NCS000390_Renewal application_20240807

' AVG 0 71074
(__�zan -
August 1,2024
Ms. Rrianna Young
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/ Division of Energy, Mineral, and Land Resources(DEMLR)
Brianna.l ­_, , i
Rl:: NPDES Individual Permit Renewal Application—NCS000390
1-icritage-Crystal glean, LLC("HCC")—Charlotte/Concord Wastewater Treatment Facility
Dear Ms. Young.
Heritage-Crystal Clean. LLC ("MCC") is herein providing you with the proper forms for you to complete
your review of our renewal of our NPDES Permit NCS000390. Per our conversations leading up to the
submittal of this permit application, we discussed that HCC attempted to submit a general industrial
permit application for this facility on June 6, 2024. Our similar facilities across the country, requiring
NPDES permits, all fall under the general industrial permit. However, on July 1,2024 we received a
letter back from Mr. Michael lawyer, the North Carolina Department of Environmental Quality
(NCDEQ) Stormwater Program Supervisor, informing us that the Mooresville Office Regional Staff
determined that our facility would be better covered by an Individual permit. We understand your
feedback in regard to the volume of oil that we store on our Concord property. Therefore,we are
providing the following documents required for the NCDEQ individual permit renewal.
1. Form 1 stating that our facility discharge is composed entirely of stormwater associated
with industrial activity.
2. Form 2F providing; information regarding the receiving water for Outfall 001.
This includes the drainage map, a listing of pollutant sources,and a description of our control
measures leading up to the retention pond from which Outfall 001 would discharge from if water
in this pond were to reach a height that allows that discharge.
3. A supplemental information Cover Page with supporting data.
This includes the current site (topographic map), interior wastewater facility diagram, and facility
map(essentially a drainage map) depicting the direction of stormwater towards the
rctentionlevaporation pond at the bottom of the property. We also provided DMR copies from
December 2022 to.tune 2024 documenting that the facility has had no discharge. Based on the
records l reviewed for the facility, we have not had a discharge from outfall 001 since at least
2018.
2000 Center Drive, Suite East C300
Phone: [phone] Fax: [phone] Toil Free: (877)WE TRY 4 U

4. A Certification Statement for our Stormwater Pollution Prevention Plan
It is HCCs intention to be fully transparent, regarding the activities that we complete at the site, and to be
compliant with any NCDEQ permit requirements. We appreciate the assistance and patience you provided
during our path to providing you with these required forms.
Please contact me any time at rbekah.schulenbera(a�crystal-clean.eom or 847-873-6942 if you have any
questions or wish to discuss.
Sincerely,
Rebekah Schulenberg,
Manager Environmental Compliance
Heritage-Crystal Clean, LLC
2000 Center Drive, Suite East C300
Phone: [phone] Fax: [phone] Toll Free: (877)WE TRY 4 U

EPA Identification Number NPDES Permit Number Facility Name OMB No.2D40MG4
NCR000137299 NCO036269 Heritage Crystal Clean,LLC IJ EVires07/31/2026
Form U.S.Environmental Protection Agency
1 EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
NPDESSECTION 1.ACTIVITIES REQUIRING AN 41
�Orm l ,
1.1.1 Is the facility a new or existing publicly owned 1.1.2 Is the facility a sludge-only facility(i.e.,a facility
treatment works or has your permitting authority that does not discharge wastewater to surface
directed you to submit Form 2A? waters)?
If yes,STOP.Do NOT complete No If yes,STOP.Do NOT complete No
Form 1.Complete Form 2A.If the Form 1.Complete Form 2S.
facility is also a treatment works
treating domestic sewage,you
must also complete Form 2S.
1,2 SubmItTorm 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
production facility? currently discharging process wastewater?
Yes 4 Complete Form 1 and ❑✓ No Yes Complete Form No
Form 2B. 1 and Form 2C.
' 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
Yes 4 Complete Form 1 and © No Yes 4 Complete Form 1 � No
❑ Form 2D. and Form 2E.
1.2.5 Is the facility a new or existing facility whose 1.2.6 Is the facility a new or existing treatment works
' discharge is composed entirely of stormwater treating domestic sewage that discharges
associated with industrial activity or whose wastewater to surface waters?
discharge is composed of both stormwater and non-
stormwater?
Yes 4 Complete Form 1 and No Yes 4 Complete Form 1, ✓� No
Form 2F unless Form 2S,and
exempted by 40 CFR any other
122.26(b)(14)(x)or applicable forms,
(b)(15). as directed by
your permitting
authority
SECTION 2. NAME,MAI LING ADDRESS,AND LOCATION(40 C FIR 122.21(F)(2))
,, _ ' 2_1 aci i 1zine; - _
Heritage Crystal Clean,LLC Charlotte Wastewater Facility
2 2 EPA Identfficatlon Number
1.0 NCR000137299
2_3 Facillty.Contact
?' a Name(first and last) Title Phone number
Greg Taylor Facility Manager [phone]
Email address
ai
Z' [e-mail]
EPA Form 3510-1 Pagel

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC Expires 07/31/2026
2_4 FOR y I a idt9 Address
Street or P.O.box
2000 Center Drive
` City or town State ZIP code
Hoffman Estates Illinois 60192
2_5
{ ic; Street,route number,or other specific identifier
Ws
m� a" 2115 Speedrail Court
c;.$b County name County code(if known)
i Cabarrus
S., City or town State ZIP code
Concord North Carolina 28025
-SECTION • NAICS CODES1
7.7
3.1
4953 Refuse Systems
rz 32 "AMOSO.ode(s) Description(optional)
562219 Other Nonhazardous Waste Treatment and Disposal
Heritage-Crystal Clean,LLC
4_2 Is the name you listed in Item 4.1 also the owner.
© Yes ❑ No
, .' 4_3 Q,. laths
❑ Public—federal ❑ Public—state ❑ Other public(specify)
;yF{... ©Private ❑Other speci
4_4 Phone Nrmtter 6f:0 rator
[phone]
EPA Form 3510-1 Page 2

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC Expires 07/31/2026
4.5 .0 erator:Address
Street or P.O.Box
2000 Center Drive
City or town State ZIP code�. tY
i Hoffman Estates Illinois 60192
' Email address of operator
[e-mail]/[e-mail]
SECTION1 + + 1
. F c 71s the facility located on Indian Land?
❑Yes ❑ No
SECTIONENVIRONMENTAL
p �Ype P 9 Pe ..
and rinfor tfie-'corros ondln" �ri 'nuiri6erii
® NPDES(discharges to ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
surface water) fluids)
NCO036269
' ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
c
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) © Other(specify]
..r ail handling NCRG00137229
R
SECTION
" 41
7_1 Have you attached a topographic map containing all required information to this application?(See instructions for
m specific requirements.)
❑Yes ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION + • 1
"sue 8_1 Describe the nature of your business.
The Concord Facility conducts used oil,oily water,and waste water processing services for public and private sector
clients throughout southeastern United States. The Plant also processes material from other HCC facilities. Used oil
and oily water mixtures are transported to the facility by trucks of varying sizes(1,500—7,000 gallons),stored in 38
aboveground storage tanks(AST's),and processed by a centralized wastewater treatment plant. Used oil filters and
absorbents are stored at the facility,and then sent for offsite processing. The oil is further processed and the waste
water is discharged to the Water and Sewer Authority of Cabarrus County(WSACC). Solids are stabilized and
disposed offsite at a non-hazardous industrial waste landfill.
SECTION ' COOLING WATER INTAKE STRUCTURES (40 '
9_1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
9_2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
-` " NPDES permitting authority to determine what specific information needs to be submitted and when.)
EPA Form 3510-1 Page 3

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC Ij Expires0713112026
SECTION 1 + 1 I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
H apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
6 ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
> ❑✓ Not applicable
SECTION 11.CHECKLIST >t I +
1111 in Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all a icants are required to provide attachments.
Column 1 Column 2
❑ Section 1:Activities Requiring an NPDES ❑ w/attachments
Permit
❑ Section 2:Name,Mailing Address,and ❑ wl attachments
Location
✓❑ Section 3:SIC Codes ❑ wl attachments
✓❑ Section 4:Operator Information ❑ wl attachments
❑✓ Section 5:Indian Land ❑ wl attachments
0 Section 6:Existing Environmental Permits ❑ wl attachments
c
E ❑ wl additional
Section 7:Map ❑✓ w/topographic map
attachments
M
c ❑✓ Section 8: Nature of Business ❑ wt attachments
❑ Section 9:Cooling Water Intake Structures ❑ wl attachments
❑✓ Section 10.:Variance Requests ❑ wl attachments
C
❑ Section 11:Checklist and Certification ❑ wl attachments
Y Statement
11.2 Provide the following certification.(See instructions to determine the appropriate person to sign the application.)
cy
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly
responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
accurate,and complete.I am aware that there are significant penalties for submitting false information,including the
possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Anita Decina VP Operational,Safety,and Environmental Excellence
Signature Date signed
07/31/2024
EPA Form 3510-1 Page 4

EPA identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NCR000137299 NC0036269 Heritage Crystal Clean,LLC
Expires 07/31/2026
Form U.S Environmental Protection Agency
2F -jEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION4l
1.1 Provide information on each of the facili s outfalls in the table below
Outfa[I Reveivng WaterName Latitude Longitude ...
Number=
001 Coddle Creek 359 20'17"N 802 36'48"W
SECTION '• 1
2_1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for
constructing,upgrading,or operating wastewater treatment equipment or practices or any other environmental
programs that could affect the discharges described in this application?
❑ Yes ✓❑ No 4 SKIP to Section 3.
- = 2_2 Briefly identify each applicable project in the table below.
PC
Rq
Fllrai
B and Affected Outfalls J � 3 f
Source(s)of Discharge -&
2,3
Istoutfalln Required ,�
Have you attached sheets describing any additional water pollution control programs(or other environmental
projects that may affect your discharges)that you now have underway or planned?(option!item)
❑ Yes ❑ No
NA
EPA Form 3510-2F Page 1

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040.0004
NCR000137299 NC0036269 Heritage Crystal Clean,LLC
Expires 07/31/2026
SECTIONDRAINAGE MAP .0
3—� Have you attached a site drainage map containing all required information to this application?(See instructions for
specific guidance.)
7
rc ., Yes
SECTIONPOLLUTANT SOURCES •r
4_1 Provide information on the facility's pollutant sources in the table below.
Outfall. Impervious Surface.Area Total Surface Area Drained,
HtiRlbef (within a mile rad(us of the facitay) (within a mite radius orate fad*)
specify units specify units
001 3 acres out of 6 acres total Acres Facility is perched at the top of a hill 6 acres
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
4_2 Provide a narrative description of the facilitys significant material in the space below.(See instructions for content
requirements.)
Total Tankage
_• One 250K,Oily Waste Water
Two 200K,Oily Waste Water
Two 100K,Used Oil
One 50K,Reprocessed Oil
Seven 30K,Used oil,Processed Fuel Oil,Effluent Holding,#2 Boiler Fuel
_ Ten 25K,Used Oil,Oily Waste Water,Used Antifreeze
Five 20K,Used Oil/Oily Waste Water
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants
in stormwater runoff. See instructions forspecificguidance.)
StcrmwaterTreatment
N m
O �
Control Measures and Treatment
001 oil water separator(screening-phase separation) 1-T
001 rip rap-settling 1-U
001 sumps in containment areas that send stormwater back through pretreatment plant 2A,2C,2K
EPA Form 3510-2F Page 2

EPA Identification Number NPDES Permit Number IFacility Name aMB No.2040-0004
NCR040137299 NCO036269 Heritage Crystal Clean,LLC 0
Expires 07/310026
SECTION •N STORMWATER
5—� Provide the following certification.(See instructions to determine the appropriate person to sign the application.)
1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, l certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C. 2D,or 2E application.
Name(print or type first and last name) Official title
Anita Decina VP Operational,Safety&Environmental Excel
Signature Date signed
07/31/2024
L)
$5 2 Provide the testing information requested in the table below.
o Outfali Onsite Drainage Points
`w Number Description of Testing Method Used Date(s)of Testing Directly Observed
m During Test
3
E 001 Visual Observations of entire facility during sunny day 06/25/2024 none-see attached form
s
v3
c
a
z
SECTIONOR 44 CFR 122.26(C)(1)(1)(D))
s—t Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
`o
No significant leaks or spills in the last 3 years. Any releases were to containment and cleaned up immediately
Y before they reached the ditch to outfall.
m
c
m
m
tr—
SECTION 7. DISCHARGE INFORMATION
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o com lets.Not all applicants need to complete each table.
7_1 Is this a new source or new discharge?
o Yes i See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated data. actual data.
Ep Tables A,B,C,and D
m
L2- Have you completed Table A for each outfall?
m
`� ❑ Yes
EPA Form 3510-2F Page 3

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040.ON4
NCR000137299 NCO036269 Heritage Crystal Clean,LLC © Expires 0713112026
7_3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its
process wastewater? .°�' "t
Yes n�C f u� we
no 1 fcAn,® ❑ No 4 SKIP to Item 7.5.
7_4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process
wastewater?
❑✓ Yes
7_5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ❑✓ No SKIP to Item 7.7.
7_6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge
and provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes
7_7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes-SKIP to Item 7.18. ❑✓ No
7_8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
�' ❑ Yes © No 4 SKIP to Item 7.10.
�c
7_9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
Yes
m -
` 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
R: =
❑ Yes 0 No 4 SKIP to Item 7.12.
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged
in concentrations of 10 ppb or greater?
❑ Yes
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in
concentrations of 100 ppb or greater?
❑ Yes © No SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes © No 4 SKIP to Item 7.17.
EPA Form 3510-2F Page 4

EPA Identification Number NPDES Permit Number Facility Name OMB No.204MG04
NCR000137299 NCO036269 Heritage Crystal Clean,LLC Expires 07/3112026
7.16 Have you listed pollutants in Exhibit 21F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
ND
❑ Yes
7.17 Have you provided information for the storm event(s)sampled in Table D?
V ❑ Yes go G�(�CJt n Ag
a'- Used or;Manufaemred Toxics
7.18 Is any pollutant listed on Exhibits 2F-2 through 21F-4 a substance or a component of a substance used or
amanufactured as an intermediate or final product or byproduct?
❑ Yes No 4 SKIP to Section 8.
;: - 7.19 List the pollutants below,including TCDD if applicable.Attach additional sheets,if necessary.
1. 4. 7.
2. 5. 8.
3. 6. 9.
-u
SECTION 8. BIOLOGICAL TOXICITY TESTING DATA(40 CFR 122.21(G)(11))
81 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
!: on any of your discharges or on a receiving water in relation to your discharge within the last three years?
"' ❑ Yes No 4 SKIP to Section 9.
82 Identify the tests and their purposes below.
Submitted to NPDES
Test(s) Purpose of Testis) Datw$ubmitted
0
_ Permittlhg Authori
❑ Yes ❑ No
p ❑ Yes ❑ No
❑ Yes ❑ No
SECTION • •• • i
91 Were any of the analyses reported in Section 7(in Tables A through C)performed by a contract laboratory or
consulting firm?
❑ Yes No SKIP to Section 10.
c` 9.2 Provide information for each contract laboratory or consulting firm below.
o,
y Laboratory Number 1 Laboratory Number 2 Labora1tory4)Vdtinbe9
Name of laboratory/firm
P.
:5.
Laboratory address
Phone number
Pollutant(s)analyzed
EPA Form 3510-2F Page 5

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC Expires 07/3112026
SECTION1 CHECKLIST AND 1 AND fa
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to complete all sections or provide attachments.
Column 1 Column 2
0 Section 1 ❑ wl attachments(e.g.,responses for additional outfalls)
0 Section 2 ❑ wl attachments
0 Section 3 ❑ wl site drainage map
0 Section 4 ❑ wl attachments
0 Section 5 ❑ wl attachments
0 Section 6 ❑ wl attachments
0 Section 7 ❑ Table A ❑ w/small business exemption request
� ❑ Table B ❑ wl analytical results as an attachment
c
Z5 ❑ Table C ❑ Table D
U
cs
❑✓ Section 8 ❑ w/attachments
0 Section 9 ❑ wl attachments(e,g.,responses for additional contact laboratories or firms)
v 0 Section 10
d
i 10-2 Provide the following certification.(See instructions to determine the appropriate person to sign the application.)
Certification Statement
l certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and
complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Anita Decina VP Operational,Safety&Environmental Excellence
Si nature Cate signed
VJ 07/31/2024
EPA Form 3510-2F Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC 001 Expires 07/3112026
CONVENTIONALTABLE A. •N CONVENTIONAL PARAMETERS(40
You must provide the results of at least one an sis for Mpollutantin this table.Complete one table for each outfall.See instructions for additional details and re uirements.
UM-1 of
�e raiChar � �Q
All
Num�eR�f=$talmrt
Potlllttapt oirParani tslr cYab'�S.mmk `Ral(eti
,O t ► :
F14w�ilfi8 Events=Sael;epXel
d ,�ds onfyi;use
30'1@IfCrilbsii �. SO'tflruiles ,. Cn instructions}
1:. Oil and grease No Data We have not
''2 Biochemical oxygen demand(BODs) No Data collected any
3 Chemical oxygen demand(COD) No Data samples for analysis
4. Total suspended solids(TSS) No Data from outfall 001
Total phosphorus No Data due to the fact
A Total Kieldahl nitrogen(TKN) No Data that we have not
7. Total nitrogen(as N) No Data had a discharge
pH(minimum) No Data in over 5 years
B.
pH(maximum) No Data
t Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I,Subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name OWN Number OMB No.2040-0004
NCROW137299 NCO036269 Heritage Crystal Clean,LLC © 001 Expires 07131/2026
TABLE1 NON CONVENTIONAL •O 40 I
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the fac Itty's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
1 � + h►Dischare' 4-1
A�re�a9, o� 31p10.1.4 tae $oiur�c ,of
PWIllAam aitd CAS Mluillsar , a Numl�rso St6lrm. t d�iti0
Of evr a]tae) Grab i e�'alt n FidY {8 ted Grab Sat a Ta`It ii elg 1 Elienfs Sti rt e t (na';so�.1, .
13t[rnFC I lMi IN FI► d�scllargers
Cohtp¢'sibe . Canlil�_-
3�1.1ftn!a6es codes In ItistrucHons)
Not Applicable
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I,Subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21' Page 9

This page intentionallyaeft blank.

EPA Identification Number NPDES Permit Number Faclity Name Outfall Number OMB No.2040-0004
NCROD0137299 NCO036269 Heritage Crystal Clean,LLC 001 Expires 07/31/2026
TABLE POLLUTANTS, + HAZARDOUS + AND + +1 CFR 122,26(C)(1)(1)(E)(4)AND 1 AND
List each pollutant shown in Exhibits 2F-2,2F-3,and 2174 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
1Haxintum jai �Pjschar a At�gage Daily Dischal Soulrce of
Pollutant acid Cl#S Ntimbar Nut�ber of3'torm lsfalnna� n
Grab 31 T1Fen Grp Sem a Taken
(d a4lab1e) Fiow•INeighted . s Float.11'e�g Ei►ellts Satllplad (new sgwoelrie+pr
Dit Fl Du Flrst drscbatgers only,use
�firttit s Coffi*81te 30 utos' Co codde:[n lrrsfru�loris)
Not Applicable
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I,Subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21' Page 11

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EPA identification Number NPOES Permit Number Facility name Outfall Number OMB No.2040-0004
NCR000137299 NCO036269 Heritage Crystal Clean,LLC 001 Expires 07/31/2026
TABLE D.STORM EVENT INFORMATIONI
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
TWO* l I, ng y r Y Irr
,tmn Flow;Rate
Dora bn o >tolls E t4 }�tn11f T nd, z Total FF W* ir�jn
iDatsof Sfonn 8tortn'Event �� ��ring�Ri3in E�rerit
N+tfocus) End brexloi�s �rNa1'n 01061ia wars}
pirlrlclles); ;.,{tngpmarspec�ycMtsl-;...Provide a description of the method of flow measurement or estimate.
Per comments provided from the Facility Manager,on each of the OMRs he has submitted,he checks his outfall each time there is a rain event and he never has any flow from the outfall.
EPA Form 3510-21' Page 13

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
RDS 1 A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities(including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
RDSg�� ate.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number, jqh r40( n/�-
parameters sampled, lab results, date sampled,and storm event data. °14 eop��Pl''7�'1/w
RDS 1kcPrX ZazZ-.Ta.ze?oz�
3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports.The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
RDS tqA-- We how dird oy f �� 1;7 OW,"- s
4. A summary of the Best Management Practices utilized at the permitted facility. y
Summary should consist of a short narrative description oi'each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's. P)p7 Ale F%�,� 3- I:We;�j,-11 layer,
RDS FW ,r► "r"W dV M*- 'k AA )6 MI) Of- hAt. �i� 1-kides
5. A short narrative describing any significant changes in in stri acts iat t e
permitted facility. Significant changes could include the addition or deletion of
work processes,changes in material handling practices, changes in material storage
practices,and/or changes in the raw materials used by the facility._ `
RDS /V°910
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility(Sign and return attached form .
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)

CM—CERTIFICATION NON-STORMWATER OWC 4ARGE
Nan-StarmwsterOlscha3rge Completed By, I� k f 1,
Assessment and certiflC Wn Title: t, J I OA Pr
Date:Aow
DBbss OfTt- ' - OCIba. R4DIt'iasficl.t#ta Ptitfisl.
or Evaluation :tNe �n1tttltrd.` Pl'$Setrc�of Nd►> sltatge ', I�rcaltt So�trres Ctcdud the Test
Test-
6115/Z -57orn,wale-,' aisrr9� P�r['
CerffcaUon
1, (;�rg Tu la (responsible corporate official),certify under penalty of law that this document and all attachments were prepared
under My(di on or supervision In accordance wrth a system designed to assure that qualified persomel property gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system or those person(s) directly responsible for
gathering the information, the information submitted is, to 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.
A.Name&Official Title(type or print): S.Area Code and Telephone Number.
Cry j4yto� P r/ Mane/ �dY-�3y 0004
C.Signature: D.Date Signed:
6/2S�z�

Permit No. NCS000390
SECTION C: LOCATION MAP
f41�1 !
•�i �-'tii r _ �� 'f `
4-Al
41
fF
Latitude:35'20'17"N NCS000390 Facility
Longitude: 80'36'48"W Heritage Crystal Clean,LLC
County:Cabarrus 2115 SpeedrailCourt Location
Stream Class:C Concord,NC 28025
Receiving Stream:Coddle Creek
Sub-basin:03-07-11 (Yadkin Pee-Dee Basin) cffotl Not to Scale
2 of 29

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LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL.LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLL
LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL" " ' LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLL a
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�— (Ferric C on e'Tank&
s f Fenton; on Tank- Separate
^ ? Contai° gas)
N Heritage Crystal Clean, LLC
Al
o Concord,North Carolina
Z
® storm Water Outfall 1 Concord Pretreatment Permit Renewal
C Sump Location
S Facility Layout
—► Storm Water Drainage
RIP RAP Cabarrus County,NC
.. Drawn: CAL Checked: A9S
esn A 550:.."•
0 100 L w - Date: 12/15/2022 Approved: ASS
i° Imagery:Vivid Maxar 4/28/2022,ESRI Feet owg.No.:
a HE2401-19628-01 Figure 3
12/15/2022 838:56 AM

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:C'abarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CF.RT NUMBER: 1009764
GRADE:SNVNC ORC HAS CHANGED:No
eDMR PERIOD: 12-2022(December 2022) VERSION: 1.0 STATUS:Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES
a(1/6D c'11510 INltill 011{[6 66529
r 0
FSemi-ammo)) Semi-annual)• __ Scnm:mnuall Saui-annual) Scmi-annual)
0
V C' A C;rnM1 (;rah (;raM1 (lraM1 Estimate
PII 'I:S%-f'anc c'01) Ill):t:R%F. RAINFALL
2400clock lFf. 240Delock 11. Yla/N "I m•I nlml inches
1
,7
5 ---
6
7
1
9
10
1
1 --
IJ
1
15
16
17
18
19
20
21
22
23
24
25
26
27
21
29
JO
JI
Monthly Avmye I.tmh:
M..tkly Avm1c:
D.ily M.simum:
D.11y,%linlmum-
"•'No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENV WIIIR-No Visitation Adverse Weather; NOTTOW-No Flow: HOLIDAY-No Visitation-Holiday
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1.0_12_2022.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarets
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2022(December 2022) VERSION: 1.0 STATUS:Submitted
COMPLIANCE STATUS:Compliant CONTACT PHONE.#:[phone] SUBMISSION DATE:01/03/2023
Electronically Certified by Greg Taylor on 2023-01-03 08:55:13.58
ORC/Certifier Sign a t u r c : 6 r c g Taylor Phone # : [phone] Date
I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public 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 be made as required by part II.E.6 of the
NPDES permit.
Electronically Signed by Greg Taylor on 2023-01-03 08:56:28.412
PermitteeISubmittcr Signature: ** *Greg Taylor Phone # :[phone] Date
Permittee Address:2115 Speedrail Ct Concord NC 28025 Permit Expiration Date:07/31/2024
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB#:
PERSON(s)COLLECTING SAMPLES:
PARAMETER('ODES
Parameter Code assistance may be obtained by visiting https://deq.nc.gov✓about/divisions/water-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the pctmittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1.0_12_2022.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2022(December 2022) VERSION: 1.0 STATUS:Submiticd

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD: 12-2022(December 2022) VERSION:1.0 STATUS:Submitted
Outfafl 001-Effluent Comments:
Outlet not discharging,observations arc of pooled water.

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER: 1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2023(June 2023) VERSION: 1.0 STATUS:Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES
£% 00100 l'12.UD wkwA 01K-% 46529
F ~ C D
G E Scmi-annual)• Scmi-aanuall• Scmi-.uinually Semi-nnnuall Scmi-annually
timh Gmb Gmb (imb Estimate
a s E= C O C V1. PH T8`;-Cone l:I1D e)11:(:H1F. RA[NFAI.1.
2400 r19rk 11. 2400 cork H. YMIN 6u m I m 7 m•'I inches
3
6
7
8
9
10
I
12
13
I
IS
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Avrrag Limit:
thily htaalmum:
may kttnimam:
9»�«No Reporting Reason:ENFRUSE=No Flow-Rcusc/Recycle: ENVWTHR=No Visitation-Advenc Weather. NOFLOW-No Flow; II0I.I1)AY-No Visitation-Holiday
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1.0_6_2023.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Activc
FACILITY NAME:Hcritagc-Crystal Clean.LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Hcritagc Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2023(June 2023) VERSION: 1.0 STATUS:Submitted
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:07/03/2023
Electronically Certified by Greg Taylor on 2023-06-30 13:21:48.194
ORC/Certifier Signature : Grcg Taylor Phone # : 704 - 634 - 0006 Date
I certify that this report is accurate and complete to the best of my knowledge.
The petmittee shall report to the Director or the:appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permince 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 be made as required by part II.E.6 of the
NPDES permit.
Electronically Signed by Greg Taylor on 2023-07-03 08:00:03.502
Permittee/Submitter Signature: * * *Greg Taylor Phone #:[phone] Date
Permittee Address:2115 Speedrail Ct Concord NC 28025 Permit Expiration Date:07/31/2024
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed 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 lbr submitting false information,including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB#:
PERSON(s)COLLECTING SAMPLES:Greg S Taylor
PARAMETER CODES
Parameter Code assistance may be obtained by visiting https://deq.ne.gov/about/divisions/water-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permitter,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1,0_6_2023.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER: 1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2023(June 2023) VERSION: 1.0 STATUS:Submitted
Report Comments:
NO FLOW

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2023(June 2023) VERSION:1.0 STATUS:Subtt ucd
Outfall 001-Effluent Comments:
NO FLOW

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2023(December 2023) VERSION: 1.0 STATUS:Certified
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES
onion (0.3D nn3S6 n0?m 46929
e If
y Scmra=Wl Scmi annuall _ Scmi-amnwll scmi-annuall Semi-annually
u 8 c' a Gmb Grab Grab Gmb Estimate
C u F= O O PII T5S-(nnc UII;(;N1i. ('t ll) RAFNFAI.1.
240D clock It. 1(00 ctak Iln YBM Su Mg mizil Ain) inches
3 —
3
6
1
8
9
10
1
12
13
I
IS
16
17
Is
19
20
21
22
23
24
25
26
27
29
19
30
31
Monthly Aeenye Limit:
6tomhly Avenge:
Deily Muimum:
IMDy Minimum:
••'•No Reporting Reason:ENFRUSE-No Flaw-Reuse/Recycle: ENV WTHR-No Visitation Adverse Wcather: NOITOW-No Flow: HOLIDAY-No Visitation-Holiday

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2023(December2023) VERSION: 1.0 STATUS:Certified
COMPLIANCE STATUS:Compliant CONTACT PHONE,#:7046340006 SUBMISSION DATE:
01/04/2024
ORC/Certifier Signature: Greg Taylor E-Mail:greg.taylor(Mcrystal-clean.eom Phone #:[phone] Date
I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public 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 be made as required by part II.E.6 of the
NPDES permit.
Permittee/Submittcr Signature: *** E-Mail: Phone #: Date
Permittee Address:2115 Speedrail Ct Concord NC 28025 Permit Expiration Date:07/31/2024
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB#:
PERSON(s)COLLECTING SAMPLES:Greg S Taylor
PARAMETER CODES
Parameter Code assistance may be obtained by visiting Imps://deq.nc.gov/about/divisions/waler-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER: 1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2023(December 2023) VERSION: 1.0 STATUS:Certified
Report Comments:
NO FLOW

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabanas
(Charlotte Facility)
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:12-2023(December 2023) VERSION:1.0 STATUS:Certified
Outfall 001-Effluent Comments:
NO FLOW

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
Charlotte Wastewater Treat Facility
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CF.RT NUMBER: 1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2024(June 2024) VERSION: 1.0 STATUS:Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES
00400 t D[ill 065.56 01341i 46329
m ; e
F ey Scmi-annual) Scmi-annual!y Scmi-aenuall y Semi-annual) Scmi-annually
Gmb Grab Gnb Grab Estimate
p5 V tY
{+ O O FII TSS-("nnc MI:/ME COD RAINFALL
2400cWk H. 2600clock It. Y/BIN su m 1 pt inches
2
3
6
7
e
9
10
1
1 —
13
1
IS
16
17
16
19
20
21
22
23
26
23
26
17
29
29
30
11,10atbly Aeenae Limit:
Mnntbly Avenge:
Daliy St.clmum:
Daily Minimum•
••••No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENV WTHR-No Visitation -Advem Weather. NOFLOW-No Flow: I101.1DAY-No Visitation-Holiday
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1.0_6_2024.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:lieritagc-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
Charlotte Wastewater Treat Facility
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2024(June 2024) VERSION: 1.0 STATUS:Submitted
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:07/01/2024
Electronically Certified by Greg Taylor on 2024-07-01 10:43:54.209
ORC/Certifier S i g n a t u r c : G r e g Taylor P h o n c # : 704- 634 -0006 Date
I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public 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 be made as required by part II.E.6 of the
NPDES permit.
Electronically Signed by Greg Taylor on 2024-07-01 10:44:33.635
Permittee/Submitter Signature: ** *Greg Taylor Phone #:[phone] Date
Pcnnittee Address:2115 Speedrail Ct Concord NC 28025 Permit Expiration Date:07/31/2024
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB#:
PERSON(&)COLLECTING SAMPLES:Greg S Taylor
PARAMETER CODES
Parameter Code assistance may be obtained by visiting https://deq.nc.gov/about/divisions/water-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit f'or reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).
Discharge Monitoring Report-Copy Of Record(COR_NCS000390_Ver_1.0_6_2024.pdf)

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
Charlotte Wastewater Treat Facility
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER: 1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2024(June 2024) VERSION: 1.0 STATUS:Submitted
Report Comments:
No flow

NPDES PERMIT NO.:NCS000390 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Heritage-Crystal Clean,LLC CLASS:SWNC COUNTY:Cabarrus
Charlotte Wastewater Treat Facility
OWNER NAME:Heritage Crystal-Clean LLC ORC:Not Required ORC CERT NUMBER:1009764
GRADE:SWNC ORC HAS CHANGED:No
eDMR PERIOD:06-2024(June 2024) VERSION: 1.0 STATUS:Submitted
OutfaU 001-Effluent Comments:
No flow

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources— Stormwater Program
Facility Name: Heritage Crystal Clean,LLC Charlotte Wastewater Facility
Permit Number: NCS000390
Location Address: 2115 Speedrail Court _
Concord North Carolina 28025
County: Cabarrus
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature Date rr:strzaza
Anita Decina Vice President.Qperatinral,Safety&Environmental Excellence
Print or type name of person signing above Title
SPPP Certification 10/13