NC0000892_Renewal (Application)_20160328

RECEIVED/NCDEQ/DWR
rc A- I nr. MAR 2 8 2D1b
Performance Applied
Water Quality
Permitting Section
March 28, 2016
Wren Thedford
NC DENR/ DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Arclin USA, LLC—Moncure, NC
Wastewater Permit Renewal Application
Permit Number NC0000892
Dear Mr. Thedford:
The Arclin USA, LLC plant located at 790 Corinth Road in Moncure, NC is requesting a renewal
of its wastewater permit.
There have been no significant changes at the facility since the issuance of the existing permit.
** Please note that there are some anomalies with the stormwater data for the (2015 second-half
semi-annual results). We would like to request a sit-down meeting with the assigned permit
writer in regards to the permit application at their convenience.
Mr. David Philbrook from STF Inc. assisted in preparing this permit application.
If you have any questions concerning this submittal, please feel free to contact me at (919) 545-
7053
Sincerely,
Brian Reddy
Plant Manager
BR/
Enclosure
790 Corinth Road Moncure. NC' 27559 -wwww.arclin.com

Arci nTM
Performance Applied
March 28, 2016
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Arclin USA, LLC —Moncure,NC
Sludge Management Plan
Permit Number NC0000892
Dear Mr. Thedford:
The Arclin USA, LLC plant located at 790 Corinth Road in Moncure,NC has a sludge
management plan for the wastewater treatment plant.
The sludge/ solids are removed from the plant and put into drying beds. Once the liquid is
dried,the solids are placed into a covered holding area until it is full. Approximately 3-4 times a
year, we contract McGill Environmental Systems to pick up this material and take it to their
composting facility.
If you have any questions concerning this plan, please feel free to contact me at [phone].
Sincerely,
Brian Reddy
Plant Manager
BR/
Enclosure
790 Corinth Road Moncure. NC 27559—‘Nwwvr.arclin.com

Please print or type in the unshaded areas only. Form Approved.OMB No.2040-0086.
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY I.EPA I.D.NtIMIIMIN
MBER
1 =CEPA GENERAL INFORMATION
Consolidated
Consolidated Permits Program F NC 0000892 D
GENERAL (Rend the"(ienerallnstrucduns"he/vrestarting.)
1 - 19 14 15
LABEL ITEMS GENERAL INSTRUCTIONS
If a preprinted label has been provided, affix it in the
designated space.Review the information carefully:if any of it
I. EPA I.D.NUMBER is incorrect,cross through it and enter the correct data in the
appropriate fill-in area below.Also,if any of the preprinted data
is absent (the area to the left of the label space lists the
III. FACILITY NAME PLEASE PLACE LABEL IN THIS SPACE information that should appear),please provide it in the proper
_ fill-in area(s)below. If the label is complete and correct.you
V. FACILITY MAILING need not complete Items I. Ill.V.and VI (except VI-B which
ADDRESS must be completed regardless).Complete all items if no label
has been provided.Refer to the instructions for detailed item
VI. FACILITY LOCATION descriptions and for the legal authorizations under which this
data is collected.
II.POLLUTANT CHARACTERISTICS
INSTRUCTIONS:Complete A through J to determine whether you need to submit any permit application forms to the EPA.If you answer"yes"to any questions,you must
submit this form and the supplemental form listed in the parenthesis following the question.Mark"X"in the box in the third column if the supplemental form is attached.If
you answer"no"to each question,you need not submit any of these forms.You may answer"no"if your activity is excluded from permit requirements:see Section C of the
instructions.See also,Section D of the instructions for definitions of bold-faced terms.
Mark-X' Mark'X"
SPECIFIC QUESTIONS YEsHD FORM SPECIFIC QUESTIONS YES NO FORM
ATTACHED ATTACHED
A.Is this facility a publicly owned treatment works which B. Does or will this facility (either existing or proposed)
results in a discharge to waters of the U.S.?(FORM 2A) X include a concentrated animal feeding operation or X
aquatic animal production facility which results in a
16 +7 16 discharge to waters of the U.S.?(FORM 2B) 19 20 21
C.Is this a facility which currently results in discharges to \/ D.Is this a proposed facility(other than those described in A X
waters of the U.S.other than those described in A or B or B above)which will result in a discharge to waters of
above'?(FORM 2C) 23 24 the U.S.?(FORM 2D) 25 26 22
E. Does or will this facility treat, store, or dispose of F. Do you or will you inject at this facility industrial or
hazardous wastes?(FORM 3) X municipal effluent below the lowermost stratum X
containing, within one quarter mile of the well bore,
26 z9 3o underground sources of drinking water?(FORM 4) 31 12 J3
G.Do you or will you inject at this facility any produced water H.Do you or will you inject at this facility fluids for special
or other fluids which are brought to the surface in processes such as mining of sulfur by the Frasch process,
connection with conventional oil or natural gas production, X solution mining of minerals. in situ combustion of fossil X
inject fluids used for enhanced recovery of oil or natural fuel.or recovery of geothermal energy?(FORM 4)
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4) 34 35 3637 36 3s
I. Is this facility a proposed stationary source which is one J. Is this facility a proposed stationary source which is
of the 28 industrial categories listed in the instructions and X NOT one of the 28 industrial categories listed in the X
which will potentially emit 100 tons per year of any air /� instructions and which will potentially emit 250 tons per
pollutant regulated under the Clean Air Act and may affect year of any air pollutant regulated under the Clean Air Act
or be located in an attainment area?(FORM 5) 40 47 42 and may affect or be located in an attainment area? 43 44 1 45
(FORM 5)
III. NAME OF FACILITY
1 SKIP A cTn USA, LLC
15 16-29 30 69
IV. FACILITY CONTACT
A.NAME&TITLE(Inst.lirsr,Rh rale) B.PHONE(area code A-no.)
c I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IIII D I I
Brian Reddy - Plant Manager ( 1 ) 545-7
5
15 16 45 . 1. 51 1 52. 55
V.FACILTY MAILING ADDRESS
A.STREET ORI P.O.BOX
3 7901 Corinth) RoadlI I I I I I I I i IIIIIIIIIIII
15 116 45
B.CITY OR TOWN C.STATE D.ZIP CODE
I I I I I I I I I I I I I I I I I I I I I I I I I I I T
4 Moncure NC 27559
15 16 40 41 42 42 51
VI. FACILITY LOCATION
A.STREET.ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
cI I I, I I I I I I I I I I I I I I I I I I I I 1 I I 1 I
—579I0 Corinth Road
15 16 45
B.COUNTY NAME
- I I I I I I I I I I I I I I I I I I I I I 1 1 I
Chatham
O6 )0
C.CITY OR TOWN D.STATE E.ZIP CODE F.COUNTY CODE(ljknmi.ti)
c I I I I I I I I I I I I I I I I I I I I I I I II .I J I I I I
6 Moncure C 2 5 9
15 16 40 41 42 47 51 52 31
EPA Form 3510-1(8-90) CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII.SIC CODES 4-di.it,in order of.non
A.FIRST B.SECOND •
c I I I (.cpecO) I I I (Ape c(/i)
7 2821 Sythetic resins 7 2869 industrial organic chemicals
15 15 - 19 15 16 • 19
C.THIRD D.FOURTH
c I I I (spec. 7 I I I (cpc.,vo
15 16 19 _ 15 1 - 19 _ _
VIII.OPERATOR INFORMATION
A.NAME 8.1s the name listed in Item
c I IIIII III 1111 1111111111 IIIIIIIIIIIIIIII VIII-A also the owner?
8 Arclin USA, LLC 0 YES ❑NO
15 16 5566
C.STATUS OF OPERATOR(Enter the appropriate leiter into the answer has:if"Other,"specify.) D.PHONE(urea code h no.)
F=FEDERAL (spec(fi) - 1 1 1 1 1 1 1 1 1
S=STATE M=PUBLIC(other than federal or slate) p A (919) 542-2526
P=PRIVATE O=OTHER(pecifi)
56 .7-.5 .71- -11 19 - 21 122 - 26
E.STREET OR P.O.BOX
11111111111111111111111111111
790 Corinith Road
26 55
F.CITY OR TOWN G.STATE H.ZIP CODE IX.INDIAN LAND
c I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I -Is the facility located on Indian lands?
B Moncure NC 27559 ❑YES ©NO
15 16 40< - 51
X.EXISTING ENVIRONMENTAL PERMITS
A.NPDES((tlischur ge.r to Sur/ace Water)) D.PSD(lit Emissions Iron Proposed Souree.$)
CT 1 1 1 1 1 1 1 1 1 I 1 I 1 e T 1 1 1 1 1 1 1 1 1 1 1 1
9 N NC 0000892 9 P
15 16 17 18 30 15 -16 17 16 30
B.UICUnderground Injection of Fluids) E.OTHER((�+peri i)
C T I 1 1 1 1 1 1 1 1 1 1 1 1 ' C , T 1 1 1 1 1 1 1 1 1 1 1 1 1
(1
0 416 2 R21 pe'`th-)
9 U 9 Synthetic minor air permit
15 16 17 16 30 15 16 17 18 30
C.RCRA(Hazardous Wastes) E.OTHER(s,ecits)
c T 1 I I I 1 1 1 I 1 1 1 1 1 CT , 1 1 1 1 1 1 1 I I I I I
(,prciJv)
glit IIII 3018 30
XI.MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the
location of each of its existing and proposed intake and discharge structures,each of its hazardous waste treatment,storage,or disposal facilities.and each well where it
injects fluids underground.Include all springs.rivers,and other surface water bodies in the map area.See instructions for precise requirements.
XII.NATURE OF BUSINESS(provide a brief description)
The plant manufactures thermosetting resins for use by the wood products industry. Formaldehyde, a major
component of most products produced by Arclin, is manufactured on site. A typical concentration of the finished
formaldehyde is 50% to 56%. Phenol-Formaldehyde, Urea-Formaldehyde and Melamine-Formaldehyde resins constitute
the majority of resins made at this location.
XIII.CERTIFICATION(see instructions)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that,based on my
inquiry of those persons immediately responsible for obtaining the information contained in the application,I believe that the information is true,accurate.and complete. I
am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment.
A.NAME&OFFICIAL TITLE(type or print) B.SIGNATURE C.DATE SIGNED
Brian Reddy 03/25/2016
COMMENTS FOR OFFICIAL USE ONLY
c
C
15 16 55
EPA Form 3510-1(8-90)

EPA I.D.NUMBER(runt from hem I of ham I) Form Approved.
OMB No.2040-0086.
Please print or type in the unshaded areas only. NC 0000892 Approval expires 3-31-98.
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
2C ViEPAEXISTING MANUFACTURING,COMMERCIAL,MINING AND SILVICULTURE OPERATIONS
NPDES Consolidated Permits Program
I.OUTFALL LOCATION
For each outfall,list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
A.OUTFALL NUMBER B.LATITUDE C.LONGITUDE
(lar) 1.DEG. 2.MIN. 3.SEC. 1.DEG. 2.MIN. 3.SEC. D.RECEIVING WATER(name)
001 35 36 9 -79 3 10 Haw River
002 35 36 5 -79 3 10 Haw River
003 35 36 16 -79 3 2 Haw River
004 35 36 14 -79 3 10 Haw River
II.FLOWS,SOURCES OF POLLUTION,AND TREATMENT TECHNOLOGIES
A. Attach a line drawing showing the water flow through the facility.Indicate sources of intake water,operations contributing wastewater to the effluent.and treatment units
labeled to correspond to the more detailed descriptions in Item B.Construct a water balance on the line drawing by showing average flows between intakes,operations,
treatment units,and outfalls.If a water balance cannot be determined(e.g.,for certain mining activities),provide a pictorial description of the nature and amount of any
sources of water and any collection or treatment measures.
B. For each outfall,provide a description of:(1)All operations contributing wastewater to the effluent.including process wastewater,sanitary wastewater,cooling water,
and storm water runoff; (2) The average flow contributed by each operation; and (3) The treatment received by the wastewater. Continue on additional sheets if
necessary.
1.OUT- 2.OPERATION(S)CONTRIBUTING FLOW 3.TREATMENT
FALL b.AVERAGE FLOW b.LIST CODES FROM
NO.(G.cr) a.OPERATION(lien) (inehrde units) a.DESCRIPTION TABLE 2C-1
Formaldehyde production See attached process flow diagram
001 5,000 GPD 3A 4A
Thermosetting resin production 40,000 GPD See attached process flow diagram ,- ]G
Sanitary 2,000 GPD See attached process flow diagram SH 1R
Storm water
002 4A
Storm water
003 4A
Storm water
004 1A
OFFICIAL USE ONLY(e(iluenrgurr/ame.r soh-eategurnte)
EPA Form 3510-2C(8-90) PAGE 1 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
C.Except for storm runoff,leaks•or spills.are any of the discharges described in Items II-A or B intermittent or seasonal?
❑YES(complete the fallowing table) 171 NO(go to Section 11/)
3.FREQUENCY 4.FLOW
a.DAYS PER B.TOTAL VOLUME
2.OPERATION(s) WEEK b.MONTHS a.FLOW RATE(i„mx,l) (specify with Ian Is)
1.OUTFALL CONTRIBUTING FLOW PER YEAR 1.LONG TERM 2.MAXIMUM 1.LONG TERM 2.MAXIMUM C.DURATION
NUMBER(lis,) (list) u'cr,Rr') (`'PnMh''rt'r't"g`') AVERAGE DAILY AVERAGE DAILY d^")
III.PRODUCTION
A.Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
©YES(complete Nem 111-8) ❑NO(go to Section 1V)
B.Are the limitations in the applicable effluent guideline expressed in terms of production(or other measure of operation)?
111 YES(complete Nem 111-C') ❑NO(go to Section/V)
C.If you answered"yes"to Item III-B.list the quantity which represents an actual measurement of your level of production,expressed in the terms and units used in the
applicable effluent guideline,and indicate the affected outfalls.
1.AVERAGE DAILY PRODUCTION 2.AFFECTED OUTFALLS
a.QUANTITY PER DAY b.UNITS OF MEASURE c.OPERATION.PRODUCT.MATERIAL,ETC. (lici m#Nrrll numbers)
6+'p t h9
See attached production graphs and tables
IV.IMPROVEMENTS
A. Are you now required by any Federal, State or local authority to meet any implementation schedule for the construction, upgrading or operations of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application?This includes,but is not limited to.
permit conditions,administrative or enforcement orders,enforcement compliance schedule letters,stipulations,court orders,and grant or loan conditions.
❑YES(complee'the Billowing table) ©NO(fin to Item 1I.-B)
1.IDENTIFICATION OF CONDITION. 2.AFFECTED OUTFALLS 3.BRIEF DESCRIPTION OF PROJECT 4.FINAL COMPLIANCE DATE
AGREEMENT,ETC.
a.NO. b.SOURCE OF DISCHARGE a.REQUIRED b.PROJECTED
B. OPTIONAL: You may attach additional sheets describing any additional water pollution control programs (or other environmental projects which may affect your
discharges)you now have underway or which you plan.Indicate whether each program is now underway or planned.and indicate your actual or planned schedules for
construction.
❑MARK"X"IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
EPA Form 3510-2C(8-90) PAGE 2 of 4 CONTINUE ON PAGE 3

EPA I.D.NUMBER(copy from Item l a)Form 1)
CONTINUED FROM PAGE 2 NC 0000892
V.INTAKE AND EFFLUENT CHARACTERISTICS
A.B.8 C: See instructions before proceeding—Complete one set of tables for each outfall—Annotate the outfall number in the space provided.
NOTE:Tables V-A,V-B,and V-C are included on separate sheets numbered V-1 through V-9.
D. Use the space below to list any of the pollutants listed in Table 2c-3 of the instructions,which you know or have reason to believe is discharged or may be discharged
from any outfall.For every pollutant you list,briefly describe the reasons you believe it to be present and report any analytical data in your possession.
1.POLLUTANT 2.SOURCE 1.POLLUTANT 2.SOURCE
F,-,rmaldehyde Manufactured and used as a raw Triethyl amine Used as raw material in
intermediate. Currently limited quanities.
monitored under permit.
iethanol amine Used as raw material in
limited quantities.
VI.POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS
Is any pollutant listed in Item V-C a substance or a component of a substance which you currently use or manufacture as an intermediate or final product or byproduct?
❑YES(list all such pullruaPiis below) NO(go to fleet 11-8)
EPA Form 3510-2C(8-90) PAGE 3 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII.BIOLOGICAL TOXICITY TESTING DATA
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 3 years?
©YES(identity ntitiy the testis)and I Iescrihe their purposes helms) ❑NO(ko to Section UM)
Per existing permit, Chronic Toxicity Testing (Ceriodaphnia) is performed quarterly.
VIII.CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
®YES(list the name.address,and telephone number af,and pollutants analyzed hc. ❑NO(go to Section It)
each such laharatnryor/irm below)
A.NAME B.ADDRESS C.TELEPHONE D.POLLUTANTS ANALYZED
(area code A no.) (list)
Pace Analytical 6701 Conference Drive 919-834-4984 All except for field
Raleigh, NC measurements of pH and
temperature.
Cameron Testing Services 219 S. Steele Street 919-208-4240 All except for field
Sanford, NC 27330 measurements of pH and
temperature.
IX.CERTIFICATION
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.l am aware that there
are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations.
A.NAME&OFFICIAL TITLE(type or print) B.PHONE NO.(area code if no.)
Brian Reddy (919) 542-2526
C.SIGNATURE D.DATE SIGNED
. 3 - f- f
EPA Form 3510-2C(8-90) PAGE 4 of 4

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY.You may report some or all of this information EPA I.D.NUMBER(copy from firm I a/Pornr I)
on separate sheets(use the same format)instead of completing these pages. NC 0000892
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C)
PART A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
3.UNITS 4.INTAKE
2.EFFLUENT (.specify if blank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (if available) (if available) AVERAGE VALUE
(1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT CONCENTRATION (2)MASS CONCENTRATION (2)MASS (1)CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen 79.1 34.9 19.1 8.1m 138 1 d
Demand(Bon) 9/ lbs/d
b.Chemical Oxygen
Demand(t'On)
c.Total Organic Carbon
(11.5)
d.Total Suspended
Solids(I.S'.1) 65 25.8 11.6 5.1 137 mg/1 lbs/d
e.Ammonia(asA') 193 65.1 14.5 6.0 138 mg/1 lbs/d
VALUE VALUE VALUE VALUE
f.Flow 0.9941 0.049131 971 MGD
g.Temperature VALUE VALUE VALUE VALUE
(crinin')
17 11.5 26 `C
h.Temperature VALUE VALUE VALUE VALUE
(summer)
28 25.9 34 'C
MINIMUM MAXIMUM MINIMUM MAXIMUM
i.pH 6 7 8.0 138 STANDARD UNITS
PART B— Mark"X"in column 2-a for each pollutant you know or have reason to believe is present.Mark"X"in column 2-b for each pollutant you believe to be absent.If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 2a. you must provide
quantitative data or an explanation of their presence in your discharge.Complete one table for each outfall.See the instructions for additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM AVERAGE
AND a. b. a.MAXIMUM DAILY VALUE (if available) (11 available) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(//available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Bromide
(24959-67-9)
b.Chlorine,Total
Residual
c.Color X
I
d.Fecal Coliform X
e.Fluoride
X(16984-48-8)
f.Nitrate-Nitrite X
(as N) 291 127.9 19.9 7.9 138 mg/1 lbs/dl
EPA Form 3510-2C(8-90) PAGE V-1 CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND
ab a.MAXIMUM DAILY VALUE (if available) (if available) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (11 (1) d.NO.OF a.CONCEN- (1) b.NO.OF
0/awn/aide) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
T.Nitrogen, \
Total Organic(us /X\
h.Oil and
Grease
i.Phosphorus `
(as P),Total X 0.3 0.2 p,2 0.1 7 mg/1 lbs/d
(7723-14-0)
j.Radioactivity
(1)Alpha,Total `X
(2)Beta,Total X
(3)Radium, /\/\
Total �\
(4)Radium 226.
Total
k.Sulfate
(ar SO,) X
(14808-79-8)
I.Sulfide \/
(us S)
�\
m.Sulfite
0,V),) X
(14265-45-3)
n.Surfactants X
o.Aluminum.
Total X
(7429-90-5)
p.Barium,Total \
(7440-39-3) n
q.Boron.Total
(7440-42-8)
r.Cobalt,Total X(7440-48-4)
s.Iron,Total �/
(7439-89-6) /X
t.Magnesium,
Total
(7439-95-4)
u.Molybdenum,
Total
(7439-98-7)
v.Manganese,
Total �/
(7439-96-5) �\
w.Tin,Total �/
(7440-31-5) /�
x.Titanium,
Total X
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(cope/row Item I of Form 1) 'OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC 0000892 001
PART C- If you are a primary industry and this outfall contains process wastewater,refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for.Mark"X"in column 2-a for all such GC/MS
fractions that apply to your industry and for ALL toxic metals,cyanides.and total phenols.If you are not required to mark column 2-a(secondary industries,nonprocess wastewater outfalls. and nonrequired GC/MS
fractions),mark"X"in column 2-b for each pollutant you know or have reason to believe is present.Mark"X"in column 2-c for each pollutant you believe is absent.If you mark column 2a for any pollutant,you must
provide the results of at least one analysis for that pollutant.If you mark column 2b for any pollutant,you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it will be
discharged in concentrations of 10 ppb or greater.If you mark column 2b for acrolein,acrylonitrile,2,4 dinitrophenol,or 2-methyl-4,6 dinitrophenol,you must provide the results of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater.Otherwise,for pollutants for which you mark column 2b,you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part;please review each carefully.Complete one table(all 7 pages)for each outfall.See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE 01-available) VALUE(r available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED .BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(i1 uruiluh/e) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION I b.MASS CONCENTRATION (2)MASS ANALYSES
METALS,CYANIDE,AND TOTAL PHENOLS
1M.Antimony,Total
(7440-36-0)
2M.Arsenic,Total
(7440-38-2)
3M.Beryllium,Total
(7440-41-7)
4M.Cadmium,Total
(7440-43-9)
5M.Chromium,
Total(7440-47-3) X <5 0 8 u g/1 lbs/d
6M.Copper,Total
(7440-50-8) X 7 0.004 5 0.002 8 ug/1 lbs/d
7M.Lead,Total <5 0 8 u
(7439-92-1) g/1 lbs/d
8M.Mercury.Total
(7439-97-6)
9M.Nickel,Total
(7440.02-02-0)
X <5 0 8 ug/1 lbs/d
(74
10M.Selenium, X
Total(7782-49-2)
11M.Silver,Total v
(7440-22-4)
12M.Thallium, X
Total(7440-28-0)
13M.Zinc,Total X
(7440-66-6) 57.9 0.3 29.4 0.15 8 ug/1 lbs/d
14M.Cyanide, X
Total(57-12-5)
15M.Phenols, �/
Total /�
DIOXIN
2,3,7,8-Tetra- \ / DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin
/X\
(1764-01-6)
EPA Form 3510-2C(8-90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (1/ururluhie) VALUE(ifuvaduhle) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(rfuv<uluhle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS
1V.Accrolein
(107-02-8)
2V.Acrylonitrile
(107-13-1) X <50 0 8 ug/1 lbs/d
3V.Benzene
(71-43-2) X <5 0 8 ug/1 lbs/d
4V.met Bis then `
methyl)Ether /X\
(542-88-1)
5V.Bromoform
(75-25-2) <2 0 8 ug/1 lbs/d
6V.Carbon ,
Tetrachloride X <5 0 8 ug/1 lbs/d
(56-23-5)
7V.Chlorobenzene
(108-90-7) X <5 0 8 ug/1 lbs/d
8V.Chlorodi-
bromomethane /X\ <10 0 8 ug/1 lbs/d
(124-48-1)
9V.Chloroethane
(75-00-3) X <5 0 8 ug/1 lbs/d
10V.2-Chloro-
ethylvinyl Ether <10 0 8 ug/1 lbs/d
(110-75-8)
11V.Chloroform
(67-66-3) X <5 0 8 ug/1 lbs/d
12V.Dichloro-
bromomethane X
ug/1<2 0 8 lbs/d
(75-27-4)
13V.Dichloro-
difluoromethane
X
(75-71-8)
14V.1,1-Dichloro-
ethane(75-34-3) <2 0 8 ug/1 lbs/d
15V.1.2-Dichloro-
ethane(107-06-2) X <2 0 8 ug/1 lbs/d
16V.1,1-Dichloro-
ethylene(75-35-4) <2 0 8 ug/1 lbs/d
17V.1,2-Dichloro-
propane(78-87-5) X <2 0 8 ug/1 lbs/d
3-Dichloro-
propyl
`
propylene X <2 0 8 ug/1 lbs/d
(542-75-6)
19V.Ethylbenzene
(100-41-4) X <2 0 8 ug/1 lbs/d
20V.Methyl u <2 0 8 ug/1 lbs/d
Bromide(74-83-9)
21V.Methyl X <2 0 8 ug/1 lbs/d
Chloride(74-87-3)
EPA Form 3510-2C(8-90) PAGE V-4 CONTINUE ON PAGE V-5

CONTINUED FROM PAGE V-4
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT ' b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE (,/ma lable) VALUE(iJavailable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS(coni ntwd)
22V.Methylene 2 0 8 u
Chloride(75-09-2) < g/1 lbs/d
Tetrachloroethane X <10 0 8 ug/1 lbs/d
(79-34-5)
24V.Tetrachloro-
2 0 8 1 lbs/d
ethylene(127-18-4) < u g/
25V.Toluene X <2 0 8 ug/1 lbs/d
(108-88-3)
26V.1,2-Trans-
Dichloroethylene X <2 0 8 ug/1 lbs/d
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6)
,1,1-Trichloro-
ethane(71-55-6) X <2 0 8 ug/1 lbs/d
28V. 1,2-Trichloro- X <2 0 8 ug/1 lbs/d
ethane
ethane(79-00-5)
29V Trichloro-
ethylene(79-016) <2 0 8 ug/1 lbs/d
30V.Trichloro-
fluoromethane X <10 0 8 ug/1 lbs/d
(75-69-4)
31V.Vinyl Chloride
(75-01-4) <2 0 8 ug/1 lbs/d
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol X
(95-57-8) <5 0 8 ug/1 lbs/d
2A.2,4-Dichloro-
phenol(120-832) <5 0 8 ug/1 lbs/d
3A.2.4-Dimethyl- X
phenol(105-67-9)
4A.4,6-Dinitro-0-
Cresol(534-52-1) <20 0 8 ug/1 lbs/d
5A.2,4-Dinitro-
phenol(51-285) <50 0 8 ug/1 lbs/d
(6875-5jophenol X <5 0 8 ug/1 lbs/d
7A.4-Nitrophenol
(100-02-7) <50 0 8 ug/1 lbs/d
8A.P-Chloro-M-
<5 0 8 u 1 lbs/d
Cresol(59-5D-7) g/
9A.Pentachloro- <2 0 8 u 1 lbs/d
phenol(87-86-5)
X g/
�Ph
y 2)X <5 0 8 ug/1 lbs/d
11A.2,4,6-Trichloro-
phenol(88052) X <20 0 8 ug/1 lbs/d
EPA Form 3510-2C(8-90) PAGE V-5 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(op anal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(/.faro;/able) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(rfurarlahle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
(83-32-9)Acenaphthene X <5 0 <5 8 ug/1 lbs/d
2B.Acenaphtylene
(208-96-8) X <5 0 8 ug/1 lbs/d
3B.Anthracene
(120-12-7) X <10 0 8 ug/1 lbs/d
4B.Benzidine
(92-87-5) X <5 0 8 ug/1 lbs/d
5B.Benzo(a)
Anthracene X <5 0 8 ug/1 lbs/d
(56-55-3)
6B.Benzo(r) < 8 u5 0 1 lbs/d
Pyrene(50-32-8) g/
7B.3,4-Benzo-
fluoranthene
X <5 0 8 ug/1 lbs/d
(205-99-2)
8B.Benzo Wu)
Perylene(191-24-2) X <5 0 8 ug/1 lbs/d
9B.Benzo(k)
Fluoranthene X <5 0 8 ug/1 lbs/d
(207-08-9)
108.Bis(2-r'hloru-
e(hon)Methane X <10 0 8 ug/1 lbs/d
(111-91-1)
11B.Bis(2-('hloro-
er)0 Ether
(111-44-4) <5 0 8 ug/1 lbs/d
12B.Bis('-
('hloruSopraprl) X
Ether(102-80-1)
13B.Bis(?-late X
hrxr�Phthalate <5 0 8 ug/1 lbs/d
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether <2 0 8 1 lbs/d
(101-55-3) u g/
15B.Butyl Benzyl
Phthalate(85-68-7)
<5 0 8 ug/1 lbs/d
16B.2-Chloro-
naphthalene X <10 0 8 ug/1 lbs/d
(91-58-7)
17B.4-Chloro-
phenyl Phenyl Ether X <50 0
(7005-72-3) 8 ug/1 lbs/d
188.Chrysene >/
(218-01-9) X <5 0 8 ug/1 lbs/d
198.Dibenzo(ah)
(53703)Anthracene X <5 0 8 ug/1 lbs/d
206.1.2-Dichloro-
benzene(9550-1) X <2 0 8 ug/1 lbs/d
218.1.3-Di-chloro-
benzene(541-73-1)
.3-Di-chloro-
benzene(541-73-1) X <2 0 8 ug/1 lbs/d
EPA Form 3510-2C(8-90) PAGE V-6 CONTINUE ON PAGE V-7

CONTINUED FROM PAGE V-6
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(apiional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND b. c, a.MAXIMUM DAILY VALUE (if available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- —(1) — b.NO.OF
Of available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(<ow:trued)
22B.1,4-Dichloro-
benzene(106-46-7) X <2 0 8 ug/1 lbs/d
23B.3,3-Dichloro-
benzidine(91-94-1) X <25 0 8 ug/1 lbs/d
24B.Diethyl
Phthalate(84-66-2) X <5 0 8 ug/1 lbs/d
25B.Dimethyl
Phthalate X
(131-11-3)
26B.Di-N-Butyl
Phthalate(84-74-2) X <5 0 8 ug/1 lbs/d
27B.2,4-Dinitro-
toluene(121-14-2) X <5 0 8 ug/1 lbs/d
28B.2,6-Dinitro-
toluene(606-20-2) X <5 0 8 ug/1 lbs/d
29B.Di-N-Octyl
Phthalate(117-84-0) X <5 O 8 ug/1 lbs/d
30B.1,2-Diphenyl-
hydrazine(as Azo-
X <10 o 8 ug/1 lbs/d
benzene)(122-66-7)
31 B.Fluoranthene
(206-44-0) X <5 0 8 ug/1 lbs/d
32B.Fluorene
(86-73-7) X <5 0 8 ug/1 lbs/d
33B.Hexachloro-
benzene(118-74-1) X <5 0 8 ug/1 lbs/d
34B.Hexachloro-
butadiene(87-68-3) X <5 0 8 ug/1 lbs/d
35B.Hexachloro-
cyclopentadiene X <10 0 8 ug/1 lbs/d
(77-47-4)
36B Hexachloro-
ethane(67-72-1) X <5 0 8 ug/1 lbs/d
376.Indeno
(1,2,3-cd)Pyrene X <5 0
8 ug/1 lbs/d
(193-39-5)
38B.Isophorone X
(78-59-1) <10 0 8 ug/1 lbs/d
39B.Naphthalene
(91-20-3) X <5 0 8 ug/1 lbs/d
40B.Nitrobenzene
(98-95-3) X <5 0 8 ug/1 lbs/d
416.N-Nitro-
sodimethylamine X <10 0 8 ug/1 lbs/d
(62-75-9)
426.N-Nitrosodi-
N-Propylamine X <10 0 8 ug/1 lbs/d
(621-64-7)
EPA Form 3510-2C(8-90) PAGE V-7 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(oprlonal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(ifarailable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(i%available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
43B.N-Nitro-
sodiphenylamine X <20 0 8 ug/1 lbs/d
(86-30-6)
44B.Phenanthrene
(85-01-8) X <5 0 8 ug/1 lbs/d
45B.Pyrene
(129-00-0) X <5 0 8 ug/1 lbs/d
46B.1,2,4-Tri-
(1200-82 1)ene X <5 0 8 ug/1 lbs/d
GC/MS FRACTION—PESTICIDES
1P.Aldrin X
(309-00-2)
2P.a-BHC X
(319-84-6)
3P.p-BHC \/
(319-85-7) �\
4P.y-BHC v
(58-89-9)
5P.S-BHC X
(319-86-8)
6P.Chlordane X
(57-74-9)
7P.4,4'-DDT X
(50-29-3)
8P.4,4'-DDE X
(72-55-9)
9P.4,4'-DDD X
(72-54-8)
10P.Dieldrin X
(60-57-1)
11P.a-Enosulfan X
(115-29-7)
12P.(l-Endosulfan X
(115-29-7)
13P.Endosulfan
Sulfate X
(1031-07-8)
14P.Endrin X(72-20-8)
15P.Endrin
Aldehyde X
(7421-93-4)
16P.Heptachlor X
(76-44-8)
EPA Form 3510-2C(8-90) PAGE V-8 CONTINUE ON PAGE V-9

EPA I.D.NUMBER(copy Jrom hem I of Form I) OUTFALL NUMBER
CONTINUED FROM PAGE V-B NC 0000892 001
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opmmal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b c. a.MAXIMUM DAILY VALUE (!f available) VALUE(favuilahle) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(iJavailable) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—PESTICIDES(commueel)
17P.Heptachlor ` ,
Epoxide X
(1024-57-3)
18P.PCB-1242 X(53469-21-9)
19P.PCB-1254
(11097-69-1)
20P.PCB-1221 \/
(11104-28-2) �\
21P.PCB-1232 \/
(11141-16-5) X\
22P.PCB-1248
(12672-29-6)
23P.PCB-1260
(11096-82-5)
24P.PCB-1016 \
(12674-11-2) n
25P.Toxaphene
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY.You may report some or all of this information EPA I.D.NUMBER(copvfrom lien:/ofForm I)
on separate sheets(use the same format)instead of completing these pages. NC 0000892
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C) '-�Im )
. ... 002
PART A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
3.UNITS 4.INTAKE
2.EFFLUENT (.ipeci/i'itblank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (II available) (i/available) AVERAGE VALUE
O (1) d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT CONCENTRATION (2)MASS CONCENTRATION (2)MASS (1)CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen
Demand(/lH ) 132 76.4 5 mg/1
b.Chemical Oxygen
Demand(r'u/>) 870 364 5 mg/1
c.Total Organic Carbon
(TOC)
d.Total Suspended
Solids( . ) 93 32.3 5 mg/1
e.Ammonia(a:A) 10.1 3.46 5 mg/1
VALUE VALUE VALUE VALUE
f.Flow
g.Temperature VALUE VALUE VALUE VALUE
(trinter) °C
h.Temperature VALUE VALUE VALUE VALUE
(ennmr) °C
a
MINIMUM MAXIMUM MINIMUM MAXIMUMLV- : a e `" `_
i.pH 6.2 6.81 ` . 'i $ 1� '' t' 5 STANDARD UNITS
t1., : - n.4syn,,a.4 ,ter - ' s'
PART B— Mark"X"in column 2-a for each pollutant you know or have reason to believe is present.Mark"X"in column 2-b for each pollutant you believe to be absent.If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly, in an effluent limitations guideline. you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 2a. you must provide
quantitative data or an explanation of their presence in your discharge.Complete one table for each outfall.See the instructions for additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM AVERAGE '
AND a. b. a.MAXIMUM DAILY VALUE (i/'urailahle) (it available) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) ' b.NO.OF
(if-available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
•
a.Bromide
(24959-67-9)
b.Chlorine,Total �/ I
Residual /�
c.Color `X
d.Fecal Coliform X
•
e.Fluoride ,�\
(16984-48-8)
•
f.Nitrate-Nitrite
(as A
EPA Form 3510-2C(8-90) PAGE V-1 CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opnunal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND a. b. a.MAXIMUM DAILY VALUE (if available) (if available) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(,J u,'uiluhle) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
T.Nitrogen,
Total Organic(us X 3 8.3 18.8 5 mg/1
n)
h.Oil and
Grease ND ND 5 mg/1
i.Phosphorus
(as P),Total X 0.3 0.18 5 mg/1
(7723-14-0)
j.Radioactivity
(1)Alpha,Total `X
(2)Beta.Total X
(3)Radium, /X\
Total
(4)Radium 226. \/
Total �\
k.Sulfate
X(14808-79-8)
I.Sulfide \/
(as SX
)
m.Sulfite
(us SO.) X
(14265-45-3)
n.Surfactants X
o.Aluminum.
21
(74
(7429-90.5)
p.Barium,Total
(7440-39-3)
q.Boron,Total
(7440-42-8)
r.Cobalt,Total �/
(7440-48-4) /�
s.Iron,Total X(7439-89-6)
t.Magnesium,
Total X
(7439-95-4)
u.Molybdenum,
Total X
(7439-98-7)
v.Manganese,
Total >/
(7439-96-5)
w.Tin,Total
(7440-31-5)
x.Titanium,
Total X
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(cop/ram Item I a/FForm I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC 0000892 002
PART C- If you are a primary industry and this outfall contains process wastewater,refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for.Mark"X"in column 2-a for all such GC/MS
fractions that apply to your industry and for ALL toxic metals,cyanides,and total phenols. If you are not required to mark column 2-a(secondary industries,nonprocess wastewater outfalls, and nonrequired GC/MS
fractions), mark"X"in column 2-b for each pollutant you know or have reason to believe is present. Mark"X"in column 2-c for each pollutant you believe is absent.If you mark column 2a for any pollutant,you must
provide the results of at least one analysis for that pollutant.If you mark column 2b for any pollutant,you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it will be
discharged in concentrations of 10 ppb or greater.If you mark column 2b for acrolein,acrylonitrile,2,4 dinitrophenol,or 2-methyl-4,6 dinitrophenol,you must provide the results of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater.Otherwise,for pollutants for which you mark column 2b,you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part; please review each carefully. Complete one table(all 7 pages)for each outfall.See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b, c. a.MAXIMUM DAILY VALUE (i)available) VALUE(a/available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(,l av(,Iehle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
METALS,CYANIDE,AND TOTAL PHENOLS
1M.Antimony,Total
(7440-36-0)
2M.Arsenic,Total
(7440-38-2)
3M.Beryllium,Total
(7440-41-7)
4M.Cadmium,Total
(7440-43-9)
5M.Chromium,
Total(7440-47-3)
6M.Copper,Total
(7440-50-8)
7M.Lead,Total
(7439-92-1)
8M.Mercury,Total
(7439-97-6)
9M.Nickel,Total
(7440-02-0)
10M.Selenium, v
Total(7782-49-2)
11M.Silver,Total v
(7440-22-4)
12M.Thallium, v
Total(7440-28-0)
13M.Zinc,Total
(7440-66-6)
14M.Cyanide,
Total(57-12-5)
15M.Phenols.
Total X 2 5 1 mg/1
DIOXIN
2,3,7,8-Tetra- \ / DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin
/X\
(1764-01-6)
EPA Form 3510-2C(8-90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (i/available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
((jaim(ah/e) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION 121 MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS
1V.Accrolein X(107-02-8)
2V.Acrylonitrile X(107-13-1)
3V.Benzene X
(71-43-2)
4V.Bis((h
met
mcrhv0 Ether /X\
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon
Tetrachloride
(56-23-5)
7V.Chlorobenzene �/
(108-90-7) /X
8V.Chlorodi-
bromomethane /X\
(124-48-1)
9V.Chloroethane X(75-00-3)
10V.2-Chloro-
ethylvinyl Ether X
(110-75-8)
11V.Chloroform
(67-66-3)
12V.Dichloro-
bromomethane
(75-27-4)
13V.Dichloro-
difluoromethane
(75-71-8)
14V.1,1-Dichloro-
ethane(75-34-3)
15V.1,2-Dichl oro-
�/
ethane(107-06-2) /X
16V.1,1-Dichloro-
ethylene(75-35-4) X
17V.1,2-Dichloro-
propane(78-87-5) X
18V. Dichloro-
propylenlen e
(542-75-6)
19V.Ethylbenzene X(100-41-4)
20V.Methyl
Bromide(74-83-9)
21V.Methyl X
Chloride(74-87-3)
EPA Form 3510-2C(8-90) PAGE V-4 CONTINUE ON PAGE V-5

CONTINUED FROM PAGE V-4
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. r a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(If available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
i uvwluhlr REQUIRED PRESENT ABSENT (1) (1) (1) ANALYSES TRATION b.MASS (1) ANALYSES
ff ) CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION
(2)MASS
GC/MS FRACTION—VOLATILE COMPOUNDS(canrimued)
22V.Methylene
Chloride(75-09-2)
23V. 1,2,2-
Tetra. ` ,
Tetrachloroethane X
(79-34-5)
24V.Tetrachloro- X
ethylene(127-18-4)
25V.Toluene
X
(108-88-3)
26V.1,2-Trans- ` /
Dichloroethylene X
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6)
28V.1,1.2-Trichloro-
ethane(79-00-5)
29V Trichloro-
ethylene(79-01-6) X
30V.Trichloro-
fluoromethane X
(75-69-4)
31V.Vinyl Chloride
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol X(95-57-8)
2A.2.4-Dichloro-
X
phenol(120-83-2)
3A.2,4-Dimethyl-
phenol(105-67-9)
4A.4,6-Dinitro-0-
Cresol(534-52-1)
5A.2,4-Dinitro-
phenol(51-28-5)
6A.2-Nitrophenol X
(88-75-5)
7A.4-Nitrophenol >/
(100-02-7)
8A.P-Chloro-M-
Cresol(59-50-7)
9A.Pentachloro-
phenol(87-86-5)
10A.Phenol
(108-95-2)
11A.2,4,6-Trichloro- v
phenol(88-05-2)
EPA Form 3510-2C(8-90) PAGE V-5 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND
CAS NUMBERa. b. c. a.MAXIMUM DAILY VALUE (iJ (if
ara,lah/e) VALUE aia,lable) AVERAGE VALUE
TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
Of available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
1B.Acenaphthene
(83-32-9)
2B.Acenaphtylene X(208-96-8)
3B.Anthracene �/
(120-12-7) /�
4B.Benzidine �/
(92-87-5) /�
5B.Benzo(a)
Anthracene �/
(56-55-3) /�
6B.Benzo(a) �/
Pyrene(50-32-8)
/�
7B. zo-
fluorantheranthene
(205-99-2)
8B.Benzo(gin)
Perylene(191-24-2)
9B.Benzo(k)
Fluoranthene
(207-08-9)
10B.Bis(2-('Iduro-
e,hosr)Methane
(111-91-1)
11B.Bis(22-('hlora-
erhe 1)Ether �/
(111-44-4) X
12B.Bis(2-
C hlonnsv,prapl)
Ether(102-80-1)
13B.Bis(2-Ethyl-
hexyl)Phthalate X
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether �/
(101-55-3) /�
15B.Butyl Benzyl �/
Phthalate(85-68-7) /�
16B.2-Chloro-
naphthalene �/
(91-58-7) /�
17B.4-Chloro-
phenyl Phenyl Ether �/
(7005-72-3) /�
18B.Chrysene �/
(218-01-9) /�
19B.Dibenzo(ah)
Anthracene �/
(53-70-3) /X
20B.1,2-Dichloro-
benzene(95-50-1) /�
21B.1.3-Di-chloro-
benzene(541-73-1) /�
EPA Form 3510-2C(8-90) PAGE V-6 CONTINUE ON PAGE V-7

CONTINUED FROM PAGE V-6
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(rjavadable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(i available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(contiued)
22B.1.4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benzidine(91-94-1)
24B.Diethyl
Phthalate(84-66-2)
25B.Dimethyl
Phthalate
(131-11-3)
26B.Di-N-Butyl
Phthalate(84-74-2)
27B.2.4-Dinitro-
toluene
v
(121-14-2)
28B.2,6-Dinitro-
toluene(606-20-2)
29B.Di-N-Octyl v
Phthalate(117-84-0)
30B.1,2-Diphenyl-
hydrazine(as Azo-
benzene)(122-66-7)
31B.Fluoranthene v
(206-44-0)
326.Fluorene
(86-73-7)
33B.Hexachloro-
benzene(118-74-1) v
348.Hexachloro- Xbutadiene(87-68-3)
35B.Hexachloro-
cyclopentadiene X
(77-47-4) /\
36B Hexachloro-
ethane(67-72-1) X
37B.Indeno
(1,2,3-cry Pyrene
(193-39-5)
38B.Isophorone X(78-59-1)
39B.Naphthalene
(91-20-3)
40B.Nitrobenzene v
(98-95-3)
418.N-Nitro-
sodimethylamine X
(62-75-9)
42B.N-Nitrosodi-
N-Propylamine X
(621-64-7)
EPA Form 3510-2C(8-90) PAGE V-7 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT 'b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE ({furwlahle) VALUE(tfavailable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) CO (1) d.NO.OF a.CONCEN- (1) b.NO.OF
Of-available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
43B.N-Nitro- '
sodiphenylamine
(86-30-6)
44B.Phenanthrene X(85.01-8)
45B.Pyrene
(129-00-0)
•
466.1,2,4-Tri-
chlorobenzene X(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin X(309-00-2)
2P.a-BHC
(319-84-6)
3P.0-BHC v
(319-85-7)
4P.y-BHC X(58-89-9)
5P.S-BHC X(319-86-8)
6P.Chlordane X(57-74-9)
7P.4,4'-DDT X(50-29-3)
8P.4.4'-DDE X(72-55-9)
9P.4,4'-DDD X(72-54-8)
10P.Dieldrin
(60-57-1)
11P.a-Enosulfan X(115-29-7)
12P.(3-Endosulfan X
(115-29-7)
13P.Endosulfan
Sulfate
(1031-07-8)
14P.Endrin
(72-20-8)
15P.Endrin
Aldehyde
(7421-93-4)
16P.Heptachlor X(76-44-8)
EPA Form 3510-2C(8-90) PAGE V-8 CONTINUE ON PAGE V-9

EPA I.D.NUMBER(coni'from hem 1 o/Form 1) OUTFALL NUMBER
NC 0000892 002
CONTINUED FROM PAGE V-8
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
-
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c a.MAXIMUM DAILY VALUE (ifarulahlr) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) ( (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if(imitable) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION ' b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—PESTICIDES(continued)
1o.Heptachlor X
Epoxide
(1024-57-3)
18P.PCB-1242 X
(53469-21-9)
19P.PCB-1254 X
(11097-69-1)
20P.PCB-1221 X
(11104-28-2)
21P.PCB-1232 X
(11141-16-5)
22P.PCB-1248 X
(12672-29-6)
23P.PCB-1260 X
(11096-82-5)
24P.PCB-1016 X
(12674-11-2)
25P.Toxaphene X
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY.You may report some or all of this information EPA I.D.NUMBER(a pyIkon'lion I u(Pornr I)
on separate sheets(use the same format)instead of completing these pages. NC 0000892
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C) 3
PART A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
3.UNITS 4.INTAKE
2.EFFLUENT (spec{/i•it blank) ("puma')
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (ifainilable) (11 available) AVERAGE VALUE
(1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT CONCENTRATION (2)MASS CONCENTRATION (2)MASS (1)CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen
Demand(Bon) 12 0 3 9.3 S mg/1
b.Chemical Oxygen
Demand(('ul1) 1240 332 5 mg/1
c.Total Organic Carbon
(TO(')
d.Total Suspended
Solids(iX') 19.7 14.9 5 mg/1
e.Ammonia(a.,V) 3.7 1.4 5 m9/1
VALUE VALUE VALUE VALUE
f.Flow
g.Temperature VALUE VALUE VALUE aC VALUE
(vnuer)
h.Temperature VALUE VALUE VALUE VALUE
(..lanlner) oC
MINIMUM MAXIMUM MINIMUMMAXIMUM '
I.pH 6.2 7,7 5 STANDARD UNITS
PART B— Mark"X"in column 2-a for each pollutant you know or have reason to believe is present.Mark"X"in column 2-b for each pollutant you believe to be absent.If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly. in an effluent limitations guideline, you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide
quantitative data or an explanation of their presence in your discharge.Complete one table for each outfall.See the instructions for additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(apiiunal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM AVERAGE
AND a. b. a.MAXIMUM DAILY VALUE (11.available) (if available) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(r(aradable) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a Bromide
(24959-67-9)
b.Chlorine,Total �/
Residual /�
c.Color \X
d.Fecal Coliform X
e.Fluoride /�\
(16984-48-8)
f.Nitrate-Nitrite \�
(as Al) X
EPA Form 3510-2C(8-90) PAGE V-1 CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND b a.MAXIMUM DAILY VALUE (if available) (if aradohle) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
T.Nitrogen, \
Total Organic(as /X\ 3 5.8 18.6 5 mg/1
"v)
h.Oil and
Grease ND ND 5 mg/1
i.Phosphorus
(as P),Total X 0.2 6 0.13 5 mg/1
(7723-14-0)
j.Radioactivity
(1)Alpha.Total \X
(2)Beta.Total X
(3)Radium, ,X`
Total
(4)Radium 226,
Total
k.Sulfate
(as SO,) X
(14808-79-8)
I.Sulfide
X
(as S)
m.Sulfite
(a
(us SO,)
(14265-45-3)
n.Surfactants X
o.Aluminum,
Total
(7429-90-5)
p.Barium.Total `
(7440-39-3) n
q.Boron.Total
(7440-42-8)
r.Cobalt,Total X(7440-48-4)
s.Iron.Total X(7439-89-6)
t.Magnesium,
Total X
(7439-95-4)
T.Molybdenum.
Total
(7439-98-7)
T.Manganese,
Total
(7439-96-5)
w.Tin,Total
(7440-31-5)
x.Titanium,
Total X
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(copy/romhem I!II Form I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC 0000892 003
PART C- If you are a primary industry and this outfall contains process wastewater,refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for.Mark"X"in column 2-a for all such GC/MS
fractions that apply to your industry and for ALL toxic metals,cyanides.and total phenols.If you are not required to mark column 2-a(secondary industries, nonprocess wastewater outfalls, and nonrequired GC/MS
fractions),mark"X"in column 2-b for each pollutant you know or have reason to believe is present.Mark"X"in column 2-c for each pollutant you believe is absent.If you mark column 2a for any pollutant,you must
provide the results of at least one analysis for that pollutant.If you mark column 2b for any pollutant.you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it will be
discharged in concentrations of 10 ppb or greater.If you mark column 2b for acrolein,acrylonitrile,2,4 dinitrophenol,or 2-methyl-4,6 dinitrophenol,you must provide the results of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater.Otherwise,for pollutants for which you mark column 2b,you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part;please review each carefully.Complete one table(all 7 pages)for each outfall. See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opmmal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(II available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) ' b.NO.OF
(rJararlahle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
METALS,CYANIDE,AND TOTAL PHENOLS
1M.Antimony.Total
(7440-36-0)
2M.Arsenic,Total
(7440-38-2)
3M.Beryllium,Total
(7440-41-7)
4M.Cadmium,Total
(7440-43-9)
5M.Chromium, v
Total(7440-47-3)
6M.Copper.Total
(7440-50-8)
7M.Lead,Total
(7439-92-1)
8M.Mercury,Total
(7439-97-6)
9M.Nickel,Total
(7440-02-0)
10M.Selenium,
Total(7782-49-2)
11M.Silver,Total
(7440-22-4)
12M.Thallium, v
Total(7440-28-0)
13M.Zinc,Total v
(7440-66-6)
14M.Cyanide,
Total(57-12-5)
15M.
Total Phenols, X 44.3 1 mg/1
DIOXIN
2,3,7,8-Tetra- \ / DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin
/X\
(176401-6)
EPA Form 3510-2C(8-90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opiinnu/)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (i)available) VALUE(i avurlahle) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
Of available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS
1 V.Accrolein X(107-02-8)
2V.Acrylonitrile
(107-13-1)
3V.Benzene
(71-43-2)
4V.met Bis((he
mcdrvt)Ether
(542-88-1)
5V.Bromoform v
(75-25-2)
6V.Carbon '
Tetrachloride X
(56-23-5)
7V.Chlorobenzene \/
(108-90-7) �\
8V.Chlorodi-
bromomethane /X\
(124-48-1)
9V.Chloroethane
(75-00-3)
10V.2-Chloro-
ethylvinyl Ether u
(110-75-8)
11V.Chloroform
(67-66-3)
12V.Dichloro-
bromomethane
(75-27-4)
13V. ` ,
Dichloro-
difluoromethane X
(75-71-8)
14V.1,1-Dichloro-
ethane(75-34-3)
15V.1,2-Dichloro-
ethane(107-06-2)
16V.1.1-Dichloro-
ethylene(75-35-4)
17V.1,2-Dichloro-
propane(78-87-5)
18V.1,3-Dichloro-
propylene `
propyl ><
(542-75-6)
19V.Ethylbenzene
(100-41-4)
20V.Methyl
Bromide(74-83-9)
21V.Methyl
Chloride(74-87-3)
EPA Form 3510-2C(8-90) PAGE V-4 CONTINUE ON PAGE V-5

CONTINUED FROM PAGE V-4
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optuonu)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (ilarutluhle) VALUE W.amrlahlc) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(tfar•uiluhle) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS(continuer)
22V.Methylene v
Chloride(75-09-2)
Te1.1,2,2-
Tetrachloroethane ` ,
X
(79-34-5)
24V.Tetrachloro- \/
ethylene(127-18-4) /\
25V.Toluene
(108-88-3)
26V.1.2-Trans- ` ,
Dichloroethylene X
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6)
28V.1.1.2-Trichloro-
ethane(79-00-5)
29V Trichloro-
ethylene(79-01-6)
30V.Trichloro-
fluoromethane X
(75-69-4)
31V.Vinyl Chloride
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol X
(95-57-8)
2A.2.4-Dichloro-
X
phenol(120-83-2)
3A.2,4-Dimethyl-
phenol(105-67-9)
4A.4,6-Dinitro-O- >/
Cresol(534-52-1)
5A.2,4-Dinitro-
X
phenol(51-28-5)
6A.2-Nitrophenol X
(88-75-5)
7A.4-Nitrophenol
(100-02-7)
8A.P-Chloro-M-
Cresol
v
(59-50-7)
9A.Pentachloro- >/
phenol(87-86-5)
10A.Phenol v
(108-95-2)
11A.2,4,6-Trichloro-
phenol(88-05-2)
EPA Form 3510-2C(8-90) PAGE V-5 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
(1) (1) (1) (1)
N.available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
16.Acenaphthene �/
(83-32-9) /�
2B.Acenaphtylene �/
(208-96-8) /�
3B.Anthracene X(120-12-7)
4B.Benzidine
(92-87-5)
5B.Benzo(a)
Anthracene �/
(56-55-3) /�
6B.Benzo(a) �/
Pyrene(50-32-8) /�
7B.3,4-Benzo-
fluoranthene X
(205-99-2)
8B.Benzo(,chi) XPerylene(191-24-2)
9B.Benzo(k)
Fluoranthene �/
(207-08-9) /�
10B.Bis(2-i 7doro-
eihoxr)Methane
(111-91-1)
11 B.Bis(2-i Mon,
etln I)Ether �/
(111-44-4) X
12B.Bis 12-
I/iloroisoproprQ
Ether(102-80-1)
13B.Bis(2-Eiln1-
hexy!)Phthalate X
(117-81-7)
148.4-Bromophenyl
Phenyl Ether
(101-55-3)
15B.Butyl Benzyl �/
Phthalate(85-68-7) /�
168.2-Chloro-
naphthalene �/
(91-58-7) /�
17B.4-Chloro-
phenyl Phenyl Ether X
(7005-72-3)
18B.Chrysene �/
(218-01-9) /�
19B.Dibenzo(a.h)
Anthracene �/
(53-70-3) /X
20B.1,2-Dichloro- �/
benzene(95-50-1) /�
218.1.3-Di-chloro-
benzene(541-73-1) /�
EPA Form 3510-2C(8-90) PAGE V-6 CONTINUE ON PAGE V-7

CONTINUED FROM PAGE V-6
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(i,available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
22B.1.4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benzidine(91-94-1)
24B.Diethyl X
Phthalate(84-66-2)
25B.Dimethyl
Phthalate
(131-11-3)
26B.Di-N-Butyl v
Phthalate(84-74-2)
27B.2,4-Dinitro-
toluene(121-14-2)
28B.2,6-Dinitro-
toluene
\/
(606-20-2) �\
29B.Di-N-Octyl
Phthalate(117-84-0)
30B.1.2-Diphenyl-
hydrazine
(as Azo
as Azo-
benzene)(122-66-7)
31B.Fluoranthene
(206-44-0)
32B.Fluorene v
(86-73-7)
33B.Hexachloro-
benzene(118-74-1) X
348.Hexachloro-
butadiene(87-68-3)
358.Hexachloro-
cyclopentadiene X
(77-47-4)
368 Hexachloro-
ethane(67-72-1) v
37B.Indeno
(1,2,3-cd)Pyrene
(193-39-5)
38B.Isophorone v
(78-59-1)
39B.Naphthalene
(91-20-3)
40B.Nitrobenzene X(98-95-3)
41B.N-Nitro-
sodimethylamine X
(62-75-9)
428.N-Nitrosodi-
N-Propylamine
(621-64-7)
EPA Form 3510-2C(8-90) PAGE V-7 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE (1)mailable) VALUE(if available) AVERAGE VALUE
CAS NUMBER r TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) - -- b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS _CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(er iimreil)
43B.N-Nitro- I
sodiphenylamine
(86-30-6)
44B.Phenanthrene
(85-01-8)
45B.Pyrene
(129-00-0)
46B.1,2,4-Tri- i 1
chlorobenzene
(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin
(309-00-2)
2P.a-BHC v
(319-84-6)
3P.I1-BHC X(319-85-7)
4P.y-BHC
(58-89-9)
5P.S-BHC
(319-86-8)
6P.Chlordane X(57-74-9)
7P.4.4'-DDT X(50-29-3)
8P.4.4'-DDE
(72-55-9)
9P.4,4'-DDD X(72-54-8)
10P.Dieldrin
(60-57-1)
11P.u-Enosulfan X(115.29-7)
12P.Il-Endosulfan
(115-29-7)
13P.Endosulfan
Sulfate
(1031-07-8) _
14P.Endrin X(72-20.8)
—
15P.Endrin
Aldehyde X
(7421-93-4)
16P.Heptachlor X(76-44.8)
EPA Form 3510-2C(8-90) PAGE V-8 CONTINUE ON PAGE V-9

EPA I.D.NUMBER(copy from Item I o/Form I) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 NC 0000892 003
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(option/)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if-available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—PESTICIDES(columned)
17P.Heptachlor
Epoxide
(1024-57-3)
18P.PCB-1242 \/
(53469-21-9) X\
19P.PCB-1254 X —
(11097-69-1)
20P.PCB-1221 \/
(11104-28-2) X
21P.PCB-1232 X
(11141-16-5)
22P.PCB-1248 X
(12672-29-6)
23P.PCB-1260 X
(11096-82-5)
24P.PCB-1016 X
(12674-11-2)
25P.Toxaphene X
(8001-35.2)
EPA Form 3510-2C(8-90) PAGE V-9

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY.You may report some or all of this information EPA I.D.NUMBER(copy,from Item I of Form I)
on separate sheets(use the same format)instead of completing these pages. NC 0000892
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C)
004
PART A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
3.UNITS 4.INTAKE
2.EFFLUENT (eperi(i:if hlank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (il orwilahle) (i)available) AVERAGE VALUE
O (1) d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT CONCENTRATION (2)MASS CONCENTRATION (2)MASS (1)CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen
Demand(Ruh) 11.4 4.8 5 mg/1
b.Chemical Oxygen
Demand(('uh) 74 59.8 5 mg/1
c.Total Organic Carbon
(MC)
d.Total Suspended
Solids(7:C`) 20.8 8.6 5 mg/1
e.Ammonia(ar N) 3.7 1.3 5 mg/1
VALUE VALUE VALUE VALUE
f.Flow
g.Temperature VALUE VALUE VALUE VALUE
Groner) oC
h.Temperature VALUE VALUE VALUE VALUE
(.iantmer) °C
MINIMUM MAXIMUM MINIMUM MAXIMUM ,;..
i.pH 6,2 8.64 `n3Ig 5 STANDARD UNITS
PART B— Mark"X"in column 2-a for each pollutant you know or have reason to believe is present.Mark"X"in column 2-b for each pollutant you believe to be absent.If you mark column 2a for any pollutant which is limited either
directly, or indirectly but expressly. in an effluent limitations guideline. you must provide the results of at least one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide
quantitative data or an explanation of their presence in your discharge.Complete one table for each outfall.See the instructions for additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM AVERAGE
AND a. b. a.MAXIMUM DAILY VALUE (if available) (i)ara:fable) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Bromide
(24959-67-9)
b.Chlorine.Total X
Residual
c.Color \X
d.Fecal Coliform i
e.Fluoride /�\
(16984-48-8)
f.Nitrate-Nitrite \/
(as N) /\
EPA Form 3510-2C(8-90) PAGE V-1 CONTINUE ON REVERSE

ITEM V-B CONTINUED FROM FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND a. b. a.MAXIMUM DAILY VALUE 0-available) (ijavailable) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(ifarai/able) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
T.Nitrogen,
O \
Total Organic OA /�(\ 36 15.9 5 mg/1
.1)
h.Oil and
Grease X ND ND 5 mg/1
i.Phosphorus
(as P),Total X 0.2 9 0.16 5 5 mg/1
(7723-14-0)
j.Radioactivity
(1)Alpha,Total \X
(2)Beta,Total X
(3)Radium, ,v`
Total
(4)Radium 226, \/
Total �\
k.Sulfate
(as SU,)
(14808-79-8)
I.Sulfide X(as.1)
m.Sulfite ` ,
(as SO;) y
(14265-45.3) /\
n.Surfactants X
o.Aluminum.
21
(747azs sas)
p.Barium,Total \
(7440-39-3) n
q.Boron,Total
(7440-42-8)
r.Cobalt,Total X
(7440-48-4)
s.Iron,Total X(7439-89-6)
t.Magnesium,
Total X
(7439-95-4)
u.Molybdenum,
Total X
(7439-98-7)
v.Manganese,
Total �/
(7439-96-5) X
w.Tin,Total \/
(7440-31-5) /\
x.Titanium,
Total X
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(copy_from Item I of Fornm l) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC 0000892 004
PART C- If you are a primary industry and this outfall contains process wastewater,refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions you must test for.Mark"X"in column 2-a for all such GC/MS
fractions that apply to your industry and for ALL toxic metals,cyanides,and total phenols. If you are not required to mark column 2-a(secondary industries, nonprocess wastewater outfalls, and nonrequired GC/MS
fractions),mark"X"in column 2-b for each pollutant you know or have reason to believe is present.Mark"X"in column 2-c for each pollutant you believe is absent.If you mark column 2a for any pollutant,you must
provide the results of at least one analysis for that pollutant.If you mark column 2b for any pollutant,you must provide the results of at least one analysis for that pollutant if you know or have reason to believe it will be
discharged in concentrations of 10 ppb or greater.If you mark column 2b for acrolein,acrylonitrile,2,4 dinitrophenol.or 2-methyl-4,6 dinitrophenol,you must provide the results of at least one analysis for each of these
pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater.Otherwise,for pollutants for which you mark column 2b,you must either submit at least one analysis or
briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part; please review each carefully.Complete one table(all 7 pages)for each outfall.See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa b. c. a.MAXIMUM DAILY VALUE (tfaratlahle) VALUE(ijara:table) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
01 available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION t (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
METALS,CYANIDE.AND TOTAL PHENOLS
1M.Antimony,Total
(7440-36-0)
2M.Arsenic,Total
(7440-38-2)
3M.Beryllium,Total
(7440-41-7)
4M.Cadmium.Total
(7440-43-9)
5M.Chromium,
Total(7440-47-3)
6M.Copper.Total
(7440-50-8)
7M.Lead,Total �/
(7439-92-1) /�
8M.Mercury,Total
(7439-97-6)
9M.Nickel,Total
(7440-02-0)
10M.Selenium,
Total(7782-49-2)
11M.Silver,Total
(7440-22-4)
12M.Thallium, �/
Total(7440-28-0) /�
13M.Zinc.Total �/
(7440-66-6) /�
14M.Cyanide,
Total(57-12-5)
15M.Phenols,
Total X ND 1 mg/1
DIOXIN
2,3,7,8-Tetra- \ / DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin
/X\
(1764-01-6)
EPA Form 3510-2C(8-90) PAGE V-3 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (ilaraduhle) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
Of available) REQUIRED PRESENT ABSENT (1) (1) (1) ANALYSES TRATION b.MASS (1) ANALYSES
�� ) CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS
GC/MS FRACTION—VOLATILE COMPOUNDS
1 V.Accrolein
(107-02-8)
2V.Acrylonitrile
(107-13-1)
3V.Benzene
(71-43-2)
4V.et Bis
methyl) - `
rnvl)Etherthen
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon
Tetrachloride X
(56-23-5)
7V.Chlorobenzene X(108-90-7)
8V.Chlorodi-
bromomethane /X\
(124-48-1)
9V.Chloroethane X(75-00-3)
10V.2-Chloro-
ethylvinyl Ether X
(110-75-8)
11V.Chloroform
(67-66-3)
12V.Dichloro-
bromomethane
(75-27-4)
13V.Dichloro-
difluoromethane
(75-71-8)
14V.1,1-Dichloro-
ethane(75-34-3)
15V.1,2-Dichloro-
ethane(107-06-2) v
16V.1.1-Dichloro-
X
ethylene(75-35-4)
17V.1,2-Dichloro-
propane(78-87-5)
18V.1,3-Dichloro-
propylene propylene X
(542-75-6)
19V.Ethylbenzene �/
(100-41-4) /�
20V.Methyl
Bromide(74-83-9)
21V.Methyl
Chloride(74-87-3)
EPA Form 3510-2C(8-90) PAGE V-4 CONTINUE ON PAGE V-5

CONTINUED FROM PAGE V-4
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE ({furtliable) VALUE({furu:table) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- - (1) b.NO.OF
(ifavailable) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—VOLATILE COMPOUNDS(conunned)
22V.Methylene
Chloride(75-09-2)
23V.
Teta hioroe ` ,
Tetrachloroethane X
(79-34-5)
24V.Tetrachloro-
ethylene(127-18-4)
25V.Toluene X
(108-88-3)
26V.1,2-Trans ` ,
Dichloroethylene X
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6)
28V.1,1,2-Trichloro-
ethane(79-00-5)
29V Trichloro-
ethylene(79-01-6)
30V.Trichloro-
fluoromethane X
(75-69-4)
31V.Vinyl Chloride X
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol
(95-57-8)
2A.2,4-Dichloro-
X
phenol(120-83-2)
3A.2,4-Dimethyl-
phenol(105-67-9)
4A.4,6-Dinitro-O- X
Cresol(534-52-1)
5A.2,4-Dinitro-
phenol(51-28-5) X
6A.2-Nitrophenol X
(88-75-5)
7A.4-Nitrophenol X(100-02-7)
8A.P-Chloro-M-
Cresol(59-50-7)
9A.Pentachloro- X
phenol(87-86-5)
10A.Phenol
(108-95-2)
11A.2,4,6-Trichloro-
phenol(88-05-2)
EPA Form 3510-2C(8-90) PAGE V-5 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(ophonu/)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (iijavarlable) VALUE Of-available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED ' d.NO.OF a.CONCEN- b.NO.OF
Of-available) REQUIRED PRESENT ABSENT (1) (1) (1) (1)
CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
1B.Acenaphthene �/
(83-32-9) /�
2B.Acenaphtylene �/
(208-96-8) /�
3B.Anthracene �/
(120-12-7) X �
4B.Benzidine �/
(92-87-5) X
58.Benzo(a)
Anthracene �/
(56-55-3) /�
6B.Benzo(u) >/
Pyrene(50-32-8) /�
7B.3,4-Benzo-
fluoranthene X
(205-99-2)
8B.Benzo(Xhi) v
Perylene(191-24-2) /�
98.Benzo(k)
Fluoranthene �/
(207-08-9) /�
10B.Bis(2-('hlnro-
ddurxv)Methane
(111-91-1)
11B.Bis(24711mo-
erin1)Ether �/
(111-44-4) /�
12B.Bis(2-
Chlorrrccoprupvl)
Ether(102-80-1)
13B.Bis(2-Erl(v1-
hexv")Phthalate X
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether
(101-55-3)
15B.Butyl Benzyl �/
Phthalate(85-68-7) /�
16B.2-Chloro-
naphthalene )/
(91-58-7) /�
17B.4-Chloro-
phenyl Phenyl Ether �/
(7005-72-3) /�
18B.Chrysene �/
(218-01-9) /�
198.Dibenzo(a.lr) I
Anthracene �/
(53-70-3) /�
20B.1.2-Dichloro-
benzene(95-50-1) /�
21B.1,3-Di-chloro- �/ I
benzene(541-73-1) /�
EPA Form 3510-2C(8-90) PAGE V-6 CONTINUE ON PAGE V-7

CONTINUED FROM PAGE V-6
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opli mal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (ifavailable) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(cnnrinued)
22B.1.4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benzidine(91-94-1)
24B.Diethyl
Phthalate(84-66-2)
25B.Dimethyl
Phthalate
(131-11-3)
26B.Di-N-Butyl v
Phthalate(84-74-2)
27B.2,4-Dinitro- \/
toluene(121-14-2) >\
28B.2,6-Dinitro-
toluene(606-20-2)
298.Di-N-Octyl X
Phthalate(117-84-0)
3013.1,2-Diphenyl-
hydrazine
y 1inas -
hydrazine(as Azo
as Azo-
benzene)(122-66-7)
31B.Fluoranthene v
(206-44-0)
32B.Fluorene v
(86-73-7)
33B.Hexachloro-
benzene(118-74-1) v
34B.Hexachloro-
butadiene(87-68-3) v
35B.Hexachloro-
cyclopentadiene
(77-47-4)
36B Hexachloro-
ethane(67-72-1) X
37B.Indeno
(1,2,3-c(i)Pyrene
(193-39-5)
38B.Isophorone
(78-59-1)
39B.Naphthalene
(91-20-3)
40B.Nitrobenzene
(98-95-3)
41B.N-Nitro-
sodimelhylamine
(62-75-9)
428.N-Nitrosodi-
N-Propylamine
(621-64-7)
EPA Form 3510-2C(8-90) PAGE V-7 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(optional)
•
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
r uvailablr REQUIRED PRESENT ABSENT (1) (1) (1) ANALYSES TRATION b.MASS (1) ANALYSES
(.f ) CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS(continued)
43B.N-Nitro-
sodiphenylamine
(86-30-6) _
448.Phenanthrene 1
(85-01-8)
45B.Pyrene !
(129-00-0)
466.1,2,4-Tri-
chlorobenzene
(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin X(309-00-2)
2P.a-BHC v
(319-84-6)
3P.p-BHC X(319-85-7)
4P.y-BHC X(58-89-9)
5P.6-BHC X(319-86-8)
6P.Chlordane
(57-74-9)
7P.4.4'-DOT
(50-29-3)
8P.4,4'-DDE X(72-55-9)
9P.4,4'-DDD X(72-548)
10P.Dieldrin
(60-57-1)
11P.a-Enosulfan
(115-29-7)
12P.(1-Endosulfan
(115-29-7)
13P.Endosulfan
Sulfate u
(1031-07-8)
14P.Endrin
(72-20-8)
15P.Endrin
Aldehyde
(7421-93-4)
16P.Heptachlor
(76-44-8)
EPA Form 3510-2C(8-90) PAGE V-8 CONTINUE ON PAGE V-9

EPA I.D.NUMBER(cape frain Item I of Form I) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 NC 0000892 004
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(alwanal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c. a.MAXIMUM DAILY VALUE (if available) VALUE(ifavadahle) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(if available) REQUIRED PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION, (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
GC/MS FRACTION—PESTICIDES(con/timed)
17P.Heptachlor ` ,
Epoxide X
(1024-57-3)
+
18P.PCB-1242
(53469-21-9)
19P.PCB-1254
(11097-69-1)
20P.PCB-1221
(11104-28-2)
21P.PCB-1232
(11141-16-5)
22P.PCB-1248 v
(12672-29-6)
23P.PCB-1260
(11096-82-5)
24P.PCB-1016 \
(12674-11-2) n
25P.Toxaphene
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

Arclin
Estimated Summer and Winter flows to the wastewater treatment system for 2016
Flows similar to last two years
Summer Source GPD
Evaporation 24,033
Water in sludge dispos 64
24,097
•
Source GPD
Process Water 22,998 WWTP EQ Basin WWTP Aeration Basin
Stormwater 21,795 Haw River
Cooling Tower Slowdown 9,768 68,04 Clarifiera 57,991 GPD
Boiler Slowdown and Steam 7,175 ♦
Sand Filter Backwash 2,700
Carbon and Birm Filter Backwash 3,150
Softner Regeneration 457
Source GPD
Reverse Osmosis Reject 4,440
•
Winter Source GPD
Evaporation 20,188
Water in sludge despot 64.
20,252
Source GPD
Process Water 22,998 WWTP EQ Basin WWTP Aeration Basin
Stormwater 23,397 Haw River
Cooling Tower Slowdown 5,928 71,56 Clarifier 61,513 GPD
Boiler Blowdown and Steam 12,935
Sand Filter Backwash 2,700
Carbon and Birm Filter Backwash 3,150'
Softner Regeneration 457
Source GPD
Reverse Osmosis Reject 10,200

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Discharge location ,
(Outfalls 002, 003, and 004 are • `
stormwater outfalls) �
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ARCLIN USA, INC - NC0000892 Facility •
Location
USGS Quad Name: Moncure Outfall 001:
Receiving Stream: Haw River Lat.:35°36'12"
Stream Class:WS IV Long.:79°03'02"
Subbasin: Cape Fear-03 0607 N Not to SCALE

Form 2C Supplemental Information
March 2016
Form 2C - II. B.
Waste water is collected onsite through a sewerage system and then pumped into an
aerated, one-million gallon, concrete lined equalization basin (EQ). This basin has three
20 hp surface aerators. This is followed by a concrete lined aerated stabilization basin
(ASB) which has three 20 hp surface aerators. The mixed liquor is then discharged into a
12-ft diameter, 8-ft. deep clarifier. Clarified effluent may be discharged into a sand filter
if needed. The sand filter is back washed into the ASB. Filtered effluent is monitored
and discharged into the I-law River.
Return activated sludge (RAS) is recycled to either the EQ or ASB. Waste activated
sludge (WAS) is discharged into covered sludge drying beds where a polymer is applied
to aid in drying. The dried sludge is picked up by a contractor for composting at their
facility.
An older primary clarifier is used as an emergency collection/storage system. Any
wastewater collected and stored there is then tested and metered into the WWTP.
Form 2C - III. C. Production Notes
Mass based discharge limits are calculated for most of the parameters for the subparts of
thermo-set resins and organic chemicals under the Categorical Limits for Organic
Chemicals, Plastics. and Synthetic Fibers (40CFR414). The mass based limits are
derived based upon the NPDES effluent discharge rate which for Arclin appears to
correlate with production volume.
Table 1 below lists production for the last two years and anticipated for the next five
years or through the life of the new permit. Based upon these estimates we are
anticipating over a 20.7% increase in production from 2016 to 2020.
As such, we request that our monthly average daily discharge limit be increased by at
least 20% to encompass the increase in flow we anticipate during the five-year life of this
new permit.
Table 1 — Chemical Production Data and Estimates through 2020
Year Pounds/Year
2014 -Actual 319,795,560
2015 -Actual 294,303,555
2016 - Estimate 314,000,000
2017 - Estimate 328,000,000
2018 - Estimate 344,000,000
2019 - Estimate 361,000,000
2020 - Estimate 379,000,000
1

Form 2C - V All Parts
Outfall 001 - Data for this section came from 2013 through 2015 monthly discharge
reports submitted to the State.
Outfalls 002, 003 and 004— Data for this section came from 2014 and 2015 sampling
data.
Form 2C - V Part B
1.c. Color— While it is anticipated to be present on occasion it is anticipated to be very
faint amber at most.
1.o. Aluminum —Aluminum sulfate solution is used as a flocculant.
Form 2C - V Data for Outfalls 002, 003 and 004
Outfalls 002, 003 and 004 are stormwater outfalls. We conduct semi-annual quantitative
analysis and prepare reports documenting the inspection, housekeeping of the outfalls,
and qualitative monitoring.

/47-,' /, k-L_ - 3_7._
/ 1
Outfall Date 50050
oral T(tal
{} Salnpte Oil& "total lmmonia, Phosphoro Forma!Etch "1 otal
Flow (if BC)1)4 t11S l'SS: COD.
Collected p11 Rainfall Grease Nitrogen Total as ti us vtl.e Phenolics
apIL/
m�tdd/�r NIC' inches
2� 12/23/2013 6.62 1.5 NI) 14.9 44.8 25.3 2 0.21 47 0.16
2 6/30/2014 6.71 0.5 NI) 132 6.9 38.3 10.1 0.11 237 0.42
2 12/9/2014 6.81 11.3 NI) 113 7.2 1.8 NI) NI) 606 61
2 6/18/2015 6.68 1.6 NI) 2.1 10 3.2 0.55 0.11 58 0.15
2 11/30/2015 6.2 0.6 NI) 120 93 25.4 1.2 0.3 870 13 25
ks e 6.604 0.9 0 76.4 32.38 18.8 3.4625 0.1825 363.6 14.946 25
Nlax 6.81 0 1.6 0 132 93 38.3 10.1 0.3 870 61 25
Count 5 0 5 0 5 5 5 4 4 5 5 1
3 12/23/2013 7.71 1.5 N D 30.9 19.7 9.1 0.82 0.082 83 0.42
3 6/30/2014 6.82 0.5 •D 4.1 12.4 24.8 3.7 11.097 49 0
3 12/9/2014 6.76 0.3 ND 3.2 NI) _ 35.8 1.4 ((.26 68 0.15
3 6/18/2015 6.95 1.6 NI) 38.3 NI) _ 9.7 0.53 NI) 222 130
3 11/30/2015 6.2 0.6 N D 120 12.7 13.7 0.72 0.082 1240 58 44.3
ks a 6.888 (1.9 0 39.3 14.933333 18.62 1.434 ((.13025 332.4 37.714 44.3
\1ax 7.71 0 1.6 0 120 19.7 35.8 3.7 0.26 1240 130 44.3
Count 5 0 5 0 5 3 5 5 4 5 5 1
4 12/23/2013 8.64 1.5 y D 11.4 20.8 9.2 ((.86 0.29 73 >.05
4 6/30/2014 7.4 0.5 NI) 4.2 10.1 25.5 3.7 0.07 30 0
4 12/9/2014 7.1 0.3 ND 3.3 3.2 36 1.3 0.25 74 11.15
4 6/18/2015 6.47 1.6 NI) 2.6 5 3.3 0.51 0.14 71 0.16
4 11/30/2015 6.2 0.6 NI) 2.5 4 5.6 0.37 0.074 51 0.14 NI)
we 7.162 0.9 0 4.8 8.62 15.92 1.348 0.1648 59.8 0.1125 #1)1V"/(1!
Nlax 8.64 0 1.6 0 11.4 20.8 36 3.7 0.29 74 0.16 0
,
Count 5 0 5 0 5 5 5 5 5 5 4 0

PAT MCCRORY
f,a
Governor
DONALD R. VAN DER VAART
',ecrerar7:
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
nuecroc
March 29, 2016
Brian Reddy,Plant Manager
Arclin USA,Inc.
790 Corinth Road
Moncure,NC 27559
Subject: Acknowledgement of Permit Renewal
Application No.NC0000892
Arclin USA,Inc.
Chatham County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on March 24,
2016. A member of the NPDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-3 your current permit does not
expire until permit decision on the application is made. Continuation of the current permit is contingent on
timely and sufficient application for renewal of the current permit. Please respond in a timely manner to
requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact Ron
Berry at 919-807-6396 or [e-mail].
Sincerely,
Wry TlAZo Ob
Wren Thedford
Wastewater Branch
cc: Central Files
— NPDES
NPDES --
Raleigh Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300
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