NC0001899_Renewal Application)_20160204

Transmittal
f
02/04/2016 02150132
115 +Macl<eran Drive
Wren Thedford
Cary, North Carot'na 27511
t: 919.469.3340 I f: 919.467.5008 NPDES Permit Renewal Application
NPDES Permit No.NC0001899
TO: Division of Water Resources,Water Quality Permitting Section
512 N.Salisbury St,9th Floor,
Raleigh,NC 27699
WE ARE SENDING YOU ❑x Attached ❑ Under Separate Cover via
1 HE FOLLOWING ITEM' E Shop Drawings E Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Diskette l Other See below
1 02/02/16 1 NPDES Permit Renewal Application(original)
2 02/02/16 2 NPDES Permit Renewal Application(copies) RECEIVEDINCDEQIDWR
FEB 0 4 2016
Water Quality
permitting Section
THESE ARE T:R,ANSM
For approval ❑Approved as submitted ❑ Resubmit copies for approval
❑For your use ❑Approved as noted ❑Submit copies for distribution
❑As requested ❑ Returned for corrections LI Return corrected prints
❑For review and comment ❑Other
❑FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
- %wt.&
, •�/

v\iithersRavene
February 2,2016
Mr.Tom Belnick
Supervisor
Division of Water Resources
WQ Permitting Section-NPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
RECEIVEDINCDEQIDWR
FEB 0 4 2016
Subject: NPDES Permit Renewal Application
Moncure Holdings West,LLC WWTP Water Quality
New Hill,Chatham County,North Carolina Permitting Section
Permit#NC 0001899
Owner: Moncure Holdings West,LLC
282 Century Place,Suite 2000
Louisville,CO 80027
Dear Mr.Belnick
Moncure Holdings West LLC. has recently acquired ownership of site facilities previously owned by
DFTDuraFiber Technologies, Inc. (formerly known as Performance Fibers). DFTDuraFiber is in the process
of demolishing the old polyester manufacturing facility in New Hill, North Carolina. Following transfer of
ownership of the WWTP; Moncure Holdings West LLC.Is requesting renewal of the NPDES Permit(NPDES
Permit No. NC0001899) per Federal Regulations 40 CFR 122.41, and North Carolina Regulations (15A
NCAC 2H.0105(e)). The permit,which expires July 31, 2016, would allow Moncure Holdings West LLC to
continue to operate the waste water treatment facility on this location while the demolition of the existing
facilities are finalized throughout FY 2016. While none of the previously permitted OCPSF industrial
activities are currently ongoing,the stormwater from the site demolition of these facilities has the potential
to continue to discharge OCPSF residuals to the WWTP through the process drains. As areas are completely
demolished these drains will be plugged to prevent further discharge. Until such time the NPDES permit
needs to continue to monitor for and treat any of the OCPSF pollutants in the stormwater and maintain the
existing nutrient limits for the sanitary wastes from the approximately 20 employees retained on the site by
DFTDuraFiber and the demolition contractor. Moncure Holdings West LLC. is separately negotiating with
offsite industrial sources to enter treatment contracts. At such time as these are finalized Moncure Holdings
West LLC. will submit a request to modify the NPDES permit from OCPSF to a Combined Waste Treatment
Facility and will submit the data necessary for DENR to draft revised NPDES permit limits. Until such time
as these offsite waste streams are permitted and WWTP facilities upgraded accordingly Moncure Holdings
West LLC.requests that the NPDES permit be renewed with the current limits.
The existing NPDES Permit allows for discharge of 0.244 mgd of industrial waste into the Haw River (001)
and stormwater into Shaddox Creek(002). Each are in the Cape Fear River Basin.

• A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Donald R.van der Vaart
Governor WATER QUALITY PERMITTING SECTION Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee"references the existing permit holder
• "Applicant"references the entity applying for the ownership/name change.
I. NPDES Permit No.(for which the change is requested): N C 0 0 1 8 9 9
or
Certificate of Coverage#: N C G 5
II. Existing Permittee Information:
a. Permit issued to(company name): Moncure Holdings Utility, LLC
b. Person legally responsible for permit: Jason Kaplan
First MI Last
Manager
Title
RECEIVEDINCDEQIDWR 282 Century Place, Suite 2000
Permit Holder Mailing Address
FEB 0 4 2016 Louisville CO 80027
City State Zip
Water Quality
permitting Section [phone] ( )
Phone Fax
c. Facility name: Moncure Holdings Utility, LLC WWTP
d. Facility's physical address: 338 Pea Ridge Road
Address
New Hill NC 27562
City State Zip
e. Facility contact person: Jason Kaplan [phone]
First / MI / Last Phone
III. Applicant Information:
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to(company name): Moncure Holdings West, LLC
c. Person legally responsible for permit: Jason Kaplan
First MI Last
Manager
Title
282 Century Place, Suite 2000
Permit Holder Mailing Address
Louisville CO 80027
City State Zip
[phone] [e-mail]
Phone E-mail Address
Page 1 of 2 Revised 7'01'2014

d. Facility name: Moncure Holdings West, LLC WWTP
e. Facility's physical address: 338 Pea Ridge Road
Address
New Hill NC 27562
City State Zip
f. Facility contact person: Jason Kaplan
First MI Last
Manager
Title
[phone] [e-mail]
Phone E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to
this ownership or name change?
• Yes
❑ No(please explain)
If applicable,the applicant shall submit a major permit modification request to DWR.A major modification shall be
defined as one that increases the volume,increases the pollutant load,results in a significant relocation of the
discharge point,or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
I. This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,or a bill of sale)is
required for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
Applicable regulations:40 CFR 122.41,40 CFR 122.61 and ISA NCAC 02H .0114
The certifications below must be completed and signed by both the permit holder prior to the change(Permittee),and the
new applicant in the case of an ownership change request. For a name change request,the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION(Permit holder prior to ownership change):
1, ,attest that this application for a name/ownership change has been reviewed and is accurate and complete to the
best of my knowledge. I understand that if all required parts of this application are not completed and that if all required
supporting information is not included,this application package will be returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I,Jason Kaplan,attest that this application for a name/ownership change has been reviewed and is accurate and complete
to the best of my knowledge. understand that if all required parts of this application are not completed and that if all
required/ r s i porting inform n is not included,this application package will be returned as incomplete.
,Z /fib
ignature Date
**************************
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST
Page 2 of 2 Revised 7/0120/4

Please print or type in the unshaded areas only
(fill-in areas are spaced for elite type,i.e., 12 characters/inch). . For Approved. OMB No. 2040-0086. Approval expires 5-31-92
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY I. EPA I.D. NUMBER
,� \, 'EPA GENERAL INFORMATION F NCD0534884097TIA
Consolidated Permits Program
GENERAL (Read the "General Instructions"before starting.) 1 2
LABEL ITEMS GENERAL INSTRUCTIONS
If a preprinted label has been provided,
I. EPA I.D. NUMBER affix it in the designated space. Review the
information carefully: if any of it is
incorrect cross through it and enter the
III. FACILITY NAME 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
PLEASE PLACE LABEL IN THIS SPACE space fists the information that should
V. FACILITY appear) please provide it in the proper fill-
MAILING LIST in area(s) below. If the label is complete
and correct you need not complete Items
I, Ill,V, and VI(except VI-B which must be
VI. FACILITY completed regardless). Complete all items
if no label has beenroved. Refer to the
LOCATION instructions for detailed item descriptions
and for the legal authorization under which
this data is collected.
II. POLLUTANT CHARACTERISTICS
IN TRU TI•N : 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 from 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.
SPECIFIC QUESTIONS MARK"XFORM SPECIFIC QUESTIONS —- _MARK"XFORM
YES NO YES NO
ATTACHED ATTACHED
A. Is this facility a publicly owned treatment works B. Does or will this facility (either existing or
which results in a discharge to waters of the ❑ ® ❑ proposed) include a concentrated animal ❑ ® ❑
U.S.?(FORM 2A) feeding operation or aquatic animal
production facility which results in a discharge
16 17 18 to waters of the U.S.?(FORM 2B) 19 20 21
C. Is this facility which currently results in ® El ® D. Is this proposal facility(other than those described ❑ ® ❑
discharges to waters of the U.S. other than in A or B above)which will result in a discharge
those described in A or B above?(FORM 2C) 22 23 24 to waters of the U.S.?(FORM 2D) 25 26 27
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) ® ❑ ❑ municipal effluent below the lowermost stratum ❑ ® ❑
containing, within one quarter mile of the well
bore, underground sources of drinking water?
28 29 30 (FORM 4) 31 32 33
G. Do you or will you inject at this facility any H. Do you or will you inject at this facility fluids for
produced water other fluids which are brought to ________, special processes such as mining of sulfer by the
the surface in connection with conventional oil or Frasch process,solution mining of minerals,in ❑ ® ❑
natural gas production, inject fluids used for situ combustion of fossil fuel,or recovery of
enhanced recovery of oil or natural gas, or inject geothermal energy?(FORM 4)
fluids for storage of liquid hydrocarbons?
(FORM 4) 34 35 36 l 37 38 39
I. Is this facility a proposed stationary source I J. Is this facility a proposed stationary source
which is one of the 28 industrial categories listed which is NOT one of the 28 industrial categories
in the instructions and which will potentially emit ® ❑ ❑ listed in the instructions and which will potentially ❑ ® ❑
100 tons per year of any air pollutant regulated emit 250 tons per year of any air pollutant
under the Clean Air Act and may affect or be regulated under the Clean Air Act and may affect
located in an attainment area? FORM 5 40 41 42 or be located in an attainment are? FORM 5 43 44 45
III. NAME OF FACILITY
c SKIP Moncure Holdings West, LLC WWTP
1
15 16-29 30 69
W. FACILITY CONTAC111111
A. NAME&TITLE(last, first, &title) B.PHONE(area code&no.)
2 Kaplan, Jason, Manager 303 516 3478
15 16 45 46 48 49 51 52 55
V. FACILITY MAILING ADDRESS
A.STREET OR P.O. BOX
c 338 Pea Ridge Road
15 16 45
B.CITY OR TOWN C.STATE D.ZIP CODE
a New Hill NC 27562
15 16 40 41 42 47 51
VI. FACILITY LOCATION
A.STREET,ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
• c 338 Pea Ridge Road
15 16 45
B.COUNTY NAME
Chatham
46 70
C.CITY OR TOWN D. STATE _ E.ZIP CODE F.COUNTY CODE
c New Hill NC 27562 019
6
15 16 40 41 42 47 51 52 54
Er% FORM 3510-I (8-90) CONTINUED ON REVERSE

CONTINUED FROM THE FRONT
VII. SIC CODES 4-di•it, in order of priorit
A.FIRST B.SECOND
c 2824 (specify) 7 2821 (specify)
s16 17 Manmade Organic Fibers, except s ,s ,s Plastics, Materials, Synthetic Resins and
Cellusoic Nonvulcanizable Elastomers
C.THIRD D.FOURTH
c (specify) 7 (specify)
7 7
15 16 17 15 16 19 .
VIII. OPERATOR INFORMATION
A.NAME B.Is the name listed in Item
c Moncure Holdings West, LLC formerly DFTDuralFiber Technologies, inc. VIII-A also the owner?
8 ® YES ❑NO
18 19 55
C.STATUS OF OPERATOR(Enter the appropriate letter into the answer box;if"Other,"specify.) D.PHONE area code&no.)
F=FEDERAL M=PUBLIC(other than federal or state) p (specify) C 303 1 I 516 3478
S=STATE 0=OTHER(specify)
P=PRIVATE 56 15 16 18 19 21 22 25
E.STREET OR PO BOX
338 Pea Ridge Road
26 55
F.CITY OR TOWN G.STATE H.ZIP CODE IX. INDIAN LAND
C New Hill NC 27562 Is the facility located on Indian lands?
B ❑YES ® NO
15 16 40 42 42 47 51
X. EXISTING ENVIRONMENTAL PERMITS Millill
A.NPDES(Discharges to Surface Water) D.PSD(Air Emissions from Proposed Sources)
9 N I NC0001899 s P 8
15 16 17 18 30 15 16 17 18 30
B.UIC(Underground Injection of Fluids E.OTHER(specify) (Specify)
C T I c
T 8 WQ0023197 WTP Alum Residuals
s U s Land Application
15 16 17 18 30 15 16 17 18 30 p p
Program Permit
C.RCRA(Hazardous Wastes) E.OTHER(specify) (Specify)
c R NC0053488409 s T 88 NCS000100 NPDES Stormwater
9 15 16 17 18 30 15 16 17 18 30 Permit
XI. IMAFIIIIIIIIIIIIIIIIIII
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 ma. area. See instructions for .recise re.uirements.
XII. NATURE OF BUSINESS •rovide a brief descri•tion
A chemical plant engaged in the manufacture of industrial of synthetic polyester fiber and organic polyester resin
previously owned and operated on the site. This process facility is now being demolished. The administration
building, cafeteria, locker room, rest rooms and general storage warehouses will remain but currently are
unoccupied except for demolition crew and security staff. The site will be re-purposed following demolition and
a permit modification requested once knowledge of future waste components is available.
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.SIGNA URE i C.DATE SIGNED
Jason Kaplan, Manager ;w-� `C L� �L/
COMMENTS FOR OFFICIAL USE ONLY
C
C
15 16 55
EPA FORM 3510-1 (8-90)

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(1)Stormwater Ditch (7)Spill Lagoon(650,000 gallon capacity) (13)Alum Settling Pond(300,000 gallon capacity)
(2)Stormwater/Spill Basin(480,000 gallon capacity) (8)Aeration basin(650,000 gallon capacity) (14)Alum Settling Pond(500,000 gallon capacity)
(3)Water treatment plant (9)Effluent Contact Chamber(5,500 gallon capacity) (15)Fire Pump House
(4)Fire Pond(1.2 million gallon capacity) (10)Clarifier(18,500 gallon capacity) (16)Process Influent Mixing Chamber(1,200 gallon capacity)
(5)Fire Pond(1.2 million gallon capacity) (11)Polishing Pond(1,000,000 gallon capacity) (17)Trailer
(6)WWTP Office Building (12)Drying bed(20'X 8'X 50') (18)Distance/location between intake and outfall?' 4,900
feet

EPA I.D.NUMBER(copy from Item l ofl•brm I) Form Approved.
NCD053488409 OMB No.2040-0086.
Please print or type in the unshaded areas only. Approval expires 3-31-98.
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
2C EPAEXISTING 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
Om) 1.DEG. 2 MIN 3 SEC. 1.DEG. 2 MIN 3.SEC. D.RECEIVING WATER(name)
001 35 37 1 -79 3 25 Haw River
002 35 37 0 -79 2 36 Shaddox Creek
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.(lent) a.OPERATION(list) (Include units) a.DESCRIPTION TABLE 2C-1
Stormwater Screening,l-T Activated Sludge 3-A,
001 36,300 GOD Sedimentation 1 J, Disinfection (Chlorine)2 F
Sanitary same as above
500 GOD
Process Water Treatment Sedimentation
0 GOD
Process (Currently Being Demolished) 0 CPD Same as sanitary
Stormwater Sedimentation, then through WWTP currently
002 45,318 GPD
OFFICIAL USE ONLY(effluent guidelines cub-categories)
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 following tahle) 1Z1 NO(go to Section UI)
3.FREQUENCY 4.FLOW
a.DAYS PER B.TOTAL VOLUME
2 OPERATION(s) WEEK b MONTHS a FLOW RATE(in raga) (rp.cifi It oh onus)
1 OUTFALL CONTRIBUTING FLOW (spect6. PER YEAR 1 LONG TERM 2 MAXIMUM 1 LONG TERM 2.MAXIMUM C.DURATION
NUMBER((iv) ((ist) average') (.u'l eifcuuceage) AVERAGE DAILY AVERAGE DAILY (In Jou I
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 Item Ill-B) ❑NO(go to Section IV)
B.Are the limitations in the applicable effluent guideline expressed in terms of production(or other measure of operation)?
❑YES(complete Item Ill-I) 1Z1 NO(go to Section IV)
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. (list outfall numbers)
(ipeci ft')
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(complete the following table) 71 NO(go to Item IV-H)
1.IDENTIFICATION OF CONDITION, 2.AFFECTED OUTFALLS 4.FINAL COMPLIANCE DATE
3 BRIEF DESCRIPTION OF PROJECT
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(copvfrom Item I ofl•Orm I)
CONTINUED FROM PAGE 2 NCD053488409
V.INTAKE AND EFFLUENT CHARACTERISTICS
A,B.&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
NONE N/A
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 pollutants below.) NO(go to Item VI-H)
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(identifi.the test(.)and describe their purposes below) ❑NO(go to Section iii!)
Chronic Toxicity (ceriodaphnia 30.94=1
April, 2011 Pass
July, 2011 Pass
October, 2011 Pass
April, 2012 Pass
July, 2012 Pass
January, 2013 Pass
April, 2013 Pass
June, 2013 Pass
April, 2014 Pass
July, 2014 Pass
July, 2015 Pass
October, 2015 Pass
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 of,and pollutants analysed by. ❑NO(go to Section IX)
each such laboratory or firm below)
A.NAME B.ADDRESS C.TELEPHONE D.POLLUTANTS ANALYZED
(area code&no.) (list)
Pace Analyr.i.cal.
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.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(ripe or mint) B.PHONE NO.(area code&no.)
Jason Kaplan, Manager, Moncure Holdings West, LLC (303) 516-3478
C.SIGNAT D.DATE SIGNED
i - 7.2 //
EPA F m 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 Item I ofI•'orn/)
on separate sheets(use the same format)instead of completing these pages. NCD 0 5 3 4 8 8 4 0 9
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C)
o di
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 fl-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
(t) (1) d.NO.OF a.CONCEN- (11 - - 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
7.8 1.0 4.9 0.5 2.51 0.5 40 mg/1 lb/day
Demand MOM
b.Chemical Oxygen
Demand(t H)n)
c.Total Organic Carbon
(fix')
d.Total Suspended
Solids(/S.'i) 14.6 7.2 9.4 2.3 5.55 1.01 40 mg/1 lb/day
e.Ammonia(as N) 6.9 3.5 6.9 2.3
VALUE VALUE VALUE VALUE
f.Flow 0.118 MGD 0.066 MGD 135
g.Temperature VALUE VALUE VALUE VALUE
(wailer) 19.5 17.2 73 °C
h.Temperature VALUE VALUE VALUE VALUE
(mourner) 2 8.8 25.4 6 2 °C
MINIMUM MAXIMUM MINIMUM MAXIMUM
i.pH 6.78 8.8 6.78 1 8.8 z ;' 135 STANDARD UNITS "-; ,t
y
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 (f available) (if available) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(rfavailable) 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
d.Fecal Coliform
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 (if available) ({f available) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (11 (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
Of available) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
g.Nitrogen,
Total Organic(as
N)
h.Oil and
Grease
i.Phosphorus
(as P),Total
(7723-14-0)
j.Radioactivity
(1)Alpha,Total
(2)Beta,Total
(3)Radium,
Total
(4)Radium 226,
Total
k.Sulfate
(as SU,)
(14808-79-8)
I.Sulfide
(as S)
m.Sulfite
(as So 1,)
(14265-45-3)
n.Surfactants
o.Aluminum,
Total
(7429-90-5)
p.Barium,Total
(7440-39-3)
q.Boron,Total
(7440-42-8)
r.Cobalt,Total
(7440-48-4)
s.Iron,Total
(7439-89-6)
1.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
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(copy from lbem I o/Fo-n I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NCD053488409 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(al!7 pages)for each outfall. See instructions for
additional details and requirements.
2.MARK"X" 3.EFFLUENT 4.UNITS 5.INTAKE(opuonol)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. b. c a.MAXIMUM DAILY VALUE ((/'available) VALUE((/available) 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 (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
DIOXIN
2,3,7,8-Tetra- DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin(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
ANDa. b c a.MAXIMUM DAILY VALUE ((/available) VALUE((/available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
((J 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
1V.Accrolein
(107-02-8)
2V.Acrylonitrile
(107-13-1)
3V.Benzene
(71-43-2)
4V.Bis((7doro-
methVl)Ether
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon
Tetrachloride
(56-23-5)
7V.Chlorobenzene
(108-90-7)
8V.Chlorodi-
bromomethane
(124-48-1)
9V.Chloroethane
(75-00-3)
10V.2-Chloro-
ethylvinyl Ether
(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)
16V.1,1-Dichloro-
ethylene(75-35-4)
17V.1,2-Dichloro-
propane(78-87-5)
1BV.1,3-Dichloro-
propylene
(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 (if available) VALUE(t 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—VOLATILE COMPOUNDS(continued)
22V.Methylene
Chloride(75-09-2)
23V.1,1,2,2-
Tetrachloroethane
(79-34-5)
24V.Tetrachloro-
ethylene(127-18-4)
25V.Toluene
(108-88-3)
26V.1,2-Trans-
Dichloroethylene
(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
(75-69-4)
31V.Vinyl Chloride
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1 A.2-Chlorophenol
(95-57-8)
2A.2,4-Dichloro-
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-
phenol(51-28-5)
6A.2-Nitrophenol
(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-T rich loro-
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 I b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a. b c a.MAXIMUM DAILY VALUE (if available) VALUE((/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
1B.Acenaphthene
(83-32-9)
2B.Acenaphtylene
(208-96-8)
3B.Anthracene
(120-12-7)
4B.Benzidine
(92-87-5)
5B.Benzo(a)
Anthracene
(56-55-3)
68.Benzo(a)
Pyrene(50-32-8)
7B.3,4-Benzo-
fluoranthene
(205-99-2)
8B.Benzo(glrr)
Perylene(191-24-2)
9B.Benzo(k)
Fluoranthene
(207-08-9)
106.Bis(2-C'hlara-
erhoxy)Methane
(111-91-1)
11B.Bis(L('hlaru-
erhy!)Ether
(111-44-4)
128.Bis(2-
('hlaruieaprapy'l)
Ether(102-80-1)
138.Bis(2-1..rhyl-
hex!)Phthalate
(117-81-7)
148.4-6romophenyl
Phenyl Ether
(101-55-3)
158.Butyl Benzyl
Phthalate(85-68-7)
168.2-Chloro-
naphthalene
(91-58-7)
17B.4-Chloro-
phenyl Phenyl Ether
(7005-72-3)
188.Chrysene
(218-01-9)
19B.Dibenzo(a,h)
Anthracene
(53-70-3)
208.1,2-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 ((invadable) VALUE(I-available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.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)
22B.1,4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benzidine(91-94-1)
248.Diethyl
Phthalate(84-66-2)
25B.Dimethyl
Phthalate
(131-11-3)
26B.Di-N-Butyl
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-
benzene)(122-66-7)
31B.Fluoranthene
(206-44-0)
32B.FIuorene
(86-73-7)
33B.Hexachloro-
benzene(118-74-1)
34B.Hexachloro-
butadiene(87-68-3)
35B.Hexachloro-
cyclopentadiene
(77-47-4)
36B Hexachloro-
ethane(67-72-1)
37B.Indeno
(1,2,3-cd)Pyrene
(193-39-5)
38B,Isophorone
(78-59-1)
39B.Naphthalene
(91-20-3)
40B.Nitrobenzene
(98-95-3)
41B.N-Nitro-
sodimethylamine
(62-75-9)
42B.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(r/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(comrrnued)
43B.N-Nitro-
sodiphenylamine
(86-30-6)
44B.Phenanthrene
(85-01-8)
456.Pyrene
(129-00-0)
46B.1,2,4-Tri-
chlorobenzene
(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin
(309-00-2)
2P.u-BHC
(319-84-6)
3P.p-BHC
(319-85-7)
4P.y-BHC
(58-89-9)
5P.ti-BHC
(319-86-8)
6P.Chlordane
(57-74-9)
7P.4,4'-DOT
(50-29-3)
8P.4,4'-DDE
(72-55-9)
9P.4,4'-DDD
(72-54-8)
10P.Dieldrin
(60-57-1)
11P.u-Enosulfan
(115-29-7)
12P.Il-Endosulfan
(115-29-7)
13P.Endosulfan
Sulfate
(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(copy from Item I al Farm I) OUTFALL NUMBER
NCD053488409 001
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 (i/available) VALUE(ii available) 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—PESTICIDES(continued)
17P.Heptachlor
Epoxide
(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
(12672-29-6)
23P.PCB-1260
(11096-82-5)
24P.PCB-1016
(12674-11-2)
25P.Toxaphene
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

EPA I.D.NUMBER(copy from Item I o1I'orm I) Form Approved.
NCD053488409 OMB No.2040-0086.
Please print or type in the unshaded areas only. Approval expires 3-31-98.
FORM U.S.U.S.ENVIRONMENTAL PROTECTION AGENCY
2C ��EPA EXISTING MANUFACTURINGAPPLICATIONFOR PERMIT TO DISCHARGE WASTEWATER
COMMERCIAL,,MINING AND SILVICULTURE OPERATIONS
NPDES Consolidated Permits Program
1.0lJTFALI )CA1-10N111111111111111111.11111.1111111111111111.11111.11.111111
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
(list) 1 DEG. 2.MIN. 3.SEC. 1.DEG. 2.MIN. 3 SEC. D.RECEIVING WATER(name)
001 35 37 1 -79 3 25 Haw River
002 35 37 0 -79 2 36 Shaddox Creek
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.(Ira) a.OPERATION(list) (include units) a.DESCRIPTION TABLE 2C-1
Stormwater
001 36,300 GPD
Sanitary 500 G_..
Process water Treatment
0 G2D
Process (Currently dein Demolished) 0 320
Stormwater
002 45,318 G2D
OFFICIAL USE ONLY(effluent guidelines sub-categories)
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 following table) 17:1 NO(go to Section III)
3.FREQUENCY 4 FLOW
a.DAYS PER B.TOTAL VOLUME
2.OPERATION(s) WEEK b MONTHS a FLOW RATE(m m¢d) (vv.& emrt()
1 OUTFALL CONTRIBUTING FLOW (pxnfi- PER YEAR 1 LONG TERM 2.MAXIMUM 1 LONG TERM 2.MAXIMUM C.DURATION
NUMBER(ha) (her) mrroge) (yxq/i.aserage) AVERAGE DAILY AVERAGE DAILY (m days)
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 Item III-B) ❑NO(go to Section IV)
B Are the limitations in the applicable effluent guideline expressed in terms of production(or other measure of operation)?
❑YES(complete Item llI-(') 0 NO(go to Section IV)
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. (lest outfall numbers)
(specify)
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(complete the follow urg table) ©NO(go to Item IV-H)
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(eopv from hem I of h nrm I)
CONTINUED FROM PAGE 2 NCD053488409
V.INTAKE AND EFFLUENT CHARACTERISTICS1111.1.111111111111111111.11111
A,B,&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
NONE N/A
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 pollutants below) IZI NO(go to Item VI-H)
EPA Form 3510-2C(8-90) PAGE 3 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII.BIOLOGICAL TOXICITY TESTING DA-A111111111111.11111111111.111
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(identifi.the test(.)and describe their purposes below) ❑NO(go to Section UM)
Tests were conducted in July and October for chronic toxicity on a Pass/Fail basis. Results for both July and
October were "Pass."
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 of and pollutants analysed hi. WI NO(go to Section IX)
each such laboraton'or firm below)
A.NAME B.ADDRESS C.TELEPHONE D.POLLUTANTS ANALYZED
(area code&no.) (fist)
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.1 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(ripe or print) B.PHONE NO.(area rode&no.)
Jason Kaplan, Manager, Moncure Holdings West, LLC (303) 516-3478
C.SIGN E D.DATE SIGNED
272 /16
EPA Form 3510-2C(5-90) 6 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 hem I o/'Form I)
on separate sheets(use the same format)instead of completing these pages. NCDO 5 3 4 8 8 4 0 9
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C) DZ
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{/blank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (if(trailable) (if available) AVERAGE VALUE
F
1.POLLUTANT ANALOYSOES F aTROATION b.MASS NCEN- (1) ANALYSES
a.
CONCENTRATION (2)MASS
a.Biochemical Oxygen
Demand(BOD)
b.Chemical Oxygen
Demand(('GU)
c.Total Organic Carbon
(IOC)
d.Total Suspended
Solids(1S,$)
e.Ammonia(us N)
VALUE VALUE VALUE VALUE
f.Flow 0 0 2 5
g.Temperature VALUE VALUE VALUE VALUE
(winter) 15 °C
h.Temperature VALUE VALUE VALUE VALUE
(summer) 10 °C
MINIMUM MAXIMUM MINIMUM MAXIMUM y ro •
Sa�'
i.pH 6.9 8.1 (,9 8.1 _ 25 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) ({/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
Residual
c.Color
d.Fecal Coliform
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(apnaaal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
AND a b a.MAXIMUM DAILY VALUE ({/available) (if available) AVERAGE VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
avarlabc) PRESENT ABSENT CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
g.Nitrogen.
Total Organic(as
N)
h.Oil and
Grease
i.Phosphorus
(as P),Total
(7723-14-0)
j.Radioactivity
(1)Alpha,Total
(2)Beta,Total
(3)Radium,
Total
(4)Radium 226.
Total
k.Sulfate
(as SO,)
(14808-79-8)
I.Sulfide
(ue 5)
m.Sulfite
(ask),)
(14265-45-3)
n.Surfactants
o.Aluminum,
Total
(7429-90-5)
p.Barium,Total
(7440-39-3)
q.Boron.Total
(7440-42-8)
r.Cobalt.Total
(7440-48-4)
s.Iron,Total
(7439-89-6)
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
(7440-32-6)
EPA Form 3510-2C(8-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(copy from hem I ofForm I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NCD053488409 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
ANDa 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
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
DIOXIN
2,3,7,8-Tetra- DESCRIBE RESULTS
chlorodibenzo-P-
Dioxin(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(opiunal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
AND a b c a.MAXIMUM DAILY VALUE (rfavailable) VALUE(i[avartable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- 111 b.NO.OF
(rf urwi/ahle) 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)
3V.Benzene
(71-43-2)
4V.Bis(Chloru-
merhil)Ether
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon
Tetrachloride
(56-23-5)
7V.Chlorobenzene
(108-90-7)
8V.Chlorodi-
bromomethane
(124-48-1)
9V.Chloroethane
(75-00-3)
10V.2-Chloro-
ethylvinyl Ether
(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)
16V.1,1-Dichloro-
ethylene(75-35-4)
17V.1,2-Dichloro-
propane(78-87-5)
18V.1.3-Dichloro-
propylene
(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 (i/available) VALUE(i/available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(IJ 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(continued)
22V.Methylene
Chloride(75-09-2)
23V.1,1,2,2-
Tetrachloroethane
(79-34-5)
24V.Tetrachloro-
ethylene(127-18-4)
25V.Toluene
(108-88-3)
26V.1,2-Trans-
Dichloroethylene
(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
(75-69-4)
31V.Vinyl Chloride
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol
(95-57-8)
2A.2,4-Dichloro-
phenol(120-83-2)
{
3A.2,4-Dimethyl-
phenol(105-67-9)
4A.4,6-Oinitro-O-
Cresol(534-52-1)
5A.2,4-Dinitro-
phenol(51-28-5)
6A.2-Nitrophenol
(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-
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 a b. c a.MAXIMUM DAILY VALUE (ijavailable) VALUE(ijavailable) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- b.NO.OF
javallable 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—BASE/NEUTRAL COMPOUNDS
18.Acenaphthene
(83-32-9)
28.Acenaphtylene
(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.3,4-Benzo-
8uoranthene
(205-99-2)
8B.Benzo(gh1)
Perylene(191-24-2)
98.Benzo(k)
Fluoranthene
(207-08-9)
10B.Bis
e1/iaxv)Methane
(111-91-1)
11B.Bis
r1/ni)Ether
(111-44-4)
12B.Bis(2-
(hloroisaprapyl)
Ether(102-80-1)
138.Bis(2-1iihyl-
hexyl)Phthalate
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether
(101-55-3)
158.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(u,h)
Anthracene
(53-70-3)
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(apnonal)
•
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 (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)
228.1,4-Dichloro-
benzene(106-46-7)
238.3,3-Dichloro-
benzidine(91-94-1)
24B.Diethyl
Phthalate(84-66-2)
258.Dimethyl
Phthalate
(131-11-3)
26B.Di-N-Butyl
Phthalate(84-74-2)
278.2,4-Dinitro-
toluene(121-14-2)
28B.2,6-Dinitro-
toluene(606-20-2)
29B.Di-N-Octyl
Phthalate(117-84-0)
308.1,2-Diphenyl-
hydrazine(as Azo-
benzene)(122-66-7)
318.Fluoranthene
(206-44-0)
328.Fluorene
(86-73-7)
33B.Hexachloro-
benzene(118-74-1)
348.Hexachloro-
butadiene(87-68-3)
35B.Hexachloro-
cyclopentadiene
(77-47-4)
36B Hexachloro-
ethane(67-72-1)
378.Indeno
(1,2,3-rte Pyrene
(193-39-5)
38B.Isophorone
(78-59-1)
398.Naphthalene
(91-20-3)
40B.Nitrobenzene
(98-95-3)
418.N-Nitro-
sodimethylamine
(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 (tfavailable) VALUE(If available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(((avai/able) 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)
440.Phenanthrene
(85-01-8)
45B.Pyrene
(129-00-0)
46B.1.2,4-Tri-
chlorobensene
(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin
(309-00-2)
2P.a-BHC
(319-84-6)
3P.)l-BHC
(319.85-7)
4P.y-BHC
(58-89-9)
5P.b-BHC
(319-86-8)
6P.Chlordane
(57-74-9)
7P.4,4'-DDT
(50-29-3)
8P.4.4'-DDE
(72-55-9)
9P.4,4'-DDD
(72-54-8)
10P.Dieldrin
(60-57-1)
11P.u-Enosulfan
(115-29-7)
12P.p-Endosulfan
(115-29-7)
13P.Endosulfan
Sulfate
(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(copy from Item I of lorm I) OUTFALL NUMBER
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
AND a b. c a.MAXIMUM DAILY VALUE ((f available) VALUE(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(ifaratlahle) 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)
17P.Heptachlor
Epoxide
(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
(12672-29-6)
23P.PCB-1260
(11096-82-5)
24P.PCB-1016
(12674-11-2)
25P.Toxaphene
(8001-35-2)
EPA Form 3510-2C(8-90) PAGE V-9

' EPA ID Number(copy from Item I of Form 1)
NCD 0 5 3 4 8 8 4 0 9 Form Approved. OMB No.2040-0086
Please print or type in the unshaded areas only. Approval expires 5-31-92
U.S.Environmental Protection Agency
Washington,DC 20460
2F FORMTqj"'/EPA Application for Permit to Discharge Storm Water
NPDES Discharges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 28.6 hours per application,including time for reviewing instructions,searching existing data sources,
gathering and maintaining the data needed,and completing and reviewing the collection of information.Send comments regarding the burden estimate,any other aspect
of this collection of information, or suggestions for improving this form, including suggestions which may increase or reduce this burden to: Chief, Information Policy
Branch, PM-223, U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW,Washington, DC 20460, or Director,Office of Information and Regulatory
Affairs,Office of Management and Budget,Washington,DC 20503.
I.Outfall Location11111.11111.1
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 D.Receiving Water
(list) B.Latitude C.Longitude (name)
002 35.00 37.00 0.00 -79.00 2.00 36.00 Shaddox Creek
II.
11111311)1/ement. MIEMEIMINIMMI
A. Are you now required by any Federal, State, or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application?This includes,but is not limited
to,permit conditions,administrative or enforcement orders,enforcement compliance schedule letters,stipulations,court orders,and grant or loan conditions.
2.Affected Outfalls 4.Final
1.Identification of Conditions, Compliance Date
Agreements,Etc. number source of discharge 3.Brief Description of Project a.req. b.prof.
B:You may attach additional sheets describing any additional water pollution(or other environmental projects which may affect your discharges)you now have under
way or which you plan.Indicate whether each program is now under way or planned,and indicate your actual or planned schedules for construction.
III.Site Drainage Map
Attach a site map showing topography(or indicating the outline of drainage areas served by the outfalls(s)covered in the application if a topographic map is unavailable)
depicting the facility including:each of its intake and discharge structures;the drainage area of each storm water outfall;paved areas and buildings within the drainage
area of each storm water outfall,each known past or present areas used for outdoor storage of disposal of significant materials,each existing structural control measure
to reduce pollutants in storm water runoff,materials loading and access areas,areas where pesticides,herbicides,soil conditioners and fertilizers are applied;each of
its hazardous waste treatment, storage or disposal units(including each area not required to have a RCRA permit which is used for accumulating hazardous waste
under 40 CFR 262.34);each well where fluids from the facility are injected underground;springs,and other surface water bodies which received storm water discharges
from the facility.
EPA Form 3510-2F(1-92) Page 1 of 3 Continue on Page 2

Continued from the Front
W. Narrative Description of Pollutant Sources
A.For each outfall,provide an estimate of the area(include units)of imperious surfaces(including paved areas and building roofs)drained to the outfall,and an estimate of the total surface area
drained by the outfall.
Outfall Area of Impervious Surface Total Area Drained Outfall Area of Impervious Surface Total Area Drained
Number (provide units) (provide units) Number (provide units) (provide units)
002
B.Provide a narrative description of significant materials that are currently or in the past three years have been treated,stored or disposed in a manner to allow exposure
to storm water;method of treatment,storage,or disposal;past and present materials management practices employed to minimize contact by these materials with
storm water runoff;materials loading and access areas,and the location,manner,and frequency in which pesticides,herbicides,soil conditioners,and fertilizers are
applied.
Stormwater, steam condensate, air dryer condensate and fire pond overflow discharge through Outfall 002 to Shaddox Creek.
'Polyester Yarn Bale Storage: Bales have bale wraps and covers.
'Prepolymer and Flush Waste Storage: Pre-polymer is a secondary product that is stored in area 2. Flush waste is collected in
open barrels that may be accumulated on the Polymer Pad lot before being taken to area 32. Flush waste is hardened polyester
with no residual monomer. Site 3Area 2 has a concrete pad and six foot block walls on three sides. Stormwater drains to the
north end of the pad where it enters a concrete basin to allow solids to settle out. The discharge pipe from the basin is
equipped with screens to prevent solids from entering the stormwater ditch and eventually Outfall 2.
'Scrap Metal/Unusable Equipment:These materials are stored outside on the ground, with no roof or other enclosure.Moncure
Holdings West LLC. does not intend to eliminate these sources of exposure. Oil, grease or other possible pollutants from the
scrap metal and equipment have not been observed in stormwater outfalls.
*Construction Material Storage:These materials include metal pipe, electric wire, and aluminum ductwork and are stored outside
without a roof or containment. These areas drain to NPDES Outfall 002. Piping and ether supplies could have traces of oil.
C. For each outfall,provide the location and a description of existing structural and nonstructural control measures to reduce pollutants in storm water runoff;and a
description of the treatment the storm water receives,including the schedule and type of maintenance for control and treatment measures and the ultimate disposal
of any solid or fluid wastes other than by discharge.
Outfall List Codes from
Number Treatment Table 2F-1
002 The drainage system which reports to Outfall 002 includes a system of baffles and weir designed to
contain accidental spills of oil. In an emergency, flow can be contained in a holding pond and
pumped to storage or pumped to the process sewer. There are two stormwater retention ponds that
are designed to keep stormwater from leaving the plant if it. is contaminated. There is grassy and
natural areas in the vicinity of its outfalls in order to slow stormwater flow. In addition, it
has installed vegetation buffers next to certain stormwater drainage ditches and placed rip-rap in
and along drainage ditches to slow and settle particulates cut of _Cc:mwater,
V.Nonstormwater Discharges
A.I certify under penalty of law hat the outfall(s)covered by this application have been tested or evaluated for the presence of nonstormwater discharges,and that all
nonstormwater discharged from these outfall(s)are identified in either an accompanplmg Form 2C or From 2E application for the outfall.
Name and Official Title(type or print) Signature Date Signed
c4-5-,'"- 16- f(w� ! /+1KhAG ler G Z/2//6
J
B.Provide a description of the method used,the date of any testing,and the onsite drainage points that were directly observed during a test.
VI.Significant Leaks or Spills
Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three years, including the
approximate date and location of the spill or leak,and the type and amount of material released.
11115/19 Approximately 303 gallons of Used Spn.finish was released when a holding tank valve in the treatment building failed and
released product to the ground/concrete area.
3/9/14 Underground pipe and stoppel failed at the Marley Towers. FC,:00 gallons of Marley Water were released to the ground
near the Marley Towers and TPA Silos and the 002 spill basin. National Response Center was called since RQ was exceeded.
EPA Form 3510-2F(1-92) Page 2 of 3 Continue on Page 3

EPA ID Number(copy from Item 1 of Form 1)
Continued from Page 2
VII.Discharge Information
A,B,C,&D: See instructions before proceeding.Complete one set of tables for each outfall.Annotate the outfall number in the space provided.
Table VII-A,VII-B,VII-C are included on separate sheets numbers VII-1 and VII-2.
E. Potential discharges not covered by analysis—is any toxic pollutant listed in table 2F-2, 2F-3, or 2F-4, 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 pollutants below) ❑✓ No(go to Section IX)
VIII. 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(list all such pollutants below) ❑✓ No(go to Section IX)
IX.Contract Analysis Information
Were any of the analyses reported in Item VII performed by a contract laboratory or consulting firm?
❑Yes(list the name,address,and telephone number of,and pollutants ❑✓ No(go to Section X)
analyzed by,each such laboratory or firm below)
A.Name B.Address C.Area Code&Phone No. D.Pollutants Analyzed
X. 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. 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) B.Area Code and Phone No.
Jason Kaplan, Manager, Moncure Holdings West, LLC (303) 516-3978
C.Signature D.Date Si ned
0‘
EPA Fo 3510-2F(1-92) Page 3 of 3

EPA ID Number(copy from Item 1 of Form 1) Form Approved. OMB No.2040-0086
NCD053498409 Approval expires 5-31-92
VII.Discharge information(Continued from page 3 of Form 2F)
Part A—You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details.
Maximum Values Average Values
(include units) (include units) Number
Pollutant Grab Sample Grab Sample of
and Taken During Taken During Storm
CAS Number First 20 Flow-Weighted First 20 Flow-Weighted Events
(if available) Minutes Composite Minutes Composite Sampled Sources of Pollutants
Oil and Grease N/A
Biological Oxygen
Demand(BODS)
Chemical Oxygen
Demand(COD)
Total Suspended
Solids(TSS)
Total Nitrogen
Total Phosphorus
pH Minimum 6.90 Maximum 8.10 Minimum 6.90 Maximum 13.10
Part B— List each pollutant that is limited in an effluent guideline which the facility is subject to or any pollutant listed in the facility'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.
Maximum Values Average Values
(include units) (include units) Number
Pollutant Grab Sample Grab Sample of
and Taken During Taken During Storm
CAS Number First 20 Flow-Weighted First 20 Flow-Weighted Events
(if available) Minutes Composite Minutes Composite Sampled Sources of Pollutants
EPA Form 3510-2F(1-92) Page VII-1 Continue on Reverse

Continued from the Front
Part C- List each pollutant shown in Table 2F-2,2F-3,and 2F-4 that you know or have reason to believe is present.See the instructions for additional details and
requirements.Complete one table for each outfall.
Maximum Values Average Values
(include units) (include units) Number
Pollutant Grab Sample Grab Sample of
and Taken During Taken During Storm
CAS Number First 20 Flow-Weighted First 20 Flow-Weighted Events
(if available) Minutes Composite Minutes Composite Sampled Sources of Pollutants
Part D— Provide data for the storm event(s)which resulted in the maximum values for the flow weighted composite sample.
4. 5.
1. 2. 3. Number of hours between Maximum flow rate during 6.
Date of Duration Total rainfall beginning of storm measured rain event Total flow from
Storm of Storm Event during storm event and end of previous (gallons/minute or rain event
Event (in minutes) (in inches) measurable rain event specify units) (gallons or specify units)
7.Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F(1-92) Page VII-2

1
N—
`I} I I TO
STORMWATER OUTFALL 2 CREEKO%
1 _--�-------------------..0
I 1 fTT1i �—
-A
T HAW
RIVER
STORMWATER OUTFALL 3
TO
SNAODo.
CREEK
STORMWATER
OUTFALL 4
�-b
TO
SNADDO%
CREEK
FOR DETAILS IN THIS ARFA
SEE SHEET 2 OF 2
------- o STORM DRAINAGE
-- — PROCESS SEWER
— —� SANITARY SEWER
FINISH OIL rREATMENT
----b POLYMER COOLING WATER SYSTEM
— - -�— SPILL COLLECTION SYSTEM
0
go
-25
NOTES
A -WAREHOUSE
B-FIBERS PROCESSING
C-MAINTENANCE/STORES
D-SPINNING
E-POLYMER
F-UTIUTIES
G-OUALITY CONTROL
,I_
-FIRE PONDS
J-STORM WATER RETENTION CHANNEL
K-DRAINAGE TRENC14ES
I_ WASTEWATER
TREATMENT (AERATION BASIN)
M-SPCC EQUIPMENT BLDG (EMERGENCY VEHICLES)
N-SPILL COLLECTION BASIN
0-BEAM CLEANING BUILDING
P-NOT USED
0- PROCESS WATER TREATMENT PUNT
R-M51 STORAGE BLDG
5
-
AD
M
INISTRATION SLOG
T-STORM WATER RETENTION POND
U-POLYMER AUXILMRY SWITCHGEAR BUILDING
V-ENGINEERING BUILDING ANNEX
1-FUEL OIL TANK (AREA 1)(VT-45)
?-FUEL OIL TANKS (AREA 2)(Vr-14.30.44HT-8)
3-GLYCOL TANKS(VT-19,20,34)
4-DOWTHERM TANKS(HT-1,2.3)
5-DIESEL OIL TANKS(HT-22.23)
6-CAUSTIC TANKS(Vr-235)
7-SPIN FINISH TREATMENT TANKS
8' DRUM STORAGE FACILITY
9-MARIEY TOWERS (TW-2 at TW-3)
10-GASOLINE/DIESEL TANKS (HT-15.16,2')
tl-DIPA TANK(VT-78)
12-TPA BINS(Vr-31,32,33)
13-TRANSFORMERS TF-1.2.11.22
14-TRANSFORMERS TF-3, 4,13. 14
15-TRANSFORMERS TF-5.6,7,8,75,16,17,IR,19,?O.7S,76
16-TRANSFORMER TF-9
17-TRANSFORMERS TF-10.12
18-TRANSFOMERS TF-21.23.24
19-BLDG 11 CHEWAL/UNNERSAL WASTE STORAGE
20-OC CHEMICAL STORAGE ROOM
21-EG rANKS (HT-10.11.25)
22-HAZARDOUS WASTE SATELLITE ACCUMULATION POINT
23-VT-97 FINISH OIL TANK
24-1Y1-5 h TW-6 COOLING LOWERS
25-MAIN PROPANE TANK (HT-14)
26-WALL PROPANE. TANKS
27-MSI GAS CYLINDER STORAGE
28-ENCLOSED FINISH STORAGE (DRUMS)
29-NITROGEN STORAGE TANK
3D-TRANSFORMERS TF-27,28
31-OIL MIST AIR POLLUTION CONTROL (OME)
32-PROPANE VAPORIZER (ME-555)
33-SFG RECOVERY BEDS
34 - HT- 28
SAFETY FIRST
APPROVED FOR SAFETY BY
W.L BOYFR tl/09/95
PLOT O 1-1 CAD DWG
WATERFLOW DIAGRAM
SHEET 1 OF 2
Per form once: Fiber - —R
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DIS('H AR6E HAW
NO 002 RIVER
(1A GPU)
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V 1-3 1, E

EFFLUENT page 2 of 5
NPDES PERMIT NO: NC0001899 DISCHARGE NO: 001 MONTH Jan YEAR 2014
FACILITY NAME: PERFORMANCE FIBERS,INC. CLASS II COUNTY CHATHAM
OPERATOR IN RESPONSIBLE CHARGE(ORC) U Larry Murray GRADE II PHONE [phone]
CERTIFIED LABORATORIES Pace Anal cal
CHECK BOX IF ORC HAS CHANGED J PERSONS COLLECTING SAMPLES Larry Murray
Mail ORIGINAL and ONE COPY to: X
ATTN: CENTRAL FILES (SIGNATURE OF ORC) DATE
DIVISION OF WATER RESOURCES BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH,NC 27699-1617
34205 34200 34215 34220 34235 34526 34230 34242 34247 39100 32102 34301 34311 34316 34586
D 3,4 BENZO(k) BIS(2-E 0
A BENZO(a) BENSOFL FLOUOR BENZO(a) THYLHEX CARBON A
T ACENAP ACENAP ACRYLON ANTHRA BENZENE ANTHRA UORANT ANTHENE PYRENE YL)PHTH TETRAC- CHLORO CHLORO CHLORO 2 CHLORO T
E HTHENE HTHYLE NITRILE GENE CENE HENE ALATE HLORIDE BENZENE ETHANE FORM PHENOL E
NE
8
Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d a
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 _ 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
AVG 0 0 0 0 0 0 AVG
MAX 0 0 0 0 0 0 MAX
MIN 0 0 0 0 0 0 MIN
C/G GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB C/G
DY 0.004 0.004 0.015 0.004 0.009 0.004 0.004 0.004 0 004 0.017 0.002 0.002 0.017 0.003 0.006 DY
MO 0.001 0.001 0.006 0.001 0.002 0.001 0.001 0.001 0.001 0.006 0.001 0.001 0.007 0.001 0.002 MO
DWQ Form MR-1(01100)

EFFLUENT page 3 of 5
NPDES PERMIT NO: NC0001899 DISCHARGE NO: 001 MONTH Jan YEAR 2014
FACILITY NAME: PERFORMANCE FIBERS,INC. CLASS II COUNTY CHATHAM
OPERATOR IN RESPONSIBLE CHARGE(ORC) U Larry Murray GRADE II PHONE [phone]
CERTIFIED LABORATORIES Pace Analytical
CHECK BOX IF ORC HAS CHANGED I I PERSONS COLLECTING SAMPLES Larry Murray
Mail ORIGINAL and ONE COPY to: X
ATTN: CENTRAL FILES (SIGNATURE OF ORC) DATE
DIVISION OF WATER RESOURCES BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH,NC 27699.1617
34320 34336 34536 34566 34571 34496 32103 34501 34546 34601 34541 34561 34336 34606 34341
D D
A DI-N-BUTH 1,2 1,3 1,4 1,1 1,2 1,1 1,2 2,4 1,2 1,3 2,4 A
T CHRYSENE YL PH DICHLOR DICHLOR DICHLOR DICHLO DICHLOR DICHLOR trans-DI DICHLORO DICHLOR DICHLOR DIETHYL DIMETHYL DIMETHYL T
E THALATE OBENZE OBENZE OBENZE ROETHA OETHA OETHY CHLORO PHENOL DPROPANE OPROPY PHTHA PHENOL PHATHA E
NE NE NE NE NE LENE ETHYLENE LENE LATE LATE
1S Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d I
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
AVG 0 0 0 0 0 0 0 0 AVG
MAX 0 0 0 0 0 0 0 0 MAX
MIN 0 0 0 0 0 0 0 0 MIN
C/G GRAB GRAB , GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB C/G
DY 0.004 0.004 0010 0 003 0.002 0.004 0.013 0 002 0.003 0.007 0.014 0.003 0.013 0.002 0 003 DY
MO 0.001 0.002 0.005 0.002 0.001 0.001 0.004 0.001 0.001 0.002 0.010 0.002 0.005 0.001 0.001 _ MO
DWO Form MR-1(01/00)

EFFLUENT page 4 of 5
NPDES PERMIT NO: NC0001899 DISCHARGE NO: 001 MONTH Jan YEAR 2014
FACILITY NAME: PERFORMANCE FIBERS,INC. CLASS II COUNTY CHATHAM
OPERATOR IN RESPONSIBLE CHARGE(ORC) U Larry Murray GRADE II PHONE [phone]
CERTIFIED LABORATORIES Pace Analytical
CHECK BOX IF ORC HAS CHANGED I I PERSONS COLLECTING SAMPLES Larry Murray
Mail ORIGINAL and ONE COPY to: X
ATTN: CENTRAL FILES (SIGNATURE OF ORC) DATE
DIVISION OF WATER RESOURCES BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH,NC 27699-1617
34657 34616 34611 34626 34371 34376 34381 39700 39702 34396 34418 34423 34696 34447 34591
D 0
A 4,6 2,4 2,4 2,6 ETHYL FLUOR FLUO HEXA HEXA HEXA METHYL METHY NAPT NITRO 2 A
T DINITRO- DINITRO DINITRO DINITRO BENZENE ANTHENE ENE CHLORO CHLORO CHLORO CHLOR LENE THAL BEN NITRO T
E 0 PHENOL TOLUENE TOLUENE BENZENE BUTTAD ETHANE IDE CHLO ENE ZENE PHENOL E
CRESOL IENE RIDE
# Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d 6
1 1
2 2
•
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 _ 10
11 11
12 12
13 13
14 14
15 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 15
16 16
17 17
1818
19 19
20 20
21 21
22 22
23 23
24 24
2525
26 26
27 27_
28 28
29 29
30 30
31
AVG 0 0 0 0 0 AVG
MAX 0 0 0 0 0 MAX
MIN 0 0 0 0 0 MIN
C/G GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB CIG_
DY 0 017 0 008 0 018 0.040 0 007 0.004 0 004 0.002 0.003 0.003 0.012 0.006 0.004 0 004 0.004 DY
MO 0.005 0.004 0.007 0.016 0.002 0.002 0.001 0.001 0.001 0.001 0.005 0.003 0.001 0.002 0.003 MO
DWG Form MR-1(01100)

EFFLUENT page 5 of 5
NPDES PERMIT NO: NC0001899 DISCHARGE NO: 001 MONTH Jan YEAR 2014
FACILITY NAME: PERFORMANCE FIBERS,INC. CLASS II COUNTY CHATHAM
OPERATOR IN RESPONSIBLE CHARGE(ORC) U Larry Murray GRADE II PHONE [phone]
CERTIFIED LABORATORIES Pace Analytical
CHECK BOX IF ORC HAS CHANGED I I PERSONS COLLECTING SAMPLES Larry Murray
Mail ORIGINAL and ONE COPY to: X
ATTN: CENTRAL FILES (SIGNATURE OF ORC) DATE
DIVISION OF WATER RESOURCES BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH,NC 27699-1617
34646 34461 32730 34469 34475 34481 34551 34506 34511 39180 39175
D TETRA 1,2,4 1,1,1 1,1,2 0
A 4 PHEN CHLORO TRI TRI TRI TRI VINYL A
T NITRO ANTH PHENOL PYRENE ETHY TOLUENE CHLORO CHLORO CHLORO CHLORO CHLORIDE T
E PHENOL RENE LENE BENZENE ETHANE ETHANE ETHY E
8 Lbs/d Lbsld Lbsld Lbsld Lbs/d Lbsld Lbs/d Lbs/d Lbs/d Lbs/d Lbs/d
1 1
2 2
3 3
4 4
_ 5 5
—
6 6
7 7
8 8
9 9
10 10
1111
12 12
13 13
14 14
15 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 <0.0004 15
1616
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
AVG 0 0 0 0 0 0 0 AVG
MAX 0 0 0 0 0 0 0 MAX
MIN 0 0 0 0 0 0 0 MIN
GO GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB GRAB C/G
DY 0.008 0.004 0.002 0.004 0.004 0.005 0.009 0.003 0.003 0.003 0.017 DY
MO 0.005 0.001 0.001 0.002 0.001 0.002 0.004 0.001 0.001 0.001 0.007 MO
DWG Form MR-1(01100)

I. Facility Location
The current.Moncure Holdings West LLC. facility is located near the intersection of Highway 1 and Pea Ridge
Road.The facility's location is presented in Item XI attachment to FORM 1.
II. Plant Overview
The former DFTDura Fiber Technologies, Inc. Industrial site manufactured polyester in fiber form at its New
Hill,North Carolina facility.The primary raw materials in this manufacturing process were terephthalic acid,
ethylene glycol and fiber finish lubricants. Being that the plant is currently being demolished the only OCPSF
pollutant concerns would be residual chemical leaching from demolition debris through the scheduled June
2016 completion of demolition activitiesDFTDuraFiber Technologies has the responsibility of the site
cleanup and maintains a small work force including the site demolition contractor of approximately 20
employees. Onsite bathroom facilities to serve these employees are currently contributing sanitary flow to
the WWTP. At this time there are no planned industrial activities to rebuild or repurpose the remaining
administration,storage or office buildings on the site. All of the industrial process facilities will be demolished,
salvaged and removed by the demolition contractor. Moncure Holdings West LLC.will retain ownership of
the WWTP and Moncure Holdings LLC industrial site.
A-Outfall 001
Moncure Holdings West LLC.will continue to own, maintain and operate the wastewater treatment facility
with the following components and with final discharge through Outfall 001 to the Haw River:
1.1. The treatment components at the existing wastewater treatment facility consist of the following:
• Sanitary bar screen,grinder and lift station
• Process water lift station
• One 1,200 gallon mixing/neutralization chamber for pH adjustment
• One 650,000 gallon aeration basin with four 20 HP floating aerators
• One 18,500 gallon 20 foot diameter clarifier
• One, 1,000,000 gallon polishing pond
• One composite sampler
• One effluent flow meter
• One 1,000 SF sand drying bed
• Chlorine contact chamber(currently inactive)
1.2. The treatment components of the existing water treatment facility consist of the following:
• Conventional water treatment plant with chemical addition
• One 20,000 gallon clarifier
• Coagulant addition system
Two alum settling ponds, one 300,000, one 500,000 gallonsTwo separate pipelines transport process and
sanitary waste to the wastewater treatment plant. The process wastewater is only a factor due to the
stormwater from the demolition site as the industrial processes are nonoperational. Sanitary wastewater

Wit:hersRaveneI
comes primarily from plant restrooms, cafeteria and custodial sinks. The plant has a separate sanitary
collection system that flows to a lift station. Sanitary waste is blended in a comminutor or the comminutor
may be bypassed in the event of a mechanical failure and the flow would be directed through a bar screen.
From the lift station,the sanitary influent is pumped directly into the aeration basin.
Alum sludge from the Water Plant settling and filter backwash is discharged to the alum settling ponds. Series
flow through the ponds is discharged to the polishing pond, Discharge from the polishing ponds is combined
with the wastewater treatment plant discharge in the combined outfall to the Haw River.
B-Outfall 002
Stormwater,steam condensate,air dryer condensate and fire pond overflow discharge through Outfall 002
to Shaddox Creek.The drainage system which reports to Outfall 002 includes a system of baffles and weir
designed to contain accidental spills of oil. In an emergency, flow can be contained in a holding pond and
pumped to storage or pumped to the process sewer. Because of a spill in 2014,the DENR Raleigh Regional
Office requested that this discharge be pumped through the treatment plant. This will continue to be treated
and discharged through Outfall 001 until such time as the spill pond is considered pollutant free.
C-Item V-C Pollutants
There was no Organic Chemicals, Plastics and Synthetic Fibers(OCPSF)effluent limitations data recorded in
2015 due to the fact that the plant processes are ceased. The Discharge Monitoring Reports(DM Rs) results
for Total Suspended solids, PH,Dissolved Oxygen,flow and BODs can be found in Enclosure 3 Form 2C.
III. Historical Data Review
Historical daily data from the DM Rs were reviewed for the past four years(January 1,2014 to December 31,
2015). The last annual data from Organic Chemicals, Plastics and Synthetic Fibers (OCPSF) priority
pollutants is from 2010.The highest detection limit for these pollutants,(for pollutants that had non-detects)
was listed in the Form 2C.Additional sampling events were conducted in December 2010 and January 2011
for data analysis and inclusion in Form 2C.This data can be found in Attachment"Additional Analytical Data".
Additional charts showing all data compiled for this application can be found in Attachment "Additional
Application Data".
On November 5, 1987, EPA issued regulations establishing effluent limitations for the Organic Chemicals,
Plastics and Synthetic Fibers (OCPSF) industrial category. Provisions of Subpart C (414.31) and Subpart I
(414.90)Direct Discharge Point Sources That Use End-of-Pipe Biological Treatment are applicable to process
wastewater dischargers from the manufacture of polyester fiber and resin.OCPSF effluent guidelines are not
expressed in terms of production. No metal-bearing waste streams or cyanide-bearing waste streams listed
in Appendix A to Part 414 exist in the manufacture of polyester fibers and resin.
A-Flows

,VithersRaveneL
The average effluent (Outfall 001)from January 2015 to December 2015 is 0.039 MGD (million gallons per
day)compared to a permit limit of 0.244 MGD.
B-Chronic Toxicity
Performance Fibers is required to test the effluent (Outfall 001)for chronic toxicity once per quarter using
ceriodaphnia dubia as the test organism. The results are graded on a pass/fail basis. The following table
summarizes the results:
Month,Year Pass/Fail Result
April,2011 Pass
July,2011 Pass
October,2011 Pass
April,2012 Pass
July,2012 Pass
January,2013 Pass
April,2013 Pass
June,2013 Pass
April,2014 Pass
July,2014 Pass
July,2015 Pass
October,2015 Pass
IV. Plant Modification
There have been no major modifications of the WWTP facilities since the last permit issuance. As previously
stated DFTDuraFiber Technologies, Inc. has ceased all process operations and is currently contracting the
complete demolition of the process facilities. Moncure Holdings West, LLC has purchased the property and
has no known buyer for the industrial site. Moncure Holdings West,LLC. has purchased the WWTP facilities
with plans to modify the WWTP to accommodate offsite industrial sources as a CWT Facility in the near
future and will subsequently submit a request for NPDES modification at the appropriate time as these offsite
industrial sources are committed and WWTP upgrades completed. Until such time the existing NPDES
permit should be renewed with the current NPDES limits.
V. Sludge Management Plan
There has been no generation of waste sludge from either the Water Treatment Plant alum sludge settling
basins or the WWTP sludge drying beds in several years. Both are utilized when necessary. Alum sludge is
land applied in accordance with WQ0023197 and WWTP sludge is contracted for conveyance and disposal

,VithersRavene,
with Republic Waste Management in their Mt. Gilead North Carolina permitted landfill. Until a new
industrial source is generated at the site or other offsite industrial wastes are permitted to be treated at the
Moncure Holdings West,LLC facilities no change is proposed in the current sludge management plan.
VI. Permit Request
Moncure Holdings West,LLC is most appreciative of the assistance of the NPDES Permit Unit in preparation
of this submission package. If we can provide any further information or should you have any questions
regarding this submission,please contact either Laura Styles,P.E.or myself 919-469-3340.
Sincerely,
l
Michael C.Wicker,P.E.
Senior Technical Consultant
Enclosures: -EPA FORM 1-General Information
-EPA FORM 1-Item XI-Topographic Map
-Site Map
-EPA FORM 2C-Application for Permit to Discharge Wastewater,Existing 001
-EPA FORM 2C-Application for Permit to Discharge Wastewater,Existing 002
-EPA FORM 2F-Application for Permit to Discharge Stormwater,Existing 002
-Stormwater Drainage Map
-Water Flow Line Drawing
-Additional Analytical Data

; PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Water Resources
ENVIItONh!ENTAL QUAL11 Y
February 4, 2016
Jason Kaplan, Manager
Moncure Holdings West, LLC
282 Century Place, Suite 2000
Louisville, CO 80027
Subject: Acknowledgement of Permit Renewal
Application No. NC0001899
Moncure Holding Utility, LLC WWTP
• Chatham County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on February 04,
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 Tom
Belnick at 919-807-6390 or [e-mail].
Sincerely,
W r e-t/t/ TiA-20V-OYOL
Wren Thedford
Wastewater Branch
ii
cc: Central Files
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