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NCS000592_HISTORICAL WITH APPLICATION_20171002
-STURIGIINATER"DIVISION-CODING SHEET-"-- PERMIT NO. DOC TYPE ❑FINAL PERMIT ❑ MONITORING INFO APPLICATION 11 COMPLIANCE ❑ OTHER DOC DATE ❑ ��-I 1 D YYYYMMDD Permit Dumber NCS000592 Program Category NPDES SW Permit Type Stormwater Discharge, Individual Primary Reviewer robert.patterson Coastal SWRule Central Files: APS _ SWP ✓ 10J2J2017 Permit Tracking Slip Status Project Type Active New Project Version Permit Classification 1.00 Individual Permit Contact Affiliation RECIZI ED Permitted Flow OCT 03 2017 Facility CENTRAL FILES Facility Name Major/Minor Region Culpeper Of Roanoke Rapids Minor Raleigh Location Address County 2262 W 10th St Halifax Roanoke Rapids Owner NC 27870 Facility Contact Affiliation Billy Rodgers 2262 W 10th St Ronok Rpd Afs NC - 27870 Owner Name Owner Type Culpeper of Roanoke Rapids Non-Govemment Owner Affiliation Billy Rodgers 2262 W 10th St Dates/Events Ronok Rpd Afs NC 27870 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 10/2/2017 6/5/2017 7/12/2017 8/15/2017 10/2/2017 10/212017 9/30/2022 Regulated Activities Requested /Received Events Wood treatment w w Region comments on draft requested 7/13117 Region comments on draft received 7131/17 Outfal l 001 Waterbody Name Streamindex Number Current Class Subbasln Chockoyotte Creek 23-29 C 03-02-08 Outfal I 002 Waterbody Name Streamindex Number Current Class Subbasln Chockoyotte Creek 23-29 C 03-02-08 AFFIDAVIT OF PUBLICATION RANDY GILBERT being first duly sworn, STATE OF NORTH CAROLINA deposes and says: That (he) (she) is the Agent to the COUNTY OF HALIFAX Publisher of THE DAILY HERALD newspaper printed and published five days a week in the County of Halifax, State of North Carolina, and of general circulation in the city of P--NCDIV'OFENERGY, Roanoke Rapids, County of Halifax, State of North Carolina MINERAL AND LAND � and elsewhere, and thehereto attached: RESOURCES"`` INTENT To; ISSUE A. ST©RMWATER DISCHARGE PUBLIC NOTICE TO PERMIT ISSUE STORM ''Pubiic'comment'or.`objectibn to DISCHARGE PERMIT "tW'draft permit(s) 'is- invited. CULPEPER i'Subhiit written comments -;to DEMILR; at the address -below. All- ;rents xeceivea. Dior -to was printed and published correctly in the regular and entire 5epternber 15,.. 2017 will be Considered in the 'final detertrii- issue of said THE DAILY HERALD for 1 issues, that.the first 7-n'ation' regarding pefriiits"issi! 15th AUGUST 17 ance'.and permit provisions: was made on the day ofAUGUST Application: Cuipep�e�r„of �Ro 15th ! ,, Rapids, �'s2 west ,off and the last publication was made on the day of Roanoke-' Rapids;' -'NC' 27878`° has applied for an AUGUST 20 17 that said publication 1,NPDES: permit ito, discharge m p storrnwater froan• industrial facility at the above address in was made on each of the following dates, to wit: Halifax County. The facility bis'Aarges to .. Chockoyotte 0 8 / 15 / 17 [� ':'�C€eekgin the Roanoke River ryStormwater Program Contact: q&c Rotiert'Patterson (919),807-6369 Robert.Fatterson@ncdenngov Request of NCDEQ/DEMLR �r�RpQU9(f� coPY.of the;draft:,permit, Paly He/fj NGS000592; is, available. at:W htw'ov/atoutivi-•ionsienergyln onallMe; sourcesle_ventsr: Adtional A dL: ,DEMLR,Stormwate€ Program 512 N. Salisbury Street. 1612 Mad Service Center k Ratel9h.-.rNC 2Z699-1612 �� ? ?FM ',tAugiistE15�20t7fY(�ssU3 � j ffi togR F: bof'3 r BY Subscribed sworn to before me this 20 17 r Notary Signatu 0 �. tit 15th , T .IUGitI CO Notary Public in and for the County of Y Halifax, tat f h ling M Commission Expires: V.4 (ofInlsstcn jXPIfes °ay" ° bar Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY July 31, 2017 Mr. Billy Rodgers Culpeper of Roanoke Rapids 2262 West 10'h Street Roanoke Rapids, NC 27870 Dear Mr. Rodgers: ROY COOPER Govenror MICHAEL S. REGAN Secrekrn TRACY DAVIS Director Subject: Draft NPDES Stormwater Permit Permit No. NCS000592 Culpeper of Roanoke Rapids Halifax County Enclosed with this letter is a copy of the draft stormwater permit for your facility. Please review the draft very carefully to ensure a thorough understanding of the conditions and requirements it contains. The draft permit contains the following significant items: i. Benchmarks are included for the following parameters: BOD, COD, Arsenic, Chromium, Copper, TSS, and pH. Stormwater benchmarks are not permit limits but are guidelines for implementing the Stormwater Pollution Prevention Plan (SPPP). A benchmark exceedance is NOT a permit violation; however, the permittee must respond to exceedances as directed in the Tiers. 2. You are required to collect analytical and qualitative monitoring samples during a "measureable storm event" as defined in Part H, Section B. 3. Vehicle maintenance monitoring parameters are included. "Non -Polar Oil & Grease" by Method 1664 (SGT-HEM) is included. This requirement appears in all individual stormwater permits; however, it only applies to facilities that perform vehicle maintenance activities (VMA) on -site. If the facility begins vehicle maintenance during the permit cycle, the requirements shall apply. Also, pH monitoring is not required for discharges only associated with VMA. 4. Requirements for the Stormwater Pollution Prevention Plan have been updated in Part II, Section A. Please 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 on the front page of this letter. 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 (919) 807-6369 or Robert.Patterson@ncdenr.gov State of North Carolina I Fmiromnental Quality I Faergy, Mineral and Land Resmuces 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612 919 707 9200 T Mr. Rodgers NCS000592,2017 Page 2 of 2 cc: Raleigh Regional Office Stormwater Program Attachments Sincerely, Robert D. Patterson, PE Environmental Engineer Stormwater Program State of Nw& C=I= I Em im=mW QuiWj Enemy. M-W wdLsnd 16121M Sft*e Curter 1 5121 IlhS&bdmyStmet 1 diakith, wX 27699.1612 919 707 9200 T NCS000592 9 STATE OF NORTH CAROLINA n DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES C o x r PERMIT 4 ar"a o' co TO DISCHARGE STORMWATER UNDER THE ' _ o C) MONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM10 In compliance with the provisions of North Carol { ` General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by,the North Carolina Environmental Management Commission, and the,Federal Water Pollution Control Act, as amended, Culpeper oftRoano a Rapids, LLC is hereby authorized to discharge stormwater from a facility located at Culpeper of Roanoke Rapids ,2262 West 10th Street Roanoke Rapids, NC Halifax County to receiving waters designated as Chockoyotte Creek, a class C stream in the Roanoke River Basin, in accordance with the discharge limitations, monitoring requirements, and other conditions set forth in Parts I,1I, II1, and IV hereof. Note: Draft Permit Dates are Approximate This permit shall become effective [November 1, 2017]. This permit and the authorization to discharge shall expire at midnight on [October 31, 2022]. Signed this day [December 20, 2017]. for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission Permit No. NCS000592 PART-10 Section A: Section B: Section C: PART II Section A: Section B: Section C: Section D: Section E: TABLE OF CONTENTS INTRODUCTION Individual Permit Coverage Permitted Activities Location Map MONITORING, CONTROLS, AND LIMITATI01 DISCHARGES Stormwater Pollution Prevention Up- s D Analytical Monitoring Requii17el rem�en , l/ Qualitative Monitoring Requirements R PERMITTED On -Site Vehicle�Mante ante Monitoring Requirements Special Condid. ns 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 11. Onshore or Offshore Construction 12. Duty to Reapply i Permit No. NC5000592 Section B: General Conditions 1. Permit Expiration 2. Transfers 3. Signatory Requirements 4. Permit Modification, Revocation•and Reissuance, or Termination S. Permit Actions 6. Annual Administering and Compliance Monitoring Fee Requirements f' Section C: Operation p 1. and Maintenance of Pollution Controls Operation �` Proper and Maintenance 2. Need to Halt or Reduce No0 Defense 3. Bypassing of Stormwat�er Cont o� acilities Yp g ,� Section D: Monitoring and Records 1. 2. Representativ ,Sampli ng Recor iiig- Results 3. Flow Measurements A 4. Testv?rocedures give 5. Repesen Outfall 6. Re ords'Retention 7. Inspection and Entry Section E: Reporting Requirements 1. Discharge Monitoring Reports 2. Submitting Reports 3. Availability of Reports 4. Non-Stormwater Discharges 5. Planned Changes 6. Anticipated Noncompliance 7. Spills 8. Bypass 9. Twenty-four Hour Reporting 10. Other Noncompliance 11. Other Information PART IV DEFINITIONS M Permit No. NCS000592 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 Exclusion must submit a No Exposure Cer-tificatid"t Notice of Intent (NOI) form to 17 the Division; must receive approval by the Division; must�r�ntain no exposure conditions unless authorized to discharge under a valid NPDES-aormwater permit; and must recertify the No Exposure Exclusion annually. 1nN\" SECTION B: PERMITTED ACTIVITIES Until this permit expires or is ifiodiflid•'or revoked, the permittee is.authorized to discharge stormwater to the surface waters of N-6fth,Carolina or separate storm sewer system that 1.)—\ \. has been adequately treated and.managed,in accordance with the terms and conditions of this permit. All stormwater discha ges 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 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. Part I Page 1 of 2 Permit No. NCS000592 PART II MONITORING, CONTROLS, AND LIMITATIONS FOR PERMITTED DISCHARGES SECTION A: STORMWATER POLLUTION PREVENTION PLAN The permittee shall develop and implement a Stormwater Pollution Prevention Plan (SPPP). The SPPP shall be maintained on site unless exempted from this requirement by the Division. The SPPP is public information in accordance with Part I11, Standard Conditions, Section E, paragraph 3 of this permit. The SPPP shall include, at a minimum, the following items: 1. Site Overview. The Site Overview shall provide a description of the physical facility and the potential pollutant sources that may belexpe wed, o co �ribute to 1-1 contamination of stormwater discharges. The Site,Qveiview-shall contain the following: (a) A general location map (USGS quadrangle:fmap\dr appropriately drafted equivalent map), showing the facility's location in relation to transportation routes and surface waters; the name of the receiving waters to.whidthe stormwater outfalls discharge, or if the discharge is to a'muriicipal separate storm sewer system, the name of the municipality and the(tftiniate4�eceiving waters; and accurate latitude and longitude of the poinrs.ofstormwater discharge associated with industrial activity. The general location,map (or alternatively the site map) shall identify whether any receiving/waters arefmpaired (on the state's 303(d) list of impaired waters) or if the site is`located in a watershed for which a TMDL has been established, and wliat the parameters of concern are. (b) A narrative descripkion of storage practices, loading and unloading activities, outdoor process areas, dust or particulate generating or control processes, and waste disposal practices. A narrative description of the potential pollutants that could be expected to be present in the stormwater discharge from each outfall. (c) A site map drawn at a scale sufficient to clearly depict: the site property boundary; the stormwater discharge outfalls; all 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 and finished grade; all drainage features and structures; drainage area boundaries and total contributing area for each outfall; direction of flow in each drainage area; industrial activities occurring in each drainage area; buildings; stormwater Best Management Practices (BMPs); and impervious surfaces. The site map must indicate the percentage of each drainage area that is impervious, and the site map must include a graphic scale indication and north arrow. (d) A list of significant spills or leaks of pollutants during the previous three (3) years and any corrective actions taken to mitigate spill impacts. Part 11 Page 1 of 14 Permit No. NCS000592 (e) Certification that the stormwater outfalls have been evaluated for the presence of non-stormwater discharges. The permittee shall re -certify annually 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 3. 2. Stormwater Management Strategy. The Stormwater Management Strategy shall contain a narrative description of the materials management practices employed which control or minimize the stormwater exposure of significant materials, including structural and nonstructural measures. The Stormwater Management Strategy, at a minimum, shall incorporate the following: (a) Feasibility Study. A review of the technical and the methods of operations and/or storage practi of materials and processes to rainfall and run-on permittee shall prevent exposure of all storage a and manufacturing or fueling operations. mare not practical, this review shall document.the fea, run-on away from areas of potential contaminati •onomic feasibility of changing s to eliminate or reduce exposure bw\Wherever practical, the as material handling operations, where elimination of exposure is dity of diverting the stormwater (b) Secondary Containment Requiremen"ttss afid Records. Secondary containment is required for: bulk storage of lid materials: storage in any amount of Section 313 of Title ll[ of the SuperfunAm`endments and Reauthorization Act (SARA) water ri ri chemicals; and storagei:n any amount of hazardous substances, in order to prevent leaks and spills from contaminating stormwater runoff. A table or summary of all such tanks and�stored materials and their associated secondary containment areas shall be maintained..,If'the secondary containment devices are connected 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). 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 any material. 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 (5) years. For facilities subject to a federal oil Spill Prevention, Control, and Countermeasure Plan (SPCC), any portion of the SPCC Plan fully compliant with the requirements of this permit may be used to demonstrate compliance with this permit. The Division may allow exceptions to secondary containment requirements for mobile refuelers, as with the exemption provided by amendments to federal SPCC regulations, as long as appropriate spill containment and/or diversionary structures or equipment is used to prevent discharge to surface waters. Exceptions do not apply to refuelers or other mobile tankage used primarily as bulk liquid material storage in a fixed location in place of stationary containers. (c) BMP Summary. A listing of site structural and non-structural Best Management Practices (BMPs) shall be provided. The installation and implementation of BMPs Part 11 Page 2 of 14 Permit No. NCS000592 shall be based on the assessment of the potential for sources to contribute significant quantities of pollutants to stormwater discharges and on 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. 3. Spill Prevention and Response Procedures. The Spill Prevention and Response Procedures (SPRP) shall incorporate an assessment of potential pollutant sources based on a materials inventory of the facility. Facility personnel 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 increased potential to contaminate stormwater runoff through spills or exposure of materials associated with the facility operations ATh SPRP must be site stormwater specific. Therefore, an oil Spill Prevention Conerol aniKb ntermeasure plan (SPCC) may be a component of the SPRP, but may not be•sufffici nt.to completely address the stormwater aspects of the SPRP. The commonelements of the SPCC with the SPRP may be incorporated by reference into the SPRP. si X / 4. Preventative Maintenance and Goodklousekeeping Program. A preventative maintenance and good housekeeping progr`amAall be developed and implemented. The program shall address �a7lstormwateLcontral systems [if applicable], stormwater discharge outfalls, all on -site and adjacent surface waters and wetlands, industrial activity areas (including material storage areas, material handling areas, disposal areas, process areas, loading andunloadingareas, and haul roads), all drainage features and structures, and existing�structural�BMPs. The program shall establish schedules of inspections, maintenance and4ii/ousekeeping 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 where not already addressed under another element of the SPPP. 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 and maintained in the SPPP. S. Facility Inspections. Inspections of the facility and all stormwater 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 the year (January to June), and once during the second half [July to December), with at least 60 days separating inspection dates (unless performed more frequently than semi-annually). These facility inspections are different from, and in addition to, the stormwater discharge characteristic monitoring at the outfalls required in Part I1 B, C, and D of this permit. 6. 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. The facility Part 11 Page 3 of 14 Permit No. NCS000592 personnel responsible for implementing the training shall be identified, and their annual training shall be documented by the signature of each employee trained. 7. Responsible Party. The SPPP shall identify a specific position or positions responsible for the overall coordination, development, implementation, and revision of the SPPP. Responsibilities for all components of the SPPP shall be documented and position assignments provided. 8. SPPP Amendment and Annual Update. The permittee shall amend the SPPP whenever there is a change in design, construction, operation, site drainage, maintenance, or configuration of the physical features which may have a significant effect on the potential for the discharge of pollutants to surface waters. All aspects of the SPPP shall be reviewed and updated on an annua basis. The annual update shall include: (a) an updated list of significant spills or,leaks of pollutants for the previous three (3) years, or the notation that no spills.have occurred (element of the Site Overview); (b) a written re -certification that the §tonormwater outfalls have been evaluated far the presence of non-stormwater discharges (element of the Site Overview); (c) a documented re-evaluation of the effectiveness of the on -site stormwater BMPs (BMP Summary eleirient�of the Stormwater Management Strategy). (d) a review and comparison ofsample analytical data to benchmark values (if applicable) over the.past.yearincluding a discussion about Tiered Response status. The permittee shall use the Division's Annual Summary Data Monitoring Report (DMR) form, available from the Stormwater Permitting Program's web'site,(See'Monitoring Forms' here: mineral- land -permits/ stormwater-permits/npdes-industria l-sw). The Director may notify the permittee when the SPPP 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 SPPP to meet minimum requirements. The permittee shall provide certification in writing (in accordance with Part III, Standard Conditions, Section B, Paragraph 3) to the Director that the changes have been made. 9. SPPP Implementation. The permittee shall implement the Stormwater Pollution Prevention Plan and all appropriate BMPs consistent with the provisions of this permit, in order to control contaminants entering surface waters via stormwater. Implementation of the SPPP shall include documentation of all monitoring, measurements, inspections, maintenance activities, and training provided to employees, including the log of the sampling data and of actions taken to implement BMPs associated with the industrial activities, including vehicle maintenance activities. Such documentation shall be kept on -site for a period of five (5) years and made available to the Director or the Director's authorized representative immediately upon request. Part II Page 4 of 14 Permit No. NCS000592 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 measureable storm event at each stormwater discharge outfall (SDO). Only SDOs discharging stormwater associated with industrial activity must be sampled (See Definitions). A measurable storm event is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Engineer. See D�'rnitions. Table 1. Analytical Monitoring Re uirement�s & Parameter Discharge - Measurement Sample Sample _Code - _ Characteristics > Units Fre uen T eZ Location3 310 Biochemical Oxygen Demand n , i-annual Grab SDO mgti,. 340 Chemical Oxygen Demand semi-annual Grab SDO � .L COD � .,. , � 1002 Arsenic, Total Re ov abl \;:\ > m L semi-annual Grab I SDO 1034 Chromium, Totall J Grab SDO mg/L semi-annual Recoverable 1119 f Copper, TotahR` ecove/r�able m Lsemi-annual Grab SDO 530 Total Suspended Solids (TSS) m L semi-annual Grab SDO 400 pH standard semi-annual Grab SDO 46529 Total Rainfall¢ inches semi-annual Rain - Gauge Footnotes: 1 Measurement Frequency: Twice per year (unless other provisions of this permit prompt monthly sampling) during a measureable storm event, until either another permit is issued for this facility or until this permit is revoked or rescinded. If the facility is monitoring monthly because of Tier Two or Three response actions under the previous permit, the facility shall continue a monthly monitoring and reporting schedule in Tier Two or Tier Three status until relieved by the provisions of this permit or the Division. 2 Grab samples shall be collected within the first 30 minutes of discharge. When physical separation between outfalls prevents collecting all samples within the first 30 minutes, sampling shall begin within the first 30 minutes, and shall continue until completed. 3 Sample Location: Samples shall be collected at each stormwater discharge outfall (SDO) unless representative outfall status (ROS) has been granted. A copy of the Division's letter granting ROS shall be kept on site. 4 For each sampled measureable storm event, the total precipitation for the entire event must be recorded. An on -site rain gauge is required. Where isolated sites are unmanned for extended periods of time, a local rain gauge reading may be substituted for an on -site reading. Part 11 Page 5 of 14 Permit No. NCS000592 The permittee shall complete the analytical samplings in accordance with the schedule specified below in Table 2, unless adverse weather conditions prevent sample collection (see Adverse Weather in Definitions). Sampling is not required outside of the facility's normal operating hours. A minimum of 60 days must separate Period 1 and Period 2 sample dates, unless monthly monitoring has been instituted under a "Tier Two" response. Inability to sample because of adverse weather conditions must be documented in the SPPP and recorded on the DMR. The permittee must report the results from each sample taken within the monitoring period (see Part 111, Section E). However, for purposes of benchmark comparison and Tiered response actions, the permittee shall use the analytical results from the first sample with valid results thin the monitoring period. Table 2. Monitorin Schedule Monitoring periodl.z Sample Number Start End Year 1- Period 1 1 Jan`uary�l, 2018 June 30, 2018 Year 1-Period 2 2 Z7 July�1,,2018 December 31, 2018 Year 2 - Period 1 3 Manua yi 1, 2019 June 30, 2019 Year 2 - Period 2 4 f // ,July 1, 2019 December 31, 2019 Year 3 - Period 1 5 /� `;January 1, 2020 June 30, 2020 Year 3 - Period 2 "6, July 1, 2020 December 31, 2020 Year 4 - Period 1 7, January 1, 2021 June 30, 2021 Year 4 - Period 2 8 )i\% July 1, 2021 December 31, 2021 Year 5 - Period 1 9,/% January 1, 2022 June 30, 2022 Year 5 - Period 2 �j1b July 1, 2022 October 31, 2022 Footnotes: 1 Maintain semi-annual monitoring until either another permit is issued for this facility or until this permit is revoked or rescinded. The permittee must submit an application for renewal of coverage before the submittal deadline (180 days before expiration) to be considered for renewed coverage under the permit. The permittee must continue analytical monitoring throughout the permit renewal process, even if a renewal permit is not issued until after expiration of this permit. 2 If no discharge occurs during the sampling period, the permittee must submit a monitoring report indicating "No Flow" or "No Discharge" within 30 days of the end of the sampling period. Failure to monitor semi-annually per permit terms may result in the Division requiring monthly monitoring for all parameters for a specified time period. "No discharge" from an outfall during a monitoring period does not constitute failure to monitor, as long as it is properly recorded and reported. The permittee shall compare monitoring results to the benchmark values in Table 3. 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. See below the descriptions of Tier One, Tier Two, and Tier Three response actions below. In the event that the Division releases the permittee from continued monthly monitoring and reporting under Tier Two or Tier Three, the Division's Part 11 Page 6 of 14 Permit No. NCS000592 release letter may remain in effect through subsequent reissuance of this permit, unless the release letter provides for other conditions or duration. Table 3. Benchmark Values for Analytical Monitoring Discharge Characteristics Units Benchmark Biochemical Oxygen Demand (BOD) mg/L 30 Chemical Oxygen Demand (COD) mg/L 120 Arsenic, Total Recoverable mg/L 0.34 Chromium, Total Recoverable mg/L AL, 0.905 Copper, Total Recoverable mg � 6 0.010 Total Suspended Solids (TSS) mg/�€�'' NOV 100 pH stanclar` 6-9 The benchmark values in Table 3 are gi implementation of the permittee's SPPP is not a permit violation; however, fa N IV permit is a violation of permit conditiioonn rs but should be used as guidelines for nce of a stormwater benchmark value d to the exceedance as outlined in this Part 11 Page 7 of 14 Permit No. NCS000592 Tier One = If: The first valid sampling results are above a benchmark value, or outside of the benchmark range, for any parameter at any 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 exceedance. 3. Identify potential, and select the specific feasible: source controls, operational controls, or physical improvements to reduce concentrations of the parameters of concern, and/or to bring concentrations within the benchmark range. 4. Implement the selected feasible actions within two months of the inspection. 5. Record each instance of a Tier One response in the SPPP. 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. 6. Note: Benchmark exceedances for a different parameter se rate] trigger a tiered response. Tier Two If: The first valid sampling results from two consecutive mo44E�,�tg�ring periods (omitting periods with no discharge) are above the benchmark values, or outside-ofathe`tienchmark range, for any specific parameter at a specific discharge outfall; Then: The permittee shall: 1. Repeat all the required actions outlined above in Tier. One. 2. Immediately institute monthly monitoring an&.r rtmg for all parameters. The permittee shall conduct monthly monitoring at every outfall whece,a sampling result exceeded the benchmark value for two consecutive samples. Monthly (anaIkQcatjfid qualitative) monitoring shall continue until three consecutive sample results areAelow_th benchmark values or within benchmark range. 3. If no discharge occurs during�the sampling period, the permittee is required to submit a monthly monitoring report indicating "No Floto comply with reporting requirements. 4. Alternatively, in lieu of ste s 2 ,..an the permittee may, after two consecutive exceedances, exercise the PP Y option of contacting the DEM1R'Regional Engineer as provided below in Tier Three. The Regional Engineer may direct the response actions on the part of the permittee as provided in Tier Three, including reduced or additional sampling parameters or frequency. S. Maintain a record of the Tier Two response in the SPPP. 6. Continue Tier Two response obligations throughout the permit renewal process. Tier Three 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 four occasions, the permittee shall notify the DEMLR Regional Engineer in writing within 30 days of receipt of the fourth anal ical results; Then: The Division may but is not limited to: • require that the permittee revise, increase, or decrease the monitoring and reporting frequency for some or all of the parameters herein; • require sampling of additional or substitute parameters; • require the permittee to install structural stormwater controls; • require the permittee to implement other stormwater control measures; • require the permittee to perform upstream and downstream monitoring to characterize impacts on receiving waters; or • require the permittee implement site modifications to qualify for a No Exposure Exclusion; • require the permittee to continue Tier Three obligations through the permit renewal process. Part 11 Page 8 of 14 Permit No. NCSO0O592 SECTION C: QUALITATIVE MONITORING REQUIREMENTS The purpose of qualitative monitoring is to evaluate the effectiveness of the Stormwater Pollution Prevention Plan (SPPP) and identify new potential sources of stormwater pollution. Qualitative monitoring of stormwater outfalls must be performed during a measurable storm event Qualitative monitoring requires a visual inspection of each stormwater outfall regardless of representative outfall status. Qualitative monitoring shall be performed semi-annually as specified in Table 4, and during required analytical monitoring events (unless the permittee is required to perform further qualitative monitoring per the Qualitative Monitoring Response, below). Inability to monitor because of adverse weather conditions must be documented in the SPPP and recorded on the Qualitative Monitoring Report form (see Adverse Weather in Definitions). Only SDOs discharging stormwater associated with industrial activity must be monitored (See Definitions).. In the event an atypical condition is noted at a storinN shall document the suspected cause of the condition a the discovery. This documentation will be maintainec Table 4. Qualitative discharge outfall, the permittee iy actions taken in response to i the SPPP. Discharge Characteristics Frequencyl Monitoring Location2 Color semi-annual SDO Odor semi-annual SDO Clarity semi-annual SDO Floating Solids semi-annual SDO Suspended Solids semi-annual SDO Foam semi-annual SDO Oil Sheen semi-annual SDO Erosion or deposition at the outfall semi-annual SDO Other obvious indicators of stormwater pollution semi-annual SDO Footnote 1 Monitoring Frequency. Twice per year during a measureable storm event unless other provisions of this permit prompt monthly monitoring. See Table 2 for schedule of monitoring periods through the end of this permitting cycle. The permittee must continue qualitative monitoring throughout the permit renewal process until a new permit is issued. 2 Monitoring Location: Qualitative monitoring shall be performed at each stormwater discharge outfall (SDO) regardless of representative outfall status. Part II Page 9 of 14 Permit No. NCS000592 A minimum of 60 days must separate monitoring dates, unless additional sampling has been instituted as part of other analytical monitoring requirements in this permit. If the permittee's qualitative monitoring indicates that existing stormwater BMPs are ineffective, or that significant stormwater contamination is present, the permittee shall investigate potential causes, evaluate the feasibility of corrective actions, and implement those corrective actions within 60 days, per the Qualitative Monitoring Response, below. A written record of the permittee's investigation, evaluation, and response actions shall be kept in the Stormwater Pollution Prevention Plan. ualitative Nidnit6ting Response Qualitative monitoring is for the purposes of evaluatini SPPP effectiveness, identifying new potential sources of stormwater pollution, and prompting Pe permttt&-!s.response to pollution. If the permittee repeatedly fails to respond effectively "to orrecti•oblems identified by qualitative monitoring, or if the discharge causes or contributes .a water quality standard violation, the Division may but is not limited to:'' • require that the permittee revise, incre sedecrease the monitoring frequency for some or all parameters (analytical or qualitative'} • require the permittee to install structu� stormwater controls; Er • require the permittee to,implement other stormwater control measures; • require the permittee ta:perfo upstream and downstream monitoring to characterize impacts on receiving waters, o.rE. • require the permittee .imp trite modifications to qualify for a No Exposure Exclusion. SECTION D: ON -SITE VEHICLE MAINTENANCE MONITORING REQUIREMENTS Facilities that have any vehicle maintenance activity occurring on-site'which uses more than 55 galIons of new motor oil per month when averaged over the calendar year shall perform analytical monitoring as specified below in Table S. All analytical monitoring shall be performed during a measureable storm event at all stormwater discharge outfalls (00s) that discharge stormwater runoff from vehicle maintenance areas, and in accordance with the schedule presented in Table 2 (Section B). Part II Page 10 of M Permit No. NCS000592 Table 5. Analytical Monitoring Requirements for On -Site Vehicle Maintenance Discharge Characteristics Units Measurement Frequencyl Sample Type2 Sample Location3 Non -Polar Oil & Grease by EPA Method1664SGT-HEM mg/L semi-annual Grab SDO Total Suspended Solids m L semi-annual Grab SDO Total Rainfall4 inches semi-annual Rain gauge New Motor Oil Usage I gallons/month 1 semi-annual I Estimate I- Footnotes: 1 Measurement Frequency: Twice per year during a measureable storm event (unless other provisions of the permit prompt monthly sampling), until either another permit is issued for this facility or until this permit is revoked or rescinded. See Table 2 for schedule o monitolng periods through the end of this permitting cycle. If the facility is monitoring monthly because' 4eW Three response actions under the previous permit, the facility shall continue a monthly mo�mfton.47 ng and reporting schedule in r"-,. �- : - Tier Two or Tier Three status until relieved by the provisions of this"permit or the Division. 2 Grab samples shall be collected within the first 30 minutess ofd s� charge. When physical separation N.: ' between outfalls prevents collecting all samples withimthe..firstY30%minutes, sampling shall be begun within the first 30 minutes, and shall continue until complete �v 3 Sample Location: Samples shall be collected at ach sto` ter discharge outfall (SDO) that discharges stormwater runoff from area where vehicle aintenant activities occur, unless representative outfall status (ROS) has been granted. A ppp�y of th'es�ette ng nting ROS shall be kept on site. 4 For each sampled measureable storm evetftthe total precipitation must be recorded. An on -site rain gauge is required. Where isolated sites are unmanned for extended periods of time, a local rain gauge may be substituted for an on -site reading Failure to monitor semi -annually -per permit terms may result in the Division requiring monthly monitoring for al1T'parameters for a specified time period, as provided in Part II Section B. 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). Exceedances of benchmark values require the permiee to increase monitoring, increase management actions, increase record keeping, and/or install stormwater Best Management Practices (BMPs), as provided in Part II Section B. Table 6. Benchmark Values for Vehicle Maintenance Analytical Monitoring Discharge Characteristics Units Benchmark Non -Polar Oil & Grease by EPA Method1664 (SGT-HEM) mg/L 15 Total Suspended Solids mg/L 100 TSS (HQW, ORW, Tr, and PNA) mg/L 50 Part 11 Page 11 of 14 Permit No. NCS000592 SECTION E: SPECIAL CONDITIONS A (1.) ELECTRONIC REPORTING OF MONITORING REPORTS [G.S.143-215.1(b)] Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program reports. The final NPDES Electronic Reporting Rule was adopted and became effective on December 21, 2015. NOTE: This special condition supplements or supersedes the following sections within Part III of this permit (Standard Conditions for NPDES Permits): 1. • Section B. (3.) Signatory Requirements • Section D. (6.) Records Retention • Section E. (1.) Discharge Monitoring R( • Section E. (2.) Submitting Reports a-u Effective December 21, 2016 or when to accept NPDES stormwater permit mi discharge monitoring data electronic -all Monitoring Report [eDMR)��nternet apt when eDMR is ready to accept stormwi y;s;electronic reporting system is able iata, the permittee shall report e NC DWR's Electronic Discharge NC DEMLR will notify permittees monitoring data. Monitoring results obtained during,the previous month(s) shall be summarized for each month and submitted electronicily using eDMR. The eDMR system allows permitted facilities to enter monitoring -data and submit DMRs electronically using the internet. Until such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to the state electronically using eDMR and also will be required to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the computer printed eDMR to the following address: NC Dept. of Environmental Quality DWR Central Files 512 N. Salisbury St. 1617 Mail Service Center Raleigh, North Carolina 27699-1617 If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being physically located in an area where less than 10 percent of the households have broadband access, then a temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring data may be submitted on paper DMR forms or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address above. See "How to Request a Waiver from Electronic Reporting" section below. Part 11 Page 12 of 14 Permit No. NCS000592 Regardless of the submission method, the first DMR is due no later than 30 days from the date the facility receives the sampling results from the laboratory. 2. How to Request a Waiver from Electronic ftorting The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to the Division. Requests for temporary electronic reporting waivers must be submitted in writing to the Division for written approval at least sixty (60) days prior to the date the facility would be required under this permit to begin submitting monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and shall thereupon expire. At such time, monitoring data and reports shall be submitted electronically to the Division unles§,the permittee re -applies for and is granted a new temporary electronic reporting waiver by the Division. Approved electronic reporting waivers are not trans ferra''v1�Only,p rmit-tees with an approved reporting waiver request may submit monitoring data and -reports on paper to the Division for the period that the approved reporting waiver request is effective. Information on eDMR and the application"for'a�temporary electronic reporting waiver are found on the following web page: 7/ r 3. Sienatory Reo ement?/1NmD-D1e-mL B. (3.) (d)l All eDMRs submitted tol,th�e.p�er�mrt issuing authority shall be signed by a person described in Part I11, Section B. (1)(a) or by a duly authorized representative of that person as described in Part II[, Section B. (1)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting purposes. For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and login credentials to access the eDMR system. For more information on North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following web page: b.ttp:de .nc. gov.1about.ldivisions water -resources jedmr Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED: 7 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 properlygather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those per sons directly Part 11 Page 13 of 14 Permit No. NCS000592 responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 4. Records Retention_[Supplements Section D. (6.]1 The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These records or copies shall be maintained for a period of at least 3 years from the date of the report. This period may be extended by request of the Director at any time [40 CFR 122.41]. Part 11 Page 14 of 14 Permit No. NCS000592 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 11, Section A, Paragraph 2(b) of this permit, shall be accomplished within 12 months of the effective date of the initial permit issuance. New Facilities applying for coverage for the first time: 7`he`Stormwater Pollution Prevention Plan shall be developed and implemented prior to the be nninof discharges from the operation of the industrial activity and be updated thereafter on an arinuahbas►s Secondary containment, as specified in Part 1I, Section A, Paragraph 2(b) of this permit shall I�e accompll"shed prior to -the beginning of stormwater discharges from the operation of the industpial'activity. Existing facilities previously permitted limitations, and controls contained in this shall become effective immediately upon Pollution Prevention Plan for this permit months of the effective datef this 6"it containment, as specified in Part Il; Sectio prior to the beginning of storrmwater disci Gappirfig.f6f renewal: All requirements, conditions, nnii except new SPPP elements in this permit renewal) ince ofAis permit. New elements of the Stormwater wal-sfall be developed and implemented within 6 [-updated thereafter on an annual basis. Secondary Paragraph 2(b) of this permit shall be accomplished es from the operation of the industrial activity. Duty to Coml& f� " The permittee must comply withal conditions of this permit. Any permit noncompliance constitutes a violation of the Clean Water Act(CWA) and is grounds for enforcement action; for permit termination, revocation and reissuance, or modification; or denial of a permit upon renewal application [40 CFR 122.41]. a. The permittee shall comply with standards or prohibitions established under section 307(a) of the CWA for toxic pollutants within the time provided in the regulations that establish these standards or prohibitions, even if the permit has not yet been modified to incorporate the requirement [40 CFR 122.41]. b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or any permit condition or limitation implementing any such sections in a permit issued under section 402, or any requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is subject to a civil penalty not to exceed $51,570 per day for each violation [33 USC 1319(d) and 40 CFR 122.41(a)(2)]. c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by imprisonment of not more than 2 years, or both [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]. Part III Page 1 of 9 Permit No. NCS000592 d. Any person who knowingly violates such sections, or such conditions or limitations 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. In the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both [33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]. e. Any person who knowingly violates section 301, 302, 303, 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, and who knows at that time that he thereby places another person in imminent danger of death or serious bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or both. An organization, as defined in section 309(c)(3)(B)(iii)�of the CWA, shall, upon conviction of violating the imminent danger provision, be subject to a4 a of not more than $1,000,000 and can be fined up to $2,000,000 for second or subs6uentca victionst{40 CFR 122.41(a)(2)]. f. Under state law, a civil penalty of not more thari $25;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 [North Carolina General Statutes §-143- 2 U ]. g. Any person may be assessed an adn 301, 302, 306, 307, 308, 318 or 405 implementing any of such sections i Administrative Dena lties�for_Class V maximum amount of anyC violations are not to excee, with the maximum amoun and 40 CFR 122.41(gJ 3)]. ffattiVie penalty by the Administrator for violating section ti�ct, or, any permit condition or limitation iermit-issued under section 402 of this Act. Ehions are not to exceed $20,628 per violation, with the yassessed not to exceed $51,570. Penalties for Class II day for each day during which the violation continues, II penalty not to exceed $257,848 [33 USC 1319(g)(2) 3. Duty to Mitigate 1__� The permittee shall taklFreasonable steps to minimize or prevent any discharge in violation of this permit which has a reasonable likelihood of adversely affecting human health or the environment [40 CFR 122.41(d)]. 4. Civil and Criminal Liability Except as provided in Part 111, Section C of this permit regarding bypassing of stormwater control facilities, nothing in this permit shall be construed to relieve the permittee from any responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6, 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. 5. Oil and H az rdous Substance Liability Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the permittee from any responsibilities, liabilities, or penalties to which the permittee is or may be subject to under NCGS 143-215.75 et seq. or Section 311 of the Federal Act, 33 USC 1321. 6. Property Rights The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any infringement of federal, state or local laws or regulations [40 CFR 122.41(g)]. Part III Page 2 of 9 Permit No. NCS000592 7. SeyCrability The provisions of this permit are severable, and if any provision of this permit, or the application of any provision of this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the remainder of this permit, shall not be affected thereby [NCGS 1508-231. 8. Duty to Provide Information The permittee shall furnish to the Permit issuing Authority, within a reasonable time, any information which the Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or terminating the permit issued pursuant to this permit or to determine compliance with this permit The permittee shall also furnish to the Permit Issuing Authority upon request, copies of records required to be kept by this permit [40 CFR 122.41(h)]. 9. Penalties for Jampering 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 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,persowis for a violation committed I.r f/ NIZ .'p:_-1 lV after a first conviction of such person under this paAa rqh, punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of� m\re than=4 years, or both [40 CFR 122.411. 10. Penalties for Falsification of Reports /� The Clean Water Act provides that any person4L lkaibwi`gly makes any false statement, representation, or certification in any record/or olrher document submitted or required to be maintained under this permit, including mo niting�� ports or reports of compliance or noncompliance shall, upon c nviction;.be pun shedby a fine of not more than $10,000 per violation, or by imprisonment for notjmore thdn two years'per violation, or by both [40 CFR 122.41]. 11. This permit does not authosrike or apprdve the construction of any onshore or offshore physical structures or facilities orflhe undertaking of any work in any navigable waters. 12. Duty to Reapply If the permittee wishes to•coli an activity regulated by this permit after the expiration date of this permit, the permittee must apply for and obtain a new permit [40 CFR 122.41(b)]. SECTION B: GENERAL CONDITIONS 1. 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, unless permission for a later date has been granted by the Director. (The Director shall not grant permission for applications to be submitted later than the expiration date of the existing permit) [40 CFR 122.21(d)]. 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 least 180 days prior to expiration, will be subjected to enforcement procedures as provided in NCGS §143-215.36 and 33 USC 1251 et seq. Part ill Page 3 of 9 Permit No. NCS000592 2. Transfers This permit is not transferable to any person without prior written notice to and approval from the Director in accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary under the CWA [40 CFR 122.41(1)(3), 122.611 or state statute. The Permittee is required to notify the Division in writing in the event the permitted facility is sold or closed. Sign: atory ReauiremCnts All applications, reports, or information submitted to the Permitting Issuing Authority shall be signed and certified [40 CFR 122.41(k)]. a. All permit applications shall be signed as follows: (1) For a corporation: by a responsible corporate officer. Fofthe purpose of this Section, a responsible corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge of a principal busin'essNfunction.�� , or ny other person who f/ performs similar policy or decision makingKnctions foi;the'rorporation, or (b) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisionsywhichgovern the operation of the regulated g` p � facility including having the explicit or implicit d'uty.of making major capital investment recommendations, and initiating and.directing•other comprehensive measures to assure long term environmental compliance with�envizonmental laws and regulations; the manager can ensure that the necessary sy�ins'ai e established or actions taken to gather complete and accurate information forper mit application requirements; and where authority to sign documents has been assigned or`delegated to the manager in accordance with corporate procedures. `\� (2) For a partnership or sole. proprietor%%%ship: by a general partner or the proprietor, respectively; or (3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected,official [40 CFR 122.221. b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be signed by a person described in paragraph a. 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 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 Permit Issuing Authority [40 CFR 122.22]. c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or together with any reports, information, or applications to be signed by an authorized representative [40 CFR 122.22]. Part III Page 4 of 9 Permit No. NCS000592 d. Certification. Any person signing a document under paragraphs a. or b. of this section, or submitting an electronic report (e.g., eDMR), shall make the following certification [40 CFR 122.221. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED: "I certrtfy, under penalty of law, that this document and all attachments were prepared under my direction orsupervision in accordance with a system designed to assure that qualified personnel properlygather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties far submitting false information, including the possibility offrnesand imprisonmentfor knowing violations." 4. Permit Modification. Revocation and-Mssuance. or Termination The issuance of this permit does not prohibit the Permit Issuing Authority from reopening and modifying the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations contained in Title 40, Code of Federal,Regulations, Parts 122 and 123; Title 15A of the North Carolina Administrative Code, S{tbchiq ter 2H .0100; and North Carolina General Statute 143-215.1 et al.i 6. Permit Actions The permit may be modified, revoked and planned changes or anticipated noncompl 122.41(f)]. The permittee must pay the after being billed by the Div] NCAC 2H .0105(b)(2) may c SECTION C: OPERATION AND N _11., !rminated for cause. The notification of s)t�y'aany permit condition [40 CFR andJrripliance monitoring fee within 30 (thirty) days \pay the fee in timely manner in accordance with 15A �n to initiate action to revoke the permit. OF POLLUTION CONTROLS 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 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 permit [40 CFR 122.41(e)]. 2. Need to Halt or Reduce Not a Def&nse 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 permit [40 CFR 122.41(c)]. 3. Bypassing of StormwatCr Control FaCiliess 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 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 Part III Page 5 of 9 Permit No. NCS000592 c. The permittee submitted notices as required under, Part III, 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 e es Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of the permitted discharge. Analytical sampling shall be performed during a measureable 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 not be changed without notification to and approval of the Permit Issuing Authority [40 CFR 122.410)]. 2, Recording Results /� For each measurement or sample taken pursuant to the regmrement f this permit, the permittee shall record the following information [40 CFR 122.41] A_ a. The date, exact place, and time of sampling or measurements; b. The individual(s) who performed the sampling m asu ements; C. The date(s) analyses were performed; d. The individuals) who performed the aan/al ses; e. The analytical techniques -or methods used; and f. The results of such analvse\s \ \ �� 3. Flow Measurements Where required, appropriate flow measurement devices and methods consistent with accepted scientific practices shall; a selected and used to ensure the accuracy and reliability of measurements of the volume of monitgred'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. To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection and reporting levels and all data generated must be reported down to the minimum detection or lower reporting level of the procedure. If no approved methods are determined capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most sensitive (method with the lowest possible detection and reporting level) approved method must be used. 5. Representative Outfall If a 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. Part III Page 6 of 9 Permit No. NCS000592 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 o all calibration and maintenance records, o all original strip chart recordings for continuous monitoring instrumentation, o copies of all reports required by this permit, including Discharge Monitoring Reports (DMRs), o copies of all data used to complete the application for this permit These records or copies shall be maintained for a period of at least 5 years from the date of the sample, measurement, report or application. This period may be extended by request of the Director at any time [40 CFR 122.41]. 7. InspCcti9n gnd The permittee shall allow the Director, or an authorizedrepresentative (including an authorized contractor acting as a representative of the Director)] or iri the case of facility which discharges through a municipal separate storm sewer system, an authorized representative of a -municipal operator or the separate storm sewer system receiving.the,discharge, upon the presentation of 11 credentials and other documents as may be required by la�to: a. Enter upon the permittee's premises wher" "e�r / lated facility or activity is located or conducted, or where records must be kept under the conditions of this permit; b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit; c. Inspect at reasonable times any.facilities;,equipment (including monitoring and control equipment), practices, or operations regulated or required under this permit; and NI d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise authorized,by the Clean Water Act, any substances or parameters at any location [40 CFR 122.41(i)]. / \ 1/� SECTION E: REPORTING REQUIREMENTS 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 or submitted electronically to the appropriate authority using an approved electronic DMR reporting system (e.g., eDMR). DMR forms are available on the Division's website (hUp://deg.nc.gQv/about/divisions/energy-mineral- land-resources/energv-mineral-land-Dermits/stormwalu--Ilermits/nudes-industrial-swl. Regardless of the submission method (paper or electronic), submittals shall be delivered to the Division or appropriate authority 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 specified sampling period, giving all required information and indicating "NO FLOW" as per NCAC T15A 0213.0506. if the permittee monitors any pollutant more frequently than required by this permit using test procedures approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate instrument governing the discharge, the results of such monitoring shall be included in the data submitted on the DMR [40 CFR §122.41(1)]. Part III Page 7 of 9 Permit No. NCS00OS92 The permittee shall record the required qualitative monitoring observations on the SDO Qualitative Monitoring Report 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 the Division's specific requirement to do so. Qualitative Monitoring Report forms are available at the website above. 2.. Submitting Deports Two signed copies of Discharge Monitoring Reports (DMRs) shall be submitted to: NC Dept of Environmental Quality DWR Central Files S12 N. Salisbury St 1617 Mail Service Center Raleigh, NC 27699-1617 3. Availability of Reports Except for data determined to be confidential under NCG541 3�215:3{a�) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared in accordance with -the terms of this permit shall be available for public inspection at the offices of the I�Asioin".NAs required by the Act, analytical data shall not be considered confidential. Knowingly aking any false statement on any such report may result in the imposition of criminal penalties as-proviXded forin NCGS 143-215.6E or in Section 309 of the Federal Act 4. Non-StQrmwatCr Discharges If the storm event monitored inlaccordance with -this permit coincides with a non-stormwater discharge, the permittee shall�separately-monitor all parameters as required under all other applicable discharge permits and.provide,this information with the stormwater discharge monitoring report �� 1 5. Planned Changes f The permittee shall give noticeld the Director as soon as possible of any planned changes at the permitted facility which could significantly alter the nature or quantity of pollutants discharged [40 CFR 122.41(1)]. This notification requirement includes pollutants which are not specifically listed in the permit or subject to notification requirements under 40 CFR Part 122.42 (a). 6. Anticipated Noncompliance The permittee shall give advance notice to the Director of any planned changes at the permitted facility which may result in noncompliance with the permit [40 CFR 122.41(1)(2)]. 7. Snills The permittee shall report to the local DEMLR Regional Office, within 24 hours, all significant spills as defined in Part IV of this permit Additionally, the permittee shall report spills including: any oil spill of 2S gallons or more, any spill regardless of amount that causes a sheen on surface waters, any oil spill regardless of amount occurring within 100 feet of surface waters, and any oil spill less than 2S gallons that cannot be cleaned up within 24 hours. 8.Bypass Notice [40 CFR 122.41(m)(3)]: 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 effect of the bypass. b. Unanticipated bypass. The permittee shall submit notice within 24 hours of becoming aware of an unanticipated bypass. Part III Page 8 of 9 Permit No. NC5000592 9. Twenty-four Hour Reporting a. 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 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. 10. 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 [40 CFR 122.41(1)(6)]. b. The Director may waive the written report on a case-by-casebasis for reports under this section if the oral report has been received within 24 hours. c. Occurrences outside normal business hour in Response personnel at (800) 662-7956, (800) Other Noncompliance The permittee shall report all instances of the time monitoring reports are submittec pQed%to the Division's Emergency or (9191 733-3300. ;not reported under 24 hour reporting at 1(I)(7)). 11. Other Information Where the Permittee becom a are -hat it failed to submit any relevant facts in a permit application, or submitted incorrect information_in a permit application or in any report to the Director, it shall promptly sulmit-such,facts or information [40 CFR 122,41(1)(8)]. Part III Page 9 of 9 W NCSOOOS92 PART IV DEFINITIONS 1. Act See Clean Water Act 2. Adverse Weather Adverse conditions are those that are dangerous or create inaccessibility for personnel, such as local flooding, high winds, or electrical storms, or situations that otherwise make sampling impractical. When adverse weather conditions prevent the collection of samples during the sample period, the permittee must take a substitute sample or perform a visual assessment during the next qualifying storm event Documentation of an adverse event (with date, time and written narrative) and the rationale must be included with SPPP records. Adverse weaathe does not exempt the permittee from having to file a monitoring report in accordance with the sampling schedule. Adverse events and failures to monitor must also be explained and repotted on -.the eelevant�DMR. 3. Allowable Non-Stormwater Discharges This permit regulates stormwater discharges. Howe allowed in the stormwater conveyance system incluc a. All other discharges that are authorized by a -nor b. Uncontaminated groundwater, foundation dram chemicals, springs, discharges of uncontaminate flushings, water from footing drainsflows-from c. Discharges resulting from fire -fighting or -fire -fig 4. -stormwater discharges which shall be EPstoririwater NPDES permit s, air conditioner condensate without added d potable water, waterline and fire hydrant riparian habitats and wetlands. hting training, or emergency shower or eye wash as a result of use in,the event or an emergency. 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. More information on BMPs can be found at: S. Baass 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. 6. Bulk Storage of Liquid products Liquid raw materials, intermediate products, 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. Certificate of Coverage The Certificate of Coverage (COC) is the cover sheet which accompanies a General Permit upon issuance and lists the facility name, location, receiving stream, river basin, effective date of coverage under any General Permit and is signed by the Director. S. Clean Water Act The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et seq. 9. Division or DEMLR The Division of Energy, Mineral, and Land Resources, Department of Environmental Quality. 10. Director The Director of the Division of Energy, Mineral, and Land Resources, the permit issuing authority. Part IV Page 1 of 4 Permit No. NCS000592 11, Env � The North Carolina Environmental Management Commission. 12. �a p1C An individual sample collected instantaneously. Grab samples that will be analyzed (quantitatively or qualitatively) must be taken within the first 30 minutes of discharge. 13. a oSUbstance Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act 14. 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. , /1 15. Measureable Storm Event A storm event that results in an actual discharge frc measurable storm event must have been at least 72 apply if the permittee is able to document that a sh` events during the sampling period, and obtains app copies of this information and a written request ietl Office. After authorization by the DEMLR Regi nA site in the permittee's SPPP. 15(11 16. A stormwater collection town. �rriiifted•site outfall. The previous r ior. The 72-hour storm interval may not Orval is representative for local storm ir�t�>the local DEMLR Regional Office. Two be sent to the local DEMLR Regional written approval letter must be kept on area of local self-government such as a city or 17. 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 materikls-or activities include, but are not limited to, material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products [40 CFR 122.26 (b)(14)]. DEMLR 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). 18. Notice of Intent The state application form which, when submitted to the Division, officially indicates the facility's notice of intent to seek coverage under a General Permit. 19. Pe[nit Issuing Authority The Director of the Division of Energy, Mineral, and Land Resources (see "Director" above). 20. Permittee The owner or operator issued this permit. 21. Point Source Discharge of Stormwater Any discernible, confined and discrete conveyance including, but not specifically limited to, any pipe, ditch, channel, tunnel, conduit, well, or discrete fissure from which stormwater is or may be discharged to waters of the state. Part IV Page 2 of 4 Pages Permit No. NCS000592 22. Representative Outfall Status When it is established that the discharge of stormwater runoff from a single outfall is representative of the discharges at multiple outfalls, the Division may grant representative outfall status. Representative outfall status allows the permittee to perform analytical monitoring at a reduced number of outfalls. 23. Secondar-y Containment Spill containment for the contents of the single largest tank within the containment structure plus sufficient freeboard to contain the 25-year, 24-hour storm event. 24. 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. Meets at least one of the following criteria: n i. Is listed in appendix D of 40 CFR part 122 on Table 114organic priority pollutants), Table III {certain metals, cyanides, and phenols) or Ta\ IV (certain toxic pollutants and hazardous substances); ii. Is listed as a hazardous substance pursuant to won 311(b)(2)(A) of the CWA at 40 CFR 116.4;or iii. Is a pollutant for which EPA has publishedacute or chronic water quality criteria. 25. Severe Proper Damage Substantial physical damage to property, damage to the control facilities which causes them to become inoperable, or substantial'and'per�manent 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. '� _. 26. SigniftiInt Materials/ ` /� Includes, but is not limited fo:•raw materials; fuels; materials such 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(14) of CERCLA; any chemical the, facility is required to report pursuant to section 313 of Title III of SARA; fertilizers; pesticides; and waste products such as ashes, slag and sludge that have the potential to be released with stormwater discharges. 27. Significant Spills Includes, but is not limited to: releases of oil or hazardous substances in excess of reportable quantities under section 311 of the Clean Water Act (Ref: 40 CFR 110.3and 40 CFR 117.3) or section 102 of CERCLA (Ref 40 CFR 302.4). 28. Stormwater Discharge Outfall (SDO) The point of departure of Stormwater from a discernible, confined, or discrete conveyance, including but not limited to, storm sewer pipes, drainage ditches, channels, spillways, or channelized collection areas, from which stormwater flows directly or indirectly into waters of the State of North Carolina. 29. Stormwater Runoff The flow of water which results from precipitation and which occurs immediately following rainfall or as a result of snowmelt. Part IV Page 3 of 4 Pages Permit No. NCS000592 A , a I 30.Stormwater-Assoriated with Industrial Actift 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. 31. Stormwater Pollution Prevention Plan A comprehensive site -specific plan which details measures and practices to reduce stormwater pollution and is based on an evaluation of the pollution potential of the site. 32. Total Maximum Daily Load (TMDL) TMDLs are written plans for attaining and maintaining water quality standards, in all seasons, for a specific water body and pollutant A list of approved TMDLs for the state of North Carolina can be found at http://dQQ,nc•gQv/about/divisions/water-rmurces/plafininE/modeling- assessmentltmdls. U 33. Toxic Pollutant Any pollutant listed as toxic under Section 307(a)(I),6f the Clean Water Act 34. Vehicle Maintenance Activity Vehicle rehabilitation, mechanical repairs, painting, fuefuli_ng; lubrication, vehicle cleaning operations, or airport deicing operations. J/ �/ "),_/ 35. Visible Sedimentation 17 Solid particulate matter, boti^nineral and organic, that has been or is being transported by water, air, gravity, or ice from its site -of origin which can be seen with the unaided eye. 36. The maximum 24-hour pTecipitatlon`e'vent expected to be equaled or exceeded, on the average, once in 25 years. Part IV Page 4 of 4 Pages Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY RFrFIVED JUL31 2011 DENR-LAND QUALITY STORMWATER PERMITTING ROY COOPER Goremor MICHAEL S. REGAN SecremnT TRACY DAVIS Director STAFF REVIEW AND EVALUATION NPDES Stormwater Permit o Regional Office: Raleigh 010 Owner/Company: Facility Name: NPDES Permit Number: Expiration Date: Facility Location: Type of Activity: SIC Code or Description: Receiving Stream(s): River Basin: Stream Classification: Proposed Permit Requirements: Culpeper of Roanoke Rapids, LLC O Culpeper of Roanoke Rapids NCS000592 N/A - New Permit 2262 West 10th St., Roanoke Rapids, NC (Halifax Co.) Wood preserving 2491 Chockoyotte Creek Roanoke River Basin, Sub -basin 03010107 C See attached draft permit. Response Requested by (Date): August 14, 2017 Central Office Staff Contact: Robert Patterson, (919) 807-6369 Central Office Review Summary: 1. General Info.: New operation & owner at an existing facility; currently being reconstructed. Two existing stormwater detention basins are the only 2 SDO's (see site drainage map in application). 2. Industrial Activities: Pressure treating various wood products with copper -based solution (CCA). Treating solutions kept in AST's under roof. Wood storage both inside & outside. Diesel fuel storage under roof & mobile units. Used oil products. 3. Receiving Waters: Receiving stream is not impaired. There is a TMDL for dissolved State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612 919 707 9200 T z la NCS000592 Page 2 of 3 oxygen for the Roanoke Rivbr''tnainstem, but not the receiving stream. 4. Threatened n Endangered S ecies: Coppery Emerald / Somatochlora georgiana - a dragonfly/damselfly 5. Analytical and/or ggalitative m6nitorinid' uring-this past permit cycle: None - new - operation 6. Rationale for monitoring parameters: Potential stormwater pollutants used and stored on -site include 1) wood treatment chemicals [acids with very low pH < 1, copper chromium arsenic (CCA)]; 2) diesel fuel; and 3) mold inhibitors [chlorothalonil]. Parameters in this draft permit are consistent with permits issued to similar wood treatment facilities in NC. s. 7. Permit Fmility. and Owner Contactsupdates: ® Confirmed contact information with permittee and updated BIMS if necessary. Obtained e-mail addresses for each contact and updated BIMS. Recommendations: Based on the documents reviewed, the application information submitted on May 26 and June 5, 2017 is sufficient to issue an Individual NPDES Stormwater Permit. Central Office recommends reissuance of this permit with monitoring listed in the attached draft permit. The proposed draft permit reflects the most recent individual stormwater permit template and boiler plate language, incorporating revisions that are similar to the industrial general permits recently issued. Prepared by (Signature) ' ( Date 9 r 3 �y Stormwater Permitting Supervisor c<_Date l3/' for Mike Randall (acting) Concurrence by Regional Office t k,09-�_ Date 1 4 RO DEMLR Supervisor w Y Date 0 _7 Zo r 7 StacecfNaa&Cuu6m I Fx%===WQuafiryjEnaU,NinealandLvARewames 1612 llU Seniee Curter j 512 NorihSah6wy$tmet j Rater, M 27699.1612 919 707 9200 T NCS000592 Page 3 of 3 Regional Office Staff Comments (attach additional pages as necessary. 'P 6-+- - - _ cal d ,6s�" /I N i � c� I cu, OL A(so, , ,��, j ",lam � � ° State of � Groiim I EmiromnmW Quality] EnuU Mne al andi.:ad Rmases 1612NUSenice Ceattr 1 512 LTovb SdW=y5treet i Rak*6,1C 27G99.1612 919 707 9200 T Patterson, Robert D From: Strawbridge, Ray Sent: Monday, June 12, 2017 4:20 PM To: BILLY_RODGERS@CULPEPERWOOD.COM; Hunneke, William F; Burke, Don Cc: Deaver, Melodi; Pope, Antoine R; Patterson, Robert D Subject: NCR000169292, CULPEPER OF ROANOKE RAPIDS, LLC. Please use the original ID# for the site: NCD101734598 ATTENTION: DO NOT USE RECENTLY ISSUED ID# NCR000169292 for Culpeper of Roanoke Rapids It has come to our attention that Culpeper is located at the former Georgia-Pacific Treating site in Roanoke Rapids identified in the EPA RCRAInfo database as ID# NCD101734598. The new number was issued in error. Invoice #HW74241 was created as SQG and thus far has not been paid. FIMU will nullify the new ID# NCR000169292 and mark the recent "initial notification" as a subsequent under the old Georgia-Pacific ID#. hope this is clear to everyone. I spoke to Robert Patterson in Storm Water and he said correcting the ID# would not be a problem. Robert, please insert NCD101734598 as the correct EPA ID#. Ray Strawbridge Business Officer/Supervisor Financial & Information Mgmt. Unit Hazardous Waste Section Division of Waste Management 919-707-8231 office Ray.Strawbridge@NCDENR.gov Postal Address: Hazardous Waste Section NC Div of Waste Mgmt 1646 Mail Service Center Raleigh, NC 27699-1646 Physical Address: 217 W Jones St Raleigh, NC 27603 Fc. ^Nothing Compares_,%., Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. RECEIVED JUN 0 2 2017 LAND QUALITY SECTION Culpeper of Roanoke Rapids 2262 West 10"' Street Roanoke Rapids, NC 27870 June 1, 2017 Section Manager, Toby Vincent NCDEQ/DEMLR Stormwater Permitting Program 512 N. Salisbury St./ V' Floor 1612 MSC Raleigh, NC 27699-1612 Mr Vincent, CULPEPER WOOD PRESERVERS I am sending -this letter as a one time notification that our plant located in Roanoke Rapids intends to claim the waste water exclusion from RCRA jurisdiction that was published in the May 26, 1998 Federal Register. It is our understanding that NC has adopted the waste water exclusion: therefore, as of the date of this letter, we will be operating under this exclusion. Additionally, this letter is to certify that we have read the applicable regulation establishing an exclusion for the wood preserving waste waters and spent wood preserving solutions and understand it requires us to comply at all times with the conditions set out in the regulation. If there are any questions or comments, please advise. Regards, Billy Rodgers Facility Manager 252-308-8474 culpeperwoodcom HEADQUARTERS FREDERICKSBURGti VA SHELBYVILLE, IN COLUMBIA, SC FEDERALSSURG, MD 15487 Braggy Comer {toad 10299 Tidewater Tral 701 Mausoleum Road 208 Flint Lake Road 2000 Industrial Park Road PO Banc 1148 Fredericksburg. VA 22408 PO Box 260 PO Sae 23950 PO Box 298 Culpeper, VA 22701 TF: (888) 297-9663 Shelbyville, IN 46176 00(umbia, SC 29224 Federalsburg, MD 21632 TR (800) 817-6215 LOCAL (540) 371-5338 TF: (800) 222-7857 TP (800) 347-5033 TF: (866) 490-2958 LOCAL (540) 825-5200 FAX: (540) 372-7481 LOCAL: (317) 398-3125 LOCAL (803) 788-5om LOCAL (410) 754-0566 FAX: (540) 825-9162 FAX: (800) 545-5316 FAX: (803) 78&1782 FAX: (410) 754-0567 Patterson, Robert D From: Patterson, Robert D Sent: Friday, May 26, 2017 2:48 PM To:'billy_rodgers@culpeperwood.com' Subject: Application fee Billy — As we discussed on the phone today, we received your application, but it was missing the application fee. The fee for new individual permits is $860; made payable to NCDEQ. Please place all 3 lines of the address below on the envelope. Thanks and have a good Memorial Day weekend! Robert D. Patterson, P.E. Environmental Engineer 919-807-6369 1 Robert. Patterson 0ncdenr.gov httns://dea.nc.gov/about/divisions/energv-mineral-la nd-resources/stormwater NCDEQ I DEMLR I Stormwater Permitting Program 512 N. Salisbury St. 19t' Floor 1612 MSC I Raleigh, NC 27699-1612 Email correspondence to and from this address is subject to the North Carolina Public Records Low and may be disclosed to third parties. ,gyp tiyl May 25, 2017 Robert Patterson Storm water Programming 1612 Mail Service Center Raleigh, NC 27699-1612 Mr. Patterson, 21A&A CULPEPER WOOD PRESERVERS RECEIVED MAY 2 6 2017 LAND QUALITY SECTION Culpeper Wood is opening a treating facility on a previously permitted site. We hope to be processing by September 1, 2017. The site address is 2262 W. 10th Street, Roanoke Rapids, NC and was previously permitted to Georgia-Pacific. Any assistance you could provide in expediting our permits would be greatly appreciated. Thanks for your consideration, Sincerely, Q)Q� 245-�� Billy Rodgers Facility Manager Culpeper of Roanoke Rapids 252-308-8474 cuipeperwood.Com HEADQL AMRS 15487 Braggs Comer Road PO Bm( 1140 Cuipepar, VA 22701 TF: (am) 817-6215 LOCAL (540) 825-5200 FAX: (540) 82" 162 FREDERICKSBURG, VA 10299 Tidewater Trail Fredericksburg, VA 22408 TF. (888) 297-9663 LOCAL: (540) 371-5338 FAX: (540) 372-7481 SHELBYVILLE, IN 701 Mausoleum Road PO Box 260 SheibydIa, IN 46176 IF: (800) 222-7857 LOCAL: (317) 398-3125 FAX. (800) 545-5316 COLUMBIA, SC 208 FTmt Lake Road PO Bar 23958 Cokrmbia, SC 29224 TR (Boa) 347-5033 LOCAL- (8w) 788,5033 FAX: (wa) 78&1782 FEDERALSBURG, MD 2000 industrial Park Read PO Boa 29B Federalsburg. MD 21632 TF: (866) 490-2958 LOCAL, (410) 754-0566 FAX: (410) 764-0567 JLPEPER WOOD OF ROANOKE RAPIDS, INC". .O. BOX 1148 CULPEPER, VA 22101-6148 NCDEQ/DEMLR/STORMWAT 12864 Check# 000009 Date 6/01/17 Zeference# Inv/Date Description Gross Amt Discount Net�Amt PERMITS 5/26/17 PERMITS/EPA 860.00 .00 86.0.'00 I�C �,o 0 0 5-q;9-' Totals --� D �@ bg . D . JUN d a '201V 860.00 .00 860.00 Please phi or type is the unshaded areas or*. Dd 5q 2-- r4m v1 Annrrmwi CMM u. 'Aunjwma FORM lf.S. ENVIRONMENTAL Pt20i EI.D.- �E -- - ---- NUI+IBER TnnAn non 7A 6 1 ems► GENExa�,. MF IV1/ GENERAL (Road darTwAucdarrs"6ranearmrixy) .1��$�6�z�+ D 1 = 9 Y b LABQ ITEMS GENS AL WSTRUCTIONS = fl a termed label her than peavide4 &Tx it in ft e d Spew. Review the 'edohnf 111 caheW. If any of it L EPA LO NU MBEit 3 ' is k=ff C% aosn dWOU h It and weer mo =1 dame in the appropriate 01n am helm. Also. i'any of ft Idmed dame 'NQClAL1TY SE m• a ale rra d an roar >mae m. _ tea("'° IIL : FACtUTY NAME .. PLEASE PLACE LA9EL W TIilS 3P for ahadd eppeall. II in the thleass povtds props r his ammo)ladaw. It ft 1" 1. mn1 1, and meat Diu V .:FA(YLTTY MAILJNG _ need not oompleee meIYLS !. M. V. ald N fwCare Mevvhi>s <.A moot 8s coapieptd reymdSsy. Co Oft d tt = if no MW her been prodded. Refer to Dn WOft. is derWW ft. VL LOCAT1OtN " - dwalpdolls and for ale tape! � ita molds vAdd O _FACIifTY date h aAWKftd. II. POLLtrrANF CHARACTERISTICS 01STRUCTION5: Canpiete A ftmo J lbdebmmine wimmUm You need to subndt any permit application fixms tD the EPA If you answer yes" to any quesUM you mast sir. 11 this form and the supplra mobi form Hslad In the pererdmis fabowing the question. Mark 7f' In the box In the thud cohmm if the supplemadal farm is afladred. if you amm 're to each question, you need not sh . I any of these b"ne_ You map Stow ,rw 11yoeor actw* is eetchhded from Pall see Section C Gift inalsuctiars. Sea also. Section D of do instructions for ti I inems of boldfaced torus, ak'x mWkW res No Fom � SPECM QUESTIONS AnrACHED SPECK QUESTIONSres A TrACKED A IS Cis iaclMy a puW* anted I all ea worlrs whidh reacts in a dbedrage to waters cf the U.S.? (FORM 2A) X B. Does or will this facDly (e0w eadsft or jempos" hhchrde a eonoeSdratsd ar>s boom aperatforh or aquatic aeI a production fmdlllt► which reahbs In a M A tldbchwgolGw11 q a 21 0 of the tlt&? (FORM RM 26) C. is Cds a bally which amerdiy mem In dlsdrarghha M watore of the US. other than those daerrl in A or 8 x D. Is this a Pmpaaed faciMy (other Man Moore dnwfi od in A- era above) wlddh WID rest I In a dbdt Wp to waeas of X above? (FORM 2C) tin WIL? TOTt11A 2D) n a as a a a E. Does or wil Clio facWy beat, Stara, or dispose of hasardous vast m? (FORA! 3) X F. DD you or wits you infect at Oft facRy irvd�bciai or mhmir�l eMantt beidw the lowermost strahnn carrWit" witldn am quef6er fade of to weft bare, undeVou nd sources of 4fini water? (FORM 4) a a sv st $ a g G. Do you or wdi you inject at Cis *xft any txoducad water K Do you or wie you Wed at am teddy &dds for qx=W ar otther fluids wlddh am Ismod M the surface, in connection will conventional oil or retreat gas production, X processes such as rrbft of sulhu by Cho Fhmc h process. solution rnhrdrg of ndrhaa}s. In situ Cornbusflon of to sm b"d Voids used for enhammd recov Sty of oil or rnatrua foal, or recovery of geWmanal WOW? (FORM 4) yes, a inject fhdds for storage of pquld lydrotarbons? (FORM 4) av w « a s a I. Is dds facOty a proposed I aoumo whldn Is arm J. Is this faclly a I F noedohm, ml source wlt d Is of f 28 induNtW celepmm load in fire hubucdou and � NOT one of ft28 tndhatrta! listed In ft cefsporso lh wdh w8i pobrrtf mlfy ernit 100 tans per year of any air 1 11ruafhana and whidh VA pub mfi* ertui 250 tors per polttnt mgddod under the Clean Air Act and may stied )mar of any air polluWnt ed under MeCleanAir Act O fl O M tl or be IDCabed in an atted u t aQar�f � S) 1reguulel a Wy d nW a� w or be tided In an atYYpe[i[ am? 5) M. NAME OF FAGAITY slapCUL O ROANO RAP I IZIC v''"'= N. FACILITY COINFACT A. NAME s rinE UasCffi-A die) B. PHONE (nee code & Z R O D G E R S I L L Y F A C I L I A N A G E R( 5) 3 8-8 7 u s e « tr « n es V. FAf;tLTY MAMM ADDRESS A. STRUT OR P.O. t3DX 32 2 62 WES 1 STREET - 1a M d B, CITY cITY OR TOM c. STATE D. ztP CODE fey 4ROANOKE RAPIDS C 28 VI. FACILITY LOCATION A STREET. ROUTE NO OR OTHER SPECIFIC 1001 ER ` -�� ' s ''' fi a , + i 5 2 2 6 2 W E S 10 T H S T R E so 6 WUNTY NfIhr1E- r H A L I F A X 40 C. CITY OR TOWN D. sTATEF E. aP CODE I F. COUMN CODE {ijbrrrwel `= :' : SRO A N O K E RAP I D S 2 8 0 L iZ. -: u s n a v EPA Farm 3510.1(8-W) CONTINUE ON REVERSE .��4�a� Sg�o gin. 0 7 CONTnitIFn FMU THE FROW VIL SIC CODES is mrferof A- FIRST 9. SECOND y C. THIRD D. FOURTH GSa�Ji1 (�►fi'1 T b w T � VM. OPERATOR WORAIADON A NAME B.Is the nmrle listed 61 Iterrr C U. L P E E R O F R O A N O K E R A P I D S VIA-�► the ow�nerl 1a S o YES NO w % s C. STATUS OF OPERATOR ffM9w liner b y d w amw w bin "Odber,' } D.FEDERAL PHONE min node ua gayrr M=PUBLIC(odiwdmTJedwwlar�s) ATE p � (252) 30$—$474 O S OTHER {spaifyJ P = PRIVATE E. STREET OR P.O. BOX =A j lr 2 2 6 2 1 0 A S T R F. CITY ORTOWN G. STATE H. ZIP CODE IDL INDIAN LAND Is the hCft heated m Wan lords? B R O A N O K E R A P I D S NC 7870 1k O YES ® NO m 40141 X. EXISTING ENVIRONMENTAL PERLM A NPDES m iY D. PSD T e2r72Tfj&qmces x" C T 1 NA r _ - 9 N 9 P w w n w s= w w n w » B. IIIC Fhridr E OTHER T 1 A C T I r } 9 a u 9 in i pa w Is Tr b C. RCRA limier E OTHER C T 1 C T t �qpf r} M��J 9 R 9 n w via a w w w s XL AAAP ANarh to Oft app8eation a topoWapfrlc nap of The area mdenMig to of lest One nine beyord property boundmiea. The rrmp must show the oufflm d the fixft. the bca8orr aR 8acfi ai iZs e7f18" and proposed irreelaa and cbdrarge sbueMms, each of Its hazm does waste treahrrent, atNaM or dispose! facdkk a. and each we0 where A injects &*b undo Wvm& tndude aN smtgL rivers, and other atrrfaoe water bodies in the map area. See bv*udiorrs for pregse rm**ement s. W NATURE OF afWW Wood preserving plant which uses various products and pressure treats them to yield a rood product that resist ldew, rot and insect attack, MIL CERTIFICATION jsm k*Mxdarrs} f cerWy under penehy of law slat I have pwma mNy. axa n&W and am f nWar wftb ft bdammUon submtbd in Nds pppLcdbn and aff ammtemrrts end Mai based an my kxp*y of Norse persona krAmmM W resP4rA�ibte ibr aI I I S Me kxbnjaf m carda1had br the appEcaffm ! be b w that do lj*onreflorr true, —ma, tad cmp bta. l am swam Mat amm am somftem pnn�aNfm IhrsrMratd hg false 6dhmraWm bx*jcMV Me pommy of floe and lrtpdmoranent F f �'RS E'lEfi' 1* MANAGER EL SIGNATURE C DATE SIGNED 05/24/2017 COMAOSIM FOR OFFICIAL USE ONLY EPA Form 3510.1(8-60) ,� pmwEPA EPA a) Number (copy trot Vern i oTFaRECEIVEDm 1) NCR000169292 Fam Appvtod ONS No 2040MM _ .... _ _Apprwat ectnes 531.62 US. E Pr ime ��y "'- r 4 v Lull Wassrhrglon, M 20M Application for Permit to Discharge Storm Water Associated with Papmvm RoducthmPA* ftiadce PUbft MPortbrg Braden for Skits appar»ttarh is estbrmted to average Z&O hours Per app6®tiah. Idrmrdbhp llme for reviewft itntnudiam saardft e3dism>8 dam sources. gathwhv and fn8ft*ing the date needed, and corrhpletar9 and Fevk w ft the cD%C6 n of li f -IMSM Send COINIM ragdrdmp the burden es&m ts, any other aspect of Oft aaGectton of Wdarrnatloo, or suggsaorm for iwrovtrg fits tbrsa. brdxng suggestions wlids may frovase or reduce fits burden lix ChW, bdorr aft Polley Brand►. Pb1,= U.S. ErmiromwU Protection Aipwmy. 1200 Pennsyl=U Avorme, NW. WhsidroMn. DC 20M a Dhectm. Qttioe of bfomm5m and Reghdetory Affab% Oft& of Mmmip meat and Budges: Washiroon, DC 2[ M& � O%dMI Location I Far each otdd Oat ttre letltrrde and kmaW a of tis location to the nemest 15 samrdo and the rmme of the . scei►drra water A. Outid Number ABSO B. bide C. Lagitrrda D- Reoeivfrg Water ) 001 36.00 2 - - 001 49.17 '77.()DI 41.001 23.12 Chockoyotte Creek 002 36.0101 27.00 55.32 77.00 41.001 14.55 Chockoyotte Greek L lmpvv@Inm tS A. Are you now requhed by a" Federal. State. or focal autharily to meet any beplmnwftbon schedule for the car>*uWon, uppradhhg or operation of y r t uabnente4ulpmerd or or anydhar onvironmerstal programs which may affect the Ap sm desatbed in flits application? This hrhiudes. but is not lhrhPoed to.pm.. corn On 4 admbshawa or erdmmernerd cedersadmaim compillarmeschoduieletrme. adpulatiorm cam ordem and grmrt or kart cmxM ons. 4. Rnai 1. kkoldlicdlon ofCardM=, 2-ABectod Outfaf Cangt6mhce Dale Aphem. m-1 Ebm mprhber scurry of disdrmge 3. BrW Desa"m d Projed a req. b. pmj. B: You may achch additiorsal streets dssaibBhg artyeddttiortal water pdkdim (a ofiererrvm--wdat Projects whild may afted vmw dimchgs) you now have order way or which you Plan. bxkata whether each program is now under way of piarhrhed, and badkate your acthal or planrmd schedules for corms rur4om HL SEte D Map Attach a site map ahawbg topography (or ardica ft titer outline oldrahvegs areas served by the outfaQs(s) onsred in On a ppka*m Ira topographic map Is camvalahle) depicting the fecft iruArdbtg each of ds bl loa and drsdhmga strudraes; fie drainage area of each storm walar oettat Pared ereas cord 819swulblithedrokoge he area Df each storm wafer Dolts% each laroMm Past a prwm areas used for ahldoer storaga Df disipmel of materials. each ahcisd shupurAl control thwarter fareduce pol5dais bh slam waist none. rrrataritl, bedbg wd access areas areas where pesdddm hwbkkles, soil cormMonms and farMem are appiiad; each of tis hmmrdm a ornate tra'dff d. storage or d urat (kKko rg cads area not mgLdmd to have a RCRA Pmrnit which is seed fa acaanc*ftq herdoes waste tcdo 40 CM 262.34k each well whme &d&ftmftbcftwe hadergmushd ' , I fis amd other surface war bodies whiidh racetved starer water ftCtmrgm from tthe tadny. EPA Form 3510.2E (1e2) Page 1 of 3 CahSnn an Pape 2 Conntrnred from the Fred . Narratlw Description of PogutmM Sources A. For sech mud, prodda an astlrnets d the ame Cffxk4a w s) d teyedous surleaes Ow1uOrg Pa+md erase and trrdrag rods) drahted to the arwd an as11 1 d the bfel surbw arse &Mrmd by the oulhdl. Ordfd I wnbs Area of Wpmriue Sm Um Tdd Am Orahed fPreMrb Nov C dal Wrmtbe Amu of h.Wo ous smkoe rstt� TaW Arm prairled �rwloia unrttrl -ACRW 002 4.850 ACRES B. Rvride a rrerettve dear n oftig ffirp IrrmCe►fei4 that are c unw* or in lie past three ye re have been treated, stared or disposed in a mum er to Wow exposure to storm water, ..md d' not Grit, skni a, or dkgxm tr pas! and preaerrt m marre01 P I Pracgoes erpbyed to minoronted by dtase me6eriets with storm water nnwfu mataeriafs bat5ng and acDm areasand ft bcaft% marwer, and fregtretcy in which pesticides, tectides, sail cmdMones, and ferLiaem are This is a facility being constructed on a prey ors y owned facility - Future activities., Pressure treat various wood products with a cooper -based treating solution. Inside above ground contained tank storage of the rood treating solutions. Inside and Ootaide storage of wood. Operation of diesel fueled mobile equipment and inside fuel storage. Management of used oil products. Proper and constant management of stormrater runoff, C. For each otdfa4 Prorlde the btF don end a deKdpGon d shucbjrW and nonshmend crab measures to reduce po&dmrft in atom water nnwff. and a 4 , 4 is of tie treatment the am., water receives, bxhx rrg the sdvxhde and type of rtnktenmwe for and beetrnend measures and the uftbude dial of any sood oriLAd wwbn od w Bter by db&wge. outm Ud Codes tam Nurnber Treabrwd Table 2F-1 001 a 002 Detention ponds, berms, storage of materials in buildings. employee training and basic good usekeeping. V. NonstorrrfMrater Discharges A. l cetity raider penally of taw hat the ouffaWs) core ed by this applicefim here been tested or evakmW fix the presence of nonsborrmeater dtedamVes, and that 80 nonskwnymatw dbctmnged * m these otdfa0(s) om lderddle 'in miller an acrrtpwWft Farm 20 or Fnem 2E applbow for the otdbll. Name and Mid Me ftw arp&* Sigrwd Billy Rodgers Facility Manager 05/24/2017 8. MmIde a desor"w of ft method used, the deb of wINWhig, wide* orals drainage paints that were dracity obsevad a test. A visual review of the property was made and no non-stormwater sources were located- VL $1Sf7ffk={t i.0da or Spas Provide aodstnrg 6rtorrrtation re9wdh the tdsbry of aig W - leaks or spdis of tmdc or hazardous polukuds at the facRy in the last ttuee yom. hxkmmng the apmWftni ie date and taratierr of the spit arm*, aed gob" and amnmt of tnafsi relemered_ None ,this is a facility that was under previous ownership being reconstructed. EPA Form 3510,2F (1-G2) Page 2 of 3 Cordl m on Page 3 EPA 1D Number (oapy frmh !lain 1 of Fam 1) Continued froin Page 2 NCn000169292 L Discharge lrftnnMon A, B, C. 6 D: See enskuctiara before p ooeedng. Complete one sat of Tables for each oulfall. Ammme the cuCaB nimber in the space pmvkiad. Table Vll-A. VU-9. VlW am kmlu ad an separate WmAss numbers VS-1 and VS-2 E Po6erl13a1 degas not covered by aratiym — is any lack polluter& fisted m table 2F-2, 2F3, or 2F4, a substance or a componerd of a subiderme wlddr you marenthr use or rrmrtuftiehue as an b4or radian or 6rral product or byproduct? Fe Yes (Bet aff a m h paw baba) ❑ No (go to Section JX) Recall that we stated this facility is under construction and will be new with no analytical data. Materials list that will be used at our facility: Mold inhibitor- attached SDS MP-200A concentrate- attached SDS CCA concentrate- attached SDS Diesel fuel- attached SDS WL Bi *n& ai T03dc y Teeft Dam Do you have any latowledge or reason to believe That any biology test foram or duto c t wdcity has been made an any of yarn dbscharges or an a mow*g water in relat m to dfscharga wf hen the last 3 years? I_I Yes (EW al ach pow below) �✓ No (go W SeW. vg DL Pr*vbad Analysis IMcnrradon Were any of the analyses reported in tram %M performed by a contract laboratory or conatdling firm? ❑ Yes (W fire creme, aa' ,am and baAsp win rrrmrber of, and potk4ards No (go to section X) arsalYl+ed by, each such bboratory orrom below! A. Nana B. Address C. Area Coda d. Pharra No. D. Polaufmds Ar4dyxed Environment 1, Inc hire once P.0_ Box 7085 Greenville,NC 27835-7085 252-756-6208 processing begins I cei y raider parraCy of taw tfat this doeaune d and ate aMw hmenfs were p►oparsd render my dreetlan or mpervkOm in accordance wfib a ayslem deslphed b assure VWquaffibdposo prapt* Lund evacuate pro ihbmmt n subutfftad Based on my kVuiry of H* person orpwsons who nraHa system or those pehsons *vcw rerA "w(bb for gaftft tiro kftmaum the b* mrebion =*nlffed 4, to go bast of cry tmowledge and beW,, ftme acstaaie, and aamphle. I am aware 6W there era a oerrt panatlies khrsr,brnitHerg fhMse ida►metiryh i>rmrg the possirSW of8ne and br*wbomnent ibrknowbV WuAdko q A. Nerna a OMM TWe (Type Or Plfrd) S. Area Code and Phone No. Billy Rodgers Facility Manager (252) 308-8474 EPA Form 3510-2F (1-62) Pegs 3 d 3 EPA ID Number (oaipy fr M n m 1 of Fora! 1) Form Approved. OMB No. 2040-0086 Approval expires 631-82 VII. Discharge infomlation {Continued fimm page 3 of Form 2F) Pert A — You Woven provide the rest of at least ate analysts for pollutant in this table. Complete one fable for each ouNall. Sae irhsb uctions for addldonal detallL Mmd utm Values Average Values tat") Number P09utard Gray Sample Cxffi Sample of and Taken Otrrfrg Taken During Storm CAS Number FhU 20 Fb-WeVded First 20 Fb-Welgftted l"cvettta id ) hbudes composite Nkma a Campus Sampled sotmxs of Pol Mania O9 and Grease WA f3lologioaf oxygen Demand Chi oxygen Demand (COD) Total Srrsperpded uofids (T8S Total Ifrogen Total Phosphorus Of iifotl3rxmt Matdrnum AAitittuahh Ma>arruuh PW 13 — List each pollutant that is 9m0 to an enlretd guideline wtdc h the tac�ty is erhijed to a any pollu artt listed in the tars NPM perni't for its prooesa rra' M ; I N (it the tarty is opav*V tinder an a>dsthg WOES perrrtitJ Complete one table for each auflall. See the Inshm*ons for adffl*w l daUft and ktaxknxaa Values Average Vahree rraBuda Number Po9tatani �Swriple Grab Samoa o aw Talon n Storm. tAS Number First 20 Flo-Welgided Past 20 P--Weigtmed Everds fg+ ) Minutes Car% -Ste IGMAM Ciompostte SampledSources of Pam EPA Farm 3510 2F (1412) Page Vil-1 conftwe on PAYS ee Co+>bntimd from the Front Part C - List each pokawd shown to Table 2F-Z 2F3, and 2F- mart you know o► nave read to believe, is present see the Umbucbm for eaadional aetaft and req�dremards. Complets one labia farearls oWfail. ivtaodtttum Values Average Values mdr�da feuds) (include trtfts tYtarrber PbAutart Cr& SwVio Gab sauaple of and Taken Dwitg Taken DwiV Shona CAS Number Fist 2D FWw-Wa dad iruat 20 Fkw-Weighted Evenis (e`er) Mblutas t GanrptulCe Sampled Somoes of ponAwft COPPER C®t011E Part D — P V*ft data far the starrrr erertt(s) wtda+ m% tr d lu the ,nerd .nn. vales for the fbw welgtftdd aomposft sample. 4. 5. 1. 2 3. Number of ham between msoth 4�ta *,— flaw rate dtuirrg 6. Data of Duran Total re;rrCal beg of storm measured rain event Total flow from Storm of Storm Everd durhV storm wmd and end of previous &s%xu Vh*wte or sell event Event rm m (in fnof o measurable rain event aperb!' MI" (gaflurus or spa* Uri" 7. Provide a EPA Farm 3510-2F (1-92) Page ViI-2 p- µ- - 0�� ROANOKE RAPIDS LAKE m �S,�c�?!1 I I�i� � y� ` ��/. �1�}(("%�✓^ `�'�q�,'� "� i'�5'� � !� J [ >r��" 4 _ � •1 {`/"!y �� �"£ =�ti'� lIl.� 7'i 11. ,/ �'v=;•�1A..1;:/� ;e�o.� '.�1 ran" i8. J P %;,edaarwood;C \ ti CL f a wsrH�s7, � k t J. 1426 f ✓� T . rye f Rose I RosemaRD TJ 250 p Qa,� �..-.' � '�,: EASTON 5, ' ry p�N'�'R1D � �• REFERENCE: USGS 7.5—MIN TOPOGRAPHIC QUADRANGLE ROANOKE RAPIDS, SCALE — FEET NORTH CAROLINA, DATED 2016. 0 2000 APPROVED DIRK 05/23/2017 KU Resources, Inc. CHECKED DRK 05/23/2017 22 South Linden Street DRAWN RAM 05/19/2017 Duquesne, PA 15110 CAD FILE NO. 17046AD03 412.469,9331 412.469.9336 fax PROJECT NO. CWP.17046.ESA www.kuresources.com W. k- SITE TOPOGRAPHIC MAP CULPEPER WOOD PRESERVERS 2262 WEST 10th STREET ROANOKE RAPIDS HALIFAX COUNTY, NORTH CAROLINA PREPARED FOR CULPEPER WOOD PRESERVERS CULPEPER, VIRGINIA 1s CI i �., HALT i n , GRA5 CURB .. _ �+ ASP BASS SWALE � � �� �, ` � � LUMBER .SHED � I �'�— I' ,- �... +.` m f ' D NT'ION BUILDING PREFAB METAL 1k� sa -Rc ..: ON© = t, �» ASPHALT ' FLOOR 1 i" a 2.360 ACRES LUMBER STORAGE AREA; Ot�TFALL . DRAINS TO OUTFACE 001 As HALT,PAVEMENr AREA 001 = =RIP-w4P APRO ,. •. 5 QUiFALL OQZ os7o DRAIN TO ' TCH 18"R r BASIN TOTAL PROPEW AREA 3 q s o o 0 10A15 ACRES _� Wm� I i gym_ 041 � �. Q a UMBER STORAGEREA Ala] ASPHALT PAVEMENT ¢ W' cl W F 4.Luom' AREAZ f W U m'Z 3.601 ACRES ��_ w a 'Uj - , N DRAINS TO OUTFALL 002ty t a tL DRIP .PAD '� 4 ii PREFAB METAL ROOF I CONCRETE 1� ui CONCRETE FLOOR` SLAB C&G {WITH Co CURBS) LUMBER STORAGE AREA LUMBER ASPHALT PAVEMENT 1 ;r I SHED P ASP PARKING CATCHALT PAVEMENT EV 1 I r1 CHEMICAL-;' a z.. = PREFAB BASIN , TORAGE �LLUJ 1" RCP CON WINMENCYlIAREA � ER METAL AREA O r AREA ® BUILDING TANK` 0.574 ACRES ASPHALT DROP 303 ACRES CONTAINMENT .. .> :ENtET r SHEET FLOW: TO, STREET . .. AREA � -, DRAINS TO OUTFACE 002 (RAF DRAINS) FLOOR ' OF CE ` ,5 0.209 ACRES 0= m m—m, _ s� �� II„ t RCP: AREASig FLOW TO STRE / } M�I f, , 2 RCP �:\ DRIVEWAY ENTRANCE g/ SCALE (ROOF DRAINS) 4b\ }r a . ASPHALT. PAVEMENT n x � bp a m� \ m� so m �— AREA 1 �\ E, 2.267 ACRES : a\ ` . DRAINS TO OUiFALL 001 i I \a DETENTION:, } �... LUMBER STORAGE AREA LiiIiRALTTPAVEFIENEA \` POND jb ASPHALT, PAVEMENT iWALAW lam jw _1 UNUSED AREA j rt W' R. GRASS i yr r • REFERENCES: I. IMAGE IMAGE BY GOGGLE EARTH DATED 11-15-2015. 2. STORM WATER MANAGEMENT PLAN BY BURR k ASSOCIATES, P. A_ .` OF ROANOKE RAPIDS, NORTH CAROLINA, DATED 10-14-99. PREPARED BY: PREPARED FOR: PROJECT: DRAWING TITLE: SCALE — FEET Ru Resources, Inc. 22 South Linden Street CULPEPER WOOD PRESERVERS ROANOKE RAPIDS SITE Duquesne, PA 15110 15487 BRAGGS CORNER ROAD 2262 WEST 1Oth STREET REVISION DATE DESCRIPTION 0 60 120 412.469.9331 P.O. BOX 1148 ROANOKE RAPIDS SITE DRAINAGE MAP 412.469.9336 fax HALIFAX COUNTY, NORTH CAROLINA CHECKED BY DRK 05 24 2017 APPROVED BY DRK 05 24 2017 www.kuresources.com CULPEPER, VIRGINIA 22701 I KOPPERS 1. Identification Product identifier Other means of Identification SDS number Recommended use Recommended restrictions SAFETY DATA SHEET SN RTU 307-KPC Corrosion inhibitor additive for use at wood treatment plants. None known. Manufacturer/Importer/Supplier/Distributor information Company name Koppers Performance Chemicals Inc. Address 1016 Everee Inn Rd., Griffin, GA 30224 Telephone number Contact person Emergency phone number E-mail 770-233-4200 Regulatory Manager, KPC Inc. CHEMTREC: KPCmgrsds@koppers.com 2. Hazard(s) Identification Physical hazards Not classified. Health hazards Environmental hazards OSHA defined hazards Label elements Signal word Hazard statement Precautionary statement Prevention Response Storage Disposal Hazard(s) not otherwise classified (HNOC) Serious eye damage/eye irritation Hazardous to the aquatic environment, acute hazard Not classified. < I Warning 1-800-424-9300 Category 2A Category 2 Causes serious eye irritation. Toxic to aquatic life. Wear eye protectiontface protection. Wash thoroughly after handling. Avoid release to the environment. If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists: Get medical advice/attention. Store away from incompatible materials. Dispose of contentsicontainer in accordance with Ioca//regional/nationallintemational regulations. None known. 3. Compositionfinformation on ingredients Mixtures Chemical name CAS number % Water 7732-18-5 a 95 Sodium Nitrite 7632-00-0 1-5 Colorant Proprietary < 1 Composition comments All concentrations are in percent by weight unless ingredient is a gas. Gas concentrations are in percent by volume. The specific chemical identity and/or exact percentage of component(s) have been withheld as a trade secret. This product may also contain <1 % of mold inhibitors. SN_RTU SDS US Page 1 of 6 4. First -aid measures Inhalation Remove victim to fresh air and keep at rest in a position comfortable for breathing. Call a physician if symptoms develop or persist. Skin contact Remove contaminated clothes and rinse skin thoroughly with water. Get medical attention if irritation develops or persists. Eye contact Immediately flush with plenty of water for up to 15 minutes. Remove any contact lenses and open eyelids wide apart. Get medical attention if irritation develops or persists. Ingestion Rinse mouth thoroughly with water. Do not induce vomiting without advice from medical personnel. If vomiting naturally occurs, keep head low (lean forward) so that stomach content doesn't get into the lungs. Get medical attention if any discomfort continues. Most important This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a symptomsieffects, acute and blue -gray discoloration of the skin and lips caused by a reduced ability of the blood to carry delayed oxygen. Headaches, dizziness and nausea. Contact may cause eye irritation with redness, tearing, pain, and/or blurred vision. Indication of immediate Treat symptomatically. Danger of methaemoglobin formation after ingestion. medical attention and special Treatment: Treat according to symptoms (decontamination, vital functions), treat with toluonium treatment needed chloride to reverse methaemoglobinanaemia. General information Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 5. Fire -fighting measures Suitable extinguishing media Use fire -extinguishing media appropriate for surrounding materials. Unsuitable extinguishing Dry chemical. Carbon dioxide (CO2). media Specific hazards arising from By heating and fire, toxic vapors/gases may be formed. the chemical Special protective equipment Selection of respiratory protection for firefighting: follow the general fire precautions indicated in and precautions for the workplace. Self-contained breathing apparatus and full protective clothing must be wom in firefighters case of fire. Firefighting Use standard firefighting procedures and consider the hazards of other involved materials. Cool equipmentlinstructions containers exposed to heat with water spray and remove container, if no risk is involved. Specific methods Use water spray to cool unopened containers. General fire hazards Combustible materials may catch fire more easily after being wet with sodium nitrite and dried. Product intensifies combustion of other materials. 6. Accidental release measures Personal precautions, Ensure adequate ventilation. Avoid inhalation of mist and contact with skin and eyes. Keep protective equipment and unnecessary personnel away. Do not touch damaged containers or spilled material unless emergency procedures wearing appropriate protective clothing. Wear appropriate personal protective equipment (See Section 8). Methods and materials for Should not be released into the environment, For waste disposal, see Section 13 of the SDS. containment and cleaning up Large Spills: Dike far ahead of spill for later disposal. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Small Spills: After removal flush contaminated area thoroughly with water. Never return spills to original containers for re -use. Environmental precautions Prevent further leakage or spillage if safe to do so. Do not contaminate water. Reporting of releases to appropriate regulatory agencies may be required. 7. Handling and storage Precautions for safe handling Use only with adequate ventilation. Avoid inhalation of mist and contact with skin and eyes. Do not breathe dust from dried product. Keep away from clothing and other combustible materials. Wash thoroughly after handling. Wear appropriate personal protective equipment. Observe good industrial hygiene practices. Avoid release to the environment. Conditions for safe storage, Keep container tightly dosed in a dry and well -ventilated place. Do not store with acids, including any incompatibilities ammonium salts, cyanides, amines or reducing agents. 8. Exposure controls/personal protection Occupational exposure limits No exposure limits noted for ingredient(s). Biological limit values No biological exposure limits noted for the ingredient(s). SN_RTU SDS US Page 2 of 6 Appropriate engineering Good general ventilation should be provided to minimize contact with vapors, or dust from controls dried -down product. Eye wash facilities and emergency shower must be available when handling this product. Individual protection measures, such as personal protective equipment Eye/face protection Chemical goggles and face shield are recommended. Skin protection Hand protection Wear protective gloves. Be aware that the liquid may penetrate the gloves. Frequent change is advisable. Suitable gloves can be recommended by the glove supplier. Other Wear appropriate chemical resistant clothing. Respiratory protection Not necessary under normal conditions. In case of insufficient ventilation wear suitable respiratory equipment. Use a NIOSHIMSHA approved air purifying respirator as needed to control exposure. Consult with respirator manufacturer to determine respirator selection, use, and limitations. Use positive pressure, air -supplied respirator for uncontrolled releases or when air purifying respirator limitations may be exceeded. Fallow respirator protection program requirements (OSHA 1910.134 and ANSI Z88.2) for all respirator use. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene Always observe good personal hygiene measures, such as washing after handling the material considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. 9. Physical and Chemical Properties Appearance Physical state Liquid. Form Color Odor Odor threshold PH Melting poinWreezing point Initial boiling point and boiling range Flash Point Evaporation rate Flammability (solid, gas) Clear liquid. Pink. No odor. Not available. 7.8 — 8.8 32 T (0 °C) (Approximate) 212 T (100 'C) (Approximate) Non-combustible. Not determined. Not applicable. Upperllower flammability or explosive limits Flammability limit - lower Not applicable. Flammability limit - upper (%) Not applicable. Explosive limit — lower (%) Explosive limit - upper (%) Vapor pressure Vapor density Specific gravity Solubllity(les) Solubility (water) Partition coefficient (n- octanollwater) Auto -Ignition temperature Decomposition temperature Viscosity Other Information Bulk density Not applicable. Not applicable. Not determined. Not determined. 1.03 (1-120 = 1) (Approximate) Soluble in water. No data available. Not applicable. Not available. Not determined. 8.6 lb/gal (Approximate) SN RTU SDS US Page 3 of 6 10. Stability and reactivity Reactivity The product is stable and non -reactive under normal conditions of use, storage and transport. Chemical stability Material is stable under normal conditions. Unstable with heat after dry down. Possibility of hazardous Will not occur. reactions Conditions to avoid High temperatures. Incompatible materials. Incompatible materials Acids. Ammonium salts. Amines. Activated carbon. Cyanides. Reducing agents. May react with secondary or tertiary amines to form nitrosamines. (Certain nitrosamines are cancer -suspect agents.) Hazardous decomposition Decomposes with heat. Decomposition temperature is 490"C (914'F) after dry down and will products produce oxygen and toxic nitrogen. 11. Toxicological information Information on likely routes of exposure Inhalation Vapor may be irritant to nose, throat and respiratory tract. Skin contact May cause skin irritation. Eye contact Causes serious eye irritation. Ingestion Harmful if swallowed. If ingested it may cause the formation of methaemoglobin. Ingestion may cause gastrointestinal irritation, nausea, vomiting and diarrhea. Hypotension (low blood pressure). Symptoms related to the This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a physical, chemical and blue -gray discoloration of the skin and lips caused by a reduced ability of the blood to cant' toxicological characteristics oxygen. Headaches, dizziness and nausea. Contact may cause eye irritation with redness, tearing, pain, and/or blurred vision. Rash. Information on toxicological effects Acute toxicity Not expected to be acutely toxic. Components Species Test Results Sodium nitrite (CAS 7632-00-0) Inhalation LC50 Rat 1.45 mg/L. 4 hours Oral LD50 Rat 120 mglkg Skin corrosionlirritation Based on available data, the classification criteria are not met. Serious eye damageleye Causes serious eye irritation. Irritation Respiratory or skin sensitization Respiratory sensitization Based on available data, the classification criteria are not met. Skin sensitization Based on available data, the classification criteria are not met. Germ cell mutagenicity No data available. Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. Reproductive toxicity No data available. Specific target organ toxicity - Based on available data, the classification criteria are not met single exposure Specific target organ toxicity - Based on available data, the classification criteria are not met. repeated exposure Aspiration hazard Not classified. Chronic effects None known. SN_RTU SDS U5 Page 4 of 6 Further information This material may produce methemoglobin which, in sufficient concentration, causes cyanosis, a blue -gray discoloration of the skin and lips caused by a reduced ability of the blood to carry oxygen. Sodium nitrite can also react with certain amines forming compounds which may cause cancer, mutations, or other toxicity. These compounds, known as nitrosamines, can be formed in acidic environments such as that found in stomach. Since many medications and chemicals contain an amine group, simultaneous exposure to nitrites should be avoided. 12. Ecological information Ecotoxicity Components Very toxic to aquatic life. _ §J?�cles _ _ Test Results Sodium nitrite (CAS 7632-00-0) Aquatic Crusacea EC50 Greasyback shrimp (Metapenaeus ensis) 16.14 - 26.61 mg/l, 48 hours Fish LC50 Rainbow trout (Oncorhynchus mykiss) 0.15 - 0.25 mg/I, 95 hours Persistence and degradability The product oontains inorganic compounds which are not biodegradable. Bioaccumulative potential Bioaccumulation is not expected. Mobility in soil This product is water soluble and may disperse in soil. Mobility in general The product is soluble in water. Other adverse effects No other adverse environmental effects (e.g. ozone depletion, photochemical ozone creation potential, endocrine disruption, global warming potential) are expected from this component. 13. Disposal considerations Disposal instructions Dispose in accordance with applicable federal, state, and local regulations. Do not discharge into drains, water courses or onto the ground. Local disposal regulations Hazardous waste code Waste from residues 1 unused products Contaminated packaging 14. Transport information DOT IATA IMDG Transport in bulk according to Annex 11 of MARPOL 73f78 and the IBC Code 15. Regulatory information Dispose of in accordance with local regulations. The Waste code should be assigned in discussion between the user, the producer and the waste disposal company. Dispose in accordance with all applicable regulations. Do not discharge into drains, water courses or onto the ground. Since emptied containers may retain product residue, follow label warnings even after container is emptied. Not regulated as dangerous goods. Not regulated as dangerous goods. Not regulated as dangerous goods. Not applicable. US federal regulations This product is a "Hazardous Chemical" as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200. TSCA Section 12(b) Export Notification (40 CFR 107, Subpt. D) Sodium nitrite (CAS 7632-00-0) 1.0 % One -Time Export Notification only. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. CERCLA Hazardous Substance List (40 CFR 302.4) Sodium nitrite (CAS 7632-00-0) LISTED Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Hazard categories Immediate Hazard - Yes Delayed Hazard - No Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SN_RTU SDS US Page 5 of 6 SARA 302 Extremely hazardous substance Not listed. SARA 3111312 Hazardous chemical Yes SARA 313 (TRI reporting) Chemical name CAS number % by wt. Sodium nitrite 7632-00-0 4 T Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Clean Water Act (CWA) Section 112(r) (40 CFR 68.130) Hazardous substance Safe Drinking Water Act (SDWA) Not regulated. US state regulations US. Massachusetts RTK - Substance List Sodium nitrite (CAS 7632-00-0) US. New Jersey Worker and Community Right to -Know Act Sodium nitrite (CAS 7632-00-0) US. Pennsylvania Worker and Community Right -to -Know Law Sodium nitrite (CAS 7632-00-0) US. Rhode Island RTK Sodium nitrite (CAS 7632-00-0) US. California Proposition 65 Not regulated. Not regulated. Califomia Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): This material is not known to contain any chemicals currently listed as carcinogens or reproductive toxins. International Inventories Country(s) or region Inventory name United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory On inventory (yes/no)' Yes 'A "Yes" indicates this product complies with the inventory requirements administered by the governing country(s). A 'No' indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). 16. Other information, including date of preparation or last revision Issue date 15-May-2015 Revision date 9-Dec2015 Version # 03 Further information HMIS® is a registered trade and service mark of the NPCA. C - Safety Glasses, Gloves, Apron HMIS® ratings Health: 2 Flammability: 0 Physical hazard: 0 Personal protection: C NFPA ratings i Disclaimer Koppers Performance Chemicals Inc. cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. SN—RTU SDS US Page 6of6 KOPPERS 1. Identification Product identifier Other means of identification SDS number EPA Reg No Recommended use Recommended restrictions SAFETY DATA SHEET K-33 (60%) Wood Preservative 73-KPC 3008-34 Preservative concentrate used for pressure treatment of wood. None known. ManufacturerllmporterlSuppiier/Distributor information Company Name Address Telephone number Contact person Emergency Telephone Number E-mail 2. Hazard(s) identification Physical hazards Health hazards Environmental hazards OSHA defined hazards Label elements Signal word Hazard statement Koppers Performance Chemicals Inc. 1016 Everee Inn Rd., Griffin, GA 30224 770-233-4200 Regulatory Manager, KPC Inc. CHEMTREC 1-800-424-9300 KPCmgrsds@koppers.com Not classified. Acute toxicity, oral Acute toxicity, dermal Acute toxicity, inhalation Skin corrosionfirritation Serious eye damageleye irritation Sensitization, respiratory Sensitization, skin Germ cell mutagenicity Carcinogenicity Reproductive toxicity Specific target organ toxicity, repeated exposure Category 3 Category 3 Category 3 Category 1A Category 1 Category 1 Category 1 Category 1 B Category 1 A Category 2 Category 1 (Respiratory system) Hazardous to the aquatic environment, acute Category 1 hazard Hazardous to the aquatic environment, Category 1 long-term hazard Not classified. r Toxic 0 swallowed. Toxic in contact with skin. Toxic if inhaled. Causes severe skin bums and eye damage. May cause allergy or asthma symptoms or breathing difficulties if inhaled. May cause an allergic skin reaction. May cause genetic defects. May cause cancer. Suspected of damaging fertility. Causes damage to organs (Respiratory system) through prolonged or repeated exposure. Very toxic to aquatic life with long lasting effects. K-33 (60%) Wood Preservative SDS US 924255 Version #: 03 Revision date: 05-June-2015 Issue date: 25-April-2015 1 19 Precautionary statement Prevention Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Do not breathe mist or vapor. Wash thoroughly after handling. Do not eat, drink or smoke when using this product. Use only outdoors or in a well -ventilated area. Contaminated work clothing must not be allowed out of the workplace. Avoid release to the environment. Wear protective gloveslprotective clothing/eye protection/face protection. In case of inadequate ventilation wear respiratory protection. Response If swallowed: Immediately call a poison center/doctor. If swallowed: Rinse mouth. Do NOT induce vomiting. If on skin (or hair): Take off immediately all contaminated clothing. Rinse skin with waterlshower. If inhaled: Remove person to fresh air and keep comfortable for breathing. If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Immediately call a poison center/doctor. If skin irritation or rash occurs: Get medical advice/attention. Take off immediately all contaminated clothing and wash it before reuse. Collect spillage. Storage Store in a well -ventilated place. Keep container tightly closed. Store locked up. Disposal Dispose of contentstcontainer in accordance with locallregionallnadonailintemationai regulations. Hazard(s) not otherwise None known. classified (HNOC) 3. Composition/information on ingredients Mixtures Chemical name CAS number °% Water 7732-18-5 39.6 Chromic Acid 1333-82-0 29.9 Arsenic Acid (expressed as 7778-3%4 20 As205) Cupric Oxide 1317-39-1 10.5 Composition comments All concentrations are in percent by weight unless ingredient is a gas. Gas concentrations are in percent by volume. 4. First -aid measures Inhalation Remove victim to fresh air and keep at rest in a position comfortable for breathing. Oxygen or artificial respiration if needed. Do not use mouth-to-mouth method if victim inhaled the substance. Induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. Cali a POISON CENTER or doctor/physician. Skin contact Remove contaminated clothing immediately and wash skin with soap and water. Call a physician or poison control center immediately. Chemical bums must be treated by a physician. Wash contaminated clothing before reuse. Eye contact Immediately flush eyes with plenty of water for at least 15 minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Call a physician or poison control center immediately. Ingestion Call a physician or poison control center immediately. Rinse mouth. Do not induce vomiting. If vomiting occurs, keep head low so that stomach content doesn't get into the lungs. Do not use mouth-to-mouth method if victim ingested the substance. induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. Most important Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may symptoms/effects, acute and include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including delayed blindness could result Difficulty in breathing. Causes digestive tract bums. Prolonged exposure may cause chronic effects. Indication of immediate Provide general supportive measures and treat symptomatically. Chemical bums: Flush with water medical attention and special immediately. While flushing, remove clothes which do not adhere to affected area. Call an treatment needed ambulance. Continue flushing during transport to hospital. Keep victim warm. Keep victim under observation. Symptoms may be delayed. General information Take off immediately all contaminated clothing. If exposed or concerned: get medical attention/advice. If you feel unwell, seek medical advice (show the label where possible). Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. Show this safety data sheet to the doctor in attendance. Wash contaminated clothing before reuse. 5. Fire -fighting measures Suitable extinguishing media Water spray, fog or mist. Carbon Dioxide. K-33 (60%) Wood Preservative SOS us 924255 Version #: 03 Revision date: 05- tune-2015 Issue date: 25-April-2015 2/9 Unsuitable extinguishing Do not use water jet as an extinguisher, as this will spread the fire. media Specific hazards arising from During fire, gases hazardous to health may be formed. Closed containers may rupture violently if the chemical heated. Contact with combustible material may cause fire. Special protective equipment Self-contained breathing apparatus and foil protective clothing must be wom in case of fire. and precautions for firefighters Fire fighting Move containers from fire area if you can do so without risk. equipmentlinstructions Specific methods Use standard firefighting procedures and consider the hazards of other involved materials. General fire hazards No unusual fire or explosion hazards noted. 6. Accidental release measures Personal precautions, Keep unnecessary personnel away. Keep people away from and upwind of spill/leak. Wear protective equipment and appropriate protective equipment and clothing during dean -up. Do not breathe mist or vapor. Do emergency procedures not touch damaged containers or spilled material unless wearing appropriate protective clothing. Ensure adequate ventilation. Local authorities should be advised if significant spillages cannot be contained. For personal protection, see section 8 of.the SDS. Methods and materials for Should not be released into the environment. containment and cleaning up Large Spills: Stop the flow of material, if this is without risk. Dike the spilled material, where this is possible. Cover with plastic sheet to prevent spreading. Absorb in vermiculite, dry sand or earth and place into containers. Prevent product from entering drains. Following product recovery, flush area with water. Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). Clean surface thoroughly to remove residual contamination. Never return spills to original containers for re -use. For waste disposal, see section 13 of the SDS. Environmental precautions Avoid release to the environment. Prevent further leakage or spillage if safe to do so. Do not contaminate water. Avoid discharge into drains, water courses or onto the ground. Inform appropriate managerial or supervisory personnel of all environmental releases. 7. Handling and storage Precautions for safe handling Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Do not breathe mist or vapor. Do not get in eyes, on skin, or on clothing. Avoid prolonged exposure. Do not taste or swallow. When using, do not eat, drink or smoke. Pregnant or breastfeeding women must not handle this product. Should be handled in dosed systems, if possible. Use only outdoors or in a well -ventilated area. Wear appropriate personal protective equipment. Wash hands thoroughly after handling. Avoid release to the environment. Wash contaminated clothing before reuse. Observe good industrial hygiene practices. Conditions for safe storage, Store locked up. Store in original tightly dosed container. Store in a well -ventilated place. Store including any incompatibilities away from incompatible materials (see Section 10 of the SDS). B. Exposure controls/personal protection Occupational exposure limits US. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Components Type Chromic Acid (CAS TWA 1333-82-0) US. OSHA Table Z-1 Limits for Air Contaminants (29 CFR 1910.1000) Components Type Chromic Acid (CAS PEL 1333-82-0) US. OSHA Table Z-2 (29 CFR 1910.1000) Value 0.005 mg1m3 Value 1 mglm3 Components Type Value Chromic Acid (CAS Ceiling 0.1 mglm3 1333-82-0) K-33 (60%) Wood Preservative SDS US 924255 Version #: 03 Revision date: 05-June-2015 Issue date: 25-April-2015 319 US. ACGIH Threshold Limit Values Components Type Value Arsenic Acid (expressed as TWA 0.01 mg/m3 As205) (GAS 7778-39-4) Chromic Arad (CAS TWA 0.05 mg/m3 1333-82-0) US. NIOSH: Pocket Guide to Chemical Hazards Components Type Value Form Arsenic Acid (expressed as Ceiling 0.002 mg/m3 As2O5) (CAS 7778-39-4) Chromic Acid (CAS TWA 0.001 mg/m3 1333-82-0) Cupric Oxide (CAS TWA 1 mg/m3 Dust and mist. 1317-39-1) Biological limit values ACGIH Biological Exposure Indices Components Value Determinant Specimen Sampling Time Arsenic Acid (expressed as 35 pgA As205) (CAS 7778-39-4) Chromic Acid (CAS 25 pgA 1333-82-0) 10 pgA Inorganic Urine arsenic, plus methylated metabolites, as As Total chromium Urine Total chromium Urine - For sampling details, please see the source document. Appropriate engineering Good general ventilation (typically 10 air changes per flour) should be used. Ventilation rates controls should be matched to conditions. If applicable, use process enclosures, local exhaust ventilation, or other engineering controls to maintain airborne levels below recommended exposure limits. If exposure limits have not been established, maintain airborne levels to an acceptable level. General ventilation normally adequate. Eye wash facilities and emergency shower must be available when handling this product. Individual protection measures, such as personal protective equipment Eyelface protection Wear safety glasses with side shields (or goggles). Skin protection Hand protection Wear appropriate chemical resistant gloves. Other Wear appropriate chemical resistant clothing. Use of an impervious apron is recommended. Respiratory protection Chemical respirator with specific cartridge and full facepiece providing protection against the compound of concern. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene When using, do not eat, drink or smoke. Always observe good personal hygiene measures, such considerations as washing after handling the material and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. Contaminated work clothing should not be allowed out of the workplace. 9. Physical and chemical properties Appearance Physical state Liquid. Form Liquid. Color Dark red -orange. Odor Odorless. Odor threshold Not available. pH < 1 Melting pointlfreezing point Not available. Initial boiling point and boiling > 212 °F (> 100 °C). range Flash point Not available. K-33 (60%) Wood Preservative SDS US 924265 Version #: 03 Revision date: 05-June-2015 Issue date: 25-April-2015 4/9 Evaporation rate Not available. Flammability (solid, gas) Not available. Upperflower flammability or explosive limits Flammability limit - lower Not available. (%) Flammability limit - upper Not available. M Explosive limit - lower (%) Not available. Explosive limit - upper (%) Not available. Vapor pressure Not available. Vapor density Not available. Relative density 1.83 (Water = 1) Solubility(ies) Solubility (water) Not available. Partition coefficient Not available. (n-octanol/water) Auto -Ignition temperature Not available. Decomposition temperature Not available. Vlscosity Not available. Other information Percent volatile 40 % vhr (Water) Pounds per gallon 15.3 10. Stability and reactivity Reactivity Reacts violently with strong alkaline substances. This product may react with reducing agents. Chemical stability Material is stable under normal conditions. Possibility of hazardous No dangerous reaction known under conditions of normal use. reactions Conditions to avoid Do not mix with other chemicals. Contact with incompatible materials. Incompatible materials Strong bases. Reducing agents. Aluminum. Zinc. Combustible material. Hazardous decomposition Metallic oxides. products 11. Toxicological information Information on likely routes of exposure Inhalation Toxic if inhaled. May cause damage to organs through prolonged or repeated exposure by inhalation, May cause allergy or asthma symptoms or breathing difficulties if inhaled. Skin contact Toxic in contact with skin. Causes severe skin bums. May cause an allergic skin reaction. Eye contact Causes serious eye damage. Ingestion Toxic if swallowed. Causes digestive tract bums. Symptoms related to the Burning pain and severe corrosive skin damage. Causes serious eye damage. Symptoms may physical, chemical and include stinging, tearing, redness, swelling, and blurred vision. Permanent eye damage including toxicological characteristics blindness could result. Difficulty in breathing. Causes digestive tract bums. . Information on toxicological effects Acute toxicity Toxic if inhaled. Toxic in contact with eyes and skin. Toxic if swallowed. May cause an allergic skin reaction. Components Species Test Results Cupric Oxide (CAS 1317-39-1) Acute Dermal LD50 Rat > 2000 mg/kg, 24 hours Inhalation LC50 Rat 2.92 mg/l, 4 hours K-33 (60%) Wood Preservative SDS US 924255 Version #: 03 Revision date: 05 June-2015 Issue date: 25-April-2015 5/9 Components Species Test Results Oral LD50 Rat 0.47 glkg Estimates for product may be based on additional component data not shown. Skin corrosionfirritation Serious eye damage/eye Irritation Respiratory or skin sensitisation Causes severe skin bums. Causes serious eye damage. Respiratory sensitization May cause allergy or asthma symptoms or breathing difficulties if inhaled. Skin sensitization May cause an allergic skin reaction. Germ cell mutagenicity May cause genetic defects. Carcinogenicity May cause cancer. [ARC Monographs. Overall Evaluation of Carcinogenicity Arsenic Acid (expressed as As205) (CAS 7778-39-4) 1 Carcinogenic to humans. Chromic Acid (CAS 1333-82-0) 1 Carcinogenic to humans. NTP Report on Carcinogens Arsenic Acid (expressed as As205) (CAS 7778-39-4) Known To Be Human Carcinogen. Chromic Acid (CAS 1333-82-0) Known To Be Human Carcinogen. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Arsenic Acid (expressed as As205) (CAS 7778-39-4) Cancer Chromic Acid (CAS 1333-82-0) Cancer Reproductive toxicity Suspected of damaging fertility. Specific target organ toxicity - Not classified. single exposure Specific target organ toxicity - Causes damage to organs (Respiratory system) through prolonged or repeated exposure. repeated exposure Aspiration hazard Not an aspiration hazard. Chronic effects Causes damage to organs through prolonged or repeated exposure. Prolonged inhalation may be harmful. Prolonged exposure may cause chronic effects. 12. Ecological information Ecotoxicity Very toxic to aquatic life with long lasting effects. Because of the low pH of this product, it would be expected to produce significant ecotoxicity upon exposure to aquatic organisms and aquatic systems. Persistence and degradab€lity No data is available on the degradability of this product. Bioaccumulative potential No data available. Mobility In soil This product is water soluble and may disperse in soil. Other adverse effects No other adverse environmental effects (e.g. ozone depletion, photochemical ozone creation potential, endocrine disruption, global warming potential) are expected from this component. 13. Disposal considerations Disposal instructions Collect and reclaim or dispose in sealed containers at licensed waste disposal site. Do not allow this material to drain into sewerstwater supplies. Do not contaminate ponds, waterways or ditches with chemical or used container. Dispose of cantentslcontainer in accordance with locallregionaUnationalfintemational regulations. Local disposal regulations Dispose in accordance with all applicable regulations. Hazardous waste code D002: Waste Corrosive material [pH <=2 or=>12.5, or corrosive to steel] D004: Waste Arsenic D007: Waste Chromium US RCRA Hazardous Waste P List: Reference Arsenic Acid (expressed as As205) (CAS 7778-39-4) Polo Waste from residues 1 unused Dispose of in accordance with local regulations. Empty containers or liners may retain some products product residues. This material and its container must be disposed of in a safe manner (see: Disposal instructions). K-33 (60%) Wood Preservative SDS us 924255 Version #: 03 Revision date: 05-Iune-2015 Issue date: 25-April-2015 619 Contaminated packaging 14. Transport information DOT UN number UN proper shipping name Transport hazard classes) Class Subsidiary risk Label(s) Packing group Environmental hazards Empty containers should be taken to an approved waste handling site for recycling or disposal. Since emptied containers may retain product residue, follow label warnings even after container is emptied. UN2922 Corrosive liquids, toxic, n.o.s. (Arsenic Acid, Chromic Acid) ( RQ = 1 LB) 8 6.1 8, 6.1 II Marine pollutant No Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Special provisions B3, I132, T7, TP2 Packaging exceptions 154 Packaging non bulk 202 Packaging bulk 243 IATA UN number UN2922 UN proper shipping name Corrosive liquid, toxic, n.o.s. (Arsenic Acid, Chromic Acid) Transport hazard class(es) Class B Subsidiary risk 6.1 Label(s) 8, 6.1 Packing group II Environmental hazards No ERG Code 8P Special precautions for user Read safety instructions, SDS and emergency procedures before handling. IMOG UN number UN2922 UN proper shipping name CORROSIVE LIQUID, TOXIC, N.O.S. (Arsenic Acid, Chromic Acid) Transport hazard class(es) Class 8 Subsidiary risk 6.1 Label(s) 8, 6.1 Packing group II Environmental hazards Marine pollutant No EmS F A, S-B Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Transport In bulk according to Not applicable. Annex II of MARPOL 73178 and the IBC Code 15. Regulatory information US federal regulations This product is a "Hazardous Chemical" as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200, All components are on the U.S. EPA TSCA Inventory List. TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D) Chromic Acid (CAS 1333--82-0) 0.1 % Annual Export Notification required. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Arsenic Acid (expressed as As205) (CAS 7778-39-4) Cancer Chromic Acid (CAS 1333-82-0) Cancer Arsenic Acid (expressed as As205) (CAS 7778-394) Liver Chromic Acid (CAS 1333-82-0) Eye irritation Arsenic Acid (expressed as As205) (CAS 7778-39.4) Skin Chromic Acid (CAS 1333-82-0) Skin sensitization Arsenic Acid (expressed as As205) (CAS 7778-39-4) Respiratory irritation K-33 (60%) Wood Preservative SDS US 924255 Version #: 03 Revision date: 05-June-2015 Issue date: 25-April-2015 719 Nervous system Acute toxicity CERCLA Hazardous Substance List (40 CFR 302.4) Arsenic Acid (expressed as As2O5) (CAS 7778-39-4) LISTED Cupric Oxide (CAS 1317-39-1) LISTED Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Immediate Hazard - Yes Delayed Hazard - Yes Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SARA 302 Extremely hazardous substance Not listed. SARA 3111312 Hazardous No chemical SARA 313 (TRI reporting) Chemical name CAS number % by wt. Chromic Acid 1333-82-0 29.9 Arsenic Acid (expressed as As2O5) 7778-39-4 20 Cupric Oxide 1317-39-1 10.5 Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List Arsenic Acid (expressed as As2O5) (CAS 7778-39-4) Chromic Acid (CAS 1333-82-0) Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Not regulated. Safe Drinking Water Act Not regulated. (SDWA) US state regulations US. Massachusetts RTK - Substance List Arsenic Acid (expressed as As2O5) (CAS 7778-394) US. New Jersey Worker and Community Rightto-Know Act Arsenic Acid (expressed as As2O5) (CAS 7778-39.4) Chromic Acid (CAS 1333-82-0) Cupric Oxide (CAS 1317-39-1) US. Pennsylvania Worker and Community Right -to -Know Law Arsenic Acid (expressed as As2O5) (CAS 7778-39-4) Chromic Acid (CAS 1333-82-0) US. Rhode Island RTK Arsenic Acid (expressed as As2O5) (CAS 7778-39-4) Cupric Oxide (CAS 1317-39-1) US. California Proposition 65 WARNING: This product contains a chemical known to the State of California to cause cancer and birth defects or other reproductive harm. US - California Proposition 65 - Carcinogens & Reproductive Toxicity (CRT}: Listed substance Arsenic Acid (expressed as As2O5) (CAS 7778-39-4) Chromic Acid (CAS 1333-82-0) International Inventories Country(s) or region Inventory name On inventory (yeslno)* Australia Australian Inventory of Chemical Substances (AICS) Yes Canada Domestic Substances List (DSL) Yes Canada Non -Domestic Substances List (NDSL) No China Inventory of Existing Chemical Substances in China (IECSC) Yes Europe European Inventory of Existing Commercial Chemical Yes Substances (EINECS) Europe European List of Notified Chemical Substances (ELINGS) No Japan Inventory of Existing and New Chemical Substances (ENCS) Yes K-33 (60%) Wood Preservative SIDS US 924255 Version #: 03 Revision date: 05-June-2015 Issue date: 25-April-2015 8/9 Country(s) or region Inventory name On inventory (yes/no)' Korea Existing Chemicals List (ECL) Yes New Zealand New Zealand Inventory Yes Philippines Philippine Inventory of Chemicals and Chemical Substances Yes (PICCS) United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes 'A "Yes" indicates this product complies with the inventory requirements administered by the governing country(s). A "No" indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). 16.Other information, including date of preparation or last revision Issue date 25-April-2015 Revision date 05-June-2015 Version # 03 Further information HMISO is a registered trade and service mark of the NPCA- B - Safety Glasses, Gloves HMISO ratings Health: 2 Flammability: 0 Physical hazard: 1 Personal protection: B NFPA ratings 1 ox Disclaimer Koppers Performance Chemicals Inc. cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. K-33 (60%) Wood Preservative SDS US 924255 Version #: 03 Revision date: 05-June-2015 Issue date: 26-April-2015 9/9 KOPPERS 1. Identification Product identifier Other means of identification SDS number Product code Recommended use Recommended restrictions SAFETY DATA SHEET CleanWood Micro 273-KPC EPA Reg. No. 72304-1-3008 Mold Inhibitor Additive for use at wood treatment plants. None known. Manufacturer/Importer/Supplier/Distributor information Company Name Koppers Performance Chemicals Inc. Address 1016 Everee Inn Rd., Griffin, GA 30224 Telephone number 770-233-4200 Contact person Regulatory Manager, KPC Inc. Emergency Telephone CHEMTREC 1-800-424-9300 Number E-mail KPCmgrsds@koppers.com 2. Hazard(s) identification Physical hazards Not classified. Health hazards Serious eye damageleye irritation Category 1 Sensitization, skin Category i Carcinogenicity Category 2 Environmental hazards Specific target organ toxicity, single exposure Category 3 respiratory tract irritation Hazardous to the aquatic environment, acute Category 1 hazard OSHA defined hazards Hazardous to the aquatic environment, Category 2 long-term hazard Label elements Not classified. • Signal word Danger Hazard statement Causes serious eye damage. May cause an allergic skin reaction. Suspected of causing cancer. May cause respiratory irritation. Very toxic to aquatic life with long lasting effects. Precautionary statement Prevention Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Wear protective gloves/proiective dothingleye protectiontface protection. Contaminated work clothing must not be allowed out of the workplace. Do not breathe dust or mist. Use only outdoors or in a well -ventilated area. Avoid release to the environment. Response If exposed or concerned: Get medical advice/attention. If on skin: Wash with plenty of soap and water. If skin irritation or rash occurs: Get medical advice/attention. Wash contaminated clothing before reuse. If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If inhaled: Remove person to fresh air and keep comfortable for breathing. Collect spillage. Storage Store in a well -ventilated place. Keep container tightly dosed. Store locked up. Disposal Dispose of contents/container in accordance with kxal/regional/nationaUntemational regulations. CteanWood Micro SDS US 117 Hazard(s) not otherwise None known. classified (HNOC) 3. Composition/information on ingredients Mixtures Chemical name CAS number % Water 7732-18-5 45-55 Chlorothalonil 1897-45-6 35-45 Propylene glycol 57-55-6 <5 Composition comments All concentrations are in percent by weight unless ingredient is a gas_ Gas concentrations are in percent by volume. The specific chemical identity and/or exact percentage of component(s) have been withheld as a trade secret. 4. First -aid measures Inhalation Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical attention. Skin contact Remove contaminated clothes and rinse skin thoroughly with water for at least 15 minutes. Call a POISON CENTER or doctorlphysician. Eye contact Immediately flush eyes with plenty of water for at least 15 minutes. Remove any contact lenses and open eyelids wide apart. Get medical attention immediately. Continue to rinse. Ingestion Have affected person sip a glass of water if able to swallow. Do not induce vomiting unless told by a poison control center or doctor_ Do not give anything by mouth to an unconscious person. Most important Headaches, dimness and nausea. Can cause blurred vision, redness, pain and eye damage. symptoms/effects, acute and Sensitization. Burning sensation in mouth. delayed Indication of immediate Treat symptomatically. medical attention and special treatment needed General information Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. S. Fire -fighting measures Suitable extinguishing media Use carbon dioxide, foam, dry chemical or water. Unsuitable extinguishing None known. media Specific hazards arising from By heating and fire, toxic vapors/gases may be formed. the chemical Special protective equipment Selection of respiratory protection for firefighting: follow the general fire precautions indicated in and precautions for firefighters the workplace. Self-contained breathing apparatus and full protective clothing must be worn in case of fire. Fire fighting Use standard firefighting procedures and consider the hazards of other involved materials. Cool equipment/instructions containers exposed to heat with water spray and remove container, if no risk is involved. 6. Accidental release measures Personal precautions, Avoid breathing vapors. Avoid skin and eye contact. Wear appropriate personal protective protective equipment and equipment (See Section 8). emergency procedures Methods and materials for Should not be released into the environment For waste disposal, see Section 13 of the SDS. containment and cleaning up If possible, stop flow of product Contain and/or absorb spill with inert material, then place in suitable container. Dispose of waste in accordance with local, state and federal regulations. Environmental precautions Prevent entry to sewers and public waters. Reporting of releases to appropriate regulatory agencies may be required. CleanWood Micro SDS US 217 7. Handling and storage Precautions for safe handling Avoid contact with eyes, skin and clothing. Do not eat, drink or smoke when using this product. Do not breathe dust from dried product. Wash thoroughly after handling. Wear appropriate personal protective equipment Observe good industrial hygiene practices. Avoid release to the environment. Conditions for safe storage, Keep container tightly dosed in a dry, cool, and well -ventilated place. Including any incompatibilities 8. Exposure controls/personal protection Occupational exposure limits Chemical name OSHA PEL ACGIH TLV Other Source Propylene glycol Not established Not established 10 mglm3 TWA A1HA Biological limit values No biological exposure limits noted for the ingredient(s). Appropriate engineering Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates controls should be matched to conditions. If applicable, use process enclosures, local exhaust ventilation, or other engineering controls to maintain airborne levels below recommended exposure limits. If exposure limits have not been established, maintain airborne levels to an acceptable level. Eye wash facilities and emergency shower must be available when handling this product. Individual protection measures, such as personal protective equipment Eyelface protection Chemical goggles and face shield are recommended. Skin protection Hand protection Wear impervious gloves to minimize skin contact. Frequent change is advisable. Other Wear appropriate chemical resistant clothing. Respiratory protection Not necessary under nominal conditions. In case of insufficient ventilation wear suitable respiratory equipment. Use a NIOSHIMSHA approved air purifying respirator as needed to control exposure. Consult with respirator manufacturer to determine respirator selection, use, and limitations. Use positive pressure, air -supplied respirator for uncontrolled releases or when air purifying respirator limitations may be exceeded. Follow respirator protection program requirements (OSHA 1910.134 and ANSI Z88.2) for all respirator use. Thermal hazards Wear appropriate thermal protective doWng, when necessary. General hygiene Always observe good personal hygiene measures, such as washing after handling the material considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. Observe any medical surveillance requirements. 9. Physical and chemical properties Appearance Physical state Liquid. Form Liquid. Color Medium beige. Odor Slight Odor threshold Not available. PH 8-8 Melting pointlfreezing point 23 -F (-5 -C) Initial boiling point and boiling 212 °F (100 °C) range Flash point Not flammable. Evaporation rate Not determined. Flammability (solid, gas) Not applicable. Upperllower flammability or explosive limits Flammability limit - lower Not available. M Flammability limit - upper Not available. N Explosive limit - lower (96) Not available. Explosive limit - upper [96} Not available. Vapor pressure 5.72 x 10-7 torn @ 25 °C CleanWood Micro SDS US 317 Vapor density 1.1929 glml @ 20 °C Relative density Not available. Solubiltty(les) Solubility (water) Dispersible in water. Partition coefficient No data available. (n-octanolfwater) Auto -ignition temperature Not available. Decomposition temperature Not available. Viscosity 738.1 centistokes @ 25°C Other Information Bulk density 10.3 lb/gal (Approximate) 10. Stability and reactivity Reactivity The product is non reactive under normal conditions of use, storage and transport. Chemical stability Material is stable under normal conditions. Possibility of hazardous Will not occur. reactions Conditions to avoid High temperatures. Incompatible materials. Incompatible materials None known. Hazardous decomposition Thermal decomposition can produce hydrogen chloride gas and nitrogen oxides. products 11. Toxicological information Information on likely routes of exposure Inhalation Fatal if inhaled. Vapors and mist may irritate throat and respiratory system and cause coughing. Skin contact May cause skin irritation. May cause an allergic skin reaction. Eye contact Causes serious eye damage. Ingestion May be harmful if swallowed. Ingestion may cause gastrointestinal imitation, nausea, vomiting and diarrhea. Hypotension (low blood pressure). Symptoms related to the Vapors may irritate throat and respiratory system and cause coughing. Headaches, dizziness and physical, chemical and nausea. Can cause blurred vision, redness, pain and eye damage. Sensitization. Burning toxicological characteristics sensation in mouth_ Information on toxicological effects Acute toxicity Components Chlorothalonil (CAS 1897-45-6) Acute Dermal LD50 Inhalation LC50 Oral LD50 Skin corroslon/lrritation Serious eye damage/eye Irritation Respiratory or stein sensitization Respiratory sensitization Skin sensitization Germ cell mutagenicity Carcinogenicity National Toxicity Program Fatal if inhaled. Species Test Results Rabbit > 2000 mg/kg Rat 0.13 mg/l, 1 Hour Rat 4100 mg/kg Based on available data, the classification criteria are not met. Causes serious eye damage. Based on available data, the classification criteria are not met. May cause an allergic skin reaction. No data available. Suspected of causing cancer. Reasonably anticipated to be a human carcinogen. CleanWood Micro SDS US 4/7 IARC Monographs. Overall Evaluation of Carcinogenicity Chlorothalonil (CAS 1897-45-6) 2B Possibly carcinogenic to humans. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. Reproductive toxicity No data available. Specific target organ toxicity - May cause respiratory irritation. single exposure Specific target organ toxicity - Based on available data, the classification criteria are not met. repeated exposure Aspiration hazard Not classified. Chronic effects None known. 12. Ecological information Ecotoxicity Very toxic to aquatic life with long lasting effects. Components Species Test Results Chlorothalonil (CAS 189745.6) Aquatic Crustaoea EC50 Water flea (Daphnia magna) 0.0342 - 0.143 mgll, 48 hours Fish LC50 Rainbow trout,donaldson trout 0.012 mg/l, 96 hours (Oncorhynchus mykiss) Persistence and degradability The product contains inorganic compounds which are not biodegradable. Bioaccumulative potential The product does not contain any substances expected to be bioaccumulating. Log Pow = 2.9 (at 22 -C). Mobility in soil Expected to have low mobility in soil. Mobility in general Product is miscible with water and is expected to disperse in the soil. Other adverse effects No other adverse environmental effects e.. ozone depletion, ( g pl photochemical ozone creation potential, endocrine disruption, global warming potential) are expected from this component. 13. Disposal considerations Disposal instructions Dispose in accordance with applicable federal, state, and local regulations. Do not discharge into Local disposal regulations Hazardous waste code Waste from residues 1 unused products Contaminated packaging 14. Transport information DOT UN number UN proper shipping name Transport hazard class(es) Class Subsidiary risk Label(s) Packing group Environmental hazards Marine pollutant IATA UN number drains, water courses or onto the ground. Dispose of in accordance with local regulations. The Waste code should be assigned in discussion between the user, the producer and the waste disposal company. Dispose in accordance with all applicable regulations. Do not discharge into drains, water courses or onto the ground. Since emptied containers may retain product residue, follow label warnings even after container is emptied. UN3082 Environmentally hazardous substances, liquid, n.o.s. (Chlorothalonil) 9 9 III No UN3082 UN proper shipping name Environmentally hazardous substances, liquid, n.o.s. (Chlorothalonil) CleanWood Micro SAS US 5r7 Transport hazard class(es) Class 9 Subsidiary risk - Label(s) 9 Packing group III Environmental hazards Yes Special precautions for user Read safety instructions, SDS and emergency procedures before handling. IMDG UN number UN3082 UN proper shipping name Environmentally hazardous substances, liquid, N.O.S. (Chlorothalonil) Transport hazard class(es) Class 9 Subsidiary risk - Label(s) 9 Packing group IIl Environmental hazards Marine pollutant Yes Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Transport in bulk according to The material is not covered under Appendix I of the IMSBC Code. Annex 11 of MARPOL 73178 and the IBC Code 15. Regulatory information US federal regulations This product is a 'Hazardous Chemicar as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200. TSCA Section 12(b) Export Notification (40 CFR 707, SubpL D) Not regulated. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. CERCLA Hazardous Substance List (40 CFR 302.4) BENZENE, HEXACHLORO- (CAS 118-74-1) LISTED Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Immediate Hazard - Yes Delayed Hazard - Yes Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SARA 302 Extremely hazardous substance Not listed. SARA 311/312 Hazardous Yes chemical SARA 313 (TRI reporting) Chemical name CAS number % by wt. Chlorothalonil 1897-45-6 3545 Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List BENZENE, HEXACHLORO- (CAS 118-74-1) Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Not regulated. Clean Water Act (CWA) Section 112(r) (40 CFR 68.130) Safe Drinking Water Act (SDWA) Hazardous substance Not regulated. CleanWood Micro SOS US 925732 Version P. 01 Revision date: - Issue date: 20-March-2015 6/7 US state regulations US. Massachusetts RTK - Substance List Chlorothalonil (CAS 1897-45-6) US. New Jersey Worker and Community Right4o-Know Act Chlorothalonil (CAS 1897-45-6) US. Pennsylvania Worker and Community Right -to -Know Law Chlorothalonil (CAS 1897-45-6) US. Rhode Island RTK Chlorothalonil (CAS 1897-45-6) US. California Proposition 65 WARNING: This product contains chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. US - California Proposition 65 - Carcinogens & Reproductive Toxicity (CRT): Listed substance Chlorothalonil (CAS 1897-45-6) International Inventories Country(s) or region Inventory name On Inventory (yes/no)" United States & Puerto Rico Toxic Substances Control Act (TSCA) Inventory No 'A 'Yes' indicates this product complies with the inventory requirements administered by the governing country(s). A'No' indicates that one nr more components of the product are not listed or exempt from listing on the inventory administered by the governing country(s). 1.6. Other information, including date of preparation or last revision Issue date 20-March-2015 Revision date 22-June-2015 Version # 03 Further Information HMIS® is a registered trade and service mark of the NPCA. D - Face Shield, Gloves, Apron HMISV ratings Health: 3" Flammability: 0 Physical hazard: 0 Personal protection: D NFPA ratings i 41 0 Disclaimer Koppers Performance Chemicals Inc. cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the users responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. CleanWood Micro SIDS US 717 SAFETY DATA SHEET KOPPERS= 1. Identification Product identifier MP200-,A Other means of identification SDS number 258-KPC EPA Reg. No. 3008-101 Recommended use Preservative Concentrate Component used for the pressure treatment of wood. Recommended restrictions None known. Manufacturer/imparter/Supplier/Distributor information Company Name Koppers Performance Chemicals Inc. Address 1016 Everee Inn Rd., Griffin, GA 30224 Telephone number 770-233-4200 Contact person Regulatory Manager, KPC Inc. Emergency Telephone CHEMTREC 1-800-424-9300 Number E-mail KPCmgrsds@koppers.com 2. Hazard(s) identification Physical hazards Not classified. Health hazards Environmental hazards OSHA defined hazards Label elements Signal word Hazard statement Precautionary statement Prevention Response Storage Disposal Hazard(s) not otherwise classified (HNOC) Serious eye damage/eye irritation Category 28 Hazardous to the aquatic environment, Category 1 long-term hazard Not classified. Warning Causes eye irritation. Very toxic to aquatic life with long lasting effects. Wear eyetface protection. Wash thoroughly after handling. Avoid release to the environment. If in eyes: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists: Get medical advicelattention. Collect spillage. Store away from incompatible materials. Dispose of contents/container in accordance with IocaVregionallnationairintemational regulations. None known. 3. Composition/information on ingredients Mixtures Chemical name CAS number % Copper carbonate" 12069-69-1 3D-60 Water 7732-18-5 25-30 Dispersent, Mixture 6-9 Tebuconazole 107534-96-3 1-2 MP200-A SDs U5 926215 Version #: 01 Revision date: - Issue date: 21-April-2015 117 57.6% as Copper Carbonate Copper oxide equivalent 41.70% Copper Metallic Equivalent 33.31 % Composition comments Ail concentrations are in percent by weight unless ingredient is a gas. Gas concentrations are in percent by volume. Product contains either sodium benzoate or calcium nitrite at <1 %. It will not contain both ingredients. Components not listed are either non -hazardous or are below reportable limits. 4. First -aid measures Inhalation Move to fresh air. If breathing is difficult, remove to fresh air and keep at rest in a position comfortable for breathing. Symptoms of toxicity may occur after several hours, therefore, medical observation of breathing may be necessary. Skin contact Wash off with soap and water. Get medical attention if irritation develops and persists. Eye contact Immediately flush with plenty of water for at least 15 minutes. If easy to do, remove contact lenses. If eye irritation persists: Get medical advice/attention, Ingestion Rinse mouth with water and afterwards drink plenty of water. Get medical attention if symptoms occur. Most important Symptoms may include coughing, difficulty breathing and shortness of breath. Symptoms include symptoms/effects, acute and itching, burning, redness, and tearing of eyes. Symptoms may include capillary damage, delayed headache, cold sweat, weak pulse, kidney and liver damage, central nervous excitation followed by depression, jaundice, convulsions, blood effects, paralysis and coma. Death could occur from shock or renal failure. May cause gastrointestinal disturbances. Indication of Immediate Treat symptomatically. medical attention and special treatment needed General Information Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 5. Fire fighting measures Suitable extinguishing media Use extinguishing agent suitable for type of surrounding fire. Unsuitable extinguishing Do not use water jet as an extinguisher, as this will spread the fire. media Specific hazards arising from During fire, gases hazardous to health may be formed. the chemical Special protective equipment Self-contained breathing apparatus and full protective clothing must be worn in case of fire. and precautions for firefighters Fire fighting Move containers from fire area if you can do so without risk. equipmentlinstructions Specific methods Use standard firefighting procedures and consider the hazards of other involved materials. 6. Accidental release measures Personal precautions, Ensure adequate ventilation. Avoid inhalation of mist and contact with skin and eyes. Keep protective equipment and unnecessary personnel away. Do not touch damaged containers or spilled material unless wearing emergency procedures appropriate protective clothing. Wear appropriate personal protective equipment (See Section 8). Methods and materials for Should not be released into the environment. Stay upwind. Keep out of low areas. For waste containment and cleaning up disposal, see Section 13 of the SDS. Large Spills: Dike far ahead of spill for later disposal. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Small Spills: Wipe up with absorbent material (e.g. cloth, fleece). After removal flush contaminated area thoroughly with water. Never return spills in original containers for re -use. Environmental precautions Prevent further leakage or spillage if safe to do so. Do not contaminate water. Reporting of releases to appropriate regulatory agencies may be required. 7. Handling and storage Precautions for safe handling Use only with adequate ventilation. Avoid inhalation of vapors/mist and contact with skin and eyes. Wash thoroughly after handling. Wear appropriate personal protective equipment. Observe good industrial hygiene practices. Avoid release to the environment. Conditions for safe storage, Keep container tightly dosed in a dry and well -ventilated place. Store away from incompatible including any Incompatibilities materials (see Section 10 of the SDS). MP200-A SDS US 926215 Version #: 01 Revision date: - Issue date: 21-April-2015 21 7 8. Exposure controlslpersonal protection Occupational exposure limits US. NIOSH: Pocket Guide to Chemical Hazards Components Type Value Form Copper carbonate' (CAS TWA 1 mg/m3 Dust and mist. 12069-69-1) Biological limit values No biological exposure limits noted for the ingredient(s). Appropriate engineering Good general ventilation should be provided to minimize contact with vapors, or dust from controls dried -down product Provide easy access to water supply and eye wash facilities. Individual protection measures, such as personal protective equipment Eye/face protection Wear approved safety goggles. Skin protection Hand protection Wear protective gloves. Be aware that the liquid may penetrate the gloves. Frequent change is advisable. Suitable gloves can be recommended by the glove supplier. Other Wear appropriate chemical resistant clothing. Respiratory protection In case of insufficient ventilation wear suitable respiratory equipment. Use a NIOSH/MSHA approved air purifying respirator as needed to control exposure. Consult with respirator manufacturer to determine respirator selection, use, and limitations. Use positive pressure, air -supplied respirator for uncontrolled releases or when air purifying respirator limitations may be exceeded. Follow respirator protection program requirements (OSHA 1910.134 and ANSI Z88.2) for all respirator use. Thermal hazards Wear appropriate thermal protective clothing, when necessary. General hygiene Always observe good personal hygiene measures, such as washing after handling the material considerations and before eating, drinking, and/or smoking. Routinely wash work clothing and protective equipment to remove contaminants. Observe any medical surveillance requirements. 9. Physical and chemical properties Appearance Physical state Liquid. Form Liquid. Color Blue green. Odor Latex. Odor threshold Not available. pH 8.99 Melting point1freezing point Not determined. Initial boiling point and boiling Not determined. range Flash point Not determined. Evaporation rate Not determined. Flammability (solid, gas) Not applicable. Upperilower flammability or explosive limits Flammability limit - lower Not available. (%) Flammability limit - upper Not available. (%) Explosive limit - lower (%) Not available. Explosive limit - upper (%) Not available. Vapor pressure Vapor density Relative density Solubility(ies) Solubility (water) Partition coefficient (n-octanol/water) Not determined. Not determined. 1.8 (H2O=1) (Approximate) Soluble in water. Not available. MP200-A SDS US 926215 Version M 01 Revision date: - Issue date: 21-April-2015 3/7 Auto -ignition temperature Decomposition temperature viscosity Other information Bulk density Density Percent volatile 10. Stability and reactivity Not available. Not available, Not available. 15 lb/gal 1.80 (Approximate) Not determined. Reactivity The product is stable and non -reactive under normal conditions of use, storage and transport. Chemical stability Material is stable under normal conditions. Possibility of hazardous No dangerous reaction known under conditions of normal use. reactions Conditions to avoid Avoid contact with incompatible materials. Incompatible materials Sodium hypobromite. Acetylene. Hydrazine. Nitromethane. Strong acids. Reducing agents. Hazardous decomposition Thermal decomposition or combustion may produce: CO, CO2, oxides of nitrogen and other products potentially toxic gases. 11. Toxicological information Information on likely routes of exposure Inhalation May cause respiratory irritation. Inhalation of fumes may cause a ilu4ike illness called metal fume fever. Skin contact Prolonged skin contact may cause temporary irritation. Eye contact Causes eye irritation. Ingestion Copper poisoning can result in hemolytic anemia and kidney, liver and spleen damage. Symptoms related to the Symptoms may include coughing, difficulty breathing and shortness of breath. Symptoms include physical, chemical and itching, burning, redness, and tearing of eyes. Symptoms may include capillary damage, toxicological characteristics headache, cold sweat, weak pulse, kidney and liver damage, central nervous excitation followed by depression, jaundice, convulsions, blood effects, paralysis and coma. Death could occur from shock or renal failure. May cause gastrointestinal disturbances. Information on toxicological effects Acute toxicity Not expected to be acutely toxic. Product Species Test Results MP200-A (CAS Mixture) Acute Dermal LD50 Rat > 2000 mglkg Inhalation LC50 Rat > 2.05 mgll Oral LD50 Rat > 2000 mg/kg Components Species Test Results Tebuconazole (CAS 107534-96-3) Acute Dermal LD50 Rat > 5000 mg/kg Inhalation LC50 Rat > 2.07 mg/I Oral LD50 Rat 1750 mglkg Skin corrosion/irritation Skin irritation test (rabbit): Not a skin irritant. Serious eye damage/eye Causes eye irritation. irritation Eye irritation test (rabbit): Mildly irritating to the eye. MP200-A SDS US 926215 Version #: 01 Revision date: - Issue date: 21 -April-201 5 4/7 Respiratory or skin sensitization Respiratory sensitization Not a respiratory sensitizer. Skin sensitization Skin sensitization (Guinea pig): Not a skin sensitizer. Germ cell mutagenicity No data available to indicate product or any components present at greater than 0.1 % are mutagenic or genotoxic. Carcinogenicity This product is not considered to be a carcinogen by IARC, ACGIH, NTP, or OSHA. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. Reproductive toxicity Not classified. Specific target organ toxicity - Not classified. single exposure Specific target organ toxicity - Not classified. repeated exposure Aspiration hazard Not an aspiration hazard. Chronic effects Prolonged skin contact may cause dermatitis. 12. Ecological information Ecotoxicity Very toxic to aquatic life with long lasting effects. Components Species Test Results Copper carbonate' (CAS 12069-69-1) EC50 Balanus balanoides 350 - 480 pgll, 48 hours Persistence and degradability The product contains inorganic compounds for which biodegradability is not applicable. Bloaccumulative potential No data available. Mobility in soil This product is water soluble and may disperse in soil. Other adverse effects No other adverse environmental effects (e.g. ozone depletion, photochemical ozone creation potential, endocrine disruption, global warming potential) are expected from this component. 13. Disposal considerations Disposal instructions Dispose in accordance with applicable federal, state, and local regulations. Do not discharge into drains, water courses or onto the ground. Local disposal regulations Dispose of in accordance with local regulations. Hazardous waste code The Waste code should be assigned in discussion between the user, the producer and the waste disposal company. Waste from residues / unused Dispose in accordance with all applicable regulations. Do not discharge into drains, water courses products or onto the ground. Contaminated packaging Since emptied containers may retain product residue, follow label warnings even after container is emptied. 14. Transport information DOT Not regulated as dangerous goods. IATA UN number UN3082 UN proper shipping name Environmentally hazardous substance, liquid, n.o.s. (Tebuconazole, copper carbonate) Transport hazard class(es) Class 9 Subsidiary risk - Label(s) 9 Packing group III Environmental hazards Yes ERG Code 9L Special precautions for user Read safety instructions, SDS and emergency procedures before handling. IMDG UN number UN3082 UN proper shipping name ENVIRONMENTALLY HAZARDOUS SUBSTANCE, LIQUID, N.O.S. (Tebuconazole, copper carbonate) MP200-A 926215 Version #: 01 Revision date: - Issue date: 21-April-2015 SDS US 517 Transport hazard class(es) Class 9 Subsidiary risk - Label(s) 9 Packing group III Environmental hazards Marine pollutant Yes EmS F-A, S-F Special precautions for user Read safety instructions, SDS and emergency procedures before handling. Transport in bulk according to Not applicable. Annex 11 of MARPOL 73178 and the IBC Code 15. Regulatory information US federal regulations This product is considered hazardous under 29 CFR 1910.1200 (Hazard Communication). TSCA Section 12(b) Export Notification (40 CFR 707, Subpt. D) Not regulated. OSHA Specifically Regulated Substances (29 CFR 1910.1001-1050) Not listed. CERCLA Hazardous Substance List (40 CFR 302-4) Copper carbonate (CAS 12069-69-1) LISTED Superfund Amendments and Reauthorization Act of 1986 (SARA) Hazard categories Immediate Hazard - Yes Delayed Hazard - No Fire Hazard - No Pressure Hazard - No Reactivity Hazard - No SARA 302 Extremely hazardous substance Not listed. SARA 311/312 Hazardous Yes chemical SARA 313 (TRI reporting) Chemical name CAS number % by wL Copper carbonate' 12069-69-1 30-60 Other federal regulations Clean Air Act (CAA) Section 112 Hazardous Air Pollutants (HAPs) List Not regulated. Clean Air Act (CAA) Section 112(r) Accidental Release Prevention (40 CFR 68.130) Not regulated. Safe Drinking Water Act Not regulated. (SDWA) US state regulations US. Massachusetts RTK - Substance List Not regulated. US. New Jersey Worker and Community Right -to -Know Act Copper carbonate' (CAS 12069-69-1) US. Pennsylvania Worker and Community Right -to -Know Law Not listed. US. Rhode Island RTK Copper carbonate' (CAS 12069-69-1) US. California Proposition 65 California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): This material is not known to contain any chemicals currently listed as carcinogens or reproductive toxins. MP200-A SOS US 926215 Version #: 01 Revision date: - Issue date: 21 -April-201 5 617 International Inventories Country(s) or region Inventory name On inventory (yeslno)` United States 1£ Puerto Rico Toxic Substances Control Act (TSCA) Inventory Yes 'A 'Yes' indicates this product complies with the inventory requirements administered by the governing country(s). A "No" indicates that one or more components of the product are not listed or exempt from listing on the inventory administered by the governing rountry(s). 16.Other information, including date of preparation or last revision Issue date 21-April-2015 Revision date - Version # 01 Further information HMIS® is a registered trade and service mark of the NPCA. G - Safety Glasses, Gloves, Vapor Respirator HMIS® ratings Health: 1 Flammability: 0 Physical hazard: 0 Personal protection: G NFPA ratings r 0 Disclaimer Koppers Performance Chemicals Inc. cannot anticipate all conditions under which this information and its product, or the products of other manufacturers in combination with its product, may be used. It is the user's responsibility to ensure safe conditions for handling, storage and disposal of the product, and to assume liability for loss, injury, damage or expense due to improper use. The information in the sheet was written based on the best knowledge and experience currently available. MP200-A SDS us 926215 Version #: 01 Revision date: - Issue date: 21-April-2015 7/7 HE55 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 us OHS Synonyms: Ultra Low Sulfur Diesel; Low Sulfur Diesel; No. 2 Diesel; Motor Vehicle Diesel Fuel; Non Road Diesel Fuel; LocomotivelMarine Diesel Fuel * * * Section 1 - Product and Company Identification Manufacturer Information Hess Corporation 1 Hess Plaza Woodbridge, NJ 07095-Ml Phone: 732-750-6000 Corporate EHS Emergency # 800-424-9300 CHEMTREC www.hess.com (Environment, Health, Safety Intemet Website) * * * Section 2 - Hazards Identification GHS Classification: Flammable Liquids - Category 3 Skin Corrosionllmtation — Category 2 Germ Cell Mutageniaty — Category 2 Carcinogenicity - Category 2 Specific Target Organ Toxicity (Single Exposure) - Category 3 (respiratory irritation, narcosis) Aspiration Hazard — Category 1 Hazardous to the Aquatic Environment, Acute Hazard — Category 3 GHS LABEL ELEMENTS Symbol(s) <*>< Signal Word DANGER Hazard Statements Flammable liquid and vapor. Causes skin irritation. Suspected of causing genetic defects. Suspected of causing cancer. May cause respiratory irritation. May cause drowsiness or dizziness. May be fatal if swallowed and enter; airways. Harmful to aquatic life. Precautionary Statements Prevention Keep away from heattsparks/open flamesthot surfaces. No smoking Keep container tightly closed. Ground/bond container and receiving equipment. Page 1 of 10 Revision Date 8130/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Use explosion -proof electrical/ventilatingAightinglequipment. Use only non -sparking tools. Take precautionary measures against static discharge. Wear protective gtoves/protecctive clothing/eye protection/face protection. Wash hands and forearms thoroughly after handling. Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Avoid breathing fume/mistivapours/spray. Response In case of fire: Use water spray, fog or foam to extinguish. IF ON SKIN (or hair): Wash with plenty of soap and water. Remove/Take off immediately all contaminated clothing and wash it before reuse. If skin irritation occurs: Get medical advice/attention- IF INHALED: Remove person to fresh air and keep comfortable for breathing. Call a poison center/doctor if you feel unwell. If swallowed: Immediately call a poison center or doctor. Do NOT induce vomiting. IF exposed or concerned: Get medical advice/attention. Storage Store in a well -ventilated place. Keep cool. Keep container tightly dosed. Store locked up. Disposal Dispose of contents/container in accordance with locaVregionallnationaUntemabonal regulations. E: * * * Section 3 - Composition 1 information on ingredients * * * ::1 CAS # Component Percent 68476-34-6 Fuels, diesel, no. 2 100 91-20-3 Naphthalene <0.1 A complex mbdure of hydrocarbons with carbon numbers in the range C9 and higher. * * * Section 4 - First Aid Measures * * * First Aid: Eyes In case of contact with eyes, immediately flush with dean, low-pressure water for at least 15 min. Hold eyelids open to ensure adequate flushing. Seek medical attention. First Aid: Skin Remove contaminated clothing. Wash contaminated areas thoroughly with soap and water or with waterless hand cleanser. Obtain medical attention if irritation or redness develops. Thermal bums require immediate medical attention depending on the severity and the area of the body burned. First Aid: Ingestion DO NOT INDUCE VOMITING. Do not give liquids. Obtain immediate medical attention. If spontaneous vomiting occurs, lean victim forward to reduce the risk of aspiration. Monitor for breathing difficulties. Small amounts of material which enter the mouth should be rinsed out until the taste is dissipated. Page 2 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types First Aid: Inhalation SDS No. 9909 Remove person to fresh air. If person is not breathing, provide artificial respiration_ If necessary, provide additional oxygen once breathing is restored if trained to do so. Seek medical attention immediately. I * * * Section 5 - Fire Fighting Measures * * * I General Fire Hazards See Section 9 for Flammability Properties. Vapors may be ignited rapidly when exposed to heat, spark, open flame or other source of ignition. When mixed with air and exposed to an ignition source, flammable vapors can bum in the open or explode in confined spaces. Being heavier than air, vapors may travel long distances to an ignition source and flash back. Runoff to sewer may cause fire or explosion hazard. Hazardous Combustion Products Carbon monoxide, carbon dioxide and non-combusted hydrocarbons (smoke). Extinguishing Media SMALL FIRES: Any extinguisher suitable for Class B fires, dry chemical, CO2, water spray, fire fighting foam, and other gaseous agents_ LARGE FIRES: Water spray, fog or fire fighting foam. Water may be ineffective for fighting the fire, but may be used to cool fire -exposed containers_ Unsuitable Extinguishing Media None Fire Fighting Equipment/instructions Small fires in the incipient (beginning) stage may typically be extinguished using handheld portable fire extinguishers and other fire fighting equipment Firefighting activities that may result in potential exposure to high heat, smoke or toxic by-products of combustion should require NIOSHIMSHA- approved pressure -demand self- contained breathing apparatus with full facepiece and full protective clothing. Isolate area around container involved in fire. Cool tanks, shells, and containers exposed to fire and excessive heat with water. For massive fires the use of unmanned hose holders or monitor nozzles may be advantageous to further minimize personnel exposure. Major fires may require withdrawal, allowing the tank to bum. Large storage tank fires typically require specially trained personnel and equipment to extinguish the fire, often including the need for properly applied fire fighting foam. * * * Section S - Accidental Release Measures Recovery and Neutralization Carefully contain and stop the source of the spill, if safe to do so. Materials and Methods for Clean -Up Take up with sand or other oil absorbing materials. Carefully shovel, scoop or sweep up into a waste container for reclamation or disposal. Caution, flammable vapors may accumulate in closed containers. Emergency Measures Evacuate nonessential personnel and remove or secure all ignition sources. Consider wind direction; stay upwind and uphill, if possible. Evaluate the direction of product travel, diking, sewer;, etc. to confirm spill areas. Spills may infiltrate subsurface soil and groundwater, professional assistance may be necessary to determine the extent of subsurface impact. Page 3 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Personal Precautions and Protective Equipment Response and clean-up crews must be property trained and must utilize proper protective equipment (see Section 8). Environmental Precautions Protect bodies of water by diking, absorbents, or absorbent boom, if possible. Do not flush down sewer or drainage systems, unless system is designed and permitted to handle such material. The use of fire fighting foam may be useful in certain situations to reduce vapors. The proper use of water spray may effectively disperse product vapors or the liquid itself, preventing contact with ignition sources or areas/equipment that require protection. Prevention of Secondary Hazards None * * * Section 7 - Handling and Storage Handling Procedures Handle as a combustible liquid. Keep away from heat, sparks, excessive temperatures and open flame! No smoking or open flame in storage, use or handling areas. Bond and ground containers during product transfer to reduce the possibility of static -initiated fire or explosion. Special slow load procedures for "switch loading" must be followed to avoid the static ignition hazard that can exist when higher flash point material (such as fuel oil) is loaded into tanks previously containing low flash point products (such as this product) - see API Publication 2003, "Protection Against Ignitions Arising Out Of Static, Lightning and Stray Currents." Storage Procedures Keep away from flame, sparks, excessive temperatures and open flame. Use approved vented containers. Keep containers dosed and clearly labeled. Empty product containers or vessels may contain explosive vapors. Do not pressurize, cut, heat, weld or expose such containers to sources of ignition. Store in a well -ventilated area. This storage area should comply with NFPA 30 "Flammable and Combustible Liquid Code". Avoid storage near incompatible materials. The cleaning of tanks previously containing this product should follow API Recommended Practice (RP) 2013 "Cleaning Mobile Tanks In Flammable and Combustible Liquid Service" and API RP 2015 "Cleaning Petroleum Storage Tanks." Incompatibilities Keep away from strong oxidizers. I * * * Section 8 - Exposure Controls I Personal Protection * * *- I Component Exposure Limits Fuels, diesel, no. 2 (68476-34-6) ACGIH. 100 mg/m3 TWA (inhalable fraction and vapor, as total hydrocarbons, listed under Diesel fuel) Skin - potential significant contribution to overall exposure by the cutaneous route (listed under Diesel fuel) Page 4 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SOS No. 9909 Naphthalene (91-20-3) ACGIH: 10 ppm TWA 15 ppm STEL Skin - potential significant contribution to overall exposure by the cutaneous route OSHA: 10 ppm TWA; 50 mglm3 TWA NIOSH: 10 ppm TWA; 50 mglm3 TWA 15 ppm STEL; 75 mglm3 STEL Engineering Measures Use adequate ventilation to keep vapor concentrations of this product below occupational exposure and flammability limits, particularly in confined spaces. Personal Protective Equipment: Respiratory A NIOSHIMSHA-approved air -purifying respirator with organic vapor cartridges or canister may be permissible under certain circumstances where airborne concentrations are or may be expected to exceed exposure limits or for odor or irritation. Protection provided by air -purifying respirators is limited. Use a positive pressure, air -supplied respirator if there is a potential for uncontrolled release, exposure levels are not known, in oxygen -deficient atmospheres, or any other circumstance where an air -purifying respirator may not provide adequate protection. Personal Protective Equipment: Hands Gloves constructed of nitrile, neoprene, or PVC are recommended. Personal Protective Equipment: Eyes Safety glasses or goggles are recommended where there is a possibility of splashing or spraying. Personal Protective Equipment: Skin and Body Chemical protective clothing such as of E.I. DuPont TyChem®, Saranex® or equivalent recommended based on degree of exposure. Note: The resistance of specific material may vary from product to product as well as with degree of exposure. Consult manufacturer specifications for further information. I * * * Section 9 - Physical & Chemical Properties * * * I Appearance: Physical State: Vapor Pressure: Boiling Point. Solubility (H20): Evaporation Rate: Percent Volatile: Flash Point: Upper Flammability Limit (UFL): Burning Rate: Clear, straw -yellow. Liquid 0.009 psia @ 70 °F (21 °C) 320 to 690 T (160 to 366 -C) Negligible Slow, varies with conditions 100% >125 -F (>52 °C) minimum 7.5 Odor. pH: Vapor Density: Melting Point: Specific Gravity: VOc: OctanoUN20 Coeff.: Mild, petroleum distillate odor NO >1.0 NO 0.W-0.876 @ 60-F (16-C) NO NO Flash Point Method: PMCC Lower Flammability Limit 0.6 (LFL): Auto Ignition: 494°F (257°C) * * * Section 10 - Chemical Stability & Reactivity Information Chemical Stability This is a stable material. Hazardous Reaction Potential Will not occur. Page 5 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types Conditions to Avoid Avoid high temperatures, open flames, sparks, welding, smoking and other ignition sources. Incompatible Products Keep away from strong oxidizers. Hazardous Decomposition Products Carbon monoxide, carbon dioxide and non-combusted hydrocarbons (smoke). SDS No. 9909 I * * * Section I I - Toxicological Information * * * I Acute Toxicity A: General Product Information Harmful if swallowed. B: Component Analysis - I-D5011-050 Naphthalene (91 20-3) Inhalation LC50 Rat >340 mg/m3 1 h; Oral LD50 Rat 490 mglkg; Dermal LD50 Rat >2500 mg/kg; Dermal LD50 Rabbit >20 g/kg Potential Health Effects: Skin Corrosion Property/Stimulativeness Practically non -toxic if absorbed following acute (single) exposure. May cause skin irritation with prolonged or repeated contact. Liquid may be absorbed through the skin in toxic amounts if large areas of skin are repeatedly exposed. Potential Health Effects: Eye Critical Damage/ Stimulativeness Contact with eyes may cause mild irritation. Potential Health Effects; Ingestion Ingestion may cause gastrointestinal disturbances, including irritation, nausea, vomiting and diarrhea, and central nervous system (brain) effects similar to alcohol intoxication. In severe cases, tremors, convulsions, loss of consciousness, coma, respiratory arrest, and death may occur. Potential Health Effects: Inhalation Excessive exposure may cause irritations to the nose, throat, lungs and respiratory tract. Central nervous system (brain) effects may include headache, dizziness, loss of balance and coordination, unconsciousness, coma, respiratory failure, and death. WARNING: the burning of any hydrocarbon as a fuel in an area without adequate ventilation may result in hazardous levels of combustion products, including carbon monoxide, and inadequate oxygen levels, which may cause unconsciousness, suffocation, and death. Respiratory Organs Sensitization/Skin Sensitization This product is not reported to have any skin sensitization effects. Generative Cell Mutagenicity This material has been positive in a mutagenicity study. Carcinogenicity A: General Product Information Suspected of causing cancer. Page 6 of 10 Revision Date 8130/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Studies have shown that similar products produce skin tumors in laboratory animals following repeated applications without washing or removal. The significance of this finding to human exposure has not been determined. Other studies with active skin carcinogens have shown that washing the animal's skin with soap and water between applications reduced tumor formation. . B: Component Carcinogenicity Fuels, diesel, no. 2 (68476-34-6) ACGIH: A3 - Confirmed Animal Carcinogen with Unknown Relevance to Humans (listed under Diesel fuel) Naphthalene (91-20-3) ACGIH: A4 - Not Classifiable as a Human Carcinogen NTP: Reasonably Anticipated To Be A Human Carcinogen (Possible Select Carcinogen) IARC: Monograph 82 [2002] (Group 2B (possibly carcinogenic to humans)) Reproductive Toxicity This product is not reported to have any reproductive toxicity effects. Specified Target Organ General Toxicity: Single Exposure This product is not reported to have any specific target organ general toxicity single exposure effects. Specified Target Organ General Toxicity: Repeated Exposure This product is not reported to have any specific target organ general toxicity repeat exposure effects. Aspiration Respiratory Organs Hazard The major health threat of ingestion occurs from the danger of aspiration (breathing) of liquid drops into the lungs, particularly from vomiting. Aspiration may result in chemical pneumonia (fluid in the lungs), severe lung damage, respiratory failure and even death. I * * * Section 12 - Ecological Information * * * I Ecotoxicity A: General Product Information Keep out of sewers, drainage areas and waterways. Report spills and releases, as applicable, under Federal and State regulations. B: Component Analysis - Ecotoxicity - Aquatic Toxicity Fuels, diesel, no. 2 (68476-34-6) Test & Species Conditions 96 Hr LC50 Pimephales promelas 35 mg/L [flow - through] Naphthalene (91-20-3) Test & Species Conditions 96 Hr LC50 Pimephales promelas 5.74-6.44 mg1L [flow -through] 96 Hr LC50 Oncorhynchus mykiss 1_6 mg/L [flow - through] 96 Hr LC50 Oncorhynchus mykiss 0.91-2.82 mg/L [static] 96 Hr LC50 Pimephales promelas 1.99 mg/L [static] Page 7 of 10 Revision Date 8/30112 Safety Data Sheet Material Name: Diesel Fuel, All Types SIDS No. 9909 96 Hr LC50 Lepomis macrochirus 31.0265 mg/L [static] 72 Hr EC50 Skeletonema costatum 0.4 mg1L 48 Hr LC50 Daphnia magna 2.16 mg1L 48 Hr EC50 Daphnia magna 1.96 mg/L [Flow through] 48 Hr EC50 Daphnia magna 1.09 - 3.4 mg/L [Static] Persistence/Degradability No information available. Bioaccumulation No information available. Mobility in Soil No information available. * * * Section 13 - Disposal Considerations Waste Disposal Instructions See Section 7 for Handling Procedures. See Section 8 for Personal Protective Equipment recommendations. Disposal of Contaminated Containers or Packaging Dispose of contents/container in accordance with IocaVregionaVnationaVintemational regulations. [ * * * Section 14 - Transportation Information * * * I DOT Information Shipping Name: Diesel Fuel NA #: 1993 Hazard Class: 3 Packing Group: III Placard: * * * Section 15 - Regulatory Information Regulatory Information Component Analysis This material contains one or more of the following chemicals required to be identified under SARA Section 302 (40 CFR 355 Appendix A), SARA Section 313 (40 CFR 372.65) and/or CERCLA (40 CFR 302.4). Naphthalene (91 20-3) CERCLA: 100 Ib final RQ; 45.4 kg final RQ SARA Section 311/312 — Hazard Classes Acute Health Chronic Health Fire Sudden Release of Pressure Reactive X X X — — Page 8 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 SARA SECTION 313 - SUPPLIER NOTIFICATION This product may contain fisted chemicals below the de minimis levels which therefore are not subject to the supplier notification requirements of Section 313 of the Emergency Planning and Community Right- To -Know Act (EPCRA) of 1986 and of 40 CFR 372. If you may be required to report releases of chemicals listed in 40 CFR 372.28, you may contact Hess Corporate Safety if you require additional information regarding this product. State Regulations Component Analysis - State The following components appear on one or more of the following state hazardous substances lists: Component CAS CA MA MN NJ PA RI Fuels, diesel, no. 2 68476-34-6 No No I No Yes I No No Naphthalene 91-20-3 Yes Yes Yes Yes Yes No The following statement(s) are provided under the California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65): WARNING! This product contains a chemical known to the state of California to cause cancer. Component Analysis - WHMIS IDL No components are listed in the WHMIS IDL. Additional Regulatory Information Component Analysis - Inventory Component CAS # TSCA CAN EEC Fuels, diesel, no. 2 68476-34-6 Yes DSL EINECS Naphthalene 91-20-3 Yes DSL EINECS * * * Section 16 - Other Information * * NFPA® Hazard Rating Health 1 Fire 2 Reactivity 0 p' HMIS® Hazard Rating Health 1 * Slight Fire 2 Moderate Physical 0 Minimal 'Chronic Page 9 of 10 Revision Date 8/30/12 Safety Data Sheet Material Name: Diesel Fuel, All Types SDS No. 9909 Key/Legend ACGIH = American Conference of Govemmental Industrial Hygienists; ADG = Australian Code for the Transport of Dangerous Goods by Road and Rail; ADRIRID = European Agreement of Dangerous Goods by Road/Rail; AS = Standards Australia; DFG = Deutsche Forschungsgemeinschaft; DOT = Department of Transportation; DSL = Domestic Substances List; EEC = European Economic Community; EINECS = European Inventory of Existing Commercial Chemical Substances; EI_INCS = European List of Notified Chemical Substances; EU = European Union; HMIS = Hazardous Materials Identification System; IARC = International Agency for Research on Cancer; IMO = International Maritime Organization; IATA = International Air Transport Association; MAK = Maximum Concentration Value in the Workplace; NDSL = Non -Domestic Substances List; NFPA = National Fire Protection Association; NOHSC = National Occupational Health & Safety Commission; NTP = National Toxicology Program; STEL = Short-term Exposure Limit; TDG = Transportation of Dangerous Goods; TLV = Threshold Limit Value; TSCA = Toxic Substances Control Act; TWA = Time Weighted Average Literature References None Other Information Information presented herein has been compiled from sources considered to be dependable, and is accurate and reliable to the best of our knowledge and belief, but is not guaranteed to be so. Since conditions of use are beyond our control, we make no warranties, expressed or implied, except those that may be contained in our written contract of sale or acknowledgment. ' Vendor assumes no responsibility for injury to vendee or third persons proximately caused by the material if reasonable safety procedures are not adhered to as stipulated in the data sheet Additionally, vendor assumes no responsibility for injury to vendee or third persons proximately caused by abnormal use of the material, even if reasonable safety procedures are followed_ Furthermore, vendee assumes the risk in their use of the material. Page 10 of 10 End of Sheet Revision Date 8/30/12