NCGNE1004_COMPLETE FILE - HISTORICAL_20140516

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE 0' HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE El301H 0� (11)
YYYYMMDD

=•.'•A;5A
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E, Skvarla, Ill
Governor Secretary
May 16, 2014
James Sutherland
Sutherland Products, Inc.
203 North First Avenue
Mayodan, NC 27027
Subject: No Exposure Certification NCGNE1004
Rescission of Permit NCG060347
Charlie's Soap
Rockingham County
Dear Mr. Sutherland:
The Division has reviewed your submittal of the application for No Exposure Certification requesting exclusion from
NPDES stormwater permitting at Charlie's Soap. Based on your submittal of a signed certification of no exposure and on
inspection by Aana Taylor-Smith on November 12, 2013, the Division is granting conditional exclusion from permitting as
provided for under 40 CFR 1 22.26(g), which is incorporated by reference in North Carolina regulations. We are also
hereby rescinding your current permit Certificate of Coverage, NCG060347.
Please note.that by our acceptance of your No Exposure Certification, Charlie's Soap is obligated to maintain no exposure
conditions at this facility. If conditions change such that the facility no longer qualifies for no exposure exclusion, you are
obligated to immediately obtain NPDES permit coverage for any stormwater discharge. Otherwise, the discharge
becomes subject to enforcement as unpermitted discharge.
Charlie's Soap must recertify the no exposure status annually using the included form and retain the completed form on
site. Any"yes" answer would require that you obtain NPDES permit coverage for stormwater discharge from the facility.
The annual self-recertification form does not need to be submitted to DEMLR, unless requested. Please note that
this conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental permits
that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Aana Taylor-Smith or me at(336) 771-5000.
Sincerely,
Matthew E. Gantt, PE
Regional Engineer
Land Quality Section
Enclosures:
1. Annual Self-Recertification Form
CC: Stormwater Permitting Unit— No Exposure Files
LVVSRO Files=Land-Quality?
Division of Energy, Mineral, and Land Resources
Land Quality Section •Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107 • Phone: [phone] FAX: [phone]

_ ... 3 � �.p prod, �i� a is a t csc;•--r1 C.�r�-�` i�
FOR ADaw Re U ONLY
� Dade Received
A Division of Water Quality /Surface Water Protection Year Moron D y
NCDENit National Pollutant Discharge Elimination System CcrtificateofCoverage
C G N E
NO EXPOSURE CERTIFICATION for Exclusion RECE JVED
NCGNEUUUU N.C. Dept OfENR
MAY 14 2014
NO EXPOSURE CERTIFICATION I. WINSTON-S �
e*` REGIONA[ �F EM
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies fora no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter(with some exceptions)to
prevent exposure to rain, snow, snowmeft, and/or runoff.
-For permitted facilities in North Carolina, DWO must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery,raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed,provided those containers are not deteriorated and do not leak. "Sealed'means
banded or otherwise secured and with locked or non-operational taps or valves;adequately maintained
vehicles used in material handling;and final products, other than products that would be mobilized in
stormwater discharges(e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available an a facility-wide basis only—not for individual
outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
You are required to self re-ca!tify, your No Exposure Exclusion annually.
For questions, please contact the DINO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed):
Name amt.5 ����r�an� 6,��Ce.r-(a.�d �[oc.1.u�J ,�,-lJ►c-f _
Contact
Street Address 2,03 /V, -1-5-fAyff
City hUKodo K - _ State A4--- ZIP Code Z70 Z
Telephone No. Jj(�9-t4- 44 S Z 7 Fax;
Email j�wte5 Ci,a,- <<'Q Snap,cf3.vt __
D ;`u r:.�
:
Page 1 of 7
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SWU NE-12Au 2010 Tt_R IALiiY
9 aet��ss ci_3 rryyr Brdr1G111

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NCGNE©OOO No Exposure Certification
n,f
2) Location of facility producing rdischarge:
Facility Name �] �l�f�rJ� 1'r'o1 ��5 1.7t',C_ .
Facility Contact
Facility Street Address 7o3 N 5p r~ .
City . State AC- ZIP Code Z70 Z 7
County o n
Telephone No. �_ - 7 Fax
Email
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers, and
distance and dir ction from a roadway inter ection).
4,4
(A copy of a map with the facility clearly located on it should be included with the certificatio pplication.)
4) Is the facility located on Native American Lands? o Yes ig No
a) Is this a Federal facility? ❑ Yes 9 No
6} Latitude .3y2q'qLo.4�N Longitude -7gaS7 �' �[ui✓(deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following;
❑ New or Proposed Facility Date operation is to begin
f] Existing Date operation began _ -q Z6
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ❑ No
If yes, what is the NPDES Permit Number? &C.GQ6
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 21 00
10) Provide a brief descriptiof of the typerq of industrial activities and products produced at this facility:
t Ica o� ✓
11) Does thi acility have any Non-Discharge permits(ex: recycle permits)?
e No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits,for this facility:
Page 2 of 7
SWtJ-NE-12Aug201 O

NCGNE0000 No Exposure Certification
Exposure Checklists(12. - 14.)
12) Are any of the following materials or activities exposed to precipitatiori, now or in the foreseeable
future? (Please check either"Yes" or"No.") If you answer "Yes" to any of these items,you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes @9 No
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes a No
c. Materials or products from past industrial activity ❑ Yes ® No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ® No
e. Materials or products during loading/unloading or transporting activities ❑ Yes w No
t. Materials or products stored outdoors (except final products intended for outside ❑ Yes 7 No
use [e.g., new cars]where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, O Yes ® No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No
the discharger
L Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) © Yes RE No
j. Application or disposal of process wastewater Sunless otherwise permitted) ❑ Yes ® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
1. Empty containers that previously contained materials that are not properly stored ❑ Yes to No
(i.e., not ciosed.and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers V Yes XINo
stored outside, has the facility had any releases in the past three(3) years?
s 11Ca� l�
13) Above Ground Storage Tanks (ASTs): It you answer"No" to any of the following items,you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or A Yes ❑ No ❑ NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ® Yes ❑ No ❑ N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
S W U-NE-12Aug2010

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NCGNEOOOO No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for all single above ground storage in Yes ❑ No ❑ N/A
containers (including drums, barrels, etc.)with a capacity of more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored (p Yes ❑ No ❑ NIA
in close proximity to each other with a combined capacity of more than 1,320-
gal Ions?
c. Is secondary containment provided for Title III Section 313 Superfund fig Yes ❑ No ❑ NIA
Amendments and Reauthorization Act(SARA)water priority chemicals*?
d. Is secondary containment provided for hazardous substances"designated in 40 M Yes ❑ No 9 NIA
CFR§116?
e. Are release valves on all secondary containment structures locked? ® Yes ❑ No ❑ NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes OF No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes ® No
generated per month)of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes -® No
generated per month)of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
*Note that amounts below the 660-gallon (single) and 1,320-gallon (combined)bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title 111 SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §1 17.3.
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NCGNE0000 No Exposure Certification
16) Other information: If you answer"Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes lib No
b. Does your facility have coal piles on site? ❑ Yes 0 No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes W No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity(e.g., ❑ Yes is No
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No M NIA
Please specify:
f. Please list any other environmental program permits(federal, state, etc.) not "
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Page 5 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of"no
exposure"and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document(except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to annual self re-certify No Exposure and. if requested, submit the re-certification to
DWO or the operator of the local municipal separate storm sewer system(MS4)into which the facility discharges (where
applicable). I understand that I must allow the North Carolina Division of Water Quality,or MS4 operator where the
discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such
inspection reports publicly available upon request.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility.Additionally, 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 gathered and evaluated 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.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief
such information is true,complete, and accurate.
Printed Name of Person Signing: e 5:2ge--ta,+j
Title: Ow s'tc y
h
/z,//
(Sig Lure of Appfi t) (Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(i) provides that;
Any person who knowingly makes any false statement,representation,or certification in any application, record,report,plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article;or who knowingly makes a false
statement of a material fact in a rutemaking proceeding or contested case under this Article;or who falsifies,tampers with,or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
)Environmental Management)Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars($10,000).
There is currently no fee for a No Exposure Exclusion,
Page 6 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions,please contact the DWO Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ...... [phone] win ton sole
Fayetteville Office ... [phone] ! �l gh
° 0 n �
Mooresville Office ... [phone] 1 °
Raleigh Office ........ [phone] s Me
ao. le
Washington Office ...[phone]
Wilmington Office ... [phone] 5
Winston-Salem ...... [phone] F �n frillo
Central Office .........[phone] �r
Wil ngfon
Page 7 of 7
SWU-NE-12Aug2010

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1. ALL DISTANCES SHOWN ARE IN FEET.
2. THIS MAP IS SUBJECT TO ANY EASEMENTS AGREEMENTS, OR RIGHTS
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be found in the drawing. Ss- SANITARY SEWER LINE
• EXISTING IRON PIPE EIP UTILITY POLE
SH I LJ PRCJDJTS II .
d NEW IRON PIPE NIP - ohp - OVERHEAD POWER LINES SITUATED IN THE TOWN OF MAYODAN, M.C.
WATER VALVE - oht - OVERHEAD TELPHONE LINES
® WATER METER i"'f' CONCRETE o 20 40 60
MADISON TOWNSHIP ROCKINGHAM COUNTY, N.C.
® CATCH BASIN (MANHOLE COVER) :: ::•- GRAVEL GRAPHIC SCALE -
SCALE 1 20 FEBRUARY 1-6, 2005
VAUGHN SURVEY.IN COMPANY, NC.
116 & MARKET STREET MAD[S,- , N.C. 27025
(336) 427-10512 info@va:ughnsUrueyingco.comn
T t
• Ir4 I� t 1it1 1 � - � tt r +.') t �;t �ti � 1
j `! f � . r .•1.I'.A I.t .... - .. { .. .... I. S 1� i'I� i+...1' ... - .'! ' �. I.•I:

It CDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, Ill, Secretary
12 November 2013
Mr.James R. D. Sutherland, Vice President
Sutherland Products, Inc.
203 North 1st Avenue
Mayodan, NC 27027
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG060000
Certificate of Coverage NCG060347
Charlie's Soap
Rockingham County
Dear Mr.Sutherland:
Aana Taylor-Smith and Sue White of the Winston-Salem Regional Office of the NC Division of Energy, Mineral, and
Land Resources (DEMLR)conducted a compliance evaluation inspection at the subject facility on 12 November
2013. Your assistance and cooperation during the inspection were greatly appreciated. An inspection checklist is
attached for your records and the inspection findings are summarized below.
This facility is located at 203 North 1st Avenue in Mayodan, Rockingham County, North Carolina. Stormwater
related to industrial activity is discharged from the site to the Mayo River, this segment of which is currently
classified as Class C Waters, in the Roanoke River Basin.
Documentation &Monitoring Review
The facility's Stormwater Pollution Prevention Plan (SPPP) is in development, but contains all of the required
elements and is up to date. Qualitative and analytical monitoring have not yet been completed, but the permit
was just issued in May 2013.The facility has one Stormwater Discharge Outfail (SDO)that discharges stormwater
related to industrial activity.
Site Review
The facility is clean and well-maintained.Secondary containment is implemented as required.The outfall was
inspected and found to be in good order. No evidence of erosion or instability at the SDO was observed and the
receiving stream was free of pollution indicators. During the inspection, it was noted that this facility would
qualify for No Exposure Certification, which would eliminate the need for the NCG060000 General Stormwater
Permit. For more information on No Exposure Certification, please visit our website at the following link:
http://Portal.ncdenr.org/web/Ir/npdes-stormwater#tab-5
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27101 . Phone: [phone] I FAX:[phone]

Charlie's Soap
11/12/2013
Page 2 of 2
We appreciate your efforts to comply with the stormwater permit and the proactive steps taken to identify and
eliminate potential sources of pollution. No additional response to this letter is required. Should you have any
questions regarding the NCG060000 permit, No Exposure Certification, or this inspection, please do not hesitate
to contact Ms.Taylor-Smith or me at(336)771-5000.
Sincerely,
Matthew E.Gantt, P
Regional Engineer
Land Quality Section
Enclosures: BIMS Inspection Checklist
cc: Central files
WSRO/LQ

Compliance Inspection Report
Permit: NCG060347 Effective: 05/15/13 Expiration: 10/31/17 Owner: Sutherland Products Inc
SOC: Effective: Expiration: Facility: Charlie's Soap
County: Rockingham 203 N 1st Ave
Region: Winston-Salem
Mayodan NC 27027
Contact Person: James R D Sutherland Title: Phone: [phone]
Directions to Facility:
68 north to 220 north take exit 704 west 1.5 mi rt on s market st.5 mi to 3rd left on decatur st 2.5 mi to rt on a Jefferson st left on north
1 st ave site rt.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 1111212013 Entry Time: 09:30 AM Exit Time: 10:30 AM
Primary Inspector: Aana Taylor-Smith Phone: [phone]
Secondary Inspector(s):
Sue White Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing
Stormwater Discharge COC
Facility Status: ® Compliant [I Not Compliant
Question Areas:
®Storm Water
(See attachment summary)
Page: 1

Permit: NGG060347 Owner-Facility: Sutherland Products Inc
Inspection Date: 11/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to attached inspection summary letter.
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ® n n n
#Does the Plan include a General Location(USGS)map? ■ 0 n El
#Does the Plan include a"Narrative Description of Practices"? ■ ❑ n
#Does the Plant include a detailed site map including outfall locations and drainage areas? ■ fl
#Does the Plan include a list of significant spills occurring during the past 3 years? ■ fl [1 I]
#Has the facility evaluated feasible alternatives to current practices? ■ fl
#Does the facility provide all necessary secondary containment? ■ ❑ Q fl
#Does the Plan include a BMP summary? ■ Cl
#Does the Plan include a Spill Prevention and Response Plan(SPRP)? ® ❑ n Q
#Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? Q ❑ D
#Does the facility provide and document Employee Training? ■ 0 D D
#Does the Plan include a list of Responsible Party(s)? ■ 0
#Is the Plan reviewed and updated annually? ■ 0 ❑ E)
#Does the Plan include a Stormwater Facility Inspection Program? ■ n ❑ Q
Has the Stormwater Pollution Prevention Plan been implemented? ■ ❑ ❑ n
Comment: Plan was in development but looks good.
Permit and Outfalls Yes No NA NE
#Is a copy of the Permit and the Certificate of Coverage available at the site? ® ❑ ❑ n
#Were all outfalls observed during the inspection? ■ ❑
#If the facility has representative outfall status, is it properly documented by the Division? ❑ n ® D
#Has the facility evaluated all illicit(non stormwater)discharges? ■ n fl
Comment: Recommend applying for No Exposure Certification
Page: 2

C ,
RECEIVEJ
N.C.Dept.of L t; MAY 2.3 2NCDENR Winston-5aleNorth Carolina Department of Environment and Natural Resour Re ional of
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor Director Secretary
May 15, 2013
Mr. James R. D. Sutherland, Vice President
Sutherland Products, Inc.
203 North 1"Avenue
Mayodan,North Carolina 27027
Subject: General Permit No.NCG060347
Charlie's Soap
COC No.NCG060347
Rockingham County
Dear Mr. Sutherland:
In accordance with your application for a discharge permit received on April 29,2013, we are
forwarding herewith the subject certificate of coverage(COC)to discharge under the subject state—
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection Agency dated October 15, 2007 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other
permits which may be required by the Division of Water Quality or permits required by the Division of
Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may
be required.
If you have any questions concerning this new permit, please contact Bill Diuguid, Stormwater
Staff Planner at telephone number(919) 807-6369.
Sincerely,
ORIGINAL SIGNED B)
KEN PICKLE
Charles Wakild, P.E.
cc: Winston-Salem DWQ Regional Office, Surface Water Protection
Central Files
Stormwater Permitting Unit Piles
Attachments
Wetlands and Stormwater Branch One
1617 Mail Service Center,Raleigh,North Carolina 27599-1617 NorthCarolina
Location:512 N.Salisbury 5t.Raleigh,North Carolina 27604 Naturally
919-807-63001 FAX [phone]
Internet:www,ncwatergtiality.org
An Equal Opportunity 4 Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060347
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Sutherland Products, Inc.
is hereby authorized to discharge stormwater from a facility located at
Charlie's Soap
203 North I"Avenue
Mayodan
Rockingham County
to receiving waters designated as an unnamed tributary to Mayo River, a Class C waterbody, Roanoke River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111,
IV, V and VI of General Permit No.NCG060000,as attached.
This Certificate of Coverage shall become effective May 15, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 15, 2013.
ORIGINAL SIGNED 131
KEN PICKLE
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Taylor-Smith, Aana
From: Diuguid, Bill
Sent: Monday, May 13, 2013 8:52 AM
To: Taylor-Smith, Aana
Subject: RE: NCG060347 Charlie's Soap Mayodan NOI
Ok. Thank you. Will do.
Bill D.
From: Taylor-Smith, Aana
Sent: Monday, May 13, 2013 8:49 AM
To: Diuguid, Bill
Subject: RE: NCG060347 Charlie's Soap Mayodan NOI
Hi Bill,
I am writing to recommend that Charlie's Soap be issued COC#NCG060347 for coverage under the stormwater general
permit. I have visited this site in the past two months and assisted them with submitting the NOI.They are located in
Rockingham County, which is my assignment. I will be inspecting the facility again in the future when they have finished
their SPPP.
Thank you very much!
Aana Taylor-Smith
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
From: Basinger, Corey
Sent: Monday, May 13, 2013 8:42 AM
To: Taylor-Smith, Aana
Subject: FW: NCG060347 Charlie's Soap Mayodan NOI
FYI. Please review and respond back to Bill in Raleigh.
Thanks.
CS
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
1

r
Email: [e-mail]
Phone: [phone]
Fax [phone]
E-moil correspondence to and from this address may be subject to the North Carolina Public Records Cow and may be disclosed to
third parties.
From: Diuguid, Bill
Sent: Monday, May 13, 2013 8:41 AM
To: Basinger, Corey
Subject: FW: NCG060347 Charlie's Soap Mayodan NOI
fyi
From: Diuguid, Bill
Sent: Thursday, May 09, 2013 12:20 PM
To: Thomas, Mike
Subject: NCG060347 Charlie's Soap Mayodan NOI
Mike Thomas, WSRO:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule.
Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located
in your region, (2)that there are no current complaints outstanding about the facility that have not been dealt with, and
(3)that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the NOI and a
location map for your review.
COC# Facility Location City/County
NCG060347 Charlie's Soap 203 North 1st Avenue [Mayodan/Rockingham
If you need any more info,give me a call. If you could send me a recommendation to issue the permit by 06/09/2013,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
"1>F�4TP9
�N
o�<
Bill Diuguid, AICP
Staff Planner, Stormwater Permitting
Wetlands and Stormwater Branch
Division of Water Quality I NCDENR
1617 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-16 1 7
Phone: [phone] Fax: [phone]
Website: http://portal.nedenr.org/web/wq/ws/su
2

4 ,
Taylor-Smith, Aana
From: Taylor-Smith, Aana
Sent: Monday, May 13, 2013 2:36 PM
To: '.lames Sutherland'
Subject: NCG06 Information
Attachments: NCG06 Permit.pdf; NC Commercial Labs.xlsx; QM Report Form.pdf; AM Discharge
Monitoring Report Form.pdf
Hi James,
Sorry it took me so long to get this to you! I got caught up walking around a construction site all morning, which was
very exciting. Anyway, now that you have submitted the NOI and it has been approved, you will be issued a Certificate of
Coverage (COC) under the NCG06 general permit for"Food and Kindred" industrial activities, which includes soap
makers. I have attached a copy of the permit for your reference.
Since you're an existing facility applying for coverage,you have 12 months from the date that your COC goes into effect
before you have to have developed and implemented a Stormwater Pollution Prevention Plan (SPPP). I think your
contractor has done a lot of these before, so he should be able to take care of that for you no problem.Just bear in mind
that the SPPP has to be reviewed annually and updated with any new information (including contact info for staff, etc.)—
! would advise you to keep a chart with the dates that it is reviewed and the reviewer's initials/signature.That'll make it
easier for you and us O
The requirements for the SPPP are listed on pages 6-9 of the PDF I attached. I would go ahead and look over them
because even though your contractor will know how to set them up, there are some requirements(list of spills, outfall
certification, facility inspection,employee training, etc.)that have to be updated either semi-annually or annually.
Section B (pages 10-13 of the PDF) show your analytical monitoring requirements. This is the part that involves taking
samples semi-annually and getting them analyzed. Note that you don't have to sample for fecal coliform or enterococci
because you don't process meats. I have attached a list of contract labs in NC that do water quality analysis for your
perusal.The samples do NOT have to be analyzed by a certified lab, but they do have to be analyzed according to the
approved EPA method (htt water.e a. ov scitech methods cwa index.cfm). Keep in mind that pH must be analyzed
within 15 minutes of taking the sample for it to be considered acceptable, which is why most people either buy a
portable pH meter or use a contract lab to take samples as well as analyzing them. Analytical monitoring results do have
to be reported to DWQ(see page 25 of the PDF). I attached a form that either you or a contract lab can use to report
those results.All of these forms can be found on our website under the tab "Monitoring Forms" -
por-tal.ncdenr.org/weblwglwslsu/npdessw.
Section D (pages 15-16)show your qualitative monitoring requirements. Basically you just have to go out and look at
discharge from the outfal!(s) twice per year during a "measurable storm event" and record your observations. I attached
a form you can fill out for that as well.
Don't worry about Section C because you don't do vehicle maintenance on site,and don't worry about Section E
because you don't process animal fats/byproducts.
I know that's a lot of stuff, so if you have any questions,just let me know.
Thanks!
Aana Taylor-Smith
Surface Water Protection Section
Winston-Salem Regional Office
1

I
Division of Water Quality
Phone: [phone]
Fax[phone]
E-moil correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
2

FQR AGENCY USE ONLY
Diviiiob."4Mit6f Quality Surface Wate'r*
Protection Section
0 ch Ammum
National Pollutant Dischargo'Elimination System. chi z
NCG060000 LA
NOTICE OF INTENT
V.,
National Pollutant Dischaige EllininMidn Systeml appli.bation for coverage under"G
�NC600000: D
�S WAT R DISCHARGES associated with activities classified asi;
n P af
dredr ,
SIC:; Totsacco,Prodiktsx
SIC1283 6rugw,
_,C iii6tiai_g; .rep�r�q(q�j�� oi r.?-II qp%Nje�,'
Preparations-
SIC 422 Publid Warehousing and Storage(except 4226)
For•questions,please contact.the DWQ Regional Office for your area. Seepage
Do Not iisai.this.1101iorriein­6w�ls-
(Please print or type).
1) Mailing address of ownerlop
rrator(address to which all permit c0resvondeke will be mailed):
Namd Sutherlarfd Pirodkts, Inc.
Street Address' 203 ort.. ,1 Ave.;
City Mayodan. State NCB... Z10 Code J7627,z.
Telephone No. [phone] Fax: (336),548-3626
2) Location of facility producing'41scharge:
Facility Name Charlie's.Soap;,
Facility Contact James R. D.Sutherland,Vice President..
Facility Address 203.'North
Fbcility City' Mayo da n giat6 NC Z1P"C6_d6 27027
Facility County Rocklnqm,'� _
Telephone No. [phone], Fax: [phone]
Email jar,�es@chaillosoa'o.com
1) PhysicialLocailon Information:
Please provide a narrative description of how to get.to the.facility,(use street names, state road numbers,,and
distance and direction from a roadway intersection). SO North to,22ONbrth;pke�6xit7G4W6sti.5mi.;
OL i_ . - 6 1"
.right on:S. Markei St.; 2 mi to 3d iefton.De6aftirSt;, .2 ml_t"ghton.E.Jqff;ri 6St,- eft
1"Ave.site rIsgkt:,
(A copy of a county.map or USGS quad sheaf with the fklfity clearly located must be submitted with this application.)t
4) Latitude. 36*44'21YN, —Longitude.. 80*02'47"Vk._' (dog,min,sec)
5) This NPIDES Permit Application applies to.,Wpl6h of.the following:
El New or Proposed l7kility Date operation is to begin--
Existing
Pagpe 1 of 4 ? Last revised 1111 5h_i

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I
"NCa06OOOO.N.OJ.
-6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code(SIC code)that describes the primary industrial
activity at this facility.
SIC code:. -2841
7) Activities.,
a)Provide a.iirief,narrative description ofAhe types of industrial activities and products manufactured ,
at this facility: Dry components are mixed to produce dry detergent and liquid components are mixed
to produce liquid detergent. Components,and mixtures are stored on'-site as needed to meet demand.
b)Check all activitles occurring at this-facility:
❑ use or process meats 0. use or process animal'.fats/byproducts,
8), Discharge points!Recel:virrgewaters:
How many discharge points(ditches, pipes,channels.'etc.)convey stormwater from the property?2
What is4fe name of the body or bodies of water(creek, stream, river, lake, etc:)that the facile sto'rinvyater
discharges end up in? Mayo River 5w6b4j D3-o Z,oi=, Ci,.,Es G ; 'r.' 'ih�>E►cZZ-3D�{ra�
Receiving water classification:_Class"C"
-- _
Is this a 303(d)listed stream?_No Has a TMDL been appeoved for this watershed?
If the site stormwater discharges to a separate storm sewer system, ndrne the operator of the separate storm' `
sewer system(e.g. City of Raleigh municipal storm sewer). YA' -
9) Does this facility have any other NPDES pe`inits?
X No
❑'Yes
If.yes, list;ihe permit numbers for all current NPOES permits for this facility:,~
10) Does this facility have any Non-Discharge permits(ex: recycle.permit)?
X No
❑_Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facllity:,-. -.
11)Does,this facility employ any best management practices for:stormwater"control?
X No
❑ Yes(Show any structural BMNs onjhe site diagram.)
If yes, please briefly describe; - - - -
W - a
A 2)Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes,when was it implemented?
13)Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of4
SM-221 Last revised 11/15/12•.

'NCG060000.N'."0. . lr
14)Hizardotis Waste:
a) Is this'facility a•Hazardous Waste Treatment, Storage, or Disposal Facility? IC
X.No ❑ Yes
b) Is this facility a Small Quantity Generator(Iess than 1000 kg. of'hazardous waste generated peg month),
of-hazardous waste?
X No ❑ Yes
c),. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month)_of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100.year flood plain?
X No © Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b.or c., please provide.the following information:
Type(s)of waste:;
How is material stored;:.- - --- - - _
_
Where is material stored: --- - --- — i
How many disposal.shipments per year:
Name of transport 1 disposal vendor:
Vendor address:..
15)Certification:
North Carolina General'Statute:143-215.69-(i)provides'that:
Any person who knowingly,makes any false statement, representation,or certification in any application,record,report.
,plan, or other document no or required to be maintained under this Article or a rule implementing this Article;or who
L"ovAngly makes a false statement of a material.fact in a rulemaking proceeding or contested casevundei this Article;or
who falsifies,tampers with„or knowingly,renders Inaccurate any recording or monitaing device or method required to be
operated or maintained under this Article or rules of the Commission implementing,this Article shall.be guilty of.a Class 2
misdemeanor,which may Include a fine not to exceed ten thousand dollars($10,000).
I,hereby request coverage under the referenced General Permit. I understand that coverage under this
permit will constitute the permit requirements for the discharge(s)and is enforceable in the'same manner as
an individual permit,
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate:.
Printed Name of Person Signing:James R. D..Sutherland- - = r
Tifle:,Vlics Rresident
( ' mature of.Applicant
This Notice of Intent must be accompanied by a check'or money order for$100.00, made payable to:.
NCDENR.Ao hot send thsc hoc k or-money order seRarateiv.,
r
1
Page 13 of 4
SVW-221. --Last revised 11/15112

" -
Green,Mountain Engineering,-PLLC Ciyit_Engineehne Consyltants
T - _-
To: NCDENR;DWQ,.Storm_wateeP„ermitting (Jnit, DWQ
mdre=,1617 Mail Service Center, Raleigh, NC 27699.1617 y �,
_.- .. FraM-Vincent_C:Townsend, PE;.PLS; Green Mountain Engineering, PLLC
- - -- - - --
Date:; t74/25M13
Res 203 North 1st Ave., MayodOn;NC
Messages - - —
Mike;
Attached please.fand the following;
1, One completed NPDES NCO060000 General Permit Application.
2. One.check payable to NCDENR in the amount of$100.00 to cover the application
3. One 8-1/2"z11"USGS'map taken fiom a 2067 USGS_tdlayodan,NC 7.5'minute
quadrangle map.
4. One copy of a site,survey map showing topography done by Vaughn Surveying.
Company,Vic. Notations and highlighted information was-added to the sheet as
e"eeded to fiilfilt.the requirements ofthig application.:
-Please,let me know.if you have any questions or require additional i�iformation, I can be
reached-via email_vince&eenmountainengineers:com or:by.teiephone 636-255'8395)at'
your convenience:
'Best.Regards,
VincemC?. oiwnser:da?E,,
609 Stafforditinte�Cour- Oak Ridge, NC 27310 - (336) 1984021,=
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W. ANTHONY, VAUGHN- PLSi NO. L-2727
TOPOGRAPHICAL SURVEY PERFORMED OCRE
By C. EDWARO,-M , JR.
1
PLS. NO. 28776
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1
r
Taylor-Smith, Aana
From: Taylor-Smith, Aana
Sent: Monday, April 08, 2013 9:07 AM
To: '[e-mail]'
Cc: 'James Sutherland'
Subject: RE: NCG06 General Permit(Food & Kindred)
Oops... forgot to include this in the previous email. Sorry about that! If you look under Part III, Section A, it gives the
timeframe for developing and implementing the SPPP:
Existing Facilities already operating but applying for permit coverage for the first time: The Stormwater Pollution
Prevention Plan shall be developed and implemented within 12 months of the effective date of the Certificate of Coverage
and updated thereafter on an annual basis. Secondary containment, as specified in Part II, Section A, Paragraph 2(b) of
this general permit, shall be accomplished within 12 months of the effective date of the issuance of the Certificate of
Coverage.
So they have a year after getting their Certificate of Coverage (which is issued after the application is approved by the
Division of Water Quality) to finish the SPPP. Thanks!
Aana Taylor-Smith
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Taylor-Smith, Aana
Sent: Monday, April 08, 2013 9:01 AM
To: '[e-mail]'
Subject: NCG06 General Permit(Food & Kindred)
Hi Vince,
I have attached a copy of the general permit under which Sutherland Products will be covered once they finish their
application and it's approved. Part II Section A lists the requirements for the SPPP. Sections B and D cover the analytical
and qualitative monitoring requirements. Please note that Charlie's Soap does not conduct vehicle maintenance, nor do
they process or use animal fats/byproducts, so Sections C and E do not apply.Also, since they don't process meats, they
will not have to sample for fecal coliform or enterococci (see Section B Table 1 and its footnotes).
Please don't hesitate to contact me at any time with questions! If you can't reach me through my office phone,just
shoot me an email and IT respond as quickly as possible.
Thanks!
Aana Taylor-Smith
Surface Water Protection Section

Winston-Salem Regional Office
Division of Water Quality
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
2

`t o e'
CDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, Ili
Governor Director Secretary
March 26, 2013
Mr. James R. D. Sutherland
Sutherland Products, Inc.
203 North First Avenue
Mayodan,NC 27027
SUBJECT: NPDES General Stormwater Permit Requirements
Sutherland Products, Inc. - Mayodan, NC
Rockingham County
Dear Mr. Sutherland:
In response to a report of a spill from your facility, Aana Taylor-Smith met with you at the Sutherland Products
facility in Mayodan on March 26, 2013. Materials were determined to have been spilled into the surface waters
behind the facility,which is a segment of the Mayo River, Class "C"waters in the Roanoke River Basin. The
inspection found that Sutherland Products, Inc. had addressed the problem and taken steps to prevent further
spills. However, it was noted that the facility does not have the required NPDES stormwater permit.
Stormwater discharges from non-metal waste and scrap operations fall under the Phase I permitting
requirements established in 1990. Coverage under stormwater permit NCG060000 is applicable to owners
having stormwater discharges associated with establishments primarily engaged in the production of"food and
kindred"products, which includes soaps, detergents, and cleaning preparations. Your facility is classified as
Standard Industrial Classification(SIC) 2841, which is covered under the permit. More information about
stormwater permits can be found at httpa/portal.ncdenr.org/web/wq/ws/su/npdessw.
To comply with the above requirement, Sutherland Products, Inc. needs to obtain the above permit. Attached is
the required application. Please send the completed form along with the $100 application fee and a USGS
topographic map to the Raleigh address listed on page 4 of the application"on or before May 26, 2013. A
Technical Bulletin explaining the requirements of the stormwater permit is also attached.
Should you have any questions, please do not hesitate to contact Aana Taylor-Smith at(336) 771-4950
([e-mail]) or me at [phone] ([e-mail]).
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
cc: Central Files
-WSRO'
North Carolina Division of Water Quality,Winston-Salem Regional Office
Location:585 Waughtown St.Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 North C aroliina
Internet:www.nawaterquality.org ;Vaturallry
An Equai Opportunity 1 Affirmative Acthn Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
TO DISCHARGE STORMWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
for establishments primarily engaged in the following activities:
Food and Kindred
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,this permit is hereby issued to all owners or operators,
hereinafter permittees,which are covered by this permit as evidenced by receipt of a Certificate of Coverage
by the Environmental Management Commission to allow the discharge of stormwater to the surface
waters of North Carolina or to a separate storm sewer system conveying discharges to surface waters in
accordance with the terms and conditions set forth herein.
Coverage under this General Permit is applicable to:
4 All owners or operators of stormwater point source discharges associated with activities classified as
establishments primarily engaged in activities classified as:
o Food and Kindred Products [standard industrial classification (SIC) 20],
o Tobacco Products (SIC 21),
o Soaps,Detergents and Cleaning Preparations; Perfumes,Cosmetics and Other Toilet
Preparations(SIC 284),
o Drugs (SIC 283),and
o Public Warehousing and Storage (SIC 4221-4225).
Stormwater point source discharges from like industrial activities deemed by The Division of Water
Quality (DWQ) to be similar to these operations in the process,or the discharges,or the exposure of raw
materials,intermediate products, by-products,products,or waste products.
The General Permit shall become effective on December 1, 2012.
The General Permit shall expire at midnight on October 31, 2017.
Signed this day November 26. 2012.
Original signed by Matt Matthews
for Charles Wakild, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

Permit No.NCG060000
TABLE OF CONTENTS
PART 1 INTRODUCTION
Section A: General Permit Coverage
Section B: Permitted Activities
PART II MONITORING,CONTROLS,AND LIMITATIONS FOR PERMITTED DISCHARGES
Section A: Stortnwater Pollution Prevention Plan
Section B: Analytical Monitoring Requirements
Section C: On-Site Vehicle and Equipment Maintenance Monitoring Requirements
Section D: Qualitative Monitoring Requirements
Section E: Assessment of Best Management Practices (BMPS)
PART III STANDARD CONDITIONS FOR NPDES STORMWATER GENERAL PERMITS
Section A: Compliance and Liability
1. Compliance Schedule
2. Duty to Comply
3. Duty to Mitigate
4. Civil and Criminal Liability
5. Oil and Hazardous Substance Liability
6. Property Rights
7. Severability
8. Duty to Provide Information
9. Penalties for Tampering
10. Penalties for Falsification of Reports
11. Onshore or Offshore Construction
12. Duty to Reapply
Section B: General Conditions
1. General Permit Expiration
2. Transfers
3. When an Individual Permit May be Required
4. When an Individual Permit May be Requested
5. Signatory Requirements
i

Permit No.NCG060000
6. General Permit Modification, Revocation and Reissuance, or
Termination
7. Certificate of Coverage Actions
8. Annual Administering and Compliance Monitoring Fee Requirements
Section C: Operation and Maintenance of Pollution Controls
1. Proper Operation and Maintenance
2. Need to Halt or Reduce not a Defense
3. Bypassing of Stormwater Control Facilities
Section D: Monitoring and Records
1. Representative Sampling
2. Recording Results
3. Flow Measurements
4. Test Procedures
S. Representative Outfall
6. Records Retention
7. Inspection and Entry
Section E: Reporting Requirements
1. Discharge Monitoring Reports
2. Submitting Reports
3. Availability of Reports
4. Non-Stormwater Discharges
S. Planned Changes
6. Anticipated Noncompliance
7. Spills
8. Bypass
9. Twenty-four-Hour Reporting
10. Other Noncompliance
11. Other Information
PART IV DEFINITIONS
Ik

Permit No.NCG060000
PART I - INTRODUCTION
SECTION A: GENERAL PERMIT COVERAGE
All persons desiring to have facilities covered by this General Permit must register with the Division
of Water Quality(DWQ) by the filing of a Notice of Intent(NOI) and applicable fees.The N01 shall be
submitted and a certificate of coverage issued prior to any point source discharge of stormwater
associated with industrial activity to the surface waters of the state.
Any owner or operator not wishing to be covered or limited by this General Permit may make
application for an individual NPDES permit in accordance with NPDES procedures in 15A NCAC 2H
.0100,stating the reasons supporting the request. Any application for an individual permit should
be made at least 180 days prior to commencement of discharge.
This General Permit does not cover activities or discharges covered by an individual NPDES permit
until the individual permit has expired or has been revolted. Any person conducting an activity
covered by an individual permit but which could be covered by this General Permit may request
that the individual permit be revoked and coverage under this General Permit be provided.
If industrial materials and activities are not exposed to precipitation or runoff as described in 40
CFR§122.26(g),the facility may qualify for a No Exposure Exclusion from NPDES stormwater
discharge permit requirements. Any owner or operator wishing to obtain a No Exposure Exclusion
must submit a No Exposure Certification Notice of Intent(N01) form to the Division; must receive
approval by the Division;must maintain no exposure conditions unless authorized to discharge
under a valid NPDES stormwater permit; and must recertify the No Exposure Exclusion annually.
Any facility may apply far new or continued coverage under this permit until a Total Maximum
Daily Load (TMDL) for pollutants for stormwater is established. A TMDL sets a pollutant-loading
limit that affects a watershed,or portion of a watershed,draining to a specific impaired water. For
discharges to watersheds affected by a TMDL,coverage under this permit may depend on the
facility demonstrating it does not have reasonable potential to violate applicable water
quality standards for those pollutants as a result of discharges. If DWQ determines that
discharges have reasonable potential to cause water quality standard violations,the facility shall
apply for an individual permit 180 days prior to the expiration date of this General Permit. Once
that individual permit is effective,the facility will no longer have coverage under this General
Permit. Note that the pernittee must identify impaired waters (scheduled for TMDL development)
and waters already subject to a TMDL in the Site Plan,as outlined in the Stormwater Pollution
Prevention Plan,Part it,Section A.
During the period beginning on the effective date of the permit and lasting until expiration,the
permittee is authorized to discharge storrwater associated with industrial activity. Such
discharges shall be controlled, limited and monitored as specified in this permit.
r
Part I Page 1 of 2

Permit No.NCG060000
SECTION B: PERMITTED ACTIVITIES
Until coverage under this permit expires or is modified or revoked,the permittee is authorized to
discharge stormwater to the surface waters of North Carolina,or to a separate storm sewer system,
which has been adequately treated and managed in accordance with the terms and conditions of
this General Permit.
Any other point source discharge to surface waters of the state is prohibited unless it is an
allowable non-stormwater discharge or is covered by another permit,authorization,or approval.
The discharges allowed by this General Permit shall not cause or contribute to violations of
Water Quality Standards.
This permit does not relieve the permittee's responsibility for compliance with any other applicable
federal,state,or local law, rule,standard, ordinance,order,or decree.
Part 1 Page 2 of 2

Permit No.NCG060000
PART 11 - MONITORING, CONTROLS,AND LIMITATIONS FOR PERMITTED
DISCHARGES
SECTION A: STORMWATER POLLUTION PREVENTION PLAN
The permittee shall develop and implement a Stormwater Pollution Prevention Plan (SPPP). The
SPPP shall be maintained on site unless exempted from this requirement by the Division. The SPPP
is public information in accordance with Part Ill,Standard Conditions,Section E,paragraph 3 of this
permit. The SPPP shall include,at a minimum,the following items:
1. Site Overview. The Site Overview shall provide a description of the physical facility and the
potential pollutant sources that may be expected to contribute to contamination of stormwater
discharges. The Site Overview shall contain the following:
(a) A general location map(USGS quadrangle map or appropriately drafted equivalent map),
showing the facility's location in relation to transportation routes and surface waters;the
name of the receiving waters to which the stormwater outfalls discharge,or if the discharge
is to a municipal separate storm sewer system,the name of the municipality and the
ultimate receiving waters;and accurate latitude and longitude of the points of stormwater
discharge associated with industrial activity. The general location map (or alternatively the
site map)shall identify whether any receiving waters are impaired (on the state's 303(d)
list of impaired waters) or if the site is located in a watershed for which a TMDL has been
established,and what the parameters of concern are.
(b) A narrative description of storage practices,loading and unloading activities, outdoor
process areas, dust or particulate generating or control processes,and waste disposal
practices. A narrative description of the potential pollutants that could be expected to be
present in the stormwater discharge from each outfall.
(c) A site map drawn at a scale sufficient to clearly depict: the site property boundary; the
stormwater discharge outfalls; all on-site and adjacent surface waters and wetlands;
industrial activity areas (including storage of materials,disposal areas, process areas,
loading and unloading areas,and haul roads);site topography and finished grade; all
drainage features and structures; drainage area boundaries and total contributing area for
each outfall; direction of flow in each drainage area; industrial activities occurring in each
drainage area; buildings;stormwater Best Management Practices (BMPs); and impervious
surfaces. The site map must indicate the percentage of each drainage area that is
impervious,and the site map must include a graphic scale indication and north arrow.
(d) A list of significant spills or leaks of pollutants during the previous three (3)years and
any corrective actions taken to mitigate spill impacts.
(e) Certification that the stormwater outfalls have been evaluated for the presence of non-
stormwater discharges. The permittee shall re-certify annually that the stormwater
outfalls have been evaluated for the presence of non-stormwater discharges. Tile
certification statement will be signed in accordance with the requirements found in Part I1[,
Standard Conditions,Section B,Paragraph 3.
Part 11 Page 1 of 12

Permit No.NCG060000
2. Stormwater Management Strategy. The Stormwater Management Strategy shall contain a
narrative description of the materials management practices employed which control or
minimize the stormwater exposure of significant materials,including structural and
nonstructural measures. The Stormwater Management Strategy,at a minimum,shall
incorporate the following:
(a) Feasibility Study. A review of the technical and economic feasibility of changing the
methods of operations and/or storage practices to eliminate or reduce exposure of
materials and processes to rainfall and run-on flows. Wherever practical,the permittee
shall prevent exposure of all storage areas,material handling operations,and
manufacturing or fueling operations. In areas where elimination of exposure is not
practical,this review shall document the feasibility of diverting the stormwater run-on
away from areas of potential contamination.
(b) Secondary Containment Requirements and Records. Secondary containment is
required for; bulk storage of liquid materials including petroleum products; storage in aU
amount of Section 313 of Title III of the Superfund Amendments and Reauthorization Act
(SARA) water priority chemicals; and storage in any amount of hazardous substances,in
order to prevent leaks and spills from contaminating stormwater runoff. A table or
summary of all such tanks and stored materials and their associated secondary containment
areas shall be maintained. If the secondary containment devices are connected to
stormwater conveyance systems,the connection shall be controlled by manually activated
valves or other similar devices (which shall be secured closed with a locking mechanism).
Any stormwater that accumulates in the containment area shall be at a minimum visually
observed for color, foam,outfall staining,visible sheens and dry weather flow,prior to
release of the accumulated stormwater. Accumulated stormwater shall be released if found
to be uncontaminated by any material. Records documenting the individual making the
observation,the description of the accumulated stormwater,and the date and time of the
release shall be kept for a period of five (5)years. For facilities subject to a federal oil Spill
Prevention,Control,and Countermeasure Plan (SPCC),any portion of the SPCC plan fully
compliant with the requirements of this permit may be used to demonstrate compliance
with this permit.
(c) BMP Summary. A listing of site structural and non-structural Best Management Practices
(BMPs) shall be provided. The installation and implementation of BMPs shall be based on
the assessment of the potential for sources to contribute significant quantities of pollutants
to stormwater discharges and on data collected through monitoring of stormwater
discharges. The BMP Summary shall include a written record of the specific rationale for
installation and implementation of the selected site BMPs. The BMP Summary shall be
reviewed and updated annually.
3. Spill Prevention and Response Procedures, The Spill Prevention and Response Procedures
(SPRP) shall incorporate an assessment of potential pollutant sources based on a materials
inventory of the facility. Facility personnel responsible for implementing the SPRP shall be
identified in a written list incorporated into the SPRP and signed and dated by each individual
acknowledging their responsibilities for the plan. A responsible person shall be on-site at all
times during facility operations that have the potential to contaminate stormwater runoff
through spills or exposure of materials associated with the facility operations. The SPRP must
be site stormwater specific. Therefore,an oil Spill Prevention Control and Countermeasure
plan(SPCC) may be a component of the SPRP,but may not be sufficient to completely address
the stormwater aspects of the SPRP. The common elements of the SPCC with the SPRP may be
incorporated by reference into the SPRP.
Part EI Page 2 of 12

Permit No.NCG060000
4. Preventative Maintenance and Good Housekeeping Program. A preventative maintenance
and good housekeeping program shall be developed and implemented. The program shall
address all stormwater control systems (if applicable),storrnwater discharge outfalls,all on-site
and adjacent surface waters and wetlands,industrial activity areas (including material storage
areas, material handling areas, disposal areas,process areas, loading and unloading areas,and
haul roads),all drainage features and structures,and existing structural BMPs. The program
shall establish schedules of inspections,maintenance,and housekeeping activities of
stormwater control systems,as well as facility equipment,facility areas,and facility systems
that present a potential for stormwater exposure or storrnwater pollution where not already
addressed under another element of the SPPP. Inspection of material handling areas and
regular cleaning schedules of these areas shall be incorporated into the program. Timely
compliance with the established schedules for inspections,maintenance,and housekeeping
shall be recorded and maintained in the SPPP.
5. Facility Inspections, inspections of the facility and all stormwater systems shall occur as part
of the Preventative Maintenance and Good Housekeeping Program at a minimum on a semi-
annual schedule,once during the first half of the year(January to June),and once during the
second half(July to December),with at least 60 days separating inspection dates (unless
performed more frequently than semi-annually). These facility inspections are different from,
and in addition to,the stormwater discharge characteristic monitoring at the outfalls required
in Part 11 B,C,and D of this permit.
6. Employee Training. Training programs shall be developed and training provided at a
minimurn on an annual basis for facility personnel with responsibilities for: spill response and
cleanup,preventative maintenance activities,and for any of the facility's operations that have
the potential to contaminate stormwater runoff. The facility personnel responsible for
implernenting the training shall be identified,and their annual training shall be documented by
the signature of each employee trained.
7. Responsible Party. The SPPP shall identify a specific position or positions responsible for the
overall coordination,development,implementation,and revision of the SPPP. Responsibilities
for all components of the SPPP shall be documented and position assignments provided.
S. SPPP Amendment and Annual Update. The permittee shall amend the SPPP whenever there
is a change in design,construction,operation,site drainage, maintenance,or configuration of
the physical features which may have a significant effect on the potential for the discharge of
pollutants to surface waters. All aspects of the SPPP shall be reviewed and updated on an
annual basis.The annual update shall include:
(a) an updated list of significant spills or leaks of pollutants for the previous three (3)
years, or the notation that no spills have occurred (element of the Site Overview);
(b) a written re-certification that the stormwater outfalls have been evaluated for the
presence of non-stormwater discharges (element of the Site Overview);
(c) a documented re-evaluation of the effectiveness of the on-site stormwater BMPs
(BMP Summary element of the Stormwater Management Strategy).
(d) a review and comparison of sample analytical data to benchmark values (if
applicable) over the past year,including a discussion about Tiered Response status.
The permittee shall use the Division's Annual Summary Data Monitoring Report
(DMR) form,available from the Stormwater Permitting Unit's website(See
'Monitoring Forms'here: http.L�/portal.iicdem�.oi-g/web/wgfws/su/npdessw).
Part 11 Page 3 of 12

Permit No.NCG060000
The Director may notify the permittee when the SPPP does not meet one or more of the
minimum requirements of the permit. Within 30 days of such notice,the permittee shall submit
a time schedule to the Director for modifying the SPPP to meet minimum requirements. Tile
permittee shall provide certification in writing (in accordance with Part 111,Standard
Conditions, Section B,Paragraph 3) to the Director that the changes have been made.
9. SPPP Implementation. The permittee shall implement the Stormwater Pollution Prevention
Plan and all appropriate BMPs to prevent contaminants from entering surface waters via
stormwater. Implementation of the SPPP shall include documentation of all monitoring,
measurements,inspections,maintenance activities,and training provided to employees,
including the log of the sampling data and of actions taken to implement BMPs associated with
the industrial activities, including vehicle maintenance activities. Such documentation shall be
kept on-site for a period of five (5)years and made available to the Director or the Director's
authorized representative immediately upon request.
Part II Page 4 of 12

Permit No.NCG060000
SECTION B: ANALYTICAL MONITORING REQUIREMENTS
Analytical monitoring of stormwater discharges shall be performed as specified in Table 1. All
analytical monitoring shall be performed during a measureahle storm event at Each stormwater
discharge outfall (SDO). Only SDOs discharging stormwater associated with industrial activity must
be sampled (See Definitions).
A measurable storm event is a storm event that results in an actual discharge from the
permitted site outfall, The previous measurable storm event must have been at least 72 hours
prior. The 72-110ur storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period,and the permittee
obtains approval from the local DWQ Regional Office. See Definitions.
Table 1. Analytical Monitoring Re uirements
Discharge Measurement Sample Sample
Characteristics Units Fre uenc 1 Type2 Location3
H standard semi-annual Grab SDO
Total Suspended Solids m L semi-annual Grab SDO
Oil&Grease m L semi-annual Grab SDO
Fecal Coliform4 per 100 nil of Grab SDO
semi-annual
freshwater
Enterococci 4 per 100 mi of Grab SDO
semi-annual
saltwater
Chemical Ongen Demand m L semi-annual Grab SDO
Total Rainfalls d--inches semi-annual Rain Gauge
Footnotes:
1 Measurement Frequency: Twice per year during a measureahle storm event.
2 Grab samples shall be collected within the first 30 minutes of discharge.
3 Sample Location: Samples shall be collected at each stormwater discharge outfall(SDO) unless
representative outfall status (ROS) has been granted. A copy of the letter granting ROS shall be kept on site.
DWQ's ROS letter remains in effect through subsequent reissuance of this permit and as long as the
pertinent site conditions and operations remain unchanged,unless the ROS letter provides for other
conditions or duration.
4 Fecal coliform sampling applicable only to facilities discharging to freshwatersthat process meats.
Enterococci sampling applicable only to facilities discharging to saltwatersthat process meats.
5 For each sampled measureable storm event,the total precipitation must be recorded. An on-site rain gauge
or local rain gauge reading must be recorded. Where isolated sites are unmanned for extended periods of
time,a local rain gauge reading may be substituted for an on-site reading.
The permittee shall complete the analytical samplings in accordance with the schedule specified
below in Table 2, unless adverse weather conditions prevent sample collection (see Adverse
Weather in Definitions). A minimum of 60 days must separate Period 1 and Period 2 sample
dates,unless monthly monitoring has been instituted as part of other requirements of this permit.
Inability to sample because of adverse weather conditions must be documented in the SPPP and
recorded on the DMR. The permittee must report the results from each sample taken within the
Part II Page 5 of 12

Permit No.NCG060000
monitoring period (see Part III,Section E). Sampling is not required outside of the facility's normal
operating hours.
Table 2. Monitorin Schedule
Monitoring periodl.z Sample Number Start End
Year 1 - Period 1 1 January 1, 2013 June 30, 2013
Year 1 - Period 2 2 July 1,2013 December 31, 2013
Year 2 - Period 1 3 January 1, 2014 June 30, 2014
Year 2 - Period 2 4 July 1,2014 December 31, 2014
Year 3 - Period 1 5 January 1, 2015 June 30, 2015
Year 3 - Period 2 6 July 1, 2015 December 31, 2015
Year 4- Period 1 7 January 1, 2016 June 30, 2016
Year 4-Period 2 8 July 1, 2016 December 31, 2016
Year 5 - Period 1 9 January 1, 2017 June 30, 2017
Year 5 - Period 2 10 July 1, 2017 October 31,2017
Footnotes:
1 Maintain semi-annual analytical monitoring throughout the permit renewal process(unless other
provisions of this permit prompt monthly sampling).
2 If no discharge occurs during the sampling period,the permittee must submit a monitoring report
indicating"No Flow"or"No Discharge"within 30 days of the end of the sampling period.
Failure to monitor semi-annually per permit terms may result in the Division requiring monthly
monitoring for all parameters for a specified time period. "No discharge"from an outfall or
inability to collect a sample because of adverse weather conditions during a monitoring period, for
example,does not constitute failure to monitor,as long as it is properly reported.
The permittee shall compare nonitoring results to the benchmark values in Table 3. The benchmark
values in Table 3 are not permit limits but should be used as guidelines for the permittee's Stormwater
Pollution Prevention Plan(SPPP). Exceedances of benchmark values require the permittee to increase
monitoring, increase management actions, increase record keeping,and/or install stormwater Best
Management Practices (BMPs) in a tiered program. See below the descriptions of Tier One,Tier Two,
and Tier Three response actions below. In the event that the Division releases the permittee from
continued monthly monitoring under Tier Three, DWQ's release letter remains in effect through
subsequent reissuance of this permit,unless the release letter provides for other conditions or
duration.
Part 11 Page 6 of 12

Permit No.NCG060000
Table 3. Benchmark Values for Analytical Monitoring
Discharge Characteristics Benchmark Values
pH1 6-9 standard unitsl
Total Suspended Solids (TSS) 100 tng/L
TSS (ORW, HWQ,Trout&PNA waters) 50 mg/L
Oil& Grease 30 mg/L
Fecal Coliform 1,000 per 100 ml
Enterococci 500 per 100 nil
Chemical Oxygen Demand 120 mg/L
Footnotes:
1 If pH values outside this range are recorded in sainpled stormwater discharges,but ambient
precipitation pH levels are lower,then the lower threshold of this benchmark range is the pH of
the precipitation(within instrument accuracy) instead of 6 S.U. Readings from an on-site or local rain
gauge(or local precipitation data)must be documented to demonstrate backgrOUnd concentrations were
below the benchmark pH range of 6-9.
Part Il Page 7 of 12

Permit No.NCGO60000
Tier One
If.The first valid sampling results are above a benchmark value,or outside of the benchmark range,for any
parameter at any outfall;
Then:The permittee shall:
1. Conduct a stormwater management inspection of the facility within two weeks of receiving sampling
results.
2. Identify and evaluate possible causes of the benchmark value exceedance.
3. Identify potential and select the specific:source controls,operational controls,or physical
improvements to reduce concentrations of the parameters of concern,and/or to bring concentrations
within the benchmark range.
4. Implement the selected actions within two months of the inspection.
5. Record each instance of a Tier One response in the SPPP. Include the date and value of the benchmark
exceedence,the inspection date,the personnel conducting the inspection,the selected actions,and the
date the selected actions were implemented.
Tier Two
If:During the term of this permit,the first valid sampling results From two consecutive monitoring periods are
above the benchmark values,or outside of the benchmark range,for any specific parameter at a specific
discharge outfall;
Then:The permittee shall:
1. Repeat all the required actions outlined above in Tier One.
2. Immediately institute monthly monitoring for all parameters. The permittee shall conduct monthly
monitoring at every outfall where a sampling result exceeded the benchmark value for two consecutive
samples. Monthly(analytical and qualitative) monitoring shall continue until three consecutive sample
results are below the benchmark values or within benchmark range.
3. If no discharge occurs during the sampling period,the permittee is required to submit a monthly
monitoring report indicating"No Flow"to comply with reporting requirements.
4. Benchmark exceedances for a different parameter separately trigger a tiered response.
5. Maintain a record of the Tier Two response in the SPPP_
Tier Three
During the term of this permit,if the valid sampling results required for the permit monitoring periods
exceed the benchmark value,or are outside the benchmark range,for any specific parameter at any specific
outfall on four occasions,the permittee shall notify the DWQ Regional Office Supervisor in writing within
30 days of receipt of the fourth analytical results. DWQ may but is not limited to:
• require that the permittee revise,increase,or decrease monitoring frequency for some or all
parameters;
• rescind coverage under the General Permit,and require that the permittee apply for an individual
stormwa ter discharge permit;
• require the permittee to install structural stormwater controls;
• require the permittee to implement other stormwater control measures;
• require the permittee to perform upstream and downstream monitoring to characterize impacts on
receiving waters;or
• require the permittee implement site modifications to qualify for a No Exposure Exclusion.
Part 11 Page 8 of 12

Permit No.NCG060000
SECTION C: STORMWATER DISCHARGES: ON-SITE VEHICLE AND EQUIPMENT
MAINTENANCE MONITORING REQUIREMENTS
Facilities that have any vehicle maintenance activity occurring on-site which uses more than 55
gallons of new motor oil and/or hydraulic oil per month when averaged over the calendar
year shall perform analytical monitoring as specified below in Table 4. All analytical monitoring
shall be performed during a measureable storm event at all stormwater discharge outfalls (SDOs)
that discharge stormwater runoff from vehicle maintenance areas,and in accordance with the
schedule presented in Table 2 [Section B). Sampling is not required outside of the facility's normal
operating hours.
Table 4. . Analytical Monitoring Requirements for On-Site Vehicle Maintenance
Discharge Characteristics Units Measurement Sample Sample
Frequencyl Type2 Location3
H standard semi-annual Grab SDO
Non-Polar Oil&Grease/TPH
mg/L semi-annual Grab SDO
EPA Method 1664 SGT-HEM
Total Suspended Solids m L semi-annual Grab SDO
Total Rainfa114 inches semi-annual Rain eauLye New Motor Oil Usage gallons/month semi-annual Estimate -
Footnotes:
1 Measurement Frequency: Twice per year during a measureable storm event,until either another permit
is issued for this facility or until this permit is revoked or rescinded. See Table 2 for schedule of
monitoring periods through the end of this permitting cycle,
2 Grab samples shall be collected within the first 30 minutes of discharge.
3 Sample Location: Samples shall be collected at each stormwater discharge outfall (00)that discharges
stormwater runoff from area(s)where vehicle maintenance activities occur.
4 For each sampled measureable storm event the total precipitation must be recorded. An on-site or local
rain gauge reading must be recorded. Where isolated sites are unmanned for extended periods of time,a
local rain gauge reading may be substituted for an on-site reading.
Failure to monitor semi-annually per permit terms may result in the Division requiring monthly
monitoring for all parameters for a specified time period,as provided in Part II Section B.
Monitoring results shall be compared to the benchmark values in Table 5. The benchmark values
in Table 5 are not permit limits but should be used as guidelines for the permittee's Stormwater
Pollution Prevention Plan (SPPP). Exceedances of benchmark values require the permittee to
increase monitoring,increase management actions,increase record keeping,and/or install
stormwater Best Management Practices (BMPs), as provided in Part I1 Section B. In the event that
the Division releases the permittee from continued monthly monitoring under Tier Three, DWQ's
release letter remains in effect through subsequent reissuance of this permit,unless the release
letter provides for other conditions or duration.
Part 11 Page 9 of 12

Permit No.NCG060000
Table 5. Benchmark Values for On-Site Vehicle and Equipment Maintenance Activities
Discharge Characteristics Benchmark Values
H 6-9 standard units
Non-Polar Oil&Grease/TPH
15 mg/L
EPA Method 1664 SGT-HEM
Total suspended solids 100 m L
TSS ORK HQW,Trout&PNA waters 50 m L
SECTION D: STORMWATER DISCHARGES: QUALITATIVE MONITORING
REQUIREMENTS
The purpose of qualitative monitoring is to evaluate the effectiveness of the Stormwater Pollution
Prevention Plan (SPPP)and assess new sources of stormwater pollution. Qualitative monitoring of
stormwater outfalls must be performed during a measurable storm event.
Qualitative monitoring requires a visual inspection of each stormwater outfall regardless of
representative outfall status. Qualitative monitoring shall be performed semi-annually as specified
in Table 6, and during required analytical monitoring events (unless the permittee is required to
perform further qualitative sampling per the Qualitative Monitoring Response,below), Inability
to sample because of adverse weather conditions must be documented in the SPPP and recorded on
the DMR(see Adverse Weather in Definitions). Only SDOs discharging stormwater associated with
industrial activity must be monitored (See Definitions].
In the event an atypical condition is noted at a stormwater discharge outfall,the permittee shall
document the suspected cause of the condition and any actions taken in response to the discovery.
This documentation will be maintained with the SPPP.
Part II Page 10 of 12

Permit No.NCGO60000
Table 6. Qualitative Monitoring Requirements
Discharge Characteristics Frequency) Monitoring
Location2
Color semi-annual SDO
Odor semi-annual SDO
Clarity semi-annual SDO
Floating Solids semi-annual SDO
Suspended Solids semi-annual SDO
Foam semi-annual SDO
Oil Sheen semi-annual SDO
Erosion or deposition at the outfall semi-annual SDO
Other obvious indicators of stormwater pollution semi-annual SDO
Footnotes:
1 Measurement Frequency: Twice per year during a measureable storm event. See Table Z for schedule
of monitoring periods through the end of this permitting cycle. The permittee must continue qualitative
monitoring throughout the permit renewal process.
2 Monitoring Location: Qualitative monitoring shall be performed at each stormwater discharge outfall
[SDO)regardless of representative outfall status.
A minimum of 60 days must separate monitoring dates, unless additional sampling has been
instituted as part of other analytical monitoring requirements in this permit.
If.the permittee's qualitative monitoring indicates that existing stormwater BMPs are ineffective, or that
significant stormwater contamination is present,the permittee shall investigate potential causes,evaluate
the feasibility of corrective actions,and implement those corrective actions within 60 days,per the
Qualitative Monitoring Response, below. A written record of the permittee's investigation,evaluation,
and response actions shall be kept in the Stormwater Pollution Prevention Plan.
Qualitative Monitoring Response
Qualitative monitoring is for the purposes of evaluating SPPP effectiveness, assessing new sources
of stormwater pollution, and prompting the pernrittee's response to pollution. If the permittee
repeatedly fails to respond effectively to correct problems identified by qualitative monitoring, or if
the discharge causes or contributes to a water quality standard violation, DWQ may but is not
limited to:
• require that the perrnittee revise, increase, or decrease nonitoring frequency for some or
all parameters (analytical or qualitative);
• require the permittee to install structural stormwater controls;
• require the permittee to implement other stormwater control measures;
• require the permittee to perform upstream and downstream monitoring to characterize
impacts on receiving waters; or
• require the permittee implement site modifications to qualify for a No Exposure Exclusion.
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Permit No.NCG060000
SECTION E: ASSESSMENT OF BEST MANAGEMENT PRACTICES (BMPS)
For facilities that use or process animal fats/byproducts:Within twelve (12) months of the issuance
of coverage under this General Permit,the permittee shall complete an assessment of best
management practices associated with off loading,handling and spill prevention of rendered fats
and oils that are stored and used at the facility. Following the completion of this assessment,the
permittee shall submit a report of findings and proposed corrective measures to be taken to both
the local DWQ Regional Office and 5tormwater Permitting Unit. DWQ will review the report,and
either approve the proposed corrective action measures plan,direct changes be made to it,or
possibly require further assessment of best management practices. Failure to submit this report is
a violation of permit conditions. The assessment report shall include, but not be limited to,the
following:
1. A narrative description of all the material handling activities (not just fats and oils handling)
that are outside,or that otherwise expose materials to incidental rainfall or run-on.
2. A feasibility evaluation as to whether reduced exposure can be achieved at the site, and rank the
potential management measures as to feasibility. Emphasize the evaluation of on-site
conditions with respect to incidental,accidental,fugitive materials,and spills,whether solid or
liquid.
3. An evaluation of the presence,and volume of,or absence of animals/wildlife on-site and
whether fecal coliforrn concentrations might be correlated to the presence or absence of those
animals/wildlife.
4. A proposed corrective action measures plan with milestones and proposed schedule for
implementation.
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Permit No.NCG060000
PART III STANDARD CONDITIONS FOR NPDES STORMWATER GENERAL PERMITS
SECTION A: COMPLIANCE AND LIABILITY
1. Compliance SchQdul
The permittee shall comply with Limitations and Controls specified for stormwater discharges in
accordance with the following schedule:
Existing Facilities already operating but applying for permit coverage for the first time: The
Stormwater Pollution Prevention Plan shall be developed and implemented within 12 months of the
effective date of the Certificate of Coverage and updated thereafter on an annual basis. Secondary
containment,as specified in Part 1I,Section A,Paragraph 2(b)of this general permit,shall be
accomplished within 12 months of the effective date of the issuance of the Certificate of Coverage.
New Facilities applying for coverage for the first time: The Stormwater Pollution Prevention Plan
shall be developed and implemented prior to the beginning of discharges from the operation of the
industrial activity and be updated thereafter on an annual basis. Secondary containment,as specified
in Part 11,Section A,Paragraph 2(b) of this general permit shall be accomplished prior to the
beginning of discharges from the operation of the industrial activity.
Existing facilities previously permitted and applying for renewal under this General Permit:
All requirements,conditions,limitations,and controls contained in this permit(except new SPPP
elements in this permit renewal)shall become effective immediately upon issuance of the Certificate
of Coverage. New elements of the Stormwater Pollution Prevention Plan for this permit renewal
shall be developed and implemented within 6 months of the effective date of this general permit and
updated thereafter on an annual basis. Secondary containment,as specified in Part II[,Paragraph
2(b) of this general permit shall be accomplished prior to the beginning of discharges from the
operation of the industrial activity.
2. Duty, to Comply
The permittee must comply with all conditions of this general permit. Any permit noncompliance
constitutes a violation of the Clean Water Act(CWA)and is grounds for enforcement action;for
permit termination,revocation and reissuance,or modification; or denial of a permit upon renewal
application [40 CFR 122.411.
a. The permittee shall comply with standards or prohibitions established under section 307(a) of
the CWA for toxic pollutants within the time provided in the regulations that establish these
standards or prohibitions,even if the general permit has not yet been modified to incorporate
the requirement_
b. The CWA provides that any person who violates section[s] 301,302,306,307,308,318 or 405 of
the Act,or any permit condition or limitation implementing any such sections in a permit issued
under section 402,or any requirement imposed in a pretreatment program approved under
sections 402(a)(3) or 402(b)(8)of the Act,is subject to a civil penalty not to exceed$37,500 per
day for each violation.[33 USC 1319(d)and 40 CFR 122,41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301,302, 306,307,308,
318,or 405 of the Act,or any condition or limitation implementing any of such sections in a
permit issued under section 402 of the Act,or any requirement imposed in a pretreatment
program approved under section 402(a)(3)or 402(b)(8)of the Act,is subject to criminal
penalties of$2,500 to$25,000 per day of violation,or imprisonment of not more than 1 year,or
both.In the case of a second or subsequent conviction for a negligent violation,a person shall be
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Permit No.NCG060000
subject to criminal penalties of not more than$50,000 per day of violation,or by imprisonment
of not more than 2 years,or both. [33 USC 1319(c)(1)and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections,or such conditions or limitations is subject to
criminal penalties of$5,000 to$50,000 per day of violation,or imprisonment for not more than 3
years,or both.In the case of a second or subsequent conviction for a knowing violation,a person
shall be subject to criminal penalties of not more than$100,000 per day of violation,or
imprisonment of not more than 6 years,or both. [33 USC 1319(c)(2)and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301,302,303,306,307,308,318 or 405 of the Act,
or any permit condition or limitation implementing any of such sections in a permit issued under
section 402 of the Act,and who knows at that time that he thereby places another person in
imminent danger of death or serious bodily injury,shall,upon conviction,be subject to a fine of
not more than$250,000 or imprisonment of not more than 15 years,or both, In the case of a
second or subsequent conviction for a knowing endangerment violation,a person shall be
subject to a fine of not more than$500,000 or by imprisonment of not more than 30 years,or
both.An organization,as defined in section 309(c)(3)(B)(iii)of the CWA,shall,upon conviction
of violating the imminent danger provision,be subject to a fine of not more than$1,000,000 and
can be fitted up to$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law,a civil penalty of not more than$25,000 per violation may be assessed against
any person who violates or fails to act in accordance with the terms,conditions,or requirements
of a permit. [North Carolina General Statutes§ 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section
301,302,306,307,308, 318 or 405 of this Act,or any permit condition or limitation
implementing any of such sections in a permit issued under section 402 of this Act.
Administrative penalties for Class I violations are not to exceed$16,000 per violation,with the
maximum amount of any Class 1 penalty assessed not to exceed$37,500. Penalties for Class 11
violations are not to exceed$16,000 per day for each day during which the violation continues,
with the maximum amount o€any Class 11 penalty not to exceed$177,500. [33 USC 1319(g)(2)
and 40 CFR 122.41(a)(3)]
3. UUCy_to Mitigate
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this
general permit which has a reasonable likelihood of adversely affecting human health or the
environment[40 CFR 122.41(d)].
4. Civil and Criminal Liability
Except as provided in Part 111,Section C of this general permit regarding bypassing of stormwater
control facilities,nothing in this permit shall be construed to-relieve the permittee from any
responsibilities,liabilities,or penalties for noncompliance pursuant to NCGS 143-215.3,143-2I5.6,or
Section 309 of the Federal Act, 33 USC 1319. Furthermore,the permittee is responsible for
consequential damages,such as fish kills,even though the responsibility for effective compliance may
be temporarily suspended.
5. Oil and Hazardous Substance Liability
Nothing in this general permit shall be construed to preclude the institution of any legal action or
relieve the permittee from any responsibilities,liabilities,or penalties to which the permittee is or
may be subject to under NCGS 143-215.75 et seq.or Section 311 of the Federal Act, 33 USC 1321.
6. Property Rights
The issuance of this general permit does not convey any property rights in either real or personal
property,or any exclusive privileges,nor does it authorize any injury to private property or any
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Permit No.NCG060000
invasion of personal rights,nor any infringement of Federal,State or local laws or regulations[40
CFR 122.41(g)].
7. Severability
The provisions of this general permit are severable,and if any provision of this general permit,or the
application of any provision of this general permit to any circumstances,is held invalid,the
application of such provision to other circumstances,and the remainder of this general permit,shall
not be affected thereby[NCGS 15013-231.
8, Duty to Provide Information
The permittee shall furnish to the Permit Issuing Authority,within a reasonable time,any
information which the Permit Issuing Authority may request to determine whether cause exists for
modifying,revoking and reissuing,or terminating the general permit issued pursuant to this general
permit or to determine compliance with this general permit. The permittee shall also furnish to the
Permit Issuing Authority upon request,copies of records required to be kept by this general permit
[40 CFR 122.41(h)].
9, Penalties for Tampering
The Clean Water Act provides that any person who falsifies,tampers with,or knowingly renders
inaccurate,any monitoring device or method required to be maintained under this general permit
shall,upon conviction,be punished by a fine of not more than$10,00D per violation,or by
imprisonment for not more than two years per violation,or by both. 1 f a conviction of a person is for
a violation committed after a first conviction of such person under this paragraph,punishment is a
fine of not more than$20,000 per day of violation,or by imprisonment of not more than 4 years,or
both [40 CFR 122.411.
10. Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement,
representation,or certification in any record or other document submitted or required to be
maintained under this general permit,including monitoring reports or reports of compliance or
noncompliance shall,upon conviction,be punished by a fine of not more than$10,000 per violation,
or by imprisonment for not more than two years per violation,or by both [40 CFR 122.41].
11. Ori�hore Offshore Construction
This general permit does not authorize or approve the construction of any onshore or offshore
physical structures or facilities or the undertaking of any work in any navigable waters.
12. Duty to Reapply
Dischargers covered by this general permit need not submit a new Notice of Intent(NOI)or renewal
request unless so directed by the Division. If the Division chooses not to renew this general permit,
the permittee will be notified to submit an application for an individual permit[15A NCAC 02H
.0127(e)1.
SECTION B. GENERAL CONDITIONS
1. General Permit Expiration
General permits will be effective for a term not to exceed five years,at the end of which the Division
may renew them after all public notice requirements have been satisfied. If a general permit is
renewed,existing permittees do not need to submit a renewal request or pay a renewal fee unless
directed by the Division. New applicants seeking coverage under a renewed general permit must
submit a Notice of Intent to be covered and obtain a Certificate of Coverage under the renewed
general permit[15A NCAC 02H.0127(e)].
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Permit No.NCG060000
2. Transfers
This general permit is not transferable to any person without prior written notice to and approval
from the Director in accordance with 40 CFR 122.61.The Director may condition approval in
accordance with NCGS 143-215.1,in particular NCGS 143-215.1(b)(4)b.2.,and may require
modification or revocation and reissuance of the Certificate of Coverage, or a minor modification,to
identify the new permittee and incorporate such other requirements as may be necessary under the
CWA[40 CFR 122.41(1)(3),122.61] or state statute. The Permittee is required to notify the
Division in writing in the event the permitted facility is sold or closed.
3. When an Individual Permit Maybe Required
The Director may require any owner/operator authorized to discharge under a certificate of
coverage issued pursuant to this general permit to apply for and obtain an individual permit or an
alternative general permit. Any interested person may petition the Director to take action under this
paragraph. Cases where an individual permit may be required include,but are not limited to,the
following:
a. The discharger is a significant contributor of pollutants;
b. Conditions at the permitted site change,altering the constituents and/or characteristics of
the discharge such that the discharge no longer qualifies for a general permit;
C. The discharge violates the terms or conditions of this general permit;
d. A change has occurred in the availability of demonstrated technology or practices for the
control or abatement of pollutants applicable to the point source;
e. Effluent limitations are promulgated for the point sources covered by this general permit;
f. A water duality management plan containing requirements applicable to such point sources
is approved after the issuance of this general permit;
g, The Director determines at his or her own discretion that an individual permit is required.
4. When an Individual Permit May be Requested
Any permittee operating under this general permit may request to be excluded from the coverage of
this general permit by applying for an individual permit, When an individual permit is issued to an
owner/operator the applicability of this general permit is automatically terminated on the effective
date of the individual permit.
5. Signatory Requirements
All applications,reports,or information submitted to the Permitting Issuing Authority shall be signed
and certified [40 CFR 122.41(k)].
a. All Notices of Intent to be covered under this general permit shall be signed as follows:
(1) For a corporation; by a responsible corporate officer. For the purpose of this Section,a
responsible corporate officer means: (a)a president,secretary,treasurer or vice president
of the corporation in charge of a principal business function,or any other person who
performs similar policy or decision making functions for the corporation,or(b)the manager
of one or more manufacturing,production,or operating facilities,provided,the manager is
authorized to make management decisions which govern the operation of the regulated
facility including having the explicit or implicit duty of making major capital investment
recommendations,and initiating and directing other comprehensive measures to assure
long term environmental compliance with environmental laws and regulations; the manager
can ensure that the necessary systems are established or actions taken to gather complete
and accurate information for permit application requirements; and where authority to sign
documents has been assigned or delegated to the manager in accordance with corporate
procedures.
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Permit No.NCG060000
(2) For a partnership or sole proprietorship: by a general partner or the proprietor,
respectively;or
(3) For a municipality,State,Federal,or other public agency: by either a principal executive
officer or ranking elected official [40 CFR 122.221.
b. All reports required by the general permit and other information requested by the Permit
Issuing Authority shall be signed by a person described in paragraph a.above or by a duly
authorized representative of that person.A person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the
overall operation of the regulated facility or activity,such as the position of plant manager,
operator of a well or well field,superintendent,a position of equivalent responsibility,or an
individual or position having overall responsibility for environmental matters for the company.
(A duly authorized representative may thus be either a named individual or any individual
occupying a named position.);and
(3) The written authorization is submitted to the Permit Issuing Authority[40 CFR 122.22]
c, Changes to authorization: If an authorization under paragraph(b) of this section is no longer
accurate because a different individual or position has responsibility for the overall operation of
the facility,a new authorization satisfying the requirements of paragraph (b) of this section must
be submitted to the Director prior to or together with any reports,information,or applications to
be signed by an authorized representative(40 CFR 122.221
d. Certification.Any person signing a document under paragraphs a.or b.of this section shall make
the following certification [40 CFR 122.221. NO OTHER STATEMENTS OF CERTIFICATION WILL
BE ACCEPTED:
'7 certify, under penalty of law,that this document and all attachments were prepared under my
direction orsupervision in accordance with a system designed to assure that qualified personnel
properlygather and evaluate the information submitted Based on my inquiry of the person or
persons who manage the system,or those persons directly responsible forgathering 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 offines and imprisonnientfor knowing violations."
6. General Permit Modification. Revocation and Reissuance,or Termination
The issuance of this general permit does not prohibit the Permit Issuing Authority from reopening
and modifying the general permit,revoking and reissuing the general permit,or terminating the
general permit as allowed by the laws,rules,and regulations contained in Title 40,Code of Federal
Regulations,Parts 122 and 123;Title 15A of the North Carolina Administrative Code,Subchapter 2H
.0100;and North Carolina General Statute 143-215.1 et al.
After public notice and opportunity for a hearing,the general permit may be terminated for cause.
The filing of a request for a general permit modification,revocation and reissuance,or termination
does not stay any general permit condition. The Certificate of Coverage shall expire when the
general permit is terminated.
7. Certificate of Coverage Actions
The general permit may be modified,revoked and reissued,or terminated for cause. The notification
of planned changes or anticipated noncompliance does not stay any general permit condition(40
CFR 122.41(fJ]_
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Permit No.NCG060000
S. Annual Administering and Compliance Monitoring Fee Requirements
The permittee must pay the administering and compliance monitoring fee within 30 (thirty)days
after being billed by the Division. Failure to pay the fee in timely manner in accordance with 15A
NCAC 2H.0105(b)(2) may cause this Division to initiate action to revoke coverage under the general
permit.
SECTION C: OPERATION AND MAINTENANCE OF POLLUTION CONTROLS
1. Proper Operation and Maintenance
The permittee shall at all times properly operate and maintain all facilities and systems of treatment
and control (and related appurtenances) which are installed or used by the permittee to achieve
compliance with the conditions of this permit. Proper operation and maintenance also includes
adequate laboratory controls and appropriate quality assurance procedures. This provision requires
the operation of back-up or auxiliary facilities or similar systems which are installed by a permittee
only when the operation is necessary to achieve compliance with the conditions of this permit [40
CFR 122.41(e)].
2. Need to Halt or Reduce Not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been necessary
to halt or reduce the permitted activity in order to maintain compliance with the condition of this
general permit [40 CFR 122.41(c)].
3. Bypassing of Stormwater Control Facilities
Bypass is prohibited and the Director may take enforcement action against a permittee for bypass
unless:
a. Bypass was unavoidable to prevent loss of life,personal injury or severe property damage;and
b. There were no feasible alternatives to the bypass,such as the use of auxiliary control facilities,
retention of stormwater or maintenance during normal periods of equipment downtime or dry
weather. This condition is not satisfied if adequate backup controls should have been installed in
the exercise of reasonable engineering judgment to prevent a bypass which occurred during
normal periods of equipment downtime or preventive maintenance; and
c. The permittee submitted notices as required under, Part III,Section E of this general permit.
If the Director determines that it will meet the three conditions listed above,the Director may
approve an anticipated bypass after considering its adverse effects.
SECTION D: MONITORING AND RECORDS
1. Representative Sampling
Samples collected and measurements taken,as required herein,shall be characteristic of the volume
and nature of the permitted discharge. Analytical sampling shall be performed during a measureable
storm event. Samples shall be taken on a day and time that is characteristic of the discharge. All
samples shall be taken before the discharge joins or is diluted by any other waste stream,body of
water,or substance. Monitoring points as specified in this general permit shall not be changed
without notification to and approval of the Permit Issuing Authority[40 CFR 122.41(j)].
2. Recording Results
For each measurement or sample taken pursuant to the requirements of this general permit,the
permittee shall record the following information [40 CFR 122.41];
a. The date,exact place,and time of sampling or measurements;
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Permit No.NCG060000
b. The individual(s)who performed the sampling or measurements;
c. The date(s)analyses were performed;
d. The individual(s)who performed the analyses;
e. The analytical techniques or methods used;and
f. The results of such analyses.
3. Flow Measurements
Where required,appropriate flow measurement devices and methods consistent with accepted
scientific practices shall be selected and used to ensure the accuracy and reliability of measurements
of the volume of monitored discharges.
4. Test Procedures.
Test procedures for the analysis of pollutants shall conform to the EMC regulations published
pursuant to NCGS 143-215.63 et.seq.the Water and Air Quality Reporting Acts,and to regulations
published pursuantto Section 304(g), 33 USC 1314,of the Federal Water Pollution Control Act,as
Amended,and Regulation 40 CFR 136.
To meet the intent of the monitoring required by this general permit,all test procedures must
produce minimum detection and reporting levels and all data generated must be reported down to
the minimum detection or lower reporting level of the procedure. If no approved methods are
determined capable of achieving minimum detection and reporting levels below general permit
discharge requirements,then the most sensitive(method with the lowest possible detection and
reporting level)approved method must be used.
5. Representative Outfall
If a facility has multiple discharge locations with substantially identical stormwater discharges that
are required to be sampled,the permittee may petition the Director for representative outfall status_
If it is established that the stormwater discharges are substantially identical and the permittee is
granted representative outfall status,then sampling requirements may be performed at a reduced
number of outfalls.
6. Records Retention
Qualitative monitoring shall be documented and records maintained at the facility along with the
Stormwater Pollution Prevention Plan(SPPP). Copies of analytical monitoring results shall also be
maintained on-site. The permittee shall retain records of all monitoring information,including
o all calibration and maintenance records,
o all original strip chart recordings for continuous monitoring instrumentation,
o copies of all reports required by this general permit,
o copies of all data used to complete the Notice of intent to be covered by this general permit.
These records or copies shall be maintained for a period of at least 5 years from the date of the
sample,measurement,report or Notice of Intent application. This period may be extended by
request of the Director at any time[40 CFR 122.411. If this volume of records cannot be maintained
on-site,the documents must be made available to an inspector upon request as immediately as
possible.
7. Inspection and EnUT
The permittee shall allow the Director,or an authorized representative(including an authorized
contractor acting as a representative of the Director),or in the case of a facility which discharges
through a municipal separate storm sewer system,an authorized representative of a municipal
operator or the separate storm sewer system receiving the discharge,upon the presentation of
credentials and other documents as may be required by law,to:
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Permit No.NCG060000
a. Enter upon the permittee's premises where a regulated facility or activity is located or conducted,
or where records must be kept under the conditions of this general permit;
b. Have access to and copy,at reasonable times,any records that must be kept under the conditions
of this general permit;
c. Inspect at reasonable times any facilities,equipment(including monitoring and control
equipment),practices,or operations regulated or required under this general permit;and
d. Sample or monitor at reasonable times,for the purposes of assuring permit compliance or as
otherwise authorized by the Clean Water Act,any substances or parameters at any location [40
CFR 122.41(i)].
SECTION E: REPORTING REQUIREMENTS
1. Discharge Monitoring Reports
Samples analyzed in accordance with the terms of this general permit shall be submitted to the
Division on Discharge Monitoring Report(DMR) forms provided by the Director. DMR forms are
available on the Division's website(http://portal.iicdeni,.org/�veblwq/ws/sti/npdessw . Submittals
shall be delivered to the Division no later than 30 days from the date the facility receives the
sampling results from the laboratory.
When no discharge has occurred from the facility during the report period,the permittee is required
to submit a discharge monitoring report,within 30 days of the end of the specified sampling period,
giving all required information and indicating"NO FLAW"as per NCAC T15A 02B.0506.
If the permittee monitors any pollutant more frequently than required by this general permit using
test procedures approved under 40 CFR Part 136 and at a sampling location specified in this general
permit or other appropriate instrument governing the discharge,the results of such monitoring shall
be included in the data submitted on the DMR.
The permittee shall record the required qualitative monitoring observations on the SDO Qualitative
Monitoring Report form provided by the Division and shall retain the completed forms on site.
Qualitative monitoring results should not be submitted to the Division,except upon DWQ's specific
requirement to do so. Qualitative Monitoring Report forms are available at the website above.
2. Submitting Reports
a. Two signed copies of Discharge Monitoring Reports(DMRs) shall be submitted to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
b. One copy of the Best Management Practices Assessment Report(refer to Part II.,Section E.)shall
be submitted to each the local DWQ Regional Office(110) and the Stormwater Permitting Unit
(SPU). Addresses for each RO and the counties covered by each RO can be found here
http://portal.ncdenr.org/web/wg/home/ro. The address for the SPU is shown below. The
permittee shall retain a copy of the report on site.
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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Permit No.NCG060000
3. Availability.of Reports
Except for data determined to be confidential under NCGS 143.215.3(a)(2) or Section 308 of the
Federal Act,33 USC 1318,all reports prepared in accordance with the terms shall be available for
public inspection at the offices of the Division. As required by the Act,analytical data shall not be
considered confidential. Knowingly making any false statement on any such report may result in the
imposition of criminal penalties as provided for in NCGS 143-215.613 or in Section 309 of the Federal
Act.
4. Non-Stormwatgr Discharges
If the storm event monitored in accordance with this general permit coincides with a non-
stormwater discharge,the permittee shall separately monitor all parameters as required under all
other applicable discharge permits and provide this information with the stormwater discharge
monitoring report.
5. Planned Changes
The permittee shall give notice to the Director as soon as possible of any planned changes at the
permitted facility which could significantly alter the nature or quantity of pollutants discharged[40
CFR 122.41(l)]. This notification requirement includes pollutants which are not specifically listed in
the general permit or subject to notification requirements tinder 40 CFR Part 122.42 (a).
6. Anticipated Noncompliance
The permittee shall give advance notice to the Director of any planned changes at the permitted
facility which may result in noncompliance with the general permit[40 CFR 122.41(l)(2)].
7, W,11s
The permittee shall report to the local DWQ Regional Office,within 24 hours,all significant spills as
defined in Part IV of this general permit. Additionally,the permittee shall report spills including: any
oil spill of 25 gallons or more,any spill regardless of amount that causes a sheen on surface waters,
any oil spill regardless of amount occurring within 100 feet of surface waters,and any oil spill less
than 25 gallons that cannot be cleaned up within 24 hours.
B. Bypass
Notice[40 CFR 122.41(m)(3)]:
a. Anticipated bypass. If the permittee knows in advance of the need for a bypass,it shall submit
prior notice,if possible at least ten days before the date of the bypass; including an evaluation of
the anticipated quality and affect of the bypass.
b. Unanticipated bypass. The permittee shall submit notice within 24 hours of becoming aware of
an unanticipated bypass.
9. Twenty-four Hour Reporting
a. The permittee shall report to the central office or the appropriate regional office any
noncompliance which may endanger health or the environment. Any information shall be
provided orally within 24 hours from the time the permittee became aware of the circumstances.
A written submission shall also be provided within 5 days of the time the permittee becomes
aware of the circumstances.
The written submission shall contain a description of the noncompliance,and its causes;the
period of noncompliance,including exact dates and times,and if the noncompliance has not
been corrected,the anticipated time compliance is expected to continue;and steps taken or
planned to reduce,eliminate,and prevent reoccurrence of the noncompliance[40 CFR
122.41(1)(6)].
b. The Director may waive the written report on a case-by-case basis for reports under this section
if the oral report has been received within 24 hours.
Part Ill Page 9 of 10

Permit No.NCG060000
c. Occurrences outside normal business hours may also be reported to the Division's Emergency
Response personnel at(800)662-7956,[phone] or(919) 733-3300.
10. Other Noncompliance
The permittee shall report all instances of noncompliance not reported under 24 hour reporting at
the time monitoring reports are submitted [40 CFR 122.41(l)(7)].
11. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a Notice of Intent to
be covered under this general permit,or submitted incorrect information in that Notice of Intent
application or in any report to the Director,it shall promptly submit such facts or information [40
CFR 122.41(1)(S)].
Part l II Page 10 of 10

Permit No.NCG060000
PART IV DEFINITIONS
Z. Act
See Clean Water Act.
2. Adverse Weather
Adverse conditions are those that are dangerous or create inaccessibility for personnel,such as local
flooding,high winds,or electrical storms,or situations that otherwise make sampling impractical.
When adverse weather conditions prevent the collection of samples during the sample period,the
permittee must take a substitute sample or perform a visual assessment during the next qualifying
storm event.Documentation of an adverse event(with date,time and written narrative) and the
rationale must be included with your SPPP records. Adverse weather does not exempt the permittee
from having to file a monitoring report in accordance with the sampling schedule.Adverse events
and failures to monitor must also be explained and reported on the relevant DM R.
3. Allowable Non-Stormwater Discharges
This general permit regulates stormwater discharges. Non-stormwater discharges which shall be
allowed in the stormwater conveyance system are:
a. All other discharges that are authorized by a non-stormwater NPDES permit.
b. Uncontaminated groundwater,foundation drains,air-conditioner condensate without added
chemicals,springs,discharges of uncontaminated potable water,waterline and fire hydrant
flushings,water from footing drains,irrigation waters,flows from riparian habitats and
wetlands.
c. Discharges resulting from fire-fighting or fire-fighting training,or emergency shower or eye
wash as a result of use in the event of an emergency.
4. Best Management Practices[BMPsl
Measures or practices used to reduce the amount of pollution entering surface waters. BMPs may
take the form of a process,activity,or physical structure_ More information on BMPs can be found at:
titt f u a. ov n des stormwater m nuofbm inde fm.
5. Bypass
A bypass is the known diversion of stormwater from any portion of a stormwater control facility
including the collection system,which is not a designed or established operating mode for the facility.
6. Bulk Storage of Liquid Products
Liquid raw materials,manufactured products,waste materials or by-products with a single above
ground storage container having a capacity of greater than 660 gallons or with multiple above
ground storage containers located in close proximity to each other having a total combined storage
capacity of greater than 1,320 gallons.
7. Certifigite of overaee
The Certificate of Coverage(COC) is the cover sheet which accompanies a general permit upon
issuance and lists the facility name,location, receiving stream,river basin,effective date of coverage
under the general permit and is signed by the Director_
8. Clean Water Act
The Federal Water Pollution Control Act,also known as the Clean Water Act(CWA),as amended,33
USC 1251,et.seq.
9. Division or DWO
The Division of Water Quality,Department of Environment and Natural Resources.
Part IV Page 1 of 4

Permit No.NCG060000
10. Director
The Director of the Division of Water Quality,the permit issuing authority.
11. EMC
The North Carolina Environmental Management Commission.
12, Grab Sample
An individual sample collected instantaneously. Grab samples that will be analyzed(quantitatively
or qualitatively) must be taken within the first 30 minutes of discharge.
13. Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act.
14. Landfill
A disposal facility or part of a disposal facility where waste is placed in or on land and which is not a
land treatment facility,a surface impoundment,an injection well,a hazardous waste long-term
storage facility or a surface storage facility.
15. Measiireable Storm Event
A storm event that results in an actual discharge from the permitted site outfall. The previous
measurable storm event must have been at least 72 hours prior. The 72-hour storm interval may not
apply if the permittee is able to document that a shorter interval is representative for local storm
events during the sampling period,and obtains approval from the local DWQ Regional Office. Two
copies of this information and a written request letter shall be seht to the local DWQ Regional Office.
After authorization by the DWQ Regional Office,a written approval letter must be kept on site in the
permittee's SPPP.
16, Municipal Separate Storm Sewer System (MS41
A stormwater collection system within an incorporated area of local self-government such as a city or
town.
17. No Exposure
A condition of no exposure means that all industrial materials and activities are protected by a storm
resistant shelter or acceptable storage containers to prevent exposure to rain,snow,snowmelt,or
runoff. Industrial materials or activities include,but are not limited to,material handling equipment
or activities,industrial machinery,raw materials,intermediate products,by-products,final products,
or waste products. DWQ may grant a No Exposure Exclusion From NPDES stormwater permitting
requirements only if a facility complies with the terms and conditions described in 40 CFR
§122.26(g).
1$, Notice of Intent
The state application form which,when submitted to the Division,officially indicates the facility's
notice of intent to seek coverage under a general permit.
19. Permit Issuing Authority
The Director of the Division of Water Quality(see"Director"above)_
20. Permittee
The owner or operator issued a Certificate of Coverage pursuant to this general permit.
21. Point Source Discharge of Stormwater
Any discernible,confined and discrete conveyance including,but not specifically limited to,any pipe,
ditch,channel,tunnel,conduit,well,or discrete fissure from which stormwater is or may be
discharged to waters of the state.
Part IV Page 2 of 4

Permit No.NCG060000
22, Representative Cutfall Status
When it is established that the discharge of stormwater runoff from a single outfall is representative of the
discharges at multiple outfalls,the DWQ may grant representative outfall status. Representative outfall
status allows the permittee to perform analytical monitoring at a reduced number of outfalls.
23. Secondary Containment
Spill containment for the contents of the single largest tank within the containment structure plus
sufficient freeboard to allow for the 25-year,24-hour storm event.
24. Section 313 Water Priority Chemical
A chemical or chemical category which:
b. Is listed in 40 CFR 372.65 pursuant to Section 313 of Title III of the Superfund Amendments and
Reauthorization Act(SARA)of 1986,also titled the Emergency Planning and Community Right-
to-Know Act of 1966;
C. Is present at or above threshold levels at a facility subject to SARA title 111,Section 313 reporting
requirements; and
d. Meets at least one of the following criteria:
i. Is listed in appendix D of 40 CFR part 122 on Table 11 (organic priority pollutants),Table
111 (certain metals,cyanides,and phenols) or Table IV(certain toxic pollutants and
hazardous substances];
ii. Is listed as a hazardous substance pursuant to section 311(b)(2)(A)of the CWA at 40 CFR
116.4;or
iii. Is a pollutant for which EPA has published acute or chronic water quality criteria.
25, Severe Property Damage
Substantial physical damage to property,damage to the control facilities which causes them to
become inoperable,or substantial and permanent loss of natural resources which can reasonably be
expected to occur in the absence of a bypass. Severe property damage does not mean economic loss
caused by delays in production.
26. Significant Materials
Includes,but is not limited to:raw materials; fuels; materials such as solvents,detergents,and plastic
pellets;finished materials such as metallic products;raw materials used in food processing or
production;hazardous substances designated under section 101(14) of CERCLA;any chemical the
facility is required to report pursuant to section 313 of Title 111 of SARA; fertilizers,pesticides;and
waste products such as ashes,slag and sludge that have the potential to be released with stormwater
discharges.
27. Significant Spills
Includes,but is not limited to: releases of oil or hazardous substances in excess of reportable
quantities under section 311 of the Clean Water Act(Ref:40 CFR 110.32nd 40 CFR 117.3) or section
102 of CERCLA(Ref:40 CFR 302.4).
28. Stormwater Discharge O!tfall (SDOI
The point of departure of stormwater from a discernible,confined,or discrete conveyance,including
but not limited to,storm sewer pipes,drainage ditches,channels,spillways,or channelized collection
areas,from which stormwater flows directly or indirectly into waters of the State of North Carolina.
29. Stormwater Runoff
The flow of water which results from precipitation and which occurs immediately following rainfall
or as a result of snowmelt.
Fart IV Page 3 of 4

Permit No.NCGO60000
30. Stormwater Associated with Industrial Activity
The discharge from any point source which is used for collecting and conveying stormwater and
which is directly related to manufacturing,processing or raw material storage areas at an industrial
site. Facilities considered to be engaged in"industrial activities"include those activities defined in
40 CFR 122.26(b)(14). The term does not include discharges from facilities or activities excluded
from the NPDES program.
31. Stormwater Pollution Prevention Plan(SPPP)
A comprehensive site-specific plan which details measures and practices to reduce stormwater
Pollution and is based on an evaluation of the pollution potential of the site.
32. Total Maximum Daily Load(TMDL)
TMDLs are written plans for attaining and maintaining water quality standards,in all seasons,for a
specific water body and pollutant. A list of approved TMDLs for the state of North Carolina can be
found at htt :/ ortal.ncdenr.org/web"wgf psLmttjtmdl.
33. Toxic Pollutant
Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act.
34. Vehicle Maintenance Activity
Vehicle rehabilitation,mechanical repairs,painting,fueling,lubrication,vehicle cleaning operations,
or airport deicing operations.
35. Visible Sedimentation
Solid particulate matter,both mineral and organic,that has been or is being transported by water,
air,gravity,or ice from its site of origin which can be seen with the unaided eye.
36. 25-year.24 hour Storm Event
The maximum 24-hour precipitation event expected to be equaled or exceeded,on the average,once
in 25 years.
Fart IV Page 4 of 4

e
MATERIAL SAFETY DATA SHEET
Formula CS13B
Preparedaocor&q to U.S.OSHA,CMA,ANSI,Canadian WHMIS,Australian WorkSafe,Aa nese Industrial Standard J!S Z 7250:2000,andEumpean Union REACH R uI tions
SECTION 1 - PRODUCT AND COMPANY IDENTIFICATION
PRODUCT NAME: Formula CS13B
CHEMICAL FAMILY NAME: Detergent.
PRODUCT USE: Multi-purpose surface cleaner,degreaser
U.N. NUMBER, Not Applicable
U.N. DANGEROUS GOODS CLASS: Non-Regulated Material
SUPPLIER/MANUFACTURER'S NAME: SP Green, div. of Sutherland Products, Inc.
ADDRESS: 203 N 1StAvenue, Mayodan, NC 27027 USA
EMERGENCY PHONE: TOLL-FREE in USA/Canada 800-854-3541
BUSINESS PHONE: [phone]
BUSINESS FAX: [phone]
WEB INFORMATION: www.charliesoap.com
DATE OF PREPARATION: May 31, 2012
DATE OF LAST REVISION: May 31,2012
SECTION 2 - HAZARDS IDENTIFICATION' '
EMERGENCY OVERVIEW: This product is a clear liquid with a faint sweet odor. Prolonged exposure can be irritating
to eyes and skin. It is a non-flammable liquid. The Environmental effects of this product have not been investigated.
US DOT SYMBOLS CANADA(WHMIS)SYMBOLS EUROPEAN and (GHS)Hazard Symbols
Non-Regulated < ! >
0 Signal Word:Warningl
EU LABELING AND CLASSIFICATION:
Classification of the substance or mixture according to Regulation (EC) No127212008 Annex 1
EC#231-791-2 This substance is not classified in the Annex I of Directive 671548/EEC
EC#500-195-7This substance is not classified in the Annex I of Directive 6715481EEC
EC#207-838-8 Annex I Index#011-005-00-2
GHS Hazard Classification(sl:
Eye Irritant Category 2
Skin Irritant Category 2
Hazard Statement(s): Precautionary Statement(s1
H315: Causes skin irritation P264: Wash hands thoroughly after handling
H319: Causes serious eye irritation P281: Use personal protective equipment as required
EU HAZARD CLASSIFICATION PER DIRECTIVE 1999145/EC:
(Xi] Irritant
Risk Phrases: Safety Phrases:
R36/38: Irritating to eyes and skin S24/25: Avoid contact with skin and eyes
February 2012 Page 1 of 6 Rev 2

f
MATERIAL SAFETY DATA SHEET
Formula CS13B
HEALTH HAZARDS OR RISKS FROM EXPOSURE:
ACUTE: Prolonged exposure to this product may cause irritation to skin. Contact with eyes may cause irritation.
Ingestion may cause gastrointestinal irritation including pain, vomiting or diarrhea.
CHRONIC: None known
TARGET ORGANS: ACUTE; Eyes, Skin CHRONIC: None Known
SECTION 3.- COMPOSITION and INFORMATION ON INGREDIENTS s
HAZARDOUS INGREDIENTS: 7cj��#
EINECS# ICSC# WT% HAZARD CLASSIFICATION;
RISK PHRASES
Water 7732-18-5 231-791-2 Not Listed 85—97% HAZARD CLASSIFICATION:None
RISK PHRASES:None
Alcohols,C12-15,ethoxylated 68131-39-5 500-195-7 Not Listed 2-10% HAZARD CLASSIFICATION:None
RISK PHRASES: None
sodium carbonate 497-19-8 207-838-8 1135 1 —5% HAZARD CLASSIFICATION:[Xi]Irritant
RISK PHRASES: R36
Balance of other ingredients are non-hazardous or less than 1% in concentration (or 0.1% for
carcinogens,reproductive toxins,or respiratory sensitizers),
NOTE: ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-2010 format.This product has been classified
in accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR, ELI Directives and the
Japanese Industrial Standard JIS Z 7250:2000.
"< SECTION 4:-,FIRST-AID MEASURES.'--,-
Contaminated -
individuals of chemical exposure must be taken for medical attention if any adverse effect occurs.
Rescuers should be taken for medical attention, if necessary. Take copy of label and MSDS to health professional with
contaminated individual.
EYE CONTACT: If product enters the eyes, open eyes while under gentle running water for at least 15 minutes. Seek
medical attention if irritation persists.
SKIN CONTACT: Wash skin thoroughly after handling. Seek medical attention if irritation develops and persists. Remove
contaminated clothing. Launder before re-use.
INHALATION: If breathing becomes difficult, remove victim to fresh air. If necessary, use artificial respiration to support
vital functions. Seek medical attention if breathing dificulty continues.
INGESTION: If product is swallowed, call physician or poison control center for most current information. If professional
advice is not available, do not induce vomiting. Never induce vomiting or give diluents {milk or water}to someone who is
unconscious, having convulsions, or who cannot swallow. Seek medical advice. Take a copy of the label and/or MSDS
with the victim to the health professional.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing skin, or eye problems may be aggravated by
prolonged contact.
RECOMMENDATIONS TO PHYSICIANS:Treat symptoms and reduce over-exposure.
SECTION 5 FIRE-FIGHTING'MEASURES ' x"
FLASH POINT: Not Flammable
AUTOIGNITION TEMPERATURE: Not Applicable
FLAMMABLE LIMITS{in air by volume,%J: Lower(LEL): NA Upper(UEL]: NA
FIRE EXTINGUISHING MATERIALS: As appropriate for surrounding fire. Carbon dioxide, foam, dry
chemical, halon, or water spray.
UNUSUAL FIRE AND EXPLOSION HAZARDS: This product is non-flammable, however containers may rupture if
exposed to heat or fire.
Explosion Sensitivity to Mechanical Impact: Not Sensitive.
February 2012 Page 2 of 6 Rev 2

r
• � t�
Nth
MATERIAL SAFETY DATA SHEET
Formula CS 13B
Explosion Sensitivity to Static Dischar__ge: Not Sensitive
SPECIAL FIRE-FIGHTING PROCEDURES: Incipient fire responders should wear eye protection. Structural
firefighters must wear Self-Contained Breathing Apparatus and full
protective equipment. Isolate materials not yet involved in the fire and
protect personnel. Move containers from fire area if this can be done
without risk; otherwise, cool with carefully applied water spray. If
possible, prevent runoff water from entering storm drains, bodies of
water, or other environmentally sensitive areas.
NFPA RATING SYSTEM HMIS RATING SYSTEM
HAZARDOUS MATERIAL IDENTIFICATION SYSTEM
Flammability HEALTH HAZARD(BLUE)
O FLAMMABILITY HAZARD (RED)
Health 0 Reactivity PHYSICAL-HAZARD (YELLOW); 0
PROTECTIVE EQUIPMENT
EYES RESPIRATORY HANDS BODY
Other
aSee Sect 8 See
Sect 8
For Routine Industrial Use and Handling Applications
Hazard Scale: 0=Minimal 1 =Slight 2=Moderate 3=Serious 4 Severe `=Chronic hazard
_.. .SECTION 64 'ACCIDENTAL RELEASE MEASURES
SPILL AND LEAK RESPONSE: Personnel should be trained for spill response operations.
SPILLS: Contain spill if safe to do so. Prevent entry into drains, sewers, and other waterways. Soak up with an absorbent
material and place in an appropriate container for disposal. Dispose of in accordance with applicable Federal, State, and
local procedures (see Section 13, Disposal Considerations).
' SECTION7 - HANDLING,and STORAGE
WORK PRACTICES AND HYGIENE PRACTICES: As with all chemicals, avoid getting this product ON YOU or IN YOU.
Wash thoroughly after handling this product. Do not eat, drink, smoke, or apply cosmetics while handling this product.
Avoid breathing dusts generated by this product. Use in a well-ventilated location.
STORAGE AND HANDLING PRACTICES: Containers of this product must be properly labeled. Store containers in a
cool, dry location. Keep container tightly closed when not in use. Store away from strong acids or oxidizers.
.SECTION 8 EXPOSURE CONTROLS!;PERSONAL PROTECTION
EXPOSURE LIMITS/GUIDELINES:
Chemical Name CAS## ACGIH TWA OSHA TWA SWA
Water 7732-18-5 Not Listed Not Listed Not Listed
Alcohols,C12-15, 68131-39-5 Not Listed Not Listed Not Listed
ethoxyiated
sodium carbonate 497-19-8 Not Listed Not Listed Not Listed
February 2012 Page 3 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula CS13B
Currently, International exposure limits are not established for the components of this product. Please check with
competent authority in each country for the most recent limits in place.
VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation to ensure exposure levels are
maintained below the limits provided below. Use local exhaust ventilation to control airborne vapors. Ensure
eyewash/safety shower stations are available near areas where this product is used.
The following information on appropriate Personal Protective Equipment is provided to assist employers in complying
with OSHA regulations found in 29 CFR Subpart I (beginning at 1910.132) or equivalent standard of Canada, or
standards of EU member states (including EN 149 for respiratory PPE, and EN 166 for face%ye protection), and those
of Japan. Please reference applicable regulations and standards for relevant details.
RESPIRATORY PROTECTION: Not normally required when using this product. Maintain airborne contaminant
concentrations below guidelines listed above, if applicable. If necessary, use only respiratory protection authorized in the
U.S. Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), equivalent U.S. State standards, Canadian
CSA Standard Z94.4-93, the European Standard EN149, or EU member states.
EYE PROTECTION: Safety glasses are recommended where splashing is possible. If necessary, refer to U.S. OSHA
29 CFR 1910.133 or appropriate Canadian Standards,
SKIN PROTECTION: Not normally required when using this product. Use PPE appropriate to task performed. If
necessary, refer to U.S. OSHA 29 CFR 1910.138 or appropriate Standards of Canada.
SECTION 9 - PHYSICAL and CHEMICAL'PROPERTIES
PHYSICAL STATE: Liquid
APPEARANCE & ODOR: Clear liquid with a faint sweet odor.
ODOR THRESHOLD (PPM): Not Available
VAPOR PRESSURE (mmHg): Not Available
VAPOR DENSITY (AIR=1): 1.02
BY WEIGHT: Not Available
EVAPORATION RATE: (nBuAc = 1): Same as water
BOILING POINT (C°): 1040C
FREEZING POINT (C°): -3°C
pH: 10.5— 11.0
SPECIFIC GRAVITY 20OC: (WATER=1) 1.02
SOLUBILITY IN WATER (%) Complete
SECTION 10 - STABILITY and,'REACTIVITY
STABILITY: Product is stable
DECOMPOSITION PRODUCTS: When heated to decomposition this product produces Oxides of carbon (COx), and
Hydrocarbons
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong acids and strong oxidizing agents.
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials.
SECTION 1.1 - TOXICOLOGICAL INFORMATION :. ?
TOXICITY DATA: Toxicity data is not available for mixture:
No LD 50 Data Available
SUSPECTED CANCER AGENT: None of the ingredients are found on the following lists: FEDERAL OSHA Z LIST,
NTP, CALIOSHA, IARC and therefore is not considered to be, nor suspected to be a cancer-causing agent by these
agencies.
IRRITANCY OF PRODUCT: Contact with this product can be irritating to exposed skin.
SENSITIZATION OF PRODUCT: This product is not considered a sensitizer.
February 2012 Page 4 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula CS13B
REPRODUCTIVE TOXICITY INFORMATION: No information concerning the effects of this product and its components
on the human reproductive system.
? SECTION 12 ECOLOGICAL INFORMATION
ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION.
ENVIRONMENTAL STABILITY: No Data available at this time.
EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product's effects on
plants or animals.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product's effects on aquatic life.
SECTION 13 - DISPOSAL CONSIDERATIONS
PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and
local regulations, those of Canada, Australia, EU Member States and Japan.
SECTION 14 - TRANSPORTATION INFORMATION
US DOT; IATA: IMO: ADR:
THIS PRODUCT IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF
TRANSPORTATION.
PROPER SHIPPING NAME: Non-Regulated Material
HAZARD CLASS NUMBER and DESCRIPTION: Not Applicable
UN IDENTIFICATION NUMBER: Not Applicable
PACKING GROUP: Not Applicable.
DOT LABEL(S) REQUIRED: Not Applicable
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (2004): Not Applicable
MARINE POLLUTANT: None of the ingredients are classified by the DOT as a Marine Pollutant (as defined by 49
CFR 172.101, Appendix B)
U.S. DEPARTMENT OF TRANSPORTATION (DOT) SHIPPING REGULATIONS:
This product is not classified as dangerous goods, per U.S. DOT regulations, under 49 CFR 172.101.
TRANSPORT CANADA, TRANSPORTATION OF DANGEROUS GOODS REGULATIONS:
This product is not classified as Dangerous Goods, per regulations of Transport Canada.
INTERNATIONAL AIR TRANSPORT ASSOCIATION (IATA):
This product is not classified as Dangerous Goods, by rules of IATA:
INTERNATIONAL. MARITIME ORGANIZATION (IMO) DESIGNATION:
This product is not classified as Dangerous Goods by the International Maritime Organization.
EUROPEAN AGREEMENT CONCERNING THE INTERNATIONAL CARRIAGE OF DANGEROUS GOODS BY ROAD
ADR :
This product is not classified by the United Nations Economic Commission for Europe to be dangerous goods.
SECTION 156-REGULATORY INFORMATION
UNITED STATES REGULATIONS
SARA REPORTING REQUIREMENTS: This product is not subject to the reporting requirements of Sections 302, 304
and 313 of Title III of the Superfund Amendments and Reauthorization Act., as follows: None
TSCA: All components in this product are listed on the US Toxic Substances Control Act (TSCA) inventory of
chemicals.
SARA 311/312:
Acute Yes Chronic Health: No Fire: No Reactivity: No
Health:
February 2012 Page 5 of 6 Rev 2

r
JL
MATERIAL SAFETY DATA SHEET
Formula CS 13B
U.S. SARA THRESHOLD PLANNING QUANTITY: There are no specific Threshold Planning Quantities for this
product. The default Federal MSDS submission and inventory requirement filing threshold of 10,000 lb (4,540 kg)
may apply, per 40 CFR 370.20.
U.S.CERCLA REPORTABLE QUANTITY (RQ): None
CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65): None of the
ingredients are on the California Proposition 65 lists.
CANADIAN REGULATIONS:
CANADIAN DSL/NDSL INVENTORY STATUS:AII of the components of this product are on the DSL Inventory
CANADIAN ENVIRONMENTAL PROTECTION ACT(CEPA) PRIORITIES SUBSTANCES LISTS: No component of
this product is on the CEPA First Priorities Substance Lists.
CANADIAN WHMIS CLASSIFICATION and SYMBOLS: This product is categorized as a Class D-213 materials having
other toxic effects, as per the Controlled Product Regulations
EUROPEAN ECONOMIC COMMUNITY INFORMATION:
EU LABELING AND CLASSIFICATION:
Classification of the mixture according to Regulation (EC)No'11272/2008. See section 2 for details.
AUSTRALIAN INFORMATION FOR PRODUCT:
AUSTRALIAN INVENTORY OF CHEMICAL SUBSTANCES (AICS)STATUS: All components of this product are
listed on the AICS.
STANDARD FOR THE UNIFORM SCHEDULING OF DRUGS AND POISONS: Not applicable.
JAPANESE INFORMATION FOR PRODUCT:
JAPANESE MINISTER OF INTERNATIONAL TRADE AND INDUSTRY (MITI)STATUS: The components of this
product are not listed as Class I Specified Chemical Substances, Class II Specified Chemical Substances, or
Designated Chemical Substances by the Japanese MITI.
INTERNATIONAL CHEMICAL INVENTORIES:
Listing of the components on individual country Chemical Inventories is as follows:
Asia-Pac: Listed
Australian Inventory of Chemical Substances (AICS): Listed
Korean Existing Chemicals List (ECL): Listed
Japanese Existing National Inventory of Chemical Substances (ENCS): Listed
Philippines Inventory if Chemicals and Chemical Substances (PICCS): Listed
Swiss Giftliste List of Toxic Substances: Listed
U.S. TSCA: Listed
'SECTION-16 - OTHER INFORMATION
PREPARED BY: Morgan Sutherland
Disclaimer: To the best of Sutherland Products knowledge, the information contained herein is reliable and accurate as of this date;
however, accuracy, suitability or completeness is not guaranteed and no warranties of any type either express or implied are
provided. The information contained herein relates only to this specific product.
February 2012 Page 6 of 6 Rev 2

t
a�
MATERIAL SAFETY DATA SHEET
Formula PS03
Prepared according to U.S.OSHA,CMA,ANSI,Canadian WHMIS,Australian WorkSafe,Ja nese lndushial Standard JIS Z 7250:2000,and European Union RE4CHRegulagons
i. . " SECTION 1 = PRODUCT AND COMPANY IDENTIFICATION
PRODUCT NAME: Formula PS03
CHEMICAL FAMILY NAME: Detergent.
PRODUCT USE: Laundry detergent
U.N.NUMBER.: Not Applicable
U.N. DANGEROUS GOODS CLASS: Non-Regulated Material
SUPPLIER/MANUFACTURER'S NAME: SP Green,div. of Sutherland Products, Inc.
ADDRESS: 203 N 1"�Avenue, Mayodan, NC 27027 USA
EMERGENCY PHONE: TOLL-FREE in USA/Canada 800-854-3541
BUSINESS PHONE: [phone]
BUSINESS FAX: [phone]
WEB INFORMATION: www,charliesoap.com
DATE OF PREPARATION: February 27, 2012
DATE OF LAST REVISION: May 18,2010
SECTION.-2 - HAZARDS IDENTIFICATION
EMERGENCY OVERVIEW: This product is a white powder with a faint odor. Prolonged exposure can be irritating to
eyes, respiratory system and skin. It is a non-flammable product. The Environmental effects of this product have not
been investigated.
US DOT SYMBOLS CANADA(WHMIS)SYMBOLS EUROPEAN and(GHS) Hazard Symbols
Non-Regulated < I >
Signal Word:Warning!
EU LABELING AND CLASSIFICATION:
Classification of the substance or mixture according to Regulation (EC) No1272/2008 Annex 1
EC#207-838-8 Annex I Index#011-005-00-2
EC#500-195-7This substance is not classified in the Annex I of Directive 6715481EEC
EC#229-912-9 Annex I Index# 014-010-00-8
GHS_Hazard Classification(s):
Eye Irritant Category 2
Skin Irritant Category 2
Hazard Statement(s): Precautionary Statement(s):
H315: Causes skin irritation P261:Avoid breathing dust/fume/gas/mist/vapor/spray
H319: Causes serious eye irritation P264: Wash hands thoroughly after handling
P281: Use personal protective equipment as required
EU HAZARD CLASSIFICATION PER DIRECTIVE 19991451EC:
[Xn] Harmful, [Xi] Irritant
Risk Phrases: Safety Phrases:
R36/37/38: Irritating to eyes, respiratory system and skin S23: Do not breath gas/fumes/vapor/spray
S24125: Avoid contact with skin and eyes
S45: In case of an accident or if you feel unwell, seek
medical advice immediately.
February 2012 Page 1 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula PS03
HEALTH HAZARDS OR RISKS FROM EXPOSURE:
ACUTE: Prolonged exposure to this product may cause irritation of the eyes, respiratory system and skin. Ingestion may
cause gastrointestinal irritation including pain, vomiting or diarrhea.
CHRONIC: None known
TARGET ORGANS: ACUTE: Eye, respiratory System, Skin CHRONIC: None Known
SECTION 3.-'COMPOSITION-and,INFORMATION-,ON INGREDIENTS' r
HAZARDOUS INGREDIENTS: CAS# EINECS# IGSC# w HAZARD CLASSIFICATION;
T% RISK PHRASES
Sodium carbonate 497-19-8 207-838-8 1135 75-85% HAZARD CLASSIFICATION:[Xi]Irritant
RISK PHRASES:R36
Alcohols,C12-15,ethoxylated 68131-39-5 500-195-7 Not Listed 5-15% HAZARD CLASSIFICATION:None
RISK PHRASES:None
Disodium metasilicate 6834-92-0I L 229-912-9 0359 1 -10% HAZARD CLASSIFICATION:fXi]Irritant
RISK PHRASES: R37
Balance of other ingredients are non-hazardous or less than 1% in concentration (or 0.1% for
carcinogens,reproductive toxins,or respiratory sensitizers).
NOTE: ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-2010 format.This product has been classified
in accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR, EU Directives and the
Japanese Industrial Standard JIS Z 7250:2000.
SECTION 4 FIRST-AID MEASURES;
Contaminated individuals of chemical exposure must be taken for medical attention if any adverse effect occurs.
Rescuers should be taken for medical attention, if necessary. Take copy of label and MSDS to health professional with
contaminated individual.
EYE CONTACT: If product enters the eyes, open eyes while under gentle running water for at least 15 minutes. Seek
medical attention if irritation persists.
SKIN CONTACT: Wash skin thoroughly after handling. Seek medical attention if irritation develops and persists. Remove
contaminated clothing. Launder before re-use.
INHALATION: If breathing becomes difficult, remove victim to fresh air. If necessary, use artificial respiration to support
vital functions. Seek medical attention if breathing difficulty continues.
INGESTION: If product is swallowed, call physician or poison control center for most current information. If professional
advice is not available, do not induce vomiting. Never induce vomiting or give diluents (milk or water)to someone who is
unconscious, having convulsions, or who cannot swallow. Seek medical advice. Take a copy of the label and/or MSDS
with the victim to the health professional.
MEDICAL_ CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing skin, or eye problems may be aggravated by
prolonged contact.
RECOMMENDATIONS TO PHYSICIANS:Treat symptoms and reduce over-exposure.
r' t SECTION-,6 - FIRE-FIGHTING-MEASURES.
FLASH POINT: Not Flammable
AUTOIGNITION TEMPERATURE: Not Applicable
FLAMMABLE LIMITS(in air by volume, %): Lower(LEL): NA Upper(UEQ) NA
FIRE EXTINGUISHING MATERIALS: As appropriate for surrounding fire. Carbon dioxide, foam, dry
chemical, halon, or water spray.
UNUSUAL FIRE AND EXPLOSION HAZARDS: None known
Explosion_Sensitivity to Mechanical Impact: Not Sensitive.
Explosion Sensitivity,to Static Discharge: Not Sensitive
February 2012 Page 2 of 6 Rev 2

i v
MATERIAL SAFETY DATA SHEET
Formula PS03
SPECIAL FIRE-FIGHTING PROCEDURES: Incipient fire responders should wear eye protection. Structural
firefighters must wear Self-Contained Breathing Apparatus and full
protective equipment. Isolate materials not yet involved in the fire and
protect personnel. Move containers from fire area if this can be done
without risk; otherwise, cool with carefully applied water spray. If
possible, prevent runoff water from entering storm drains, bodies of
water, or other environmentally sensitive areas.
NFPA RATING SYSTEM HMIS RATING SYSTEM
HAZARDOUS MATERIAL IDENTIFICATION SYSTEM'
Flammability
HEALTH HAZARD(BLUE) 1
FLTAmmABIU1 TYiHAzARQjrjRED)
Health Reactivity PHYSICAL HAZARD .(YELLOW) 0•,
PROTECTIVE EQUIPMENT
EYES RESPIRATORY HANDS BODY
Other
See Sect 8 See
Sect 8
For Routine Industrial Use and handling Applications
Hazard Scale: 0=Minimal 1 =Slight 2=Moderate 3=Serious 4=Severe "=Chronic hazard
:Y "SECTION;6- ACCIDENTAL,RELEASE MEASURES `
SPILL AND LEAK RESPONSE: Personnel should be trained for spill response operations.
SPILLS: Contain spill if safe to do so. Sweep or vacuum and place in an appropriate container for disposal. Dispose of in
accordance with applicable Federal, State, and local procedures (see Section 13, Disposal Considerations).
SECTION 7 -HANDLINGiand STORAGE > .
WORK PRACTICES AND HYGIENE PRACTICES: As with all chemicals, avoid getting this product ON YOU or IN YOU.
Wash thoroughly after handling this product. Do not eat, drink, smoke, or apply cosmetics while handling this product.
Avoid breathing dusts generated by this product. Use in a well-ventilated location.
STORAGE AND HANDLING PRACTICES: Containers of this product must be properly labeled. Store containers in a
cool, dry location. Keep container tightly closed when not in use. Store away from strong acids or oxidizers.
r - ♦•J.7. �.
SECTION 8r :EXPOSURE'CONT:ROLS.= PERSONAL PROTECTIQN.,
EXPOSURE LIMITS/GUIDELINES:
Chemical Name CAS# ACGIH TWA OSHA TWA SWA
Sodium carbonate 497-19-8 Not Listed Not Listed Not Listed
Alcohols,C12-15, 68131-39-5 Not Listed Not Listed Not Listed
etho laced
Disodium metasilicate 6834-92-0 Not Listed Not Listed Not Listed
Currently, International exposure limits are not established for the components of this product. Please check with
February 2012 Page 3 of 6 Rev 2

7 -
MATERIAL SAFETY DATA SHEET
Formula PS03
competent authority in each country for the most recent limits in place.
VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation to ensure exposure levels are
maintained below the limits provided below. Use local exhaust ventilation to control airborne vapors. Ensure
eyewash/safety shower stations are available near areas where this product is used.
The following information on appropriate Personal Protective Equipment is provided to assist employers in complying
with OSHA regulations found in 29 CFR Subpart 1 (beginning at 1910.132) or equivalent standard of Canada, or
standards of EU member states (including EN 149 for respiratory PPE, and EN 166 for face/eye protection), and those
of Japan. Please reference applicable regulations and standards for relevant details.
RESPIRATORY PROTECTION: Not normally required when using this product. Maintain airborne contaminant
concentrations below guidelines listed above, if applicable. If necessary, use only respiratory protection authorized in the
U.S. Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), equivalent U.S. State standards, Canadian
CSA Standard Z94.4-93, the European Standard EN149, or EU member states.
EYE PROTECTION: Not normally required when using this product. If necessary, refer to U.S. OSHA 29 CFR 1910.133
or appropriate Canadian Standards.
SKIN PROTECTION: Not normally required when using this product. If necessary, refer to U.S. OSHA 29 CFR
1910.138 or appropriate Standards of Canada.
SECTION 9 - PHYSICAL and CHEMICAL PROPERTIES'
PHYSICAL STATE: Powder
APPEARANCE & ODOR: White powder with a faint odor.
ODOR THRESHOLD (PPM): Not Available
VAPOR PRESSURE (mmHg): Not Applicable
VAPOR DENSITY (AIR=1): Not Applicable
BY WEIGHT: Not Available
EVAPORATION RATE (nBuAc = 1): Not Applicable
BOILING POINT (C°): Not Applicable
FREEZING POINT (C°): Not Applicable
pH: 9.5— 10.5
SPECIFIC GRAVITY 20OC: (WATER =1) 1.02
SOLUBILITY IN WATER (%) Complete
: SECTION 1:0 'STABILITY and REACTIVITY.
STABILITY: Product is stable
DECOMPOSITION PRODUCTS: When heated to decomposition this product produces Oxides of carbon (COx), and
Hydrocarbons
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong acids and strong oxidizing agents.
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials.
SECTION 11 - TOXICOLOGICAL INFORMATION
TOXICITY DATA: Toxicity data is not available for mixture:
No LD50 Data Available
SUSPECTED CANCER AGENT: None of the ingredients are found on the following lists: FEDERAL OSHA Z LIST,
NTP, CAL/OSHA, IARC and therefore is not considered to be, nor suspected to be a cancer-causing agent by these
agencies.
IRRITANCY OF PRODUCT: Contact with this product can be irritating to exposed skin.
SENSITIZATION OF PRODUCT: This product is not considered a sensitizer.
REPRODUCTIVE TOXICITY INFORMATION: No information concerning the effects of this product and its components
on the human reproductive system.
February 2012 Page 4 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula PS03
SECTION 12 - ECOLOGICAL INFORMATION
ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION.
ENVIRONMENTAL STABILITY: No Data available at this time.
EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product's effects on
plants or animals.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product's effects on aquatic life.
SECTION 13 - DISPOSAL CONSIDERATIONS
PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and
local regulations, those of Canada, Australia, EU Member States and Japan.
SECTION 14 -TRANSPORTATION INFORMATION
US DOT; IATA; IMO; ADR:
THIS PRODUCT IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF
TRANSPORTATION.
PROPER SHIPPING NAME: Non-Regulated Material
HAZARD CLASS NUMBER and DESCRIPTION: Not Applicable
UN IDENTIFICATION NUMBER: Not Applicable
PACKING GROUP: Not Applicable.
DOT LABEL(S) REQUIRED: Not Applicable
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER(2004): Not Applicable
MARINE POLLUTANT: None of the ingredients are classified by the DOT as a Marine Pollutant (as defined by 49
CFR 172.101, Appendix B)
U.S. DEPARTMENT OF TRANSPORTATION (DOT) SHIPPING_REGULATIONS:
This product is not classified as dangerous goods, per U.S. DOT regulations, under 49 CFR 172.101.
TRANSPORT CANADA,TRANSPORTATION OF DANGEROUS GOODS REGULATIONS:
This product is not classified as Dangerous Goods, per regulations of Transport Canada.
INTERNATIONAL AIR TRANSPORT_ASSOCIATION I{ATA):
This product is not classified as Dangerous Goods, by rules of IATA:
INTERNATIONAL MARITIME ORGANIZATION (IMO) DESIGNATION:
This product is not classified as Dangerous Goods by the International Maritime Organization.
EUROPEAN AGREEMENT CONCERNING THE INTERNATIONAL CARRIAGE OF DANGEROUS GOODS BY
This product is not classified by the United Nations Economic Commission for Europe to be dangerous goods.
SECTION 15 'REGULATORY INFORMATION r
UNITED STATES REGULATIONS
SARA REPORTING REQUIREMENTS: This product is not subject to the reporting requirements of Sections 302, 304
and 313 of Title III of the Superfund Amendments and Reauthorization Act., as follows: None
TSCA: All components in this product are listed on the US Toxic Substances Control Act (TSCA) inventory of
chemicals.
SARA 311/312:
Acute Yes Chronic Health: No Fire: No Reactivity: No
Health.-
U.S. SARA THRESHOLD PLANNING QUANTITY: There are no specific Threshold Planning Quantities for this
product. The default Federal MSDS submission and inventory requirement filing threshold of 10,000 lb (4,540 kg)
may apply, per 40 CFR 370.20.
February 2012 Page 5 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula PS03
U.S.CERCLA REPORTABLE QUANTITY fRQI: None
CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT PROPOSITION 65 : None of the
ingredients are on the California Proposition 65 lists.
CANADIAN REGULATIONS:
CANADIAN DSLINDSL INVENTORY STATUS:AII of the components of this product are on the DSL Inventory
CANADIAN ENVIRONMENTAL PROTECTION ACT (CEPA) PRIORITIES SUBSTANCES LISTS: No component of
this product is on the CEPA First Priorities Substance Lists.
CANADIAN WHMIS CLASSIFICATION and SYMBOLS: This product is categorized as a Class D -213 materials having
other toxic effects, as per the Controlled Product Regulations
EUROPEAN ECONOMIC COMMUNITY INFORMATION:
EU LABELING AND CLASSIFICATION:
Classification of the mixture according to Regulation (EC)Noll 27212008. See section 2 for details.
AUSTRALIAN INFORMATION FOR PRODUCT:
AUSTRALIAN INVENTORY OF CHEMICAL SUBSTANCES (AICS)STATUS: All components of this product are
listed on the AICS.
STANDARD FOR THE UNIFORM SCHEDULING OF DRUGS AND POISONS: Not applicable.
JAPANESE INFORMATION FOR PRODUCT:
JAPANESE MINISTER OF INTERNATIONAL TRADE AND INDUSTRY(MITI)STATUS: The components of this
product are not listed as Class I Specified Chemical Substances, Class ll Specified Chemical Substances, or
Designated Chemical Substances by the Japanese MITI.
INTERNATIONAL CHEMICAL INVENTORIES:
Listing of the components on individual country Chemical Inventories is as follows-.
Asia-Pac: Listed
Australian Inventory of Chemical Substances (AICS): Listed
Korean Existing Chemicals List(ECL): Listed
Japanese Existing National Inventory of Chemical Substances (ENCS): Listed
Philippines Inventory if Chemicals and Chemical Substances (PICCS): Listed
Swiss Giftliste List of Toxic Substances: Listed
U.S. TSCA: Listed
s SECTION 16 - OTHERANFORMATION
PREPARED BY: Paul Eigbrett MSDS Authoring Services
Disclaimer: To the best of Sutherland Products knowledge, the information contained herein is reliable and accurate as of this date;
however, accuracy, suitability or completeness is not guaranteed and no warranties of any type either express or implied are
provided.The information contained herein relates only to this specific product.
February 2012 Page 6 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula LS12
Prepared a=tding to U.S.OSHA,CM4,ANSI,Canadian WHMIS,Austra&an WorkSate,Japanese Industrial Standard JJS Z 7250:2000,and European Union REACH Regufatbns
SECTION 1 - PRODUCT AND'COMPANY LDENTIFICATION
PRODUCT NAME: Formula LS 12
CHEMICAL FAMILY NAME: Detergent.
PRODUCT USE: Laundry detergent
U.N. NUMBER: Not Applicable
U.N.DANGEROUS GOODS CLASS: Non-Regulated Material
SUPPLIERIMANUFACTURER'S NAME: SP Green, div. of Sutherland Products, Inc.
ADDRESS: 203 N 15t Avenue, Mayodan, NC 27027 USA
EMERGENCY PHONE: TOLL-FREE in USA/Canada 800-854-3541
BUSINESS PHONE: [phone]
BUSINESS FAX: [phone]
WEB INFORMATION: www,charliesoap.com
DATE OF PREPARATION: February 21, 2012
DATE OF LAST REVISION: March 24,2011
SECTION 2 - HAZARDS IDENTIFICATION -4
EMERGENCY OVERVIEW: This product is a clear liquid with a faint sweet odor. Prolonged exposure can be irritating
to eyes and skin. It is a non-flammable liquid. The Environmental effects of this product have not been investigated.
US DOT SYMBOLS CANADA(WHMIS)SYMBOLS EUROPEAN and(GHS)Hazard Symbols
Non-Regulated < >
(D Signal Word:Warning)
EU LABELING AND CLASSIFICATION:
Classification of the substance or mixture according to Regulation (EC) No1272/2008 Annex 1
EC#231-791-2 This substance is not classified in the Annex I of Directive 6715481EEC
EC#500-195-7This substance is not classified in the Annex I of Directive 6715481EEC
EC#207-838-8 Annex I Index#011-005-00-2
GHS Hazard Classification(s):
Eye Irritant Category 2
Skin Irritant Category 2
Hazard Statement(s): Precautionary Statement(s):
H315: Causes skin irritation P264: Wash hands thoroughly after handling
H319: Causes serious eye irritation P281: Use personal protective equipment as required
EU HAZARD CLASSIFICATION PER DIRECTIVE 19991451EC:
[Xi] Irritant
Risk Phrases: Safety Phrases:
R36138: Irritating to eyes and skin S24125: Avoid contact with skin and eyes
February 2012 Page 1 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula LS12
HEALTH HAZARDS OR RISKS FROM EXPOSURE:
ACUTE: Prolonged exposure to this product may cause irritation to skin. Contact with eyes may cause irritation.
Ingestion may cause gastrointestinal irritation including pain, vomiting or diarrhea.
CHRONIC: None known
TARGET ORGANS: ACUTE: Eyes, Skin CHRONIC: None Known
SECTION.3 -COMPOSITION,and INFORMATION ON INGREDIENTS r
HAZARDOUS INGREDIENTS: CAS# EINECS# ICSC# WT% HAZARD CLASSIFICATION;
RISK PHRASES
Water 7732-18-5 231-791-2 Not Listed 75—89% HAZARD CLASSIFICATION:None
RISK PHRASES:None
Alcohols,C12-15,ethoxylated 68131-39-5 500-195-7 Not Listed 10-20% HAZARD CLASSIFICATION:None
RISK PHRASES:None
sodium carbonate 497-19 8 207-838 8 1135 1 _g% HAZARD CLASSIFICATION.[Xi]Irritant
RISK PHRASES:R36
Balance of other ingredients are non-hazardous or less than 1% in concentration (or 0.1% for
carcinogens,reproductive to)dns,or respiratory sensitizers).
NOTE: ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-2010 format.This product has been dassified
in accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR, EU Directives and the
Japanese Industrial Standard J!S Z 7250:2000.
' SECTIOW-4 -FIRST-AIC`MEASURE$
Contaminated individuals of chemical exposure must be taken for medical attention if any adverse effect occurs.
Rescuers should be taken for medical attention, if necessary. Take copy of label and MSDS to health professional with
contaminated individual.
EYE CONTACT: If product enters the eyes, open eyes while under gentle running water for at least 15 minutes. Seek
medical attention if irritation persists.
SKIN CONTACT: Wash skin thoroughly after handling. Seek medical attention if irritation develops and persists. Remove
contaminated clothing. Launder before re-use.
INHALATION: If breathing becomes difficult, remove victim to fresh air. If necessary, use artificial respiration to support
vital functions. Seek medical attention if breathing dificulty continues.
INGESTION: If product is swallowed, call physician or poison control center for most current information. If professional
advice is not available, do not induce vomiting. Never induce vomiting or give diluents (milk or water) to someone who is
unconscious, having convulsions, or who cannot swallow. Seek medical advice. Take a copy of the label and/or MSDS
with the victim to the health professional,
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing skin, or eye problems may be aggravated by
prolonged contact.
RECOMMENDATIONS TO PHYSICIANS: Treat symptoms and reduce over-exposure.
SECTION 5 - FIRE-FIGHTING MEASURES ?M
FLASH POINT: Not Flammable
AUTOIGNITION TEMPERATURE: Not Applicable
FLAMMABLE LIMITS(in air by volume,°/a): Lower(LEL): NA Upper(UEU: NA
FIRE EXTINGUISHING MATERIALS: As appropriate for surrounding fire. Carbon dioxide, foam, dry
chemical, halon, or water spray.
UNUSUAL FIRE AND EXPLOSION HAZARDS: This product is non-flammable, however containers may rupture if
exposed to heat or fire.
Exialosion Sensitivity to Mechanical Impact: Not Sensitive.
February 2012 Page 2 of 6 Rev 2

AiSZI
f�
MATERIAL SAFETY DATA SHEET
Formula LS12
Ex losi n Sensitivi to Static Dischar e: Not Sensitive
SPECIAL FIRE-FIGHTING PROCEDURES: Incipient fire responders should wear eye protection. Structural
firefighters must wear Self-Contained Breathing Apparatus and full
protective equipment. Isolate materials not yet involved in the fire and
protect personnel. Move containers from fire area if this can be done
without risk; otherwise, cool with carefully applied water spray. If
possible, prevent runoff water from entering storm drains, bodies of
water, or other environmentally sensitive areas.
NFPA RATING SYSTEM HMIS RATING SYSTEM
HAZARDOUS MATERIAL IDENTIFICATION SYSTEM
Flammability
HEALTH HAZARD[BLUE] 1
Q FLAMMABILITY HAZARp (RED)
Health 0:. Reactivity 'PHYSICAL HAZARD (YELLOW) 0'
PROTECTIVE EQUIPMENT
EYES RESPIRATORY HANDS BODY
Other
°' See Sect 8 See
Sect 8
For Routine Industrial Use and Handling Applications
Hazard Scale: 0=Minimal 1 =Slight 2=Moderate 3=Serious 4=Severe '=Chronic hazard
SECTION'6:- ACCIDENTAL RELEASE:MEASURES
SPILL AND LEAK RESPONSE: Personnel should be trained for spill response operations.
SPILLS: Contain spill if safe to do so. Prevent entry into drains, sewers, and other waterways. Soak up with an absorbent
material and place in an appropriate container for disposal. Dispose of in accordance with applicable Federal, State, and
local procedures (see Section 13, Disposal Considerations).
:SECTIOW7 HANDLINTAhd1-STORAGE �r
WORK PRACTICES AND HYGIENE PRACTICES: As with all chemicals, avoid getting this product ON YOU or IN YOU.
Wash thoroughly after handling this product. Do not eat, drink, smoke, or apply cosmetics while handling this product.
Avoid breathing dusts generated by this product. Use in a well-ventilated location.
STORAGE AND HANDLING PRACTICES: Containers of this product must be properly labeled. Store containers in a
cool, dry location. Keep container tightly closed when not in use. Store away from strong acids or oxidizers.
4SECTION*8 -EXPOSURE'CONTROL-S - PERSONAL PROTECTION ' r
EXPOSURE LIMITSIGUIDELINES:
Chemical Name CAS# ACGIH TWA OSHA TWA SWA
Water 7732-18-5 Not Listed Not Listed Not Listed
Alcohols,C12-15, 68131-39-5 Not Listed Not Listed Not Listed
ethoxylated
sodium carbonate 497-19-8 Not Listed Not Listed Not Listed
February 2012 Page 3 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula LS12
Currently, International exposure limits are not established for the components of this product. Please check with
competent authority in each country for the most recent limits in place.
VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation to ensure exposure levels are
maintained below the limits provided below. Use local exhaust ventilation to control airborne vapors. Ensure
eyewash/safety shower stations are available near areas where this product is used.
The fallowing information on appropriate Personal Protective Equipment is provided to assist employers in complying
with OSHA regulations found in 29 CFR Subpart 1 (beginning at 1910.132) or equivalent standard of Canada, or
standards of EU member states (including EN 149 for respiratory PPE, and EN 166 for face%ye protection), and those
of Japan. Please reference applicable regulations and standards for relevant details.
RESPIRATORY PROTECTION: Not normally required when using this product. Maintain airborne contaminant
concentrations below guidelines listed above, if applicable. If necessary, use only respiratory protection authorized in the
U.S. Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), equivalent U.S. State standards, Canadian
CSA Standard Z94.4-93,the European Standard EN149, or EU member states.
EYE PROTECTION: Safety glasses are recommended where splashing is possible. If necessary, refer to U.S. OSHA
29 CFR 1910.133 or appropriate Canadian Standards.
SKIN PROTECTION: Not normally required when using this product. Use PPE appropriate to task performed. if
necessary, refer to U.S. OSHA 29 CFR 1910.138 or appropriate Standards of Canada.
SECTION 9 - PHYSICAL and-CHEMICAL PROPERTIES
PHYSICAL STATE:
Liquid
APPEARANCE &ODOR: Clear liquid with a faint sweet odor.
ODOR THRESHOLD(PPM): Not Available
VAPOR PRESSURE (mmHg): Not Available
VAPOR DENSITY (AIR=1): 1.02
BY WEIGHT: . Not Available
EVAPORATION RATE (nBuAc = 1): Same as water
BOILING POINT (C°)-. 1040C
FREEZING POINT (C°): -30C
pH: 10.5— 11.0
SPECIFIC GRAVITY 20°C: (WATER =1) 1.02
SOLUBILITY IN WATER (%) Complete
SECTION 10 STABILITY.and'REACTIVITY 4.
STABILITY: Product is stable
DECOMPOSITION PRODUCTS:When heated to decomposition this product produces Oxides of carbon (COx), and
Hydrocarbons
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong acids and strong oxidizing agents.
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials.
SECTION 41 - TOXICOLOGICAL INFORMATION
TOXICITY DATA: Toxicity data is not available for mixture:
No LD 50 Data Available
SUSPECTED CANCER AGENT: None of the ingredients are found on the following lists: FEDERAL OSHA Z LIST,
NTP, CAL/OSHA, IARC and therefore is not considered to be, nor suspected to be a cancer-causing agent by these
agencies.
IRRITANCY OF PRODUCT: Contact with this product can be irritating to exposed skin.
SENSITIZATION OF PRODUCT: This product is not considered a sensitizer.
February 2012 Page 4 of 6 Rev 2

'ai Ifi.
MATERIAL SAFETY DATA SHEET
Formula LS12
REPRODUCTIVE TOXICITY INFORMATION: No information concerning the effects of this product and its components
on the human reproductive system.
SECTION 12 - ECOLOGICAL INFORMATION
ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION.
ENVIRONMENTAL STABILITY: No Data available at this time.
EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product's effects on
plants or animals.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product's effects on aquatic life.
` n SECTION 13 - DISPOSAL CONSIDERATIONS
PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and
local regulations, those of Canada, Australia, EU Member States and Japan.
L I - ' :' , ,
SECTION 14- TRANSPORTATION INFORMATION 3
US ROT• IATA• IMO• ADR:
THIS PRODUCT IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF
TRANSPORTATION.
PROPER SHIPPING NAME: Non-Regulated Material
HAZARD CLASS NUMBER and DESCRIPTION: Not Applicable
UN IDENTIFICATION NUMBER: Not Applicable
PACKING GROUP: Not Applicable.
DOT LABEL(S) REQUIRED: Not Applicable
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER(2004): Not Applicable
MARINE POLLUTANT: None of the ingredients are classified by the DOT as a Marine Pollutant (as defined by 49
CFR 172.101, Appendix B)
U.S._DEPARTMENT OF TRANSPORTATION (DOT) SHIPPING REGULATIONS:
This product is not classified as dangerous goods, per U.S. DOT regulations, under 49 CFR 172,101.
TRANSPORT CANADA, TRANSPORTATION OF DANGEROUS GOODS REGULATIONS:
This product is not classified as Dangerous Goods, per regulations of Transport Canada.
INTERNATIONAL AIR TRANSPORT ASSOCIATION IATA -.
This product is not classified as Dangerous Goods, by rules of IATA:
INTERNATIONAL MARITIME ORGANIZATION (IMO) DESIGNATION:
This product is not classified as Dangerous Goods by the International Maritime Organization.
EUROPEAN AGREEMENT CONCERNING THE INTERNATIONAL CARRIAGE OF DANGEROUS GOODS BY ROAD
ALA:
This product is not classified by the United Nations Economic Commission for Europe to be dangerous goods.
SECTION 15 REGULATORY INFORMATION
UNITED STATES REGULATIONS
SARA REPORTING REQUIREMENTS: This product is not subject to the reporting requirements of Sections 302, 304
and 313 of Title III of the Superfund Amendments and Reauthorization Act., as follows: None
TSCA: All components in this product are listed on the US Toxic Substances Control Act (TSCA) inventory of
chemicals.
SARA 3111312:
Acute Yes Chronic Health: No Fire: No Reactivity: No
Health:
February 2012 Page 5 of 6 Rev 2

MATERIAL SAFETY DATA SHEET
Formula LS12
U.S. SARA THRESHOLD PLANNING QUANTITY: There are no specific Threshold Planning Quantities for this
product. The default Federal MSDS submission and inventory requirement filing threshold of 10,000 lb (4,540 kg)
may apply, per 40 CFR 370.20.
U.S.CERCLA REPORTABLE QUANTITY(RQ): None
CALIFORNIA_SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65): None of the
ingredients are on the California Proposition 65 lists.
CANADIAN REGULATIONS:
CANADIAN DSLINDSL INVENTORY STATUS:AII of the components of this product are on the DSL Inventory
CANADIAN ENVIRONMENTAL PROTECTION ACT(CEPA) PRIORITIES SUBSTANCES LISTS: No component of
this product is on the CEPA First Priorities Substance Lists.
CANADIAN WHMIS CLASSIFICATION and SYMBOLS: This product is categorized as a Class D-2B materials having
other toxic effects, as per the Controlled Product Regulations
EUROPEAN ECONOMIC COMMUNITY INFORMATION:
EU LABELING AND CLASSIFICATION:
Classification of the mixture according to Regulation (EC) Noll 272/2008. See section 2 for details.
AUSTRALIAN INFORMATION FOR PRODUCT:
AUSTRALIAN INVENTORY OF CHEMICAL SUBSTANCES (AILS)STATUS: All components of this product are
listed on the AICS.
STANDARD FOR THE UNIFORM SCHEDULING OF DRUGS AND POISONS: Not applicable.
JAPANESE INFORMATION FOR PRODUCT:
JAPANESE MINISTER OF INTERNATIONAL TRADE AND INDUSTRY (MITI)STATUS: The components of this
product are not listed as Class I Specified Chemical Substances, Class 11 Specified Chemical Substances, or
Designated Chemical Substances by the Japanese MITI.
INTERNATIONAL CHEMICAL INVENTORIES:
Listing of the components on individual country Chemical Inventories is as follows:
Asia-Pac: Listed
Australian Inventory of Chemical Substances (AICS): Listed
Korean Existing Chemicals List (ECL): Listed
Japanese Existing National Inventory of Chemical Substances (ENCS): Listed
Philippines Inventory if Chemicals and Chemical Substances (PICCS): Listed
Swiss Giftliste List of Toxic Substances: Listed
U.S. TSCA: Listed
u SECTION-16 - OTHER.INFORMATION
PREPARED BY: Morgan Sutherland
Disclaimer: To the best of Sutherland Products knowledge, the information contained herein is reliable and accurate as of this date;
however, accuracy,suitability or completeness is not guaranteed and no warranties of any type either express or implied are
provided. The information contained herein relates only to this specific product.
February 2012 Page 6 of 6 Rev 2