NC0085120_Renewal (Application)_20240508

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Stewart Scott
Lowes Companies Inc
1605 Curtis Bridge Rd
Wilkesboro, NC 28697-2231
Subject: Permit Renewal
Application No. NCO085120
Iredell Distribution Center WWTP
Iredell County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
May 08, 2024
The Water Quality Permitting Section acknowledges the May 8, 2024 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://www.deg.nc.gov/permits-rules/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Sincerely,
41-
(.v
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality i Division of Water Resources
Mooresville Regional Office 1 610 East Center Avenue Suite 301 1 Mooresville, North Carolina 28115
704.663.1699

RECEIVED
EPA Identification Number
NPDES Permit Number
Facility Name
FRr1�p,pproved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
MAY 0 S ZULdMB No.2040-0004
Form
U.S. Environmental Protection Agency
2A
\—.EPA
Application for NPDES Permit to Disch_algeJplg�te,tR / N P D ES
NPDES
NEW AND EXISTING PUBLICLY OWIJ1NIflrf`fltElAlq—INO1�IV0)0 S
SECTION•N
1.1
INFORMATION FOR t
Facility name
IREDELL COUNTY DISTRIBUTION CENTER (RDC 960)
Mailing address (street or P.O. box)
711 TOMLIN MILL RD.
City or town
State
ZIP code
o
STATESVILLE
NC
28625
Contact name (first and last)
Title
Phone number
Email address
w
c
MADELINE MCINTYRE
ORC
[phone]
madeline.k.mcintyre@lowes.c
w
Location address (street, route number, or other specific identifier) ❑✓ Same as mailing address
R
U-
City or town
State
ZIP code
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
LOWE'S HOME CENTER
Applicant address (street or P.O. box)
w
711 TOMLIN MILL RD.
City or town
State
ZIP code
w
5
STATESVILLE
NC
28625
Contact name (first and last)
Title
Phone number
Email address
MADELINE MCINTYRE
ORC
[phone]
madeline.k.mcintyre@lowes.c
a
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator ❑✓ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility ❑ Applicant ❑ Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
H
number for each.
Existing Environmental Permits
a
❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
c
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
w
rn
H
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
EPA Form 3510-2A (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Status
Served
Served
indicatepercentage)Ownership
846
separate sanitary sewer
El Own El Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
_
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
ElOwn ElMaintain
n.
C
a
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
a+
% separate sanitary sewer ❑ Own ❑ Maintain
N%
combined storm and sanitary sewer ❑ Own ❑ Maintain
c
❑ Unknown ❑ Own ❑ Maintain
Total 846
°'
Population
v
Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of
/° ° /° °
sewer line in miles)
z'
1.8
Is the treatment works located in Indian Country?
c
3
0
U
❑ Yes 0 No
r_
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
c
❑ Yes No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
0.016 mgd
Annual Average Flow Rates Actual
y
Two Years Ago
Last Year
This Year
c o
0.004591 mgd
0.003889 mgd
0.003966 mgd
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
mgd
mgd
mgd
1.11
Provide the total number of effluent discharge points to waters of the United States by type.
cTotal
Number of Effluent Discharge Points by T e
T
Combined Sewer
Constructed
CD t-
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
r
Overflows
y
1
EPA Form 3510-2A (Revised 3-19) Page 2

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0085120
I
iREDELL DISTRIBUTION CENTER
OMB No. 2040-0004
Outfalls Other Than to Waters of the United States
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Im oundment Location and Discharge Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
y
0
❑ Intermittent
s
1.14
Is wastewater applied to land?
❑ Yes 0 No SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
a
Land Application Site and Discharge Data
Continuous or
0
Location
Size
Average Daily Volume
Intermittent
o,
Applied
check one
N
acres
gpd
❑ Continuous
❑ Intermittent
o
s
acres
d
gpd
❑ Continuous
o
❑ Intermittent
acres
d
❑ Continuous
gpd
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
❑ Yes ❑✓ No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No -* SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
EPA Form 3510-2A (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving IF cility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
0
U
Contact name (first and last)
Title
0
s
Phone number
Email address
o
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate m d
a1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not
have outlets to waters of the United States (e.g., underground percolation, underground injection)?
Ca
❑ Yes ❑ No 4 SKIP to Item 1.23.
U
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other Dis osal Methods
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
o
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
acres
9P d
❑ Continuous
❑ Intermittent
o
❑ Continuous
acres
gp d
❑ Intermittent
acres
gp d
❑ Continuous
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
❑� Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
❑ Yes ❑r No +SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
o
Contractor name
(company name
oMailing
address
_
street or P.O. box
`o
City, state, and ZIP
R
code
Contact name (first and
U
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Form 3510-2A (Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
SECTION11 • •' • 1
c Outfalls to Waters of the United States
U.
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o
ElYes ❑✓ No 4 SKIP to Section 3.
c
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
w
Indicate the steps the facility is taking to minimize inflow and infiltration.
c
o
0
0
c
s
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
R
specific requirements.)
Cv
o
0
0
ElYes ElNo
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
cA
(See instructions for specific requirements.)
rn
LA-
C3
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
c
d
E
d
a
2.
E
w
0
N
d
3.
d
u
4.
-a
R
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Im rovements
E
0
Scheduled
Affected
Begin
End
Begin
Attainment of
'
o
CL
Improvement
Outfalls
(list outfal
Construction
Construction
Discharge
Operational
Level
E
(from above)
number)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
MM/DDIYYYY
d
d
s
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
EPA Form 3510-2A (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
SECTION•' • ON 1 1
3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number _
State
NC
County
IREDELL
jCity
or town
STATESVILLE
0
s
.Q
Distance from shore
ft.
Depth below surface
ft.
0
Average daily flow rate
0.003872 mgd
mgd
mgd
Latitude
35° 54 34"
Longitude
80 4Y 46,
°
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
,�
❑ Yes ❑ No -+ SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
s
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
o
discharge occurs
a
Average duration of each
o
discharge (specify units
C
Average flow of each
mgd
mgd
mgd
0
discharge
co
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑ No + SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
CL
Outfall Number
Outfall Number
Outfall Number
Cn
0
0 ai
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
❑� Yes ElNo 4SKIP to Section 6.
EPA Form 3510-2A (Revised 3-19) Page 6

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
Unamed to Rocky Creek
Name of watershed, river,
Yadkin Pee Dee
c
or Stream system
U.S. Soil Conservation
Service 14-digit watershed
in
code
L
3
Name of state
High Rock Lake
CM
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
El Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
0
Q
Design Removal Rates by
Outfall
d
BOD5 or CBOD5
%
%
%
c
d
E
m
L
TSS
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
EPA Form 3510-2A (Revised 3-19) Page 7

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Ultraviolet disinfection
-o
as -
c
s
a
c.�
c
Outfall Number 001
Outfall Number
Outfall Number
Disinfection type
Ultraviolet
d
c
Seasons used
d
w
L
Dechlorination used?
0 Not applicable
El Not applicable
Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑✓ No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.13
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑ Yes ✓❑ No 4 SKIP to Item 3.16.
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
=
reasonable potential to discharge chlorine in its effluent?
m
❑ Yes 4 Complete Table B, including chlorine. ❑ No -+ Complete Table B, omitting chlorine.
f-
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
all
❑ Yes ❑ No
3.16
Does one or more of the following conditions apply?
• The facility has a design flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must
sample other additional parameters (Table D), or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls (Table E).
Yes 4 Complete Tables C, D, and E as
❑ 0 No SKIP to Section 4.
a licable.
3.17
Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
❑ Yes ❑ No
3.18
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A (Revised 3-19) Page 8

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
—MM/DD/YYYY) ---_
-a
m
c
0
U
CU
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
a
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
C
d
7
Uj
W
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permittinq authority.
SECTION•
••• i
4.1
Does the POTW receive discharges from SIUs or NSCIUs?
❑ Yes ❑✓ No 4 SKIP to Item 4.7.
4.2
Indicate the number of SIUs and NSCIUs that discharge to the POTW.
M
Number of SIUs
Number of NSCIUs
0
0
4.3
Does the POTW have an approved pretreatment program?
N
_
❑ Yes ❑ No
4.4
Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F: (1) a pretreatment program annual report submitted within one year of the
application or (2) a pretreatment program?
t
.cn
ElYes ElNo 4 SKIP to Item 4.6.
Ri
4.5
Identify the title and date of the annual report or pretreatment program referenced in Item 4.4. SKIP to Item 4.7.
N
"fl
C
4.6
Have you completed and attached Table F to this application package?
❑ Yes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 9

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
4.7
Does the POTW receive, or has it been notified that it will receive, by truck, rail, or dedicated pipe, any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
❑ Yes ❑ No 4 SKIP to Item 4.9.
4.8
If yes, provide the follo ing information:
Annual
Hazardous Waste
Waste Transport Method
Amount of
Units
Number
(check all that apply)
Waste
Received
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other (specify)
c
.c
0
V
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other (specify)
0
72
N
❑ Truck ❑ Rail
_
❑ Dedicated pipe ❑ Other (specify)
CU
U)
d
4.9
Does the POTW receive, or has it been notified that it will receive, wastewaters that originate from remedial activities,
y
including those undertaken pursuant to CERCLA and Sections 3004(7) or 3008(h) of RCRA?
0
❑ Yes ❑✓ No -* SKIP to Section 5.
in
4.10
Does the POTW receive (or expect to receive) less than 15 kilograms per month of non -acute hazardous wastes as
specified in 40 CFR 261.30(d) and 261.33(e)?
❑ Yes 4 SKIP to Section 5. ❑ No
4.11
Have you reported the following information in an attachment to this application: identification and description of the
site(s) or facility(ies) at which the wastewater originates; the identities of the wastewater's hazardous constituents; and
the extent of treatment, if any, the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION•
OVERFLOWS (40
E
Does the treatment works have a combined sewer system?
5.1
o�
❑ Yes 0 No +SKIP to Section 6.
5.2
Have you attached a CSO system map to this application? (See instructions for map requirements.)
fl
❑ Yes ❑ No
0
5.3
Have you attached a CSO system diagram to this application? (See instructions for diagram requirements.)
W
0
❑ Yes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 10

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO085120
iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
5.4
For each CSO outfall, provide the following information. Attach
additional sheets as necessary.)
CSO Outfall Number
CSO Outfall Number
CSO Outfall Number _
City or town
0
2-
State and ZIP code
o
County
Latitude
°
°
0
o°
U
Longitude
°
Distance from shore
Depth below surface
5.5
Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number
CSO Outfall Number
CSO Outfall Number
Rainfall
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
rn
2
CSO flow volume
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
CSO pollutant
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
p
concentrations
Receiving water quality
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
CSO frequency
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Number of storm events
❑ Yes ❑ No
[]Yes ❑ No
❑ Yes ❑ No
5.6
Provide the following information for each of your CSO outfalls.
CSO Outfall Number
CSO Outfall Number
CSO Outfall Number
Number of CSO events in
events
events
events
the past year
o
a
Average duration per
hours
hours
hours
z
event
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
LU
million gallons
million gallons
million gallons
o
Average volume per event
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
Minimum rainfall causing
inches of rainfall
inches of rainfall
inches of rainfall
a CSO event in last year
❑ Actual or ❑ Estimated
I ❑ Actual or ❑ Estimated I
❑ Actual or ❑ Estimated
EPA Form 3510-2A (Revised 3-19) Page 11

EPA IdenPkWjon Number — NPDES nnmt Number Fen6ty Name
NCO085120 IREDELL DISTRIBUTION CENTER
I!
5.i
,CEI 'V E
Form Approved 03,!05t19
OMB No. 2040-00W
Provide the informaton In the table below for each of your CS_O outfalls.
CSO Outfall Number CSO Outfall Number,._ t�
Receiving water name
Name of watershed(
U.S. Soil Conservation
Service 14-digit
watershed code
Name of state
managemenUriver n
U.S. Geological Survey
8-Digit Hydrologic Unit
Code cif kno•.vm
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
---- O Unknown ❑ Unknown
D Unknown I O Unknown
❑ Unknown
a Unknown
6.1 In Column 1 below, mark the sections of Form 2Athat you have completed and are submitting with your applicat*lon. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that no;
all applicants are required to provide attachments.
Column 1 -( - Column 2
6.2
Section 1: Basic Application � ❑ wlvariance requests) ❑ wl additional attachments
Information for All Applicants
© Section 2: Additional i ❑ wl topographic map ❑ wl process flow diagram
Information ❑ wl additional attachments
❑ w/ Table A ❑ wl Table D
© Section 3: Information on ❑ wl Table B ❑ wi Table E
Effluent Discharges
❑ wl Table C ❑ wl additional attachire,lts
Section 4: Industrial
❑ wl SIU and NSCIU attachments ❑ wl Table F
❑ Discharges and Hazardous
Wastes ❑ w/ additional attachments
❑ Section 5: Combined Sewer ❑ wl CSO map ❑ wt additional attachments
Overflows ❑ wl CSO system diagram
a Section 6: Checklist and ❑ wl attachments
Certification Statement
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel property gather and evaluate the information
i submitted. Based our my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and iWdsonment for knowing violations. ,
Name (print or type first and last name) Official title
Madeline McIntyre ORC
Smgnatur Date signed G,�
i
EPA Form 3510.2A (Rv*wd 3-19) Page 12

CEIVEU
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
d
5.7
Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number
CSO Outfall Number _
CSO Outfall Number
Receiving water name
Name of watershed/
y
streams stem
a�
U.S. Soil Conservation
❑ Unknown
❑ Unknown
❑ Unknown
Service 14-digit
=
watershed code
>
if known
mName
of state
oc
management/river basin
U.S. Geological Survey
❑ Unknown
❑ Unknown
❑ Unknown
8-Digit Hydrologic Unit
Code if known
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam les
SECTION•
d (d
6.1
In Column 1 below, mark the sections of Form 2A 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 provide attachments.
Column 1
Column 2
Section 1: Basic Application
w/ variance request(s) ❑ wl additional attachments
ElInformation
for All A licants
© Section 2: Additional
❑ w/ topographic map ❑ w/ process flow diagram
Information
❑ w/ additional attachments
❑ w/ Table A ❑ w/ Table D
© Section 3: Information on
❑ w/ Table B ❑ w/ Table E
Effluent Discharges
❑ w/ Table C ❑ w/ additional attachments
N
Section 4: Industrial
❑ w/ SIU and NSCIU attachments ❑ w/ Table F
❑ Discharges and Hazardous
❑
Wastes
w/ additional attachments
.2
ElSection 5: Combined Sewer
Elw/ CSO map ❑ wl additional attachments
Overflows
❑ w/ CSO system diagram
❑ Section 6: Checklist and
❑ wl attachments
Certification Statement
6.2
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Madeline McIntyre
ORC
Signature
Date signed
EPA Form 3510-2A (Revised 3-19) Page 12

EPA Identification Number
NPDES Permit Number
Facility Name
Outfall Number
NC0085120
iREDELL DISTRIBUTION CENTER
001
Form Approved 03/05/19
OMB No. 2040-0004
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A (Revised 3-19) Page 13

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
NCO085120 iREDELL DISTRIBUTION CENTER
Form Approved 03/05/19
OMB No. 2040-0004
•' '• • •IffIll'lej
Maximum Daily Discharge
V :F-11 I qz1a I a, r--1 � Rim 1j,1C11
Average Daily Discharge
Analytical
ML or MDL
Value
Units
Number
Pollutant
Value Units
Methods
Include units ( )
Samples
Ammonia (as N)
El MIL
❑ MDL
Chlorine
❑ MIL
total residual, TRC 2
❑ MDL
El IVIL
Dissolved oxygen
❑ MDL
Nitrate/nitrite
❑ ML
❑ MDL
11 MIL
Kjeldahl nitrogen
❑ MDL
Oil and grease
DIVIL
❑ MDL
Phosphorus
El MIL
❑ MDL
Total dissolved solids
❑ MIL
❑ MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 15

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
fa' " 'O
Maximum Daily Discharge Average Daily Discharge
Pollutant ---
Analytical ML or MDL
Number of
Methods (include units)
Value- Units Value Units
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ ML
❑ MDL
Arsenic, total recoverable
El ML
❑ MDL
Beryllium, total recoverable
❑ ML
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
El ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
❑ ML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
El ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
❑ ML
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
El ML
❑ MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant ---
Number of
Method' (include units)
Value Units Value Units
Samples
Carbon tetrachloride
El ML
❑MDL
Chlorobenzene
_
El ML
❑ MDL
Chlorodibromomethane
❑ ML
❑ MDL
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
❑ ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
El ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans- 1,2-d ichloroethylene
❑ ML
❑ MDL
1,1-dichloroethylene
❑ ML
❑ MDL
1,2-dichloropropane
❑ ML
❑ MDL
1,3-dichloropropylene
❑ ML
❑ MDL
Ethylbenzene
❑ ML
❑ MDL
Methyl bromide
❑ ML
❑ MDL
Methyl chloride
❑ ML
❑ MDL
Methylene chloride
❑ ML
❑ MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
❑ ML
❑ MDL
Toluene
❑ ML
❑ MDL
1,1, 1 -trichloroethane
❑ ML
❑ MDL
1,1,2-trichloroethane
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
NC0085120 iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
•' 1 '�
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Value Units Value Units Number of
Method' (include units)
Samples
Trichloroethylene
❑ ML
❑ MDL
Vinyl chloride
❑ ML
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
❑ ML
❑ MDL
2-chlorophenol
❑ ML
❑ MDL
2,4-dichlorophenol
❑ ML
❑ MDL
2,4-dimethyl phenol
❑ ML
❑ MDL
4,6 dlnitr0 0 CreS01
El ML
❑ MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ ML
❑ MDL
4-nitrophenol
❑ ML
❑ MDL
Pentachlorophenol
❑ ML
❑ MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
❑ ML
❑ MDL
Base -Neutral Compounds
Base -Neutral
❑ ML
Acena hthene
❑ MDL
Acenaphthylene
❑ ML
❑ MDL
Anthracene
0 ML
❑ MDL
Benzidine
❑ ML
❑ MDL
Benzo(a)anthracene
❑ ML
❑ MDL
Benzo(a)pyrene
[I ML
❑ MDL
El ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
NC0085120 iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
•• more
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant - - — - - Number of
Method' (include units)
Value Units Value Units Samples
Benzo(ghi)perylene
El IVIL
❑ MDL
Benzo(k)fluoranthene
EIML
❑ MDL
Bis (2-chloroethoxy) methane
El VIL
❑ MDL
Bis (2-chloroethyl) ether
11 ML
❑ MDL
Bis (2-chloroisopropyl) ether
11 MIL
❑ MDL
Bis (2-ethylhexyl) phthalate
0 MIL
❑ MDL
4-bromophenyl phenyl ether
0 ML
❑ MDL
Butyl benzyl phthalate
EIML
❑ MDL
2-chloronaphthalene
❑ MDL
4-chlorophenyl phenyl ether
❑ MDL
Chrysene
0 MIL
❑ MDL
di-n-butyl phthalate
❑ MDL
di-n-octyl phthalate
❑ MDL
Dibenzo(a,h)anth race ne
❑ ML
❑ MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4-dichlorobenzene
❑ ML
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
El ML
❑ MDL
Dimethyl phthalate
❑ ML
❑ MDL
2,4-dinitrotoluene
❑ ML
❑ MDL
2,6-dinitrotoluene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER
OMB No.2040-0004
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant --
Number of
Method' (include units)
Value Units Value Units
-- -- Samples
1,2-diphenylhydrazine
El IVIL
❑ MDL
Fluoranthene
❑ MDL
Fluorene
[I ML
❑MDL
Hexachlorobenzene
_
❑ ML
❑ MDL
Hexachlorobutadiene
El ML
❑ MDL
Hexachlorocyclo-pentadiene
❑ ML
❑ MDL
Hexachloroethane
❑ MIL
❑ MDL
Indeno(1,2,3-cd)pyre ne
El IVIL
❑ MDL
Isophorone
❑ ML
❑ MDL
Naphthalene
❑ ML
❑ MDL
Nitrobenzene
El ML
❑ MDL
N-nitrosodi-n-propylamine
0 MIL
❑ MDL
N-nitrosodimethylamine
❑ ML
❑ MDL
N-nitrosodiphenylamine
❑ ML
❑ MDL
Phenanthrene
❑ ML
❑ MDL
Pyrene
❑ ML
❑ MDL
1,2,4-trichlorobenzene
0
1
1
1
1
1
1
❑ ML❑ MDL
1
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A (Revised 3-19) Page 21

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No. 2040-0004
Maximum Dail Discharge Average Dail DischaT e
Pollutant Analytical ML or MDL
Qist) Value Units Value Units Number of Method' (include units)
Samples
-- ---r
No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
❑ ML
❑ MDL
—
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required
under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A (Revised 3-19) Page 23

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Information
Test Number
Test Number _
Test Number
Test species
Age at initiation of test
Outfall number
Date sample collected
Date test started
Duration
Toxicity Test Methods
Test method number
Manual title
Edition number and year of publication
Page number(s)
-Sample Type
Check one:
❑ Grab
❑ 24-hour composite
❑ Grab
❑ 24-hour composite
❑ Grab
❑ 24-hour composite
-Sample Location
Check one:
❑ Before Disinfection
❑ After Disinfection
❑ After Dechlorination
❑ Before Disinfection
❑ After Disinfection
❑ After Dechlorination
❑ Before disinfection
❑ After disinfection
❑ After dechlorination
Point in Treatment Process
Describe the point in the treatment process
at which the sample was collected for each
test.
Type
-Toxicity
Indicate for each test whether the test was
performed to asses acute or chronic toxicity,
or both. (Check one response.)
❑ Acute
❑ Chronic
❑ Both
❑ Acute
❑ Chronic
❑ Both
❑ Acute
❑ Chronic
❑ Both
EPA Form 3510-2A (Revised 3-19) Page 25

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No. 2040-0004
TABLE• •' FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Number
Test Number
Test Number
Test Type
Indicate the type of test performed. (check one
response.)
❑ Static
❑ Static -renewal
❑ Flow -through
❑ Static
❑ Static -renewal
❑ Flow -through
❑ Static
❑ Static -renewal
❑ Flow -through
Source of Dilution Water
Indicate the source of dilution water. (check
one response.)
❑ Laboratory water
❑ Receiving water
❑ Laboratory water
❑ Receiving water
❑ Laboratory water
❑ Receiving water
If laboratory water, specify type.
If receiving water, specify source.
of Dilution Water
-Type
Indicate the type of dilution water. If salt
water, specify "natural' or type of artificial
sea salts or brine used.
❑ Freshwater
El Salt water (specify)
❑ Freshwater
❑Saltwater (specify)
❑ Fresh water
❑ Salt water (specify)
Effluent Used
-Percentage
he percentage effluent used for all
ations in the test series.
i
Parameters Tested
Check the parameters tested.
❑ pH
❑ Salinity
❑ Temperature
❑ Ammonia
❑ Dissolved oxygen
❑ pH
❑ Salinity
❑ Temperature
❑ Ammonia
❑ Dissolved oxygen
❑ pH
❑ Salinity
❑ Temperature
❑ Ammonia
❑ Dissolved oxygen
Acute Test Results
Percent survival in 100% effluent
%
%
%
LC50
95% confidence interval
%
%
%
Control percent survival
%
%
%
EPA Form 3510-2A (Revised 3-19) Page 26

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
MONITORINGTABLE E. EFFLUENT •' WHOLE EFFLUENT TOXICITY
e table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Number Test Number Test Number
i
Acute Test Results Continued
Other (describe)
Chronic Test Results
NOEC
%
%
%
IC25
%
%
%
Control percent survival
%
%
%
Other (describe)
Quality Control/Quality Assurance
Is reference toxicant data available?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Was reference toxicant test within
acceptable bounds?
El Yes
El No
El Yes
El No
❑Yes
El No
What date was reference toxicant test run
(MM/DD/YYYY)?
Other (describe)
EPA Form 3510-2A (Revised 3-19) Page 27

This page intentionally left blank.

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03/05/19
NCO085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
INDUSTRIALTABLE F. DISCHARGE INFORMATION
Response space is provided for three SIUs. Copy the table to report information for additional SIUs.
SIU _
SIU _
$IU _
Name of SIU
Mailing address (street or P.O. box)
City, state, and ZIP code
Description of all industrial processes that affect
or contribute to the discharge.
List the principal products and raw materials that
affect or contribute to the SIU's discharge.
Indicate the average daily volume of wastewater
discharged by the SIU.
gpd
gpd
gpd
How much of the average daily volume is
attributable to process flow?
gpd
gpd
gpd
How much of the average daily volume is
attributable to non -process flow?
gpd
gpd
gpd
Is the SIU subject to local limits?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Is the SIU subject to categorical standards?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 29

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03/05/19
NC0085120 iREDELL DISTRIBUTION CENTER OMB No.2040-0004
TABLE F. INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three SIUs. Copy the table to report information for additional SIUs.
SIU_
SIU _
SIU
Under what categories and subcategories is the
SIU subject?
Has the POTW experienced problems (e.g.,
upsets, pass -through interferences) in the past 4.5
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
ears that are attributable to the SIU?
If yes, describe.
EPA Form 3510-2A (Revised 3-19) Page 30