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ZrE A GENERAL INFORMATION GENERAL Canrp/ioa ned PemmiO Program IAroa In, "Q<nrrvi ln.rrv<r• •ru' a<rort rmrmnf . I. EPA I.D. NUMBER .III FACILITY1qAME Industrial & Agricultural Chemicals, Inc FACILITY Route 2, Box 521-C Y MAI\N\ADDREss Red Springs, NC 28370)VOTR111 E \ \ � \\\ I� IRural Paved Road 131840 OCT 21 Iyy; VI. FACILITY `}, Pn.t .a.,....:'___ - [I. POLLUTANT CHARACTERISTICS I. EPA I: C. YUMaER LNAL INSTRUCTIONS It a Preprntea IaOei has pen Provided. affi, It In the des,gnatea sort,.. Revues the mform Ilion carefully; A any of it irinrorrea, End, through it and ante, the correct data In at appropriate fill-.n area below. Also, if any a the preprinted data is absent (doe area W an, left of the label apace prtr me amfism.,"I mat. should aopaar/, plaao Provide It In Vs Proper fill -min areals) plow. It the label 1 COMPlate and correct, you need not =motor Items I, III, V. and VI I..Wr Vl-E witk•I mutt be completed regardlest/. Complete at .items if no label has been Presided• Refer v the instructions for detailed hem doscerip tions and for the legal authorisations uride which this data is collecred. INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA If you answer "yes" to my questions, you must submit this form and the supplemental form listed in the parenthesis following the question: Mark' X" in th'e box in the third column. if the supplemental form is attached. If you answer "no" to each question, you need not submit any of these formi You may answer "no" if your activity is excluded from permit requirements; see Section C of the instructions. See also, Section 0 of the instructions for defir,::ions of bold —farad tzmrL SPECIFIC OUCSTIONS n, ••• " SPECIFIC QUESTIONS <' "R A. Is this facllnY a Publicly owned treatments w t orlu X B. Does or will this facility /rimer raining or pposted) I which results In a discharge to wafers of the U.S7 I (FORM 2A) I l ` I- n include a Concentrated animal feeding operation or _ I aquatic animal production facility which results in e is this a fatllnty wrocn cur.enav ' dilidmit"to seance of the U.S.? (FORM 2BI reruns m 'rises to waters of the U.S, othe• than those described in Is pro edity o or dean mow deserIbed . A or 9 above, (FORM 2C) in A or B aaci which will result in a d'Ocharye to were of the US.7 (FORM 2D1 „ E. Does O, will this facility treat, store, or dispose of I i �ous (FORM 3) (y/\ haasrwanes? F. Do you or will you inject at this facility industrial or municipal effluent plow the lowermost stratum can. ` Wining, within one quarter mile of the well bore, underground sources of drinking water? (FORM 4) O You Or wI YOu Inject at t IS dU IIV dry Pro Inc ' water or other fluids which are brought to the suAatt In connection will, conventional oil or netural pro gas M. Do you Or will you Inject at this facility fluids for spa• 6111 Procreate such N mining of suffur by the French auction, infect Ilwtls for used enhanced recovery of process, solution mining o1 minerals, in situ rombuY oil or natural gas, or Inject finds for storage of liquid tion of fbsail fuel, or recovery of geothermal energy} h drocarbons7 (FORM 41 (FORM 4) , I this a I trydPropose,• sttegontry w I Is J, a n I ILY a pr a n'; one of the 28 industrial categories liemi in the in listed i ry sources whir Is afrutvom and which will potentially emit 1W tons � NOT one of the 28 industrial eottegoriess listed in the per year of an a,r Y Y pollutant the regulated seed Instructions and which will potentially omit tons ' .Clean r. b no may allett or, De looted in an i pot year of any stir regulated under the Clean he en are attainment area, (FORM 51 Air Act and m aff ffei o b act or p located in an atbinrtsartt III. NAME OF FACILITY ar�7 (FORM 5� t sRtPIndu s t rial and A g r i l c u t u r a l I 11 c. =` 4^ IV: FACILITY CONTACT A. NAME a TITLE Ifaa1, hrl [, R 2 R a n d a1 1 F A n d r e w s V. FACILITY MAILING ADDRESS . _ A. STREET OR F.O. BOX 3 ."R o u t e 2 B o x 5 2 1 a. CITY OR TOWN �\ I 4 R e VI. FACILITY LOCATION A. STREET. ROUTE NO. OR OTHER SPECIFIC IOEj 5:Rou to 2 Box 5'21-'C I r.' NAME R o b e s o n ----- c . r . OR TO-, --1 R e d S p_r_i_ n g s.-_ EPA Form 3510.1 fRrv. lo-eo. CONTINUE ON REVERSE.,A; 1-12 T C, M m 400 47' S , ,_ Ue p•> '�fi" �.'f +c�' � t � `���. _ rt`�`c«`++}}''�� vw Mimed• 'ry•,i` .r v;Y g� _ i In �N �fft x Gn�l � �:"�. n s t ' �'°�•'�i�•.i ,�?y;'PTy. i, t"�`:°�. CONTINUED FHUM INe - V II. sic CODES i"ig,t, in ordr� or ononrvt A. FIRST E sacoHO 5 1 9 1 I(,➢re,f: 7 5 1 '.6 9 7 c, rHIRo I- o raUwrH 7 2 $ VI I1. OPERATOR.INFORMATION -IS CIe nrm� Ilnad In A. A M E n I nrn V I I I •A alto ewrw7 A•g 1t ur al Ch em.ica is DYES PNO,. B Industrial and r.i cu ad C. STATUS OF OPERATOR (Enter the app,oprure letter into the aLbol—Olher*"Other*'.LIPHONE (ann. C.d. a.'no.l FEDERAL M- VBLI (other rhanfederalornate/ (specify;1 9� 8 4 3 1 2 1 S - STATE O - OTHER Wrcifl') P„ P - PRIVATE - E. STREET OR P.O. e0A R o u t e 2 B o x 2 1- C F. CITY OR TOWN .LANty la®ted on Indian lands?B ES L3ti NO _•.F,' Red S p' r i n g s X. EXISTING ENVIRONMENTA L. PERMITS,q A. Hroes /DueAarges ro Surfwc Raterl m Pso /Air Emisioru from Proposed sources) e 9 N B P eclER OTHE R s " ,• e• urO (underground Injection of Fluids) 1 • (➢ YY! Air -, g 9r 6. 1 2.5 Air - 1 C. RCRA (Hazardow Wastes) E. OTHER (tPECtfYI (tpeclfyi 9 R B ,u ' XI: MAP topographic map of the area extending to at lean one mile beyond property boundaries. The map must show �t..j Attach to this application a the outlined} the facility, the location of each of its existing and proposed intake and discharge structures, each of its hazardous waste...:;`, other surface treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all springs, rivers and 's water bodies in.the map area. See instructions for preciserequirements. - XII. NATURE OF BUSINESS.IpraWde-a brief detcription _ Drying, grinding and Vlending of fertilizer metal trace element components. .Packaging of,-:'—, inorganic chemicals and acid's. XIII.. CERTIFICATION nee insDUCOonrl, informationsubmitted in' this application and all -- If certify under penalty of iaw that l have personally examined and am familiar with the for the information contained in they attachments and that, based on my inquiry of those persons immediately responsible obtaining there are significant penalties. for submitting - application, I believe that the information is true, accurate and complete. l am: aware that false information, including the possibility of fine and imprisonment. - C. GATE SIGNCD 5, A ,.ME a OFFICIAy TIT�E:npe v 9nn( RE n Randall F. Andrews, President COMMENTS FOR OFFICIAL USE ONLY EPA Form 3510.1 (R.. 10.801 Rrve,sa 1-13 EPA ID Number (copy from Item I of Form 1) Form Approved. OMB No. 2040-0086 Please print or type in the unshaded areas only - Approval expires 5-31-92 Form 2F NPDES' United States Environmental Protection Agency Washington, DC 20460 aw Application for Permit To Discharge Stormwater \EPA Discharges Associated with lndustrial,ActivitV Paperwork Reduction Act Notice Public reporting. burden for this application is estimated to average 28.6 hours per application, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing. the collection of information. Send comments regarding the burden estimate, any other aspect of this collection ofinformation, or suggestions for improving this form, including suggestions which may increase or reduce this burden to: Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M 'SC.. SW, Washington, DC 20460, or Director, Office of Information and Regulatory Affairs,. Office of Management and Budget, Washington, DC 20503. I. Outfall, Location ror each ouffall list the latitude and longitude of its locat!on to the nearest"15 seconds and the name of the receiving water. A. Outtall Number list B. Latitude C. Lon itude 'D: Receiving Water (name) 001urnt Swamp I1.lm rovements A. Are you now required by any Federal, State, or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater treatment equipment or practices or any other environmental programs which may affect -the discharges described in this application? This includes, but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions. - 1. Identification of Conditions, Agreements, Etc, 2. Affected. Cuffalls 3. Brief Description of Project 4. Final - Compliance Date number source of discharge a.. rec. b. pro'. Various agreements 001 between DEM and IAC B. You may attach additional sheets describing any additional water pollution (or other environmental projects which .may affect your discharges) you now have under way or which you plan. Indicate whether each program is now under way or planned, and indicate your actual or planned schedules for construction., III. Site Draina a h Attach a site map showing topography (or indicating the outline of drainage areas served by the outfall(s) codered in the application if a topographic map is unavailable) depicting the facility including: each of its intake and discharge structures; the drainage area of each storm water outfall: paved areasand buildings within the drainage area of each storm water outfall, each known past or present areas used for outdoor storage or disposal of significant materials, each existing structural control measure to reduce ,pollutants in storm water runoff, materials loading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied; each ofits hazardous waste treatment, storage or disposal units (including each area not required to havea RCRA permit which is used for accumulating hazardous waste under 40 CFR 262.34): each well where fluids from the facility are injected underground; springs, and other surface water bodieswhich receive storm water discharges from the facility. EPA Form 3510-2F (11-90) Page 1 of 3 - _ Continue on. Page 2F-1 1nt: Continued from the Front A. For each outfall, provide an estimate of the area (include units) of impervious surfaces (including paved areas and building roofs) drained to the ou.tlall, and an estimate of the total surface area drained by the outfall. Outfall Area of Impervious Surface Total Area Drained Outfall Area of Impervious Surface Total Area Drained (provideNumber n' r id i(provide units) 001 40,000 ft.2 60,000 ft.2 B. Provide a narrative description of significant materials that are currently or in the past three years have been treated, stored or disposed in a manner to allow exposure to storm water; method of treatment, storage, or disposal; past and present materials management practices employed, in the last three years, to minimize contact by these materials with storm water runoff; materials loading and access areas; and the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are applied. We have stored zinc hydroxide and sulfur outside under cover in the past. Currently, we only have sulfur stored outside under cover. We are in the process of getting the sulfur up and putting it inside. We are currently working on a program to bring every- thing inside a building. All materials loading and access areas are being brought under cover. We are not currently applying any pesticides, herbicides, soil conditioners and fertilizers. C. For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce pollutants in storm water runoff; and a description of the treatment the storm water receives, including the schedule and type of maintenance for control ealment measures n i i h Outfall List Codes from Number T ble F-t 001 ISTRUCTURAL - Our program is designed to put all operations inside of a uilding.- Loading and unloading is also to be enclosed. - 001 ONSTRUCTURAL - We are planning on putting rocks on driveway to slow spe d f runniniZ stormwa er. W V. N ;tormwater Discharcies A. I certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the presence of nonstormwater discharges, and that all nonstormwater discharges from these outfall(s) are identified in either an accompanying Form 2C rForm application fr the outtall. Name and Official Title (type or print) Signs re - Date Signed Randall Andrews, President 1 p'� 7' 9 / B. Provide a description of the method used, the date of any testing, and the onsite drainage points that were directly observed during a test. I am personally familiar with the drainage pipes. All of them are either draining the gutters on the roof or in two cases, draining areas closer to the railroad, but blocked by our access road. VI. Significant Leaks or Spills Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facilily'in the last three including years, the approximate date and location or the spill or leak, and the type and amount of material released. We have had no significant leaks or spills during the last three years. EPA Form 3510-21' f t r q,^. o....,. , _, ., a. age c u, Continue on Page 3 iac Industrial and Agricultural Chemicals, Inc. ROUTE 2 • BOX 521-C • RED SPRINGS, NC 28377 (919) 843-2121 FAX (919) 843-5789 EPA Form 2F Item II. (B) Planned Schedule: 1. Build a completely enclosed loading dock for trucks by 10-1-91. 2. Build and finish two buildings: Building 1 by 10-1-91 and Building 2 by 12-1-91. 3. Put the blenders in one building by 12-1-91. Put the baggers in the same building by 12-1-91. 4. Apply for a Stormwater Permit by 10-1-91. 5. Do all of our bulk loading and unloading inside of a building by 1-1-92. 6. Connect the buildings with a contained and covered passageway by 1-1-92. 7. Clean up contaminated soil by cleaning up all visible contam- inated soils until we see dirt by 10-1-91. 8. We plan to check soils for zinc until it is low and at that point, we will check for copper, chrome, nickel, and lead by 10-1-91. 9. We plan to prepare a SPCC plan for our facilitiy and carry it out by 12-1-91. Frtp Industrial and Agricultural Chemicals, Inc. ROUTE 2 • BOX 521-C • RED SPRINGS, NC 28377 (919) 843-2121 FAX (919) 843-5789 EPA Form 2F Item IV.(C.) Outfall No. 001 - NONSTRUCTURAL (continued) - We currently do not plant to provide treatment, therefore, there should be no maintenance for control and treatment measures. There will be no disposal of wastes. EPA from Paae 2 A,B;C, & D: See instructions before proceeding. Complete one set of tables for each outfall. Annotate the outfall number in.the space provided. Tables VII-A, VII-B, and VII-C are included on separate sheets numbered VII.1 and VII-2. E: Potential discharges not covered by analysis - Is any pollutant listed in Table 2F-2 a substance or a component of a substance which you h currently use or manufacture as an,intermediate or final product or byproduct? P I — I Yes (list all such oollufants haln.) r� Boron Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your on alrreecceeiving water in relation to your discharge within the last 3 years? discharges or I ^ I Yes (list all such oollutants helnw) r— 1 Copper Zinc Were any of the analyses reported in Item V pedormed by a contract laboratory or consulting firm? Yes (ilit the name, address, and telephone number of, and pollutants analyzed4y �bo roro or rrrm gerov q © No (go to Section )Q 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 the information submitted. Based on my inquiry of the person or persons who manage the system or those persons p p y gather and evaluate directly responsiblefor 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. A Name & Official Title (type orprint) Randall Andrews, President e.Area Code and Phone No. C. Signature 919-843-2121. D. Date Si. gnedd/7, / EPA Form .8510.2E (tl•SJ) J� -� 5' r f P EPA ID Number (copy from Item I ofFoan r) Form Approved_ OMB No. 2040-0066 . Approval expires 531-92 VII. Discharge Information (Continued from page 3 of Form 2F Part A- You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall. See instructions for additional details. Pollutant and CAS Number (if available) Maximum Values (include units) Average Values (include units) Number of Storm Events Sampled Sources of Pollutants Grab Sample Taken During First 30 Minutes Flow-weightetl Composite Grab Sample Taken During First 30' Minutes Flow -weighted Composite Oil and Grease Biological Oxygen Demand (BOD5) Chemical Oxygen Demand (COD) Total Suspended Solids (TSS) Total Kieldahl Nitrogen Nitrate plus Nitrite Nitrogen Total Phosphorus pH Minimum Maximum Minimum Maximum Part B - List each pollutant that is limited in an effluent guideline which the laaLly is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater (it the facility is operating under an existing NPDES permit) Complete one table for each outfall. See the instructions I Pollutant and CAS Number (if available) Maximum Values (include units) Average Values (include units) Number of Storm Events Sampled Sources of Pollutants Grab Sample Taken During First 30 Minutes Flow -weighted Composite Grab Sample Taken During First 30 Minutes Flow -weighted Composite i I I I I i I 9 EPA Form 3510-21F (11-90) rage vll-t Continue on Reverse 01 1 Continued from the Front Part C - List each pollutant shown in Tables 2F-2, 2F-3, and 2F4 that you know or have reason to believe is present. See the instructions for additional details and requirements. Complete one tattle for each outfall. Pollutant and CAS Number (if available) Maximum Values (include units) Average Values (include units) Number of Storm Events Sampled Sources of Pollutants Grab Sample Taken During First 30 Minutes Flow -weighted Composite Grab Sample Taken During First 30 Minutes Flow -weighted Composite copper 1 c lead 1 lead oxide zinc 1 zinc boron 1 PartD - Provide data for the storm events which resulted in the maximum values for the flow weighted com osite sam le. 1. Date of Storm Event 2. Duration of Storm in minutes 3. Total rainfall during storm event in inches 4. Number of hours between beginning of storm meas- ured and end of previous measurable rain event 5. Maximum floe rate during rain event (gallons/minute or specify units 6. Total flow from rain event (gallons or specify units 7. Season sample was taken 8. Form of Precipitation (rainfall, snowmeit) /27/91 90 0.45 90 250 gal./min. 28,125 summer rainfall 9. Provide a description of the method of flow measurement or estimate. - Amount of rainfall in feet x area in square feet = cubic feet of water x 7.5 gal. which is total flow. EPA Form 3510-2F (11-90) Page Vil-2 2F-5 Instructions - Form 2F Application for Permit to Discharge Storm Water Associated with Industrial Activity Who Must File Form 2F Form 2F must be completed by operators of facilities which discharge storm water associated Mh industrial activity or by operators of storm water discharges that EPA is evaluating for designation as a significant contributor of pollutants to waters of the United States, or as contributing to a violation of a vater quality standard. Operators of discharges which are composed entirely of storm water must complete Form 2F (EPA Form 3510-2F) in conjunction with Form 1 (EPA Form 3510-1). Operators of discharges of storm water which are combined with process wastewater (process wastewater is water that comes into direct contact with or results from the production or use of any raw material, interme- diate product, finished product, byproduct, waste product, or wastewater) must complete and submit Form 2F, Form 1, and Form 2C (EPA Form 3510-2C). Operators of discharges of storm water which are combined with nonprocess wastewater (nonprocess wastewater includes noncontact cooling water and sanitary wastes which are not regulated by effluent guide- lines or a new source performance standard, except discharges by educational, medical, or commercial chemical laboratories) must complete Form 1, Form 2F, and Form 2E (EPA Form 3510-2E). Operators of new sources or new discharges of storm water associated with industrial activity which will be combined with other nonstormwater new sources or new discharges must submit Form 1, Form 2F, and . Form 2D (EPA Form 3510-2D). Where to File Applications The application forms should be sent to the EPA Regional Office which covers the State in which the facility is located. Form 2F must be used only when applying for permits in States where the NPDES permits program is administered by EPA. For facilities located in States which are approved to administer the NPDES permits program, the State environmental agency should be contacted for proper permit application forms and instructions. Information on whether a particular program is administered by EPA or by a State agency can be obtained from your EPA Regional Office. Form 1, Table 1 of the "General Instructions" lists the addresses of EPA Regional Offices and -the States within the jurisdiction of each Office. Completeness Your application will not be considered complete unless you answer every question on this form and on Form 1. If an item does not apply to you, enter "NA" (for not applicable) to show that you considered the question. Public Availability of Submitted Information You may not claim as confidential any information required by this form or Form 1, whether the information is reported on the forms or in an attachment. Section 4020) of the Clean Water Act requires that all permit : applications will be available to the public. This information will be made available to the public upon request. Any information you submit to EPA which goes beyond that required by this form, Form 1, or Form 2C you may claim as confidential, but claims for information which are effluent data will be denied. If you do not assert a claim of confidentiality at the time of submitting the information, EPA may make the information public without further notice to you. Claims of confidentiality will be handled in accordance with EPA's business confidentiality regulations at 40 CFR Part 2. Definitions All significant terms used in these instructions and in the form are defined in the glossary found in the General Instructions which accompany Form 1. EPA ID Number ' Fill in your EPA Identification Number at the top of each odd -numbered page of Form 2F. You may copy this number directly from item I of Form 1. EPA Form 3510-2F (11-90) 1-1 2F-r, Oxford Laboratories, Inc. .:INDUSTRIAL AGRI CHEMICALS ROUTE 2 BOX 521-C RED SPRINGS, NC 28377 ATTENTION:. RANDALL ANDREWS Analytical and Consulting Chemists DATE RECEIVED 8-09-91 1316 South Fifth Street DATE REPORTED 8-20-91 Wilmington, N.C. 28401 91W2074 (919) 763-9793 PAGE 1 OF 1 `w _SAMPLE DESCRIPTION: 2 WATER SAMPLES Y rV." 1. WATER NEXT TO R.R. 1ST 30 MIN. 2. WATER NEXT TO R.R. COMPOSITE RESULTS 1-&,,Grease, PPM D5, as` 02, PPM O.,D,r', as 02,' PPM' tal'Suspended Solids, PPM eldahl.Nitrogen, as NH3-N, PPM trite & Nitrate, as NO3+NO2-N, PPM tal Phosphorus, as PO4-P, PPM iper; as Cu, PPM �d "as,Pbi PPM C,Ias Zn,' PPM ,,on, -.as B, PPM 1 22 <1 26 7 0.93 2.42 0.05 8.6 .060 <.010 .700 16.0 2 <2 <1 27 57 0.57 0.16 0.04 6.7 .780 .040 10.0 30.0 A ROGER t. OXrO�ST ford Laboratories, Inc. Analytical and Consulting Chemists DATE RECEIVED 8-09-91 1316 South Fifth Street DATE REPORTED 8-20-91 Wilmington, N.C. 28401 91W2244 (919) 763-9793 PAGE 1 OF 1 INDUSTRIAL AGRI CHEMICALS P.O. # ROUTE 2 BOX 521-C RED SPRINGS, NC 28377 ATTENTION: RANDALL ANDREWS =SAMPLE DESCRIPTION 2 WATER SAMPLES FROM DITCH _.. •1. WATER FROM DITCH 1ST 30 MINUTES 2. WATER FROM DITCH COMPOSITE RESULTS .Oil & Grease, PPM f=60D5, as 02, PPM ".'C.O.D., as 02, PPM :3 i4.. �.�Total Suspended Solids, PPM sty r11 r,Kjeldahl Nitrogen, as NH3-N, PPM ",Nitrite & Nitrate, as NO3+NO2-N, PPM :;'Total Phosphorus, as PO4-P, PPM :.PH Copper, as Cu, PPM inc, as Zn, PPM 7:F 1 2 <2 <2 3 3 82 98 340 190 0.65 0.36 3.18 4.28 0.08 0.03 6.9 6.6 2.40 .650 4.50 3.50 ROGER C. OXFORD, CHEMIST