NCS000600_Application_20200908

rwT)1%,..\ Valdese Water Recycling, LLC
936 Main Street West
' P.O. Box 158
t oc 6 ar �( 4...�c.
,. Valdese, North Carolina 28690 DECEIVED
SEP 08 2020
North Carolina Department of Environmental Quality s DtNR QUALITY
.;Tt3RMWATERTER PERMITTING
Division of Energy, Mineral and Land Resources
Attn: Alaina Morman
512 North Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699
Subject: NOI Application No. NCG130088
Valdese Water Recycling, LLC
Return # 1321
Burke County
Dear Ms. Morman,
Per your letter dated February 18, 2020, we have completed and included permit application
forms 1 (General Information) and 2F (Stormwater Discharge Associated with Industrial
Activity) in this envelope. As advised in your correspondence, included is a check for $760.
Please let us know if additional information or action is required.
Sincerely,
H. Derr Leonhardt II
Member Manager
Valdese Water Recycling, LLC

sTArE ,
a G.;
ROY COOPER
Governor
MICHAEL S.REGAN
Secretary
BRIAN WRENN NORTH CAROLINA
Acting Dtrector Environmental Quality
February 18, 2020
Valdese Water Recycling, LLC
Attn: H. Derr Leonhardt 11
P.O. Box 158
Valdese,NC 28690
Subject: NO! Application No.NCG130088
Valdese Water Recycling LLC
Return# 1321
Burke County
Dear Mr. Leonhardt:
We received your application for an NPDES discharge permit on September 26, 2018. An accompanying
site inspection was conducted on October 11, 2018 to determine if permit coverage was applicable.
During the course of the inspection. DEQ learned that the facility would pretreat different types of
wastewater before sending the streams to the sanitary sewer system. This type of industrial activity
would generally require analytical monitoring. However, the NCG130000 general permit for non-metal
waste and scrap recycling does not include provisions for analytical monitoring, except in areas where
vehicle maintenance is occurring.
In the past,we handled a situation like this by issuing an 'augmented"Certificate of Coverage(COC)
under a general permit that included additional monitoring requirements, in an effort to make things
simpler for us and the permittee. However, in the time your application has been pending, we have been
advised by the United States Environmental Protection Agency(EPA)that an augmented COC is not an
allowable alternative to issuing an individual stormwater permit with more tailored monitoring
requirements. Unfortunately, we did not identify another general permit that would lit either.
Therefore, Valdese Water Recycling, LLC cannot be covered under a general permit and instead must
apply for an individual industrial stormwater permit. A tillable PDF version of the application forms can
be found on our website: https://deq.nc.goviabout/divisionsieneru-mineral-land-
resources/npdes-stermwater-individual. The permit fee for individual permits is $860, but the
$100 permit fee you paid w ith your general permit application will be applied to this amount, and so you
will only owe $760.
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
) 512 North Salisbury Street I 1612 Mail Service Center I Raleigh.North Carolina 27699 1612
.4,
2..inser. EPV1,00.91S6,..ClOty 919.707.9200

We apologize for the long delay in making a determination on yOur general permit application, which is
being returned to you with this letter. If you have any questions regarding this letter or individual
industrial stormwater permits, please contact Lauren Garcia at(919) 707-3648 or me at(919) 707-9236.
Sincerely.
tec—
Alaina Morman
Environmental Specialist
Storm water Permitting Program
Enclosure: NO! NCG130088 for Valdese Water Recycling, LLC
Cc: Lauren Garcia—Central Office(via email)
Isaiah Reed—Asheville Regional Office(via email)
Storm\ater Program Files

NCSccDoO Ako
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 " EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2
treating domestic sewage?
If yes, STOP. Do NOT complete No If yes, STOP. Do NOT ID No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
0_ production facility? currently discharging process wastewater?
❑ Yes 4 Complete Form 1 No ❑ Yes 4 Complete Form �✓ No
a and Form 2B. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
g � Yes 4 Complete Form 1 ❑✓ No Yes 4 Complete Form �✓ No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
'— discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
E✓ Yes 4 Complete Form 1 ❑ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Valdese Water Recycling,LLC
0 2.2 EPA Identification Number
NCR000172189
0 2.3 Facility Contact
Name(first and last) Title Phone number
-0 H.Derr Leonhardt II Member Manager [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
ZStreet or P.O. box
8392 Six Forks Road,Suite 101
City or town State ZIP code
Raleigh NC 27615
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
d 2.5 Facility Location
rStreet,route number,or other specific identifier
< o 936 Main Street W
rn
c o County name County code(if known)
(73
Burke
0
a City or town State ZIP code
zc
cci Valdese NC 28690
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
5093 Non-metal waste recycling
N
O
0
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3.2 NAICS Code(s) Description(optional)
cn
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Valdese Water Recycling,LLC
0 4.2 Is the name you listed in Item 4.1 also the owner?
8 ✓❑ Yes ❑ No
4.3 Operator Status
❑ Public—federal ❑ Public—state ❑ Other public(specify)
0 ❑✓ Private 0 Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O. Box
E 8392 Six Forks Road,Suite 101
o S
c .5 City or town State ZIP code
o 0 Raleigh NC 27615
a Email address of operator
0 [e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
c 5.1 Is the facility located on Indian Land?
co
c ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
> E
w n ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
w ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Valdese Water Recycling,LLC undertakes industrial wastewater pretreatment,groudwater and stormwater
treatment,bulking of non-hazardous solids,and the solidification of non-hazardous sludges,slurries,and liquids for
cu disposal.
co
0
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
s
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
a, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
o NPDES permitting authority to determine what specific information needs to be submitted and when.)
o c,
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
cr ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
ce Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
cra
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2:Name, Mailing Address,and Location El w/attachments
❑✓ Section 3:SIC Codes El w/attachments
❑✓ Section 4:Operator Information El w/attachments
❑✓ Section 5:Indian Land El w/attachments
El Section 6:Existing Environmental Permits El w/attachments
wl topographic
tn.
❑✓ Section 7:Map ❑✓ map ❑ w/additional attachments
o 2Section 8:Nature of Business Elw/attachments
47. ❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
-a
❑✓ Section 10:Variance Requests ❑ w/attachments
1 ❑✓ Section 11:Checklist and Certification Statement El w/attachments
11.2 Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
H.Derr Leonhardt II Member Manager
Signature Date signed
1:: gf //Pc,
EPA Form 3510-1(revised 3-19) Page 4

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EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
Form U.S Environmental Protection Agency
2F ekrEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION 1.OUTFALL LOCATION(40 CFR 122.21(g)(1))
1.1 Provide information on each of the facility's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
1 Dye Branch 35° 64 60 N 81° 34' 30" W
c
0
0
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SECTION 2.IMPROVEMENTS(40 CFR 122.21(g)(6))
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ✓❑ No-) SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Final Compliance Dates
Brief Identification and Affected Outfalls Source(s)of Discharge
Description of Project (list outfall numbers) Required Projected
(A
C
Q'd
E
2
L
C.
E
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC
OMB No.2040-0004
SECTION 3.SITE DRAINAGE MAP(40 CFR 122.26(c)(1)(i)(A))
3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
4; _ 0 specific guidance.)
® Yes ❑ No
SECTION 4.POLLUTANT SOURCES(40 CFR 122.26(c)(1)(i)(B))
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
1 84,000 sq ft 360,000 sq ft
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Demolition debris is the only significant material at the site that is exposed to stormwater.The demolition debris is in a
a) solid form.It is stored on the ground surface not in a container,and it has not been treated.The debris was covered
with topsoil.There are no materials loading and access areas.There are no areas where pesticides,herbicides,soil
w conditioners,and/or fertilizers are applied.
0
a
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff.(See instructions for specific guidance.)
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F-1
(list)
1 Secondary Containment/Discharge to surface water 4-A
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
SECTION 5.NON STORMWATER DISCHARGES(40 CFR 122.26(c)(1)(i)(C))
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, I certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C,2D,or 2E application.
Name(print or type first and last name) Official title
H.Derr Leonhardt II Member Manager
Signature Date signed
&la
aT 5.2 Provide the testing information requested in the table below.
Onsite Drainage Points
Outfall Description of Testing Method Used Date(s)of Testing Directly Observed
o Number
During Test
d
Not Applicable
SECTION 6.SIGNIFICANT LEAKS OR SPILLS(40 CFR 122.26(c)(1)(i)(D))
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
No spills have occurred at the site in the last three years.
cn
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SECTION 7.DISCHARGE INFORMATION(40 CFR 122.26(c)(1)(i)(E))
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o complete. Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
`o ❑ Yes- See instructions regarding submission of ❑✓ No 4 See instructions regarding submission of
estimated data. actual data.
E Tables A,B,C,and D
7.2 Have you completed Table A for each outfall?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ❑✓ No-4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑✓ Yes ❑ No 4 SKIP to Item 7.10.
g 7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
= Table C?
0 ❑✓ Yes ❑ No
7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑✓ Yes ❑ No 4 SKIP to Item 7.12.
0
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 ppb or greater?
R
❑✓ Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑✓ Yes ❑ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
Used or Manufactured Toxics
2 7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
omanufactured as an intermediate or final product or byproduct?
❑ Yes ❑✓ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
,En 2. 5. 8.
0
U
0 3. 6. 9.
SECTION 8.BIOLOGICAL TOXICITY TESTING DATA(40 CFR 122.21(g)(11))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
El ❑✓ No 4 SKIP to Section 9.
.N
8.2 Identify the tests and their purposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
Permitting Authority?
❑ Yes ❑ No
0 ❑ Yes ❑ No
0
❑ Yes ❑ No
SECTION 9.CONTRACT ANALYSIS INFORMATION(40 CFR 122.21(g)(12))
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm Water Tech Labs,Inc.
0
E
Laboratory address
P.O.Box 1056
�' Granite Falls,NC 28630
cv
a
f0
o Phone number
[phone]
Pollutant(s)analyzed
Total antimony,total arsenic,
total copper,total zinc,oil&
grease,NO2+NO3,TKN,total
nitrogen,total phosphorus
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC OMB No.2040-0004
SECTION 10.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
10,1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to complete all sections or provide attachments.
Column 1 Column 2
✓❑ Section 1 ❑ w/attachments(e.g., responses for additional outfalls)
❑✓ Section 2 El w/attachments
✓❑ Section 3 El w/site drainage map
✓❑ Section 4 ❑ w/attachments
✓❑ Section 5 ❑ w/attachments
✓❑ Section 6 ❑ w/attachments
✓❑ Section 7 ElTable A ❑ w/small business exemption request
rts
El Table B El w/analytical results as an attachment
ElTable C El Table D
ElSection 8 El w/attachments
❑✓ Section 9 ❑ w/attachments(e.g.,responses for additional contact laboratories or firms)
❑✓ Section 10 ❑
10.2 Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
H.Derr Leonhardt II Member Manager
Signature Date signed
8/97/112
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC 1 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))1
You must provide the results of at least one analysis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease <5.6 mg/L
2. Biochemical oxygen demand(BOD5) N/A
3. Chemical oxygen demand(COD) N/A
4. Total suspended solids(TSS) N/A
5. Total phosphorus 0.98 mg/L
6. Total Kjeldahl nitrogen(TKN) 1.40 mg/L
7. Total nitrogen(as N) 7.50 mg/L
8. pH(minimum) N/A
pH(maximum) N/A
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC 1 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(A))1
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new source/new
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
I �
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC 1 OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))1
List each pollutant shown in Exhibits 2F-2, 2F-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Antimony-total Below Report Limit
Arsenic-total Below Report Limit
Zinc-total 0.098 mg/L
Copper Below Report Limit
I
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19
NCR000172189 N/A Valdese Water Recycling,LLC 1 OMB No.2040-0004
TABLE D.STORM EVENT INFORMATION(40 CFR 122.26(c)(1)(i)(E)(6))
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Duration of Storm Event Total Rainfall During Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
(in inches) (in gpm or specify units)
Event
06/16/2020
6 hours 0.5 inches >72 hours 190 gpm 68,000 gallons
Provide a description of the method of flow measurement or estimate.
Material balance using rainfall and GIS mapping.
EPA Form 3510-2F(Revised 3-19) Page 13

INIRTERiTECH LRBS.Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS,NORTH CAROLINA 28630
[phone]
SAMPLE: Valdese WR COLLECTION DATE. 6/16/2020
PERMIT#: COLLECTION TIME: 12:00
ADDRESS: Valdese Water Recycling RECEIVED DATE: 6/16/2020
936 Main St West RECEIVED TIME: 15:00
Valdese, NC 28690
REPORTED: 7/2/2020
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
metals see attached
Oil&Grease <5.6 mg/L 6/22/20 jdg
NO2+NO3 6.10 mg/L 7/2/20 jdg
TKN 1.40 mg/L 6/29/20 jdg
T.Nitrogen 7.50 mg/L 7/2/20 jdg
T.Phosphorus 0.98 mg/L 7/1/20 jdg
LOG ID: 2006-260 REPORTED BY: NC CERTIFIEDLAB#50
6
Tony Gragg,Lab Supervisor

R ESEARCh & ANAYTiCiti Report of Analysis
El
T
LAb® TOR ES, INCa
7/8/2fl2o
`au»iig1
ev*- Awl' r°rt
For: Water Tech Labs, Inc. ""';• ' °le o
P.O. Box 1056 *� 0*.O. a frd, 'pit
Granite Falls, NC 28630 i it'll?) NC#34 al
S. i NC H37701 I
Attn: Tony Gragg
rS ..../cci ¢'5 ate:
Client Sample ID: Valdese H2O Recycle Lab Sample ID: 83720-07
Site: water Tech Collection Date: 6/16/2020 12:00
[Parameter Method ri M � jiesult 'Units Rep Analyst Anai t Analys
is DateITln e •
Antimony,Total EPA 200.7 <0.005 mg/L 0.005 MM 6/24/2020 .•
Arsenic,Total EPA 200,7 <0.005 mg/L 0.005 MM 6/24/2020 •
•
Copper,Total EPA 200,7 <0.005 mg/L 0,005 MM 6/24/2020
Zinc,Total EPA 200.7 0,098 mglL 0.01 MM 6/24/2020
NA=not analyzed
P.O.Box 473 106 Short Street Kemersvllle,North Carolina 27284 Tel:[phone] Fax:[phone] vwvw.randalaba.com Page 1

i,/ . ��" LABORATORY CHAIN OF CUSTODY RECORD
k,-ru VV t VALDESE WATER
III R E C y C L I N Gre,i.L..C, Comments: C Number;
Name: - Phone Numbe
f: i Ran Learyhadt gzg if g3'929a
Facility/Program:Valdese Water:Recycling, Lab Use Only: - .'.Req e-steCI1Y1+1aIkSriS-
Valdese NC;
orm
is = `
a m v _ Is.t .s a) a- S CD mx ^ c L
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Project / Program: 2x/Quarter monitoring, unless 1 m _ o � _ 0 e 'a r = a t 1- t
otherwise designated • m 2 g 1 o t s T, ar d ai V = _ _
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S e-m C.i l.b-' .r�t✓p_Akt� ❑ v) = v U U ❑ O O m E Z y ro
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Gi`C t b f`Y (6 Zit o Bottle Size --.:._ �n -- - _.._._ -I1::::, ~ ` '. 1 666
BottleType-plastic or Glass ,�____ ,_�_ 4
Preservative - - --- ` 1 y
Date Time Location Description Sample Point S e L3r,u o Only Type Matrix Sampler r -t
Sample ID
Designate Number of Containers for Each
(0114 2,0 [ZCO VWR-Valdese,NC 001 I-PCC7 C- ww .• ---
VWR-Valdese;NC 001 ww
tp1f 1612A raiz VWR-Valdese,NC 001 Z--rialPaN G ww - — - - N V/./f
ltl VWR-Valdese,NC 001 ww
Gij�r Imp VWR-Valdese,NC 001 3- me,Aeis C✓ ww - ,�
i `1 VWR-Valdese,NC 001 ww _
VWR-Valdese,NC 001 ww '
VWR-Valdese,NC 001 ww
;Sample&T,ype. : ,. Matnx.CodeS- .'; ' ' -';'' Preservative Codes' ,
G=Grab SW =Surface Water SO=Soil A=s deg.C C=HZSO4 E=HCI Composite Type: Flow Time Hand ei'ieae
C=Composite GW=Ground Water ST=Storm Water B=HNO3 D=Naol:t F=Na2S2O3 Start Date S Time for composite Sampler / I Hrs.
WIN=Waste Water atop Dete Z Time for Composite Sampler r f ---Hrs.
SIGNATURE DATE TIME U DATE TIME Data&lime for Composite Sampler 1 1 Hrs.
RELINQUISHED BY: I��J G� ! 2jY)RECEIVE G- l
a"'� r �r' ¢ C`lb— �7�'-'I Otal Hours Composite Collected over.
RELINQUISHED BY: , `. 11 RECEIVED : -
RELINQUISHED BY: RECEIVED BY:
Date d.Time Grab(s)Taken /_/ Hrs.
EndFlow: gaiicu.tt Field Meter Calibrated:Yes No
Start Flow: (circle one) Field pH Result_ Analyst's(seals
Total: Field Temp.Result Analyst's initials
Sampler Interrupted:Yes: No: if Yes,Why

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P.O.BOX 1161 6A•
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Drainage area for Outfall 1 Outfall 1
1 Paved areas within the drainage area Direction of stormwater flow
•
Buildings within the drainage area
Area used for outdoor processing of significant materials inside secondary containment