NC0004774_Permit Renewal Application_20230501

(' DUKE
ENERGY.
May 1, 2023
Mr. Doug Dowden
Supervisor— NC NPDES Industrial Permitting
NC Division of Water Resources
1617 Mail Services Center
Raleigh, NC 27699-1617
Subject: Duke Energy Carolinas, LLC
Buck Combined Cycle Station
NPDES Permit No. NC0004774
Rowan County
Permit Renewal Application
Dear Mr. Dowden:
Duke Energy
Buck Combined Cycle
1385 Dukeville Road
Salisbury, NC 28146
REC EIVED
'ViQ� 01 202D
NCDEQ/DWH/NPD S
Duke Energy Carolinas, LLC, (Duke) requests the subject permit be renewed and reissued. The above
referenced permit expires on October 31, 2023. As mandated by North Carolina Administrative Code 15A
NCAC 2H.0105(e), this permit is being submitted at least 180 days prior to expiration of the current permit.
Please find enclosed in this application the following items:
• EPA Form 1
• Location Map
• EPA Form 2C for outfalls 001A, 007 and 117
• Outfall Location Map
• Flow Diagram
• Narrative — Supplemental Information for Station Description
• Fish Tissue Sampling
• Instream Sampling Data
• Mixing Zone Study Report
• 316(b) Study Report
• Groundwater Waste and Geographic Limitation Boundaries Map
A Form 2C and sampling analysis for Outfall 111, an engineered seep, was not provided with this
renewal application, ash basin dewatering has lowered the water level within the basin and there has
not been a discharge from the Outfall in over 2 years, the last discharge was April 6, 2021.
Closure of the former coal-fired generating facility is complete. Based upon current station operations
and the review of data from this permit term the following changes are requested for the current NPDES
permit.
Buck CTCC requests to report all temperature measurements required by permit in Celsius degrees only.

Supplement to Permit Cover Sheet
1. Remove all references to the Buck Steam Station including the following:
• Discharge treated wastewater, including, water treatment wastes, stormwater and
contaminated groundwater seepage from the BSS.
• Yard Sump emergency overflows though Outfall 002A
• Filter screenings from raw water intake through Outfall 004 to the Yadkin River
2. Remove all references to the Coal Ash Beneficiation Plant (Outfall 008), as the outfall for this
facility was not constructed, due to its closed loop system.
A.(1) Effluent Limitations and Monitoring Requirements (Outfall 001A-CTCC Operations)
1. Based on DMR data, reduce the monitoring frequency for the following:
• Temperature, pH and flow monitoring from daily to 2/month
• Total Residual Chlorine and Total Suspended Solids monitoring from 2/month to
quarterly
• Total Nitrogen and Phosphorus monitoring from monthly to quarterly
• Total Aluminum, Total Arsenic, Total Selenium, Total Mercury, Total Antimony, Total
Copper, total Nickel, and Total Zinc monitoring from quarterly to semi-annual.
• Total Chromium from 2/month to quarterly
• Elimination of the monitoring requirement for Chloroform
• Elimination of footnote (h) "When High Rock Lake, as measured, at the intake of the
Buck Combined Cycle station, is drawn down 10 feet or greater, the permittee shall on a
daily average basis ensure that the minimum unheated daily average stream flow does
not fall below one third of the 7-day 10-day year flow (7Q10). The footnote is no longer
needed, it is a relic that was in previous permits pertaining to the old steam station, and
inappropriately applied to the combined cycle. The combined cycle uses less water per
day that the steam station.
A.(3). Effluent Limitations and Monitoring Requirements (Internal Outfall 008 — Coal ash Beneficiation
Plant)
1. Elimination of condition A. (3) the Outfall as the infrastructure required for discharge of the
outfall was never constructed.
A.(4). Effluent Limitations and Monitoring Requirements (Outfall 007 — Ash Pond Dewatering)
1. Based on DMR data, reduce the monitoring frequency for the following:
• pH monitoring from Daily to Weekly
• Total Dissolved Solids, Total Suspended Solids, Turbidity from weekly to monthly
• Oil and Grease and Chlorides from weekly to monthly
• Hardness from weekly to monthly
• Total Selenium, Total Antimony, Total Lead, Total Chromium, Total Mercury, Total
Thallium, Total Copper, and Total Nickel, monitoring from weekly to monthly.
• Chronic Toxicity from monthly to quarterly

2. Footnote 5. requires "The discharge from this facility shall not cause turbidity of the receiving
stream to exceed 25 NTU. If the instream turbidity exceeds 25 NTU due to natural background
conditions, the discharge shall not cause turbidity to increase in the receiving stream.
Therefore, the if the effluent turbidity exceed 25 NTU, the permittee shall sample upstream and
downstream turbidity in the receiving water body, within 24 hours, to determine whether the
turbidity level in the receiving waterbody was increased. All data shall be reported on the
DMR's. (See 15A NCAC 26 .0211 (21)). This footnote should be eliminated from the permit, if it
cannot be eliminated then the instream turbidity limit should be increased to 50 NTU to reflect
the current water quality standard and be consistent with other Duke facilities.
3. Footnote c. requires "If any of these pollutants (As, Se, Hg, Sb, Cu, Pb, Ni, and TI). Reaches
85% of the allowable monthly average effluent discharge concentration during dewatering, the
permittee shall immediately discontinue discharge of the wastewater and report the event to
DWR Mooresville Regional office and Complex NPDES Permitting Unit via telephone and e-mail.
This nonstandard permit language should be eliminated based upon the data from the last
permit term.
3. Footnote d. requires" In the event that additional waters accumulate in the pond(s), the rate for
lowering the liquid level in the coal ash pond shall not exceed one (1) foot per day unless a
higher rate is supported to the satisfaction of DEMLR and in accordance NCAC Title 15A,
Subchapter 2K. The facility shall use a floating suction pipe with free water skimmed from the
basin surface using adjustable weir. See also paragraph (a), Footnotes 2 and 4, above". This
footnote should be eliminated based upon the data from the last permit and permission from
Dam Safety to lower the ash basin level more than 1 foot per day.
A.(5) Effluent Limitations and Monitoring Requirements (Outfall 111— Constructed Seep)
1. Ash basin dewatering has lowered the water level within the basin. There has not been a
discharge from the Outfall in over 2 years, the last discharge was April 6, 2021. Since this
outfall appears to be no longer discharging monitoring should be reduced from quarterly to
semiannually.
A.(6) Effluent Limitations and Monitoring requirements (Outfall 117 — Constructed Seep)
1. Based on DIVIR data, reduce the monitoring frequency for the following:
• Temperature, pH Oil and Grease, Total Suspended Solids, Nitrate/Nitrite, sulfates and
hardness from quarterly to semiannually
• Copper and nickel from quarterly to semiannually
• Elimination of the monitoring requirement for Conductivity, Total Arsenic, Total
Selenium, Total Mercury, Total Aluminum, Total Barium, Total Cadmium, Total
Chromium, Total Lead, Total Manganese, Total Thallium, and Total Zinc.

A.(11). Biocide Condition
1. This facility has a chronic toxicity requirement; therefore, the biocide condition is not
warranted because any use of a chemical in toxic amounts would cause a failure of the toxicity
test. Duke requests its removal from the permit.
A.(13) Priority Pollutant Analysis
1. The plant does not add any of the 126 priority pollutants for cooling tower maintenance. The
facility performs priority pollutant analysis, for required parameters, during Form 2C sampling
for permit renewal. This condition should be removed from the permit.
A.(15). Waste Treatment Modifications
1. With the closure and demolition of the coal-fired steam station the facility has completed all
waste treatment modifications needed to for operations of the combined cycle plant. No
further major modifications are needed to sustain current operations; therefore, this condition
is no longer needed and should be removed from the permit.
A.(17) Instream Monitoring
1. Based upon data from the last permit term and lack of impact from ash basin dewatering as
documented in the provided upstream and downstream data, Duke request that instream
monitoring be revised from monthly to quarterly and the removal of sampling requirement for
temperature, turbidity, bromide, dissolved lead, and dissolved zinc, dissolved cadmium, total
selenium, total chromium, and total arsenic.
2. Duke request removal of the requirement for the instream monitoring to be submitted with
permit renewal application based upon this data is reported with the DMRs.
A.(18). Fish Tissue Monitoring Near Ash Pond Discharge
1. Based upon data from the last permit term, Duke requests that monitoring frequency be
changed from annually to once per permit term.
A.(21). Ash Pond operations and Maintenance
1.b. Working Capacity — Discharges to the ash basins ceased with the demolition of the Buck
Steam Station, dewatering and ash excavation within the basins has lowered the water level
within the basins to a level that provides sufficient free water volume. Duke request removal of
the Ash Pond Working Operations requirement.
The Buck Station submitted a Mixing Zone Report to the Division for review on April 25, 2022, a copy of
that submittal is attached to the permit renewal application. Duke requests the Division remove the
316(a) thermal variance for the site and incorporate the thermal mixing zone.
Should you have any questions regarding this submittal or require additional information, please contact
Joyce Dishmon at 336-394-5524 or email [e-mail].

I certify under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations
Sincerely,
Kris Eisenrieth
GM II Regulated Stations
Buck Combined Cycle Plant
Attachments
Cc: Joyce Dishmon/CastPro — EHS Permitting & Compliance
Dale Wooten — EHS Field Support via email
Mailed by USPS 7019 0140 00010794 0647
Return Receipt USPS: 9590 9402 5350 91541987 81

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 1
EPA Form 1
RECEIVED
MAY 01 20D
NCDEQIDWR/NPDES

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 030119
NCD043678929
NC0004774
Buck Combined Cycle Station
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
1
%SER
C�/'1
Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
SECTION•
• r
1.1
1 Applicants Not Required to Submit Form 1
1.1.1
s the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete 0 No
If yes, STOP. Do NOT 0 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
i
production facility?
currently discharging process wastewater?
o❑
Yes 4 Complete Forth 1 0 No
✓0 Yes 4 Complete Form ❑ No
i
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,
c
mining, or silviculture] facility that has not yet
commercial, mining, or silvicultural facility that
—
commenced to discharge?
discharges only nonprocess wastewater?
d
❑ Yes 4 Complete Form 1 0 No
Yes 4 Complete Form No
and Form 2D.
1 and Form 2E.
H
1.2.5
Is the facility a new or existing facility whose
'—
discharge is composed entirely of stonnwater
a
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
0 Yes 4 Complete Form 1 ❑ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
SECTION
2.1
rr• • • r
Facility Name
Buck Combined Cycle Station
`0
2.2
EPA Identification Number
q
U
0
J
NCD043678929
a
A
2.3
Facility Contact
N
d
Name (first and last)
Title
Phone number
Kris Eisenrieth
Gm II Regulated Stations
[phone]
m
Email address
[e-mail]
d
2.4
Facility Mailing Address
E
Street or P.O. box
z
1385 Dukeville Rd
City or town
State
ZIP code
Salisbury
NC
28146
EPA Form 3610-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03 05119
NCD043678929
NC0004774
Buck Combined Cycle Station
OMB No. 2040-0004
" d
2.5
Facility Location
d
.o «
Street, route number, or other specific identifier
Q o
U
1385 Dukeville Rd
o
County name
County code (if known)
6
Rowan
0
J
V
City or town
State ZIP code
z m
Salisbury
INC 28146
SECTION•
NAICS CODES
3.1
SIC Code(s)
Description (optional)
4911
Electric Power Generation
N
N
9
O
U
N
U
z
3.2
NAICS Code(s)
Description (optional)
v
r=
1°
221112
Electric Power Generation, fossil fuel (gas)
U
N
Name of 0 erator
4.1
Duke Energy Carolinas, Inc.
`0
4.2
Is the name you listed in Item 4.1 also the owner?
E
0
❑� Yes ❑ No
.E
4.3
Operator Status
0
❑ Public —federal ❑ Public —state Other public (specify) utility
p
❑ Private ❑ Other(specify)
4.4
Phone Number of Operator
[phone]
4.5
Operator Address
Street or P.O. Box
.6
526 S. Church St
S
City or town
State
ZIP code
0 o
Charlotte
NC
28202
m U
a
Email address of operator
[e-mail]
SECTION•
• 40
a
5.1
Is the facility located on Indian Land?
_ c
❑ Yes ❑� No
EPA form 3510-1 (revised 3-19) Page

EPA Identificafion Number NPDES Permit Number Facility Name Form Approved 0305119
NCD043678929 NC0004774 Buck Combined Cycle Station OMB No. 2040-0004
SECTION• r
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
a
m NPDES (discharges to surface
m RCRA (hazardous wastes)
❑ UIC (underground injection of
o
water)
fluids)
r A
NC0004774
NCO043678929
c
w a
0PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
Mo.
03786T37
X
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
SECTIONr
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
0 Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTIONOF
r
8.1
Describe the nature of your business.
Electric Power Generation
N
N
W
C
N
J
m
O
N
J
_A
SECTION••
r
9.1
Does your facility use cooling water?
v
❑� Yes ❑ No + SKIP to Item 10.1.
A
9.2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
o
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
O y
tj c
Yadkin River
SECTION1
VARIANCE
REQUESTSI r
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
N
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
d
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Ic
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
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 030119
NCD043678929 NC0004774 Buck Combined Cycle Station OMB No. 2040-0004
SECTION•
11.1
CERTIFICATION STATEMENT (40
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
❑ w/ attachments
❑� Section 3: SIC Codes
❑ wl attachments
© Section 4: Operator Information
❑ w/ attachments
Section 5: Indian Land
❑ w/ attachments
❑� Section 6: Existing Environmental Permits
❑ w/ attachments
m
E
A
❑� Section 7: Map
w/ topographic
❑� ❑ w/ additional attachments
ma
o
Section 8: Nature of Business
❑ w/ attachments
w
❑� Section 9: Cooling Water Intake Structures
❑ w/ attachments
�'
❑ Section 10: Variance Requests
❑ w/ attachments
a
c
Section 11: Checklist and Certification Statement
❑ w/ attachments
Y
11.2
Certification Statement
U
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./ 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
Kris Eisenreith
General Manager II - Regulated Stations
Signature
Date signed
q(25/Z3
EPA Form 3510-1 (revised 3-19) Page 4

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 2
Location Map
RECEIVED
MAY 01 2023
NCDEQ/DWR/NPDES

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 3
Form 2C Outfalls 001A, 007 and 117
RECEIVED
MAY 01 2023
NCDEQIDWRINPDES

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NCD043678929 NC0004774 Buck Combined Cycle OMB No. 2040-0004
Form U.S. Environmental Protection Agency
Application for NPDES Permit to
2C r-WEPA EXISTING MANUFACTURING, COM ERCIAL,sMINING,I
arge Wastewater
NPDES ND SILVICULTURE
OPERATIONS
SECTIONOUTFALL LOCATIONr
1.1 Provide information on each of the facility's outfalls in the table below.
c
° Outfall
Receiving Water Name Latitude Longitude
o Number
001A Yadkin River 35 42' 49.946"N 80 42' 31.277"W
3
O
SECTIOND' 1
c Z. I Have you attached a line drawing to this application that shows the water flow through your facility with a
c .3 water balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for
E example.)
0
Yes ❑ No
SECTION•
3.1 For each outfall identified under Item 1.1 provide average flow and treatment information. Add additional
sheets if necessary.
*'Outfall Number" 001A
c
o Operations
E
Operation Average Flow
Cooling Tower Blowdown 0.58 mgd
c
m
3 Oil/Water Seperator 0,007 mgd
0
LL Ultra Filtration Backwash 0.014 mgd
m
rn
Reverse Osmosis Reject 0.022 mgd
< Treatment Units
Description Code from Final Disposal of Solid or
Liquid Wastes Other Than
(include size, flow rate through each treatment Table 2C-1 Li q
unit, retention time, etc.) by Discharge
oxidation, sedimentation 2-13, 1-1.1
oxidation, sedimentation 2-B, 1-1.1
multimedia filtration 1-Q
Reverse Osmosis 1-S

**Outfall Number**
31
Cont
Operations
Operation Average Flow
mgd
mgd
mgd
mgd
Treatment
Description
Units
Code from Final Disposal of Solid or
_
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
o
unit, retention time, etc.)
Discharge
U
_
m
E
Y
d
L
**Outfall Number**
N
30
Operations
LL
m
Operation Average Flow
M
mgd
d
Q
mgd
mgd
mgd
Treatment
Description
Units
Code from Final Disposal of Solid or
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
unit, retention time, etc.)
Discharge
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
E
[I Yes No SKIP to section 4.
Nj
3.3
Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No

Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or
4.1
seasonal?
❑ yes 0 No y SKIP to section 5
4.2
Provide information on intermittent or seasonal flows for each applicable outfall. Attach add. pages if necessary
Outfall
Frequency
Flow Rate
Operation
Number
(List)
Average
Average
Long -Term
Maximum
Duration
Days/Week
MonthsNear
Average
�g
Daily
days/
months/
d
mgd
mgd
g
days
y s
td
week
year
001A
days/
months/
mgd
mgd
days
.9
week
year
days/
months/
mgd
mgd
days
t.
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
I year
days/
months/
mgd
mgd
days
week
year
days/ months/
mgd mgd tlays
week year
SECTION
6. •D
• ,
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ yes ❑ No ♦SKIP to Section 6.
yt
5.2
Provide the following information on applicable ELGs.
ELG Category
ELG Subcategory
Regulatory Citation
w
m
steam electric
40 CFR 423
power generation
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
�+
c
5.3
❑ yes ❑ No * SKIP to Section 6.
0
Provide an
actual measure of daily production expressed in terms and units of applicable
ELGs.
E
Outfall
-�
Operation, Product, or Material
Quantity per
Unit of
0
Number
Day
Measure
d
N
R
m
5.4
c
0
U
7
O
0
a`

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
6.1 programs that could affect the discharges described in this application?
❑ Yes No SKIP to Item 6.3.
m d 6.2 Briefly identify each applicable project in the table below.
m
Affected m Brief Identification Final Compliance Dates
w'o and Description of Outfalls Source(s) of
(list outfall Discharge Required Projected
a E Project number) q /
Have you attached sheets describing any additional water pollution control programs (or other environmental
6.3 projects that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes Q No ❑ Not Applicable
SECTION. r
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you
must complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
y Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for
LJ 7.1 any of your outfalls?
N_
❑ Yes Q No SKIP to Item 7.3.
7.2 If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the
z application.
m Outfall Number: Outfall Number: Outfall Number:
Y
A
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
7.3 requested and attached the results to this application package?
m
y ❑� Yes ❑ No A Waiver has been requested from my NPDES permitting authority for all pollutants at all
outfalls.
l+l Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry
categories listed in Exhibit 2C-3? (See end of instructions for exhibit.)
Q Yes ❑ No SKIP to Item 7.8.
7.5 Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
❑ yes ❑ No
7 6 List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)
identified in Exhibit 2C-3.
Required GC/MS Fraction(s)
Primary Industry Category
(Check applicable Boxes)
Steam Electric Generation Q volatile Q Acid ❑ BaWNeutrdl ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide

7 7
Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS
fractions checked in Item 7.6?
Q Yes ❑ No
7.8
Have you checked "Believed Present' or "Believed Absenr for all pollutants listed in Sections 1 through 5 of Table B where
testing is not required?
41 Yes ❑ No
Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
7.9
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are "Believed Present" in your discharge?
❑ Yes ❑ No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑Yes Note that you qualify at the top of Table 8, then SKIP to item 7.12 ❑� No
v
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have determined
7.11
testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B, pollutants you have
—
indicated are "Believed Present" in your discharge?
c
U
❑ Yes ❑ No
N
U
Table C. Certain Conventional and Non -Conventional Pollutants
m
7.12
Have you indicated whether pollutants are "Believed Present' or "Believed Absent' for all pollutants listed on Table C for all
r
outfalls?
U
y
Q' Yes No
❑
Y
A
.S
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
a
7.13
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
@
"Believed Present"?
c
°'
❑� Yes ❑ No
r
w
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed in Table D for all
outfalls?
Q Yes ❑ No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged and (2)
by providing quantitative data, if available?
❑ Yes ❑ No
Table E. 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (2,3,7,8-TCDD)
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you know
or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes Complete Table E ❑ No SKIP to section 8
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes Q No
SECTION•
OR • TOXICS (40
x8
1
Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as an
o
intermediate or final product or byproduct?
H
❑ Yes No SKIP to section 9
8.2
List the pollutants below.
A
1. 4. 7.
m
0
2. 5. 8.
a
m
3. 6. 9.

SECTIONBIOLOGICAL
T• 40
Do you have any knowledge or reason to believe that any biological test for acute chronic toxicity has been made
9.1
within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge?
,N
❑� Yes ❑ No SKIP to section 10.
9.2
Identify the tests and their purposes below.
Test(s)
Purpose of Test(s).
.Submitted to'NPDES'„
'
Date Submitted
'o
Permitting-Authofity. .
0
❑✓ Yes ❑ No
Chronic Toxicity
Quarterly
0
m
❑ Yes ❑ No
❑ Yes ❑ No
SECTION•
-. .0
Were any of the analyses reported in section 7 performed by a contract laboratory or consulting firm?
10.1
❑� Yes ❑ No SKIP to section 11.
Provide information to each contract laboratory or consultin firm below.
10.2
Laboratory Numbe�1
Laboratory Number 2;. _:
;. Laboratory Number 3'
Name of Laboratory/firm
Pace Analytical
Q.
Laboratory address
9800 Kincey Avenue #100
HuntersviIle NC 28078
o
V -
Phone number
704 875 9092
Pollutant(s) analyzed
All
SECTIONADDITIONAL
INFORMATION
11.1
Has the NPDES permitting authority requested additional information?
❑ Yes 0 No SKIP to section 12.
11.2
List the information requested and attach it to this application.
.c
3.
c
2
:a
`0
2. 4.
..a
3. 5.

SECTION
CHECKLIST AND CERTIFICATIONt
12.1
In Column 1 below, mark the sections of Form 2C 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: Cutfall Location
❑� w/ attachments
❑' Section 2: Line Drawing
❑' w/ line drawing ❑ w/ additional attachments
❑� Section 3: Average Flows and Treatment
❑� w/ attachments ❑ w/ list of each user of privately owned
treatment works
❑ Section 4: Intermittent Flows
❑ w/ attachments
❑ Section 5: Production
❑ w/ attachments
❑ Section 6: Improvements
P
w/ optional additional sheets describing
❑ w/ attachments ❑
any additional pollution control plans
.,.,
w/ request for a waiver and supporti
❑information U] w/ explanation for identical outfalls
y
mw/
small business exemption
❑ Elw/ other attachments
request
c
p
O Section 7: Effluent and Intake
❑� w/Table A w/Table B
Characteristics
❑� w/ Table C ❑ w/ Table D
U
k
❑ w/ Table E ❑ w/ analytical results as an attachment
m
U
ED Section 8: used or Manufactured Toxics
w/ attachments
A
❑ Section 9: Biological Toxicity Tests
❑ w/ attachments
s
V
N
t
❑Section lO: Contract Analyses
❑ w/attachments
U
❑� Section 11: Additional Information
w/ attachments
❑� Section 12: Checklist and Certification Statement
❑� w/ attachments
12.2
Certification Statement
l 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 property 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
&%f-o Get t13Qnf,"c�(.
GMII Pr 5�,( o�y
Signature
Date signed

This page intentionally left blank.

Units
(specify)
Effluent
Intake (optional)
Pollutant
Waiver
Requested
(if applicable)
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average Daily
Discharge
(if available)
Number of
Analyses
Long Term
Average
Value
Number of
Analyses
❑
Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
1
Biochemical oxygen demand
(BODS)
❑
Concentration
mg/L
<2.0
Mass
lb/Day
2.
Chemical oxygen demand (COD)
j=1,
Concentration
mg/L
30.5
Mass
Ib/Day
3.
Total organic carbon (TOC)
Concentration
mg/L
9.4
Mass
lb/Day
42.6
4.
Total suspended solids (TSS)
❑
Concentration
mg/L
<2.5
Mass
lb/Day
<11.3
5.
Ammonia (as N)
❑
Concentration
mg/L
<0.10
Mass
lb/Day
<0.453
6.
Flow
❑
Rate
MGD
0.543
Temperature (winter)
❑
°C
°C
21.1
7.
Temperature (summer)
❑
°C
°C
pH (minimum)
❑
Standard Units
S.U.
7.8
8.
pH (maximum)
❑
Standard Units
SM.
Enter INTAKE flow below
if you want to calculate
lb/Day
0.543

This page intentionally left blank.

Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, it
available
Required
Units
(specify)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
m
Long -Term
Average
Daily
Discharge
Number of
Analyses
L on9
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2
' through 5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1. Toxic Metals, Cyanide, and Total Phenols
Concentration
ug/L
5.93
1
1.1
Antimony, total (7440-36-0)
❑
Mass
lb/Day
0.0269
1
1.2
Arsenic, total (7440-38-2)
0
❑
21
Concentration
ug/L
<1
1
Mass
lb/Day
<0.00453
1
1.3
Beryllium, total (7440-41-7)
❑
Concentration
ug/L
<1
1
Mass
lb/Day
<0.00453
1
1.4
Cadmium, total (7440-43-9)
[a
❑
❑
Concentration
ug/L
<0.1
1
Mass
lb/Day
<0.000453
1
1.5
Chromium, total (7440-47-3)
0
❑
E)
Concentration
ug/L
<1
1
Mass
lb/Day
<0.00453
1
Concentration
ug/L
19.7
1
1.6
Copper, total (7440.50.8)
El
El
ElMass
lb/Day
0.0893
1
1.7
Lead, total (7439-92-1)
❑
Concentration
ug/L
<1
1
Mass
Ib/Day
<0.00453
1
1.8
Mercury, total (7439-97-6)
❑
Concentration
ng/L
4.89
1
Mass
lb/Day
<0.00002
1
Concentration
ug/L
3.62
1
1.9
Nickel, total (7440-02-0)
ElO
❑
Mass
lb/Day
0.0164
1
1.10
Selenium, total (7782-49-2)
❑
Concentration
ug/L
<1
1
Mass
lb/Day
1 <0.00453
1
Concentration I
ug/L I
<1
I1
1.11
Silver, total (7440-224)
0
❑
❑,
Mass
lb/Day 1
<0.00453
1

Effluent
Intake
(optional)
Presence or Absence
(check one)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Lon 9
Term
Average
Valugy
Value
Number
of
Analyses
Pollutant/Parameter
(and CAS Number, if available)
Testing
g
Required
Units
(specify)
(required)
(if available)
(if available)
Concentration
ug/L
<0.2
1
1.12
Thallium, total (7440-28-0)
0
❑
Mass
lb/Day
<0.000906
1
Concentration
mg/L
0.018
1
1.13
Zinc, total(7440-66-6)
0
❑
Mass
Ib/Day
0.0816
1
Concentration
mg/L
<0.0080
1
1.14
Cyanide, total(57-12-5)
❑,
❑
Mass
lb/Day
<0.0363
1
Concentration
ug/L
<4.3
1
1.15
Phenols, total
❑
Mass
lb/Day
10.0195
1
Section 2. Organic Toxic Pollutants (GC/MS Fraction - Volatile Compounds)
Concentration
ug/L
<5.0
1
2.1
Acrolein (107-02-8)
❑,
❑
0
Mass
lb/Day
<0.0227
1
Concentration
ug/L
<5.0
1
2.2
Acrylonitrile (107-13-1)
Q
❑
El
Mass
lb/Day
<0.0227
1
Concentration
ug/L
<1.0
?
2.3
Benzene (7143-2)
❑,
❑
❑
Mass
lb/Day
<0.00453
Concentration
ug/L
<2.0
2.4
Bromoform (75-25-2)
❑�
❑
0
Mass
Ib/Day
<0.00906
1
Concentration
ug/L
<2.0
1
2.5
Carbon tetrachloride (56-23-5)
0
❑
0
Mass
lb/Day
<0.00906
I
Concentration
ug/L
<2.0
1
2.6
Chlorobenzene (108-90-7)
❑,
❑
❑,
Mass
Ib/Day
<0.00906
1
2.7
Chlorodibromomethane
(12448-1)
0
El
Concentration
ug/L
<2.0
?
Mass
lb/Day
<0.00906
Concentration
ug/L
<2.0
1
2.8
Chloroethane (75-00-3)
❑
Mass
lb/Day
<0.00906
1

Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
gelievet
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Term
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
2.9
2-chloroethylvinyl ether
(110-75-8)
❑
Concentration
ug/L
<5.0
1
Mass
Ib/Day
<0.0227
1
2.10
Chloroform (67-66-3)
❑
Concentration
ug/L
2.1
1
Mass
lb/Day
0.00952
1
2.11
Dichlorobromomethane
(75-27-4)
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.12
1,1-0ichlorcethane (75-34-3)
❑
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.13
1,2-dichloroethane (107-06-2)
❑'
[l
O
Concentration
ug/L
<2.0
1
Mass
Ib/Day
<0.00906
1
2.14
1,1-0ichloroelhylene (75-354)
❑
'�
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.15
1,2-0(78-87-5)
LEI
Elichloropropane
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.16
1,3-0ichloropropylene
(542-75-6)
❑
❑
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.17
Ethylbenzene (100d1-4)
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.00453
1
2.18
Methyl bromide (74-83-9)
0
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1
2.19
Methyl chloride (74-87-3)
Q
❑
0
Concentration
ug/L
<2.0
1
Mass
Ib/Day
<0.00906
1
2.20
Methylene chloride (75-09-2)
❑
❑
0
Concentration
ug/L
<2.0
1
Mass
Ib/Day
<0.00906
1
2.21
1,1,2,2- tetrachloroethane
(79-34-5)
❑
0
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.00906
1

..-
Effluent
„
Intake
(optional)
Presence or Absence
(check one)
Pollutant/Parameter
(and CAS Number, if
available
Testing
Required
Units
(specify)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
NumberofTerm
Analyses
Long -
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
2.22
Tetrachlomethylene
(127-184)
0
❑
Concentration
ug/L
<2.0
1
Mass
Ib/Day
<0.00906
1
Concentration
ug/L
<1.0
1
2.23
Toluene (108-88-3)
P
❑
E)
Mass
Ib/Day
<0.00453
1
2 24
1,2-trans-dichloroethylene
(156-60-5)
❑
Concentration
ug/L
<2.0
1
Mass
Ib/Day
<0.00906
1
1,11-trichloroethane
Concentration
ug/L
<2.0
1
2.25
(71-55-6)
❑
El
0
Mass
lb/Day
<0.00906
1
1,1,2-tdchloroethane
Concentration
ug/L
<2.0
1
2.26
(79-00-5)
�
❑
�
Mass
lb/Day
<0.00906
1
Concentration
ug/L
<2.0
1
2.27
Trichloroethylene (79-01-6)
❑
❑
Mass
lb/Day
<0.00906
1
Concentration
ug/L
<2.0
1
2.28
Vinyl chloride (75-01-4)
❑
❑
Mass
lb/Day
<0.00906
1
Section 3. Organic Toxic Pollutants (GC/MS Fraction - Acid Components)
Concentration
ug/L
<4.3
1
3.1
Z-chlorophenol (95-57-8)
❑
Mass
lb/Day
<0.0195
1
3 2
2,4-dichlorophenol
(120-83-2)
❑
❑
❑
Concentration
ug/L
<4.3
1
Mass
Ib/Day
<0.0195
1
3.3
2,4-dimethylphenol
(105-67-9)
0
❑
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0394
1
3.4
4,6-dinitro-o-cresol
(534-52-1)
�'
❑
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0394
1
Concentration
ug/L
<43.5
1
3.5
2,4-dinitrophenol (51-28-5)
❑
Mass
lb/Day
<0.197
1

TABLE B.
TOXIC METALS, CYANIDE,
TOTAL
PHENOLS, ..
Effluent
Intake
Presence or Absence
(check one)
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
(specify)
Maximum
Maximum
Average
Lon g
Number
available
Required
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
P3.6(88
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Analyses
Value
(required)
(if available)
(if available)
2-nitrophenol
Concentration
ug/L
<4.3
1
75-5)
7
❑
Mass
lb/Day
<0.0195
1
4-nitrophenol
Concentration
ug/L
<8.7
?
3.7
(100-02-7)
❑
❑'
Mass
lb/Day
<0.0394
?
p-chloro-m-cresol
Concentration
ug/L
<4.3
1
3.8
(59-50-7)
0
❑
Mass
lb/Day
<0.0195
?
Pentachlorophenol
Concentration
ug/L
<8.7
1
3'9
(87-86-5)
❑
Mass
lb/Day
<0.0394
1
Phenol
Concentration
mg/L
<0.020
1
3.10
❑�
C,
❑'
(108-95-2)
Mass
lb/Day
<.091
1
2,4,6-tdchlorophenol
Concentration
ug/L
<8.7
1
3.11
(88-05-2)
21
���
Mass
lb/Day
<0.0394
1
Section 4. Organic Toxic Pollutants (GC/MS Fraction - Base /Neutral Compounds)
Acenaphthene
Concentration
ug/L
<4.3
1
4.1
(83-32-9)
❑'
❑,
'❑'
Mass
lb/Day
<0.0195
1
Acenaphthylene
Concentration
ug/L
<4.3
1
4.2
(208-96-8)
J
Mass
lb/Day
<0.0195
1
Concentration
ug/L
<4.3
1
4.3
Anthracene (120-12-7)
r-)
0
Mass
lb/Day
<0.0195
1
Concentration
ug/L
<43.5
1
4.4
Benzidine (92-87-5)
r]
❑
Mass
lb/Day
<0.197
1
Benzc (a) anthracene
Concentration
ug/L
<4.3
1
4.5
(56-55-3)
L�1
❑
❑
Mass
lb/Day
<0.0195
1
Benzo (a) pyrene
Concentration
ug/L
<4.3
1
4.6
(50-32-8)
ElMass
lb/Day
<0.0195
1

• •
•
• • - •
• I
Effluent
Intake
Presence orAbsence
(check one)
(optional)
meter
Poif
FCAIS
Testin 9
Units
Long -Term
Long-
available)
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Analyses
Discharge
Discharge
Discharge
Value
(required)
(if available)
(if available)
3,4-benzofluoranthene
Concentration
ug/L
<4.3
1
4.7
(205-99-2)
�-�
Mass
lb/Day
<0.0195
1
Concentration
ug/L
<4.3
1
4.8
Benzo (ghi) perylene (191-24-2)
0
Mass
lb/Day
<0.0195
1
Benzo (k) fluoranthene (207-08-
Concentration
ug/L
44.3
1
Mass
Ib/Day,
'0.0195
1
4.9
9)
❑'
L'!!
Bis (2-chloroethoxy) methane
Concentration
ug/L
<8.7
1
Mass
lb/Day
10.0394
1
4.10
(111 91 1)
rl
- �
Bis (2-chloroethyl) ether (111-44-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.11
4)
C
`-'
Bis (2-chloroisopropyl) ether (102
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.12
80.1)
GEl
Bis (2-ethylhexyl) phthalate (117-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.13
817)
'❑--
4-bromophenyl phenyl ether (101
Concentration
ug/L
<4.3
1
4.14
55-3)
J
--
Mass
lb/Day
<0.0195
1
Concentration
uglL
<4.3
1
4.15
Butyl beri l phthalate (85-68-7)
Mass
lb/Day
<0.0195
1
Concentration
ug/L
<4.3
1
4.16
2-chloronaphthalene (91-58-7)
Mass
lb/Day
<0.0195
1
4-chlorophenyl phenyl ether
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.17
(7005-72-3)
L�
I_l
O
Concentration
ug/L
14.3
1
4.18
Chrysene (218-01-9)
El
J
0
1
Mass
Ib/Day
<0.0195
Dibenzo (a,h) anthracene (53-70-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.19
3)
7

..
Presence or Absence
-.
„
Intake
(check one)
Effluent
(optional)
Pollutant/Parameter
ing Test7elievedB
Units
Long -Term
(and CAS Number, if
Required
(specify)
Maximum
Maximum
Average
Number
Long -
Long-
Term
Number
available)
Daily
Monthly
Daily
of
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
1,2-dichlorobenzene
Concentration
ug/L
<2.0
1
420
(95-50-1)
n
❑
2
Mass
lb/Day
<0.00906
1
1,3-dichlorobenzene
Concentration
ug/L
<2.0
1
4 21
(541-73-1)
D
Mass
lb/Day
<0.00906
1
1,4-dichlorobenzene
Concentration
ug/L
<2.0
1
4.22
(10646-7)
rl
❑
❑
Mass
lb/Day
<0.00906
1
3,3-dichlorobenzidine
Concentration
ug/L
<8.7
1
4.23
(91.94-1)
❑
❑
❑
Mass
lb/Day
<0.0394
1
Diethyl phthalate
Concentration
ug/L
<4.3
1
4 24
(84-66-2)
❑
❑
Mass
lb/Day
<0.0195
1
Dimethyl phthalate
Concentration
ug/L
<4.3
1
4.25
(131-11-3)
D
❑
❑
Mass
lb/Day
<0.0195
1
Di-n-butyl phthalate
Concentration
ug/L
<4.3
1
4.26
(84-74-2)
n
❑
❑
Mass
lb/Day
<0.0195
1
2,4-dinitrotoluene
Concentration
u
<4.3
1
4.27
(121-14-2)
E
❑
E
Mass
lb/Day
<0.0195
1
2,6-dinitrotoluene
Concentration
ug/L
<4.3
1
4.28
(606-20-2)
El'
❑
Mass
lb/Day
<0.0195
1
Di-n-octyl phthalate
Concentration
ug/L
<4.3
1
429
(117-84-0)
❑
0
Mass
lb/Day
<0.0195
1
1,2-Diphenylhydrazine
Concentration
ug/L
<4.3
1
4.30
(as azobenzene)(122-66-7)
❑
121
s
[Mas
lb/Day
<0.0195
1
Fluoranthene
Concentration
ug/L
<4.3
1
4.37
(206-44.0)
❑
Mass
Ib/Day
<0.01t
1
Fluorene
Concentration
ug/L
<4.3
1
432
(86-73-7)
,
❑
❑
,
❑
Mass
lb/Day
<0.0195
1

Presence or Absence
Effluent
(check one)
(optional)
Pollutant/Parameter
Units
Long -Term
7Value
(and CAS Number, if
Testing
g
(specify)
Maximum
Maximum
Average
available)
Required
Believed
Believed
Daily
Monthly
Daily
Number of
Present
Absent
Discharge
Discharge
Discharge
Analyses
(required)
(if available)
(if available)
Hexachlorobenzene
Concentration
ug/L
<4.3
1
4.33
(118-741)
❑--
Mass
lb/Day
<0.0195
Hexachlorobutadiene
Concentration
ug/L
<4.3
t
4.34
(87-68 3)
❑''
❑
- '
Mass
lb/Day
<0.0195
1
Hexachlorocyclopentadiene
Concentration
ug/L
<8.7
4.35
(77-47-4)
❑
❑
G
Mass
lb/Day
<0.0394
1
Hexachloroethane
Concentration
ug/L
<4.3
1
4.36
(67-72-1)
❑
❑
r=
Mass
lb/Day
<0.0195
1
Indeno (1,2,3-cd) pyrene
Concentration
ug/L
<4.3
1
4.37
(193-39-5)
❑'
❑
C'
Mass
lb/Day
<0.0195
1
Isophomne
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0394
1
4.38
(78-59-1)
0
❑
Naphthalene
Concentration
ug/L
<4.3
1
4.39
(91 20 3)
❑v
❑
0
Mass
lb/Day
<0.0195
1
Nitrobenzene
Concentration
ug/L
<4.3
1
4.40
(98 95 3)
❑
Mass
lb/Day
<0.0195
1
N-nitrosodimethylamine
Concentration
ug/L
<4.3
4.41
(62-75-9)
❑
= I
Mass
lb/Day
<0.0195
t
N-nitrosodi-n-propylamine
Concentration
ug/L
<4.3
1
4.42
(621-64-7)
0
❑
Ll
Mass
lb/Day
<0.0195
1
N-nitrosodiphenylamine
Concentration
ug/L
<8.7
1
4.43
(86-30-6)
21
❑
0
Mass
lb/Day
<0.0394
1
Phenanthrene
Concentration
ug/L
<4.3
1
4.44
(85-01-8)
❑o
❑
❑o
Mass
Ib/Day
<0.0195
1
Pyrene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0195
1
4.45
(129-00-0)
0
El

Presence or Absence
Intake
(check one)
Effluent
(optional)
Long -Term
Pollutant/Parameter
Units
Testing
Long -
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
1,2,4-trichlorobenzene
Concentration
ug/L
<4.3
1
4.46 (120821)
LEI
❑
Mass
I lb/Day
<0.0195
1
Section 4. Organic Toxic Pollutants (GC/MS Fraction - Base /Neutral Compounds)
Aldrin
Concentration
ug/L
<0.042
1
51
(309-00-2)
❑
G
D
Mass
lb/Day
<0.00019
1
o-BHC
Concentration
ug/L
<0.042
1
5,2
(319-84-6)
Mass
Ib/Day
<0.00019
1
(i-BHC
Concentration
ug/L
<0.042
1
5.3
(319 85 7)
;—
—
U
Mass
lb/Day
<0.00019
1
y-BHC
Concentration
ug/L
<0.042
1
5 4
(58-89-9)
❑
U
Mass
Ib/Day
<0.00019
1
b-BHC
Concentration
ug/L
<0.042
1
5.5
(319-86-8)
U
Mass
lb/Day
<0.00019
1
Chlordane
Concentration
ug/L
<0.42
1
5.6
(57 74 9)
❑
❑
Mass
lb/Day
<0.0019
1
4,4'-DDT
Concentration
ug/L
<0.042
1
5.7
(50-29-3)
U
Mass
lb/Day
<0.00019
1
4,4'-DDE
Concentration
ug/L
<0.042
1
5,8
(72-55-9)
❑
L.1
P)
Mass
lb/Day
<0.00019
1
4,4'-DDD
Concentration
ug/L
<0.042
1
5.9
(72-54-8)
L-)
C'
Mass
lb/Day
<0.00019
1
Dieldrin
Concentration
ug/L
<0.042
1
5,10
(60-57-1)
Mass
lb/Day
<0.00019
1
a-endosulfan
Concentration
ug/L
<0.042
1
5.11
(115-29-7)
U
C�
Mass
Ib/Day
<0.00019
1

Presence or Absence
Effluent
Intake
(check one)
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Lon 9
Number
available)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Analyses
Value
(required)
(if available)
(if available)
P-endosulfan
Concentration
ug/L
<0.042
1
512
(115-29-7)
❑
❑
21
Mass
lb/Day
<0.00019
1
Endosulfan sulfate
Concentration
ug/L
<0.042
1
5.13
(1031-07-8)
❑
❑
Mass
lb/Day
<0.00019
1
Endrin
Concentration
ug/L
<0.042
1
514
(72-20-8)
❑
❑
F11
Mass
lb/Day
<0.00019
1
Endrin aldehyde
Concentration
ug/L
<0.042
1
5.15
(7421 93 4)
❑
❑
El
Mass
lb/Day
<0.00019
1
Heptachlor
Concentration
ug/L
<0.042
1
5.16
(76-44 8)
❑
❑
❑'
Mass
lb/Day
<0.00019
1
Heptachlor epoxide
Concentration
ug/L
<0.042
1
5.17
(1024-57-3)
❑
❑
2
Mass
Ib/Day
<0.00019
1
PCB-1242
Concentration
ug/L
<0.42
1
5.18
(53469-21-9)
❑
❑
Mass
lb/Day
<0.0019
1
PCB-1254
Concentration
ug/L
<0.42
1
519
(11097-69-1)
❑
❑
Mass
lb/Day
<0.0019
1
PCB-1221
Concentration
ug/L
<0.42
1
5.20
(11104-28-2)
❑
❑
0
Mass
lb/Day
<0.0019
1
PCB-1232
Concentration
ug/L
<0.42
1
5.21
(11141-16-5)
❑
❑
El
Mass
lb/Day
<0.0019
1
PCB-1248
Concentration
ug/L
<0.42
1
5.22
(12672-29-6)
❑
❑
Mass
lb/Day
<0.0019
1
PCB-1260
Concentration
ug/L
<0.42
1
5.23
(11096-82-5)
❑
❑
❑'
Mass
Ib/Day
<0.0019
1
PCB-1016
lConcentration
ug/L
<0.42
1
5 24
(12674-11-2)
❑
❑
Mass
lb/Day
<0.0019
1

TOXICTABLE B.
•E. TOTAL
PHENOLS,ORGANIC
Presence or Absence
TOXIC•
1 CFR
OUTFALL 1 1
Intake
(check one)
Effluent
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Long -
Long -
Number
available)
15.25
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Analyses
Value
(required)
(if available)
(if available)
Toxaphene
Concentration
ug/L
<0.42
1
Mass
I lb/Day
<0.0019
1
(8001-35-2)
❑
❑
❑�

This page intentionally left blank.

Presence or Absence
(check one)
Effluent
Intake
(optional)
Poilutant/Parameter=BelievedBelieved
Units
Long -Term
(and CAS Number, if available)(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long-
Termof
Average
Value
Number
ses Anal
y
(required)
(if available)
(if available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant.
1.
Bromide
(24959-67-9)
ED
❑
Concentration
mg/L
1.1
1
Mass
lb/Day
4.98
1
2
Chlorine, total
residual
❑
❑
Concentration
ug/L
10
1
Mass
Ib/Day
<.045
1
Concentration
<25.0
1
3.
Color
❑
❑
Mass
1
Concentration
CFU/100mL
<1.0
1
4.
Fecal Coliform
❑
Mass
lb/Day
1
5.
Fluoride
(16984-48-8)
El
❑
Concentration
mg/L
0.38
1
Mass
lb/Day
1.72
1
Concentration
mg/L
7
1
6.
Nitrate -nitrite
0
❑
Mass
lb/Day
1
7'
Nitrogen, total
organic (as N)
0
❑
Concentration
mg/L
8.7
1
Mass
lb/Day
1
Concentration
mg/L
<5
1
8.
Oil and Grease
❑
Mass
lb/Day
<22.7
1
9'
Phosphorus (as P),
total (7723-14-0)
0
❑
Concentration
mg/L
0.89
1
Mass
lb/Day
4.03
1
10.
Sulfate (as SO4)
(14808-79-8)
El
❑
Concentration
mg/L
99
1
Mass
lb/Day
449
1
Concentration
mg/L
<0.10
1
11.
Sulfide (as S)
❑
ID
Mass
lb/Day
<0.453
1
1

1
Effluent
•1 1Presence
Intake
or Absence
one)
o tional(check
(p� )
Long -Term
Parameter
Units
17n,V
(and CAS Number, if
(specify)
Maximum
Maximum
Average
Long-
Number
avilable)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Value
Analyses
y
(required)
(if available)
(if available)
Sulfite (as SO3)
Concentration
ug/L
<3000
1
12.
(14265-45-3)
n
Mass
lb/Day
<13.6
1
Concentration
mg/L
<0.1
1
13.
Surfactants
E
0
Mass
Ib/Day
1
Aluminum, total
Concentration
mg/L
0.025
1
14.
(7429-90-5)
0
Mass
lb/Day
0.113
1
Barium, total
Concentration
mg/L
0.144
1
15.
(7440-39-3)
F41
❑
Mass
lb/Day
0.653
Boron, total
Concentration
mg/L
0,057
1
16.
(7440-42-8)
0
Mass
lb/Day
0.258
1
Cobalt, total
Concentration
ug/L
<1
1
17.
(7440-48-4)
Mass
Rh/Day
<0.00453
1
Iron, total
Concentration
mg/L
0.104
1
18.
(7439-89-6)
0El
Mass
lb/Day
0.471
1
Magnesium, total
Concentration
mg/L
15.1
1
19
(7439-95-4)
0El
Mass
lb/Day
68.4
1
Molybdenum, total
Concentration
ug/L
4.11
1
20.
(7439-98-7)
El
Mass
lb/Day
0.0186
1
Manganese, total
Concentration
mg/L
<0.005
1
21.
(7439-96-5)
Mass
lb/Day
<0.0227
1
Tin, total
Concentration
mg/L
<0.01
1
22
(7440-31-5)
El
1-1
Mass
lb/Day
<0.0453
1
Titanium, total
Concentration
mg/L
<0.005
1
23.
(7440-32-6)
❑
Mass
lb/Day
<0.0227
1

TABLE
C. CERTAIN CONVENTIONAL
AND NON CONVENTIONAL
Presence or Absence
(check one)
POLLUTANTS (40
CFR 122.21(g)(7)(v))'
Effluent
OUTFALL ,r
Intake
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
available)
Believed
Present
Believed
Absent
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
24.
Radioactivity
Concentration
Alpha, total
Mass
Concentration
Beta, total
n
Mass
Concentration
Radium, total
❑
G
Mass
Concentration
Radium 226, total
0
Mass

This page intentionally left blank.

. L
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
1.7712Acetalclehycle
❑
El
❑
0
3.
Allyl alcohol
❑
0
4.
Allyl chloride
❑
I 0
5.
Amyl acetate
❑
0
6.
Aniline
❑
0
7.
Benzonitrile
❑
El
8.
Benzyl chloride
❑
❑�
9.
Butyl acetate
❑
D
10_
Butylamine
❑
❑�
11.
Captan
❑
121
12.
Carbaryl
❑
❑
13.
Carbofuran
❑
El
14.
Carbon disulfide
❑
M
15.
Chlorpyrifos
❑
F±1
16.
Coumaphos
❑
0
17.
Cresol
❑
❑�
18.
Crotonaldehyde
❑
El
19.
Cyclohexane I
❑ I
El

HAZARDOUSTABLET. CERTAIN
AND ASBESTOS
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
IDiazinon
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
2+13 (2,4-dichlorophenoxyacetic acid)
El
0
❑
21
22.
Dicamba
❑
21
23.
Dichlobenil
❑
Ej
24.
Dichlone
❑
0
25.
2,2-dichioropropionic acid
❑
F11
26.
Dichlorvos
❑
El
27.
Diethyl amine
❑
0
26
Dimethyl amine
❑
El
29.
Dintrobenzene
❑
El
M
Diquat
❑
31.
Disulfoton
❑
32.
Diuron
❑
33.
Epichlorohydrin
❑
❑�
34.
Ethion
❑
0
35.
Ethylene diamine
❑
El
36.
Ethylene dibromide
❑
❑�
37.
Formaldehyde
❑
❑�
36.
Furfural
❑

..
..
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Qu7-
(speci
IGuthion
Pollutant
Believed
Present
Believed
Absent
❑
0
40.
Isoprene
❑
FA
41 .
Isopropanolamine
❑
0
42.
Kelthane
❑
0
43.
Kepone
❑
ID
44.
Malathion
❑
El
45.
Mercaptodimethur
❑
El
46.
Methoxychlor
❑
7
47.
Methyl mercaptan
❑
El
48.
Methyl methacrylate
❑
0
49.
Methyl parathion
❑
Z
50.
Mevinphos
❑
0
51.
Mexacarbate
❑
n
52.
Monoethyl amine
❑
0
53.
Monomethyl amine
❑
0
54.
Naled
❑
0
55.
Naphthenic acid
❑
❑�
ss.
Nitrotoluene
❑
0
57
IParathion
❑
P�

HAZARDOUSTABLE D. CERTAIN
..
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
0r
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
58.
Phenolsulfonate
❑
2
59.
Phosgene
❑
'❑
60.
Propargite
❑❑
61.
Propylene oxide
❑❑
62.
Pyrethrins
❑
El
63.
Quinoline
❑
Q
64.
Resorcinol
❑
❑.�
65.
Strontium
❑
❑�
66.
Strychnine
❑
0
67.
Styrene
❑
❑�
68.
2'4'5-T (2'4'5-
trichlorophenoxyacetic acid)
❑
❑�
69.
TDE (tetrachlorodiphenyl ethane)
❑
❑�
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
propanoic acid]
❑
O
71.
Trichlorofon
❑
❑�
72.
Triethanolamine
❑
❑�
73.
Triethylamine
❑
❑�
74.
Trimethylamine
❑
❑�
75.
Uranium
❑
❑
76.
Vanadium
❑
❑�

Presence or Absence
Pollutant
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
Believed
Believed
(specify units)
Present
Absent
77. Vinyl acetate
❑
PI
78. Xylene
❑
79. Xylenol
❑
P
80. Zirconium
❑
Q
' 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 1, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).

This page intentionally left blank.

• • C
• -•
TCDD
a D 1
Presence or Absence
• 1 1
Pollutant
Congeners
Used or
(check one)
Results of Screening Procedure
Believed
Believed
Manufactured
Present
Absent
2,3,7,8-TCDD
❑
Li
❑�
' 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 O. See instructions and 40 CFR 122.21(e)(3).

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD043678929 NC0004774 Buck Combined Cycle OMB No. 2040-0004
Form U.S. Environmental Protection Agency
2C Application for NPDES Permit to Discharge Wastewater
WSWNPDES EPA EXISTING MANUFACTURING, COMMERCIALS MINING, AND SILVICULTURE
OPERATIONS
SECTIONOUTFALL LOCATIONr
1.1 Provide information on each of the facility's outfalls in the table below.
c
0 Outfall
m Receiving Water Name Latitude Longitude
0
0 Number
J
m 007 Yadkin River 35° 42' 57.54" N li 21' 53.54" W
w
O
SECTION•' r
rn 2'1 Have you attached a line drawing to this application that shows the water flow through your facility with a
= 3 water balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for
example.)
0
❑ Yes ❑ No
SECTION•
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional
sheets if necessary.
.Outfall Number" 007
Y
c
C Operations
dOperation Average Flow
Evoqua Treatment Unit 0.747 mgd
c
3 mgd
0
U. mgd
m
a
mgd
Treatment Units
Description Final Disposal of Solid or
Code from Liquid Wastes Other Than
(include size, flow rate through each treatment Table 2C-1 Li q
unit, retention time, etc.) by Discharge
Multimedia filtration, coagulation,
declorinazation nuetralization 1-O, 2-D, 2-E, 2-K

**Outfall Number**
3.1
Cont
Operations
Operation Average Flow
mgd
mgd
mgd
mgd
Q
Treatment
Description
Units
Code from Final Disposal of Solid or
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
0
unit, retention time, etc.)
Discharge
U
c
v
E
m
d
F-
F
**Outfall Number**
m
N
0
Operations
LL
d
Operation Average Flow
rn
R
mgd
d
Q
mgd
mgd
mgd
Treatment
Description
Units
Code from Final Disposal of Solid or
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
unit, retention time, etc.)
Discharge
3,2
Are you applying for an NPDES permit to operate a privately owned treatment works?
w �
❑ Yes E] No SKIP to section 4.
N3.3
Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No

Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or
4.1
seasonal?
❑� ❑ No y SKIP to section 5
Yes
4.2
Provide information on intermittent or seasonal flows for each applicable outfall. Attach add. pages if necessary
Outfall
Frequency
Flow Rate
Number
Operation
Average
Average
Long -Term
Maximum
Duration
(List)
Days/Week
MonthsNear
Average
Daily
2 5 days/
g months/
0.747 mgd
0.8 mgd
100 days
week
year
007
days/
months/
mgd
mgd
days
•
week
year
days/
months/
m
mgd
mgd
s
days
y
—
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/ months/ mgd mgd days
week year
SECTION•.
•
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑� Yes ❑ No ♦ SKIP to Section 6.
W
5.2
Provide the following information on applicable ELGs.
ELG Category
ELG Subcategory
Regulatory Citation
W
m
Power Generation
steam Electric
40 CFR423
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
c
5.3
❑ Yes ❑ No ♦ SKIP to Section 6.
0
r
Provide an
actual measure of daily production expressed in terms and units of applicable
ELGs.
Outfall
Quantity per
Unit of
E
Operation, Product, or Material
Day
Measure
o
Number
d
N
N
m
5A
c
0
c+
0
0
a

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?
F6.2
El Yes No SKIP to Item 6.3.
,c
ca `m
Briefly identify each applicable project in the table below.
mBrief
v >
Identification
Affected
Outfalls
(s )
Sof
Source(s)
Final Compliance Dates
o
m`
and Description of
Project
(list outfali
Discharge
Required
q
Projected
I
number)
Have you attached sheets describing any additional water pollution control programs (or other environmental
6.3
projects that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes Q No ❑ Not Applicable
SECTION.
t
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you
must complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for
.y
7.1
any of your outfalls?
.�
❑ Yes ❑' No SKIP to Item 7.3.
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the
s
7.2
application.
n
m
Outfall Number: Outfall Number: Ouffall Number.
s
m
=
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
7.3
requested and attached the results to this application package?
n
❑� Yes ❑ No A Waiver has been requested from my NPDES permitting authority for all pollutants at all
m
outfalis.
`w
Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry
7.4
categories listed in Exhibit 2C-3? (See end of instructions for exhibit.)
n Yes ❑ No SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
❑+ Yes ❑ No
List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)
7.6
identified in Exhibit 2C-3.
Required GC/MS Fraction(s)
Primary Industry Category
'. (Check applicable Boxes)
Steam Elecric Power Plants
❑ volatile ❑+ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide

7 7
Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS
fractions checked in Item 7.69
0 Yes ❑ No
7.8
Have you checked "Believed Present" or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B where
testing is not required?
❑ Yes ❑ No
Have you provided (1) quantitative data for those Section 1, Table 8, pollutants for which you have indicated testing is
7.9
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are "Believed Present" in your discharge?
Q Yes ❑ No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
El Yes Note that you qualify at the top of Table 8, then SKIP to item 7.12 ❑' No
a
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have determined
7.11
testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B, pollutants you have
—
indicated are "Believed Present" in your discharge?
c
0
U
❑Yes ❑ No
0
a
Table C. Certain Conventional and Non -Conventional Pollutants
m
7.12
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed on Table C for all
r
outfalls?
U
❑ Yes ❑ No
Y
R
c
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
c
7.13
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
"Believed Present"?
C
�'
a
❑+ Yes ❑ No
W
Table O. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed in Table D for all
outfalls?
❑ Yes ❑ No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged and (2)
by providing quantitative data, if available?
Q Yes ❑ No
Table E. 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (2,3,7,8-TCDD)
7 16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you know
or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes Complete Table E El No SKIP to section 8
7.17
Have you completed Table E by reporting qualitative data for TCDD?
Q Yes ❑ No
SECTIONOR
K8
1
Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as an
o
intermediate or final product or byproduct?
❑ Yes ❑ No SKIP to section 9
'
u
8.2
List the pollutants below.
m
1. 4. 7.
R
a
2. 5. 8.
a
m
3. 6. 9.

SECTIONBIOLOGICAL
T• 1
^
Do you have any knowledge or reason to believe that any biological test for acute chronic toxicity has been made
9.1
within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge?
0 Yes ❑ No SKIP to section 10.
d
F-'..
9.2
Identify the tests and their purposes below.
s
PrpoeoTest(s)
Sub Itted to NPDES
Date SubmittedTst(,
:o .
.
AutoPermtting
A "� •''
❑� Yes ❑ No
7 co
Chronic Toxicity
Monthly
o.
m❑
Yes ❑ No
❑ Yes ❑ No
SECTION1
CONTRACT ANALYSES (40 •
10.1
Were any of the analyses reported in section 7 performed by a contract laboratory or consulting firm?
Q Yes ❑ No SKIP to section 11.
Provide information to each contract laboratory or consultin q firm below.
10.2
Laboratory Number 1'.:
` Laboratory Number 2
Laboratory Number 3
N.
Name of Laboratory/firm
Pace Anlytical
c
a
Laboratory address
9800 Kincy Avenue #100
'
Huntersville NC28078
°.0,,
Phone number
704 875 9092
Pollutant(s) analyzed
All
SECTION.11.
ADDITIONAL INFORMATION (40CFR122.21(g)(13))
Has the NPDES permitting authority requested additional information?
11.1
0
❑ Yes 0 No SKIP to section 12.
11.2
List the information requested and attach it to this application.
w
,.c,.
c,.
1. 3.
0
V
a
2. 4.
Q
3. 5.

SECTION
12. CHECKLIST AND CERTIFICATION STATEMENT r r
12.1 In Column 1 below, mark the sections of Form 2C 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
Q Section 1: Outfall Location
w/ attachments
❑� Section 2: Line Drawing
w/ line drawing ❑ w/ additional attachments
❑� Section 3: Average Flows and Treatment
w/ attachments ❑ w/ list of each user of privately owned
treatmentworks
❑ Section 4: Intermittent Flows
❑ w/ attachments
❑ Section 5: Production
❑ w/ attachments
❑ Section 6: Improvements
❑ w/ attachments ❑ w/ optional additional sheets describing
any additional pollution control plans
❑w/ request for a waiver and supporti
�❑ w/ explanation for identical outfalls
m
information
yw/
small business exemption
❑request Elw/ other attachments
}a,
u)
c
0
O Section 7: Effluent and Intake
❑v w/ Table A ❑� w/ Table B
Characteristics
❑� w/ Table C ❑ w/ Table D
U
Y
❑ w/ Table E ❑ w/ analytical results as an attachment
d
U
'o
❑ Section 8: used or Manufactured Toxics
❑ w/ attachments
c
m
N
❑ Section 9: Biological Toxicity Tests
❑ w/ attachments
s
U
U❑
Section V.Contract Analyses
Elw/ attachments
❑� Section 11: Additional Information
Q w/ attachments
❑✓ Section 12: Checklist and Certification Statement
❑✓ w/ attachments
12.2
Certification Statement
1 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. if 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
Vf s,f 0(4,0r n'c.fG
GMZI -R� E*A. 3
Signature
Date signed

This page intentionally left blank.

Waiver
Requested
(if applicable)
Units
(specify)
Effluent
Intake (optional)
Pollutant
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average Daily
Discharge
(if available)
Numberof
Analyses
Long Term
Average
Value
Number of
Analyses
❑
Check here if you have applied to your NPDES permitting authority, for a waiver for all of the pollutants listed on this table for the noted outfall.
1'
Biochemical oxygen demand
(BOD5)
❑
Concentration
mg/L
<2.0
1
Mass
lb/Day
2.
Chemical oxygen demand (COD)
❑
Concentration
mg1T
<25,0
1
Mass
lb/Day
3.
Total organic carbon (TOC)
❑
Concentration
mg/L
2.8
1
Mass
lb/Day
15.9
4.
Total suspended solids (TSS)
❑
Concentration
mg/L
3.8
1
Mass
Ib/Day
21.6
5.
Ammonia (as N)
❑
Concentration
mg/L
<0.10
1
Mass
lb/Day
<0.567
6.
Flow
❑
Rate
MOD
0.68
Temperature (winter)
❑
°C
°C
11.3
1
7.
Temperature (summer)
❑
°C
'C
pH (minimum)
❑
Standard Units
s.u.
8.2
1
8.
pH (maximum)
❑
Standard Units
s.U.
Enter INTAKE flow below
if you want to calculate
lb/Day
0.68

This page intentionally left blank.

Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if
(and
available
Testing
Required
Believed
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Lon
Long -
Term
Average
Value
of
Analyses
(required)
(if available)
(if available)
❑ Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2
through 5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1. Toxic Metals, Cyanide, and Total Phenols
ug/L
2.05
1
1.1
Antimony, total (7440-36-0)
0
El
ElConcentration
Mass
lb/Day
0.0116
1
1.2
Arsenic, total (7440-38-2)
0
0
❑
Concentration
ug/L
34.2
1
Mass
b/Day
0.194
1
Concentration
ug/L
<1
1
1.3
Beryllium, total (7440-41-7)
❑
❑,
Mass
lb/Day
<0.00567
1
Concentration
ug/L
<0.1
1
1.4
Cadmium, total (7440-43-9)
❑
❑,
Mass
IblDay
<0.000567
1
Concentration
ug/L
<1
1
1.5
Chromium, total (7440-47-3)
❑,
❑
0
Mass
lb/Day
<0.00567
1
1.6
Copper, total (7440-50-8)
❑
Concentration
ug/L
2.07
1
Mass
lb/Day
0.0117
1
Concentration
ug/L
<1
1
1.7
Lead, total(7439-92-1)
❑
El
Mass
Ib/Day
<0.00567
1
Concentration
nglL
0.579
1
1.8
Mercury, total (7439-97-6)
❑
❑
❑
Mass
lb/Day
0.0000033
1
1.9
Nickel, total (7440-02-0)
M
❑
Concentration
ug/L
3.75
1
Mass
lb/Day
0.0213
1
Concentration
ug/L
2.42
1
1.10
Selenium, total (778249-2)
❑
Mass
lb/Day
0.0137
1
1.11
Silver, total(7440-22-4)
p
❑
Concentration
ug/L
<1
1
Mass
lb/Day
<0.00567
1

• r • •
• •• •
•• -i
Effluent
• ��
Intake
Presence or Absence
(check one)
(optional)
Long -Term
Long -
Pollutant/Parameter
TestingUnits
(and CAS Number, if available)
Required
(specify)
Maximum
Maximum
Average
Number of
Term
Number
Believed
Believed
Daily
Monthly
Daily
of
Present
Absent
-
Discharge
Discharge
Discharge
Analyses
Average
Value
Analyses
(required)
(if available)
(if available)
Concentration
ug/L
0.243
1
1.12
Thallium, total (7440-28-0)
❑,
❑
1
Mass
lb/Day
0.00138
Concentration
mg/L
<0.005
1
1.13
Zinc, total(7440-66-6)
0
❑
1
Mass
lb/Day
<0.0284
Concentration
mg/L
<0.0080
1
1.14
Cyanide, total (57-12-5)
El
❑
0
1
Mass
lb/Day
<0.0454
Concentration
ug/L
1 <4.3
11
1.15
Phenols, total
71
❑
21
Mass
lb/Day
1<0.0244
11
Section 2. Organic Toxic Pollutants (GCIMS Fraction -Volatile Compounds)
Concentration
ug/L
<5.0
1
2.1
Acrolein (107-02-8)
❑
❑
El
Mass
lb/Day
<0.0284
1
Concentration
ug/L
<5.0
1
2.2
Acrylonitrile(107-13-1)
F±1
❑
21
1
Mass
lb/Day
<0.0284
Concentration
ug/L
<1.0
1
2.3
Benzene (7143-2)
❑,
❑
El
Mass
lb/Day
<0.00567
1
Concentration
ug/L
<2.0
1
2.4
Bromoform (75-25-2)
❑
❑
1
Mass
lb/Day
<0.0113
Concentration
ug/L
<2.0
1
2.5
Carbon tetrachloride (56-23-5)
El
❑
0
Mass
lb/Day
<0.0113
1
Concentration
ug/L
<2.0
1
2.6
Chlorobenzene (108-90-7)
0
❑
❑,
Mass
lb/Day
<0.0113
1
Chlorodibromomethane
Concentration
ug/L
<2.0
1
2.7
(12448-1)
❑'
❑
❑'
Mass
lb/Day
<0.0113
1
Concentration
ug/L
<2.0
1
2.8
Chloroethane (75-00-3)
❑
1
Mass
lb/Day
<0.0113

• r •
•
r 1 •
• 1
• 1 1
Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
Believed
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Lon 9
Term
Average
value
Number
of
Analyses
(required)
(if available)
(if available)
2'9
2-chloroethylvinyl ether
(110-75-8)
❑
❑
Concentration
ug/L
<5.0
1
Mass
lb/Day
<0.0284
1
2.10
Chloroform (67-66-3)
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
211
Dichlorobromomethane
(75-27-4)
❑
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
2.12
1,1-dichloroethane (75-34-3)
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
2.13
1,2dichloroethane (107-06-2)
El
El1
Concentration
<2.0
Mass
lb/Day
<0.0113
1
2.14
1,1 dichloroethylene(75-35-4)
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
2.15
1,2dichloropropane (78-87-5)
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
2.16
1,3dichloropropylene
(542-75-6)
❑
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
1
Concentration
ug/L
<1.0
1
2.17
Ethylbenzene (100-41-4)
❑
Mass
lb/Day
<0.00567
1
Concentration
ug/L
<2.0
1
2.18
Methyl bromide (74-83-9)
❑
❑
Mass
Ib/Day
<0.0113
1
Concentration
ug/L
<2.0
1
2.19
Methyl chloride (74-87-3)
❑'
❑
❑
Mass
lb/Day
<0.0113
1
Concentration
ug/L
<2.0
1
2.20
Methylene chloride (75-09-2)
❑
❑
2
Mass
Ib/Day I
<0.0113
1
2.21
1.1,2,2- tetrachloroethane
(79-34-5)
❑
❑
0
Concentration I
ug/L 1
<2.0
1
Mass
lb/Day 1
<0.0113
1

TOXICTABLE B. •PHENOLS.ORGANIC
TOXIC•
1
Effluent
OUTFALL 007
Intake
Presence or Absence
(check one)
(optional)
Long -Term
Long -
lutent/Parameter
Testing
9
Units
(and CAS Number, if
Required
gelieved
believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
k
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
y
(required)
(if available)
(if available)
oroethylene
Concentration
ug/L
<2.0
1
Mass
lb/Day
<0.0113
i
-4)
0
Concentration
ug/L
<1.0
1
2.23
Toluene (108-88-3)
❑
Mass
lb/Day
<0.00567
1
1,2-trans-dichloroethylene
Concentration
ug/L
<2.0
1
2 24
(156-60-5)
❑
Mass
lb/Day
<0.0113
1
1,1,1-trichloroethane
Concentration
ug/L
<2.0
1
2.25
❑
El
0
(71-55-6)
Mass
lb/Day
<0.0113
1
1,1,2-trichloroethane
Concentration
ug/L
<2.0
1
2.26
(79-00-5)
❑
❑
Mass
lb/Day
<0.0113
1
Concentration
ug/L
<2.0
1
2.27
Trichloroethylene (79-01-6)
F]
❑
Mass
Ib/Day
<0.0113
i
Concentration
ug/L
<2.0
1
2.28
Vinyl chloride (75-01-4)
Mass
lb/Day
<0.0113
1
Section 3. Organic Toxic Pollutants (GC/MS Fraction -Acid Components)
Concentration
ug/L
<4.3
1
3.1
2-chlorophenol(95-57-8)
❑,
❑
Mass
Ib/Day
<0.0244
1
2,4-dichlorophenol
Concentration
ug/L
<4.3
1
3.2
(120-83-2)
❑
Mass
lb/Day
<0.0244
1
2,4-dimethylphenol
Concentration
ug/L
<8.7
1
3.3
(105 67-9)
❑
Mass
lb/Day
<0.0494
1
4,6-dinitro-o-cresol
Concentration
ug/L
<8.7
1
3.4
(534-52-1)
Mass
lb/Day
<0.0494
1
Concentration
ug/L
<43.5
1
3.5
2,4-dinitrophenol (51-28-5)
❑
0
1
Mass
lb/Day
<0.247

Presence or Absence
Intake
(check one)
Effluent
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Long -
Number
available)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Analyses
Average
Discharge
Discharge
Discharge
value
Analyses
(required)
(if available)
(if available)
2-nitrophenol
Concentration
ug/L
<4.3
1
3.6
(88-75-5)
`71
❑
F11
Mass
Ib/Day,
<0.0244
1
4-nitrophenol
Concentration
ug/L
<8.7
1
3.7
(100-02-7)
❑
Mass
lb/Day
<0.0494
1
p-chloro-m-cresol
Concentration
ug/L
<4.3
1
3.8
(59-50-7)
Mass
Ib/Day
<0.0244
1
Pentachlorophenol
Concentration
ug/L
<8.7
1
3.9
(87-86-5)
(J
Mass
lb/Day
<0.0494
1
Phenol
Concentration
mg/L
<0.020
1
3.10
(108-95-2)
Mass
lb/Day
<0.113
1
2,4,6-trichlorophenol
Concentration
ug/L
<8.7
1
3.11
(88-05-2)
0
U
Mass
Ib/Day
<0.0494
1
Section 4, Organic Toxic Pollutants (GC/MS Fraction - Base /Neutral Compounds)
Acenaphthene
Concentration
ug/L
<4.3
1
4A
(83-32-9)
❑
L]
2
Mass
lb/Day
<0.0244
1
Acenaphthylene
Concentration
ug/L
<4.3
1
42
(208-96-8)
❑
'J
E
Mass
Ib/Day
<0.0244
1
Concentration
ug/L
<4.3
1
4.3
Anthracene(120-12-7)
Ell_1
Mass
lb/Day
<0.0244
1
Concentration
ug/L
<43.5
1
4.4
Benzidine (92-87-5)
❑
,�
Mass
lb/Day
<0.247
1
Benzo (a) anthracene
Concentration
ug/L
<4.3
1
4.5
(56-55-3)
IJ
Mass
lb/Day
<0.0244
1
Benzo (a) pyrene
Concentration
ug/L
<4.3
1
4.6
(50-32-8)
❑
❑
Mass
lb/Day
<0.0244
1

..
Effluent
Intake
Presence or Absence
(check one)
(optional)
rameter
7CAS
Testing
Units
Long -Term
Long-
, if available)
Required
9
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Analyses
y
Discharge
Discharge
Discharge
Value
(required)
(if available)
(if available)
3,4-benzofluoranthene
Concentration I
ug/L
<4.3
1
Mass
Ib/Day
<0.0244
1
4.7
(205-99-2)
❑
❑
❑�
Concentration I
ug/L
<4.3
1
4.8
Benzo (ghi) perylene (191-24-2)
❑
❑
Mass
lb/Day
<0.0244
1
Benzo (k) fluoranthene (207-08-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.9
9)
❑
❑
0
Bis (2-chloroethoxy) methane
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0494
1
4.10
(111-91-1)
❑
❑
Bis (2-chloroethyl) ether (11144-
Concentration
ug/L
<4.3
1
Mass
lb/Day
10.0244
1
4.11
4)
❑
�'
Bis (2-chloroisopropyl) ether (102
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.12
80-1)
Fi
❑
Bis (2-ethylhexyl) phthalate (117-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.13
817)
❑
❑
❑
4-bromophenyl phenyl ether (101
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.14
55-3)
r-1
Concentration
ug/L
<4.3
1
4.15
Butyl benzyl phthalate (85-68-7)
❑
❑
Mass
lb/Day
<0.0244
1
Concentration
ug/L
<4.3
1
4.16
2-chloronaphthalene (91-58-7)
❑
❑
1
Mass
lb/Day
<0.0244
4-chlorophenyl phenyl ether
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.17
(7005-72-3)
❑
Concentration
ug/L
<4.3
1
4.18
Chrysene (218-01-9)
0
Mass
lb/Day
<0.0244
1
Dibenzo (a,h) anthracene (53-70-
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.19
3)
❑
❑

B.
TOXICTABLE •E, TOTAL
PHENOLS,AND
ORGANIC TOXIC-•
40
OUTFALL 00
Presence or Absence
Intake
(check one)
Effluent
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Long -
Number
available)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Analyses
Average
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
1,2-dichlorobenzene
Concentration
ug/L
<2.0
1
4.20
(95-50-1)
❑
❑
Mass
lb/Day
<0.0113
1
1,3dichlorobenzene
Concentration
ug/L
<2.0
1
4.21
(541-73-1)
❑
❑
Mass
lb/Day
<0.0113
1
1,4dichlorobenzene
Concentration
ug/L
<2.0
1
422
(106-46-7)
❑
❑
0
Mass
Ib/Day
<0.0113
1
3,3-dichlorobenzidine
Concentration
ug/L
<8.7
1
4.23
(91-94-1)
El❑
0
Mass
Ib/Day
10.0494
1
Diethyl phthalate
Concentration
ug/L
<4.3
1
4.24
(84-66-2)
❑
❑
❑�
Mass
lb/Day
<0.0244
1
Dimethyl phthalate
Concentration
ug/L
<4.3
1
4.25
(13111-3)
❑
❑
Mass
lb/Day
<0.0244
1
Di-n-butyl phthalate
Concentration
ug/L
<4.3
1
4.26
(8474-2)
❑
❑
❑'
Mass
lb/Day
<0.0244
1
2,4dinitrotoluene
Concentration
ug/L
<4.3
1
4.27
(121-14-2)
❑
❑
Mass
lb/Day
<0.0244
1
2,6dindrotoluene
Concentration
ug/L
<4.3
1
428
(606-20-2)
❑
❑
0
Mass
lb/Day
<0.0244
1
Di-n-octyl phthalate
Concentration
ug/L
<4.3
1
4.29
(117-84-0)
❑
❑
❑�
Mass
lb/Day
<0.0244
1
1,2-Diphenylhydrazine
Concentration
ug/L
<4.3
1
4.30
(as azobenzene) (122-66-7)
❑
❑
Mass
lb/Day
<0.0244
1
Fluoranthene
Concentration
ug/L
<4.3
1
4.31
(206-44-0)
❑
❑
Mass
Ib/Day
<0.0244
1
Fluorene
Concentration
ug/L
<4.3
1
4.32
(86 73 7)
❑
❑
❑'
Mass
lb/Day
<0.0244
1

• -•I
Effluent
•
Intake
Presence or Absence
one)
(P )
o tional(check
Long-TermTestinger,
ong
eter
F(adA
Units
if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Analyses
y
Discharge
Discharge
Discharge
Value
(required)
(if available)
(if available)
Hexachlorobenzene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.33
(118 74 1)
❑
❑
❑
Hexachlorobutadiene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.34
(8768 3)
❑
❑
Hexachlorocyclopentadiene
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0494
1
4.35
(77-47-4)
❑
❑
❑'
Hexachloroethane
Concentration
ug/L
<4.3
1
4.36
(67-72-1
❑
❑
❑'
Mass
lb/Day
<0.0244
1
Indeno (1,2,3-cd) pyrene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.37
(193-39-5)
❑
❑
❑�
Isophorone
Concentration
Concentration
ug/L
<8.7
1
lb/Day
<0.0494
1
4.38
(78-59-1)
❑
❑
El
Naphthalene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.39
(91-20-3)
❑
❑
Nitrobenzene
Concentration
ug/L
<4.3
1
4.40
(98-95-3)
❑
❑
Mass
lb/Day
<0.0244
i
N-nitrosodimethylamine
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.41
(62-75-9)
❑
❑
N-nitrosodi-n-propylamine
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.42
(621-64-7)
❑
❑
N-nitrosodiphenylamine
Concentration
ug/L
<8.7
1
Mass
lb/Day
<0.0494
1
4.43
(86-30-6)
❑
❑
Phenanthrene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.44
(85-01-8)
Pyrene
Concentration
ug/L
<4.3
1
Mass
lb/Day
<0.0244
1
4.45
(129-00-0)
❑
❑
0

•
r
• •
• ' • •
1
• 1 1
Presence or Absence
Intake
check one
( )
Effluent
(optional)
Long -Term
Pollutant/Parameter
Units
Testing
Long -
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
Concentration
ug/L
<4.3
1
446 11,2,4-trichlorobenzene
(120-82-1)
❑
❑
❑
Mass
I lb/Day
<0.0244
1
Section 4. Organic Toxic Pollutants (GC/MS Fraction - Base /Neutral Compounds)
Aldrin
Concentration
ug/L
<0.045
1
5.1
(309-00-2)
❑
❑
Mass
lb/Day
<0.000255
1
a-BHC
Concentration
ug/L
<0.045
1
52
(319-84-6)
❑
❑
0
Mass
lb/Day
<0.000255
1
R-BHC
Concentration
ug/L
<0.045
1
5.3
(319-85-7)
❑
❑
❑
Mass
lb/Day
<0.000255
1
y-BHC
Concentration
ug/L
<0.045
1
54
(58-89-9)
❑
❑
Mass
lb/Day
<0.000255
1
5-BHC
Concentration
ug/L
<0.045
1
5.5
(319 86 8)
❑
❑
El
Mass
lb/Day
<0.000255
1
Chlordane
Concentration
ug/L
<0.45
1
5.6
(57 74 9)
❑
❑
0
Mass
lb/Day
<0.00255
1
4,4'-DDT
Concentration
ug/L
<0.045
1
5.7
(50-29-3)
❑
❑
❑
Mass
lb/Day
<0.000255
1
4,4'-DDE
Concentration
ug/L
<0.045
1
5 8
(72-55-9)
❑
❑
1']
Mass
lb/Day
<0.000255
1
4,4'-DDD
Concentration
ug/L
<0.045
1
5,9
(72-54-8)
❑
❑
❑
Mass
lb/Day
<0.000255
1
Dieldrin
Concentration
ug/L
<0.045
1
5.10
( 60-57-1)
❑
❑
U
Mass
lb/Day
<0.000255
1
a-endosulfan
Concentration
ug/L
<0.045
1
5.11
(115-29-7)
❑
❑
❑
Mass
lb/Day
<0.000255
1

Pol Iutant/Parameter
(and CAS Number, if
available
Testing
Required
Presence or Absence
(check one)
Units
(specify)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if available)
Long -Term
Average
Daily
Discharge
(if available)
Number of
Analyses
Lon 9
Term
Average
Value
Number
of
Analyses
512
O-endosulfan
(115-29-7)
Concentration
ug/L
<0.045
1
Mass
lb/Day
<0.000255
1
5.13
Endosulfan sulfate
(1031-07-8)
F-1
❑
Concentration
ug/L
<0.045
1
Mass
Ib/Day
<0.000255
1
5.14
Endrin
(72-40-8)
D
❑
E
Concentration
ug/L
<0.045
1
Mass
lb/Day
<0.000255
1
5.15
Endrin aldehyde
(7421 93-4)
I
C
❑
❑
'
Concentration
ug/L
<0.045
1
Mass
Ib/Day
<0.000255
1
5.16
Heptachlor
76-44-8
( )
❑
❑
❑
Concentration
ug/L
<0.045
1
Mass
Ib/Day
<0.000255
1
5.17
Heptachlor epoxide
(1024-57-3)
❑
❑'
Concentration
ug/L
<0.045
1
Mass
lb/Day
<0.000255
1
5.18
PCB-1242
(53469-21-9)
❑
❑
❑
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1
5.19
PCB-1254
(11097-69-1)
❑
❑
❑
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1
5.20
PCB-1221
(11104-28-2)
❑
C
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1
521
PCB-1232
(11141-16-5)
'-JI
❑
❑
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1
522
PCB-1248
(12672-29-6)
❑
❑
0
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1
5.23
PCB-1260
(11096-82-5)
11
E
❑
Concentration
ug/L
<0.45
1
Mass
Ib/Day
<0.00255
1
524
PCB-1016
(12674-11-2)
Concentration
ug/L
<0.45
1
Mass
lb/Day
<0.00255
1

mill • •
• • '
Presence or Absence
• •
1
Effluent
• 1 1
Intake
(check one)
(optional)
Long -Term
Long -
Pollutant/Parameter
Testing
Units
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
s
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
Toxaphene
Concentration
ug/L
<045
Mass
I lb/Day
-0.00255
1
5.25 (8001-35-2)

This page intentionally left blank.

Presence or Absence
(check one)
Effluent
Intake
(optional)
Long -Term
Pollutant/Parameter
Units
(and CAS Number, if available)
Believed
Present
Believed
Absent
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence' column of Table C for each pollutant.
1
Bromide
(24959-67-9)
❑
❑
Concentration
mg/L
<0.1
1
Mass
lb/Day
<0.567
1
2'
Chlorine, total
residual
❑
❑
Concentration
ug/L
<10
1
Mass
lb/Day
0.057
1
3.
Color
❑
El
Concentration
<25.0
1
Mass
1
4.
Fecal Coliform
0
❑
Concentration
CFU/100mL
2
1
Mass
Ib/Day
1
5'
Fluoride
(16984-48-8)
E
❑
Concentration
mg/L
0.13
1
Mass
Ib/Day
0.738
1
6.
Nitrate -nitrite
❑
El
Concentration
mg/L
<0.04
1
Mass
lb/Day
0.227
1
7
Nitrogen, total
organic (as N)
0
❑
Concentration
mg/L
1.5
1
Mass
lb/Day
8.51
1
8.
Oil and Grease
❑
Concentration
mg/L
<5
1
Mass
lb/Day
<28.4
1
9'
Phosphorus (as P),
total (7723-14-0)
❑
0
Concentration
mg/L
<0.050
1
Mass
lb/Day
<0.284
1
10
Sulfate (as SO4)
(14808-79-8)
❑
Concentration
mg/L
65
1
Mass
lb/Day
369
1
11.
Sulfide (as S)
❑
Concentration
mg/L
<0.10
1
Mass
lb/Day
<0.567
1

arkrawanewlenwo
Effluent
Intake
Presence or Absence
(check one)
(optional)
Long -Terre
Long
Pollutant/Parameter
Units
(and CAS Number, if
(specify)
Maximum
Maximum
Average
Number
available)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Value
Analyses
y
(required)
(if available)
(if available)
Sulfite (as SO3)
Concentration
ug/L
<3000
Mass
lb/Day
<17
1
12.
(14265-45-3)
❑
0
Concentration
mg/L
<0.1
1
13.
Surfactants
❑
El
1
Mass
lb/Day
Aluminum, total
Concentration
mg/L
0.065
14.
(7429-90-5)
❑
Mass
lb/Day
0.369
1
total
Concentration
mg/L
0.124
1
1..Barium,
(7440-39-3)
❑
Mass
lb/Day
0.704
1
Boron, total
Concentration
mg/L
0.404
1
16.
(7440-42-8)
0
❑
Mass
lb/Day
2.29
Cobalt, total
Concentration
ug/L
<1
1
17.
(7440-48-4)
❑
Mass
lb/Day
<0.00567
Iron, total
Concentration
mg/L
0.352
1
18.
(7439-89-6)
E
Mass
lb/Day
2
1
Magnesium, total
Concentration
mg/L
9.05
1
Mass
lb/Day
51.4
1
19'
(7439-95-4)
E21
❑
Molybdenum, total
Concentration
ug/L
26.9
20.
(7439-98-7)
E21
❑
Mass
lb/Day
0.153
1
Manganese, total
Concentration
mg/L
0.074
1
21.
(7439-96-5)
❑
Mass
lb/Day
0.42
1
Tin, total
Concentration
mg/L
<0.01
1
22'
(7440-31-5)
❑
Mass
lb/Day
<0.0567
Titanium, total
Concentration
mg/L
<0.005
1
Mass
1Ib/Day
<0.0284
1
23.
(7440-32-6)
❑
0

TABLE
C. CERTAIN CONVENTIONAL
AND NON CONVENTIONAL
POLLUTANTS
r
0r
Presence or Absence
check one
( )
Effluent
Intake
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
available)
Believed
Present
Believed
Absent
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
24.
Radioactivity
Concentration
Alpha, total
El
0
Mass
Concentration
Beta, total
❑
0
Mass
Concentration
Radium, total
❑
Mass
Concentration
Radium 226, total
Mass

This page intentionally left blank.
RECEIVED
MAY 01 2023
NCDEQ/DWR/NPDES

HAZARDOUSTABLE D. CERTAIN
..
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
00
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
Asbestos
❑
21
2.
Acetaldehyde
❑
0
3_
Allyl alcohol
❑
F-1
4.
Allyl chloride
❑
0
5.
Amyl acetate
❑
0
6.
Aniline
❑
0
7.
Benzonitrile
❑
❑�
8.
Benzyl chloride
❑
❑�
9.
Butyl acetate
❑
0
10.
Butylamine
❑
0
11.
Caplan
❑
El
12.
Carbaryl
❑
0
13.
Carbofuran
❑
0
14.
Carbon disulfide
❑
P-1
15.
Chlorpyrifos
❑
El
16.
Coumaphos
❑
F-1
17.
Cresol
❑
0
18.
Crotonaldehyde
❑
❑
119.
Cyclohexane I
❑

HAZARDOUS— LE D. CERTAIN
Reason Pollutant Believed Present in Discharge
00
Available Quantitative Data
(specify units)
I21.
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
2,4-D (2,4-dichlorophenoxyacetic acid)LiDiazinon
❑
El
22.
Dicamba
❑
0
23.
Dichlobenil
❑
24.
Dichlone
❑
El
25.
2,2-dichloropropionic acid
❑
❑
26.
Dichlorvos
❑
0
27.
Diethyl amine
❑
0
28
Dimethyl amine
❑
❑�
29.
Dintrobenzene
❑
❑�
30
1 Diquat
❑
7
31.
Disuffoton
❑
0
32.
1 Diuron
❑
El
33.
Epichlorohydrin
❑
❑'
34.
Ethion
❑
❑�
35.
Ethylene diamine
❑
❑
36.
Ethylene dibromide
❑
El
37.
Formaldehyde
❑
n
38.
Furfural
❑
F±1

140.
..
Pollutant
..-&AILS141-MOMMUNIMIUM
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
39.
Guthion
El0
Isoprene
❑
41.
Isopropanolamine
❑
42.
Kelthane
❑
0
43.
Kepone
❑
0
44.
Malathion
❑
El
45.
Mercaptodimethur
❑
21
46.
Methoxychlor
❑
ED
47.
Methyl mercaptan
❑
F]
48.
Methyl methacrylate
❑
0
49.
Methyl parathion
❑
0
50.
Mevinphos
❑
PI
51.
Mexacarbate
❑
El
52.
Monoethyl amine
❑
0
53.
Monomethyl amine
❑
D
54.
Naled
❑
F-I
55.
Naphthenic acid
❑
ED
56.
Nitrotoluene
❑
7
57
Parathion
0
M

HAZARDOUSTABLE D. CERTAIN
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
IPhosgene
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
Phenolsulfonate
El
RI
❑
❑�
60.
Propargite
❑
❑�
61.
Propylene oxide
❑
❑�
62.
Pyrethrins
❑
❑�
63.
Quinoline
❑
❑�
64.
Resorcinol
❑
Q
65.
Strontium
❑
❑�
66.
Strychnine
❑
❑�
67.
Styrene
❑
❑�
68.
2,4,5-T (2,4,5
trichlorophenoxyacetic acid)
❑
❑�
69.
TDE (tetrachlorodiphenyl ethane)
❑
❑'
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
propanoic acid]
❑
❑
71.
Trichlorofon
❑
❑�
72.
Triethanolamine
❑
❑�
73.
Triethylamine
❑
❑�
74.
Trimethylamine
❑
❑�
75.
Uranium
❑
76.
Vanadium
❑

HAZARDOUSTABLE D. CERTAIN
Presence or Absence
(check one)
Available Quantitative Data
Pollutant
Reason Pollutant Believed Present in Discharge
Believed Believed
(specify units)
Present Absent
77.
Vinyl acetate
❑
E
78.
Xylene
❑
❑�
79.
Xylenol
El
1z
80.
Zirconium
❑
0
' 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 O. See instructions and 40 CFR 122.21(e)(3).

This page intentionally left blank.

TCDD Presence or Absence
Pollutant
Congeners (check one)
Used or Believed Believed
Results of Screening Procedure
Manufactured Present Absent
2,3,7,8-TCDD
❑ ❑
' 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 O. See instructions and 40 CFR 122.21(e)(3).

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD043678929 NC0004774 Buck Combined Cycle OMB No. 2040-0004
Form U.S. Environmental Protection Agency
Ni2C Application for NPDES Permit to Discharge Wastewater
�rEPA EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE
OPERATIONS
SECTIONOUTFALL LOCATIONr
1.1 Provide information on each of the facility's outfalls in the table below.
c
° Outfall
m Receiving Water Name Latitude Longitude
0
Number
w
117 Yadkin River 350 42' 21.31"N 80" 22' 30.88"W
5
O
SECTION• r
rn z' 1 Have you attached a line drawing to this application that shows the water flow through your facility with a
3 water balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for
example.)
0
❑ Yes ❑ No
SECTION• AND r
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional
sheets if necessary.
"Outfall Number" 117
c
d Operations Contributing to Flow
E
Operation Average Flow
Seepage from ash basin 0,0016 mgd
L
N
3 mgd
0
LL mgd
m
m
mgd
QTreatment Units
Description Final Disposal of Solid or
Code from Liquid Wastes Other Than
(include size, flow rate through each treatment Table 2C-1 Li q
unit, retention time, etc.) by Discharge
sedimentation, discharge to surface water 1-U, 4-A

**Outfall Number**
3 t
Cont.
Operations Contributing to Flow
Operation Average Flow
mgd
mgd
mgd
mgd
Treatment
Description
Units
Code from Final Disposal of Solid or
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
=
o
unit, retention time, etc.)
Discharge
U
c
m
E
A
m
L
**Outfall Number**
_
N
Operations
LL
d
Operation Average Flow
rn
@
mgd
d
Q
mgd
mgd
mgd
Treatment
Description
Units
Code from Final Disposal of Solid or
(include size, flow rate through each treatment
Table 2C-1 Liquid Wastes Other Than by
unit, retention time, etc.)
Discharge
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
aEi
❑ Yes ❑� No SKIP to section 4.
3.3
Have you attached a list that identifies each user of the treatment works?
0 Yes ❑ No

SECTION
4. INTERMITTENT
FLOWS r
Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or
4.1
seasonal?
El yes ❑ No y SKIP to section 5
4.2
Provide information on intermittent or seasonal flows for each applicable outfall. Attach add. pages if necessary
Outfall
Frequency
Flow Rate
Operation
Number
(List)
Average
Average
Long -Term
Maximum
Duration
DaystWeek
Months/Year
Average
Daily
Seepage from Ash Basin
5 days/
12 months/
0.0016 mgd
0.0027 mgd
260 days
week
year
117
days/
months/
mgd
mgd
g
days
y s
V
week
year
days/
months/
mgd
g
mgd
g
days
y
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/
months/
mgd
mgd
days
week
year
days/ months/ mgd mgd days
week year
SECTION••
• r
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ yes ❑ No »SKIP to Section 6.
R
5.2
Provide the following information on applicable ELGs.
ELG Category
ELG Subcategory
Regulatory Citation
W
power generation
team electric
40 CFR 423
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
5.3
❑ yes 0 No ♦ SKIP to Section 6.
0
a
Provide an
actual measure of daily production expressed in terms and units of applicable
ELGs.
E
Outfall
Operation, Product, or Material
Quantity per
Unit of
0
Number
Day
Measure
0
M
A
to
5.4
c
0
U
7
0
0
a

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
6-�
programs that could affect the discharges described in this application?
❑ Yes ❑ No SKIP to Item 6.3.
a
„
n y
6.2
Briefly identify each applicable project in the table below.
m m
Brief Identification
Affected
Outfalls
Source(s) of
Final Compliance Dates
c
as
and Description of
Pro ect
I
(list outfall
Discharge
Required
Projected
mE m
number)
Have you attached sheets describing any additional water pollution control programs (or other environmental
6.3
projects that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes Q No ❑ Not Applicable
SECTION■
r
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you
must complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for
7.1
any of your outfalls?
y
.�
❑ Yes ❑Q No SKIP to Item 7.3.
F
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the
r
7.2
application.
d
Outfall Number: Outfall Number: Outfall Number:
s
m
=
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
7.3
requested and attached the results to this application package?
L� Yes ❑ No A Waiver has been requested from my NPDES permitting authority for all pollutants at all
2
outfalls.
`w
Table B. Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry
7.4
categories listed in Exhibit 2C-3? (See end of instructions for exhibit.)
❑' Yes ❑ No SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
❑ Yes ❑ No
List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)
7.6
identified in Exhibit 2C-3.
Required GC/MS Fraction(s)
Primary Industry Category
(Check applicable Boxes)
Q volatile ❑' Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide

7 7
Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the GC/MS
fractions checked in Item 7.6?
❑ Yes ❑ No
7.8
Have you checked "Believed Present" or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B where
testing is not required?
Q Yes ❑ No
Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
7.9
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are "Believed Present' in your discharge?
❑ Yes ❑ No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑' Yes Note that you qualify at the top of Table 8, then SKIP to item 7.12 No
a
Have you provided (1) quantitatve data for those Sections 2 through 5, Table B, pollutants for which you have determined
7.11
testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B, pollutants you have
—
.c
indicated are "Believed Present" in your discharge?
0
U
n Yes ❑ No
H
u
Table C. Certain Conventional and Non -Conventional Pollutants
w
7,12
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed on Table C for all
r
outfalls?
U
y
Q Yes ❑ No
s
m
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
c
7.13
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
m
'Believed Present"?
c
❑ Yes ❑ No
W
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed in Table D for all
outfalls?
❑ Yes ❑ No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged and (2)
by providing quantitative data, if available?
❑ Yes ❑ No
Table E. 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (2,3,7,8-TCDD)
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you know
or have reason to believe that TCDD is or may be present in the effluent'?
❑ Yes Complete Table E ❑ No SKIP to section 8
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTION■
K8
1
Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as an
o
intermediate or final product or byproduct?
r
❑ Yes 0 No SKIP to section 9
8.2
List the pollutants below.
1. 4. 7.
m
0
2 5. 8.
0
3. 6. 9.

SECTION•
• • 1
Do you have any knowledge or reason to believe that any biological test for acute chronic toxicity has been made
9.1
within the last three years on (1) any of your discharges or-(2) on a receiving water in relation to your discharge?
❑ Yes 0 No SKIP to section 10.
In
..' 9.2
Identify the tests and their purposes below.
_
'x
Tests !
Pur ose of Tests
P (,
SU'—' I ed'to NPDES
Date Submitted
o .:<
:.
Permltting Authority
❑ Yes ❑ No
'im
A ,`.
❑ Yes ❑ No
El Yes ❑ No
'.`
SECTIONI
CONTRACT • • 1
Were any of the analyses reported in section 7 performed by a contract laboratory or consulting firm?
10.1
Q Yes ❑ No SKIP to section 11.
Provide information to each contract laboratory or consultin q firm below.
10.2
Laboratory,Number 1 '
Laboratory Number 2
Lrat aboory Number 3;',: .
Name of Laboratory/firm
Pace Analytical
tl1'
m ,
Laboratory address
9800 Kincy Avenue #100
m
c
`
Huntersville NC 28078
Phone number
0 "'
704 875 9092
Pollutant(s) analyzed
All
SECTION•NAL
INFORMATION (41
Has the NPDES permitting authority requested additional information?
11.1
c
❑ Yes 0 No SKIP to section 12.
'
11.2
List the information requested and attach it to this application.
�0- .
c
�0
1. 3.
0
'
2. 4.
a
3. 5.

SECTION
12.
CHECKLIST AND CERTIFICATION STATEMENT r
12.1
In Column 1 below, mark the sections of Form 2C 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: outfall Location
w/ attachments
El Section 2: Line Drawing
Q w/ line drawing ❑ w/ additional attachments
Q Section 3: Average Flows and Treatment
w/ attachments ❑ w/ list of each user of privately owned
treatment works
❑ Section 4: Intermittent Flows
❑ w/ attachments
❑ section 5: Production
❑ w/ attachments
❑ Section 6: Improvements
El w/ attachments ❑ w/ optional additional sheets describing
any additional pollution control plans
❑ w/ request for a waiver and supportir❑ w/ explanation for identical outfalls
information
m
y❑
w/ small business exemption Elw/other attachments
wrequest
y
c
❑� w/ Table A w/ Table B
o
O Section 7: Effluent and Intake
Characteristics❑
w/ Table C ❑ w/ Table D
u
❑ w/ Table E ❑ w/ analytical results as an attachment
m
U
❑Q Section 8: used or Manufactured Toxics
w/ attachments
A
❑ Section 9: Biological Toxicity Tests
❑ w/ attachments
s
u
t
❑ Section 10: Contract Analyses
❑ w/ attachments
U
0 Section 11: Additional Information
w/ attachments
❑� Section 12: Checklist and Certification Statement
w/ attachments
12.2
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
xri)fo ie Ei5enr 'Cil-
6AI1IL R �
Signature
Date signed
N2523

This page intentionally left blank.

Effluent
Intake (optional)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average Daily
Discharge
of
Analyses
Long Term
Average
Value
Number of
Analyses
PollutantNumber
Waiver
Requested
Units
(if applicable)
(specify)
(required)
(if available)
(if available)
❑
Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
1'
Biochemical oxygen demand
(BOD5)
❑
Concentration
mg/L
<2.0
1
Mass
lb/Day
1
Concentration
mg/L
<20
1
2.
Chemical oxygen demand (COD)
❑
Mass
lb/Day
1
Concentration
mg/L
0.655
1
3.
Total organic carbon (TOC)
❑
Mass
lb/Day
0.00875
1
Concentration
mg/L
<2.5
1
4.
Total suspended solids (TSS)
❑
Mass
lb/Day
<0.0334
1
Concentration
mg/L
<0.10
1
5.
Ammonia (as N)
❑
Mass
lb/Day
1
B.
Flow
❑
Rate
MOD
0.0016
1
Temperature (winter)
❑
°C
°C
17.2
1
7.
Temperature (summer)
❑
°C
°C
pH (minimum)
❑
Standard Units
S.U.
6.6
1
8.
pH (maximum)
❑
Standard Units
S.U.
Enter INTAKE flow below
if you want to calculate
lb/Day
Intake Flow Here

This page intentionally left blank.

..-
Presence or Absence
(check one)
Effluent
Intake
(optional)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
Pollutant/Parameter
(and CAS Number, if
available)
Testing
Required
Units
(specify)
(required)
(if available)
(if available)
❑
Peck
Check here if you qualify as a small business per the instructions to Form 2C and, therefore, do not need to submit quantitative data for any of the organic toxic pollutants in Sections 2
5 of this table. Note, however, that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1. Toxic Metals, Cyanide, and Total Phenols
1.1
Antimony, total (7440-36-0)
F]
❑
❑,
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1
1.2
Arsenic, total (7440-38-2)
❑,
❑
0
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1
1.3
Beryllium, total (7440-41-7)
21El11
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1
1.4
Cadmium, total (7440-43-9)
❑
Concentration
ug/L
<0.1
1
Mass
lb/Day
<0.00000134
1
1.5
Chromium, total (7440-47-3)
El
❑
Concentration
ug/L
<1
1
Mass
Ib/Day
<0.0000134
1
1.6
Copper, total (7440-50-8)
0
21
❑
Concentration
ug/L
3.53
1
Mass
lb/Day
0.0000471
1
1.7
Lead, total (7439-92-1)
❑
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1
1.8
Mercury, total (7439-97-6)
ElIDConcentration
ng/L
<5.00
1
Mass
r lb/Day
<0.000000066
1
1.9
Nickel, total (7440-02-0)
21
❑'
❑
Concentration
ug/L
6.83
1
Mass
lb/Day
0.0000912
1
1.10
Selenium, total (7782-49-2)
El
❑'
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1
1.11
Silver, total (7440-22-4)
❑
Concentration
ug/L
<1
1
Mass
lb/Day
<0.0000134
1

I ABLE B. TOXIC METALS, CYANIDE, TOTAL
PHENOLS,
..-
Effluent
intake
(optional)
(oP )
Presence or Absence
(check one)
Pollutant/Parameter
(and CAS Number, if available)
Testing
Required
golioved
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
Concentration
ug/L
<0.2
1
1.12
Thallium, total (7440-28-0)
❑
❑
0
Mass
Ib/Day
<0.00000267
1
Concentration
mg/L
<0.005
1
1.13
Zinc, total (7440-66-6)
❑
0
Mass
lb/Day
<0.0000668
1
Concentration
mg/L
<0.010
1
1.14
Cyanide, total (57-12-5)
❑
❑
0
Mass
lb/Day
<0.000134
1
Concentration
ug/L
<1.6
1
1.15
Phenols, total
r;
�,]
Mass
lb/Day
1 <0.0000214
1
1
Section 2. Organic Toxic Pollutants (GCIMS Fraction - Volatile Compounds)
Concentration
ug/L
<5.0
1
2.1
Acrolein (107-02-8)
❑
El
Mass
Ib/Day
<0.0000668
1
Concentration
ug/L
<5.0
1
2.2
Acrylonitrile(107-13-1)
❑
Mass
lb/Day
<0.0000668
1
Concentration
ug/L
<1.0
1
2.3
Benzene (7143-2)
❑,
❑
El
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.4
Bromoform (75-25-2)
ElMass
Ib/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.5
Carbon tetrachloride (56-23-5)
0
❑
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.6
Chlorobenzene (108-90-7)
❑
Mass
lb/Day
<0.0000134
1
2.7
Chlorodibromomethane
(12448-1)
0
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<2.0
1
2.8
Chloroethane (75-00-3)
El
❑
❑,
Mass
I lb/Day
1 <0.0000267
1
1

..
Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
(and CAS Number, IF available)
Testing
Required Required
Believed
Present
Believed
Absent
Units
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Long -Term
Average
Daily
Discharge
Number of
Analyses
Lon
Long -
Term
Average
Value
of
Analyses
(required)
(if available)
(if available)
2'9
2-chloroethylvinyl ether
(110-75-8)
Concentration
ug/L
<5.0
1
Mass
lb/Day
<0.0000668
1
Concentration
ug/L
<1.0
1
2.10
Chloroform (67-66-3)
❑
0
Mass
lb/Day
<0.0000134
1
2.11
Dichlorobromomethane
(75-27-4)
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.12
1,1-dichloroelhane (75-34-3)
❑
❑�
Mass
lb/Day
<0.0000134
1
2.13
1,2-dichloroethane (107-D6-2)
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
2.14
1,1-dichloroethylene (75-35-4)
❑
ill
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
2.15
1,2-dichloropropane (78-87-5)
0
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
2.16
1,3-dichloropropylene
(542-75-6)
rl
❑
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
2.17
Ethylbenzene (100-414)
❑
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<2.0
1
2.18
Methyl bromide (74-83-9)
❑
Mass
lb/Day
<0.0000267
1
Concentration
ug/L
<2.0
1
2.19
Methyl chloride (74-87-3)
❑
Mass
lb/Day
<0.0000267
1
Concentration
ug/L
<1.0
1
2.20
Methylene chloride (75-09-2)
0
El
0
Mass
lb/Day
<0.0000134
1
2.21
1,1,2,2- letrachloroethane
(79-34-5)
0
❑
❑
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1

Presence or Absence
Effluent
Intake
(check one)
(optional)
Pollutant/Parameter
TestingUnits
Long -Term
Lon 9
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
Tetrachloroethylene
Concentration
ug/L
<1.0
1
Mass
lb/Day
<0.0000134
1
222
(127-18-4)
C
Concentration
ug/L
<1.0
1
2.23
Toluene (108-88-3)
F1
0
Mass
lb/Day
<0.0000134
1
1,24rans-dichloroethylene
Concentration
ug/L
<1.0
1
2.24
0
o
(156-60-5)
Mass
lb/Day
<0.0000134
1
1,1,1-trichloroethane
Concentration
ug/L
<1.0
1
2.25
❑
❑
(71-55-6)
Mass
lb/Day
<0.0000134
1
1,1,2-trichloroethane
Concentration
ug/L
<1.0
1
2.26
(79-00-5)
0
❑
❑
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.27
Trichloroethylene (79-01-6)
❑.�
❑
❑'
Mass
lb/Day
<0.0000134
1
Concentration
ug/L
<1.0
1
2.28
Vinyl chloride (75-01-4)
❑,
❑
Mass
Ib/Day
<0.0000134
1
Section 3. Organic Toxic Pollutants (GCIMS Fraction -Acid Components)
Concentration
ug/L
<1.6
1
3.1
2-chlorophenol (95-57-8)
❑,
❑
Mass
lb/Day
<0.0000214
1
2,4-dichlorophenol
Concentration
ug/L
<1.6
1
3.2
(120-83-2)
❑
ElMass
El
lb/Day
<0.0000214
1
2,4-dimethylphenol
Concentration
ug/L
<1.6
1
3.3
(105-67-9)
❑'
❑
Mass
IblDay
<0.0000214
1
4,6-dinilro-o-cresol
Concentration
ug/L
<8.0
1
Mass
lb/Day
<0.000107
1
3.4
(534-52-1)
❑
Concentration
ug/L
<8.0
1
3.5
2,4-dinitrophenol (51-28-5)
❑
0
Mass
lb/Day
<0.000107
1

..-
Presence or Absence
Intake
(check one)
Effluent
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Lon 9
Number
available
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Analyses
Average
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
2-nitrophenol
Concentration
ug/L
<3.2
1
3.6
(88 75 5)
0
❑
Mass
lb/Day
<0.0000427
1
4-nitrophenol
Concentration
ug/L
<8.0
1
3.7
(100-02-7)
FA❑
0
Mass
lb/Day
<0.000107
1
p-chloro-m-cresol
Concentration
ug/L
<1.6
1
3.8
(59-50-7)
0
❑
0
Mass
Ib/Day
c0.0000214
1
Pentachlorophenol
Concentration
ug/L
<8.0
1
3.9
(87-86-5)
0
❑
Mass
lb/Day
<0.000107
1
Phenol
Concentration
mg/L
<0.0050
1
3.10
❑
(108-95-2)
Mass
lb/Day
<0.0000668
1
2,4,6-trichlorophenol
Concentration
ug/L
<1.6
1
3.11
(88-05-2)
0
❑
Mass
Ib/Day
<0.0000214
1
Acenaphthene
Concentration
ug/L
<1.6
1
4.1
(83-32-9)
21
❑
0
Mass
lb/Day
<0.0000214
1
Acenaphthylene
Concentration
ug/L
<1.6
1
42
(208-96-8)
0
❑
0
Mass
lb/Day
<0.0000214
1
Concentration
ug/L
<1.6
1
4.3
Anthracene (120-12-7)
❑,
❑
Mass
lb/Day
<0.0000214
1
Concentration
ug/L
<8.0
1
4.4
Benzidine (92-87-5)
❑
Mass
lb/Day
<0.000107
1
Benzo (a) anthracene
Concentration
ug/L
<1.6
1
4.5
(56-55-3)
R]
❑
❑�
Mass
lb/Day
<0.0000214
1
Benzo (a) pyrene
Concentration
ug/L
<1.6
1
4.6
(50-32-8)
ID
❑
El
Mass
lb/Day
<0.0000214
1

-
..111-11
Presence or Absence
Effluent
Intake
(check one)
(optional)
Long -Term
Lon 9
rameter
7CAS
TestingUnits
, if available)
Required
Believed Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
Present Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
3,4-benzofluoranthene
Concentration
ug/L
<1.6
1
47
(205-99-2)
El
lb/Day
<0.0000214
1
Concentration
ug/L
<1.6
1
4.8
Benzo (ghi) perylene (191-24-2)
❑,
❑
,❑
Mass
lb/Day
<0.0000214
1
Benzo (k) fluoranthene (207-08-
Concentration
ug/L
<1.6
1
4.9
9)
❑
Mass
Ib/Day
<0.0000214
1
Bis (2-chloroethoxy) methane
Concentration
ug/L
<1.6
1
4.10
(111-91-1)
❑
F1
Mass
lb/Day
<0.0000214
1
Bis (2-chloroethyl) ether (111-44-
Concentration
ug/L
<1.6
1
4.11
4)71
❑
F1
Mass
lb/Day
<0.0000214
1
Bis (2-chloroisopropyl) ether (102
concentration
ug/L
<1.6
1
4.12
80-1)
El❑
Mass
lb/Day
<0.0000214
1
Bis (2-ethylhexyl) phthalate (117-
Concentration
ug/L
<8.0
1
4.13
81-7)
91
❑
Mass
lb/Day
<0.000107
1
4-bromophenyl phenyl ether (101
Concentration
ug/L
<1.6
1
4.14
55-3)
❑
Mass
lb/Day
<0.0000214
1
Concentration
ug/L
<1.6
1
4.15
Butyl benzyl phthalate (85-68-7)
❑
Mass
lb/Day
<0.0000214
1
Concentration
ug/L
<1.6
1
4.16
2-chloronaphthalene (91-58-7)
El
Mass
lb/Day
<0.0000214
1
4-chlorophenyl phenyl ether
Concentration
ug/L
<1.6
1
4.17
(7005-72-3)
❑
0
Mass
lb/Day
<0.0000214
1
Concentration
ug/L
<1.6
1
4.18
Chrysene (218-01-9)
❑
❑
❑
Mass
lb/Day
<0.0000214
1
Dibenzo (a,h) anthracene (53-70-
Concentration
ug/L
<1.6
1
4.19
3)
0
❑
Mass
I lb/Day
<0.0000214
1

TABLE B.
TOXIC METALS, CYANIDE, TOTAL
PHENOLS,
..-
Presence or Absence
Effluent
Intake
(check one)
(optional)
Poll utant/Parameter
Units
Long -Term
(and CAS Number, if
Testing
Required
(specify)
Maximum
Maximum
Average
Lon 9
Number
available
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Analyses
Value
(required)
(If available)
(if available)
1,2-dichlorobenzene
Concentration
ug/L
<1.0
1
4.20
(95.50-1)
Mass
lb/Day
<0.0000134
1
1,3-dichlorobenzene
Concentration
ug/L
<1.0
1
4.21
(541-73-1)
0
❑
❑'
Mass
lb/Day
<0.0000134
1
1,4-dichlorobenzene
Concentration
ug/L
<1.0
1
4.22
(106-46-7)
❑
Id
Mass
lb/Day
<0.0000134
1
3,3dichlorobenzidine
Concentration
ug/L
<8.0
1
4.23
(91-94-1)
Fwl
❑
El
Mass
lb/Day
<0.000107
1
Diethyl phthalate
Concentration
ug/L
<1.6
1
4.24
(84-66 2)
0
❑
0
Mass
lb/Day
<0.0000214
1
Dimethyl phthalate
Concentration
ug/L
<1.6
1
425
(131-11-3)
❑
❑'
Mass
lb/Day
<0.0000214
1
Di-n-butyl phthalate
Concentration
ug/L
<1.6
1
4.26
(84-74-2)
❑'
❑
❑
Mass
VDay
<0.0000214
1
2,4-din@rotoluene
Concentration
ug/L
<3.2
1
4.27
(121-14-2)
2)
❑
0
Mass
lb/Day
<0.0000427
1
2,6dinitrotoluene
Concentration
ug/L
<3.2
1
4.28
(606-20-2)
El
Mass
Ib/Day
<0.0000427
1
Di-n-octyl phthalate
Concentration
ug/L
<1.6
1
4.29
(117-84-0)
❑
Mass
lb/Day
<0.0000214
1
1,2-Diphenylhydrazine
Concentration
ug/L
<1.6
1
4.30
(as azobenzene)(122-66-7)
0
❑
Mass
lb/Day
<0.0000214
1
Fluoranthene
Concentration
ug/L
<1.6
1
4.31
(206-"-0
❑
Mass
lb/Day
<0.0000214
1
Fluorene
Concentration
ug/L
<1.6
1
4.32
(86-73-7)
❑'
❑
Mass
lb/Day
<0.0000214
1

..-
Effluent
Presence or Absence
(check one)
(optional)
Pollutant/Parameter
TestingUnits
Long -Term
Long -
7Value
(and CAS Number, if
Required
Behaved
Believed
(specify)
Maximum
Maximum
Average
Number of
available)
Present
Absent
Daly
Monthly
Daily
Analyses
Discharge
Discharge
Discharge
(required)
(if available)
(if available)
Hexachlorobenzene
Concentration
ug/L
<1.6
1
4.33
(118-74-1)
21
❑
�'
Mass
lb/Day
<0.0000214
1
Hexachlorobutadiene
Concentration
ug/L
<1.6
1
4.34
(87-68 3)
Mass
lb/Day
<0.0000214
1
Hexachlorocyclopentadiene
Concentration
ug/L
<8.0
1
Mass
Ib/Day
<0.000107
1
4.35
(77-474)
Hexachloroethane
Concentration
ug/L
<1.6
1
4.36
(67721)
❑
Mass
lb/Day
<0.0000214
1
Indeno (1,2,3-cd) pyrene
Concentration
ug/L
<1.6
1
Mass
IblDay
<0.0000214
1
4.37
(193-39-5)
0
Isophorone
Concentration
ug/L
<1.6
1
Mass
Ib/Day
<0.0000214
1
4.38
(78-59-1)
Naphthalene
Concentration
ug/L
<1.6
1
Mass
lb/Day
<0.0000214
1
4.39
(9120-3)
❑'
❑
Nitrobenzene
Concentration
ug/L
<1.6
1
4.40
(98-95-3)
❑
Mass
lb/Day
<0.0000214
1
N-nitrosodimethylamine
Concentration
ug/L
<1.6
1
4.41
(62 75-9)
❑
0
Mass
Ib/Day
<0.0000214
1
N-nitrosodi-n-propylamine
Concentration
ug/L
<1.6
1
4.42
(621-64-7)
0
❑
❑
Mass
lb/Day
<0.0000214
1
N-nitrosodiphenylamine
Concentration
ug/L
<1.6
t
4.43
(86-30-6)
Mass
lb/Day
<0.0000214
1
Phenanthrene
Concentration
ug/L
<1.6
1
4.44
(85.01-8)
F]
❑
'❑
Mass
IblDay
<0.0000214
1
Pyrene
Concentration
ug/L
<1.6
1
Mass
IblDay
<0.0000214
1
4.45
(129 00 0)
❑

Intake
Presence or Absence
(check one)
Effluent
(optional)
Long -Term
Pollutant/Parameter
Units
Testing
Long -
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(If available)
1,2,4-trichlorobenzene
Concentration
ug/L
<1.6
4.46 (120-82-1)
❑
❑
❑
Mass
I lb/Day
<0.0000214
Section 4. Organic Toxic Pollutants (GC/MS Fraction - Base ]Neutral Compounds)
Aldrin
Concentration
5.1
(309-00-2)
❑
❑
❑
Mass
a-BHC
Concentration
5.2
(319-84-6)
❑
❑
❑
Mass
3-BHC
Concentration
5.3
(319-85-7)
❑
❑
❑
Mass
y-BHC
Concentration
54
(58-89-9)
❑
❑
❑
Mass
b-BHC
Concentration
Concentration
5.5
(319-86-8)
❑
❑
El
Chlordane
Concentration
5.6
(57-74-9)
❑
❑
❑
Mass
4,4'-DDT
Concentration
5.7
(50-29-3)
El❑
❑
Mass
4,4'-DDE
Concentration
5.8
(72-55-9)
❑
❑
❑
Mass
4,4'-DDD
Concentration
59
(72-54-8)
❑
❑
❑
Mass
5.10
Dieldrin
Concentration
Mass
(60571)
❑
❑
❑
a-endosulfan
Concentration
5.11
(115-29-7)
❑
❑
❑
Mass

Effluent
Intake
Presence or Absence
(check one)
(optional)
Pollutant/Parameter
Testing
Units
Long -Term
Long
(and CAS Number, if
Required
Believed
Believed
(specify)
Maximum
Maximum
Average
Number of
Term
Number
available)
Present
Absent
Daily
Monthly
Daily
Analyses
Average
of
Analyses
y
Discharge
Discharge
Discharge
Value
(required)
(if available)
(if available)
p-endosulfan
Concentration❑
Mass
5.12
(115-29-7)
❑
❑
Endosulfan sulfate
Concentration
Mass
5.13
(1031-07-8)
❑
El
❑
Endrin
Concentration
Mass
5.14
(72-20-8)
-�-1
❑
Endrin aldehyde
Concentration
Mass
5.15
(7421-934)
❑
❑
❑
Heptachlor
Concentration
Mass
5.16
(7�_8)
❑
f I
❑
Heptachlor epoxide
r
Concentration
Mass
5.17
(1024-57-3)
El
❑
PCB-1242
Concentration
ug/L
<0.40
1
Mass
lb/Day
<0.00000534
1
5.18
(53469-21-9)
❑'
❑
❑'
PCB-1254
Concentration
ug/L
<0.40
1
Mass
lb/Day
<0.00000534
1
5.19
(11097-69-1)
❑'
�'
❑
PCB-1221
Concentration
ug/L
<0.40
Mass
lb/Day
<0.00000534
5.20
(11104-28 2)
❑''
❑
PCB-1232
Concentration
ug/L
<0.40
1
5.21
(11141-16-5)
❑
0
Mass
lb/Day
<0.00000534
1
PCB-1248
Concentration
ug/L
<0.40
1
Mass
lb/Day
<0.00000534
1
5.22
(12672-29-6)
❑
❑
❑
PCB-1260
Concentration
ug/L
<0.40
Mass
lb/Da y
<0.00000534
1
5.23
(11096-82-5)
❑
❑
❑
PCB-1016
Concentration
ug/L
<0.40
1
Mass
lb/Day
<0.00000534
1
5.24
(12674-11 2)
[-'
❑
❑

Presence or Absence
Intake
(check one)
Effluent
(optional)
Poll utant/Parameter
Testing
Units
Long -Term
(and CAS Number, if
Required
(specify)
Maximum
Maximum
Average
Long -
Number
available
Believed Believed
Daily
Monthly
Daily
Number of
Term
of
Present Absent
Analyses
Average
Discharge
Discharge
Discharge
Value
Analyses
(required)
(if available)
(if available)
Toxaphene
5.25
Concentration
Cc
(8001-35-2)
❑
El

This page intentionally left blank.

Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if available)
Believed
Present
Believed
Absent
(specify)
ximum
aily
charge
:D,
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long
Term
Average
Value
Number
of
Analyses
yquired)
(if available)
(if available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the "Presence or Absence" column of Table C for each pollutant.
1'
Bromide
(24959-67-9)
❑
Concentration
mg/L
0.32
1
Mass
lb/Day
0,00427
1
2'
Chlorine, total
residual
❑
El
mg/L
<0.028
1
Mass
Mass
lb/Day
1
Concentration
color units
<5.0
1
3.
Color
❑
El
Mass
lb/Day
1
Concentration
CFllnoomL
<1.0
1
4.
Fecal Coliform
❑
Q
Mass
lb/Day
1
5'
Fluoride
(16984-48-8)
El
❑
Concentration
mg/L
0.18
1
Mass
lb/Day
0.0024
1
Concentration
mg/L
0.023
1
6.
Nitrate -nitrite
0
❑
Mass
lb/Day
0.000307
1
7'
Nitrogen, total
organic (as N)
0
❑
Concentration
mg/L
0.02
1
Mass
lb/Day
0.00027
1
Concentration
mg/L
<5
1
8.
Oil and Grease
❑
El
Mass
lb/Day
<0.0668
1
9'
Phosphorus (as P),
total(7723-14-0)
El
❑
Concentration
mg/L 1
0.053
1
Mass
lb/Day
0.000708
1
10.
Sulfate (as SO4)
(14808-79-8)
❑
Concentration
mg/L
42
1
Mass
lb/Day
0.561
1
Concentration
mg/L
<1.0
1
11.
Sulfide (as S)
❑
F]
Mass
lb/Day
<0.0134
1

Presence or Absence
Effluent
Intake
(check one)
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
(specify)
Maximum
Maximum
Average
Long-
Number
available)
Believed
Believed
Daily
Monthly
Daily
Number of
Term
of
Present
Absent
Discharge
Discharge
Discharge
Analyses
Average
Value
Analyses
(required)
(if available)
(if available)
Sulfite (as S03)
Concentration
mg/L
2.0
1
12.
(14265-45-3)
Mass
lb/Day
0.0267
1
Concentration
mg/L
<0.1
1
13.
Surfactants
❑
0
Mass
lb/Day
1
Aluminum, total
Concentration
mg/L
0.098
14.
(7429-90-5)
']
❑
Mass
lb/Day
0.00131
1
Barium, total
Concentration
mg/L
0.034
15.
(7440.39-3)
Mass
lb/Day
0.000454
Boron, total
Concentration
mg/L
0.731
1
Mass
lb/Day
0.00976
16.
(7440-42-8)
C
Cobalt, total
Concentration
ug/L
<1
1
17.
(7440-48-4)
Mass
lb/Day
<0.0000134
1
Iron total
Concentration
mg/L
0.081
1
18.
(7439-89-6)
Mass
lb/Day
0.00108
1
Magnesium, total
Concentration
mg/L
14.5
1
19.
(7439-95A)
Mass
lb/Day
0.194
1
Molybdenum, total
Concentration
ug/L
13.8
1
20.
(7439-98-7)
Masslb/Day
0.000184
1
Manganese, total
Concentration
mg/L
0.054
1
21.
(7439-96-5)
2
Mass
lb/Day
0.000721
1
Tin, total
Concentration
mg/L
<0.01
1
22.
(7440-31-5)
Mass
lb/Day
<0.000134
Titanium, total
Concentration
mg/L
<0.005
23.
(7440-32-6)
Mass
lb/Day
<0.0000668

Presence or Absence
(check one)
Effluent
Intake
(optional)
Pollutant/Parameter
Units
Long -Term
(and CAS Number, if
available)
Believed
Present
Believed
Absent
(specify)
Maximum
Daily
Discharge
Maximum
Monthly
Discharge
Average
Daily
Discharge
Number of
Analyses
Long-
Term
Average
Value
Number
of
Analyses
(required)
(if available)
(if available)
24.
Radioactivity
Concentration
Alpha, total
El
Mass
Concentration
Beta, total
C
Mass
Concentration
Radium, total
I El
El
Mass
Concentration
Radium 226, total
El
11
Mass

This page intentionally left blank.

..
..
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
1.
Asbestos
❑
El
2
Acetaldehyde
❑
PI
3.
Allyl alcohol
❑
F11
4.
Ally] chloride
❑
❑�
5.
Amyl acetate
❑
0
6.
Aniline
❑
0
7.
Benzonitrile
❑
ED
8.
Benzyl chloride
❑
EI
9.
Butyl acetate
❑
F-1
10.
Butylamine
❑
El
11.
Captan
❑
❑�
12.
Carbaryl
❑
0
13.
Carbofuran
❑
ED
14.
Carbon disulfide
❑
El
15.
Chlorpyrifos
❑
F-1
16.
Coumaphos
❑
❑
17.
Cresol
❑
❑�
16.
Crotonaldehyde
❑
El
19
1 Cyclohexane
❑
El

HAZARDOUSTABLE D. CERTAIN
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
IDiazinon
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
2,4-D (2,4-dichlorophenoxyacetic acid)
❑
❑
❑
22_
Dicamba
❑
23.
Dichlobenil
❑
❑
24.
Dichlone
❑
25.
2,2-dichloropropionic acid
❑
26.
Dichlorvos
❑
❑
27.
Diethyl amine
❑
0
26
Dimethyl amine
❑
F±1
29.
Dintrobenzene
❑
PI
30.
Dicluat
❑
0
31.
Disulfoton
❑
❑�
32.
IDiuron
❑
33.
Epichlorohydrin
❑
❑�
34.
Ethion
❑
0
35.
Ethylene diamine
❑
❑
36.
Ethylene dibromide
❑
37.
Formaldehyde
❑
38.
Furfural
0

Ilsoprene
HAZARDOUSTABLE D. CERTAIN
Pollutant
..
Presence or Absence
(check one)
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Believed
Present
Believed
Absent
Guthion
El
1-1
❑
0
41.
1 Isopropanolamine
❑
0
42.
Kelthane
❑
0
43.
Kepone
❑
0
44.
Malathion
❑
21
45.
Mercaptodimethur
❑
n
46.
Methoxychlor
❑
0
47.
Methyl mercaptan
❑
0
48.
Methyl methacrylate
❑
21
49.
Methyl parathion
❑
n
50.
Mevinphos
❑
21
51.
Mexacarbate
❑
El
52.
Monoethyl amine
❑
0
53.
Monomethyl amine
❑
0
54.
Naled
❑
❑
55.
Naphthenic acid
❑
F±1
56.
Nitrotoluene
❑
P
57
Parathion
❑
0

TABLE
HAZARDOUS-
D. CERTAIN
..
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
lPhosgene
Pollutant
Presence or Absence
(check one)
Believed
Present
Believed
Absent
Phenolsulfonate
El
7
❑
21
60.
Propargite
❑
❑�
61.
Propylene oxide
❑
❑�
62.
Pyrethrins
❑
❑�
63.
Quinoline
❑
❑�
64.
Resorcinol
❑
❑
65.
Strontium
❑
0
66.
Strychnine
❑
❑�
67.
Styrene
❑
❑�
68.
2,4,5-T (2,4,5-
trichlorophenoxyacetic acid)
❑
❑
69.
TDE (tetrachlorodiphenyl ethane)
❑
❑�
70
2,4,5-TP [2-(2,4,5-trichlorophenoxy)
propanoic acid]
❑
O
71.
Trichlorofon
❑
❑Q
72.
Triethanolamine
❑
❑�
73.
Triethylamine
❑
❑Q
74.
Trimethylamine
❑
❑�
75.
Uranium
❑
❑✓
76.
Vanadium
❑
❑�

..
.
Presence or Absence
(check one)
r
Reason Pollutant Believed Present in Discharge
Available Quantitative Data
(specify units)
Pollutant
Believed
Present
Believed
Absent
77. Vinyl acetate
0
78. Xylene
❑
❑�
79. Xytenol
❑'
80, Zirconium
❑
Q
' 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 O. See instructions and 40 CFR 122.21(e)(3).

This page intentionally left blank.

TCDD
Presence or Absence
Pollutant
Congeners
Used or
(check one)
Results of Screening Procedure
Believed
Believed
Manufactured
Present
Absent
2,3,7,8-TCDD
❑
❑
21
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], subchapter N or O. See instructions and 40 CFR 122.21(e)(3).

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 4
Outfall Location Map

jOutfall 007
jOutfall 001A
AI►h/
s
Dukeville
• �_-Steam ;> uckStahon "
117
Buck Combined Cycle Plant Duke Energy

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 5
Flow Diagram

Wastewater Source Flows Combines cycle station
NpOfSWartewater M. khe.atm O CombineE Cycle
1.10.58MGD/400gpm CooOng Tower:D
it OM7 MGD/5gpm 0/W Separator
3.) 0.014 MGD/10 gpm Uigxgwasb
4.I 0.O71 MGD/18 gpm WRejM
5.10.63MGD/4339pm Wastewater5ump

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 6
Narrative

I. General Information
The Buck Combustion Turbine Combined Cycle Station (CTCC) consists of one 2 x 1
configuration, 620-megawatt natural gas -fired combined cycle electric generating plant located
in Rowan County approximately three miles east of Spencer, North Carolina. The CTCC
property encompasses approximately 643 acres that border the southern shore of the Yadkin
River in the upper reaches of High Rock Lake. The station is accessed from Buck Station Road off
Long Ferry Road. The CTCC maintains an up-to-date Spill Prevention Control and
Countermeasure (SPCC) Plan in place in accordance with the U.S. Environmental Protection
Agency (USEPA) Oil Pollution Prevention Regulation 40 CFR Part 112.
Also co -located on the CTCC site are the Buck Tie Station, the ash beneficiation facility and
three ash basins, (the last remnants of the demolished steam station). Neither the tie station
nor the ash beneficiation facility discharge wastewater.
Coal ash beneficiation facility uses a process where ash is excavated from a basin and in
essence re -burned to remove carbon to make the material suitable for reuse as a product in
cement. The ash beneficiation system is a closed loop system and does not discharge. It does
have an NPDES general stormwater permit, NCG130090.
Three active ash settling basins (Cells 1, 2, and 3) located at CTCC (the new primary cell, the old
primary cell, and the secondary cell) are generally east of the CTCC Power block. These three
basins are interconnected and have a combined total natural drainage area of approximately
372 acres. These basins have been dewatered and ash from these basins is allowed to dry, then
sent to the ash beneficiation facility for processing and after processing is taken offsite to either
landfill or used for beneficial purpose. Stormwater that naturally drains to these basins is
treated by a wastewater treatment system and is discharged to Outfall 007.
II.OUTFALL 001A
Combustion Turbine Combined Cycle Plant — Wastewater Sump
The wastewater sump can either discharge to the wastewater holding basin, directly to outfall
001A, or recirculated back through the clarifier from the wastewater holding basin. The basin
located east of the CTCC facility, is a lined basin approximately 4 acres, 6 feet deep, and a
capacity of 10 million gallons. Process wastewater treated by the basin include all flows from
the CTCC wastewater sump, as described below. Treatment options would include coagulants,
flocculants, and pH control as needed to meet surface water quality standards.

• Service Water
Influent
Make up water from the Yadkin River is sent through 3 raw water pumps to a Graver clarifier.
pH is adjusted with caustic. Coagulant, polymer and sodium hypochlorite are also added. Sludge
is removed via sludge pumps and sent through a thickener where more polymer is added.
Ultimately, the sludge is sent to a plate and frame filter press for dewatering. Water from the
clarifier is further treated by the gravity filters and sodium hypochlorite is added for biological
control. The filtered water is stored in the Fire Water/Service Water Tank. This filtered water
feeds the plant fire main and supplies the service water pumps. Every 3 to 5 years, the clarifier
is drained,for maintenance. Flows from this activity are currently sent to the wastewater
holding basin for treatment and discharge to the Yadkin River through Outfall 001A.
• Boiler Make -Up Water / Condensate
Boiler make up water is fed from the Fire/Service Water Tank (363,000 gallon tank) and sent
through the Reverse Osmosis (RO) system to the demineralizer cells. An anti-scalant and pH
control is added to the make-up boiler feedwater. The auxiliary boiler feed water is treated
with ammonia and an oxygen scavenger. Sodium bisulfite is also injected to remove any
residual chlorine at the RO inlet.
Citric acid & sodium hypochlorite are used in the Ultra Filtration (UF) system for cleaning. Small
volumes of wastewater from this process are currently sent to the wastewater holding basin
and discharged to the Yadkin River through Outfall 001A. Citric acid is used in the reverse
osmosis (RO) system to remove scale and mineral deposits. Anti-scalant is added to RO inlet to
reduce scale formation. Small volumes of wastewater from this process are currently sent to
the wastewater holding basin for treatment and discharged to the Yadkin River through Outfall
001A. Boiler water/condensate is further treated at the Heat Recovery Steam Generator
(HRSG) with the addition of phosphates to protect from corrosion and ammonia for pH control.
Waste streams from the water purification processes are directed to the Combined Cycle
wastewater sump.
• Condenser Cooling Water
Condenser Cooling Water (CCW) is supplied through filtered water sent to the ten -cell cooling
tower. This water is recirculated and cycled with approximately 5% make up added hourly to
account for blowdown and evaporation loss. CCW water is treated with a dispersant corrosion
inhibitor, sodium hypochlorite and a non -oxidizing biocide. Cooling tower blow down is treated
with sodium bisulfite for residual chlorine removal prior to the water being sent to the waste
water sump. Effluent from the wastewater sump is discharged to the wastewater holding basin
and discharged to the Yadkin River. The CCW pumps circulate 94,000 gpm per pump. There are
2 CCW pumps installed on this system. The cooling tower blow down rate: averages 816 gpm.
The maximum capacity of the cooling tower is approximately 197,500 ft3 or 1,477,620 gallons.
At the normal water level, the capacity is 151,600 ft3 or 1,133,870 gallons.

• Chiller Cooling Towers
The eight inlet air chillers will have cooling water that is treated with a dispersant, corrosion
inhibitor, sodium hypochlorite and a non -oxidizing biocide. Blow down water will be sent to the
2 chiller sumps. Ultimately the chiller tower blow -down water is pumped to the cooling tower
basin.
• HRSG, Boiler Cleaning and Auxiliary Boiler Blow Down
All blow down from the HRSG drains, auxiliary boiler, demineralizer water treatment and the
boiler blow down tank are routed to the boiler blow down sump. This sump discharges to the
cooling tower basin. Boiler cleaning activities are envisioned to be necessary approximately
once every 10 years. Boiler cleaning will involve the use of citric acid or a similar product. Waste
from boiler cleaning activities will typically be collected and disposed of off -site.
• Closed Loop Cooling System
The closed loop cooling system blow down is also routed to the cooling tower basin.
• Gas turbine wash water
Approximately twice per year, turbine washes generated 8,000 gallons of wastewater. Online
turbine washes are evaporated. Wastewater that is generated from washes that take place
while the unit is offline are directed to the turbine wash water sump. Wash water is collected
and either sent offsite for disposal or held in the wash water sump and slowly released to the
Yadkin River while the unit is online to avoid any potential foaming.
• Sanitary Waste System
In September of 2017, the CTCC installed an onsite septic system and nitrification field
permitted by Rowan County, to handle domestic waste replacing the old package plant.
• Plant Drainage System
All yard and floor drains from the generation equipment areas and auxiliary systems are routed
to a common drain system and through an Oil Water Separator (OWS). The OWS discharges to
the wastewater collection sump. Drains from the water treatment building area, fire protection
system, condenser circulating system and cooling tower blow down are routed to a wastewater
collection sump. This effluent is pumped to the Wastewater holding basin. Containments for all
transformers, the ammonia tank and unloading area, are routed to the storm drain system.
Drains from the cooling tower chemical feed sumps and unloading areas are also routed to the
plant drain system.

Table 1. BUCK CTCC Chemical and Tank Information
Condensate/Feed water/Boiler
Feed Rate
HRSG11 Phosphate
300 gal tank
0 - 250 gpd
HRSG12 Phosphate
300 gal tank
0 - 250 gpd
Aqueous Ammonia
300 gal tote
0 — 25 gpd
Auxiliary Boiler
Aqueous Ammonia
330 gal tote
0 - 0.5 gpd
Oxygen Scavenger
75 gal tote
0 - 0.5 gpd
Cooling Tower/ Chiller A/B
Dispersant/Corrosion Inhibitor 3DT487 2000 gal tank 0 - 50 gpd
Sodium Hypochlorite 6000 gal tank 0 - 500 gpd
Sodium Bisulfite 330 gal tote 0 - 3 gpd
Corrosion Inhibitor 3DT-199 110 gal tote
Closed Cooling
Corrosion Inhibitor C-4710 22,000 gallon system pot feeder in loop —manual dosage as needed
Glycol 22,000 gallon system pot feeder in loop —manual dosage as needed
Filtered Water System
Sodium Hypochlorite 6000 gal tank 0 - 576 gpd
Clarifier and Thickener Polymer 400 gal tote 0 -108 gpd
Coagulant 5000 gal tank 0 - 576 gpd
Caustic 3000 gal tank daily feed as needed
OF/RO/Demin
Citric Acid
350 gal tote
0 - 48 gpd
Sodium Hypochlorite
330 gal tote
0 - 48 gpd
Anti-scalant PC-191T
110 gal tote
0 -16 gpd
Caustic
330 gal tote
0 -16 gpd
Sodium Bisulfite*
330 gal tote
0 -16 gpd
*Chemical feed tote is shared with Cooling
Tower
SCR
Aqueous Ammonia
20,000 gal tank
III.Outfall 007 —Ash Basin
The ash basin at CTCC accommodates storm water flows from rainfall run-off
from the basin watershed area. The average rainfall run-off flows are based on 44 inches of rain
per year with 100% run-off from the pond surfaces and 50% run-off from other areas. The
average run-off for the ash basin watershed area is 0.299 MGD. 44 inches of rain per year with
50% run-off. Averaged over a typical year, the total storm water run-off that goes to the ash
basin, is approximately 0.364 MGD. All stormwater from within the basin is routed to an
Evoqua treatment system, which monitors the stormwater for pH and TSS prior to discharge

from the outfall. The Evoqua water treatment system is located within basin 3 and provides pH
adjustment to within 6-9 range for discharge, chemical additions of sodium hypochlorite,
sodium bisulfate and ferric chloride to aid with mechanical filtration to remove algae. This is a
decanting treatment system with water levels maintained to keep in decanted state.
III. Outfall 111 and Outfall 117 Engineered Seeps
The Buck Combined Cycle Station has 2 engineered seeps, associated with the ash basin. These
are outfall 111 and 117 in the current NPDES permit. Outfall 111 does not have regular flow,
and has not had flow in several years, Outfall 117 does have regular flow. Both outfalls would
discharge overland prior to discharging to the Yadkin River.
IV. Table 2c-3 Hazardous and Toxic Substances
At Buck Combined Cycle, the potential for a toxic and/or hazardous substances being discharge
is very low. In reference to Item V-D of Form 2-C, the substances identified under Table 2c-3
that may be in the ash basin discharge are as follows:
• Cyclohexanone: Cyclohexanone is contained in thinners and solvents. The amount of
cyclohexanone on -site in 2023 was less than 15 pounds. Therefore, any cyclohexanone
in the ash basin would be at very low concentrations.
• Xylene: Xylene is primarily at CTCC in gasoline and diesel fuel. Secondary containment
systems are in place in order to prevent xylene from reaching the ash basin. If any
xylene did reach the ash basin, it would be at very low concentrations.
• Others: During the course of the year, products such as commercial cleaners and
laboratory reagents may be purchased which contain very low levels of a substance
found in Table 2c-3.
Thus, any discharge of these products to the ash basin would be at very low
concentrations.
V. 40 CFR 117 and CERCLA Hazardous Substances
The Hazardous Substance Table below identifies hazardous substances located on -site that may
be released to the ash basin during a spill in quantities equal to or greater than the reportable
quantity (RQ) levels as referenced in 40 CFR 117, 302 and 355. This list is being provided in
order to qualify for the spill reportability exemption under 40 CFR 117 and the Comprehensive,
Environmental, Response, Compensation and Liability Act.

Hazardous Substance Table
Substance
Quantity (lbs.)
Sodium Hypochlorite
499,300
Sodium Hypochlorite
499,300
Ferric Sulfate
499,200
Dispersant/Corrosion
21,600
Caustic
280,800
Ammonium Hydroxide
1,148,000
Source
Sodium Hypo Tank (Cooling Tower)
Sodium Hyp Tank (Clarifier)
Ferric Sulfate Tank (Clarifier)
Dispersant/Corrosion Tank (Cooling Tower)
Caustic Storage Tank (Clarifier)
Ammonium Hydroxide Tank
Note:
The dispersant/corrosion inhibitor is stored in a 2,000-gallon tank and includes 9.3% Phosphoric Acid, 18%Tagged
High Stress Polymer, and 9% Phoshinosuccinic Oligomer.
VI. Ash Basin Capacity
No wastewater from the CTCC or the decommissioned Buck Steam station, including ash has been
sent to the ash basin since 2019. The only input to the basin is stormwater that falls on it and
runoff from the surrounding area. No calculation for capacity of the basin has been provided.
VII. Buck Combined Cycle Station Balanced and Indigenous Population
The BSS operating experience, under the thermal limitations imposed in NPDES Permit No.
NC0004774 and field data collected (see attached report), substantiates the discharge from BSS
is such that the protection and propagation of a balanced indigenous aquatic community in the
Yadkin River is assured.
However, Duke Energy Carolinas, LLC requests that the thermal variance for Outfall 001A,
as allowed under NC Administrative Code 15A NCAC 02B .0208 (b) and also section 316 (a) of
the Clean Water Act, be discontinued at this time. The Variance is no longer needed with the
retirement of the Buck Steam Station.
Duke Energy Carolinas, LLC also requests that the restriction under A (1) for Outfall 001, which
limits stream flow usage, be eliminated. Duke Energy conducted a mixing zone study and
submitted the report to the Division in April 2022. The report showed that a year-round
temperature limit of 98' F was sufficient to protect the aquatic community as indicated by the
attached 2022 Thermal Mixing Zone Modeling Report.

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 7
Fish Tissue Sampling Report

Fish Tissue Monitoring of the Yadkin River
and High Rock Lake Near Buck Combined
Cycle Station (2018-2022)
Buck Combined Cycle Station
Salisbury, North Carolina
NPDES Permit # NC0004774
Duke Energy Water Resources
Huntersville, NC 28078
January 2023
DUKE
ENERGY

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
Contents
1 Introduction and Background......................................................................................................1
2 Methods.....................................................................................................................................1
2.1 Study Site...........................................................................................................................................1
2.2 Field Collection..................................................................................................................................2
2.3 Laboratory Analysis...........................................................................................................................3
3 Results and Discussion................................................................................................................3
3.1 Arsenic...............................................................................................................................................4
3.2 Selenium............................................................................................................................................4
3.3 Mercury .............................................................................................................................................4
4 Summary ....................................................................................................................................6
5 References.................................................................................................................................6
Tables
Table 3-1. Numbers and total length ranges (mm) of different species of fish collected for element
analyses in the three sampling areas of the Yadkin River and High Rock Lake during 2018-2022.3
Figures
Figure 2-1. Sampling areas for monitoring trace elements in fish tissue within the Yadkin River and High
RockLake..........................................................................................................................................2
Figure 3-1. Box plots of trace element analysis of fish muscle tissue for sunfish and black bass collected
from three areas of the Yadkin River and High Rock Lake during 2018-2022. Boxes and whiskers
show the 10th, 25th, 50th, 75th, and 90th percentiles. Individual outliers are represented by
points. Values under each element are USEPA screening values for recreational anglers.............5
Appendices
Appendix A Arsenic, selenium, and mercury concentrations (fresh weight) in axial muscle of fish from
the Yadkin River and High Rock Lake during 2018-2022
Appendix B Arsenic, selenium, and mercury concentrations (fresh weight) in axial muscle of fish from the
Yadkin River and High Rock Lake during 2014

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
1 Introduction and Background
Duke Energy Carolinas (DEC) owns and operates the Buck Combined Cycle Station (Buck) located on the
Yadkin River in Rowan County, Salisbury, North Carolina. The National Pollutant Discharge Elimination
System (NPDES) Wastewater Permit for Buck (No. NC0004774, Section C.12) requires DEC to:
"...conduct fish tissue monitoring annually and submit the results with the NPDES permit renewal
application. The objective of this monitoring is to evaluate potential uptake of pollutants by fish
tissue near the ash pond discharge. The parameters analyzed in fish tissue shall include arsenic,
selenium, and mercury. The monitoring shall be conducted in accordance with the sampling plan
approved by the Division."
Monitoring is required due to the discharge of waters from a coal ash basin associated with the previous
coal-fired steam plant at the site, and these three metals are commonly associated with coal ash and
can have fish and human health impacts. A study plan was originally submitted to and approved by the
North Carolina Department of Environmental Quality (NCDEQ) in 2013 (Duke Energy 2013), and an
updated study plan was submitted and approved in 2019 (Duke Energy 2019).
2 Methods
2.1 Study Site
Fish were collected from two areas on the Yadkin River and one in upper High Rock Lake (Figure 1-1) for
trace element analysis of muscle tissue. Area UP was located at least 3.2 km upstream of the Buck ash
basin discharge to serve as a reference to monitor background trace element concentrations in fish
muscle tissue. Area DI was located between 0.8 km and 2.0 km downstream from the Buck ash basin
discharge to monitor potential near -field uptake of trace elements in fish muscle tissue. Area DN was
located in upper High Rock Lake, approximately 8.0 km downstream of the ash basin discharge, to
monitor far -field uptake of trace elements in fish muscle tissue.

Fish Tissue Monitoring of the Yadkin Rivera nd High Rock lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
AN
uv
BUCK OUIRLLI WI
19 COMBINED O ALL ON
CYCLE
$WnON
Trace Element Fishing Area
♦ Duke Facility Outfall
0 2.5 5
Kilometers
DN
•
Buds Com6lned
Cycle Station
DUKE
ENERGY.
Figure 2-1. Sampling areas for monitoring trace elements in fish tissue within the Yadkin River and
High Rock Lake.
2.2 Field Collection
Fish were collected for trace element tissue monitoring following the appropriate Duke Energy
procedures under Duke Energy's North Carolina Biological Laboratory Certification (Huntersville, NC
certification 008). Fish were collected using boat electrofishing, identified to species, measured for total
length to the nearest millimeter, weighed to the nearest gram, and marked with a unique tag identifier.
Fish were then placed in a labeled (sample date, sample location, facility, etc.) bag on ice while in the
field. Bags were sealed and transferred to a deep freezer at the end of the sampling day until processed
for analysis.
Sunfish (Lepomis) and black bass (Micropterus) were targeted for collection based on prior sampling
experience, likely availability, potential for human consumption, and general trophic level. Other similar
genera of fish were collected when the primary target genera were unavailable. Duke Energy personnel
collected six individuals of each taxa from each sampling area. Individuals retained for analysis were
those considered of sufficient size for human consumption (z60 g). As recommended by the US
Environmental Protection Agency (USEPA), fish were retained such that the size of the smallest

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
individual would not be less than 75% of the total length of the largest fish within each genus group
when possible (USEPA 2000).
2.3 Laboratory Analysis
Fish were processed for metals analysis at the Duke Energy Trace Element Laboratory located in New
Hill, NC. Fish were thawed and skeletal muscle was fileted off using a carbon -steel scalpel. Muscle tissue
from each individual fish was homogenized, weighed to the nearest 0.001 g, completely dried in a
desiccator. The dried weight was recorded and used to calculate a dry weight to fresh weight ratio for
that fish. Approximately 0.1 g of dried tissue was analyzed for each fish using X-ray fluorescence. Quality
control was achieved utilizing analytical standards, replicates, and certified reference materials.
3 Results and Discussion
During the study period (2018-2022), 180 individuals representing eight species were captured and
analyzed from the Yadkin River and High Rock Lake (Table 3-1). These species included Alabama Bass
Micropterus henshalli, Largemouth Bass M. salmoides, Black Crappie Pomoxis nigromoculatus, Bluegill
Lepomis macrochirus, Green Sunfish L. cyanellus, Redbreast Sunfish L. auritus, Redear Sunfish L.
microlophus, and Warmouth L. gulosus. A full list of individual fish and associated trace element
concentrations is presented in Appendix A.
Table 3-1. Numbers and total length ranges (mm) of different species of fish collected for element
analyses in the three sampling areas of the Yadkin River and High Rock Lake during 2018-2022.
UP DI DN
Total
Total length
Total length
Number
Number
Number
length
range
range
range
Alabama Bass
2
293-410
—
—
Black bass
Largemouth
26
276-499
30
247-515
30
288-471
(Micropterus)
Bass
Black Crappiel
2
272-278
—
—
Bluegill
22
140-178
20
142-176
28
146-183
Green Sunfish
—
1
175
—
Sunfish
Redbreast
(Lepomis)
Sunfish
—
1
177
1
171
Redear Sunfish
7
159-183
8
155-250
1
186
Warmouth
1
191
—
—
1 Black Crappie were kept as a surrogate for black bass because these species are in the same feeding guild (NCDENR 2006).
3

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
3.1 Arsenic
All fish collected during 2018-2022 were below the USEPA screening value for recreational anglers of
1.2 µg/g (fresh weight) for arsenic (USEPA 2000; Figure 3-1).
3.2 Selenium
All fish collected during 2018-2022 were below USEPA screening value for recreational anglers of 20
µg/g (fresh weight) for selenium (USEPA 2000; Figure 3-1).
3.3 Mercury
Sunfish collected during 2018-2022 were below the USEPA screening value for recreational anglers of
0.4 µg/g (fresh weight) for mercury (USEPA 2000; Figure 3-1). Of the 88 black bass sampled during the
five-year study period, one exceeded the mercury screening value. Mercury concentrations generally
increased with fish size, regardless of the collection area. This individual was in the top quartile of size
for all black bass collected. Therefore, this elevated mercury concentration was a function of
bioaccumulation.
RECEIVED
MAY 01 2023
NCDEQIDWRINPDES
C!

Fish Tissue Monitoring of the Yadkin River and High Rock take Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
Sunfish Black bass
1-0 1 0
0.6
0.6
04
0.2
0.0
V.J
0.4
0.3
02
0.1
0.0
0-6
0.6
04
0.2
00
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12
1a
08
O6
CA
02
00
UP DI DN UP DI DN
Mercury
0.4 Vgr9
CA
03
• 02
•
� 0.1
0-0
UP DI DN UP DI DN
Figure 3-1. Box plots of trace element analysis of fish muscle tissue for sunfish and black bass collected
from three areas of the Yadkin River and High Rock Lake during 2018-2022. Boxes and whiskers show
the loth, 25th, 5Oth, 75th, and 9Oth percentiles. Individual outliers are represented by points. Values
under each element are USEPA screening values for recreational anglers.
5

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
4 Summary
All fish collected during the 2018-2021 study period were below the USEPA screening levels for
recreational anglers for arsenic and selenium. One black bass exceeded the screening level for mercury.
However, mercury concentrations in black bass collected at the DI area were not elevated compared to
those collected upstream of the Buck ash basin discharge when accounting for size of fish. These
patterns match samples reported from the same areas in 2014 (Appendix B; Duke Energy 2014).
5 References
Duke Energy. 2013. Trace elements monitoring in fish tissue study plan. Duke Energy Corporation.
Charlotte, NC.
Duke Energy. 2014. Arsenic, selenium, and mercury monitoring in fish muscle tissue from upper,High
Rock Lake, NC. Duke Energy Corporation. Charlotte, NC.
Duke Energy. 2019. Fish tissue monitoring of the Yadkin River. Duke Energy Corporation. Charlotte, NC.
NCDENR. 2006. Standard operating procedure. Biological monitoring. Stream fish community
assessment program. Environmental Sciences Section, Division of Water Quality, North Carolina
Department of Environmental and Natural Resources. Raleigh, NC.
USEPA. 2000. Guidance for assessing chemical contaminant data for use in fish advisories. Vol. 1. Fish
sampling and analysis. Third edition. EPA 823-B-00-007. United States Environmental Protection
Agency, Office of Water, Washington, DC.

Fish Tissue Monitoring of the Yadkin River and High Rock Lake Near Buck Combined Cycle Station (2018-2022)
Buck Combined Cycle Station
Appendix B
Arsenic, selenium, and mercury concentrations (fresh
weight) in axial muscle of fish from the Yadkin River and
High Rock Lake during 2014
Dry -to -
fresh
Collection
Length
Weight
As
Se
Hg
weight
Fish species
Location
month
(mm)
(g)
W/O
(µg/g)
W/O
ratio
Largemouth Bass
UP
June 2014
380
984
<0.04
0.32
0.06
0.21
Largemouth Bass
UP
June 2014
367
805
<0.04
0.32
<0.06
0.21
Alabama Bass
UP
June 2014
359
604
<0.04
0.36
0.08
0.21
Alabama Bass
UP
June 2014
425
1431
<0.05
0.35
0.23
0.23
Largemouth Bass
UP
June 2014
448
1674
<0.04
0.27
<0.06
0.21
Largemouth Bass
UP
June 2014
468
1707
<0.04
0.31
0.08
0.20
Bluegill
UP
June 2014
175
122
<0.04
0.58
<0.06
0.21
Bluegill
UP
June 2014
166
101
<0.04
0.37
<0.05
0.18
Bluegill
UP
June 2014
167
97
<0.04
0.52
<0.05
0.19
Bluegill
UP
June 2014
168
97
<0.04
0.48
<0.05
0.20
Bluegill
UP
June 2014
156
92
<0.04
0.53
<0.05
0.20
Bluegill
UP
June 2014
159
97
0.04
0.38
<0.06
0.21
Largemouth Bass
DI
June 2014
454
1538
<0.04
0.41
<0.06
0.21
Largemouth Bass
DI
June 2014
454
1425
<0.04
0.33
0.08
0.20
Largemouth Bass
DI
June 2014
354
698
0.04
0.39
<0.06
0.22
Largemouth Bass
DI
June 2014
369
718
<0.04
0.26
<0.05
0.20
Largemouth Bass
DI
June 2014
355
634
<0.04
0.32
<0.06
0.21
Largemouth Bass
DI
June 2014
318
483
<0.04
0.40
<0.06
0.21
Bluegill
DI
June 2014
161
88
0.06
0.56
<0.05
0.19
Bluegill
DI
June 2014
172
119
0.06
0.64
<0.05
0.20
Bluegill
DI
June 2014
136
99
0.10
0.88
<0.05
0.20
Bluegill
DI
June 2014
158
85
<0.04
0.53
<0.05
0.19
Bluegill
DI
June 2014
162
91
<0.04
0.45
<0.05
0.20
Bluegill
DI
June 2014
162
89
0.04
0.42
<0.06
0.21
Largemouth Bass
DN
June 2014
402
1069
0.06
0.23
<0.06
0.21
Largemouth Bass
DN
June 2014
137
1292
<0.04
0.18
0.06
0.20
Largemouth Bass
DN
June 2014
352
643
0.04
0.23
<0.06
0.21
Largemouth Bass
DN
June 2014
416
1066
0.04
0.21
<0.06
0.21
Largemouth Bass
DN
June 2014
352
703
<0.04
0.21
<0.06
0.21
Largemouth Bass
DN
June 2014
322
452
0.06
0.23
<0.06
0.21
Bluegill
DN
June 2014
182
131
<0.04
0.31
<0.05
0.19
Bluegill
DN
June 2014
176
108
0.04
0.25
<0.05
0.19
Bluegill
DN
June 2014
164
84
<0.03
0.25
<0.05
0.17
Bluegill
DN
June 2014
160
78
0.10
0.23
<0.05
0.19
Bluegill
DN
June 2014
157
77
<0.04
0.29
<0.06
0.20
Bluegill
DN
June 2014
157
76
<0.04
0.21
<0.06
0.21
B-5

Buck Station
NPDES Wastewater Permit Renewal Application
Attachment 8
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