NC0024228_Renewal (Application)_20081205

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T Fi9PG Michael F. Easley, Governor
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
O `C Coleen H. Sullins, Director
Division of Water Quality
December 5, 2008 RE IVED
�Fnt of ESR �
TERRY HOUK pEC 0 9 20
ASSISTANT DIRECTOR OF PUBLIC SERVICES ,,,.Salem
CITY OF HIGH POINT Regional pffice
PO BOX 230
HIGH POINT 27261
Subject: Receipt of permit renewal application
NPDES Permit NCO024228
Westside WWTP
Davidson County
Dear Mr. Houk:
The NPDES Unit received your permit renewal application on December 5, 2008. A
member of the NPDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. You should expect to receive a draft
permit approximately 30-45 days before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact
Sergei Chernikov at [phone].
Sincerely,
Dina Sprinkle
NPDES Unit
cc: CENTRAL FILES
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
Timothy H. Fitzgerald, Wastewater Plants Superintendent, City of High Point, PO Box 230,
High Point, NC 27261
Mailing Address Phone [phone] Location OnrthCarolina
1617 Mail Service Center Fax [phone] N. Salisbury St. ort h arol in
Raleigh, NC 27699-1617 Raleigh, NC 27604
Internet: www.ncwateraualitv.or2 Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Adion Employer — 50% Recydedl10% Post Consumer Paper

City of High Point
Public Services Department
PLANTS DIVISION
Mrs. Dina Sprinkle
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Mrs. Sprinkle,
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NORTH CAROLINNS INTERNATIONAL CITYT'
Subject: Request for NPDES Permit Renewal
The City of High Point requests the renewal of NPDES Permit NCO024228 for the Westside Wastewater
Treatment Plant. The expiration date of the current permit is April 30, 2009.
We regret the late submittal of this request but appreciate the extension to December 5 h in order not to incur civil
penalties.
There has been one change in SIU's. Mickey Body Company no longer discharges to the Westside WWTP. This
company now discharges to the Eastside WWTP.
Any questions or concerns may be directed to me at [phone]. Errsail-tiiii.fitz-,�eraldLWhighpointrtc.gov. Fax
[phone]
Sincerely,
Timothy H. Fitzgerald
Wastewater Plants Superintendent
12/4/2008
P.O.230, High Point, NC 27261 USA
Phone:[phone] Fax:[phone] TDD:336.883.8517

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APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow >_ 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through 6.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP, NCO024228
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Westside Wastewater Treatment Plant
Mailing Address PO Box 230 High Point NC 27261
Contact Person Timothy H. Fitzgerald
Title City of High Point Wastewater Plants Superintendent.
Telephone Number [phone]
Facility Address 1044 West Burton Road Thomasville, NC 27360
(not P.O. Box)
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name City of High Point
Mailing Address PO Box 230
Contact Person Terry Houk
Title Assistant Director of Public Services
Telephone Number [phone]
Is the applicant the owner or operator (or both) of the treatment works?
.R owner ❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
❑ facility jN( applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES NCO024228 PSD
UIC Other SW NCG 110000
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
City of High Point 30,000 Sanitary Municipal
Total population served 30000
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 22

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FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside WWTP, NCO024228 Renewal Yadkin -Pee Dee
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes X No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12`h month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 6.2 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 3.89 mgd 3.76 3.58 through 11/08
C. Maximum daily flow rate 11.88 mgd 10.17 10.77 through 11/08
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
M Separate sanitary sewer 100 %
❑ Combined stone and sanitary sewer %
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? 54 Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent 0
iii. Combined sewer overflow points 0
iv. Constructed emergency overflows (prior to the headworks) 0
V. Other NA
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes No
If yes, provide the following for each surface impoundment:
Location: NA
Annual average daily volume discharge to surface impoundment(s)
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? No
If yes, provide the following for each land application site:
Location: NA
Number of acres: NA
NA mgd
❑ Yes W No
Annual average daily volume applied to site: NA mgd
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? ❑ Yes NI"'No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 3 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTER:
RIVER BASIN:
High Point Westside WWTP
Renewal
Yadkin -Pee Dee
NCO024228
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
NA
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number ( )
For each treatment works that receives this discharge, provide the following:
Name NA
Mailing Address
Contact Person
Title
Telephone Number ( )
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes
( No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) H applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside WWTP NCO024228 Renewal Yadkin -Pee Dee
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a.
Outfall number 001
b.
Location Thomasville NC
27360
(City or town, if applicable)
(Zip Code)
Davidson
North Carolina
(County)
(State)
35 deg 56' 14'
80 deg 06' 42"
(Latitude)
(Longitude)
C.
Distance from shore (if applicable) NA
ft.
d.
Depth below surface (if applicable) NA
ft.
e.
Average daily flow rate 3.73
mgd
f.
Does this outfall have either an intermittent or a periodic discharge? ❑ Yes
($ No (go to A.9.g.)
If yes, provide the following information:
Number of times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months in which discharge occurs:
g.
Is outfall equipped with a diffuser? ❑ Yes
11 No
A.10. Description of Receiving Waters.
a. Name of receiving water Rich Fork Creek
b. Name of watershed (if known) Yadkin -Pee Dee River Basin
United States Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin (if known): Yadkin -Pee Dee River Basin
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute cfs chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
® Primary Secondary
Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 94 %
Design SS removal 78 %
Design P removal 75 %
Design N removal NA %
Other %
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Ultraviolet disinfection
If disinfection is by chlorination is dechlorination used for this outfall? ❑ Yes No
Does the treatment plant have post aeration? ❑ Yes W No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.23
S.U.
pH (Maximum)
7.35
S.U.
Flow Rate
11.88
mgd
3.73
m d
1460
Temperature (Winter)
20
C
14.2
c
103
Temperature (Summer)
27
C
21.8
C
148
For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MUMDL
Number of
METHOD
Cone.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
26
M /L
5
M /L
235
SM 5210B
2
DEMAND (Report one)
CBOD5
FECAL COLIFORM
6000
Count/ml
2
Ct/ml
232
SM 9222D
1
TOTAL SUSPENDED SOLIDS (TSS)
20
M /L
5
M /L
232
SM 2540D
1
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM '2AYOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate >_ 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
unknown gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Various sections of the Rich Fork Creek outfall have been rebuilt.
Kool Pool outfall is lust beginning construction
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalis from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within Y+ mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes 4 No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number: ( )
Responsibilities of Contractor:
B.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
001
b. Indicate whether the planned improvements or implementation schedule are required by local, Slate, or Federal agencies.
❑ Yes Of No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 22

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ream Class: C
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FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
New PTF for improved headworks treatment
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, Slate, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
Begin Construction 2/18/2009
End Construction 10/19/2009
Begin Discharge 8/19/2009
Attain Operational Level 10/19/2009
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? Yes ❑ No
Describe briefly: design review and state permits obtained per NC DENR requirements
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the Indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not Include Information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number: 001
-
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
ML/MDL
Number of
METHOD
Conc.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
1.35
Mg/L
0.35
Mg/L
4
NH34500-
0.01
CHLORINE (TOTAL
<13
Ug/L
<6.6
Ug/L
4
SM 4500-CI
13
RESIDUAL, TRC)
DISSOLVED OXYGEN
9.6
Mg/L
8.5
Mg/L
4
SM 4500.0 G
0.01
TOTAL KJELDAHL
3.381
Mg/L
1.865
Mg/L
4
SM4500-Norg
0.095
NITROGEN (TKN)
NITRATE PLUS NITRITE
16.68
Mg/L
12.14
Mg/L
4
SM 4500-NO3- F
0.01
NITROGEN
OIL and GREASE
<5
Mg/L
<5
Mg/L
4
SM 5520B
5
PHOSPHORUS (Total)
1.57
Mg/L
0.85
Mg/L
4
SM 4500-P
0.01
TOTAL DISSOLVED SOLIDS
457
Mg/L
341
Mg/L
4
EPA 160.1
10
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP , NCO024228
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
(� Basic Application Information packet Supplemental Application Information packet:
Part D (Expanded Effluent Testing Data)
(� Part E (Toxicity Testing: Biomonitoring Data)
Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information 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 and official title Terry Houk Assistant Director of Public Services City of High Point
.•�,
Signature -�. -
Telephone number [phone]"
,
Date signed jumm Z /7 /'.
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DW4
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER:
High Point Westside WWTP NCO024228
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc. '
Units '
Mass'.
Units
Conc.
Units
Mass
Units
Number
of
Samples'
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
<.025
Mg/L
0
lb
<0.25
Mg/L
0
lb
4
EPA 200.7
0.025
ARSENIC
<10
Ug/L
0
lb
<10
Ug/L
0
lb
3
SM # 3113 B
10
BERYLLIUM
<.005
Mg/L
0
lb
<.005
Mg/L
0
lb
4
EPA 200.7
0.005
CADMIUM
<1.0
Ug/L
0
lb
<1.0
Ug/L
0
lb
4
SM # 3113 B
1.0
CHROMIUM
<5
Ug/L
0
lb
<5
Ug/L
0
lb
4
SM # 3113 B
5
COPPER
31
Ug/L
3
lb
8
Ug/L
.25
lb
4
SM # 3113 B
5
LEAD
<5
Ug/L
0
lb
<5
Ug/L
0
lb
4
SM # 3113 B
5.0
MERCURY
8
Ng/L
.0008
lb
3.6
Ng/L
.0001
lb
4
EPA 1631
1.0
NICKEL
<20
Ug/L
<2
lb
<13
Ug/L
<.4
lb
4
SM # 3113 B
10
SELENIUM
<10
Ug/L
0
lb
<10
Ug/L
0
lb
4
SM # 3113 B
10
SILVER
<5
Ug/L
0
lb
<5
Ug/L
0
lb
4
SM # 3113 B
5
THALLIUM
<.020
Mg/L
0
lb
<.020
Mg/L
0
lb
4
EPA 200.7
0.02
ZINC
0.054
Mg/L
5.35
lb
0.039
Mg/L
1.23
lb
4
SM # 3113 B
0.025
CYANIDE
<.01
Mg/L
0
lb
<.01
Mg/L
0
lb
4
EPA 335.2
0.01
TOTAL PHENOLIC
COMPOUNDS
<5
Ug/L
<.5
lb
<2.3
Ug/L
<.07
Ib
3
EPA 604
1.0
HARDNESS (as CaCO3)
148
Mg/L
14664
lb
116
Mg/L
3647
lb
4
SM 2340-C
2
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MUMDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
<500
Ug/L
0
Ib
<162
Ug/L
0
Ib
4
EPA 624
500
ACRYLONITRILE
<100
Ug/L
0
Ib
<32
Ug/L
0
Ib
4
EPA 624
100
BENZENE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
BROMOFORM
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
CARBON
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
TETRACHLORIDE
CHLOROBENZENE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
CHLORODIBROMO-
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
METHANE
CHLOROETHANE
7.069
Ug/L
.7
Ib
<5.52
Ug/L
<0.17
Ib
4
EPA 624
5.000
2-CHLOROETHYLVINYL
<5.00
Ug/L
<0.5
Ib
<3.00
Ug/L
<0.09
Ib
4
EPA 624
1.000
ETHER
CHLOROFORM
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
DICHLOROBROMO-
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
METHANE
1,1-DICHLOROETHANE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
1,2-DICHLOROETHANE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
TRANS-I,2-DICHLORO-
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
ETHYLENE
1,1-DICHLORO-
<5.00
Ug/L
0
Ib
<3.00
Ug/L
0
Ib
4
EPA 624
5.000
ETHYLENE
1,2-DICHLOROPROPANE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
1,3-DICHLORO-
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
PROPYLENE
ETHYLBENZENE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
METHYL BROMIDE
<5.00
Ug/L
0
Ib
<5.00
Ug/L
0
Ib
4
EPA 624
5.000
METHYL CHLORIDE
<5.00
Ug/L
<0.5
Ib
<3.00
Ug/L
<0.09
Ib
4
EPA 624
1.000
METHYLENE CHLORIDE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
1,1,2,2-TETRA-
<7.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
CHLOROETHANE
TETRACHLORO-
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
ETHYLENE
TOLUENE
1.12
Ug/L
0.11
Ib
<1.03
Ug/L
<0.03
Ib
4
EPA 624
1.000
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER:
High Point Westside WWTP , NCO024228
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conan
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples'
1,1,1
TRICHLOROETHANE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
1,1,2
TRICHLOROETHANE
<1.00
Ug/L
0
Ib
<1.00
Ug/L
0
Ib
4
EPA 624
1.000
TRICHLOROETHYLENE
<5.00
Ug/L
0
Ib
<3.00
Ug/L
0
Ib
4
EPA 624
5.000
VINYL CHLORIDE
<5.00
Ug/L
0
Ib
<5.00
Ug/L
0
Lb
4
EPA 624
5.000
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
2-CHLOROPHENOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
2,4-DICHLOROPHENOL
<50
Ug/L
<5
Ib
<23
Ug/L
<0.7
Ib
4
EPA 625
10
2,4-DIMETHYLPHENOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
4,6-DINITRO-O-CRESOL
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
2,4-DINITROPHENOL
<100
Ug/L
<10
Ib
<43
Ug/L
<1.4
Ib
4
EPA 625
10
2-NITROPHENOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
4-NITROPHENOL
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
PENTACHLOROPHENOL
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
PHENOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
2,4,6-
TRICHLOROPHENOL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
Ib
4
EPA 625
10
ACENAPHTHYLENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
ANTHRACENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BENZIDINE
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
BENZO(A)ANTHRACENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BENZO(A)PYRENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 12 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP , NCO024228
Renewal
Yadkin -Pee Dee
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Of
METHOD
Samples
RANT
FLUORANTHENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BENZO(GHI)PERYLENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BENZO(
FLUORANTHENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BIS (2-CHLOROETHOXY)
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
METHANE
BIS (2-CHLOROETHYL}
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
ETHER
BIS (2-CHLOROISO-
PROPYL)ETHER
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
BIS YLHEXYL)
15.9
Ug/L
1.6
Ib
<11.5
Ug/L
<0.4
Ib
4
EPA 625
10
PHTHALATE
HE YL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
PHENY
PHENYL E
ETHER
BUTYL BENZYL
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
PHTHALATE
2-CHLORO-
NAPHTHALENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
RPHE PHENYLETHER
PHENY
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
CHRYSENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
DI-N-BUTYL PHTHALATE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
DI-N-OCTYL PHTHALATE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
NTHREN
C ANTHRAENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
1,2-DICHLOROBENZENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
1,3-DICHLOROBENZENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
1,4-DICHLOROBENZENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
3,3-DICHLORO-
BENZIDINE
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
DIETHYL PHTHALATE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
Ib
4
EPA 625
10
DIMETHYL PHTHALATE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
2,4-DINITROTOLUENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0A
Ib
4
EPA 625
10
2,6-DINITROTOLUENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
1NYL-
HYYDRAZIDRAZINE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY
DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
FLUORANTHENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
FLUORENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
HEXACHLOROBENZENE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
Ib
4
EPA 625
10
HEXACHLORO-
BUTADIENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
HEROCYCLO-
NTADIE
PENTADIENE
<100
Ug/L
<10
Ib
<63
Ug/L
<2
Ib
4
EPA 625
50
HEXACHLOROETHANE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
INDENO(1,2,3-CD)
PYRENE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
lb
4
EPA 625
10
ISOPHORONE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
NAPHTHALENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
NITROBENZENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
lb
4
EPA 625
10
AMIN N-
PROPYLAMINE
PROP
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
N-NITROSODI-
METH
METHYLAMINE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
lb
4
EPA 625
10
N-NITROSODI-
PHENYLAMINE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
PHENANTHRENE
<20
Ug/L
<2
lb
<13
Ug/L
<0.4
Ib
4
EPA 625
10
PYRENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
1,2,4
TRICHLOROBENZENE
<20
Ug/L
<2
Ib
<13
Ug/L
<0.4
Ib
4
EPA 625
10
Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer
I
�
�
I
I
IT-1
I
T_
Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
I
I
I
F_
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 14 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP , NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA -
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
—complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
❑ chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: Test number: Test number:
a. Test information.
Test Species & test method number
Age at initiation of test
Outfall number
Dates sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 t£ 7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER:
High Point Westside WWTP NCO024228
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
i. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100%
effluent
LC50
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER:
High Point Westside WWTP NCO024228
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
Chronic:
NOEC
%
%
%
IC25
%
Control percent survival
%
%
%
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ❑ No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 17 of 22

1 Facility: City of High Point - West NPDES # NCO024228 Pipe #: 001 County: Guilford
Laboratory: Meritech, Inc. Comments
�JJ
Signature of Operatoq)'n Responsible Charge
Signature of LaboratorySupervisor
Test Initiation Date/Time
% Eff. Repl.
Control Surviving #
Original #
Wt/original (mg)
30 Surviving #
Original #
Wt/original (mg)
45 Surviving #
Original #
Wt/original (mg)
70 Surviving #
Original #
WVoriginal (mg)
90 Surviving #
Original #
Wt/original (mg)
100 Surviving #
Original #
Wt/original (mg)
r Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Terrp. at Receipt (°C)
Dilution H2O
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
1/24/2006 / 3:00 PM
1 2 3 4
10
10
10
10
10
10
10
10
0,767
0.764
0,688
0.717
10
10
10
10
10
10
10
10
0.742
0.699
0,791
0.737
10
10
10
10
10
10
10
10
0,792
0.740
0.785
0.846
10
10
10
10
10
10
10
10
0.731
0.774
0.741
0.726
10
10
10
10
10
10
10
10
0,794
0,741
0.888
0.823
10
10
10
10
10
10
10
10
0.713
0.683
0.835
0.780
Avg Wt/Surv. Control 0.734
Survival 100.0
Avg Wt (mg) 0.734
% Survival 100.0
Avg Wt (mg) 0,742
% Survival 100.0
Avg Wt (mg) 0.791
% Survival 100.0
Avg Wt (mg) 0.743
% Survival 100.0
Avg Wt (mg) 0.812
% Survival 100.0
Avg Wt (mg) 0.753
Day
0 1 2 3 4 5 6
7,89
/ 7.75
7.88
/ 7.79
7.86
I 7.76
7.87
/ 7.74
7.87
/ 7.80
7.95 /
7.89
7.90
/ - 7.75
7.86
/ 6.74
7.77
/ 6.98
7.80
/ 7.45
7.75
/ 7.02
7.63
/ 6.78
7.50 I
7.20
7.65
! 6.75
24.9
! 25.51
25.0
/ 25.3
25.1
I 25.2
24.9
I 25.0
24.9
/ 25.0
25.0 1
25.0
25.0
/ 25.3
0 1 2 3 4 ..5 R
7.09
/ 7-47
7.51
/ 7.54
7.47
I 7.78
7.45
/ 7.62
T48
I 7.57
7.50 /
7.64
7.58
/ 7-56
8.06
/ 6,54
8.09
/ 6.75
8.20
/ T33
8.06
/ 6.93
17.94
/ 6.79
7.82 /
7.05
7.87
/ 6 63
24.9
/ 25.5
1 25.0
/ 25.3
1 25.1
/ 25.2
124.9
/ 25.0
1 24.9
/ 25.0
25.0 /
25.0
25.0
/ 25.3
1 2 3
1 /23/2006
1 /24/2006
1 /26/2006
24.00
23.30
23.60
94.00
106,00
108.00
55.00
70.00
66.00
425
473
493
<0.1
�E
<0.1
<0.1
0.5
1.7
0A
batch 118
batch 119
4000
44.00
58.00
58.00
187
201
Survival
Growth
Normal
Ir-)
F
Hom. Var.
Ir-1
F. I
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunnett's
Test Organisms
Cultured In -House
I+ Outside Supplier
Hatch Date: 1/23/06
Hatch Time: 1-3 pm
Overall Result
ChV >100
7-1
Slats
Survival
Growth
Conc.
Critical
Calculated
Critical
Calculated
30
10
18
2.41
-0.2428
45
10
18
2.41
-1.6702
70
10
18
2.41
-0.2649
90
10
18
2.41
-2.2809
100
10
18
2.41
-0.6254
DWQ Form AT-5 (1104)

Facility. City of High Point - West NPDES # NCO024228
Laboratory: Mentech,Inc.
Pipe #: 001 County: Guilford
Signature of
aignaTure UT Lauorarory
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Daterrime
10/18/2005
/
5:00 PM
Avg WVSurv. Control 0.752
%Eff Repl.
1
2
3
4
Control 1 Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) 0.752
22.5 Surviving #
Original #
Wt/original (mg)
10
10
10
10
10
10
10
10
0.755
0.794
0.710
0.747
10
10
10
10
10
10
10
10
0.751
0.780
0.810
0.666
% Survival 100.o
Avg Wt (mg) 0.752
45 Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) 0.756
75 Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) 0.706
10
10
10
10
10
10
10
10
0.709
0.753
0.655
0.706
90 Surviving #
10
9
10
10
% Survival 97 5
Original #
Wt/original (mg)
Avg Wt (mg) 0.736
100 Surviving #
% Survival 92.5
Original #
Wt/original (mg)
Avg Wt (mg) 0.734
Water Quality Data
Day
Control
0
1
2
3
4 5 6
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
0
1
2
3
4 5 6
10
9
10
8
10
10
10
10
0.692
0.790
0.713
0.740
8.09 !
7.68
7.84
/ 7.94
7.95
/ 7.74
7.80
/ 7.42
7.83 /
7.81
7.85 /
7.65
7.40 /
7.45
7.52 I
7.72
7.85
/ 7.15
7.50
/ 7.60
7.75
1 6.85
7.60 /
7.50
7.80 /
7.53
7.73 /
7.55
24.9 I
24.3
24.2
/ 24.5
24.3
/ 24.3
24.5
I 24.6
24.9 /
25.1
25.0 /
24.5
24.3 /
24.5
Test Organisms
Cultured In -House
Outside Supplier
Hatch Date: 10/17/05
Hatch Time: 1400-1500
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
1
2
3
Survival
Growth
Overall Result
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Terry. at Receipt (°C)
10/ 17/2005
10/ 18/2005
10I20/2005
24.00
24.12
24.15
153.00
126.00
160.00
83.00
70.00
84.00
596
602
587
<0.1
<0.1
<0.1
1.4
3.1
0.1
Dilution H2O
Hardness (mg/L) P20q3
Alkalinity (mg/L)
Conductivity (umhoslcm)
Normal
n;
V[
ChV
7100
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunnett's
Stats
Survival
Growth
Conc.
Critical
Calculated
Critical Calculated
22.5
10
18
241
-0.0064
45
10
18
2.41
-0.1086
75
10
16
2.41
1.1693
90
10
16
2.41
0.4217
100
10
14
2.41
0.4536
7.28 /
7.86
7.87
/ 7.76
7.55
/ 7.71
7.73
/ 7.40
7.29 /
7.48
7.44 /
7.84
7.73 /
7.70
8.06 I
7.65
7.78
! 7.23
7.85
/ 7.35
7.68
I 6.78
7.78 !
7.42
8.12 /
7.76
7.79 /
7.75
25.2 I
24.6
24.3
/ 24.2
24.7
/ 24.3
24.5
1 24.6
24.9 /
25.1
25.0 /
24.5
24.2 /
24.5
10
10
10
10
0.814
0.742
0.778
0:611
10
10
10
10
10
10
10
10
0.737
0.821
0.710
0.755
DWO Form AT-5 (1/04)

Facility City of High Point
Laboratory Mentech, Inc.
4 . e n 1--
NPDES # NC0024228 Pipe #: 001 County: Guilford
x ,'71 N • �" ,
Signatueratof0irn Responsible Charge
Signature of Laboratory Supervisor
-O
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time
7/20/2004
/
2:45 PM
Avg WVSurv. Control 0.350
% Eff. Repl.
1
2
3
4
Control Surviving #
10
10
10
10
% Survival 100.0
Original #
25 Surviving #
Original #
Wt/original (mg)
10
10
10
10
10 %
10
10
10
10
10
10
10
0.446
0.492
0.413
0.440
Survival 100.0
Avg Wt (mg) 0.448
45 Surviving #
10
10
10
%Survival 100.0
Original #
WUoriginal (mg)
Avg Wt (mg) 0.404
75 Surviving #
%Survival 100.0
Original #
WUoriginal (mg)
Avg Wt (mg) 0.415
90 Surviving #
Original #
Wt/original (mg)
10
10
10
10
10
10
10
10
0.420
0.429
0.374
0.435
10
10
10
10
10
10
10
10
0.428
0.369
0.446
0.329
%Survival 100.0
Avg Wt (mg) 0.393
100 Surviving #
%Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg)
0.473
Water Quality Data
Day
Control
0
1
2
3
4
5
6
pH (SU) IniVFin
DO (mg/L) IniVFin
Temp (C) IniUFin
High Concentration
0
1
2
3
4
5
6
pH (SU) IniUFin
00 (mg/L) IniVFin
Temp (C) IniVFin
Sample
1
2
3
Survival
Growth
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp. at Receipt (°C)
8.19 /
8.34
8.20
/ 8.30
8.23
/ 8.20
8.22
/ 8.21
8.20
/ 8.20
8.20 /
8.18
8.19
/ 8.21
7.36 /
7.37
7.42
/ 7.48
7.35
/ 7.07
7.40
/ 7.05
7.50
I 7.05
7.55 /
7.07
7.55
/ 7.08
25.0 /
24.8
25.0
/ 24.9
25.0
/ 24.8
25.0
/ 24.7
25.0
I 24.8
25.0 /
24.7
25.0
/ 24.7
7.83
/ 8.43
7.87 I
8.25
7.99
/ 8.23
8.00
/ 8.27
7.76
/ 8.10
7.80
/ 8.13
7.82
/ 8.15
8.31
/ 7.00
8.23 /
7.05
7.91
/ 7.17
7.93
/ 7.15
8.05
/ 7.20
8.00
/ 7.15
8.03
/ 7.18
25.0
/ 24.9
25.0 /
24.8
25.0
/ 24.8
25.0
/ 24.7
25.0
/ 24.8
25.0
/ 24.8
25.0
/ 24.9
7/19/2004
Var. IN
7/20/2004
7/22/2004Hom.
24.03
23.75
24.02
17400
180.00
128.00
163.00
181.00
130.00
574
622
549
<0.1
<0.1
<0.1
0.3
08
1.4
Dilution H2O
Hardness (mg/L) fE]2]17q
Alkalinity (mg/L)
Conductivity (umhos/cm)
NormalR
)
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Ounnett's
Test Organisms
Cultured In -House
Outside Supplier
Hatch Date: 7/19l04
Hatch Time: 12:OOPM-2;30PM
Overall Result
ChV >100
Slats
Survival
Growth
Conc.
Critical
Calculated
Critical
Calculated
25
10
18
2.41
-2.8536
45
10
18
2.41
-1.5684
75
10
18
2.41
-1.8879
90
10
18
2.41
-1.2634
100
10
18
2.41
-3.587
10
10
10
10
10
0.353
0.469
0.444
0.348
10
10
10
10
10
10
10
10
0.419
0.474
0.556
0.443
DWO Form AT-5 (1/04)

Facility: City of High Point
Laboratory: Meritech, Inc.
IPDES # NC0024228
Pipe #: 001 County: Guilford
Comments
Signature of Oper` or in Responsible Char e
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time
1/6/2004
/ 11:45am
Avg Wt/Surv. Control 0.370
% Eff. Repl.
1
2
3
4
Control 1 Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) r 0.370
25.007.Surviving #
% Survival 100.0
Original #
WUoriginal (mg)
Avg Wt (mg) 0.342
45.00% Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) 0.391
75% Surviving #
Original #
Wt/original (mg)
10
10
10
10
10
10
10
10
0.411
0.329
0.430
0.395
10
10
10
10
10
10
10
10
0.358
0.357
0.417
0.440
% Survival 100.0
Avg Wt (mg) 0.393
90% Surviving #
% Survival 100.0
Original #
Wt/original (mg)
Avg Wt (mg) 0.368
100% Surviving #
% Survival 15-57
Original #
Wt/original (mg)
Avg Wt (mg) 0.352
Water Quality Data
Day
Control
0 1 2 3 4 5 6
7
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Conductivity (umhos/cm)
Chlonne(mg/L)C) Temp. at Receipt (°
Test Organisms
10
10
10
10
10
10
10
10
0.330
0.393
0.330
0.356
7.97 / 7.95
7.99 / 7.96
8.03 / 7.94
8.04 / 7.96
8.08 / 7.99
8.04 / 8.00
8.06 / 8.01
/
7.70 / 7.09
7.70 / 7.08
7.73 / 7.11
7.75 / 7.13
7.72 / 7.15
7.70 ! 7.14
7.73 / 7.14
/
25.0 / 24.8
25.0 / 24.7
25.0 / 24.7
25.0 / 24.8
25.0 / 24.8
25.0 / 24.9
25.0 / 24.9
/
0 1 2 3 4 5 6 7
7.33 / 7.57
7.31 / 7.55
7.51 / 7.80
7.53 / 7.82
7.30 / 7.72
7.33 / 7.69
7.35 / 7.70
/
7.28 / 6.98
7.30 / 6.99
7.43 / 6.93
7.50 / 6.94
7.59 / 6.95
7.59 / 6.99
7.62 / 6.97
/
25.0 / 24.7
25.0 / 24.7
25.0 / 24.8
25.0 / 24.8
25.0 / 24.8
25.0 / 24.9
25.0 / 24.9
/
1 2 3
1 /5/2004
1 /6/2004
1 /8/2004
24.00
24.00
24.00
404
422
468
<0.1
<0.1
<0.1
1.2
0.5
0.2
Cultured In -House "-
Outside Supplier f,
rHom. Var.
v
Hatch Date/Time 1/5/2004 / 200pm
Su
Result
Pass J;�
Fail 1I "1'
ChV >100
10
10
10
10
10
10
10
10
0.458
0.314
0.353
0.345
DWQ Form AT-5 (8/03)

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL 'USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject to, an approved pretreatment program?
9 Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Cascade Die Casting
Mailing Address: 1800 Albertson Road
High Point NC 27260
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Aluminum
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): cast aluminum products
Raw material(s): aluminum
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
9000 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
6000 gpd (X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits K Yes ❑ No
b. Categorical pretreatment standards IR Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
40 CFR 464.16
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
[Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Dairy Fresh Dairy LLC
Mailing Address: 1350 West Fairfield Road
High Point NC 27263
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dairy Production
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Dairy products, juices
Raw material(s): Raw milk products
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
225000 gpd (X continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
70000 gpd (X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits -(-Yes ❑ No
b. Categorical pretreatment standards ❑ Yes IT No
If subject to categorical pretreatment standards, which category and subcategory?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
M Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: KSA Specialties America
Mailing Address: 243 Woodbine Street
High Point NC 27261
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Organic chemical production
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Esters surfactants
Raw material(s): Petroleum Feed Stocks
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
225000 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
50000 gpd (X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes ❑ No
b. Categorical pretreatment standards Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
SIC 2843 40 CFR 414 H
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Piedmont Chemical Industries
Mailing Address: 331 Burton Ave.
High Point NC 27262
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Soap and textile chemical manufacturing
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Textile chemicals veterinary medicines
Raw material(s): Chemical Feed Stocks
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
65000 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
2500 gpd (X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes ❑ No
b. Categorical pretreatment standards Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
SIC 2841 40 CFR 414 H (PSES)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP , NCO024228
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
8f Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Swaim Metals
Mailing Address: 414 Berkley St
High Point NC 27260
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Metal Plating
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Plated metal products
Raw material(s): Acids, metal feed stocks
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
3000 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
500 gpd (X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits Yes ❑ No
b. Categorical pretreatment standards 9 Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
40 CFR 433 Subpart A fro Metal Finishing (PSES)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP NCO024228
Renewal
Yadkin -Pee Dee
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes 54 No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
FA 1. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
M i
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) 0" No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes 0' No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE_1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system, complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
outstanding natural resource waters).
C. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines, both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
C. Locations of in -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
C. Distance from shore (if applicable) ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
GA. CSO Events.
a. Give the number of CSO events in the last year.
events (❑ actual or ❑ approx.)
b. Give the average duration per CSO event.
hours (❑ actual or ❑ approx.)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 20 of 22

r
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Renewal
Yadkin -Pee Dee
C. Give the average volume per CSO event.
million gallons (❑ actual or ❑ approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO (e.g., permanent or intermittent beach closings, permanent or
intermittent shell fish bed closings, fish kills, fish advisories, other recreational loss, or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE,
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 22