NC0006190_Renewal Application_20180514

akimpoi
Telephone [phone]
South Fork Industries Inc. Fax [phone]
P.O. Box 742 100 West Pine Street Maiden, North Carolina 28650
TO: JULIE GRZYB
FROM: EVERETTE OWENS
DATE: MAY 10, 2018
RECEIVED/DENR/DWR
MAY 14 2018
Water Resources
Permitting Section
JULIE,
I would like to thank you for all your help and patience during our transition
from Delta Apparel Facility to South Fork Ind. Inc. Waste Water Facility.
We have been working hard to comply with our existing permit and getting you
the forms needed for new permitting. I am sorry that I misunderstood that we
could continue to operate under our permit when we received the name change
and letter attached. During the past year we have moved from our old facility in
Lincolnton to our new one in Maiden. During this time our ORC Wayne Kelly had
medical problems and was in and out and this process slowed our transition into
training a replacement ORC for our waste water process plant. He was able to
work with our assistant ORC and keep the plant operating properly. During the
last few months of last year he was unable to attend work as often as needed so
we recruited Donald Burkey to replace Wayne when he retired in January. Donald
is now our ORC. I know we are behind on getting you the information you
required for the new permit ,but we have all been working hard to gather the
information while getting proper personnel in place to operate our facility.

South Fork Industries employees work hard to follow all state and federal
regulations and permits. In no way would we neglect following these guidelines if
at all possible.
I have enclosed all the information we have at this time and we will provide
any missing information before the end of May. We are still waiting on two
hardness test results and the Priority Pollutant Analysis (PPA) test results to come
in next week. We will forward the test results as soon as they arrive.
Again thank you for all your help and please let me know if any further
information is required. [e-mail] 828-428-9920
EVERETTE OWENS PLANT MANAGER-OWNER

r
Please print or type in the unshaded areas only
(fill-in areas are s.aced for elite type, i.e., 12 charactershnch). For Approved. OMB No. 2040-0086. Approval expires 5-31-92
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY I. EPA I.D. NUMBER
`'/��� GENERAL INFORMATION F T/A C
Consolidated Permits Program
D
GENERAL (Read the "General Instructions"before starting.) 1 2 13 14 15
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 Sok r)fi `,,„ A”-__T,i� f,k, St �,. 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
V. FACILITY PL ASE PLACE LABEL IN THIS SPACE space lists the information that should
�Iappear), please provide it in the proper fill-
MAILING LIST f y 7 yL �n 4.'4'1 /( G �cf U in area(s) below. If the label is complete
and correct, you need not complete Items
I, III,V. and VI(except Vl-B which must be
completed regardless). Complete all items
VI. FACILITY / /' C 4 if no label has been proved. Refer to the
LOCATION /J D V't/ ! 1n G ,,t.,1,1" • - instructions for detailed item descriptions
f �/ and for the legal authorization 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 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"X" MARK
SPECIFIC QUESTIONS MARK"X"FORM
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 ❑ Ez ❑
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 28) - 19 20 21
C. Is this facility which currently results in ® ❑ DK 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
1 hazardous wastes?(FORM 3) ❑ 21 ❑ municipal effluent below the lowermost stratum ❑ cg ❑
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 ❑ 21 ❑
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? i
(FORM 4) 34 35 36 37 38 39
I. Is this facility a proposed stationary sourcet 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 ix
in the instructions and which will potentially emit ❑ ® El listed in the instructions and which will potentially ❑ IL`l ❑
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 as 45
III. NAME OF FACILITY
1 SKIP SOUTH FORK INDUSTRIES
' 15 16-29 30 69
IV. FACILITY CONTACT
A.NAME&TITLE (last, first, &title) B.PHONE(area code&no.)
c
2 OWENS, EVERETTE PLANT MANAGER 828 428 9921
15 16 45 46 48 49 51 52 55
V. FACILITY MAILING ADDRESS
A.STREET OR P.O.BOX
C
3 100 WEST PINE STREET
15 16 45
B.CITY OR TOWN C.STATE D.ZIP CODE
•C
4 MAIDEN NC 2.8650
15 16 40 41 42 47 51
VI. FACILITY LOCATION
A.STREET, ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
C
5 100 WEST PINE STREET
15 . 16 45
B.COUNTY NAME
CATAWBA
46 70
C.CITY OR TOWN D.STATE E.ZIP CODE F.COUNTY CODE
C
6 MAIDEN NC 28650 018
15 16 40 41 42 47 51 52 54
h;PA FORM 3510-1 (8-90) CONTINUED ON REVERSE

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
,� \sh GENERAL INFORMATION F
7TIA
Consolidated Permits Program
GENERAL (Read the "General Instructions"before starting.) 1 2 1
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
V. FACILITY PLEASE PLACE LABEL IN THIS SPACE space lists the information that should
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
completed regardless). Complete all items
VI. FACILITY if no label has been proved. Refer to the
instructions for detailed item descriptions
LOCATION and for the legal authorization 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 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"X FORM SPECIFIC QUESTIONS MARK"X"FORM
YES NO ATTACHED YES NO 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 ® ❑ ®
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 suffer by the
the surface in connection with conventional oil or ❑ ® ❑ Frasch process,solution mining of minerals,in ❑ 21 ❑
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 37 38 39 '
I Is this facility a proposed stationary source J Is this facility a proposed stationary source I
which is one of the 28 industrial categories listed ��{{ which is NOT one of the 28 industrial categories 2�{{
in the instructions and which will potentially emit ❑ ILEI ❑ listed in the instructions and which will potentially ❑ ILst ❑
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
�
SKIP SOUTH FORK INDUSTRIES
15 16-29 30 69
IV. FACILITY CONTACT
A.NAME&TITLE(last, first, &title) B.PHONE(area code&no.)
2 OWENS, EVERETTE PLANT MANAGER 828 428 9921
15 16 45 46 48 49 51 52 55
V. FACILITY MAILING ADDRESS
A.STREET OR P.O.BOX
3 100 WEST PINE STREET
15 16 45
B.CITY OR TOWN C.STATE D.ZIP CODE
4 MAIDEN NC 28650
15 16 40 41 42 47 51
VI. FACILITY LOCATION
A.STREET.ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
c
5 100 WEST PINE STREET
15 16 45
B.COUNTY NAME
CATAWBA
46 70
C.CITY OR TOWN D.STATE E.ZIP CODE F.COUNTY CODE
c
6 MAIDEN NC 28650 018
15 16 40 41 42 47 51 52 54
EPA FORM 351(1-1 (8-90) CONTINUED ON REVERSE

EPA I.D.NUMBER(cop(Irani hem I s/form I) Form Approved.
OMB No.2040-0086.
Please print or type in the unshaded areas only. Approval expires 3-31-98.
FORM(� U.S.ENVIRONMENTAL PROTECTION AGENCY
FOR PERMIT TO DISCHARGE WASTEWATER
2C "EPAEXISTING MANUFACTURING,JCOMMERCIAL,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
(h.rt) 1.DEG. 2.MIN. 3.SEC. 1.DEG. 2.MIN. 3.SEC. D.RECEIVING WATER(name)
001 35 34 38 81 13 14 CLARK 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.(list) a.OPERATION(list) (include units) a.DESCRIPTION TABLE 2C-1
BOILER SLOWDOWN MANUAL BAR SCREEN
001 8300 gallons/day (est.) 1-T
COOLING TOWERS LINT SCREENING
1000 gallons/day (est.) 1-N
DYEING & FINISHING DUAL AERATION BASINS WITH MECHANICAL AERATORS
404,700 gallons/day 3-A 3
COAGULATION
2-D
FLOCCULATION
1-G
DUAL SECONDARY CLARIFIERS
t-U
POST AERATION
3-E
SLUDGE LAGOON
5-T
LAND APPLICATION
5-P
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) WI NO(go to Section III)
3.FREQUENCY 4.FLOW
a.DAYS PER B.TOTAL VOLUME
2.OPERATION(s) WEEK b.MONTHS a.FLOW RATE(in mgd) (specifr with units)
1.OUTFALL CONTRIBUTING FLOW (sped PER YEAR 1.LONG TERM 2.MAXIMUM 1.LONG TERM 2.MAXIMUM C.DURATION
NUMBER(lis) (list) avenge) (specl-fravemge) AVERAGE DAILY AVERAGE DAILY (in days)
III.PRODUCTION
A.Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
VI YES(complete Item III-B) ❑NO(go to Section II')
B.Are the limitations in the applicable effluent guideline expressed in terms of production(or other measure of operation)?
©YES(complete Item III-C) ❑NO(go to Section If')
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)
(.specify)
/ 41'4 fu4 c4 41 4
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) 2 NO(go to Item IV-B)
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

FABRIC PRODUCTION DATA FOR SOUTH FORK INDUSTRIES INC. FOR YEARS 2013
THROUGH YEARS 2017 AND THROUGH MAY 6, 2018.
YEAR TOTAL PRODUCTION LBS. DAILY AVERAGE
2013 6,372,750 23173
2014 6,706,615 24386
2015 7,175341 26092
2016 7,802,555 29443
2017 11,766,453 34405
2018 422,703,222 37139
50 PERCENT OF OUR PRODUCTION IS 100 PERCENT COTTON AND 40
PERCENT IS 100 PERCENT POLYESTER AND 10 PERCENT A VARIATY OF OTHER
FIBERS INCLUDING. MODACRYLIC, WOOL, BAMBOO, TENCIL, RAYON AND ETC.

EPA I.D.NUMBER(copy from hem I of Form I)
CONTINUED FROM PAGE 2
V.INTAKE AND EFFLUENT CHARACTERIS11111111
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
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(Int all such pollutants below) 12:1NO(go to hem VI-B)
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(identify the resits)and describe their purposes below) ❑NO(go to Section VIII)
Effluent Chronic Toxicity:
Dec 2016 33.94%
March 2017 17.0%
June 2017 16.97%
September 2017 33.9%
December 2017 17.0%
March 2018 <3.0%
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 analyzed 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)
BOD, Ammonia, TSS, COD,
Research & Analytical Lab P.O. Box 473, Kernersville, NC 27284 336-996-2841 Color, Chloride, Chromium,
Chronic Toxicity,
Conductivity, Copper,
Phenol, Total Nitrogen,
Total Phosphorus,
Sulfate, Sulfide, Zinc
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(type or print) B.PHONE NO.(area code&no.)
Everette Owens Plant Manager [phone]
C.SIGNATURE D.DATE SIGNED
EPA Form 3510-2C(8-90) PAGE 4 of 4

WATER FLOW SCHEMATIC
SOUTH FORK INDUSTRIES, INC <> MAIDEN, NC
Water Intake from Town of Maiden
425,000 Gal/Day
SOUTH FORK INDUSTRIES FACILITY
1700 Gal/Day Maiden
Boilers Sewer
Restrooms
Steam ' Cooling Towers -y
8300 Gal/Day To Atmosphere
Blowdown
�t •
Dyeing&Finishing Steam&Dryer
Evaporation to
Atmosphere
Heat Exchanger
1000 Gal/Day Blowdown
•
South Fork Industries Water in Land
Wastewater Treatment Plant Application of
NPDES No. NC0006190 5.77%Solids
Sludge
414,000 Gal/Day
•
Discharge from Outfall No.001
to Clark Creek
Water Volumes Shown are Based Upon Average Daily Discharge Flow from August 2016 to March 2018

WASTEWATER TREATMENT PLANT SCHEMATIC
SOUTH FORK INDUSTRIES, INC. <> MAIDEN, NC
t
Bar
Screen
r 1 '
Aeration Basin#2 Aeration Basin#1
Vol. = 1,250,000 gallons Vol.= 1,250,000 gallons
(3)50 H.P. Floating Aerators (3)50 H.P.Floating Aerators
180'Lx 90'Wx12'D 180'Lx 90'Wx12' D
0.55 MGD 0.55 MGD
Sludge •Return A
4--Polymer Feed
Points
Flo• lent
Sludge Return
Flocculent
•
38 Ft.Dia.
10 Ft.Sidewater Depth Clarifier#2 Clarifier#1 1
Waste Sludge Sludge
P.S.
Chlorine Contact
8 2.0 MGD Ftow Meter
r �
Reaeration Basin
4
(2) 10 H.P.Floating Aerators
Sludge Storage Lagoon
Surface Area=49,170 Sq.Ft.
1.8 MG Holding Capacity
(5)7 5 HP Surface Aerators 1.5 MGD Effluent Clark Creek Discharge Na 001
(2)5 HP Surface Aerators Flow P' (7,500 Ft.From Effluent&Flow
Measurement Measurement&Sampler)
Device
SOUTH FORK INDUSTRIES
J CATAWBA COUNTY
MAIDEN, NC
NPDES PERMIT NO. NC0006190

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.
SEE INSTRUCTIONS.
OUTFALL NO.
V.INTAKE AND EFFLUENT CHARACTERISTICS(continued from page 3 of Form 2-C) o01
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 (specfyifblank) (optional)
b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG.VALUE a.LONG TERM
a.MAXIMUM DAILY VALUE (if available) (if available) AVERAGE VALUE
d.NO.OF a.CONCEN- (1) b.NO.OF
1.POLLUTANT ANALYSES TRATION b.MASS CONCENTRATION (2)MASS ANALYSES
a.Biochemical Oxygen532.2 236.69 47.44 231 LBS.
Demand(BOD)
b.Chemical Oxygen
6544.7 2767.73 619.28 78 LBS.
Demand(COD)
c.Total Organic Carbon
(TOC) 1 MG/1
d.Total Suspended - 231 LBS.
Solids(TSS) 1877.5 523.56
e.Ammonia(as N) 231 MG/L
VALUE VALUE VALUE VALUE
f.Flow 0.920 0.697557 MGD
g.
TernperatureVALUE VALUE VALUE VALUE
(winter) 72 °C
h.TernperatureVALUE VALUE VALUE VALUE
(summer) 45 °C
MINIMUM MAXIMUM MINIMUM MAXIMUM
i.pH 6.6 8•9 231 STANDARD UNITS
PART 8— 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) (if available) VALUE
CAS NO. BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) b.NO.OF
(f 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 XResidual
o Color X ` / 586 340.75 123.01 77 ADMI
d.Fecal Coliform X
e.Fluoride ,�`
(16984-48-8)
f.Nitrate-Nitrite X(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 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
(if 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 X 58.9 58.9 8.1 19 MG/L
N)
h.Oil and X
Grease
i.Phosphorus `
(as P),Total X 12.5 12.5 2.7 8 20 MG/L
(7723-14-0)
j.Radioactivity
(1)Alpha,Total `X
(2)Beta,Total X
(3)Radium, /\/`
Total �\
(4)Radium 226,
Total
k.Sulfate
(also,) u 613 613 427 6 MG/L
(14808-79-8) / ` .
I.Sulfide
(as S) X 1.07 1.07 0.26 76 LBS.
m.Sulfite
(as SO3)
(14265-45-3)
n.Surfactants x
o.Aluminum,
Total
(74
(7429-90-5) X
p.Barium,Total
(7440-39-3)
q.Boron,Total
(7440-42-8)
r.Cobalt,Total X(7440-48-4)
s.Iron,Total X(7439-89-6)
t.Magnesium,
Total u
(7439-95-4)
u.Molybdenum,
Total X
(7439-98-7) -
v.Manganese,
Total u
(7439-96-5)
w.Tin,Total
(7440-31-5)
x.Titanium,
Total u
(7440-32-6)
EPA Form 3510-2C(B-90) PAGE V-2 CONTINUE ON PAGE V-3

EPA I.D.NUMBER(copyfrom Item I of Form I) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C 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
AND a, b. c. a.MAXIMUM DAILY VALUE (if available) VALUE 01-available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) d.NO.OF a.CONCEN- (1) ' b.NO.OF
(V 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 X
(7440-38-2)
3M.Beryllium,Total \/ X(7440-41-7) /�
4M.Cadmium,Total
(7440-43-9)
To.Chromium,
Total(7440-47-3) X u 0.012 0.003 < 0.003 77 MG/L
6M.Copper,Total X/
(7440-50-8) ^ 0.041 0.041 0.028 7 MG/L
7M.Lead,Total X(7439-92-1)
8M.Mercury,Total
XX
(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) X X 1
13M.Zinc,Total
(7440-66-6) X X 0.212 0.212 0.139 7 MG/L
14M.Cyanide,
Total(57-12-5)
15M.Phenols, X X 0.140 0.090 0.029 77 MG/L
Total
DIOXIN
2,3,7,8-Tetra- X 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 (if available) VALUE(if 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
GC/MS FRACTION—VOLATILE COMPOUNDS
1V. X X
(1007-0-02-88)
2V.Acrylonitrile X I X
(107-13-1)
Benzene
X X(71-43-2)3-2)
4V.Bis(Chloro-
me )
merhv�Ether
(542-88-1)
5V.Bromoform
(75-25-2)
6V.Carbon X
Tetrachloride X
(56-23-5)
7V.Chlorobenzene
(108-90-7)
8V.Chlorodi-
bromomethane /X\ /X\
(124-48-1)
9V.Chloroethane
(75-00-3)
OV
2-Chloro-
ethylvinyl Ether
(110-75-8)
11V.Chloroform X X
(67-66-3)
12V.Dichloro-
bromomethane X x
(75-27-4)
13V.Dichloro- X
difluoromethane
(75-71-8)
14V.1,1-Dichloro-
ethane(75-34-3)
15V.1,2-Dichloro-
ethane(107-06-2)
16V.1,1-Dichloro-
Xethylene(75-35-4)
17V.1,2-Dichloro-
propane(78-87-5)
p8 Aylen Dichloro- \ / \
propylene /X\ /X\
(542-75-6)
19V.Ethylbenzene X X
(100-41-4)
20V.Methyl
Bromide(74-83-9) \ / \ / _
21V.Methyl y �(
i Chloride(74-87-3) X /\
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(if available) AVERAGE VALUE
CAS NUMBER TESTING BELIEVED BELIEVED d.NO.OF a.CONCEN- ' b.NO.OF
available) REQUIRED PRESENT ABSENT (1) (1) (1) ANALYSES TRATION b.MASS (1) ANALYSES
Of CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS CONCENTRATION (2)MASS
GC/MS FRACTION—VOLATILE COMPOUNDS(continued)
22V.Methylene X X
Chloride(75-09-2)
Teta c loroe X X
Tetrachloroethane
(79-34-5)
24V.Tetrachloro-
ethylene(127-18-4) X X
25V.Toluene X X
(108-88-3)
26V.1,2-Trans-
Dichloroethylene X X
(156-60-5)
27V.1,1,1-Trichloro-
ethane(71-55-6) X X
28V.1,1,2-Trichloro-
ethane(79-00-5) X X
29V Trichloro-
ethylene(79-01-6) X X
30V.Trichloro-
fluoromethane ` `
fluoromethane /X\ /X\
(75-69-4)
31V.Vinyl Chloride X X
(75-01-4)
GC/MS FRACTION—ACID COMPOUNDS
1A.2-Chlorophenol X X
(95-57-8)
2A.2,4-Dichloro- X X
phenol(120-83-2)
-
3A.2,4-Dimethyl-
X X
phenol(105-67-9)
4A.4,6-Dinitro-O- X X
Cresol(534-52-1)
5A.2,4-Dinitro-
X X
phenol(51-28-5)
6A.2-Nitrophend X X _
(88-75-5)
7A.4-Nitrophend )/
(100-02-7) X X
8A.P-Chloro-M- XX
Cresol(59-50-7)
9A.Pentachloro-
phenol
entachloro- X X
phenol(87-86-5)
( 9 X X
(10808-95-2)-2)
11A.2,4,6-Trichloro-
phenol(88-05-2) X X
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(apnonal)
1.POLLUTANT b.MAXIMUM 30 DAY VALUE c.LONG TERM AVRG. a.LONG TERM
ANDa. 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
(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
18.Acenaphthene \/ >/
(83-32-9) �\ �\
2B.Acenaphiylene \/
(208-96-8) X\
3B.Anthracene
(120-12-7)
49.Benzidine X/ X/
(92-87-5) /� /�
5B.Benzo(a)
Anthracene >/
(56-55-3) X\
6B.Benzo(a) \� X
Pyrene(50-32-8) X\
7B.3,4-Benzo- X
fluorantuoranthene
(205-99-2)
8B.Benzo(glu) X
Perylene(191-24-2)
9B.Benzo(k)
Fluoranthene X
(207-08-9)
10B.Bis(2-C/i/ri -
ethuxy)Methane X X
(111-91-1)
11B.Bis(2-C'hlorr,-
ethvl)Ether X X
(111-44-4)
128.Bis(2-
(7hl oraisopropyl) _ .
Ether(102-80-1)
13B.Bis(2-Ethyl-
hexyl)Phthalate X X
(117-81-7)
14B.4-Bromophenyl
Phenyl Ether �/ �/
(101-55-3) �\ �\
158.Butyl Benzyl �/ >/
Phthalate(85-68-7) /� /�
168.2-Chloro-
naphthalene X X
(91-58-7)
17B.4-Chloro-
phenyl Phenyl Ether
(7005-72-3)
188.Chrysene >/ >/
(218-01-9) /� /�
19B.Dibenzo(µh)
Anthracene \/ �/
(53-70-3) �\ �\
208.1,2-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
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
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.benze1,4-Dichloro-
benzene
e(106loro- X
benzene(106-46-7)
23B.3i399X X
bennzidinee((91-1-94-4-1)
249.Diethyl X X
Phthalate(84-66-2)
25B.Dimethyl
PhthalateX X
(131-11-1-3)
260.Di-N-Butyl X
Phthalate(84-74-2)
27B.
touen (121-14- X X
toluene(121-14 2)
to uen (606120- �/ X/
toluene(606-20-2)
299.Di-N-Octyl X X
Phthalate(1(117-840)
30B.1,2-Diphenyl-
hydrazine
(as Azo
as Azo-
benzene)(122-66-7)
31B.Fluoranthene X(206-44-0)
3-7orene
(86-73-7) X X
338.Hexachloro-
benzene(118-74-1)
34B.Hexachloro-
butadiene(87-68-3)
Hexachloro-
cycl X
cyclopentadiene
(77-47-4)
36B Hexachloro-
ethane
v v
(67-72-1)
372. -cd) o
P X
(1,2,3-cd)Pyrene
(193-39-5)
.I ophorone
(78
(78-59-1)
39B.Naphthalene X(91-20-3)
408.Nitrobenzene v
(98-95-3)
so41Nitro- X
X
sodimethylamine
(62-75-9)
42B.
N-N
sodi-
N-Pr pyla ine
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
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)
438.N-Nitro-
sodiphenylamine X X
(86-30-6)
44B.Phenanthrene X \/
(85-01-8) >\ ,
458.0 -0
(129 X X
(129-000-0))
468.1,2,4-Tri-
chlorobenzene X X
(120-82-1)
GC/MS FRACTION—PESTICIDES
1P.Aldrin X X
(309-00-2)
4
(31 6) X X
(319--84-6)
3P.P-BHC X X
(319-85-7)
4P.y-BHC X X
(58-89-9) �\
5P.
HC
(319-66-8) �\X X
(319-8
6P.Chlordane X X
(57-74-9)
7P.4,4'-DDT
(50X X
(50-29-3)9-3)
8P.5
(72 X X
(72-55-9)5-9) -
9P.5
(72 X X
(72-54-8)4-8)
10P.Dieldrin X X
(60-0-577-11)
1 osulfan
X X
(115-29-7)
( 15 29-9EX X
(115 29-7)
Endosulfan
Sulf X X
Sulfate
i (1031-07-8) ,
14P.EndrinX X
(72-2-20-8)
15P.Endrin
Aldehyde X X
(7421-93-4) -
16P.Heptachlor X 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 l of Form l) OUTFALL NUMBER
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
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—PESTICIDES(continued)
17P.Heptachlor ` , ` /
Epoxide X X
(1024-57-3)
18P.PCB-1242 X X
(53469-21-9)
( PCB-1254X X
(11010 97-69-1)-1)
PCB
(111 221 X X
(11104-28--2)
21P.PCB-1232X X
(11141-16-5)
22P.PCB-1248 X X
(12672-29-6)
23P.PCB
(110 X X
(11096-82-5)-5)
24P.PCB-1016
X X
(12674-11-2)2)
25P. aphene
(8001-35-2) X X
EPA Form 3510-2C(8-90) PAGE V-9