DEQ-CFW_00002892

Chemours Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information — Permit Renewal Application April 27, 2016
Current Facility Operating Conditions
Chemours Fluoromonomers/Nafion@ Membrane Manufacturing Area:
The Chemours Company — Fayetteville Works' Fluoromonomers / Nafion® Membrane
manufacturing area produces several final products. ChemoursTM Nafion® Membrane is a plastic
film used in the chloroalkali industry and in electrochemical fuel cells. ChemoursTM Nafion®
Polymer Dispersions are used in the fabrication of thin films and coating formulations for fuel
cells membranes, catalyst coatings, sensors, and a variety of electrochemical applications.
The HFPO monomer and the Vinyl Ether monomers are used to manufacture various
fluorochemical products such as ChemoursTM Teflon®. Wastewater generated from this
manufacturing facility is discharged to the Chemours' wastewater treatment plant.
Chemours Polymer Processing Aid ("PPA") Manufacturing Area:
The Chemours Company — Fayetteville Works' PPA manufacturing area produces a polymer
processing aid. The processing aid produced in this unit is used in the manufacturing of
fluoropolymers and fluorinated telomers,,but none of the produced processing aid is used at the
Fayetteville Works site. All process wastewater generated from this manufacturing facility is
collected and shipped off -site for disposal. No process wastewater from this manufacturing facility
is discharged to the Chemours' wastewater treatment plant or to the Cape Fear River.
Kuraray Butacite® Manufacturing Area:
The Kuraray America Inc. — Fayetteville Plant's Butacite® manufacturing area produces two final
products. KurarayTM Butacite® Interlayer plastic sheeting is the final product used in safety glass
such as automobile windshields. Polyvinyl butyral resin is shipped off -site as a transfer to other
Kuraray locations for final processing. Wastewater generated from this manufacturing facility is
discharged to the Chemours' wastewater treatment plant.
Kuraray SentryGlas® Manufacturing Area:
The Kuraray America Inc. — Fayetteville Plant's SentryGlas® manufacturing area produces
KurarayTM SentryGlas® ionoplast interlayer laminate. SentryGlas® interlayer is used for
laminated safety glass in side, rear, and overhead automobile windows. It is also used in
architectural applications desiring safety glass. There is no contact process wastewater generated
from this manufacturing facility, therefore only sanitary waste from this area is treated in the
Chemours' wastewater treatment plant. This manufacturing facility does discharge non -contact
cooling water to a surface ditch and ultimately to Outfall 002.
DuPont Polyvinyl Fluoride ("PVF") Manufacturing Area:
The DuPont Company — Fayetteville Works' PVF manufacturing area produces polyvinyl fluoride
resin that is used in the electronics industry as a backing for photovoltaic cells, as well as many
other uses. Wastewater generated from this manufacturing facility is discharged to the Chemours'
wastewater treatment plant.
DEQ-CFW 00002892

M W Chemours Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information — Permit Renewal Application — April 27, 2016
Alternate Application Schedule for §316(b) of the Clean Water Act
Final regulations implementing §316(b) of the Clean Water Act, which establish requirements for
cooling water intake structures at existing facilities, were published in the Federal Register on
August 15, 2014 with an effective date of October 14, 2014.
The Chemours Company — Fayetteville Works ("Chemours") operates a cooling water intake
structure on the Cape Fear River that is subject to this new Federal Cooling Water Intake Structure
Rule ("the Rule") as codified in 40 CFR Part 125.
The Rule requires the owner or operator of a facility subject to Subpart J whose currently effective
permit expires after July 14, 2018, to submit to the Director the information required in the
applicable provisions of 40 CFR 122.21(r) when applying for a subsequent permit.
Pursuant to 40 CFR 125.95(a)(2), the owner or operator of a facility subject to Part 125 Subpart J,
"Requirements Applicable to Cooling Water Intake Structures for Existing Facilities Under
Section 316(b) of the Clean Water Act", whose currently effective permit expires prior to July 14,
2018, may request the Director to establish an alternate schedule for the submission of the
information required in 40 CFR 122.21(r) when applying for a subsequent (renewed) permit.
On October 20, 2015, a letter was sent from Michael E. Johnson, Environmental Manager,
Chemours Company — Fayetteville Works, to Dr. Sergei Chernikov, NCDEQ Division of Water
Resources' NPDES Complex Permitting Unit, requesting an alternate schedule whereby all the
materials required by the Rule will be submitted with the 2021 renewal application.
On February 26, 2016, a letter was sent from S. Jay Zimmerman, Director, NCDEQ Division of
Water Resources, to Michael E. Johnson, Environmental Manager, Chemours Company —
Fayetteville Works, wherein the requested alternate schedule for submission of required CWIS
information with the next permit renewal in 2021 was approved. A copy of Mr. Zimmerman's
letter is attached to this application package.
DEQ-CFW 00002893

Chemours Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information — Permit Renewal Application — April 27, 2016
Elimination of Monitoring Requirement for PFOA
In December 2002, the DuPont Company — Fayetteville Works began production of, ammonium
perfluorooctanoate ("APFO"), which is the ammonium salt of perfluorooctanoic acid ("PFOA").
The renewed NPDES Permit No. NC0003573 that became effective on July 1, 2007, included a
requirement for monthly monitoring of PFOA at Outfall 002.
In 2006 the North Carolina Division of Water Quality ("DWQ"), in consultation with the North
Carolina Division of Waste Management and the North Carolina Department of Health and Human
Services, established an Interim Maximum Allowable Concentration ("IMAC") of 2 µg/L for
PFOA, which was intended for the protection of groundwater as a source of drinking water.
Following the issuance of this temporary health -based level, DWQ requested the assistance of the
North Carolina Secretary's Science Advisory Board on Toxic Air Pollutants ("NCSAB") in
reviewing the toxicological literature on PFOA and recommending to DWQ an update of the
IMAC for PFOA in groundwater. On August 10, 2012, the NCSAB issued their recommendation
to DWQ that the IMAC for PFOA in groundwater be reduced to 1 µg/L.
During the 3-year period from 2013 to 2015, the average monthly concentration of the final
effluent discharge at Outfall 002 was 0.027 µg/L PFOA, with a maximum concentration of
0.088 µg/L PFOA. During the same period, the average monthly concentration of the incoming
water from the Cape Fear River to the site, which is 99% of the effluent flow at Outfall 002, was
0.012 µg/L PFOA, with a maximum concentration of 0.031 µg/L PFOA.
The production of APFO at this facility ceased in April 2013.
The Chemours Company — Fayetteville Works (formerly the DuPont Company — Fayetteville
Works) is requesting that the monthly monitoring requirement for PFOA at Outfall 002 be
eliminated in the renewed NPDES Permit No. NCO003573 for the following reasons:
• APFO is no longer manufactured at this facility and has not been produced at the facility
since April 2013;
• APFO is not and has never been used as a process aid or a raw material at this facility;
• The 3-year average concentration at Outfall 002 was 0.027 µg/L PFOA, versus the current
NC-DWR IMAC of 2 µg/L PFOA and the NCSAB recommended 1 µg/L PFOA; and
• PFOA is present at low concentrations throughout the Cape Fear River basin, and that
background level of PFOA in the Cape Fear River water contributes to the concentration
measured at Outfall 002.
DEQ-CFW 00002894

Water Resources
ENVIRONMENTAL OUALITY
PAT MCCRORY
Goeeulor
DONALD R. VAN DER VAART
Secretory
S. JAY ZIMMERMAN
Director
February 26, 2016
Mr. Michael E. Johnson, P.E.
Environmental Manager
Chemours Company
22828 NC Highway 87 West
Fayetteville, North Carolina 28306-7332
Subject: Alternate CWA 316(b) Application Schedule
NPDES Permit NC0003573
Fayetteville Works
Bladen County
Dear Mr. Johnson:
The Clean Water Act Section 316(b) Cooling Water Intake Structure (CWIS) Final Rule outlines
regulations and standards for the design and operation of cooling water intake structures under the
NPDES program. Your current permit expires October 31, 2016, with renewal application due by May 4,
2016. Since your permit expires prior to July 14, 2018, under 40 CFR 125.95(a)(2), you have requested
an alternative schedule for submission of CWIS permit application information required in 40 CFR Part
122.21( r). Based on Division review, an alternate schedule for submission of required CWIS information
with the next permit renewal in 2021 is approved. This schedule date will be established in the 2016
permit renewal as well.
Please note that facilities should begin to adapt their systems to comply with CWA Section 316(b)
requirements. If you have any questions, please contact Tom Belnick with the NPDES Permitting Unit at
919-807-6390 or via email: [e-mail] .
Sin c ely,
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
Cc: NPDES File
Central File
Ec: US EPA Region 4
US FWS
NC WRC
NC DWR/Fayetteville Region
State of North Carolina J Environmental Qnallty I Water Resources
1617 Mad Service Center i Raleigh, North Carolina 27699-1617
919 707 9000
DEQ-CFW 00002895

Chemours Company — Fayetteville Works NPDES Permit No. NCO003573
Supplemental Information — Permit Renewal Application — April 27, 2016
Current Facility Wastewater Management
Process wastewater and stormwater from the various manufacturing areas are collected in the
respective area sumps and ultimately conveyed via a gravity flow underground process sewer pipe
to the facility's central wastewater treatment plant ("WWTP"). Sanitary sewage is conveyed via
a separate underground sewer system to the WWTP. The permitted flowrate of the WWTP is
2.0 MGD, with an actual average flowrate of approximately 1.2 MGD.
This untreated process wastewater is commingled in the WWTP Influent Sump where it is pumped
to an 850,000-gallon Equalization Basin. The Equalization Basin is mixed with two floating
submerged mixers. Three floating surface aerators in the basin cool and aerate the incoming
wastewater.
A 175,000-gallon Emergency Retention Tank is available for temporary storage of untreated
wastewater which may need additional treatment or acclimation in the WWTP activated sludge
process at a controlled rate that allows for proper biological treatment.
Untreated wastewater from the Equalization Basin is normally pumped to a 250,000-gallon
Predigester Tank in which initial biological activity with the WWTP activated sludge begins. The
Predigester Tank is aerated. The partially treated wastewater from the Predigester Tank is pumped
to a 1,700,000-gallon Aeration Tank.
The Aeration Tank is the unit where the majority of the biological activity occurs. The Aeration
Tank is aerated primarily by a diffused air system located in the bottom of the tank. The tank can
have supplemental aeration via one or two floating Biomixers® that injects air through submerged
rotors.
The biologically treated wastewater is then sent to one of two in -ground clarifiers (119,000 gallons
and 168,000 gallons respectively) or an above -ground 679,000-gallon clarifier; with all clarifiers
being operated in parallel. The clarified treated effluent is discharged to and through Outfall 001.
The wasted activated sludge is sent to a Dissolved Air Floatation (DAF) unit, then to a 47,000
gallon Sludge Storage Tank, and finally to a Rotary Filter for thickening. The thickened sludge is
dewatered in a Sludge Press, and can be dried in a steam -heated dryer for additional moisture
removal. The dewatered sludge or dewatered/dried sludge is transported off -site to a commercial
Subtitle D landfill.
Non -contact process cooling water and non -process stormwater are conveyed via surface ditches.
In addition, excess riverwater flow and Outfall 001 effluent are discharged directly to a surface
ditch. The combined, total flow of water from the site is discharged through and monitored at
Outfall 002. The discharged treated wastewater is conveyed via an underground pipe to the Cape
Fear River, where it enters the river at a point approximately 1,500 feet upstream of the William
O. Huske Lock & Dam (aka Lock & Dam No. 3).
DEQ-CFW 00002896

• Chemours Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information — Permit Renewal Application — April 27, 2016
Sludge Management Plan
The Chemours Company — Fayetteville Works operates a Class 3 Wastewater Treatment Plant
which is comprised of a single -stage activated sludge biological system.
Excess sludge is removed from the system by diverting part of the Recycled Activated Sludge (at
approximately 0.6% solids) from the clarifiers to a Dissolved Air Floatation ("DAF") unit for
initial thickening.
The sludge from the DAF (at approximately 3% solids) is transferred to a Mix Tank where polymer
agents are added to enhance the dewatering process.
The semi -thickened sludge is transferred from the Mix Tank to a Rotary Filter for final thickening,
whereby the sludge is thickened to 6% solids.
The thickened sludge is then transferred to a Screw Press where it is dewatered to a concentration
of 9-20% solids.
Following the Screw Press, the sludge is typically dried in steam heated dryers to a concentration
of 40-55% solids.
The dried sludge, or on occasion the dewatered sludge, is transported off -site to a commercial
Subtitle D landfill. This sludge is currently being disposed of at the Waste Industries "Sampson
County" Landfill near Roseboro, NC.
In 2015, the average weekly quantity of generated wasted sludge was approximately 35,000 lb.
DEQ-CFW 00002897

OUTFALL 002
EPA I.D. NUMBER (copy.ftntn Item 1 ofForvn 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 NCD 047 368 642 002
2. MARK "X"
3 EFFLUENT
4. UNITS
5. INTAKE (opttonan
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a,
b
c
a. MAXIMUM DAILY VALUE
(tfmwatlable)
VALUE (tfavatlable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b NO. OF
(1)
(1)
(1)
(1)
(�favatlable)
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
Eponde
X
<0.000050
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(1024-57-3)
18P.PCB-1242
(53469-21-9)
<0.000500
<0.044
1
mg/L
lb.
n/a
n/a
n/a
19P PCB-1254
(11097-69-1)
<0.000500
<0.044
1
m /L
g
lb.
n/a
n/a
n/a
20P PCB-1221
(11104-28-2)
<0.000500
<0.044
1
m L
g/
lb.
n a
/
n/a
n/a
21P.PCB-1232
(11141-16-5)
X
<0.000500
<0.044
1
m L
g/
lb.
n a
/
n a
/
n a
/
22P.PCB-1248
(12672-29-6)
X
<0.000500
<0.044
1
m L
g/
lb.
n/a
n/a
n/a
23P. PCB-1260
(11096-82-5)
X
<0.000500
<0.044
1
mg/L
lb.
n/a
n/a
n/a
24P. PCB-1016
(12674-11-2)
X
<0.000500
<0.044
1
mg/L
lb.
n/a
n/a
n/a
25P.Tne
(8001-35-2) 35-2)
X
<0.000500
<0.044
1
m g/L
lb.
n/a
n/a
I n/a
EPA Form 3510-2C (8-90) PAGE V-9

OUTFALL 002
CONTINUED FROM THE FRONT
3 EFFLUENT
4. UNITS
5. INTAKE (ophana�
2. MARK "X"
b. MAXIMUM 30 DAY VALUE c. LONG TERM AVRG.
a. LONG TERM
AVERAGE VALUE
1. POLLUTANT
AND VALUE r available
a MAXIMUM DAILY VALUE (fm�a�/nble) (f d. NO OF a
CONCEN-
b. NO OF
CAS NUMBER TESTING BELIEVED BELIEVED (1)
(1) (1) ANALYSES
MASS CONCENTRATION (2) MASS CONCENTRATION (2) MASS
TRATION
b. MASS CONCENTRATION
(2) MASS ANALYSES
(f available) REQUIRED PRESENT ABSENT CONCENTRATION
(2)
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (conanueeQ
4313.N-Nitro-
1
mg/L
lb.
n/a
n/a
n/a
sodiphenylamine X
<0.0100 <0.887
(86-30-6)
1
mg/L
lb.
n/a
n/a
n/a
44B Phenanthrene v
<0.00100 <0.089
(85-(118) ^
1
mg/L
lb.
n/a
n/a
n/a
45B.Pyrene �/
x
<0.00100 <0.089
(129-00,-0)
46B.1,2.4-Tri-
1
mg/L
lb.
n/a
chlorobenzene
< 0.0100
< 0. 8 8 7
(120-82-1)
GC/MS FRACTION -PESTICIDES
1
mg/L
lb.
n/a
n/a
n/a
1P.Aldrin
<0.000050
<0.005
(309-00-2)
1
mg/L
lb.
n/'a
n/a
n/a
2P.a-BHC �/
X
<0.000050
<0.005
(319-84-6)
1
mg/L
lb.
n/a
n/a
n/a
3P. p-BHC �/
x
<0.000050
<0.005
(319-85-7)
1
mg/L
lb.
n/a
n/a
n/a
4P.y-BHC �/
<0.000050
<0.005
(58-89-9) /�
1
mg/L
lb.
n/a
n/a
n/a
5P.8-BHC
<0.000050
<0.005
(319.86-8)
1
mg/L
lb.
n/a
n/a
n/a
6P.Chlordane �/
<0.000050
<0.044
(57-74-9) /�
1
mg/L
lb.
n/a
n/a
n/a
7P.4,4'-DDT
<0.000050
<0.005
(50-29-3)
1
mg/L
lb.
n/a
n/a
n/a
8P.4,4'-DDE �/
<0.000050
<0.005
(72-55.9) /�
1
mg/L
lb.
n/a
n/a
n/a
9P.4,4'-DOD
<0.000050
<0.005
(72-54-8)
1
mg/L
lb.
n/a
n/,a
n/a
1OP. Dieldrin
<0.000050
<0.005
(60-57-1)
1
mg/L
lb.
n/a
n/a
n/a
11P.a-Enosulfan v
<0.000050
<0.005
(115-29-7)
1
mg/L
lb.
n/a
n/a
n/a
12P.p-Endosulfan v
<0.000050
<0.005
(115-29-7)
13P.Endosulfan
Sulfate X
<0.000050
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(1031-07-8)
1
mg/L
1b.
n/a
n/a
n/a
14P Endnn �/
x
<0.000050
<0.005
(72-2D-8)
I
X
<0.000050
<0.005
1
mg/L
lb.
n/a
n/a
n/a
15P.Endrin
Aldehyde
1
mg/L
lb.
n/a
n/a
n/a
(7421-93.4)
16P.Heptachlor
�/
<0.000050
<0.005
(76-44-8) /�
CONTINUE ON PAGE V-9
PAGE V-8
EPA Form 3510-2C (8-90)

OUTFALL 002
CONTINUED FROM PAGE V-6
2. MARK "X"
3 EFFLUENT
4. UNITS
5 INTAKE (opuonan
1. POLLUTANT
b. MAXIMUM 30 D�aNCENTRATION
c. LONG TERM AVRG.
a. LONG TERM
AND
a
b
C.
a. MAXIMUM DAILY VALUE
I (�jmmlabVALUE
(�favarlable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d NO OF
a. CONCEN-
b N0. OF
(1)
(�)
(1)
(1)
(javoilable)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (comunuern
22B.1,4-Dichloro-
benzene(106-46-7)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
238.3,3-Dichloro-
benzidine(91-94-1)
\/
x
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
24B Diethyl
Phthalate (84-66-2)
<0.00300
<0.226
1
m L
g/
lb.
n a
/
n/a
n/a
25B. Dimethyl
Phthalate
<0.00300
<0.226
1
mg/L
lb.
n/a
n/a
n/a
(131 -11-3)
26B.Di-N-Butyl
<0.00300
<0.226
1
mg/L
lb.
n/a
n/a
n/a
Phthalate (84-74-2)
27B.2,4-Dinitro-
�/
x
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
toluene (121-14-2)
28B.2,6-Dinitro-
toluene (606-20-2)
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
29B.Di-N-Octyl
Phthalate (117-84-0)
<0.00300,
<0.226
1
m L
g/
lb.
n/a
n/a
n/a
30B 1,2-Diphenyl-
hydrazine (as Azo-
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
benzene) (122-66.7)
31 B. Fluoranthene
(206-44-0)
\/
�\
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
32B.Fluorene
(86-73-7)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
33B.Hexachloro-
benzene(118-74-1)
\/
x
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
34B.Hexachloro-
butadiene (87-68-3)
<0.0100
<0.887
1
m L
g/
lb.
n/a
n/a
n/a
35B. Hexachloro-
cyclopentadiene
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(77-47-4)
36BHexachloro-
ethane (67-72-1)
<0.0100
<0.887
1
m L
g/
lb.
n a
/
n a
/
n a
/
378. Indeno
(1,2,3-c3-crn Pyrene
<0 . 00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(193-39-5)
38B.Isophorone
(78 59 1)
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
39B.Naphthalene
(91-20-3)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
40B.Nitrobenzene
(9B-95-3)
v
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
416 N-Nato-
-
sodimethylamme
X
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(62-75-9)
428. N-Nitrosodl-
-
N-Propylamine
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(621-64-7)
EPA Form 3510-2C (8-90) PAGE V-7 CONTINUE ON REVERSE

OUTFALL 002
CONTINUED FROM THE FRONT
3. EFFLUENT
4. UNITS
5 INTAKE (npnonan
1. POLLUTANT
2. MARK -X'
b. MAXIMUM 30 DAY VALUE
C. LONG TERM AVRG.
a. LONG TERM
AVERAGE VALUE
AND
a. b C.
a. MAXIMUM DAILY VALUE (rfm•adable)
VALUE (rfava,lable)
d. NO. OF
a. CONCEN-
b NO. OF
CAS NUMBER TESTING BELIEVED BELIEVED (1)
(ifavarlable) REQUIRED PRESENT ABSENT CONCENTRATION
(1) (1)
(2) MASS CONCENTRATION (2) MASS CONCENTRATION (2) MASS ANALYSES
TRATION
b MASS CONCENTRATION
(2) MASS ANALYSES
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
1 B. Acenaphthene
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(83-32-9)
28.Acenaphtylene
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(208 -96-8)
3B.Anthracene
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(120-12-7)
4B.Benzidine
�/
x
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(92-87-5)
5B. Benzo (a)
Anthracene
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n a
(56-55-3)
1
mg/L
lb.
n/a
n/a
n/a
6B Benzo (a)
�(
<0.00100
<0.089
Pyrene (50-32-B)
7B. 3,4-Benzo-
nuoranthene
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n a
(205-99-2)
8B.Benzo (ghr)
�/
x
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
Perylene (191-24-2)
9B. Benzo (k)
Fluoranthene
�(
, `
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n a
(207-08-9)
1
mg/L
lb.
n/a
n/a
n/a
10B. Bis (1-Chlom-
mw,,xv)Methane
<0.0100
<0.887
(111-91-1)
11 B Bis (2-Ch/om-
1
mg/L
lb.
n/a
n/a
n/a
erhv!) Ether
<0.0100
<0. 887
(111-44-4)
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
12B. Bis (1-
ClrlomrsormRvll
X
Ether (102-80-1)
13B. B* (1-F�brl-
henllPhthalate
<0.00300
<0.266
1
mg/L
lb.
n/a
n/a
n/a
(117-81-7)
1
mg/L
lb.
n/a
n/a
n/a
14B. 4-Bromophenyl
Phenyl Ether
<0.0100
<0.887
(101-55-3)
<0.00300
<0.266
1
mg/L
lb.
n/a
n/a
n/a
15B Butyl Benzyl
Phthalate (85-68-7)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
16B. 2-Chloro-
naphthalene
X
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
178. 4-Chloro-
phenyl Phenyl Ether
�/
(7005-72-3)
/�
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
188,Chrysene
�/
x
(218-01-9)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
19B. Dibenzo (a,h)
Anthracene
(53-70-3)
�/
x
<0.00100
<0.089
1
mg/L
1b.
n/a
n/a
n/a
20B.1,2-Dichloro-
benzene(95-50-1)
21B.1,3-Di-chloro-
�/
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
benzene (541-73-1)
/�
rnninui
IF: nti
pnr-F v_7
EPA Form 3510-2C (8-90) FAGE V-o

OUTFALL 002
CONTINUED FROM PAGE V-4
2. MARK "X"
3. EFFLUENT
4. UNITS
5 INTAKE (opaonan
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a
b.
c
a. MAXIMUM DAILY VALUE
(fmwdahle)
VALUE (favadable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO OF
(1)
(1)
(1)
(1)
(favailahle)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
AN
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
GC/MS FRACTION -VOLATILE COMPOUNDS (continued)
22V.Methylene
<0.00500
<0.443
1
mg/L
lb.
n/a
n/a
n/a
Chloride (75-09-2)
23V. 1,1,2,2-
Tetrachloroethane
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
7934-5
24V.Tetrachloro-
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethylene (127-18-4)
25V.Toluene
<0.00500
<0.443
1
mg/L
lb.
n/a
n/a
n/a
(108-88-3)
26V. 1,2-Trans-
Dichloroethylene
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
156-60-s
27V.1,1,1-Trichloro-
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethane (71-55-6)
/�
28V.1.1.2-Trichloro-
X
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethane (79-00.5)
29VTnchloro-
�/
x
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethylene (79-01-6)
30V. Trichloro-
fluoromethane
X
<0.00500
<0.443
1
mg/L
lb.
n/a
n/a
n/a
'5-69-4
31V.Vinyl Chloride
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(75-01-4)
GC/MS FRACTION - ACID COMPOUNDS
1A.2-Chlorophenol
<0.0100
<0.887
1
mg/L
lb.
n/a-
n/a
n/a
(95.57-8)
2A 2,4-Dichloro-
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
phenol(120-83-2)
3A.2,4-Dimethyl-
�/
x
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
phenol (1 D5-67-9)
4A.4,6-Dinitro-O-
X
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
Cresol(534-52-1)
/\
5A. 2,4-Dautro-
X
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
phenol (51-28-5)
6A.2-Ndrophenol
<0.0100
<0.887'
1
mg/L
lb.
n/a
n/a
n/a
(88-75.5)
7A.4-Nitrophenol
X
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(100-02-7)
8A.P-Chloro-M-
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
Cresol (59.50.7)
9A Pentachloro-
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
phenol (87-86.5)
10A.Phenol
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
(108.95.2)
11A.2,4,6-Trichloro-
<0.0100
<0.887
1
mg/L
lb.
n/a
n/a
n/a
phenol (88-Or2)
EPA Form 3510-2C (8-90) PAGE V-5 CONTINUE ON REVERSE

OUTFALL 002
CONTINUED FROM THE FRONT
3. EFFLUENT 4 UNITS I INTAKE (npnnnan
2 MARK'X,
1 POLLUTANT b. MAXIMUM 30 DAY VALUE C. LONG TERM AVRG. a. LONG TERM
VALUE
AND a MAXIMUM DAILY VALUE (Ijavadable) VALUE (rfavadable) ANDd. NO. OF a. CONCEN- b NO. OF
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1)
(favadable) 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.Accrolem
<0.0500
<4.433
1
mg/L
lb.
n/a
n/a
n/a
(107-02-6)
<0.0100
<0.8B7
1
mg/L
lb.
n/a
n/a
n/a
2V.AcMonitnle
�/
(107-13-1)
/�
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
3V.Benzene
�/
(71-43-2)
Not Req
fired
per NCDWR
NPDES
Permitt' g
Unit
4V. Bis (Chloro-
merhyl) Ether
(542-88-1)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
5V Bromof-rm
(75-25-2)
<0.00100
<0.089
1
mg/L
lb.
n/a
ri d
n a
6V. Carbon
Tetrachloride
X
(56-23-5)
1
mg/L
lb.
n/a
n/a
n/a
7V.Chlorobenzene
<0.00100
<0.089
(108-90.7)
<0.089
1
mg/L
lb.
n/a
n/a
n/a
BV. Chlorodt-
\ /
bromomelhane
n
<0.00100
(124-48-1)
<0.00500
<0.443
1
mg/L
lb.
n/a
n/a
n/a
9V.Chloroethane
�/
x
(7500-3)
ethyl-Chlorethyimnyl Ether
<0.0500
<4.433
1
mg/L
lb.
n/a
n/a
n/a
(110-75-8)
11V.Chloroform
v
0.0248
2.199
1
mg/L
lb.
n/a
n/a
n/a
(67-66-3)
1
mg/L
lb.
n/a
n a
n/a
12V. Dichloro-
bromomethene
0.00422
0.374
(75-27-4)
13V. Dichloro-
ditluoromethane
X
<0.00500
<0.443
1
mg/L
lb.
n/a
n a
n a
(75-71-8)
14V.1,1-Dichloro-
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethane (75-34-3)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
15V.1,2-Dichloro-
�/
x
ethane (107-06-2)
16V.1,1-Dichloro-
�/
x
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
ethylene (75-35-4)
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
17V.1,2-Dichloro-
�/
x
propane (78-87-5)
1
mg/L
lb.
n/a
n/a
n/a
18V.1,3-Dichloro-
propylene
J(
<0.00100
<0.089
(542-75-6)
, `
�/
x
<0.00100
<0.089
1
mg/L
lb.
n/a
n/a
n/a
19V.Ethylbenzene
(100-41-4)
<0.00500
<0.443
1
mg/L
lb.
n/a
n/a
n/a
20V Methyl
Bromide (74-83-9)
1
mg/L
lb.
n/a
n/a
n/a
21V.Methyl
<0.00250
<0.222
Chloride (74-87-3)
nnu
Tuu IG /1\I
DAr_C \/_S
EPA Form 3510-2C (8-90) PAGE V-4

OUTFALL 002
EPA I.D. NUMBER (cow%rnm Item I ofPonn 1) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NCD 047 368 642 002
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 rndustnes, nonprocess wastewater outfalls, and nonrequrred 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 acrolem, acrylonitrile, 2,4 dmltrophenol, or 2-methyl-4, 6 dmitrophenol, 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 (optmnaQ
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a
b
c
a. MAXIMUM DAILY VALUE
(javadable)
VALUE (rfarmlable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b NO OF
(1)
(1)
(1)
(1)
(ijavmlable)
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
<0.002
<0.177
1
mg/L
1b.
n/a
n/a
n/a
(7440.36-0)
2M Arsenic, Total
�/
X
<0.005
<0.443
1
mg/L
lb.
n/a
n/a
n/a
(7440-38-2)
3M. Beryllium, Total
�/
X
<0.001
<0.089
1
mg/L
lb.
n/a
n/a
n/a
(7440-41-7)
4M Cadmium, Total
X
<0.002
<0.177
1
mg/L
lb.
n/a
n/a
n/a
(7440-43-9)
5M.Chromium,
�/
X
<0.005
<0.433
1
mg/L
lb.
n/a
n/a
n/a
Total (7440-47-3)
6M. Copper, Total
0.005
0.443
1
mg/L
lb.
n/a
n/a
n/a
(7440-50-8)
7M. Lead, Total
<0.003
<0.266
1
mg/L
lb.
n/a
n/a
n/a
(7439-92-1)
8M Mercury, Total
<0.0002
<0.018
1
mg/L
lb.
n/a
n/a
n/a
(7439-97-6)
9M. Nickel, Total
<0.005
<0.433
1
mg/L
lb.
n/a
n/a
n/a
(7440-02-0)
10M.Selenium,
<0.005
<0.433
1
mg/L
lb.
n/a
n/a
n/a
Total (778249-2)
IIM. Silver, Total
�/
X
<0. 002
<0. 177
1
mg/L
lb.
n/a
n/a
n/a
(7440-22-4)
12M. Thallium,
Total (7440-28-0)
�/
X
<0. 005
<0.433
1
mg/L
lb.
n/a
n/a
n/a
1 Zinc,otal
0.008
0.709
1
mg/L
lb.
n/a
n/a
n/a
14M. Cyanide,
Total(57-12-5)
l
%\
<0.005
<0.433
1
mg/L
lb.
n/a
n/a
n/a
Total Phenols,
0.0433
3.84
1
mg/L
lb.
n/a
n/a
n/a
DIOXIN
2,3.7,8-Tetra-
DESCRIBE RESULTS Not applicable
chlorodiben . _
Dioxin (1764-01-6)
EPA Form 3510-2C (8-90) PAGE V-3 CONTINUE ON REVERSE

OUTFALL 002
ITEM V-B CONTINUED FROM FRONT
EFFLUENT
4. UNITS
5. INTAKE
(opuonan
1. POLLUTANT
AND
CAS NO.
(favarlahle)
2. MARK"X"
3.
b. MAXIMUM 30 DAY
(fmvmlahle)
VALUE
c. LONGTERM AVRG.
Weivarlable)
VALUE
d NO.OF
ANALYSES
a. CONCEN-
TRATION
b. MASS
a. LONG TERM
AVERAGE VALUE
b. NO. OF
ANALYSES
a.
BELIEVED
PRESENT
b,
BELIEVED
ABSENTRATION
MUM DAILY
VALUE
CONCENTRATION
(2) MASS
00.
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
g.Nitrogen,
TotalOrganic(a%
M
X
62
32.1
1
mg/L
lb.
n/a
n/a
n/a
1
mg/L
lb.
n/a
n/a
n/a
h.Oil and
Grease
�/
<4.76
<422
1.2
154
0.8
36
mg/L
lb.
n/a
n/a
n/a
i.Phosphorusg5,8
(as P), Total
(7723-140)
X
1.2
154
I. Radioactivity
(1) Alpha, Total
X
(2) Beta, Total
X
(3) Radium,
Total
(4) Radium 226,
Total
1
mg/L
lb.
n/a
n/a
n/a
k.Sulfate
(as SO,)
(14808-79-8)
X
105
9309
I. Sulfide
(as S)
m. Sulfite
(as SO.)
(1426 4545.3)
` '
X
i—�
1
mg/L
lb.
n/a
n/a
n/a
n. Surfactants
X
0.552
48.9
1
mg/L
lb.
n/a
n/a
n/a
..Aluminum,
Total
(7429-90 5)
X
1.27
112.6
p. Barium, Total
(7440-39-3)
X
q Boron, Total
(7440-42-8)
�/
r. Cobalt, Total
(7440-48-4)
1
mg/L
i-
lb.
n/a
n/a
n/a
s Iron, Total
(7439-89-6)
1.15
102.0
1
mg/L
lb.
n/a
n/a
n/a
t. Magnesiu
Total
(7439-95.4)
x
2.26
200.4
u. Molybdenum,
Total
(7439-98-7)
1
mg/L
lb.
n/a
n/a
n/a
v.Mangan.w
Total
(7439-96 5)
X
0.069
6.12
w. Tin, Total
(7440-31-5)
x. Titanium,
Total
X
(7440-32-6)
PAGE V-2 CONTINUE ON PAGE V-3
EPA Form 3510-2C (8-90)

OUTFALL 002
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of this information EPA I.D. NUMBER (copyfrom /rem I of Form 1)
on separate sheets (use the same format) instead of completing these pages. NCD 047 368 642
SEE INSTRUCTIONS.
OUTFALL NO.
V. INTAKE AND EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-C)
0 32
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. TS
4. INTAKE
2. EFFLUENT
s cuNl
blank (p f f )
(ophonan
b. MAXIMUM 30 DAY VALUE
c LONGTERM AVRG. VALUE
a. LONG TERM
a. MAXIMUM DAILY VALUE
(ifinwilable)
(ijmmdable)
AVERAGE VALUE
d. NO OF
a. CONCEN-
b. NO. OF
(1)
1. POLLUTANT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
a.Biochemical Oxygen D
D
Demand (ROD)
3.9
762.1
3.9
762.1
1.4
185.7
12
m g /L
lb.
n/a
/l/
n/a
n a
b. Chemical Oxygen
33.7
4898
33.7
4898
4.37
458.6
12
mg/L
lb.
n/a
n/a
n/a
Demand (COD)
c. (TOC� Total Organic Carbon
12.8
1135
1
mg/L
lb.
n/a
n/a
n/a
d. Total Suspended
Solids(TSC)
10.6
939.7
1
mg/L
lb.
n/a
n/a
n/a
e. Ammonia (ax N)
0.410
36.3
1
mg/L
lb.
n/a
n/a
n/a
VALUE
VALUE
VALUE
VALUE
f.Flow
34.791
26.813
14.556
1095
MGD
MGD
n/a
n/a
g. Temperature
VALUE
VALUE
VALUE
VALUE
(winter)
22.0
18.8
14.1
188
°C
n/a
n/a
h Temperature
VALUE
VALUE
VALUE
VALUE
(summer)
3 3. 0
31. 1
3 0. 0
19 0
°C
n/a
n/a
MINIMUM MAXIMUM MINIMUM MAXIMUM
i. pH 6.11 8.16 n/a n/a 647 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 (npnnnal)
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG VALUE
a. LONG TERM AVERAGE
AND
a
b
a. MAXIMUM DAILY VALUE
(+fmwdable)
(rfmmlable)
VALUE
CAS NO.
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO. OF
(1)
(1)
(1)
0)
(ifmmdable)
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b MASS
CONCENTRATION
(2) MASS
ANALYSES
a. Bromide
�/
(24959-67-9)
X
b. Chlorine, Total
Residual
0. 14
12.4
1
m L
g/
lb .
n a
/
n a
/
n a
/
c. Color
X
27
n/a
1
PCU
n/a
n/a
n/a
n/a
d Fecal Coliformi
X
est. 2
n/a
1
col/dL
n/a
n/a
n/a
n/a
e.Fluoride
(1698448-s)
35.1
4110
35.1
4110
17.3
1783
12
m L
g/
lb.
n a
/
n a
/
n / a
(as�Al)te Nitrite
X
2.4
442.9
2.4
442.9
1.04
127.5
36
mg/L
lb.
n/a
n/a
n/a
EPA Form 3510-2C (8-90) PAGE V-1 CONTINUE ON REVERSE

OUTFALL 001
EPA I D. NUMBER (coPvfrmn Item 1 ofFnrm 1) OUTFALL NUMBER
NCD 047 368 642 001
CONTINUED FROM
PAGE V-8
4 UNITS
5. INTAKE(opnonan
2. MARK"X"
3. EFFLUENT
I.POLLUTANT
b MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a
p_
a
a. MAXIMUM DAILY VALUE I
(fmailable)
VALUE (favailable)
d. NO. OF
a. CONCEN-
AVERAGE VALUE
b. NO. OF
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
1
CONCENTRATION
(2) MASS
()
CONCENTRATION
(2) MASS
CAS NUMBER
(favailable)
TESTING
REQUIRED
BELIEVED
PRESENT
BELIEVED
ABSENT
ANALYSES
TRATION
b. MASS
ANALYSES
GC/MS FRACTION - PESTICIDES (conrinueen
17P. Heptachlor
Epoxide
X
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
(1024-57-3)
/ \
18P.PCB-1242
�/
x
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(53469-21-9)
19P.PCB-125a
�/
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(11097-69-1)
/�
20P.PCB-1221
�/
x
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(11104-28-2)
21P.PCB-1232
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(11141-16.5)
22P.PCB-1248
�/
x
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(12672-29-6)
23P.PCB-1260
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(11096-82-5)
24P.PCB-1016
�/
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(12674-11-2)
/�
25P.Toxaphene
�/
x
<0.000500
<0.005
1
mg/L
lb.
n/a
n/a
n/a
(8001-35-2)
EPA Form 3510-2C (8-90) PAGE V-9

OUTFALL 001
CONTINUED FROM THE FRONT
2 MARK "X"
3 EFFLUENT
4. UNITS
5 INTAKE (opnonao
1. POLLUTANT
b MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a
b
e
a. MAXIMUM DAILY VALUE
(�javmlable)
VALUE (ifavailable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO. OF
(1)
(1)
(1)
(1)
(favailable)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
1 (2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
GC/MS FRACTION - BASEINEUTRAL COMPOUNDS (connnfterl)
43B. N-Nitro-
sodiphenylamine
(86-30-6)
<0.0100
<0.098
1
mg/L
lb.
n/a
n/a
n/a
44B Phenanthrene
(85-011-8)
<0.00100
<0.001
1
mg/L
lb.
n/a
n/a
n/a
(5B.Pyrene
129-00-0
<0.00100
<0.001
1
mg/L
lb.
n/a
n/a
n/a
46B. 1,2,4-Tn-
chlorobenzene
(120-82-1)
x
I <0.0100
<0.098
1
m L
g/
lb.
n a
/
n a
/
n a
/
GC/MS FRACTION - PESTICIDES
1P.Al0.2)
Xdrin
<0.000050
<5e-4
1
mg/
lb.
n/a
n/a
n/a
2P.a-BHC
(319-84-6)
<0.000050
<5e-4
1
m L
g/
lb.
n a
/
n a
/
n a
/
3P.p-BHC
(319-85-7)
X
<0.000050
<5e-4
1
m L
g/
lb.
n/a
n a
/
n a
f
(5&e9-9)
X
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
5P.8-BHC
(319-86-8)
<0.000050
<5e-4
1
m L
g/
lb.
n/a
n a
/
n a
/
6P.Chlordane
(57-74-9)
<0.000050
<0.005
1
m L
g/
lb.
n a
/
n a
/
n a
f
7P.4,43DDT
%�
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
8P.4,4'-DDE
(72-55.9)
<0.000050
<5e-4
1
m L
g/
lb.
n/a
n a
/
n a
/
24r�48DDD
V
/�/�
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
1OP. Dieldnn
(60-57-1)
x
<0.000050
<5e-4
1
m L
gf
lb.
n a
/
n a
f
n a
f
11P.a-Enosulfan
(115-29-7)
X
<0.000050
<Se-4
1
m L
g/
lb.
n a
/
n a
/
n a
/
12P. 11-Endosulfan
(115-29-7)
X
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
13P Endosulfan
Sulfate
(1031-07-8)
<0.000050
<Se-4
1
m L
g /
lb.
n/a
n/a
n/a
14P Endnn
(72-20-8)
<0.000050
<5e-4
1
m L
g/
lb.
n a
/
n a
/
n a
/
15P.Endnn
Aldehyde
(7421-93-4)
X
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
16P. Heptachlor
(76.44-8)
x
<0.000050
<5e-4
1
mg/L
lb.
n/a
n/a
n/a
EPA Form 3510-2C (8-90) PAGE V-8 CONTINUE ON PAGE V-9

0
f'
6
n
I�
O
O
O
O
N
t9
O
(9
OUTFALL 001
n r.iTu.ii - CDn RA DA(_F V-A
2. MARK
1.POLLUTANT
AND
CAS NUMBER TESTING BELIEVED iBE
(�favarlable) REQUIRED PRESENT A
GC/MS FRACTION - BASEINEUTRAL COM
22B. 1,4-Dichloro-
benzene(106-46-7)
23B.3,3-Dichloro-
benz+d ine (91-94-1)
24B. Diethyl
\/
x
Phthalate (84-66-2)
25B. Dimethyl
Phthalate
X
(131 -11-3)
26B. Di-N-Butyl
Phthalate (84-74-2)
278. 2,4-Dinitro-
toluene (121-14-2)
28B.2,6-Dinitro-
\/
x
toluene (606-20-2)
29B. Di-N-Octyl
Phthalate (117-84-0)
308. -
hydrazne(as Az
hydrazme (as Azo-
benzene)(122-66-7)
31B Fluoranthene
(206-44-0)
32B. Fluorene
�/
x
(86-73-7)
33B. Hexachloro-
\/
x
benzene (118-74-1)
3413. Hexachloro-
X
butad+ene (87-68-3)
35B. Hexachloro-
cyclopentadiene
(77-47-4)
36B Hexachloro-
v
ethane (67-72-1)
(1,2,3-cd) Pyrene
(193-39 5)
38B Isophorone
�/
(78-59-1)
39B. Naphthalene
(91-20.3)
40B. Nitrobenzene
�/
(98-953)
4113. N-Nitro-
- I
sodimethylamme
X
(62-75-9)
428. N-N+trosodi-
N-Propylamine
(621-64 7)
EPA Form 3510-2C (8-90)
a. MAXIMUM DAILY VALUE
3 EFFLUENT
b. MAXIMUM 30 DAY VALUE
(!fcnw fable)
c. LONG TERM AVRG.
VALUE (+favmlable)
d. NO. OF
ANALYSES
4. UNITS
a. CONCEN-
TRATION
b. MASS
c
LIEVED
3SENT
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
POUNDS (conrrnu&e
<0.00100
<0.001
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.029
1
mg/L
lb.
<0.00300
<0.00300
<0.029
1
mg/L
lb.
<0.00300
<0.029
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.00300
<0.029
1
mg/L
lb.
<0.098
1
mg/L
lb.
<0.0100
<0.00100
<0.001
1
mg/L
lb.
<0.00100
<0.001
1
mg/L
lb.
<0.00100
<0.001
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.00100
<0.001
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.00100
<0.001
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb.
<0.0100
<0.098
1
mg/L
lb
PAGE V-7
5 INTAKE (opr+onan '
a. LONG TERM
AVERAGE VALUE
(1) b. NO. OF
:ENTRATION 1 (2) MASS ANALYSES
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
CONTINUE
n/a
ON
n/a
REVERSE

OUTFALL 001
CONTINUED FROM THE FRONT
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (a/,rranao
1 POLLUTANT
I b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG.
a. LONG TERM
AND
a,
b
c.
a MAXIMUM DAILY VALUE
(rfm dable)
VALUE ((fava,lable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b NO. OF
(1)
(1)
(1)
(1)
(�jm-a,lable)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS
(83-32-9)aphthene
X
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
2B. Acenaphtylene
(208-96-8)
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
hracene (120-1
(120-12-7)
<0.00100
<0.01
1
m L
g/
lb.
n a
/
n a
/
n / a
(92 8enzidine
<0.0100
<0.098
1
m L
lb.
n/a
n/a
n/a
58. Benzo (a)
(56-55-3)ne
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
6B Benzo
Pyrene (50-3-32-8)
<0.00100
<0.01
1
m L
g/
lb.
n a
/
n a
/
n / a
78. 3,4-Benzo-
nthene
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
(20rr
(205-99-2)
8B. Benzo (gin)
Perylene(191-24-2)
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
9B Benzo (k)
Fluoranthe(207-08-9)
(207-OS-9)
X
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
10B. Bis (2-Chlnm-
)hethane
(111-91-1)
(111-
<0.0100
<0. 098
1
mg/ L
lb.
n/a
/
n / a
n/a
11B. Bis (2-07/w»-
(11"1 EtherX
/\
<0.0100
<0.098
1
mg/L
lb.
n/a
n/a
n/a
128. Bis (2-
pyo
Ether(102-80-1)
Ether(102- 0-1
<0.0100
<0.098
1
m L
g/
lb.
n a
/
n a
/
n/a
13B. Bis (2-Etl(rl-
her_0Phthalate
(117-81-7)
<0.00300
<0.029
1
mg/L
lb.
n/a
n/a
n/a
14B 4-Bromophenyl
Phenyl Ether
(101-55-3)
<0.0100
<0.098
1
m L
g /
lb,
n/a
n/a
n/a
15B. Butyl Benzyl
Phthalate(85-68-7)
<0 . 00300
<0 . 029
1
m g/L
lb.
n a
/
n/a
n/a
16B. 2-Chloro-
naphthalene
(91-58-7)
<0.00100
<0.01
1
m L
g/
lb.
n a
/
n a
/
n a
/
17B. 4-Chloro-
phenyl Phenyl Ether
(7005-72-3)
< 0 . 010 0
< 0 . 0 9 8
1
mg/L
lb.
n/a
n/a
n/a
(21 01-9)Chrya
<0.00100
<0.01
1
m L
lb.
n/a
n/a
n/a
19B Dibenzo (a,h)
(53-70-3)ne
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
20B. 1,2-Dichloro-
benzene(95-50-1)
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
21 B. 1,3-Di-chloro-
benzene(541-73-1)
x
<0.00100
<0.01
1
mg/L
lb.
n/a
n/a
n/a
EPA Form 3510-2C (8-90) PAGE V-6 CONTINUE ON PAGE V-7

OUTFALL 001
CONTINUED FROM PAGE V-4
3, EFFLUENT
4. UNITS
5. INTAKE (optional)
2. MARK W
1 POLLUTANT
b. MAXIMUM 30 DAY VALUE c. LONG TERM AVRG.
a. LONG TERM
AVERAGE VALUE
AND a b c a MAXIMUM DAILY VALUE (�J'm'al/able) VALUE (�jm�arlable)
d. NO. OF a CONCEN-
(1) �AA
CAS NUMBER TESTING BELIEVED BELIEVED (1)
(ifavoilable) REQUIRED PRESENT ABSENT CONCENTRATION
(1) (1) ANALYSES
(2j MASS CONCENTRATION (2) MASS CONCENTRATION (2) MASS
TRATION
b MASS CONCENTRATION (2) M
GC/MS FRACTION -VOLATILE COMPOUNDS (conunned)
22V.Methylene �/
x
<0.00500 <0.049
1
mg/L
lb.
n/a
n/a
n/a
Chloride (75.09-2)
23V,1,1,2,
<0.010
1
mg/L
lb.
n/a
n/a
n/a
Tetrachloroe2- thane X
<0.00100
79 34 5
1
mg/L
lb.
n/a
n/a
n/a
24V.Tetrachloro-
<0.00100
<0.010
ethylene (127-18-4)
1
mg/L
lb.
n/a
n/a
n/a
25V Toluene
<0.00500
<0.049
(108-88-3)
26V.1,2-Trans- `
<0.010
1
mg/L
lb.
n/a
n/a
n/a
Dichloroethylene x
<0.00100
156-60-5
1
mg/L
lb.
n/a
n/a
n/a
27V.1,1,1-Trichloro- �/
<0.00100
<0.010
ethane (71-55-6) /�
1
mg/L
lb.
n/a
n/a
n/a
28V 1,1,2-Trichloro- X
<0.00100
<0.010
ethane (79-00-5)
1
mg/L
lb.
n/a
n/a
n/a
29VTdrhloro- �/
x
<0.00100
<0.010
1
ethylene (7"6)
30V.Tnchloro- ` /
<0.049
1
mg/L
lb.
n/a
n/a
n/a
fluoromethane
<0.00500
75-69-4 /X\
1
mg/L
lb.
n/a
n/a
n/a
31V. Vinyl Chloride
<0.00100
<0.010
(75-01-4)
GC/MS FRACTION - ACID COMPOUNDS
IA.2-Chlorophenol
<0.0100
<0.098
1
mg/L
lb.
n/a
n/a
n/a
(95-57-8)
1
mg/L
lb.
n/a
n/a
n/a
2A.2,4-Dichloro- X
<0.0100
<0.098
phenol It20-B3-2)
1
mg/L
lb.
n/a
n/a
n/a
3A.2,a-D,methyl- �(
<0.0100
<0.098
phenol(105-67-9)
1
mg/L
lb.
n/a
n/a
n/a
4A.4,6-Dinitro-0-
<0.0100
<0.098
Cresol(534-52-1)
1
mg/L
lb.
n/a
n/a
n/a
5A.2,4-Dimtro-
<0.0100
<0.098
phenol(51-28-5)
1
mg/L
lb.
n/a
n/a
n/a
6A.2-Nitrophenol
<0.0100
<0.098
(88-75-5)
1
mg/L
lb.
n/a
n/a
n/a
7A.4-Nitrophenol X
<0.0100
<0.098
(100-02-7)
1
mg/L
lb.
n/a
n/a
n/a
BA. P-Chloro-M-
<0. 0100
<0.098
Cresol (59.50.7)
1
mg/L
lb.
n/a
n/a
n/a
9A Pentachloro-
V
<0.0100
<0.098
phenol (87-86-5)
/`
1
mg/L
lb.
n/a
n/a
n/a
10A.Phe6ol
<0.0100
<0.098
(108-95-2)
1IA. 2,4,6-Tdchloro-
<0.0100
<0.098
1 _
mg/L
lb.
n/a
n/a
n/a
phenol (8B-05-2)
CONTINUE ON
REVERSE
EPA Form 3510-2C (B-90)
PAGE V-5

OUTFALL 001
CONTINUED FROM THE FRONT
2. MARK "X"
3 EFFLUENT
4. UNITS
5. INTAKE (opannan
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
C. LONG TERM AVRG.
a. LONG TERM
AND
a.
b
c
a. MAXIMUM DAILY VALUE
(fenwilable)
VALUE (Ifavadable)
AVERAGE VALUE
CAS NUMBER
TESTING
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO OF
(1)
(1)
(1)
(1)
(favadable)
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
V. 107-02-8)
(107 02 s)
<0.0500
<0.488
1
m L
g/
lb.
n a
/
n a
/
n a
/
2V.Acrylorntnle
(107-13.1)
<0.0100
<0.098
1
m /L
g
lb.
n/a
n/a
n a
/
3V.Benzene
(71-43-2)
x
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
4V. Bis (Chloro-
` /
mcllVo Ether
X
Not Req
fired
per NCDWR
NPDES
Permitt' g
Unit
(542-88-1)
(V`.B`rromoform
<0.00100
<0.10
1
mg/L
1b.
n/a
n/a
n/a
6V Carbon
Tetrachlonde
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
(56-23-5)
(OB-90-7) Chlorobenzene
�/
x
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
BV. Chlorodi-
bromomethane
X
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
(124-48-1)
9V. Chloroethane
(75-00-3)
�/
^
<0.00500
<0.049
1
mg/L
lb.
n/a
n/a
n/a
10V. 2-Chloro-
ethylvinylEther
X
<0.0500
<0.488
1
mg/L
lb.
n/a
n/a
n/a
(110-75-8)
11V. Chloroform
(67-66.3)
�/
^
<0.00500
<0.049
1
mg/L
lb.
n/a
n/a
n/a
12V. Dichloro-
bromomethane
X
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
(75-27-4)
13V. Dichloro-
I
difluoromethane
X
<0.00500
<0.049
1
mg/L
lb.
n/a
n/a
n/a
(75-71-8)
14V. 1,1-Dichloro-
ethane(75-34-3)
x
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
15V.1,2-Dichloro-
ethane (107-06-2)
<0.00100
<0.10
1
m L
9 /
lb.
n a
/
n a
/
n a
/
16V.1,1-Dichloro-
ethylene (75-35-4)
x
<0.00100
<0.10
1
m /L
g
lb.
ri a
/
n a
/
n a
/
17V.1,2-Dichloro-
propane(78-87-5)
<0.00100
<0.10
1
m g/L
lb.
n/a
n/a
n a
/
18V.1,3-Dichloro-
` /
propylene
X
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
(542-75-6)
19V Ethylbenzene
(10D-41-4)
�/
x
<0.00100
<0.10
1
mg/L
lb.
n/a
n/a
n/a
20V Methyl
Bromide (74-83-9)
<0.00500
<0.049
1
mg/L
lb.
n/a
n/a
n/a
21V.Methyl
<0.00250
<0.024
1
mg/L
lb.
n/a
n/a
n/a
Chloride (74 87-3)
EPA Form 3510-2C (8-90) PAGE V-4 CONTINUE ON PAGE V-5

OUTFALL 001
NUMBER (cn/ fmm OUItem 1 njFonn l) TFACE NUMBER
rIEPAD.
047 368 642 001
CONTINUED FROM PAGE 3 OF FORM 2-C
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 GClM
PART C - If you are a primary industry and this outfall contains process wastewater, refer
to industry and for ALL toxic metals, cyanides, and total phenols. If you are not required to mark column 2a (secondary
industries, nonprocess wastewater outfalls, and non required GC/MS
If mark column 2a for any pollutant, you must
fractions that apply your
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
2b for must provide the results of at least one analysis
believe is absent. you
for that pollutant if you
know or have reason to believe it will be
provide the results of at least one analysis for that pollutant. If you mark column any pollutant, you
mark column 2b for acrolem, acrylonitnle, 2A dinitrophenol, or 2-methyl-4, 6 dinitrophenol, you must provide the results of at least one analysis for each of these
If at least one analysis or
discharged in concentrations of 10 ppb or greater. you
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
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
briefly describe the reasons the pollutant is expected to be discharged.
additional details and requirements.
3. EFFLUENT
4. UNITS
5. INTAKE (opuona0
2. MARK'X"
1. POLLUTANT b MAXIMUM 30 DAY VALUE c. LONGTERM AVRG.
a. LONG TERM
AVERAGE VALUE
AND a. MAXIMUM DAILY VALUE (rja+arlable) VALUE (rJm•arinhle) d. NO. OF
a. CONCEN-
(1) b NO.OF
CAS NUMBER TESTING BELIEVED BELIEVED (1) (1) (1) ANALYSES
(ijavarlable) REQUIRED PRESENT ABSENT CONCENTRATION (2) MASS CONCENTRATION (2) MASS CONCENTRATION (2) MASS
TRATION b MASS
CONCENTRATION (2) MASS ANALYSES
METALS, CYANIDE, AND TOTAL PHENOLS
n/a n/a n/a
1M.Antimony, Total
mg/L lb.
E<O.0E02<0.020
(7440-36-0)
1
mg/L lb.
n/a n/a n/a
2M.Arsenic,Total <0.049
(7440-38-2)
1
mg/L lb.
n/a n/a n/a
3M Beryllium, Total <0.001 <0.010
(744041-7)
1
mg/L lb.
n/a n/a n/a
4M. Cadmium, Total �/ <0.002 <O.020
X
(7440-43-9)
SM.Chromium, �/ 0.010 0.070 0.010 0.070 0.004 0.034 4
mg/L lb.
n/a n/a n/a
Total (7440-47-3) /�
6M. Copper, Total �/ 0.007 0.050 0.007 0.050 0.0055 0.047 4
mg/L lb.
n/a n/a n/a
(7440-50-8) /�
1
mg/L lb.
n/a n/a n/a
7M. Lead, Total �/ <0.003 <0.029
(7439-92-1) /�
1
mg/L lb.
n/a n/a n/a
BM Mercury, Total <0.0002 <0.002
(7439-97-6)
9M. Nickel, Total 0.012 0.090 0.012 0.090 0.0083 0.065 4
mg/L lb.
n/a n/a n/a
(7440-02-0)
1
mg/L lb.
n/a n/a n/a
1OM. Selenium, <0.005 <0.049
Total (7782-49-2)
1
mg/L lb.
n/a n/a n/a
11M Silver, Total �/ <0.002 <0.020
(7440-22-4) /�
1
mg/L lb.
n/a n/a n/a
12M Thallium, <0.005 <0.049
Total (7440-28-0)
13M. Zinc, Total v 0.042 0.390 0.042 0.390 0.0343 0.286 4
mg/L lb.
n/a n/a n/a
(744D-66-6)
1
mg/L lb.
n/a n/a n/a
14M.Cyanide, <0.005 <0.049
Total (57-12-5)
mg/L lb.
n/a n/a n/a
15M. Phenols,
Total
DIOXIN
2,3,7,8-Tetra- OIESCRIBE RESULTS Not applicable
chlorodibenzo-P-
1XI
Dioxin (1764-01-6)
CONTINUE ON REVERSE
PAGE V-3
EPA Form 3510-2C (8-90)

OUTFALL 001
ITEM V-B CONTINUED FROM FRONT
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (opnonan
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c. LONGTERM AVRG. VALUE
a. LONG TERM
AND
a
b
a. MAXIMUM DAILY VALUE
r available
(f %
(dm•arinble)
AVERAGE VALUE
CAS N0.
BELIEVED
BELIEVED
d. NO. OF
a. CONCEN-
b. NO. OF
(1)
(1)
(1)
(1)
(f avadable)
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
ANALYSES
TRATION
b. MASS
CONCENTRATION
(2) MASS
ANALYSES
g. at
\
Total rganic(ns
Organic
1.016
9.9
1
mg/L
lb.
n/a
n/a
n/a
M
/X`
h.Oil and
Grease
X
<5.6
<50.0
5.2
42.5
0.26
1.87
36
m L
g/
lb.
n a
/
n a
/
n a
/
i Phosphorus
` ,
(77
X
12.4
121.0
1
mg/L
lb.
n/a
n/a
n/a
3-14-)
(7723-14-0)
). Radioactivity
(1) Alpha, Total
(2) Beta, Total
`X
X
,�`
(3) Radium,
Total
(4) Radium 226,
v
Total
k. Sulfate
(aiSO,)
(14808-79-8)
1083
10568
1
m g/L
lb.
n/a
n/a
n/a
1. Sulfide
�/
(as S)
m. Sulfite
(as R03)
(14265-45-3)
n.Surfactants
X
3.07
30.0
1
mg/L
lb.
n/a
n/a
n/a
o. Aluminum,
Total
(7429-90-5)
0.19
1.9
1
mg/L
lb.
n/a
n/a
n/a
p. Barium, Total
`�
(7440-39-3)
n
q. Boron, Total
(7440-42-8)
r. Cobalt, Total
�/
(7440-48-4)
s. Iron, Total
(7439-89-6)
0.28
2.7
1
mg/L
lb .
n/a
n/a
n/a
I. Magnesium,
Total
(7439-95-4)
2.26
22.1
1
mg/L
lb.
n/a
n/a
n/a
u. Molybdenum,
Total
x
(7439-98-7)
/�
v. Manganese,
Total
(7439-96-5)
<0.005
<0.049
1
mg/L
lb.
n/a
n/a
n/a
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

OUTFALL 001
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of this information EPA LD NUMBER (convfrom Item 1 of Form 1)
on separate sheets (use the same format) instead of completing these pages INCD 047 368 642
Stt INJ I KUU I IUNJ.
OUTFALLNO.
V. INTAKE AND EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-C) ooi
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
(specrjv 1 blank)
(opuonan
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG. VALUE
a. LONG TERM
a MAXIMUM DAILY VALUE
(Ifm dable)
(ifavalable)
d. NO. OF
a. CONCEN-
AVERAGE VALUE
b. NO. OF
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
1. POLLUTANT
ANALYSES
TRATION
b. MASS
ANALYSES
a. Biochemical Oxygen
71.0
675.9
26.8
207.1
5.8
37.8
465
mg/L
lb.
n/a
n/a
n/a
Demand (BOD)
b. Chemical Oxygen
32.1
313.2
1
mg/L
lb.
n/a
n/a
n/a
Demand (COD)
c. Total Organic Carbon
84.9
828.4
1
mg/L
lb.
n/a
n/a
n/a
(70Cj
d. Total Suspended
44.0
387.8
22.0
177.0
9.8
54.6
465
mg/L
lb.
n/a
n/a
n a
Solids(nS)
1
e. Ammonia (av N)
0.414
4.0
1
mg/L
lb.
n/a
n/a
n/a
f.Flow
VALUE
1.627
VALUE
1.133
VALUE
0.907
1095
MGD
MGD
VALUE
n/a
n/a
g Temperature
VALUE
26 0
VALUE
22.2
VALUE
18.4
118
°C
VALUE
n/a
n/a
(hinter)
h. Temperature
VALUE
32.0
VALUE
30.6
VALUE
29.0
118
°C
VALUE
n/a
n/a
(.rummer)
MINIMUM MAXIMUM MINIMUM MAXIMUM
i. pH 6 8.47 n/a n/a 374 STANDARD UNITS
moli
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 1
4. UNITS
5. INTAKE (oplional)
1. POLLUTANT
b. MAXIMUM 30 DAY VALUE
c LONG TERM AVRG. VALUE
a. LONG TERM AVERAGE
AND
a
b
a. MAXIMUM DAILY VALUE
(rfavailable)
(ijavalable)
d. NO. OF
a. CONCEN-
VALUE
b NO. OF
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
(2) MASS
CAS NO.
(javadable)
BELIEVED
PRESENT
BELIEVED
ABSENT
ANALYSES
TRATION
b. MASS
ANALYSES
a. Bromide
�/
X
(24959-67-9)
b Chlorine, Total
�/
X
0.03
0.3
1
mg/L
lb.
n/a
n/a
n/a
Residual
c. Color
X
10
n/a
1
PCU
n/a
n/a
n/a
n/a
d. Fecal Conform
X
est . 2
n/a
1
col/dL
n/a
n/a
n/a
n/a
e.Fluonde
u
170
1659
1
mg/L
lb.
n/a
n/a
n/a
(16984-48-8)
f.Nitrate-Nitnte
V
0.065
0.6
1
mg/L
lb.
n/a
n/a
n/a
(as M
/\
EPA Form 3510-2C (8-90) PAGE V-1 CONTINUE ON REVERSE

I:UW I INUCU rmUM I mc: rmMY l
VII SIC CODES 4-di it, to orderof rion
A FIRST B SECOND
t
) INDUSTRIAL ORGANIC CHEMICALS
(specify) 7
3083
AM
(1pec) LAMINATED PLASTICS PLATE, SHEET, AND PROFILE SHAPES
7 2869
1s ,e
1e
1s
1s - 1s
C THIRD D FOURTH
c
33
0 8 1
(6pec�)UNSUPPORTED PLASTICS FILM AND SHEET c
NOTE Kuraray Butacite HutaciteO and SentryGlaSo sheeting %
2821,
(specify) PLASTIC MATERIALS AND RESINS
NOTE: DuPont PVF resin process units
,5 16
process units 15
9
16 ,9
VIII OPERATOR INFORMATION
A NAME B. Is the name listed In Item
c
VIII-A also the owner?
8 The
Chemours Company FC, LLC IZI YES ❑ NO
55 Ba
,5 18
C. STATUS OF OPERATOR (Enter the appropriate letter into the answer box if "Other, " specify)
D PHONE (area code & no)
F = FEDERAL M=PUBLIC (otherthonjederalorstate)
P
(specify)
q
[phone]
S=STATE
O =OTHER (specify)
56
15 J6
- 19 19 - 21 a 2e
P = PRIVATE
E STREET OR P 0 BOX
AAarket treet
55
26
F CITY OR TOWN
IG STATE
H ZIP CODE
IX INDIAN LAND
c
c
Is the facility located on Indian lands?
1s 1e
Wilmington
- a
DE
n .z
19898
a - s1
❑ YES 0 NO
52
X EXISTING ENVIRONMENTAL PER?
A NPDES Dmha esm,SurfaceWater
D PSD Atr/:nnsvonsfram1 osed.Sources
C
T
NC0003573
C
g
T
p
NC Title V Permit 03735
g
N
n
1e
v ,a
30
15
1 1e
1 17
Ila
B UIC Under round/neelt
E OTHER s ct
c
I T
I I
12LIutds
NSA
o
T
W 00313 4
(spectjy) Land Application Pelmet
s
U
9
t51
161
17118
M
15
1 18
1 11
118
C RCRA Wastes
E OTHER s a
C
T
1
fHazardous
NCD047368642
C T 1 (specify)
g
g
R
15
is
17's
30
15 1e 1T 19
XI MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the
location of each of its existing and proposed Intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
Injects fluids underground Include all springs, rivers, and other surface water bodies In the map area. See instructions for precise requirements
XII. NATURE OF BUSINESS (provide a bnefdescn tion)
The Chemours Company - Fayetteville Works (formerly the DuPont Company - Fayetteville Works) is a fluorinated
chemicals manufacturer situated on'a 2,200-acre property in northwestern Bladen County, NC.
The Chemours' products produced at the facility include fluorinated monomers and fluorinated vinyl ethers,
Nafion" membranes and dispersion, and fluoropolymer processing aids. Chemours operates two natural gas / fuel
oil -fired boilers, which provides steam for the entire facility.
Also located at this facility are two tenant companies: Kuraray America Inc. and the DuPont Company. Kuraray
operates the Butacitem polyvinyl butyral (PVB) thermoplastic sheet and resin manufacturing unit and the
SentryGlasm ionoplast interlayer manufacturing unit. DuPont operates two polyvinyl fluoride (PVF) resin
manufacturing units.
Chemours receives and treats all of the Kuraray and DuPont process wastewater, sanitary wastewater, and contact
stormwater in the Chemours' owned and operated wastewater treatment plant, and discharges that treated
wastewater through Outfall 001 under the Chemours' NPDES Wastewater Discharge Permit (Permit No. NC0003573).
The Kuraray and DuPont non -contact cooling waters and stormwaters are discharged through Outfall 002 under the
Chemours' NPDES Wastewater Discharge Permit.
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 to the applicaft 1 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 ft and imprisonment
A. NAME & OFFICIAL TITLE (typeorpnnt)
B SI ATURE,�y�/�
C DATE SIGNED
Ellis H. McGaughy - Plant Manager
�((/
-V '1
COMMENTS FOR OFFICIAL USE ONLY
JC
15
ss
,e
EPA Form 3510-1 (8-90)
DEQ-CFW 00002916

r w FIea�e print or ty
pe ype in the unshaded areas only
Form Approved OMB No 2040-0086
FORM
U S. ENVIRONMENTAL PROTECTION AGENCY
I EPA I D NUMBER
1
\= EPA GENERAL INFORMATION
3
TIA C
Consolidated Permits Program
F
NCD 047 368 642 D
GENERAL
(Read the "General lrntructions" before starting)
_ 5
LABEL ITEMS
GENERAL INSTRUCTIONS
If a prepnnted label has been provided, affix it in the
designated space Review the information carefully, d any of it
I. EPA I D NUMBER
is incorrect, cross through it and enter the correct data in the
appropriate fill-in area below Also, if any of the preprinted data
' Is absent (the area to the left of the label space lists the
III. FACILITY NAME PLEASE PLACE LABEL IN THIS SPACE nformahon that should appear), please provide it in the proper
fill-in area(s) below If the label is complete and correct, you
V. FACILITY MAILING
need not complete Items I, III, V, and A (except VI-S which
ADDRESS
must be completed regardless) Complete all items if no label
'
has been provided Refer to the instructions for detailed item
"
VI FACILITY LOCATION
descriptions and for the legal authorizations under which this
data is collected
ll POLLUTANT CHARACTERISTICS
INSTRUCTIONS Complete A through J to determine whether.you need to submit any
permit application forms to the EPA If you answer "yes" to any questions, you must
submit this form and the supplemental form listed in the parenthesis following the question
Mark "X" in the box in the third column if the supplemental form is attached If
you answer "no" to each question, you need not submit any of these forms. You may
answer "no" if your activity is excluded from permit requirements, see Section C of the
Instructions See also, Section D of the Instructions for definitions of bold-faced terms
Mark'X'
Mark'X'
YES
NO
FORM
ATTACHED
YES
NO
FORM
ATTACHED
SPECIFIC QUESTIONS
SPECIFIC QUESTIONS
A Is this facility a publicly owned treatment works which
results in a discharge to waters of the U.S? (FORM 2A)
X
B Does or will this facility (either existing or proposed)
include a concentrated animal feeding operation or
X
aquatic animal production facility which results in a
16
17
is
1s
20
21
discharge to waters of the U.S.? (FORM 2B)
C Is this a facility which currently results in discharges to
waters of the U.S. other than those described in A or B
�/
X
�/
X
D Is this a proposed facility (other than those described in A
or B above) which will result in a discharge to waters of
X
above? (FORM 2C)
n
23
34
the U.S.? (FORM 2D)
25
1 25
E Does or will this facility treat, store, or dispose of
F Do you or will you inject at this facility industrial or
hazardous wastes? (FORM 3)
X
municipal effluent below the lowermost stratum
X
containing, within one quarter mile of the well bore,
underground sources of drinking water? (FORM 4)
31
3i
33
26
G Do you or will you inject at this facility any produced water
H Do you or will you Inject at this facility fluids for special
or other fluids which are brought to the surface in
processes such as mining of sulfur by the Frasch process,
connection with conventional oil or natural gas production,
X
solution mining of minerals, in situ combustion of fossil
X
inject fluids used for enhanced recovery of oil or natural
fuel, or recovery of geothermal energy? (FORM 4)
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4)
34
35
36
37
1 39
1 36
1 Is this facility a proposed stationary source which is one
J Is this facility a proposed stationary source which is
of the 28 Industrial categories listed in the instructions. and
�/
X
NOT one of the 28 industrial categories listed in the
X
which will potentially emit 100 tons per year of any air
instructions and which will potentially emit 250 tons per
pollutant regulated under the Clean Air Act and may affect
I I
year of any air pollutant regulated under the Clean Air Act
41
42
43
45
or be located in an attainment area? (FORM 5)
and may affect or be located in an attainment area?
(FORM 5)
Ill NAME OF FACILITY
c
1 SKIP C emours Company - Fayetteville
Works
15
16 - 29
30
ea
IV FACILITY CONTACT
A NAME 8 TITLE (lays, first, & title)
B PHONE (area code & no )
J2c
Johnson, ichael, Environmenta anager
15
,6
45 46 4e 49 51 W. 55
V.FACILTY MAILING ADDRESS
A STREET OR P 0 BOX
c3 J22828 NC Highway 87 w
m 1e
45
B CITY OR TOWN
C STATE D ZIP CODE
c
4
Fayetteville
C
2 3 6
IS
16
40 41 47 47 51
VI. FACILITY LOCATION
A STREET, ROUTE NO OR OTHER SPECIFIC IDENTIFIER
c
5 2 8 8 NC ighway 8
15 19
45
B COUNTY NAME
Bladen
46
10
C CITY OR TOWN
D STATE
E ZIP CODE
F COUNTY CODE (ifknown)
c
6
F y t e i 1
C
2 3 6
3 017
,5
1e
40
4i ere
41 51
57 -54
EPA Form 3510-1 (8-90)
CONTINUE ON REVERSE
DEQ-CFW 00002917

v >Chamouirs-
The Chemours Company 910-483-46810
Fluoroproducts chemours com
22828 NC Highway 87 W
Fayetteville, NC 28306-7332
CERTIFIED MAIL ARTICLE NUMBER 7002 0860 0006 9104 7828
RETURN RECEIPT REQUESTED
Ms. Wren Thedford
NCDEQ Division of Water Resources
NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SUBJECT: NPDES Permit Renewal Application
NPDES Permit No. NC0003573
Dear Ms. Thedford:
April 27, 2016
RECEIVED/NCDEQ/DWR
MAY 0'3 7016
Water Quality
Permitting Section
The Chemours Company — Fayetteville Works is requesting renewal of NPDES Wastewater
Discharge Permit No. NC0003573. Since the issuance of the last permit, the ownership of this
facility changed from the DuPont Company to The Chemours Company FC, LLC. Also, two
separate companies, Kuraray America Inc. and the DuPont Company, are operating manufacturing
units and are treating and discharging their wastewaters under the Chemours' NPDES Permit.
Enclosed are the original and two copies of the General Information Form 1 (Form 3510-1),
Wastewater Discharge Information Form 2C (Form 3510-2C), and additional required supporting
documentation for renewal of the subject permit by the NC Division of Water Resources.
Included in the permit application are the following supplemental information documents: Sludge
Management Plan, Current Facility Wastewater Management, Current Facility Operating
Conditions, Alternate Application Schedule for §316(b) of the Clean Water Act, Elimination of
Monitoring Requirement for PFOA, and the non -reporting of bis(chloromethyl) ether.
If you have any questions or need additional information, please contact me at [phone].
Sincerely,
Enclosures
ref E. Johnson, PE
ironmental Manager
DEQ-CFW 00002918

Chemours- Company —Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information — Permit Renewal Application — April 27, 2016
Form 2C Permit Application — Bis(chloromethyl) ether
Bis(chloromethyl) ether (CAS No. 542-88-1) was not analyzed for, and consequently was not
reported on Page V-4 of Form 2C for both Outfall 001 and Outfall 002.
On November 28, 2014, the State of Oregon's Department of Environmental Quality ("ODEQ")
issued a memorandum (Note >) addressing the issue of analyzing for bis(chloromethyl) ether
("BCME"). In this memorandum, ODEQ states:
"Based on the chemical's rapid hydrolysis in water, there are no analytical methods to measure
BCME in water samples. Currently, the only analytical techniques available for this compound
are for air samples. Region 10 EPA staff queried its Manchester Environmental Lab in Port
Orchard, WA about potential, analytical methods for BCME. Staff at the lab confirmed that
there is no EPA method for BCME because of its rapid degradation in water."
Because of the lack of an'EPA approved analytical method for bis(chloromethyl) ether in a water
matrix, ODEQ concluded:
" Given its rapid hydrolysis in water, there are no recommended analytical methods for BCME
in water samples. Because BCME is not quantifiable in wastewater, DEQ will not require
permit holders to monitor or conduct reasonable potential analyses for this toxic pollutant."
In an April 13, 2106, email from Tom Belnick, Supervisor of the NCDEQ Division of Water
Resources' NPDES Complex Permitting Unit, to Michael Johnson, Environmental Manager,
Chemours Company — Fayetteville Works, Mr. Belnick stated:
"I checked with our DWR analytical lab, and they concur with Oregon's position and are not
aware of any labs using even R&D methods for this analyte. Therefore, you can omit this
parameter from your application renewal."
Note 1: http://www.deq.state.or.us/wq/standards/docs/toxies/BisChloromethylMemo.pdf
DEQ-CFW 00002919

CHEMOURS COMPANY - FAYETTEVILLE WORKS
LOCATIONS OF HAZARDOUS WASTE MANAGEMENT FACILITIES

CHEMOURS COMPANY - FAYETTEVILLE WORKS
LOCATIONS OF INTAKE AND DISCHARGE STRUCTURES

EPA I D. NUMBER (,otn Inun bent 1 w f,+ru, I) Form Approved.
OMB No. 2040-0086
NCD 047 368 642 ADDrovateXDlres3-31-98.
Please print
or type in the unsnaaea areas only.
U S. ENVIRONMENTAL PROTECTION AGENCY
J&EPA APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURE OPERATIONS
Consolidated Permits Program
FORM
2C
NPDES
I OUTFALL LOCATION
or 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
(ha)
B. LATITUDE
C. LONGITUDE
D, RECEIVING WATER (ne,nr)
1 DEG
2 MIN
3 SEC
1 DEG
2 MIN
3 SEC
001
34.00
50.00
22.93
-78.00
50.00
11.47
Cape Fear River
002
34.00
50.00
21.58
-78.00
49.00
25.70
Cape Fear River
11. 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
2. OPERATION(S) CONTRIBUTING FLOW
3 TREATMENT
OUT-
FALL
[NO, (h,i)
('i.-
001
a. OPERATION (Ica)
.ls Nam.`a-'^.r ia3 2rore�se�
b AVERAGE FLOW
(o,,ludr,ar,)
n
1
a. DESCRIPTION
E 1'Y_r'.. t-.At- WASTEWATEt' T. A KENT
b. LIST CODES FROM
TABLE 2C-1
Xicaxap
e,:cacite K_g zecess
iL inaueac. Sc¢e
i ..
•aaray S :._lr^ia� N`u 2rocra_+
yal!:3ay
_, ,::aiiza .,a alci rtl ri ro a�� a.-.��1�::
3 ,_
a ..
.^...i. VE' r -_sc es
�il.ts4 <3+1ua.
y
4`
A
TCr['A:. I..FLnENT TO WWT
1, 2`s `i,?^.c _al:'3a}•
E•rapUzac i<.+n ==bin Slt:noe n. ino
Y
19. ?43 aal /ciay
Clf 1n>s:3alve.i Aiz Fle,c ac ion
S `
�4r1PA!._,
,4: Sh:daP £�?ac: -'r.-a':-i ?;•ye-
is, ri.:vrr.aai .+- r,rf->. .. •.>. i.,n-i`311
S
002
001 T—.`e d ._l'-:::
i.li'.,iS' c,ai^'lay
t, 645 al.l':ay
�rx, :r.,.r a._•. filresei water
1. 92 ;, 128 aa1/d.y
_o:mwacei
,.24, 593 aalr
. ii PH:. i. v.... 1'i +l'ti. to k'�J35
_..813, 2?3 aaliday
➢is Zazge �,. t _fac< aces fCapF Fra- ?iv.°t?
.
OFFICIAL USE ONLY (,tihrrnr kuidrhnr. erdr-r+,r.;¢.n,.•.)
EPA Form 3510-2C (8-90) PAGE 1 of 4 �— "'"
DEQ-CFW 00002922

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 (,,wiplew the l d/m, urg rahle) [Z] NO (i' r„ Sc. n„n //I)
3 FREQUENCY
4 FLOW
B TOTAL VOLUME
2 OPERATION(s)
7DAYS
b MONTHS
a FLOW RATE(u„q�,Q
(.pit rh ,rrdr nr„r.)
1LONGTERM
2 MAXIMUM
1 LONG TERM
2 MAXIMUM
C DURATION
1 OUTFALL
CONTRIBUTING FLOW
PER YEAR
NUMBER(h,rj
(lr.,l
(.10-rNi .n. r:,e`)
AVERAGE
DAILY
AVERAGE
DAILY
III PRODUCTION
A. Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
© YES (r„nq•lrr.• Itnr 111-B) ❑ NO . rr.nr 11)
B. Are the limitations in the applicable effluent guideline expressed in terms of production (or other measure of operation)?
❑ YES (uxnplrr. hrnr Ill-( ) W] NO (c•+n, Se.tf, , 11)
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
(h.r„ar(rllfit rnrh,•re)
a. QUANTITY PER DAY
b. UNITS OF MEASURE
c OPERATION, PRODUCT. MATERIAL. ETC.
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 (r,nuhlrr.
the f d/nnvnc r"h/r)
© NO (c" rt, Item /I "-/i)
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 OPTIONALYou 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
DEQ-CFW 00002923

EPA I D. NUMBER (rapt Imm 6ru+ / of I ,n• , 1)
N;'I-) 04'7 368 642
GUN I INUtU t-KUM t MUC L
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
Pk,ne of the pallutants I isr,ed
in Table 2C-3 at'e believed t,
bc, present. in the wastewater
discharge f-r!^- thi site.
I
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?
mYES (hit all m h lwpera ni, hehm ❑ NO (• r„ Ir.wr I I-B)
Antimony
Benzene
1,2-dichlorcethane
Methylene chlori-de
^cluene
EPA Form 3510-2C (8-90) PAGE 3 of 4 wry I mac vw r.cv
DEQ-CFW 00002924

r.ONTINI1Pn 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
of on a receiving water in
relation to your discharge within the last 3 years?
© YES (,Jema,dr.• El NO 11/1)
The "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure" is performed each q-4arter in accordance
with the requirement of condition A(4) of the facility's NPDES Permit. The NCDEQ Division
of Water Resources
has copies of the Form AT-1 test results that were submitted with the Discharge Monitoring
Reports during the
period from February 2012 through February 2016.
The quarterly chronic test performed during February 2012, failed for the ceriodaphnia
dubia reproduction.
The required monthly chronic tests performed in March and April 2012 both passed. No
other toxicity test
failures occurred during the five-year term of the current permit.
VIII CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
® YES (her dr.•,norm• ad lrec amllekplwne numb. r ul. an , 1/4 11110,0111 "'hilt:ed h.r. � NO (p„ i,+Se, ir,rn U)
.,whmuIfLdmn,rawn or
C TELEPHONE
0.POLLUTANTS ANALYZED
A NAME
B ADDRESS
(.mein, mli e1 no)
(list)
TBL
2401. West 5th Street
?1G•738-6190
Chemical Oxygen Demand
Lumberton, NC 635P
(COD); Total Organic
Carbon. (TOC); Total
Suspended Solids (TSS);
Ammonia (as N); Color;
Fecal Coliform; Fluoride;
Nitrate -Nitrite (as N);
Nitrogen.; Total Organic
(as N); Oil and Grease;
Total Phosphorus (as P);
Sulfate (as SO4);
surfactants; Total
Aluminum; Total Iron;
Total Magnesium; Total
Manganese; Part C Metals,
Cyanide, and Total Phenols;
Part C CC/MS - Volatile
Compounds; Part. C GC/MS -
Acid Compounds; Part C
GCi,VS - Base/Neutral
Compounds; Part C GC/MS
Fraction - Pesticides
IX CERTIFICATION
I certify under penalty of taw that this document and all attachments v:ere 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 (lrt,e nrl,rur!)
B PHONE NO. (,rn r r,rJr ,C no)
Ellis H. McGauahy - Plant Klan ,er
[phone]
C SIGN URE
/
D DATE SIGNED
l (S
L20 I �t9
EPA Form 3510-2C (8-90) v V V PAGE 4 of 4
DEQ-CFW 00002925

DUART QUADRANGLE STATE OF NORTH CAROLINA
UNITED STATES NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCE
DEPARTMENT OF THE INTERIOR AND COMMUNITY DEVELOPMENT
7.5 MINUTE SERIES (TOPOGRAPHIC) RALEIGH, N. C.
GEOLOGICAL SURVEY SEX SAINT PAULS 15' QUADRANGLE 5253 IV
713°5 ' 30" 69500E ,,. ,. DARCRE
4° 52' 30'- - C91 50 699 (CEDAR CREEKI
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FACILITY LEGAL 1 t Ga9t+ '°
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SCALE 1:24 000 C\i,
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1000 0 1000_ 2000 3000 4000 5—_ p00 ^6000 7000 8000 9000 10 000 v
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CONTOUR INTERVAL 5 FEET z000 °°S ' x�
NATIONAL GEODETIC VERTICAL DATUM OF 1929 \
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385z Cem ' ° Roadside
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L'l THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS BM 135 _
47' 30° FOR SALE BY U. S. GEOLOGICAL SURVEY, DENVER. COLORADO 8022-5, OR RESTON, VIRGINIA 22092
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
DEQ-CFW 00002926

1
�vrNv
LA
it
71
Property Boundary
Expected Private Well Locations
41 Water Supply Wells
1000 ft Buffer of Site Property Boundary
momommr=zz==� Feet
Rf_1
1
1
4`k F44 on
\ - -
• - • . - - - - - - - - - - --{�i�iii�