NCS000527_HISTORICAL WITH APPLICATION_20090529

STORMWATER DIVISION CODING SHEET
PERMIT NO.
I
DOC TYPE
❑FINAL PERMIT
❑ MONITORING INFO
�Z APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ 2D(fl 0 CJ 2�
YYYYMMDD

Central Fifes: APS SWP
05/29/09
Permit Number NCS000527
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In draft New Project
Permit Type
Version Permit Classification
Stormwater Discharge, Individual
Individual
Primary Reviewer
Bethany.Georgoulias
Coastal SW Rule
Permitted Flow
Permit Contact Affiliation
Facility
Facility Name Major/Minor Region
IPS Structural Adhesives Minor Raleigh
Location Address
600 Ellis Rd
Durham
NC 27703
Owner Name
Ips Structural Adhesives Inc
County
Durham
Facility Contact Affiliation
Kevin Connolly
600 Ellis Rd
Durham
Owner Type
Non -Government
Owner Affiliation
Kevin Connolly
NC 27703
600 Ellis Rd
Durham NC 27703
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
09/24/08 02/23/09 05/29/09 04/13/09
Regulated Activities Requested/Received Events
Miscellaneous manufacturing Region comments on draft requested 02/25/09
Stormwater (activities not covered) Region comments on draft received 04/08/09
RO staff report received 04/08/09
Outfall 001
Waterbody Name Stream Index Number Current Class Subbasin
Third Fork Creek 16-41-1-12-(1) C;NSW 03-06-05

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Kevin Connolly
Director of Operations
IPS Structural Adhesives Inc.
600 Ellis Road
Durham, North Carolina 27703
Dear Mr. Connolly:
Division of Water Quality
Coleen H, Sullins Dee Freeman
Director Secretary
April 14, 2009
Subject: Draft NPDES Stormwater Permit
Permit No. NCS000527
IPS Structural Adhesives Inc.
Durham County
Enclosed with this letter is a copy of the draft NPDES stormwater permit for your facility. Please review the draft
permit very carefully to ensure thorough understanding of the conditions and requirements it contains.
PIease submit any comments to me no later than thirty (30) days following your receipt of the draft. Comments
should be sent to the address listed at the bottom of this page. If no adverse comments are received from the
public or from you, this permit will likely be issued in about two months.
If you have any questions or comments concerning this draft permit, contact me at [phone] or
bethany.georgoulias®ncmail.net.
Sincerely, p
Bethany A. Georgoulias
Environmental Engineer
Stormwater Permitting Unit
cc: Raleigh Regional Office, Water Quality Section (w/attachment)
Stormwater Permitting Unit
Attachments
Wetlands and Stormwater Branch
1617 Mai! Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www,ncwaterquahty.org
An Equal opportunity 1 Affirmative Action Employer
One
NorthCarolina
,/ Vaturallry

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly laves Perdue Coleen H. Sullins Dee Freeman
Governor . Director Secretary
DATE: April 8, 2009
TO: Herald Sun
E-MAIL ADDRESS: [e-mail]
FROM: SARAH YOUNG, DIVISION OF WATER QUALITY
SUBJECT: PUBLIC NOTICE
PAGES: 1
Please publish only the information (Public Notice) below, ONE TIME In the legal section of your paper by
Tuesday, April 14, 2009. Please fax a copy of the proof to me at 919-733-9612 for final approval prior to
publication. Within 10 days after publish date, please send the Invoice and two copies of the original
affidavit to:
Sarah Young
NCDENRIDWQ Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
IPS Structural Adhesives Inc., 600 Ellis Road, Durham, NC 27703 has applied for an NPDES Stormwater Permit to
discharge stormwater associated with industrial activities at a facility located at IPS Structural Adhesives Inc., 600
Ellis Road, Durham, NC, Durham County. The facility discharges to waters designated as an unnamed tributary to
Third Fork Creek, within the Cape Fear River Basin.
Copies of the draft permit, No.WCS00052n45—re available at the following website:
httg://h2o.enr.state.nc.ustsu/purli�'cn'ott�e.htm
Or by contacting:
Bethany Georgouiias
NC Division of Water Quality
1617-Mall Service Center
Raleigh, NC 27699-1617
Telephone Number: [phone]
[e-mail]
Persons wishing to comment upon or object to the proposed determination are invited to submit their comments in
writing to the above address no later than May 14, 2009. All comments received prior to that date will be considered
in the final determination regarding permit issuance. All comments and requests should reference draft permit
number NCS000527.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opporlunity 1 Affirmative Action Employer
One
NorthCarolina
Naturally

PUBLIC NOTICE
STATE OF
NORTH CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSION
1617 MAIL SERVICE
CENTER
RALEIGH, NORTH
CAROLINA 27699-1617.
IPS Structural Adhe-
sives Inc., 600 Ellis
Road, Durham, NC
• 27703 has applied for
an NPDES Stormwater
Permit to discharge
stormwater associated
w ith industrial activities
at a facility located at
IPS Structural Adhe-
sives Inc., 600 Ellis
Road, Durham., NC,
Durham County. The fa-
cility discharges to wa-
ters designated as an
unnamed tributary to
Third Fork Creek, within
the Cape Fear River Ba-
sin.
Copies of the draft per-
mit, No. NCS000527,
are available at the foi-
1 owing w ebsite:
h ttp://h2o.e nr. state.n c.0
s/su/pubficnotice.htm
Or by contacting:
Bethany Georgoulias
NC Division of Water
Quality
1617 Mail Service
Center
Raleigh, NC 27699-
1617
Telephone Number:
[phone]
b ethany.g eorgouliasO
n cmail.net
Persons wishing to
comment upon or ob-
ject to the proposed
determination are in-
vited to submit their
comments in writing to
the above address no
later than May 14,
2 009. All comments re-
c eived prior to that date
will be considered in the
final determination re-
garding permit issu-
ance. All comments
and requests should re-
ference draft permit
number N` OS5WQ 527.
H-S: April 13, 2009

AFFIDAVIT OF PUBLICATION
State of North Carolina
County of Durham
Jennifer Snead, being duly sworn, says that she is the
Principal Clerk of PMG, LLC, doing business as The Herald -
Sun, a newspaper published in and of general circulation in
said County, and that a notice of which the annexed is a True
Copy, was published in said newspaper one time on the 13th,
day of April, 2009.
Sworn to and subscribed before me this 13th day of
April, 2009.
Z�J 2Gi?
Notary Public ����G,•�,130
z O'iARY 'i
G
My Commission Expires: 8/15/09 �'��c'��''•-....�•'`'•��.`��
Durham County, North Carolina

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy. Then unprotect to
highlight in light blue as needed to make your comments more visible in the final printing.)
[But DON'T protect document again, or Word wipes out all you have entered.]
Date: 0.4/0 Z009 County: Ru i
To: NPDES Discharge Permitting Unit Permitee: PSTStruct_hral Adt esives
Attn. NPDES Reviewer: X ethan *Geo "" oulia' Application/ Permit No ; NCSO S27
Staff Report Prepared By an
Project Name: IPS Structural Adhesives
SOC Priority Project? (Y/N) _ If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (cheek all that apply): ® New ❑ Renewal
❑ ModificationTD
2. Was a site visit conducted in order to prepare this report? ❑ Yes or ❑ No.
a. Date of site visit: 04/02/2009 a C>
b. Person contacted and telephone number: Joe Bailey-919-598-2427 a
c. Site visit conducted by: Mack Wiggins .ki kv
d. Inspection Report Attached: ❑ Yes or ❑ No. t
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
❑ Yes or ❑ No. If No, please either indicate that it is correct on the current application or the
existing permit or provide the details. If none can be supplied, please explain:
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missine)
(If there is more than one discharge pipe, put the others on the last page of this form.)
a. Location OK on Existing Permit ❑, OR, if not, is
OK on Application ❑, or if neither is right, provide Location: Attached topographic map
b. Driving Directions OK on Existing Permit ®, OR, if not, is
OK on Application ❑, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Existing Permit ❑, OR, if not, is
OK on Application ❑, or provide USGS Quadrangle Map' name and number: Attached to
staff
report
d. Latitude/Longitude OK on Existing Permit ❑, (check at hqp://www.topozone.com These
are
often inaccurate) or is OK on ApplicationEl or provide Latitude: 35.971714 Longitude:
78.868806
Receiving Stream OK on Existing Permit ❑, OR, if not, is
OK on Application ❑, or provide Receiving Stream or affected waters: unnamed tributary to
Third Fork Creek
a. Stream Classification: C-NSW
b. River Basin and Sub basin No.: 030605
c. Describe receiving stream features and downstream uses: B. Everett Jordan

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
For NEW FACILITIES Proceed to Section C Evaluation and Recommendations
(For renewals or modifications continue to section B)
B. DESCRIPTION OF FACILITIES AND WASTE(S) (renewals and modifications only)
1. Describe the existing treatment facility:
2. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate # (Available in BIMS or Certification Website)
Back- Operator in Charge: Certificate #
3. Does the facility have operational or compliance problems? Please comment:
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)):
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratorium ❑? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatered to a cake?
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑
Please comment on current operational practices:
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
C. EVALUATIONAND RECOMMENDATIONS
1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation:
Connect to Regional Sewer System:
Subsurface:
Other Disposal Options:
FORM: NPDES-RRO 06/03, 9/03, 1/07 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
2. Provide any additional narrative regarding your review of the application: This is a stormwater
discharge.
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Additional Information Reason
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition:
Recommended Removal Reason
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Recommended Addition Reason
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review and approval of required additional information by NPDES permitting
office; ® Issue; ❑ Deny. If deny, please state reasons:
Reminder: attach inspection report if Yes was checked for 2 d. {
7. Signature of report preparer:
Ileff-ti
Signature of W S regional supervisor:
f
Date:
D. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
The applicant is applying for a new individual stormwater permit. The RRO recommend that this site
be under the individual stormwater permit. The compy produces a industrial adhesive. A little of the
glue product was out on the concrete fro exposure. Emoty 55 gallon drums were stached in the back.
FORM: NPDES-RRO 06/03, 9/03, 1/07 3

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
An acid m haac clic Acid was seconda contained outside. When water is colleced inside the
are testing it. If its ok they will release it, if the test are positive they have an environmental company
come in and remove the contained liquid. They are currently making changes to the exposures. Once
changes are made they will call us to revisit. At this time proceed to issue this one under a NCS
permit.
If next page is not used, PLEASE set printer for pages l through 3 to avoid wasting paper.
Use this pace for facilities with more than one Discharge Pipe
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing)
a. Location OK on Application ❑,
OK on Existing Permit ❑, or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters:
a. Stream Classification:
b. River Basin and Sub basin No.:
c. Describe receiving stream features and downstream uses:
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing)
a. Location OK on Application ❑,
OK on Existing Permit ❑, or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters:
a. Stream Classification:
FORM: NPDES-RRO 06103, 9/03, 1/07 4

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
b. River Basin and Sub basin No.:
c. Describe receiving stream features and downstream uses:
FORM: NPDES-PRO 06/03, 9/03, 1/07

v
I
a
;lf'o
gw -

Name: Discharge Point-NCS000527
Short Name: Dschrg
Coordinates: 0350 58' 18.17" N, 0780 52' 07.7" W
Comment: IPS Structural Adhesives, Subbasin 030605, Cape Fear River Basin, unnamed
tributary to Third Fork Creek, Durham County, C NSW, Quad D23NW

N6090527
CCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sulfins Dee Freeman
Governor Director Secretary
"r STAFF REVIEW AND
EVALUATION RRO
NPDES Stormwater Permit
Facility Name:
IPS Structural Adhesives Inc.
NPDES Permit Number:
NCS000527 - New Permit
Facility Location:
Durham, NC (Durham County)
Type of Activity: _
Miscellaneous Chemical Products - Adhesives and Sealants (Blends/Mixes)
SIC Code (if applicable):
2891
Receiving Stream(s):
Third Fork Creek - IMPAIRED
River Basin:
Cape Fear River Basin, Sub -basin 03-06-05 (Note, facility in Neuse Basin)
Stream Classification:
C; NSW
Proposed Permit Requirements:
See attached draft permit.
Monitoring Data:
-w.
See Application
Facility Location:
See Draft Permit & Figure I
Response Requested by (Date):
March 30, 2009
Central Office Staff Contact:
Bethany Georgoulias, [phone]
Special Issues:
. "'ICI ss ue
SRafin Scale: Peas �• o,llOwlard
Com liance history
1 no histo
Benchmark exceedance
3
Location (TMDL, T&E
species, etc)a
6
Other Challenges:
• New benchmarks
4,
Difficulty Rating:
14/40
Special Issues Explanation:
• Receiving stream impaired for biological integrity; upstream of Jordan Reserv. and turbidity TMDL.
• One parameter (methylene chloride) sensitive to lab contamination.
Description of Onsite Activities:
Plant blends and mixes chemical constituents used to manufacture adhesives for industrial customers. Packaging,
warehousing, and distribution of adhesive products and blended catalysts are part of this facility's operations.
Page 1 of 4

Y
NCS000527
Documents Reviewed:
• NPDES Stormwater Permit Application Materials
• Cape Fear River Basinwide Plan (October 2005)
• 2006 303(d) List (2008 list is still DRAFT and not yet approved by EPA)
• EPA Sector -Specific Permit, 2008 MSGP (No specific parameters for this sub -sector)
* Natural Heritage Program's Federal Threatened and Endangered Species Database (See Figure 1)
+ 40 CFR Subchapter N, Stormwater Effluent Guidelines (None apply to this activity)
Central Office Review Summary:
1. Owner's Other Permits:
o Presumably Air Permit of some kind; Toxic Release Inventory (TRI) data from 2004 attached).
o No other permits affiliated with this owner or facility in BIMS
2. General Observations: MEK & methyl methacrylate both reported in TRI (consistent with application).
3. Impairment: This segment of Third Fork Creek listed as impaired because of biological integrity impacts
(although the major potential source cited is an NPDES WWTP). Also, a TMDL was approved for a segment of
this creek further downstream (beginning 2 miles upstream of NC Highway 54) to address turbidity, low DO,
and fecal coliform violations; the TMDL was written for total suspended solids (TSS). The contribution from
stormwater coming from the City of Durham was included in the Waste Load Allocation (WLA) portion of the
TMDL, and the Load Allocation (LA) considered contribution from non-MS4 urban land. The watershed
delineated in the TMDL does not appear to include this facility location, however. Regardless, the required
BMPs (SPPP) and TSS monitoring, along with benchmarks to signal future problems, should be sufficient to
ensure TMDL loads are not compromised. Impaired water and TMDL language has been incorporated into the
permit. In addition, these waters are upstream of the Upper New Hope arm of the Jordan Reservoir, which is
experiencing excessive nutrient problems. Nutrient monitoring is recommended.
4. Threatened and Endanaered: None identified (See below).

...
Figure 1
Page 2 of 4

b
,NCS000527
5. Location Notes: Facility itself is in the Neuse River Basin; however, stormwater discharge is to Cape Fear (UT
to Third Fork Creek, to the west).
6. industrial Changes Since Previous Permit: NIA.
7. Analytical Monitoring Notes; See application.
8. Qualitative Monitoring Notes: Not performed yet; standard requirements incorporated.
Permit Recommendations:
1. Including Total Suspended Solids (TSS) because of TMDL downstream of receiving waters (approved in
January 2005). Also included are methyl ethyl ketone (MEI), methyl methocrylate, and methylene chloride
because these compounds were noted on application as potential pollutants (see also plant schematic of storage,
etc., and TRI release information). Chemical Oxygen Demand (COD) recommended because it is a good
indicator of stormwater contamination from organic chemicals characteristic to this industry (especially if
compounds other than those being sampled for are ever present). Total nitrogen (TN) and phosphorus (TP)
have been included because of the TMDL that affects the Jordan Reservoir watershed (approved in September
2007). Finally, pH is included (standard accompaniment to any analytical requirements because it is important
to interpreting other data and/or potential impacts).
2. All analytical monitoring has been set to semi-annually during a representative storm event as defined in Part 11
Section B.
3. Benchmarks for analytical monitoring have been included in this draft permit. Exceedances of benchmark
values require the permittee to increase monitoring, increase management actions, increase record keeping,
and/or install stormwater Best Management Practices (BMPs) in a tiered program.
� P*33of 4

NCS000527 '
Recommendations: Based on the documents reviewed, the application information submitted on September 24,
2008 sufficient to issue an Individual Stornwater Permit.
Stormwater Permitting Unit Supervis Date �D9
` a B nQ
Concurrence by Regional Office Date
Water Quality Supervisor Date
Regional Office Staff Comments
Question from Central Office: The site plan in the application shows an outfall in the north corner of the property
with "No Industrial Exposure." RO may want to verify that that outfall does not receive any stormwater exposed to
emissions from the industrial process coming from inside the building (which would mean that outfall should be
sampled under the NPDES permit). Will notaffect permit; just a potential compliance point for the permittee.
Page 4 of 4

Re: Benchmark query
Subject: Re: Benchmark query
From: Nikki Remington <Nikki.Remington@NCMaiLnet>
Date: Thu, 19 Feb 2009 10:51:46 -0500
To: Bethany Georgoulias<[e-mail]>
Hi Bethany,
I was able to find some toxicity data on which to calculate benchmarks for methylene
chloride and methyl methacrylate.
Methylene chloride (CAS # 75-09-2) 120 mg/L
Methyl methacrylate (CAS # 80-62-6) 96 mg/L
One thing to keep in mind regarding methylene chloride is that it is an extremely
common lab contaminant. If you are seeing hits for it when you start getting
monitoring data back you should check the lab sheets to see if it is showing up in the
blanks as well.
Nikki
Bethany Georgoulias wrotet
Hi Nikki,
I'm working on a new permit for a facility that blends and mixes chemical compounds
for industrial adhesive manufacture. They reported potential organic pollutants as
MEK (which we have a benchmark for), Methylene Chloride, and Methyl Methacrylate
(neither of which I found benchmarks for).... are there any data available for those
latter two? If not, any suggestions for alternatives (other than monitoring for
COD, which we'll require anyway)... chloride, perhaps (which we,have)?
Thanks for your help!
cheers,
Bg
Nikki Remington
Environmental Senior Specialist
NC Department of Environment and Natural Resources
Division of Water Quality --Classification and Standards Unit
1617 Mail Service Center
Raleigh NC 27699
[phone]
E-mail correspondence to and from this address may be subject to the North Carolina
Public Records Law and may be disclosed to third parties.
of 1 2/19/2009 12:23 PM

EPA l Envirofacts Warehouse l TRI
http://oaspub. epa.gov/envi ro/tri s_control.tri s_print?tri s_id=27703 PS...
two srq-);,
Rj PRQ�"
http ://oaspub.epa.gov/enviro/tris_control.tris_print?tris_ld=27703PSCRP6ELLI
Last updated on Monday, February 23rd, 2009.
Toxics Release Inventory -(TRI)
You are here: EPA v'r f IM Envirofacts Report
Query executed on FEB-23-2009
Results are based on data extracted on SEP-29-2008
Click on "View Facility Information" to view EPA Facility information for the facility.
Facility Name:_
IPS CORP
Mailing Name:
IPS CORP
Address:
600 ELLIS RD
Mailing Address:
600 ELLIS RD
DURHAM NC 27703
DURHAM NC
27703
County,
DURHAM
Region:
4
Facility
View Facility
TRI ID:
27703PSCRP6ELLI DUNS 008391815
Information:
Information
Number:
FRSID
110004061005
TRI Preferred
TRI Preferred
Latitude:
Longitude:
Public Contact:
RICHARD WINN
Phong:
3108983300
Parent Company:
IPS CORP
Parent DUNS:
008391815
Starting with Reporting Year 2006, TRI Facilities began reporting NAICS codes, instead of SIC
codes, to identify their Primary Business Activities.
NAICS Codes for 2004
!NA-T
CS CODES &Yi NAICS DESCRIPTION]
325520 YES Adhesive Manufacturingl
The above information comes from 2004, which was the last year NAICS code data was reported
for this facility. The earliest NAICS code data on file for this facility was reported in 2003.
SIC Codes for 2004
_ 2$91 YES _._ ADHESIVES AND SEALANTS
The above information comes from 2004, which was the last year SIC Cade data was reported for
this facility. The earliest SIC code data on rile for this facility was reported in 2003.
._ _.......,........... .....,. ........,_ ..,,,µ � _... _Map this facility � - ......................— . �....._...... �. ................,. � , ,..,,,,,,,,� ..........
Map this facility using one.of Envirofact's mapping utilities.
Total Aggregate Releases of TRI Chemicals to the Environment:
For all releases estimated as a range, the mid -point of the range was used in these calculations. This table
of 4 2/23/2009 4:34 PM

EPA I Envirofacts Warehouse I TRI
http://o aspub.epa.gov/enviro/tri s_contro l.tri s_print?tri s_i d=27703PS...
summarizes the releases reported by the facility. NR - signifies nothing reported by this facility for the
corresponding medium.
Total Aggregate Releases of TRI Chemicals excluding Dioxin and Dioxin -like Compounds
(Measured in Pounds)
Media 2004
2003
Air Emissions 651
_ _
Surface Water Discharges_
Releases to Land NRI
_ _7501
NRj
Underground injection NR'__NRI
Total On -Site Releases 651
750
Transfer Off -Site to Disposal[_NRI. 436i
Total Releases - IF7651 F1186J.
Graphic Summary of this Table
Total Aggregate Releases of Dioxin and Dioxin -like Compounds
(Measured in Grams)
-----------
I Media __)?00EOI2003
-
Air Emissions
_ NR] NRI
Surface Water Discharge
j
NR'- _ NR
I Releases to Land
Underground_Injection
I
NRj NRI
�NR� NR!
Total On -Site Releases
_ NR, NRI
Transfer Off -Site to Disposal
_ NR
NR
;Total_ Releases_
Graphic summary of this Table ,,-
TRI Chemicals Reported on Form A:
Please note that there were no chemicals reported on Form A for this facility
NOTE:
All chemicals reported below have release or transfer amounts greater than zero. To see a list of all chemicals
reported by this facility click here.
Names and Amounts of Chemicals Released to the Environment by Year.
For all releases estimated as a range, the mid -point of the range was used.in these calculations. NR - signifies
nothing reported for this facility by the corresponding medium. Rows with all "0" or "NR" values were not
listed.
i���1 � _....
Chemical Name Media Unit Of Measure 2004� 2003
METHYL ETHYL KETONE j I NR 250
(TRI Chemical ID: 000078933) AIR FUG 4 Pounds I
METHYL METHACRYLATE
�AI FUG 4.01 __ ___ ___ Pounds - __ _ - -250I
(TRI Chemical ID: 000080626) f
METHYL METHACRYLATE �
STACK
TRI
I Pounds 250
250
)°AIR
+ Chemical ID: 000080626
(I
�I
III
""" — li-11I-- DISP NON METALS!Pounds NR 43
(TRI Chemical ID_ 000080626) ...____.._—_.____.—i
Discharge of Chemicals into Streams or Bodies of Water:
2 of 4 2/23/2009 4:34 PM

EPA I Envirofacts Warehouse I TRI
http://oaspub.epa.gov/enviro/tris-control.tris_print?tris_id-27703PS...
Please note that either there were no releases of chemicals into streams or bodies of water reported by this
facility or the facility did not file a TRI form R for the years 1987 to 2004. Rows with Release Amount equal to
"0" were not listed.
Transfer of Chemicals to Off -Site Locations other than POTWs:
Please note that transfer amounts are not included In release totals shown above, For all releases estimated
as a range, the mid -paint of the range was used in these calculations. Rows with Total Transfer Amount equal
to "0" were not listed. .
chemicalNam-
METHYL ETHYL
1
_
!
Unit Ofr
IlTatal
Measure AlIl44!!]f...... _:
I
I
nos L Site Name and
�yanag Waste
__Mana$�Ill�Year
_ --_Address --- l
SOUTHEASTERN CHEMICAL!
KETONE
COMPANY OMNI
(TRI Chemical ID:
2003
Pounds 1185.755
INDUSTRIAL BLVD. • �
Energy Recovery
OD0078933)
jSUMTER,
SC 29151 !
_— — ...
. - ..... . ....
-
METHYL ETHYL
KETONE
._
:
POLLUTION CONTROL
INDUSTRIES
�....._...._.
(TRI Chemical ID:
2003
Pounds
262954343
KENNEDY AVENUE
Energy Recovery
000078933)
EAST CHICAGO, IN 46312
I METHYL
METHACRYLATE
(TRI Chemical ID:000080626)
20JPounds
-�
11275
POLLUTION CONTROL
INDUSTRIES
4343 KENNEDY AVENUE
Energy Recovery
EAST CHICAGO, IN 46312
'METHYL
METHACRYLATE
(TRI Chemical ID:
2003
Pounds-
:SOUTHEASTERN
9398;
CHEMICAL
COMPANY OMNI
755 INDUSTRIAL BLVD.
Energy Recovery
00008D626)
1�-_--
I
SUMTER, SC 29151
�_-
---I
POLLUTION CONTROL `
Mom—
METHACRYLATE
ii
I
INDUSTRIES
(TRI Chemical ID:
2003
Pounds
5476j
4343 KENNEDY AVENUE
Energy Recovery
000080626)
1EAST
CHICAGO, IN 46312 ;
EM THYL !
ROSS
METHACRYLATE
2003
Pounds
436136790
GILES ROAD
Unknown
(TRI Chemical ID
I
GRAFTON, OH 44044 1
000080626)--
Summary of Waste Management Activites
Please note that chemical amounts shown here are not included in Total Aggregate Releases shown above.
Summary of Waste Management Activites excluding Dioxin and Dioxin -like Compounds
(Measured in Pounds)
OU Site Off_Site I On -Site OE'f�yerig f On -Site Off -site ! Total
Year b.....wli.,.. ne.w...,l:., Energy serav
2003 _....... _..... —......... 11_.. — 01 _.....__....... ..-0I1 .... ........._..--�. _ 26295J�_ . _o.�i._ .O1j.... 262951
2004_
2005 0 0 0. 8500 0, 0 8500
1 1
(Projected) - - - - --
il 0i 6000 01 0 6000
1
2006
(Projected)- —� ___. __._J
11! - -F
Summary of Waste Management Activites for Dioxin and Dioxin -like Compounds
of 4 2/23/2009 4:34 PM

EPA I Envirofacts Warehouse I TRi http:1/oaspub.epa.gov/enviro/tris_control.tris_print?tris_id=27703PS...
(Measured in Grams)
This facility did not report any waste management activites for Dioxin and Dioxin -like Compounds.
Chemicals Under Waste Management:
Please note that chemical amounts shown here are not included in the Total Aggregate Releases shown
above. Transfers to Publicly Owned Treatment Works are listed on a seperate table.
Chemical
Name
Measure
i
On S�teJ
Recvdino
!
Rec
On -Si
Off -Site i
a of�I
Treated,
Total
Treated Amount
MEETHA_ CRYLATE12003
---Year
I
�I
Pounds I�
cling
;I---_OJ
RecY,
�
ReCo
— 26295I
26295{
11275E
(P ojected),
(Projected)I
Pounds
J
Pounds 1[
l —_OBI
.OfI
O
I
-- 8 000�I-
OV
- . 8500
_ 60001
0
`��0
Oi
T 600011
0
Transfer of Chemicals to Publicly Owned Treatment Works (POTW):
This facility did not transfer any chemicals to a Publicly Owned Treatment Works (POTW).
Non Production Releases:
This report shows the quantities of the chemicals released to the environment by reporting year as a result of
remedial actions, catastrophic events, or other one-time events not associated with production processes.
Chemicals with zero release amounts are not shown.
Chemical Name Reoortina YearlUnit Of Measure! Release QYantit
METHYL ETHYL KETONE 2003 11POU90
METHYL METHACRYLATEI2003 I w Pounds J9834
--�_ - --
Additional links for TRI:
This information resource is not maintained, managed, or owned by the Environmental Protection Agency
(EPA) or the Envirofacts Support Team. Neither the EPA nor the Envirofacts Support Team is responsible for
their content or site operation. The Envirofacts Warehouse provides this reference only as a convenience to
our Internet users.
• National Library of Medicine (NLM) "" TOXMAP .
4 of 4 2/23/2009 4:34 PM

CAPE FEAR River Basin
Subbasin 03-06-05 -
Assessment Impaired Year
Waterbody and Description Unit (AU) Class Subbasin Use Listed Category and Reason for Listing Potential Source(s) Miles or Acres
New Hope River Arm of B. 16-41-(0.5) WS4V&S 03-06-05 5 1,199.8 1=W Acres
Everett Jordan Lake (below NSW CA
normal pool elevation)
From source at confluence of Morgan Creek and New Hope Creek Arm of B. AL 2002 5 Standard violation: Chlorophyll a MS4 NPDES
Everett Jordan Lake (a east -west line across the southern tip of the formed WWTP NPDES
penisula) to Chatham Co
New Hope River Arm of B. 16-41-(3.5)a WSaV&B 03-06-05 5 5,673.3 FW Acres
Everett Jordan Lake (below NSW.CA
normal pool elevation)
From Chatham County SR 1008 to Haw River Arm of B_ Everett Jordan Lake, Haw AL 2006 5 Standard violation: Chlorophyll a WWTP NPDES
River
MS4 NPDES
Northeast Creek 16-41-1-17-(0.7)a WS4V 03-06-05 5 3.3 FW Miles
NSW
From US Hwy 55 to Durham Triangle WWTP O 1998 4a Standard violation: Fecal Coliform MS4 NPDES
AL 2006 5 Standard violation: Turbidity
AL 2006 5 Standard violation: Low Dissolved
Oxygen
Northeast Creek 16-41-1-1740.7)b1 WS4V 03-06-05 5 3.3 FW Miles
NSW
From Durham Triangle WWTP to Kit Creek REC 2000 4a Standard violation: Fecal Coliform MS4 NPDES
AL 2006 5 Standard violation: Turbidity
Northeast Creek 16.41-1-17-(0.7)b2 WS4V 03-06-05 5 3.2 FW Miles
NSW
From Kit Creek to a point 0.5 mile downstream of Panther Creek O 1998 4a Standard violation: Fecal Coliform MS4 NPDES
AL 2006 5 Standard violation: Turbidity
Northeast Creek 16-41-1-17-(4) WS4V 03-06-05 6 12 FW Miles
NSW CA
From a point 0.5 mile downstream of Panther Creek to New Hope Arm of B_ Everett AL 2000 6 Impaired biological integrity
Jordan Lake
Third Fork Creek 16-41-1-1241) C NSW 03-06-05 6 5.2 FW Miles
From source to a point 2.0 miles upstream of NC Hwy. 54 AL 1998 6 Impaired biological integrity WWTP NPDES
North Carolina 303(d) List- 2006 Tuesday, June 19, 2007
CAPE FEAR Basin 03-06-05 Page 8 of 125

NCS000527
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE STORMWATER UNDER THE
„ � ., F
In compliance with the provisions of North Carolina'_ General S'tatute'143-215.1, other lawful
standards and regulations promulgated and adopted by, e;North Carolina Environmental
Management Commission, and the Federal Water Pollutionntrol Act, as amended,
IN Structural, Adhesives Inc.
is hereby authorized ta.discharge stormwater from a facility located at
ructural Adhesives Inc.
k600 Ellis Road
Durham, NC
Durham County
to receiving waters designated as an unnamed tributary. (UT) to Third Fork Creek, a class C;
NSW stream in the Cape Fear River Basin, in accordance with the discharge limitations,
monitoring requirements, and other conditions set forth in Parts I, H, III, IV, V and VI hereof.
Note: Draft Permit Dates are Approximate
This permit shall become effective [June 1, 2009]. '
This permit and the authorization to discharge shall expire at midnight on [May 31, 2014].
Signed this day [May 15, 2009].
for Coleen H. Sullins Director
Division of Water Quality
By the Authority of the Environmental Management Commission

Permit No. NCS000527
PART
Section A:
TABLE OF CONTENTS
INTRODUCTION
Individual Permit Coverage
Section B:
Permitted Activities
Section C:
Location Map
PART II
MONITORING, CONTROLS, AND LIMITATIONS- FOR PERMITTED
DISCHARGES
Section A:
Stormwater Pollution Prevention Pla& ,
Section B:
Analytical Monitoring Requirements'
Section C:
Qualitative Monitoring Req irements
Section D:
On -Site Vehicle Maintenance Monitoring Requirements
PART III
STANDARD CONDITIONS FOR NPDES STORMWATER INDIVIDUAL
PERMITS
Section A:
Compliance and Liability
1. Compliance Schedule
2. Duty to Comply
3. Duty to Mitigate
4. Civil and Criminal Liability
5. Oil and Hazardous Substance Liability
6. Property Rights
7. Severability
8. Duty to Provide Information
9. Penalties for Tampering
10. Penalties for Falsification of Reports
Section B: General Conditions
1. Individual Permit Expiration
2. ' Transfers
i

Permit No. NCS000527
3. Signatory Requirements
4. Individual Permit Modification, Revocation and Reissuance, or
Termination
5. Permit Actions
Section C: Operation and Maintenance of Pollution Controls
1. Proper Operation and Maintenance
2. Need to Halt or Reduce Not a Defense
3. Bypassing of Stormwater Control Facilities
Section D: Monitoring and Records' °' �
1. Representative Sampling
2. Recording Results
3. Flow Measurements 1: ,•-,
4. Test Procedures`'
5. Representative Outfall
��ti
6. Records�R:etentton
XgN,
7. Inspection4and�Entry
Section E: Reporting Req cements
1. Discharge'Monitoring Reports
2. Submitting Reports
3.. Availability of Reports
4. Non-Stormwater Discharges
5. Planned Changes
6. Anticipated Noncompliance
7. Bypass
8. Twenty-four Hour Reporting
9. Other Noncompliance
10. Other Information
,PART IV LIMITATIONS REOPENER
PART V ADMINISTERING AND COMPLIANCE MONITORING FEE
REQUIREMENTS
PART VI DEFINITIONS

Permit No. NCS000527
PART I INTRODUCTION
SECTION A: INDIVIDUAL PERMIT COVERAGE
During the period beginning on the effective date of the permit and lasting until expiration, the
permittee is authorized to discharge stormwater associated with industrial activity. Such
discharges shall be controlled, limited and monitored as specified in this permit.
If industrial materials and activities are not exposed to precipitation or runoff as described in 40
CFR § 122.26(g), the facility may qualify for a No Exposure Exclusion from NPDES stormwater
discharge permit requirements. Any owner or operator wishing,'to obtain a No Exposure
Certification must submit a No Exposure Certification.NOI fUrn'to thef,Division; must receive
approval by the Division; must maintain no exposure conditions unless authorized to discharge
under a valid NPDES stormwater permit; and must reapply for tfie No Exposure Exclusion once
every five (5) years.
SECTION B: PERMITTED ACTIVITIES,{
Until this permit expires or is modified or revoked'. the permittee is authorized to discharge
stormwater to the surface waters of North Carolina or separate storm sewer system that has been
adequately treated and managed. in�accordance with the terms and conditions of this individual
permit. All stormwater discharges shall`be'in accordance with the conditions of this permit.
Any other point source discharge to, surface waters of the state is prohibited unless it is an
allowable non-stormwater discharge or is covered by another permit, authorization, or approval.
The stormwater discharges allowed by this individual permit shall not cause or contribute to
violations of Water Quality Standards.
This permit does not relieve the permittee from responsibility for compliance with any other
applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
SECTION C: LOCATION MAP
See following page.
Part i Page 1 of 2

m
I I I I 11.-VZMIn 1:k%7i riTr MM W1r

Permit No. NCS000527
PART H MONITORING, CONTROLS, AND LIMITATIONS FOR .
PERMITTED DISCHARGES" ,
SECTION A: STORMWATER POLLUTION PREVENTIQN PLAN
The Permitted shall develop a Stormwater Pollution Prevention Plan, herein after referred to as
the Plan. This Plan shall be considered public information in accordance with Part III, Standard
Conditions, Section E, Paragraph 3 of this general permit. The Plan shall include, at a minimum,
the following items:
1. Site Plan. The site plan shall provide a description of the,physical facility and the ;�-
potential pollutant sources which may be expected to "Contribute to contamination of '
stormwater discharges. The site plan shall contain therfollowing: -
(a) A general location map (USGS quadrang ee,map or appropriately drafted
equivalent map), showing the facility's location in relation to transportation
routes and surface waters, the narpeZfs'tl}e receiving water(s) to which the
A'a,4r .
stormwater outfall(s) discharges oylifxj�� th"- rscharge is to a municipal separate
storm sewer system, the name� ofte municipality and the ultimate receiving
waters, and accurate latitune and ngittude of the point(s) of discharge. The
� � �:., Pk
general location�ma-_ "i,alternat�vely the site map) shall identify whether each
receiving water is i�mpaiir edi(on the states 303(d) list of impaired waters) or is '
located in a'watersfied4dr which a TMDL has been established, and what the .
paratneter(s)'of concerrllfare. '
North Carolina's 303A) List can be found here:
http://h2o.etn�state�e.us/tmdl/General 303d.htm#Downloads
North Carolina TMDL documents can be found here:
http://h2o.enr.state.nc.us/tmdl/TMDL list.htm#Final TMDLs.
(b) A narrative description of storage practices, Ioading and unloading activities;
outdoor process areas, dust or particulate generating or control processes, and
waste disposal practices. A nariative description of the potential pollutants which
could be expected to be present in the stormwater discharge from each outfall.
(c) A site map. drawn to scale (including a distance legend) showing; the site property
boundary, the stormwater discharge outfalls, ail on -site and adjacent surface
waters and wetlands, industrial activity areas'(including storage of materials,
disposal areas, process areas, loading and unloading areas, and haul roads), site
topography, all drainage features'and structures, drainage areas for each outfall,.
direction of flaw in each drainage area, industrial activities'occurnng in each
`drainage area, buildings, existing BMPs, and impervious surfaces: The site map .
must indicate the percentage of each drainage area that is impervious.
(d) A list of significant spills or leaks of pollutants that have occurred at the facility
during the three (3) previous years and any corrective'actions taken to mitigate '
spill impacts.
,Part II Page I of IO

Permit No. NCS000527
(e) Certification that the stormwater outfalls have been evaluated for the presence of
non-stormwater discharges. The certification statement will be signed in
accordance with the requirements found in Part III, Standard Conditions, Section
B, Paragraph 5. The permittee shall re -certify annually that the stormwater
outfalls have been evaluated for the presence of non-stormwater discharges.
2. Stormwater Management Plan. The stormwater management plan shall contain a
narrative description of the materials management practices employed which control or
minimize the exposure of significant materials to stormwater, including structural and
nonstructural measures. The stormwater management plan, at a minimum, shall
incorporate the following:
(a) Feasibility Study. A review of the technical i dVeconomic feasibility of changing
the methods of operations and/or storage` practices'to-eliminate or reduce exposure
of materials and processes to stormwater :tWherever.practical, the permittee shall
prevent exposure of all storage areas, material,handling operations, and
manufacturing or fueling operations%,7 are as:where elimination of exposure is
not practical, the stormwater managementplan shall document the feasibility of
diverting the stormwater runoff away from areas of potential contamination.
(b) Secondary Containinent-oR&quirdirien'ts and Records. Secondary containment is
required far:' bulk storage alliquid materials; storage in any amount of Section
}. .. �x
313 of Title III of the-Superfund Amendments and Reauthorization Act (SARA)
'
water priority chemicals;'and storage in any amount of hazardous substances, in
order to prevent leaks and spills from contaminating stormwater runoff. A table
or summary of=all.sucli tanks and stored materials and their associated secondary
containment areas shall be maintained. If the secondary containment devices are
connected directly to stormwater conveyance systems, the connection shall be
'controlled by manually activated valves or other similar devices (which shall be
secured closed with a locking mechanism), and any stormwater that accumulates
in the containment area shall be at a minimum visually observed for color, foam,
outfall staining, visible sheens and dry weather flow, prior to release of the
accumulated stormwater. Accumulated stormwater shall be released if found to
be uncontaminated by the material stored within the containment area. Records
documenting the individual making the observation, the description of the
accumulated stormwater, and the date and time of the release shall be kept for a
period of five years.
(c) BMP Summary. 'A listing of site structural and non-structural Best Management
Practices (BMP) shall be provided. The installation and implementation of BMPs
shall be based on the assessment of the potential for sources to contribute
significant quantities of pollutants to stormwater discharges and data collected
through, monitoring of stormwater discharges. The BMP Summary shall include a
written record of the specific rationale for installation and implementation of the
selected site BMPs. The BMP Summary shall be reviewed and updated annually.
Part II Page 2of10

Permit No. NCS000527
3. Spill Prevention and Response Plan. The Spill Prevention and :Response Plan (SPRP)
shall incorporate an assessment of potential pollutant sources based on a materials
inventory of the facility. Facility personnel (or the team) responsible for implementing the
SPRP shall be identified in a written list incorporated into the SPRP and signed and dated
by each individual acknowledging their responsibilities for the plan. A responsible
person shall be on -site at all times during facility operations that have the potential to
contaminate stormwater runoff through spills or exposure of materials associated with the
facility operations. The SPRP must be site stormwater specific. Therefore, an oil Spill
Prevention Control and Countermeasure plan (SPCC) may be a component of the,SPRP,
but may not be sufficient to completely address the stormwater aspects of the SPRP. The
commodelements of the SPCC with the SPRP may be incorporated by reference into the
SPRP.
4. Preventative Maintenance and Good Housekeeping Program. A preventative
maintenance and good housekeeping program, shalliveloped be de. The program shall list
all stormwater control systems, stormwater discharge outfall`s, all on -site and adjacent
surface waters and wetlands, industrial activity'areas;(including material storage areas,
material handling areas, disposal areas, process,areas,'loading and unloading areas, and
haul roads), all drainage features and stru'ct res; az►d'existing structural BMPs. The
program shall establish schedules of,inspectxons, maintenance, and housekeeping
r .' � r
activities of stormwater control systems, as well as facility equipment, facility -areas, and
facility systems that present; a potential for-stormwater exposure or stormwater pollution.
Inspection of material handling:areas and regular cleaning schedules of these areas shall
be incorporated into the program Timely compliance with the established schedules for
inspections, maintenance; and housekeeping shall be recorded in writing and maintained
in the SPPP.
5. Employee Training. Training programs shall be developed and training provided at a
minimum on an annual basis for facility personnel with responsibilities for: spill response
and cleanup, preventative maintenance activities, and for any of the facility's operations
that have the potential to contaminate stormwater runoff. Facility personnel (or team)
responsible for implementing the training shall be identified, and their annual training
shall be documented by the signature of each employee trained.
6. Responsible Party. The Stormwater Pollution Prevention Plan shall identify a specific
position(s) responsible for the overall coordination, development,, implementation, and
revision to the Plan. Responsibilities for all components of the Plan shall be documented
and position assignments provided.
7. Plan Amendment. The permittce shall amend the Plan whenever there is a change in
design, construction, operation, or maintenance which has a significant effect on -the
potential for the discharge of pollutants to surface waters. All aspects of the Stormwater
Pollution Prevention Plan shall be reviewed and updated on an annual basis. The annual
update shall include an updated list of significant spills or leaks of pollutants for the
previous three years, or the notation that no spills have occurred. The annual update shall
include re -certification that the stormwater outfalls have been evaluated for the presence
of non-stormwater discharges. Each annual update shall include a re-evaluation of the
Part H Page 3 of 10

Permit No. NCS000527
effectiveness of the BMPs listed in the BMP Summary of the Stormwate.r Management
Plan.
The Director may notify the permittee when the Plan does not meet one or more of the
minimum requirements of the permit. Within 30 days of such notice, the permittee shall
submit a time schedule to the Director for modifying the Plan to meet minimum
requirements. The permittee shall provide certification in writing (in accordance with
Part III, Standard Conditions, Section B, P_aragraph 5) to the Director that the changes
have been made.
8. Facility Inspections. Inspections of the facility and all stonnwater systems shall occur as
part of the Preventative Maintenance and Good Housekeeping Program at a minimum on
a semi-annual schedule, once during the first half of theyear (January to June), and once
during the second half (July to December), with;at Ieast:60 days,separating inspection
dates (unless performed more frequently than semis annually),, These facility inspections
are different from, and in addition to, the storniwater discharge characteristic monitoring
required in Part II B and C of this permit.
9. Implementation. The permittee shall implement the' -Plan. Implementation of the Plan
a V, ritr
shall include documentation of all monitoring, measurements, inspections, maintenance
activities, and training provided.to empl gees; including the log of the sampling data and
of actions taken to implement BMPS associated with the industrial activities, including
vehicle maintenance activities.Such'documcntation shall be kept on -site for a period of
five years and made availablAo the Director or the Director's authorized representative
immediately upon request.':'`
Part 11 Page 4 of l0

Permit No. NCS000527
SECTION B: ANALYTICAL MONITORING REQUIREMENTS
Analytical monitoring of stormwater discharges shall be performed as specified in Table 1. All
analytical monitoring shall be performed during a representative storm event. The required
monitoring will result in a minimum of ten analytical samplings being conducted over the term of
the permit at each stormwater.discharge outfall (SDO).
A representative storm event is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours in which no storm event measuring greater than 0.1
inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. For example, if it rains for 2 hours without producing any collectable discharge,
and then stops, a sample may be collected if a rain producing a discharge begins again within the
next 10 hours. a �,
Table 1. Analytical Monitoring Requirements'
Discharge
Measurement'
' Simple' .
-.'.Simple.,
Characteristics.,
Units
Fre uenc I
T e2
Location3
Total Suspended Solids
m 'y
' ,. ry
`' semi-annual
Grab
SDO
Chemical Oxygen Demand (COD)
ma
, -'semi-annual
Grab
SDO
Methyl Ethyl Ketone MEK '
, 'm
semi-annual
Grab
SDO
Methylene Chloride
m . %
semi-annual
Grab
SDO
Methyl Methac late
' m
semi-annual
Grab
SDO
Total Nitrogen �F,"�
" m
semi-annual
Grab
SDO
Total Phosphorus .:.•1.,.
m
semi-annual
Grab
SDO
rH
standard
semi-annual
Grab
SDO
Total Rainfa114
inches
semi-annual
Rain Gauge
-
Footnotes:
I Measurement Frequency: Twice per year during a representative storm event, for each year until either another
permit is issued for this facility or until this permit is revoked or rescinded. If at the end of this permitting cycle
the permittee has submitted the appropriate paperwork for a renewal permit before the submittal deadline, the
permittee will be considered for a renewal application. The applicant must continue semi-annual monitoring until
the renewed permit is issued. See Table 2 for schedule of monitoring periods through the end of this permitting
cycle.
2 If the stormwater runoff is controlled by a stormwater detention pond, a grab sample of the discharge from the
pond shall be collected within the first 30 minutes of discharge.
3 Sample Location: Samples shall be collected at each stormwater discharge outfall (SDO) unless representative
outfall status has been granted.
4 For each sampled representative storm event the total precipitation must be recorded. An on -site rain gauge or
local rain gauge reading must be recorded.
Part If Page 5 of 10

Permit No. NCS000527
The permittee shall complete the minimum ten analytical samplings in accordance with the
schedule specified below in Table '2. A minimum of 60 days must separate Period i and
Period 2 sample dates unless monthly monitoring has been instituted under a Tier Two
response.
Table 2. Monitoring Schedule
Monitoring period";,...
,'Sample Number;,
'Start
End',
Year 1 — Period 1
1
July 1, 2009
December 31, 2009
Year 1 — Period 2
2
January 1, 2010
June 30, 2010 -
Year 2 — Period 1
3
July 1, 2010
December 31, 2010
Year 2 — Period 2
4
January 1, 2011
June 30, 2011
Year 3 —' Period 1
5
July 1, 20kl j
December 31, 2011
Year 3 — Period 2
6
January 1t2012
June 30, 2012
Year 4 —Period 1
7
July�l 201`21f =`
December 31, 2012
Year 4 — Period 2
8
Jariixary,..l, 2013
June 30, 2013
Year 5 — Period 1
9
,.•hJuly �1=;{2013
December 31, 2013
Year 5 — Period 2
10
41'; "Ja ivar , 2014
May 31, 2014
Footnotes: f,4V
1 Maintain semi-annual monitoring during permit renewal process. The applicant must continue semi-annual
monitoring until the renewed permit is issued',:
2 if no discharge occurs during the sazRpling period, the permittee must submit a monitoring report indicating
Flow" within 30 days of the end of ttie"siz=month sampling period.
The permittee shall report the, analyticalresults from the first sample with valid results within the
monitoring period. The permittee shall'compare monitoring results to the benchmark values in
�L
Table 3. The benchmark valuesi%Table 3 are not permit limits but should be used as guidelines for
the permittee's Stormwater Pollution Prevention Plan (SPPP). Exceedences of benchmark values
require the permittee to increase monitoring, increase management actions, increase record keeping,
and/or install stormwater Best Management Practices (BMPs) in a tiered program. See below the
descriptions of Tier One and Tier Two.
Table 3. - Benchmark Values for Analytical Monitorin
Discharge Chhracieristics ^`
'`Units(
Benchmark
Total Suspended Solids
mg/L
100
Chemical Oxygen Demand (COD)
mg/L
120
Methyl Ethyl Ketone (MEK)
mg/L;
1,600
Methylene Chloride
mg/L
110
Methyl Methacrylate
mg/L
96
Total Nitrogen
mg/L,
30
Total Phosphorus
mg/L
2
pH
standard
6-9
Partit Page 6 of 10

Permit No. NCS000527
Tier One
If: The first valid sampling results are above a benchmark value, or outside of the benchmark
range, for anv parameter at anv outfall:
Then: The permittee shall:
1. Conduct a stormwater management inspection of the facility within two weeks of receiving
sampling results.
2. Identify and evaluate possible causes of the benchmark value exceedence.
3. Identify potential, and select the specific: source controls, operational controls, or physical
improvements to reduce concentrations of the parameters,of concern, or to bring
concentrations to within the benchmark range. ' ;v
4. Implement the selected actions within two months of the inspection.
-ta
5. Record each instance of a Tier One response intheStormwater Pollution Prevention Plan.
Include the date and value of the benchmark�exceedence, the inspection date, the personnel
conducting the inspection, the selected actions,"and.the date the selected actions were
implemented. ; r.
Tier .Two,
If: During the term of this permit the, first valid sampling results are above the benchmark values,
or outside of the benchmark range, for any specific parameter at a specific discharge outfall two
times in a row (consecutive);
Then: The permittee shall: .
1. Repeat all the required actions outlined above in Tier One.
.2. Immediately institute monthly monitoring for all parameters at every outfall where a
sampling result exceeded the benchmark value for two consecutive samples. Monthly
(analytical and qualitative) monitoring shall continue until three consecutive sample results
are below the benchmark values, or within the benchmark range, for all parameters at that
outfall.
3. If no discharge occurs during the sampling period, the permittee is required to submit a
monthly monitoring report indicating "No Flow."
4. Maintain a record of the Tier Two response in the Stormwater Pollution Prevention Plan.
Part I1 Page 7 of 10

Permit No. NCS000527
During the term of this permit, if the valid sampling results required for the permit monitoring
periods exceed the benchmark value, or are outside the benchmark range, for any specific,
parameter at any specific outfall on more than four occasions, the permittee shall notify the DWQ
Regional Office Supervisor in writing within 30 days of receipt of the fourth analytical results.
DWQ may, but is not limited to:
• require that the permittee increase or decrease the monitoring frequency for the remainder
of the permit;
• require the permittee to install structural stormwater controls;
• require the permittee to implement other stormwater control measures; or
9.,
• require that the permittee implement site modificatidris,,16 qualify for the No Exposure
Exclusion.
...
HN
This site discharges to impaired waters expenencing,problems with biological integrity, and to
waters upstream of the Upper New Hope Arm/of the Jord n Reservoir, experiencing problems
with nutrients and chlorophyll a Violationsi(in'dicRive of excessive nutrient loads). In addition, a
Total Maximum Daily Load (TMDL) foraotal susperided solids (TSS) was approved in January
2005 to address turbidity impairment -of &`segment of Third Fork Creek further downstream.
If a Total Maximum Daily Loa&(TMDL)is approved for this segment of Third Fork Creek to
address biological integrity impairmentCe permittee may be required to monitor for pollutant(s)
of concern in the future and submit results to the Division of Water Quality. The Division will
consider the monitoring results,m:determining whether additional BMPs are needed to control
the pollutant(s) of concern to the maximum extent practicable.
If additional BMPs are needed to achieve the required level of control, the permittee will be
required to (1) develop a strategy for implementing appropriate BMPs, and (2) submit a timetable
for incorporation of those BMPs into the permitted Stormwater Pollution Prevention Plan.
Part iI Page 8 of 10

Permit No. NCS000527
SECTION C: QUALITATIVE MONITORING REQUIREMENTS
Qualitative monitoring requires a visual inspection of each stormwater outfall regardless of
representative outfall status and shall be performed as specified in Table 4, during the analytical
monitoring event. [If analytical monitoring is not required, the permittee still must conduct semi-
annual qualitative monitoring.] Qualitative monitoring is for the purpose of evaluating the
effectiveness of the Stormwater Pollution Prevention Plan (SPPP) and assessing new sources of
stormwater pollution.
In the event an atypical condition is noted at a stormwater discharge outfall, the permittee shall
document the suspected cause of the condition and any actions taken in response to the
discovery. This documentation will be maintained with the SPPP.,
Table 4. Qualitative Monitoring Re uirements,
Discharge Characteristies.
Frequencyi
Monitoring
.
Location2 ,
Color
semi-annual
. ' SDO
Odor'
semi-annual,' ;
'�..' SDO
.
Clarity
semi-annual
;% SDO
FloatingSolids � �•
'h `
­semi-annual`
SDO.`. �
Suspended Solids
semi annual,
SDO
Foam
"'semi annual
SDO
Oil Sheen
;� semi annual
SDO
Erosion or deposition at the
�. semi-annual
SDO
outfall
Other obvious indicators
semi-annual
SDO
of stormwater ollution
Footnotes:
I Measurement Frequency: Twice per year during a representative storm event, for each year until either another
permit is issued for this facility or until this permit is revoked or rescinded. If at the end of this permitting cycle
the permittee has submitted the appropriate paperwork for a renewal permit before the submittal deadline, the
permittee will be considered for a renewal application. The applicant must continue semi-annual monitoring until
the renewed permit is issued. See Table 2 for schedule of monitoring periods through the end of this permitting
cycle.
2 Monitoring Location: Qualitative monitoring shall be performed at each stormwater discharge outfall (SDO)
regardless of representative outfall status.
SECTION D: ON -SITE VEHICLE MAINTENANCE MONITORING REQUIREMENTS
Facilities which have any vehicle maintenance activity occurring on -site which uses more than 55
gallons of new motor oil per month when averaged over the calendar year shall perform
analytical monitoring as specified below in Table 5. This monitoring shall be performed at all
stormwater discharge outfalls which discharge stormwater runoff from vehicle maintenance
Part II Page 9 of 10

Permit No. NCS000527
areas, and in accordance with the schedule presented in Table 2 (Section B). All analytical
monitoring shall be performed during a representative storm event.
Table 5. Analytical Monitoring Requirements for On -Site Vehicle Maintenance
Discharge Characteristics '
; " ".'Units
Measurement
Fre' uenc t •
Sample
T" eZ�.
; Sample
Location3
H
standard
semi-annual
Grab
SDO
Oil and Grease
mg/1
semi-annual
Grab
SDO
Total Suspended Solids
m 1
semi-annual
Grab
SDO
Total Rainfall4
inches
semi-annual
Rain gauge
New Motor Oil Usage
1 gallons/month
1 semi-annual,.
Estimate
-
Footnotes: ;) f,
.,
1 Measurement Frequency: Twice per year during a representative storm ev@nt,4or�each year until either another
permit is issued for this facility or until this permit is revoked, or;rescinded.` If at the end of this permitting cycle
the permittee has submitted the appropriate paperwork for a renewal,permit before the submittal deadline, the
permittee will be considered for a renewal application. The applicantinust continue semi-annual monitoring until
the renewed permit is issued. See Table 2 for schedule of 6storing periods through the end of this permitting
cycle. , 7
2 If the stormwater runoff is controlled by a storm water,detention pond a grab sample of the discharge from the
pond shall be collected within the firs00 minutes of discharge from the pond.
3 Sample Location: Samples shall be collected at eWstormwater discharge outfall (SDO) that discharges
stormwater runoff from area(s) where're vehiclemaintenance activities occur.
4 For each sampled representativAs:torm event the total precipitation must be recorded. An on -site or local rain
gauge reading must be recorded:.;,
Monitoring results shall be compared to the benchmark values in Table 6. The benchmark
values in Table 6 are not permit limits but should be used as guidelines for the permittee's
Stormwater Pollution Prevention Plan-(SPPP). Exceedences of benchmark values require the
permittee to increase monitoring, increase management actions, increase record keeping, and/or
install stormwater Best Management Practices (BMPs), as provided in Part H Section B.
Table 6.
Discharge Characteristics , y
`' Uiiits '
enchmark,
pH
standard
6 - 9
Oil and Grease
mg/L
30
Total Suspended Solids
mg/L
100
Benchmark Values for Vehicle Maintenance Analytical Monitoring
x
Part 11 Page 10 of 10

Permit No. NCS000527
N
PART III STANDARD CONDITIONS FOR NPDES STORMWATER INDIVIDUAL PERMITS
SECTION A: COMPLIANCE AND LIABILITY
Compliance Schedule
The permittee shall comply with Limitations and Controls specified for stormwater discharges in
accordance with the following schedule:
Existing Facilities already operating but.applying for permit coverage for the first time: The Stormwater
Pollution Prevention Plan shall be developed and implemented within 12 months of the effective date of the
initial permit and updated thereafter on an annual basis. Secondary containment, as specified in Part 1I,
Section A, Paragraph 2(b) of this permit, shall be accomplished withinyl2 months of the effective date of
the initial permit issuance.
New Facilities applying for coverage for the first time and existing facilities p viously permitted and .
applying for renewal under this permit: The Stormwater Pollution Prevention Plan shall be developed and -
implemented prior to the beginning of discharges from the operation of the industrial activity and be
updated thereafter on an annual basis. Secondary containment, as specified in Part 11, Section A, Paragraph
2(b) of this permit shall be accomplished prior to the beginning of discharges from the operation of the
industrial activity.
2. Duty, to Comply
The permittee must comply with all conditionsof this individual permit. Any permit noncompliance
constitutes a violation of the Clean' Water Act and is grounds for enforcement action; for permit
termination, revocation' and reissuance, or modification; or denial of a permit upon renewal application.
a. The permittee shaIl complywi standards or prohibitions established under section 307(a) of the
Clean Water Act for.toxid pollutants within the time provided in the regulations that establish these
standards or prohi6itioiis, even if the permit has not yet been modified to incorporate the
requirement.
b. The Clean Water Act provides that any person who violates a -permit condition is subject to a civil
penalty not to exceed $25,000 per day for each violation. Any person who negligently violates any
permit condition is subject to criminal penalties of $2,500 to 25,000 per day of violation, or
imprisonment for not more than I year, or both.. Any person who knowingly violates permit
conditions is subject to criminal penalties of $5,000 to $50,000 per day of violation, or •
imprisonment for not more than 3 years, or both. Also, any person who violates a permit condition
may be assessed an administrative penalty not to exceed $10,000 per violation with the maximum
amount not to exceed $125,000. [Ref: Section 309 of the Federal Act 33 USC 1319 and 40 CFR
122.41(a).]
C. Under state law, a daily civil penalty of not more than ten thousand dollars ($10,000) per violation
may be assessed against any person who violates or fails to act in accordance with the terms,
conditions, or requirements of a permit. [Ref: NC General Statutes 143-215.6A].
d. Any person may be assessed an administrative penalty by the Director for violating section 301,
302, 306, 307, 308, 318 or 405 of the Act, or any permit condition or limitation implementing any
of such sections in a permit issued under section 402 of the Act. Administrative penalties for Class
I violations are not to exceed $10,000 per violation, with the maximum amount of any Class I
penalty assessed not to exceed $25,000. Penalties for Class 11 violations are not to exceed
Part III Page 1 of 8

Permit No. NCS000527
$10,000 per day for each day during which the violation continues, with the maximum amount of
any Class 11 penalty not to exceed $125,000.
3., Duty to Mitigate
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this
individual permit which has a reasonable likelihood of adversely affecting human health or the environment.
4. . Civil and Criminal Liabilitv
Except as provided in Part III, Section C of this permit regarding bypassing of stormwater control facilities,
nothing in this individual permit shall be construed to relieve the permittee from any responsibilities,
liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6A, 143-215.613, 143-
215.6C or Section 309 of the Federal Act, 33 USC 1319. Furthermore, the permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended..
Oil and Hazardous Substance Liability
Nothing in this individual permit shall be construed to preclude the institution of any legal action or relieve
the permittee from any responsibilities, liabilities,,& penalties to which the permittee is or may be subject to
under NCGS 143-215,75 ct seq. or Section 31 lrof the�Fedeial lct, 33 USC 1321.
6. Property Rights
The issuance of this individual•permit does,not convey any property rights in either real or personal
property, or any exclusive privileges, or' does`it authorize any injury to private property or any invasion of
personal rights, nor any infringement , Fi deral, State or local laws or regulations.
Severability +y'
The provisions of this individual permit are severable, and if any provision of this individual permit, or the
application of any provision of this individual permit to any circumstances, is held invalid, the application
of such provision to other circumstances, and the remainder of this individual permit, shall not be affected
thereby.
Duty to Provide Information
The permittee shall furnish to the Director, within a reasonable time, any information which the Director
may request to determine whether cause exists for modifying, revoking and reissuing, or terminating the
permit issued pursuant to this individual permit or to determine compliance with this individual permit. The
permittee shall also furnish to the Director upon request, copies of records required to be kept by this
individual permit.
9. Penalties for Tampering
The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate,
any monitoring device or method required to be maintained under this individual permit shall, upon
conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more
than two years per violation, or by both. If a conviction of a person is for a violation committed after a first
conviction of such person under this paragraph, punishment is a fine of not more that $20,000 per day of
violation, or by imprisonment of not more than 4 years, or both.
Part III Page 2 of 8

Permit No. NCS000527
10. Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement, representation, or
certification in any record or other document submitted or required to be maintained under this individual
permit, including monitoring reports or reports of compliance or noncompliance shall, upon conviction, be
punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years
per violation, or by both.
SECTION B. GENERAL CONDITIONS
2.
Individual Permit Expiration
The permittee is not authorized to discharge after the expiration date..
In order to receive automatic
authorization to discharge beyond the expiration date, the permittee shall submit forms and fees as are
required by the agency authorized to issue permits"no later than-180 days prior to the expiration date. Any
permittee that has not requested renewal at -least 180 days prior`to expiration, or any permittee that does not
have a permit after the expiration and has not requested renewal at leash h days prior to expiration, will be
subjected to enforcement procedures as provided in NCGS § I43-2153.6. and 33 USC 1251 et. seq.
.. u
Transfers/•
This permit is not transferable to an person ezcce t after, notice to and approval b the Director. The
P Y P „ , P� PP Y
Director may require modification or revocation. and reissuance of the permit to change the name and
incorporate such other requirements as may be necessary under the Clean Water Act. The Pernid"ee Is
required to notify the Divislon in writing iei•the event the permitted facility is sold or closed.
Signatory Requirements �•,- ,
r
All applications, reports, orjnformation submitted to the Director shall be signed and certified.
a. All applications to`be-covered under this individual permit shall be signed as follows:
(1) In the case of a corporation: by a principal executive officer of at least the level of vice-
president, or his duly authorized representative, if such representative is responsible for
the overall operation of the facility from which the discharge described in the permit
application form originates;
(2) • In the case of a partnership or. limited partnership: by a general partner;
(3) In the case of a sole proprietorship: by the proprietor;
(4) In the case of a municipal, state, or other public entity: by a principal executive officer,
ranking elected official, or other duly authorized employee.
b. All reports required by the individual permit and other information requested by the Director shall
be signed by a person described above or by a duly authorized representative of that person. A
person is a duly authorized representative only if
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the
overall operation of the regulated facility or activity, such as the position of plant
manager, operator of a well or well field, superintendent, a position of equivalent
Part III Page 3 of 8

Permit No. NCS000527
responsibility, or an individual or position having overall responsibility for environmental
matters for the company. (A duly authorized representative may thus be either a named
individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Director.
C. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. 1 am aware that there are significant penalties for submitting false information,
A tr.rr
including the possibility of fines and imprisonment forknowing violations."
The issuance of this individual permit does not prohibii the Dir&tor from reopening and modifying the
individual permit, revoking and reissuing the individual'•permit;or terminating the individual permit as
allowed by the laws, rules, and regulations contained> n Title 40, Code of Federal Regulations, Parts 122
tf and 123; Title 15A of the North Carolina AdMinistrative�Code, Subchapter 2H .0100; and North Carolina
General Statute 143-215.1 et al..
Permit Actions
The permit may be modified; revoked4nd'reissued, or terminated for cause. The notification of planned
changes or anticipated noncopliance do s not stay any individual permit condition.
SECTION•C: OPERATION ANVNiAINTENANCE OF POLLUTION CONTROLS
Prover Operation and Maintenance
The permittee shall at all times properly operate and maintain all facilities and systems of treatment and
control (and related appurtenances) which•are installed or used by the permittee to achieve compliance with
the conditions of this individual permit. Proper operation and maintenance also includes adequate
laboratory controls and appropriate quality assurance procedures. This provision requires the operation of
back-up or auxiliary facilities or similar systems which are installed by a permittee only when the operation
is necessary to achieve compliance with the conditions of this individual permit,
Need to Halt or Reduce Not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this individual permit..
Bypassing of Stormwater Control Facilities
Bypass is prohibited and the Director may take enforcement action against a permittee for bypass unless:
a. Bypass was unavoidable to prevent loss of life, personal injury or severe property damage; and
Part III Page 4 of 8

Permit No. NCS000527
b. There were no feasible alternatives to the bypass, such as the use of auxiliary control facilities,
retention of stormwater or maintenance during normal periods of equipment downtime or dry
weather. This condition is not satisfied if adequate backup controls should have been installed in
the exercise of reasonable engineering judgment to prevent a bypass which occurred during normal
periods of equipment downtime or preventive maintenance; and
C. The permittee submitted notices as required under, Part I11, Section E of this permit.
If the Director determines that it will meet the three conditions listed above, the Director may approve an
anticipated bypass after considering its adverse effects.
SECTION D: MONITORING AND RECORDS
Representative Sampling F'�+
Samples collected and measurements taken, as required herein, -'shall characteristic of the volume and
nature of the permitted discharge.. Analytical sampling shall be performed during a representative storm
event. Samples shall be taken on a day and time that is characteristic of the discharge. All samples shall be
taken before the discharge joins or is diluted by any -other waste, stream, body of water, or substance.
Monitoring points as specified in this permit shall, ndbe changed without notification to and approval of
the Director. !i `• `..;'
Recording Results
For each measurement, sample, inspection or maintenance activity performed or collected pursuant to the
requirements of this individual perritit, the permittee shall record the following information:
1
a. The date, exact place, and time of sampling, measurements, inspection or maintenance activity;
b. The individual(} who:peifrrmed the sampling, measurements, inspection -or maintenance activity;
The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
Flow Measurements
Where required, appropriate flow measurement devices and methods consistent with accepted scientific
practices shall be selected and used to ensure the accuracy and reliability of measurements of the volume of
monitored discharges.
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC regulations published pursuant to
NCGS 143-215.63 et. seq, the Water and Air Quality Reporting Acts, and to regulations published pursuant
to Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act, ,as Amended, and Regulation
40 CFR 136. .
Part III Page 5 of 8

Permit No. NCS000527
To meet the intent of the monitoring required by this individual permit, all test procedures must produce
minimum detection and reporting levels and all data generated must he reported down to the minimum
detection or lower reporting level of the procedure.
Re Rresentative Outfall
If facility has multiple discharge locations with substantially identical stormwater discharges that are
required to be sampled, the permittee may petition the Director for representative outfall status. If it is
established that the stormwater discharges are substantially identical and the permittee is granted
representative outfall status, then sampling requirements may be performed at a reduced number of outfalls.
6. Records Retention
Visual monitoring shall be documented and records maintained at the -facility along with the Stormwater
Pollution Prevention Plan. Copies of analytical monitoring results,shall also be maintained on -site. The
permittee shall retain records of all monitoring information; including all calibration and maintenance
records and all original strip chart recordings for continuous mo itormg•instrumentation, and copies of all
reports required by this individual permit for a period of at.least 5 yeari`from the date of the sample,
measurement, report or application. This period may beextended by request of the Director at any time.
7. Inspection and Entry ,
The permittee shall allow the Director or an'authorized representative (including an authorized contractor
acting as a representative of the Director), or n the,case of a facility which discharges through a municipal
separate storm sewer system, -an authorized,representative of a municipal operator or the separate storm
-K s•
sewer system receiving the dischifie, upon,the�presentation of credentials and other documents as may be
required by law, to;
a. Enter upon the permittee s premises where a regulated faciliky.or activity is located or conducted,
or where recordsrinust be kept under the conditions of this individual permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of
this individual permit;
C. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment),
practices, or operations regulated or required under this individual permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring individual permit compliance
or as otherwise authorized by the Clean Water Act, any substances or parameters at any location.
SECTION E: REPORTING REQUIREMENTS
1. Discharge Monitoring Reports
Samples analyzed in accordance with the terms of this permit shall be submitted to the Division on
Discharge Monitoring Report (DMR) forms provided by the Director. Submittals shall be delivered to the
Division no later than 30 days from the date the facility receives the sampling results from the laboratory.
When no discharge has occurred from the facility during the report period, the permittee is required to
submit a discharge monitoring report within 30 days of the end of the six-month sampling period, giving all
required information and indicating "NO FLOW" as per NCAC T15A 02B .0506. -
Part III Page 6 of 8

Permit No. NCS000527
The permittee shall record the required qualitative monitoring observations on the SDO Qualitative
Monitoring Report (QMR) form provided by the Division, and shall retain the completed forms on site.
Qualitative monitoring results should not be submitted to the Division, except upon DWQ's specific
requirement to do so.
2. Submitting Reports
Duplicate signed copies of all reports required herein, shall be submitted to the following address:
Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 r'°
3. Availability of Reports rF
.�?� "h r
Except for data determined to be confidential under NCGS 143 21'5.3.(a}(2)°r Section 308 of the Federal
Act, 33 USC 1318, all reports prepared in accordance wrlhatie terms sliall`be available for public inspection
at the offices of the Division of Water Quality. As required by -the Act, analytical data shall not be
considered confidential. Knowingly making any false statement on any such report may result in the
imposition of criminal penalties as provided for in.NCGS' 143-215.6B' or in Section 309 of the Federal Act.
4. Non-Stormwater Discharges
If the storm event monitored iif accordance'with,'"Iindividual permit coincides with a non-stormwater
discharge, the permittee shd`sepaktely monitor all parameters as required under the non-stormwater
1.11
discharge permit and provide this information with the stormwatcr discharge monitoring report.
Planned Changes
The permittee shall give hptice to,tlie Director as'soon as possible of any planned changes at the permitted
facility which could significantly alter the nature or quantity of pollutants discharged. This notification
requirement includes pollutants which are not specifically listed in the individual permit or subject to
notification requirements under 40 CFR Part 122.42 (a).
6. Anticipated Noncompliance
The permitte'e shall give notice to the Director as soon as possible of any planned changes at the permitted
facility which may result in noncompliance with the individual permit requirements.
7. Bypass
a. Anticipated bypass. If the permittee knows in advance of the need for a bypass, it shall submit
prior notice, if possible at least ten days before the date of the bypass; including an evaluation of
the anticipated quality and affect of the bypass.
b. Unanticipated bypass. The permittee shall submit notice within 24 hours of becoming aware of an
unanticipated bypass.
Twenty-four Hour Reporting
The permittee shall report to the central office or the appropriate regional office any noncompliance which
may endanger health or the environment. Any information shall be provided orally within 24 hours from
Part III Page 7 of 8

Permit No. NCS000527
the time the permittee became aware of the circumstances. A written submission shall also be provided
within 5 days of the time the permittee becomes aware of the circumstances.
The written submission shall contain a description of the noncompliance, and its causes; the period of
noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the
anticipated time compliance is expected to continue; and steps taken or planned to reduce, eliminate, and
prevent reoccurrence of the noncompliance.
The Director may waive the written report on a case -by -case basis if the oral report has been received
within 24 hours.
9. Other Noncompliance
The permittee shall report all instances of noncompliance not reported under 24 hour reporting at the time
monitoring reports are submitted. !' gt✓
IR
10. Other Information'��1y,
Where the permittee becomes aware that it failed to submit any.relevant facts in an application for an
individual permit or in any -report to the Director, it shall promptly. submit such facts or information.
Part III Page 8 of 8

NCS000527
PART IV LIMITATIONS REOPENER
This individual permit shall be modified or alternatively, revoked and reissued, to comply with any applicable
effluent guideline or water quality standard issued or approved under Sections 302(b) (2) (c), and (d), 304(b) (2) and
307(a) of the Clean Water Act, if the effluent guideline or water quality standard so issued or approved:
a. Contains different conditions or is otherwise more stringent than any effluent limitation in the individual
permit; or
b. Controls any pollutant not limited in the individual permit.
r/
The individual permit as modified or reissued under this paragraph shall also contain any other requirements in the
Act then applicable.
PART V ADMINISTERING AND COMPLIANCE MONITORING FEE
REQUIREMENT'S
The permittee must pay the administering and compliance:monitoririg fee within 30 (thirty) days after being billed by
the Division. Failure to pay the fee in timely manner in accordance with 15A NCAC 2H .0105(b)(4) may cause this
Division to initiate action to revoke the Individual Permit.
PART.VI DEFINITIONS
1. Act
See Clean Water Act.
2. Arithmetic Mean
The arithmetic mean of any set of values is the summation of the individual values divided by the number of
individual values.
I. Allowable Non-Stormwater Discharges
This permit regulates stormwater discharges. Nan-stormwater discharges which shall be allowed in the
stormwater conveyance system are:
(a) All other discharges that are authorized by a non-stormwater NPDES permit.
(b) Uncontaminated groundwater, foundation drains, air -conditioner condensate without added
chemicals, springs, discharges of uncontaminated potable water, waterline and fire hydrant
flushings, water from footing drains, flows from riparian habitats and wetlands.
(c) Discharges resulting from fire -fighting or fire -fighting training.
4. Best Management Practices (BMPs)
Measures or practices used to reduce the amount of pollution entering surface waters. BMPs may take the
form of a process, activity, or physical structure.
Parts IV, V and VI Page 1 of 5

Permit No. NCS000527
5. Bypass
6.
A bypass is the known diversion of stormwater from any portion of a stormwater control facility including
the collection system, which is not a designed or established operating mode for the facility.
Bulls Storage of Liquid Products
Liquid raw materials, manufactured products, waste materials or by-products with a single above ground
storage container having a capacity of greater than 660 gallons or with multiple above ground storage
containers located in close proximity to each other having a total combined storage capacity of greater than
1,320 gallons.
7. Clean Water Act
The Federal Water Pollution Control Act, also known as`the Cle iWater Act (CWA), as amended, 33
USC 1251, et. seq.
*• r 4 w
8. Division or DWQ
The Division of Water Quality, Department of Environment and'Natural Resources.
9. Director j''�'/'�
The Director of the Division of Water, iW the issuing authority.
Q t3'� P g ty
10. EMC
The North Carolina
Commission.
11. Grab Sample_
An individual sample collected instantaneously. Grab samples that will be directly analyzed or qualitatively
monitored must be taken within the first 30 minutes of discharge.
12. Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act.
13, Landfill
A disposal facility or part of a disposal facility where waste is placed in or on land and which is not a land
treatment facility, a surface impoundment, an injection well, a hazardous waste long-term storage facility or
a surface storage facility.
14. Municipal Separate Storm Sewer Sys
A stormwater collection system within an incorporated area of local self-government such as a city or town.
15. No Exposure
A condition of no exposure means that all industrial materials and activities are protected by a storm
resistant shelter or acceptable storage containers to prevent exposure to rain, snow, snowmelt, or runoff.
Industrial materials or activities include, but are not limited to, material handling equipment,or activities,
Part VI Page 2 of 5 Pages

Permit No. NCS000527
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
DWQ may grant a No Exposure Exclusion from NPDES Stormwater Permitting requirements only if a
facility complies with the terms and conditions described in 40 CFR §122.26(g).
16. Overburden
Any material of any nature, consolidated or unconsolidated, that overlies a mineral deposit, excluding
topsoil or similar naturally -occurring surface materials that are not disturbed by mining operations.
17. Permtttee
The owner or operator issued a permit pursuant to this individual permit.
18. Point Source Discharge of Stormwater
Any discernible, confined and discrete conveyance includidg, but Rot,specifically limited to, any pipe, ditch,
channel, tunnel, conduit, well, or discrete fissure from %Rich stormwateris or may be discharged to waters
of the state.
19. Representative Storm Event
A storm event that measures greater than 0.1 inc
storm event measuring greater than 0. f inches,hr
hours of no precipitation. For example, if it rain
stops, a sample may be collected,if a rain pioduc
20. Representative Outfall Status ;f
'rainfall'and that is preceded by at least 72 hours in which no
urred. A single storm event may contain up to 10 consecutive
).hours without producing any collectable discharge, and then
discharge begins again within the. next 10 hours.
When it is established that,the discharge,of stormwater runoff from a single outfall is representative of the
discharges at multiple outfalls, the DWQ may grant representative outfall status. Representative outfall
status allows the permittee;to,perrfform analytical monitoring at a reduced number of outfalls.
21. Rinse Water Discharge
The discharge of rinse water from equipment cleaning areas associated with industrial activity. Rinse
waters from vehicle and equipment cleaning areas are process wastewaters and do not include washwaters
utilizing any type of detergent or cleaning agent.
22. Secondary Containment
Spill containment for the contents of the single largest tank within the containment structure plus sufficient
freeboard to allow for the 25-year, 24-hour storm event.
23. Section 313 Water Priority Chemical:
A chemical or chemical category which:
a. Is listed in 40 CFR 372.65 pursuant to Section 313 of Title III of the Superfund Amendments and
Reauthorization Act (SARA) of 1986,. also titled the -Emergency Planning and Community Right-'
to -Know Act of 1986;
b. Is present at or above threshold levels at a facility subject to SARA Title III, Section 313 reporting
requirements; and
C. That meets at least one of the following criteria:
Part VI Page 3 of 5 Pages

r .
Permit No. NCS000527
(1) Is listed in Appendix D of 40 CFR part 122 on Table II (organic priority pollutants),
Table III (certain metals, cyanides, and phenols), or Table IV (certain toxic pollutants and
hazardous substances);
(2) Is listed as a hazardous substance pursuant to section 311(b)(2)(A) of the CWA at 40
CFR It 6.4; or
(3) Is a pollutant for which EPA has published acute or chronic water quality criteria.
24. Severe Property Damage
Means substantial physical damage to property, damage to the control facilities which_ causes them to
become inoperable, or substantial and permanent loss of natural resources which can reasonably be
expected to occur in the absence of a bypass. Severe property damage does not mean economic loss caused
by delays in production.
25. Siggificant Materials^a i
Includes, but is not limited to: raw materials; fuels; materiaO`s`uch as solvents; detergents, and plastic
pellets; finished materials such as metallic products; raw.materials used in food processing or production;
hazardous substances designated under section 101(14y'of CERCLA; any chemical the facility is required to
report pursuant to section 313 of Title III of SFARA fertili ers; pesticides; and waste products such as ashes,
slag and sludge that.have the potential to b eleased.with stormwater discharges.
26. Significant Spills
Includes but is not limited to: r' eleases of p oil or hazardous substances in excess of reportable quantities
under section 311 of the Clean Water Actr(Ref: 40 CFR 110.10 and CFR 117.21) or section 102 of
CERCLA (Ref: 40 CFR 302.4). ,
27. Stormwater Runoff
The flow of water which results from precipitation and which occurs immediately following rainfall or as a
result of snowmelt.
28. Stormwater Associated with Industrial Activity
The discharge'from any point source which is used for collecting and conveying stormwater and which'is
directly related to manufacturing, processing or raw material storage areas at an industrial site. Facilities
considered to be engaged in "industrial activities" include those activities defined in 40 CFR 122.26(b)(14).
The term does not include discharges from facilities or activities excluded from the NPDES program.
29. Stormwater Pollution Prevention Plan
A comprehensive site -specific plan which details measures and practices.to reduce stormwatcr pollution and
is based on an evaluation of the pollution potential of the site.
30. Ten Year Design Storm
The maximum 24 hour precipitation event expected to be equaled or exceeded on the average once in ten
years. Design storm information can be found in the State of North Carolina Erosion and Sediment Control
Planning and Design Manual.
Part VI Page 4 of 5 Pages

Permit No. NCS000527
31. Total Flow
The flow corresponding to the time period over which the entire storm event occurs. Total flout shall be
either; (a) measured continuously, (b) calculated based on the amount of area draining to the outfall, the
amount of built -upon (impervious) area, and the total amount of rainfall, or (c) estimated by the
measurement of flow at 20 minute intervals during the rainfall event.
32. Total Maximum Daily Load TMDL
A TMDL is a calculation of the maximum amount of a pollutant that a waterbody can receive and still meet
water quality standards, and an allocation of that amount to the pollutanVs sources. A TMDL is a detailed
water quality assessment that provides the scientific foundation for an implementation plan. The
implementation plan outlines the steps necessary to reduce pollutant loads in a certain body of water to
restore and maintain water quality standards in all seasons. The Clean Water Act, Section 303, establishes
the water quality standards and TMDL programs. ,^ {
33. Toxic Pollutant
Any pollutant listed as toxic under Section 307(a)(1)gof the Clean.Water Act.
34. Upset
Means an exceptional incident in which there is unintentional and temporary noncompliance with. .
technology based permit effluent limitations because of factors beyond the reasonable control of"the
permittee. An upset does not include noncompliance to the extent caused by operational error, improperly
designed treatment or control facilities inadequate treatment or control facilities, lack of preventive
�r
maintenance, or careless or improperpperation.
35. _Vehicle Maintenance Activity
Vehicle rehabilitation, meclianical repairs, painting, fueling, lubrication vehicle cleaning operations, or
P , P g, g, g. P ,
airport deicing operations.
36. - Visible Sedimentation
Solid particulate matter, both mineral and organic, that has been or is being transported by water, air,
gravity, or ice from"ifs site of origin which cari be seen with the unaided eye.
37. 25-year, 24_ hour storm event
The maximum 24-hour precipitation event expected to be equaled or exceeded, on the. average, once in 25
years.
Part VI Page 5 of 5 Pages

NCp o6 52. --
�L�C�L��LIG �
LS:EP 2 4 2008 - A
September 23, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7006 3450 0001 8829 5552
Mr. Bradley Bennett
Environmental Supervisor III
Stormwater Permitting Section
NCDENR — Division of Water Quality
1617 Mail Service Center
Raleigh, N.C. 27699-1617
RE: Application for Individual Stormwater Discharge Permit
Dear Mr. Bennett:
Enclosed are three copies of application for a permit to discharge stormwater from our facility
located at 600 Ellis Road in Durham, Durham County, North Carolina. A check for $860.00
made out to NCDENR — Stormwater Permitting Section is enclosed for the application fee and
first year permit fee., ,
Our plant blends and mixes chemical constituents to manufacture adhesives used primarily by
industrial customers. Packaging, warehousing, and distribution of adhesive products and
blended catalysts are also part of operations at the Durham facility. Some minor exposures to
stormwater occur at the facility as a result of industrial activity. No General Permit is available
for coverage for our SIC Code 2891.
Should you have any questions, please call me at [phone] or Tim Monroe of Bensinger
and Garrison Environmental, Inc. at [phone].
Sincerely,
IP TRUCTURAL ADHESIVES INC.
3oe Bailey
Environmental, Health & Safety Engineer
cc: Bensinger & Garrison Environmental, Inc.

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Bensinger & Garrison
ENVIRONMENTAL, INC.
Bluefield Engineering, P.C.
P.O. BOX 14609 • RTP, NC 27709
PHONE [phone]
FAX [phone]
APPLICATION FOR INDIVIDUAL
STORMWATER DISCHARGE PERMIT
for
IPS STRUCTURAL ADHESIVES INC.
DURHAM, DURHAM COUNTY
NORTH CAROLINA
SEPTEMBER 2008

TABLE OF CONTENTS
B&G CERTIFICATION
APPLICATION FOR INDIVIDUAL STORMWATER DISCHARGE PERMIT:
EPA FORM 1: GENERAL INFORMATION
EPA FORM 2F: APPLICATION FOR PERMIT TO DISCHARGE
STORMWATER ASSOCIATED WITH INDUSTRIAL
ACTIVITY
FIGURES:
FIGUREI : 'SITE LOCATION MAP
FIGURE 2: SITE DRAINAGE & POLLUTANT SOURCE MAP
Bensinger & Garrison Environmental, Inc.

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11
B&G CERTIFICATION
1
Bensinger & Garrison Environmental, Inc.

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1
1
CERTIFICATION
Bensinger & Garrison Environmental, Inc. certifies that it has used standard and accepted
practices in completion of this project. The undersigned (and their appointees) shall have
no liability or obligation to any party other than IPS Structural Adhesives Inc. (and its
successors or assigns) and the undersigned's (and their appointees') obligations are
limited to fraudulent statements herein made, or to negligence.
BENSINGER & GARRISON ENVIRONMENTAL, INC.
Tim W. Monroe, P.E.
Environmental Engineer
uglas L. Bensinger,
President/Senior Environmental Engineer
Liu -ag
Date
i-23 -OV"
Date
Bensinger & Garrison Environmental, Inc.

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EPA FORM 1:
GENERAL INFORMATION
Bensinger & Garrison Environmental, Inc.

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Please print or type in the unshaded areas only.
Cabe o Z i4s
Form Approved. OMB No. 2D40-0086.
FORM
U.S, ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. NUMBER
1
�+ GENERAL INFORMATION
I EPA135509
F
Consolidated Permits Program
NCR000 p
GENERAL
(Read the "GeneralInstruclions" before starting)
2 u 1. 1 ,r
LABEL ITEMS
GENERAL INSTRUCTIONS
if a preprinted label has been provided, affix it In the
„�; ` - - 1 I - J•- designated apace. Review the information carefully; 0 any of It
_
Ci,: EPA I:DINLIM$ER
fro z f is Incorrect, cross through it and enter Me correct data In ma
l
-_., appropriate filbin area below. Also, if any of the preprinted data
'. 1 u y s '' - - --+' t f.. .' i - h is absent (tip area to the tar of the label space fists Oho
III.; FACILITY NAME ;1 g ,
i s ;'x yt, PLEASE PLACE LABEL IN THIS SPACE - ,,s Its i.'' atformalion that should appear}, please provide tin the proper
° , u�.( >::' fill-in area(,) below. It the label is complete and correct, You
s�. ; items I, III, V, VI
�
t
V., FACILITY MAILING
�; i 1� need not complete and (except Vr-8 which
ti k` k q be Cemptek items
ADDRESS rt"' t
- ti '
'' , r•`' F �. - mast completed reQamSless), all d no label
'� r j5 + I-- - has been provided. Rarer to tha instructions for detailed Ilem
: p .. ,1 ., t It r_ h . ;, diruAptwns and far the legal authorizations under which this
G s '' data is collected.
r-� .ry
V1. FACILITY,LOCAT1ONl
r is
i r ,+ l s ;.1.
11, POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J tD 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. It
you arlswer'W 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 fhe
Instructions. See also, Section D at the instructions for definitions of bold-faced terms.
Marx'x'
M.rk'x'
YES
ATTACHED
TCH
QUESTIONS
res
NO
FORMSPECIFIC
A17AAC ED
SPECIFIC QUESTIONS
A. Is this facility a publicly owned treatment works which
B. Does or will this facility (either existing or proposed)
results in a discharge to waters of the U.s.? (FORM 2A)
X
include a concentrated anlmat feeding operation or
X
aquatic animal production facility which results In a
14
n
1+
+
zo 21
discharge to waters of the U.S.? (FORM 213)
C. Is this a facility which currently results In discharges to
D. Is this a proposed facility (other than (nose descilbed to A
waters of the U.S. other than those described In A or B
x
or B above} which will result in a discharge to waters of
X
above? (FORM 2C)
a
the U.S.? (FORM 2D)
ar zt
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,
A
„
W
underground sources of drinking water? (FORM 4)
31
„ s1
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
X
processes such as mining of sulfur by the Frasch process,
X
connection with conventional oil or natural gas production,
solution mining of minerals, In situ combustion of fossil
Inject fluids used for enhanced recovery of oil or natural
fuel, or recovery of geothermal energy? (FORM 4)
gas, or !n)ed fluids for storage of liquid hydrocarbons?
(FORM 4)
1
>,
A
a
n
s, >,
I. Is this facility a proposed stationary soome which is one
J. Is this factiity a Proposed stationary source which is
at the 28 industrial categories listed in the instructions and
X
NOT one of the 28 Industrial' categories listed in the
X
which will potentially emil 100 tons per year of any air
instructions and which will potentially emit 250 tons per
pollutant regulated under the Clears Air Ad and may affect
year of any air pollutant regulated under the Clean Air Act
s
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u
« a
or be located in an attainment area? (FORMA 5)
and may affect or be located in. an atainment area?
(FORM 5)
It. NAME OF FACILITY
` SxkP I P S S R U G T R A L A E S I N;:
1
IV. FACILITY CONTACT
A. NAME & TITLE (last, first, & rule) B. PHONE (area code & no.)
a
E V I N C O L Y 119 51918 2 1413 9 jtk
'�sg
Is
,s a r min al 1 ra, st?>,f'rU.aier%&? ,§1F
V. FACILTY MAILING ADDRESS
A. STREET OR P.O. BOX
`
6 0 E L L I S R O A��I'
,a ,• a xi# ni;5€!a 3#i�,9'ii4#£i t:)3'f; J'1i2't^`$,Tic=vsF
B. CITY OR TOWN C. STATE D. ZIP CODE
$f ill
:#i�`;�r, fi'�3"tr,„�(f�} fl
4
U R
N C
2 7 7 _0:3
4.1 t h
Is
IN
VI. FACILITY LOCATION
F s si
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER c 1
e 6 0 0 L L I S R O D ��;, �;�; E F k al��
Ft?L .I111;tr t'FA 1
,s N aOra�� Y i' .?+ .. 1 .1
B. COUNTY NAME
3 ""t r t� i •E9 t r
IN
�•!�.a�.'.s.'':.';'7�'�k''�i>`.�i:�;i`'�ir�t.1k�`i.t)?#a�:i°' A `1,��
DI U R H A M�
r >o
C. ClTY OR TOWN
D. STATE
E. ZIP CDDE
F. COUNTY CODE (ijknown} *'„' � '
U R A M
N C.
2 7 0 3°..,
6
IS
Ii .0
N 4
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A b/
EPA Form 3510-1 (8-90)
CONTINUE ON REVERSE

CONTINLIFO FROM THE FRONT
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VII. SIC CODES (4-digit, In order ofpriod
A. FIRST
B. SECOND
c
('party) 7
(specify)
9
2 $9 j
to
esives & sealants
Is
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C. THIRD
D. FOURTH
c
(specify) 7
7
(specify)
7
1e
1E 19
t 19
VIII. OPERATOR INFORMATION
A. NAME
B.1s the name listed In Item
P RA
S I S R U C T U A D H E S I I 'NC
VIII-A also the owner?
I$YES ❑ NO
is 1e
was
C. STATUS OF OPERATOR (Enter the Tinpriate letter info the answer box: if "Other," 9!EiY.j
D. PHONE (area code & no.)
F a FEDERAL M - PUBLIC (other than federal orsrate)
S STATE
P
(specify)
a 919;; 598:`:. 2419
o - OTHER (specify)
P = PRIVATE
m
u 19 n it rr ]9
E. STREET OR P.D. BOX
V are re Y x
r' E Y c <t ri�z 1 hlz
r I 1 ' R arI} r�3I i} iiq iu F�e
YI
' Is)$ f j �ercich " �� ;
610101 E L L I S R O A D
F, CITY OR TOWN
I G. STATE H. ZIP CODE
IX. INDIAN LANb
cIs
the facillty located on Indian lands?
BD
URHAM �NIC
1,12171713OYES
QNO
sx
isn
H a n
X. EXISTING ENVIRONMENTAL PERMITS
A. NPDES m Su ere Warcr
D. PSD Air Emisslons rem Pro
9 P
1! 1 1 1
ed Soarres
,, ti tl • :uEs4�g;• ,
r gyp,! "v�u '
]0 li. L M 4. N.'J'�it� aM �¢ R ?✓TP
e
9
e
N
pqhars
15
B.UIC Uade rvundl ccriono Fluids
E.OTHER r ci
r
opeClfyJ
9
U
9
Is
19
IT
t6
!
'§
II
>D
C. RCRA Waster
E. OTHER s ci
fHjiarda=
�1
(N-76)
9
R
9
19
le
1r
It A
19 is it 19
A -
xI. MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must stow 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, end each well where it
injects fluids underground. IncWds all springs, rivers, and other surface water bodies In the map area. See Instructions for precise requirements.
XII. NATURE OF BUSINESS e a brief desert rt
Blending and mixing of solid and liquid chemical constituents (raw materials) to form liquid
adhesive products. Adhesive products are also packaged and stored at the location for shipment
to the consumer.
XIII. CERTIFICATION (sae lnstructionsJ
I cot* under penalty orlaw that l have personally examined and am famfliar with the Information submifted in this application and aff attachments and that, based on my
inquiry for e tained in the ication, I that Information is hue, accurate, and campfete. !
for affon,Including
IInfonnthe
submitting falsible
arRne and iiieve
am are that there are signihcaiately nt penalties the possibility mpdsonmen�
A. NAME & OFFICIAL TITLE (type arprint)
B. SIGNATURE
C. DATE SIGNED
Kevin Connolly
Director of Operations
/
�/Z`Clajr
COMMENTS FOR OFFICIAL USE ONLY
c
Is
. a
EPA Form 3510-1 (8-90)

EPA FORM 2F:
APPLICATION FOR PERMIT- TO
' DISCHARGE STORMWATER ASSOCIATED
WITH INDUSTRIAL ACTIVITY
1
1
Bensinger & Garrison Environmental, Inc.

17,�EE�PPA!r IIDyDy Number (copy from Item 1 of Form 1) Form Approved. OMB No. 2040-0086
hl Plan— nrinr nr ne in 1hn udt lY n%hwpd am nnlu l.PD)0135509MAnn—.al prni— L49 _O9
FORM
ZF
NPDI=S
U.S. Environmental Protection Agency
Washington, OC 20460
Application for Permit to Discharge Storm Water
PADischarges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this application Is estimated to average 28.6 hours per application, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the coltection of information. Send comments regarding the burden estimate, any other aspect
of this collection of information, or suggestions for improving this form, including suggestions which may increase or reduce this burden to: Chief, Information Policy
Branch. PM-223, U.S. Environmental protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460. or Director, (Mice of Information and Regulatory
Affairs, Office of Management and Budget, Washington, DC 20503.
I.Outtall 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
(hsf)
B. Latitude
C. Longitude
D. Receiving Water
(name)
0011999
tributM of VirdOrCreek
II. Improvements
A. Are you now required by any Federal, State, or local authority to meet any Implementation schedule far the construction, upgrading or operation of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described In this application? This includes, but Is not limited
to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or ban conditions.
1. Identification of Conditions,
Agreements, Etc.
2. Affected Outfalls
3. Brief Description of Project
4. Final
Com Hance Date
number
source of discharge
e. req.
b. prof.
KA
B: You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your discharges) you now have under
way or which you plan. Indicate whether each program Is now under way or planned, and indicate your actual or planned schedules for construction.
III. Site Drainage Ma
Attach a site map showing topography (or indicating the outline of drainage areas served by the outfalls(s) covered In the application If a topographic map is unavailable)
depicting the facility Including: each of its Intake and discharge structures; the drainage area of each storm water outfall; paved areas and buildings within the drainage
area of each storm water outfall, each known past or present areas used for outdoor storage of disposal of significant materials, each existing structural control measure
to reduce pollutants in storm water runoff, materials loading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied; each of
Na hazardous waste treatment, storage or disposal units (Including each area not required to have a RCRA permit which is used for accumulating hazardous waste
under 40 CFR 262.34); each well where fluids from the facility are Injected underground; springs, and other surface water bodies which received storm water discharges
from the facility.
EPA Form 3510-2F (1-82) Page 1 of 3 Continue on Page 2

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Continued from the Front
IV. Narrative Description 'of Pollutant Sources
A. For each outran, provMe an estimate of the area (include units) of imperious surfaces (including paved areas and building roots) drained to ere outran, and an estimate of the total surface area
drained by the wean.
Outdail
nus Area of Impervious Surface
Total Area Drained
Outran
Area of Impervious Surface
Total Area Drained
Number
{pmvide units)
(pmvfde units)
Number
(provide urvts)
(provide units)
001
26,000 ft2
98,000 ft2
B. Provide a narrative description of significant materials that are currently or In the past three years have been treated, stored or disposed in a manner to allow exposure
to storm crater, method of treatment, storage, or disposal; past and present materials management practices employed to minimize contact by these materials with
storm water runoff; materials loading and access areas, and the location, manner, and frequency in which pesticides, herbicides, soil conditioners, and fertilizers are
applied.
Industrial activity creating exposures to stormwater include:
- Empty drun storage
- Trash and recycle dtmpsters (closed top) Pesticides, herbicides, soil
- Outdoor air compressor conditioners, and fertilizers
- Miscellaneous piping and materials storage are not applied.
Pallet storage
C. For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce pollutants In storm water runoff; and a
description of the treatment the storm water receives, Including the.schedule and type of maintenance for control and treatment measures and the ultimate disposal
of any solid or fluid wastes other than by discharge.
outfall
Lid Codes tarn
Number
Treatment
Table 2F-1
001 Rip rap and channel vegetation NA
V. Nonstolmwater Discharges
A. I certify under penalty of law hat the outfall(s) covered by this application have been tasted or evaluated for the presence of nonstormwater discharges, and that all
nonstormwater discharged from these outfall(s) are Identified In either an accompanying Form 2C or From 2E application for the outfall.
Name and Official Title (type or pdnt)
ignature
Date Signed
Kevin Connolly
�'r
birector of Operations
�/�
B. Provide a description of the method used, the date of any testing. and the onalte drainage points that were directly observed during a test.
Review of.as built construction drawings (plumbing plan) and otrsite review of the stormwater
collection system and Outfall 001.
. Significant Leaks or Split.,
Provide existing Information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility In the last three years, Including the
approximate date and location of the spill or leak, and fife type and amount of material released.
Norte
1 EPA Form 3510-21F (1-92) Page 2 of 3
Continue on Page 3

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1
EPA ID Number (copy from Item i of Forth 1)
Continued from Pane 2 1 ?"I rm l'Arlrl l
I. Discharge Information
A, B, C, 6 D: See Instructions before proceeding. Complete one eel of tables for each outtall. Annotate the outiall number in the space provided.
Table VII-A, VII-B, VII-C are included on separate sheets numbers VII.1 and VII-2.
E. Potential discharges not covered by analysis — Is any toxic pollutant listed in table 2F-2, 2F-3, or 2F-4, a substance or a component of a substance which you
currently use or manufacture as an intermediate or final product or byproduct?
IN Yes (list all such pollutants below) ❑ No (go to section IX)
Methyl Methacrylate
III. Biological Toxicity Testing Data
Do you have any knowledge or reason to believe that any biological test for acute or chimic toxicity has been made on any of your discharges or on a receiving water in
rotation to ur discharge within the last 3 years?
Yes (list all such pollutants below) ® No (go to section tX)
IX. Contract Analysis Information
Were any of the analyses reported In Item VII performed by a contract laboratory or consulting firm?
IN Yes (list the name, address. and telephone number of, and pollutants
❑ No (go to SeC6. X)
analyzed by, each such laboratory of firm be!
A. Name
B. Address
C. Area Code & Phone No.
D. Pollutants Analyzed
Environmental Conservation
102-A Woodwinds
919-467-3090
Item VII - Part A
Laboratories, Inc.
Industrial Court
EPA Method 8260
Cary, NC 2751I
Bensinger & Garrison
1426 E. NO Hwy. 54, Suite C
919-484-8536
PH
Envirommntal, Inc.
Durharn, NC 27713
8/27/08
X. Certification
I certify under penally of law that Ws dxument and sit aRadrments were prepared under my direction or supervision in accordance with a system designed to assure
that quehfied personnel property gather and evaluate the krformalion submitted. Based on my inquiry of the person or persons who manage the system or those persons
direcily responsible for gathering the information, thedafwmation submitted is, to the best of my knowledge and belief, tore, accurate, and complete. I am aware that
there are significant penalb'es for submitting false information, including the possibility of fine and Imprisonment for knowing vidabons.
A. Name A Official Title (Type Or Print) Kevin Connolly
B. Area Code and Phone No.
Director of Operations
919-598-2439
C. Signature_-_
Q. gate Signed
EPA Form 3510-21' (1.92) v Page 3 of 3

L,
1
EPA ID Number cupX from item f of Form f) Form Approved. OMB No. 2040-0066
l I fS Approval expires 5-31-92
V11. Discharge Information (Continued from page 3 of Form 2F)
Part A — You must provide the results of at least one analysis for very pollutant In this table. Complete one table for each outfall. See instructions for additional details.
Pollutant
and
CAS Number
(if available)
Maximum Values
(include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Oil and Grease
2.0 mg/1
NIA
2.0 mg/1
NA
I
NA
Biological(BOD5)
Demand BOD
14 fng/1
10 mg/l
14 mg/1
10 mg/1
2
Industrial Activity
Chemical Oxygen
Demand COD
33 mg/1
33 1
33 1
33 1
1
Industrial Activity
Iota! SuspendedSolids (TSS)
69 1
82 uW1
69 ' 1
82 1
2
Industrial Activity
Total Nitrogen
3. 1 mg/l
1.1 tng/l
3. 1 rng/l
1.1 mg/1
2
Industrial Activity
Total Phosphorus
0.54 99/1
0.36 1gg/1
0.54 nV1
0.36 mg/1
2
Indti.strial Activity
pH
Minimum 7.2
Imaximum 6.1
Minimum 7.2
Maximum 6.1
2
NA
Part a — Ust each poilutard that Is limited In an effluent guideline which the facility is subject to or any pollutant listed in the facilitys NPDES permit for its process
wastewater (If the facility is operating under an existing NPDES permit). Complete one table for each outfall. See the Instructions for additional details and
requ
Pollutant
and
CAS Number
(ifavailable)
Maximum Values
mCfude units
Average Values
include units
Number
of
Slone
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow-Weighled
Composite
NA
1 EPA Form 3510-21F (1-92) Page VII-1 Continue on Reverse

1
1
Continued from the Front
Part C - List each pollutant shown in Table 2F-2, 2F-3, and 21`4 that you know or have reason to believe is present. See the instructions for additional details and
requirements. Complete one table for each outfall.
Pollutant
and
CAS Number
(f available)
Maximum Values
include units)
Average Values
include units
Number
of
. Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flaw -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Com rifle
MEK
21 1
22 /l
21 1
22 1
1
Industrial Activity
78-93-3
Meth le
ND
0.77 1
ND
0.77 1
1
Industrial Activity
Chloride
75-09-2
Methyl
21 1
21 1
21 1
21 1
I
Industrial Activity
Methac
to
80-62-6
PertD — Provide data for the atone events) which resulted in the maximum values for the flow weighted mpositesample.
t •
Date of
Storm
Event
2.
Duration
of Stone Event
(in minutes)
3.
Total rainfall
during storm event
(in inches)
4.
Number of hours between
beginning of storm measured
and and of previous
measurable rain event
5.
Maximum fknv rate during
rain event
(gationshrtfnute or
specify units)
6•
Total flow from
rain event
(gallons or specfy units)
3/16/07
8/27/08
1080
2580
2.14
3.43
96
132
13.6 gpn
10.3 gpn
14,544 gallons
26,634 gallons
7. Provide a desert Ion of the method of flow measurement or estimate.
Rational Method used for estimate
I
EPA Form 3510-2F (1-92)
Page VII-2

11
1
1
1
r■
FIGURES
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FIGURE 2+ Site Drainage and Paltutant PROJECT NO.i 173306
Source Map BENSINGER Sc GARRISON DATE, Nov, 2006 0 60'
IPS Structurat Adheslves ENVIRONMENTAL, INC. DRAWN BY, RES SCALE,
500 Miss Road 6LUEFIELo ENGINEERING, P.C. APPROVED BY, TWM
Durham, Durham County, North Carolina FILET IPS SWP3