar quarters show "Pass." Conditions: 1. The Permittee shall discharge no floating solids or foam. 2. The Permittee shall discharge no tank solids, tank bottom water, or tank rag layer. 3. Following hydrostatic tank testing, the Permittee shall discharge no tank (or pipe) contents with concentrations of benzene exceeding 1.19 µg/L or toluene greater than 11 jig/L. Page 3 of 4 Permit NCO088960 A. (2.) ACUTE TOXICITY MONITORING -LIMITED (ANNUAL) ACUTE TOXICITY MONITORING (EPISODIC) Petroleum Bulk Storage -The Permittee shall conduct quarterly acute toxicity tests [except when relaxed to Annual monitoring] using protocols defined as definitive in E.P.A. Document EPA/600/4-90/027 entitled "Methods for Measuring the Acute Toxicity of Effluents to Freshwater and Marine Organisms." The monitoring shall be performed -as a Fathead Minnow (Pimephales promelas) 24-hour static test. Effluent samples for self - monitoring purposes must be obtained below all waste treatment. The tests will be performed on a discharge event during each quarter (January -March, April -June, July -September, October - December), except when relaxed to Annual monitoring. Should there be no discharge [no flow] from the facility during a quarter in which toxicity monitoring is required, the Permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the comment area of the form. The report shall be submitted to the Environmental Sciences Section at the address cited below. The parameter code for this test is TAE6C: All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Form (MR-1) for the month in which it was performed, using the appropriate parameter code. Additionally, DWR Form AT-1 (original) is to be sent to the following address: Attention: North Carolina Division of Water Resources Environmental Sciences Section 1621 Mail Service Center Raleigh, N.C. 27699-1621 Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later than 30 days after the end of the reporting period for which the report is made. Test data shall be complete and accurate and include all supporting chemical/physical measurements performed in association with the toxicity tests, as well as all dose/response data. Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of the waste stream. Should any test data from either these monitoring requirements or tests performed by the North Carolina Division of Water Resources indicate potential impacts to the receiving stream, this permit may be re- opened and modified to include alternate monitoring requirements or limits. NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival and appropriate environmental controls, shall constitute an invalid test and will require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial monitoring. Page 4 of 4 J !%el is i a x �` x \ Approximate Property • �F\�\F �( o �u / b Sand and Gavel � � Boundary Oak Street y. V ason00 c65 % t Obi ray �`( y Outfall001 v~ r flows NW) dyl% Lat: 35° 33' 04" N Long: 78' 18' 13" W n 50 . \ ndwwd \ 1 ( V '•, }V �!• SOG 150 , ISpOSa) N p • 900 1✓. x 4 W. Noble Street✓ ' ° NCSR 1900 US Hwy 70 I: Mm nal p" t ___ Blanchard Terminal Company, LLC Facility Bulk Storage - 2026 Oak Street, Selma Location not to scale State Grid/Quad: E 25 SE / Selma, NC Sub -Basin: 03.04.02 Permitted Flow: Episodic —not limited Stream Class: WS-IV, NSW NPDES Permit NC0088961 Receiving Stream: UTofMill Creek Drainage Basin: Neuse River Basin North Johnston County AFFIDAVIT OF PUBLICATION STATE OF NORTH CAROLINA COUNTY OF WAKE Advertiser Name: DEPARTMENT OF WATER RESOURCES Address: 1617 MAIL SERVICE CENTER PROTECTION SECTION/ RALEIGH, NC 276991617 Before the undersigned, a Notary Public of Wake County North Carolina, duly commissioned and authorized to administer oaths, affirmations, etc., personally appeared DEBORAH MAHAFFEY, who being duly sworn or affirmed, according to law, doth depose and say that he or she is Accounts Receivable Specialist of The News & Observer a corporation organized and doing business under the Laws of the State of North Carolina, and publishing a newspaper known as The News '& Observer, in the City of Raleigh, Wake County and State aforesaid, 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 of the requirements and qualifications of Section 1-597 of the General Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina, and that as such he or she makes this affidavit; and is familiar. with the books, files and business of said corporation and by reference to the. files of said publication the attached advertisement for DEPARTMENT OF WATER RESOURCES was inserted in the aforesaid newspaper on dates as follows: 08/15/2013 d4 DEBORAH MAHAFFEY, Accounts i bi le Sp/ ecialist Wake County, North Carolina Ad Number 0000623537 Pubnc Natice North Carolina Environmental hNrvpemenl [ammlssioNNPDES Unit 1617 hbil Service Center Ielgh, NC V69 1617 atiteof Interne Issue NPDES Wostevnter Perrnit N80: August 15, 2013 W Wl ys!'�Y'S Notary Public Wake 6ounjy O 1411111'.VIIWO Sworn to and subscribed before me This 16th day of August, 2013 My Commission Expires: CVOJI PG f: Notary Signature NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Thomas A. Reeder Governor Acting Director July 23, 2013 U VX/ 1 :: �I u_ John Skvarla Secretary To: Michael L. Douglas, P.E. (DWR/PWSS) Regional Engineer Raleigh Regional Office; Fax 919-788-5349 From: Joe R. Corporon, L.G. DWQ / NPDES Program 919-807-6394; Fax 919-807-6495 Subject: Review of Discharge to a UT to Mill Creek (WS-IV; NSW), Neuse River Basin Renewal of Existing NPDES Permit Pending concurrence email from Mitch Hayes (RRO) for: Blanchard Terminal Company, LLC — Selma NCO088960 located at 2026 Oak Street, Selma 27576 Johnston County Please provide your comments, if possible on or before August 6, 2013. [E-mail OK] RESPONSE: I have reviewed the draft permit and determined that the proposed discharge is not located sufficiently close to any existing or known proposed public water supply intake so as to create an adverse effect on water quality. The DWR concurs 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. X I concur with issuance of the above permit provided the following conditions are met: The point of discharge is located less than 5 miles upstream of intake for the Town of Smithfield (PWSID No. 03-35-010). No special conditions are required as long as permit limits are met. I oppose the issuance of the above permit based on reasons stated below, or attached: Signed: M%cha el/ L. Do,rAgj�m P.E. Date: 07126113 cc: file 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748 Internet: www.ncwaterquality.org An Equal opportunity l Affirmative Action Employer 1V°o e Carolina Naturallb, DENR/DWR/NPDES FACT SHEET - NPDES PERMIT DEVELOPMENT / NPDES Permit NCO088960 / sC7D )ron, L.G., NPDES Unit / 919-807-6394 24Sep2013 Facility Information Applicant/Facility Name Blanchard Terminal Company LLC / Oak Street, Selma Applicant Address 539 South Main Street, Findley Ohio 45840 Facility Address 2026 West Oak Street, Selma 27576 Permitted Flow (MGD) Not limited Type of Waste Stormwater held in proximity to above -ground storage tanks (ASTs) containing fuel hydrocarbons >I million gallons. Facility Class Not classified County Johnston Permit Status Renewal Regional Office RRO Stream Characteristics Receiving Stream UT to Mill Creek, Neuse River Basin Stream Classification WS-IV; NSW Stream Segment [2740] Drainage basin Neuse Summer 7Q 10 (cfs) 0.0 Subbasin 03-04-02 Winter 7Q10 (cfs) 0.0 Use Support 30Q2 (cfs) 0.0 303(d) Listed No Average Flow (cfs) 0.0 State Grid E25SE IWC (%) 100 USGS Topo Quad Selma, NC Facility Summary This facility confines stormwater and maintenance wastewater behind bermed areas [dikes]. These dikes are equipped with drain pipes controlled by hand -operated valves, normally closed. This controlled discharge constitutes a point source to the environment. Moreover, because this facility stores fuel hydrocarbons in above -ground storage tanks (ASTs) and appurtenant piping, with surface storage in excess of one (1) million gallons, the facility is specifically excluded from coverage under conventional stormwater regulations. Toxicity — This permit requires Acute Whole Effluent Toxicity (WET) testing Fathead Minnow (Pimephales promelas), 24-hr definitive, LC-50 >100% [TAE6C]. Since January 2008 [eleven (11) tests], all Quarterly TOX testing is reported as "PASS." Based on these data DWQ has relaxed the monitoring frequency from Quarterly to Annually. For Renewal - updated facility description and Vicinity Map; added parameter codes to Section A. (L). The Division has removed previous Special Condition for Methyl Tertiary Butyl Either (MTBE) based on revised EPA Standards. Future MTBE compliance will be evaluated based on Human Health Standard of 1,500µg/L and Water Supply (WS) Standard at 19µg/L. Per new EPA Standard, Phenol (single compound) has been replaced by Total Recoverable Phenolics (32730); monitoring is relaxed from Monthly to Quarterly based on data reported as "not detected." No other changes to permit limits or monitoring. RPA - Reasonable Potential Analysis (RPA) - RPA was not conducted on effluent parameters because Discharge Monitoring Reports (DMRs) reported fuel -related parameters below the method detection levels (MDLs) for the past five (5) years (Jan2008-Ju12013). Fact Sheet Renewal 2013 -- NPDES Pemtit. NCO088960 Page 1 FLOW (MGD) — Oct2010-May2013: Outfall 001 Max Ave Discharges (n) • 2010 0.024 — 1 • 2011 0.060 0.038 10 • 2012 0.056 0.037 11 • 2013 0.042 0.019 6 [thru May] Outfall 001 - Reasonable Potential Analysis (RPA) — Not Conducted Because: • BTEX not detected n = 26 (Monthly) • MTBE not detected n = 26 (Quarterly) • Phenol not detected n = 26 (Monthly) • Naphthalene not detected n = 26 (except 11 Mar2011 @ 2.63 µg/L] • Oil & Grease n = 53 Ave = 6.21 mg/L Max = 9.7 mg/L • Turbidity n = 26 Ave = 28.21 ntu Max = 349 ntu • Total Suspended Solids (TSS) n = 26 Ave =11.15 mg/L Max=120mg/L At the Permittee's verbal request (meeting at Archdale Building 08Aug2013), relaxing Monthly monitoring frequencies to Quarterly. This request is justified for the above parameters except TSS and Turbidity which shall remain at a monthly frequency. Renewal Summary 1. reduced Monthly monitoring frequencies to Quarterly; 2. deleted monitoring and Special Condition for Methyl Tertiary Butyl Either (MTBE) based on revised EPA standards or Human Health of 1500 µg/L, and Water Supply (WS) at 19µg/L, 3. replaced Phenol (single compound) with Total Recoverable Phenolics [32730]; based on revised EPA guidance for WS waters 4. removed footnote for O&G regarding a "quiescent zone" questioned as "non -operational" due to the need to sample during discharge at the designated outfall [see section A. (L)]; 5. added parameter codes to table [Section A. (L)]; 6. updated WET —testing page [Section A. (2.)]; 7. updated facility description and Vicinity Map. fact Sheet Renewal -- NPDES NCO088960 Page 2 joo �O rC�L�,L, , a o_os3 Map j Alex _ O.OG (�A � TSS A _ JrlS� OA r _(76 tAvl� - I To > NPDES PERMIT APPLICATION — SHORT FORM C — Minor Industrial Minor industrial, manufacturing and commercial fac' 't' Mail the complete application to: '[��SU (gLVuv RN. C. DENR Division of Water uali / NPDES Uni D/ Q ty161? Mail Service Center, Raleigh, NC 27699-161? 2 5 2012 POINT SOUE NPDES Permit Number NC0088960 � wv^lRCg ALf1Y�H 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 Facility Name Mailing Address City State / Zip Code Telephone Number Fax Number e-mail Address BP Products North America, Inc. BP Products North America -- Selma Terminal PO Box 248 Selma NC 27576 (904)318-9892 (919)965-9468 radford.murphy@bp.com 2. Location of facility producing discharge: Check here if same as above ❑ .Street Address or State Road 2026 West Oak City Selma State / Zip Code NC 27576 County Johnston 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 BP Products North America, Inc. Mailing Address 3707 Buffalo Road City Selma State / Zip Code NC 27576 Telephone Number (919)965-3751 Fax Number (919)965-9468 4. Ownership Status: Federal ❑ State ❑ Private ® Public ❑ Page 1 of 4 C-MI 05/08 NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial Minor industrial, manufacturing and commercial facilities. 5. Standard Industrial Classification (SIC) code(s): 5171 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. Storm water that collects in the facility.'s bulk tank seconder containment systems is handled in accordance with the existing NPDES permit. Samples are collected monthly and quarterly. All secondary containment systems are inspected for evidence of petroleum impacts prior to discharging the contents. The facility may periodically discharge water used to hydrostatically test a newly constructed or repaired storage tank. This water is sampled and handled in accordance with the existing NPDES permit. S. Is facility covered under federal effluent limitation guidelines? No ® Yes ❑ If yes, specify the category? 9. Principal product(s) produced: no products are produced at the facility • Principal raw material(s) consumed: no raw materials are consumed at the fac' gy Briefly describe the manufacturing processjes]: The facility is a petroleum bulk storage and distribution facility. Petroleum products are received via pipeline or transport truck and stored onsite. The materials are then distributed via pipeline to other petroleum bulk storage and distribution facilities. The facility has 5 bulk storage tanks. 10. Amount of principal product produced or raw material consumed (List specific amounts consumed and/or units of production over the last three years) Product Produced or Raw Material Consumed AVERAGE Product Produced or Raw Material Consumed PEAK per Day None None per Month None None per Year None None Page 2 of 4 C-MI 05108 NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial Minor industrial, manufacturing and commercial facilities. 11. Frequency of discharge: Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: depends on precipitation Duration: depends on precipitation 12. Types of wastewater discharged to surface waters only Discharge Flow GALLONS PER DA Sanitary - monthly average 'None Utility water, etc. - monthly average None Process water - monthly average None Stormwater - monthly average 0.05 MGD Other - monthly average Explain: Hydrostatic test water 0.02 MGD Monthly Average total. discharge (all types). 0.08 MGD 13. Number of separate discharge points: 1 Outfall Identification number(s) outfall 001 14. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including latitude and longitude): Unnamed tr*butary of MiU Creek within the Neuse River Basin 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 multiple analyses are reported,, report daily maximum and monthly average. If only one analysis is reported, report as daily maximum. Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BOD5) NA Chemical Oxygen Demand (COD) NA Total Organic Carbon NA Total Suspended Solids 45.0 mg/L Ammonia as N NA Temperature (,Summer} NA Temperature (Winter) NA pH NA Fecal Coliform (If sanitary waste is present) NA Total Residual Chlorine (if chlorine is used) NA Page 3 of 4 C-MI 05/08 NPDES PERMIT APPLICATION — SHORT FORM C — Minor Industrial Minor industrial, manufacturing and commercial facilities. 16. List all permits, construction approvals and/or applications (check all that apply and provide permit numbers or check none if not applicablej. Type Permit Number Type Permit Number Hazardous Waste (RCRA) UIC (SDWA) NPDES NCO088960 PSD (CAA) Non -attainment program (CAA) NESHAPS (CAA) Ocean Dumping (MPRSA) Dredge or fill (Section 404 or CWA) Other 04262R13 17. List any chemicals that may be discharged (Please list and explain source and potential amounts.) - Benzene, -Toluene,' -Ethyl benzene; Xylenes -- gasoline releases —fuel stored at the facility does not contain MTBE Quantities that may be released'range from traces to thousands of gallons. 18. Is this facility located on Indian country? (check one) Yes ❑ 11io . 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. Printe&name of Person Signing Title 1 \ "�O ,-)D 1Q, Sisnatu a ADnlicant 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.) Page 4 of 4 C-MI 05108