NC0024571_NPDES Permit Renewal App_20131211

DENR-FRO
AwA
,j; • DEC I 6 2013
NCDENR !�Q
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder
Governor Director
December 11, 2013
Attn: Jim Walters
City of Lumberton
PO Box 1388
Lumberton, NC 28358
John E. Skvarla, III
Secretary
Subject: Receipt of pennit renewal
Permit NC0024571
Roberson County
Dear Mr. Walters:
The NPDES Unit received your permit renewal application on December 10, 2013. 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 Tom
Belnick [phone].
Sincerely,
Wren Thedford
Point Source Branch
cc: Central Files
'Eayettevil le -Regional -Office)
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N, Salisbury St, Raleigh, North Carolina 27604
Phone: [phone]\ Fax: [phone]/Customer Service:1-877-623-6748
Internet:: www.ncwater.orq
An Equal OpportunityWfirmative Action Employer

NPDES Permit # NC0024571
Renewal Application
City Of Lumberton, NC
Robeson County
December 2013

December 5, 2013
Mr. Tom Belnick
NCDENR/DWQ/Water Quality Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Renewal Application
Permit # NC0024571
City of Lumberton
Dear Tom Belnick
The. City of Lumberton is requesting renewal of Permit # NC0024571. Attached please
find the original and two copies of the completed EPA Form 2A signed by the Permittee.
Should you have any questions, concerns or need to additional information regarding the
permit, please contact me at [phone].
Sincerely,
Jim Walters
Deputy Director Public Works
Permittee
aM@ROW12
DEC 10 2013
DENR-WATER QUALITY
POINT SOURCE BRANCH

NPDSE Permit Renewal Application
Permit # NC0024571
City of Lumberton
Serving
Lumberton, N.C.
November 8, 2013
Table Of Contents
Part A
Part B
NPDES Form 2A
Basic Application
Additional Application Information (greater than 100,000 gallons)
(Please see attached map)
Part C Certification
Part D Expanded Effluent Testing Data
Part E Toxicity Test Data
Part F Industrial User Discharges
Part G Combined Sewer Systems (Please attached maps)
Attachment 1 Sludge Management Plan

Part A
Basic Application Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
FORM
2A
NPDES
APPLICATION OVERVIEW
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 z 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 B.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.
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.
Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SlUs) 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.
Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
BASIC APPLICATION INFORMATION +y�r��>
.. .._ ,'tYt4i 3'µ"
PART BASIC APPLIC-ATION'INFORMATION FORAP4.PLICANTS r
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name City Of Lumberton
Mailing Address PO Box 1388
Lumberton , NC 28358
Contact Person Jim Walters
Title Deputy Director Of Public Works
Telephone Number 910-671-3856
Facility Address 700 Lafayette St.
(not P.O. Box) Lumberton , NC 28358
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number ( )
Is the applicant the owner or operator (or both) of the treatment works?
X owner 0 operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
0 facility X 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 NC0024571 PSD
UIC Other W00000672
RCRA Other NCG110000
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 Lumberton 21,753 Combined Municipal
Total population served 21,753

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 X 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 12th month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 20 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 5.16 MGD (2011) 5.54 MGD (20121 Oct 2012- OCT 2013) 6.27 MGD
c. Maximum daily flow rate 13.00 MGD (20111 10.07 MGD (2012) (Oct 2012-OCT 2013) 12.55 MGD
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.
X Separate sanitary sewer 80
X Combined storm and sanitary sewer 20
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? ® 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
iii. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
v. Other
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
If yes, provide the following for each surface impoundment:
Location:
001
X No
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge
❑ continuous or 0 intermittent?
c. Does the treatment works land -apply treated wastewater? ❑ Yes X No
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site: mgd
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? ❑ Yes X No

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
e.
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).
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
Mailing Address
Contact Person
Title
Telephone Number ( )
If known, provide the NPDES permit number of the treatment works
Provide the average daily flow rate from the treatment works into
Does the treatment works discharge or dispose of its wastewater
in A.8. through A.8.d above (e.g., underground percolation, well
If yes, provide the following for each disposal method:
that receives this discharge
the receiving facility. mgd
in a manner not included
injection): ❑ Yes X No
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method 0 continuous or ❑ intermittent?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION. REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson
(County)
NC
(State)
34 Deg. 36 Min. 10 Sec. 78 Deq. 59 Min. 37 Sec.
(Latitude) (Longitude)
c. Distance from shore (if applicable) Na. ft.
d. Depth below surface (if applicable)
e. Average daily flow rate
Na. ft.
5.54 (2012) Flow Data mgd
f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes X No (go to A.9.g.)
If yes, provide the following information:
Number f 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 X No
A.10. Description of Receiving Waters.
a. Name of receiving water Lumber River
b. Name of watershed (if known) Lumber River
United States Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin (if known): Lumber River
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute 115(summer)
cfs
03040203
chronic 251(winter) cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary X Secondary
X Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 85 %
Design SS removal 85
Design P removal 50
Design N removal 70
Other
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorination
If disinfection is by chlorination is dechlorination used for this outfall? X Yes ❑ No
Does the treatment plant have post aeration? X Yes 0 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 (Data based 2012 Data)
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.1
s.u.
pH (Maximum)
7.5
s.u.
as,.
e
Flow Rate
10.07
MGD
5.54
MGD
. _ _. _, .....
365
Temperature (Winter)
21.2
Celsius
17
Celsius
99
Temperature (Summer)
29
Celsius
24.1
Celsius
150
* For pH please report a minimum and a maximum daily value
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
•Units -
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
DEMAND (Report one)
BOD5
14.52
mgl
2.58
mgl
249
SM5201B 2001
11/16.5
SUMMER
18/27 WINTER
CBOD5
FECAL COLIFORM
>600
100/m1
14
100/m1
249
SM9222D 2006
200/400
TOTAL SUSPENDED SOLIDS (TSS)
24.6
mgl
6.8
mgl
249
SM2540D 1997
30/45
a at ity''iqkC
END l [r ARTt ? -' spa rt c
41.44.12YDVDEN APPLICATION OVERVIEW (PAGE 9'DETERMINE OTHER r�ARTS
FORM YOU EllOgr COMPLETE,`
'M���+v.'F�'.

Part B
Additional Application Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
i`i ' : ::1!. F Y YtlZJZ�..-} Rd �1d ��bI '.. l ,yf F C C. �^ C •�\ a45i7tie_T}�.
BASIC APPU�CAiION INF�O,�yi�RMATION �`� `�' " t-�u�•�x, � 4 � t � .S
: 34.. , T.?'iM ._ f.'._Y.2Ii. ,,,
j {.3'tA'i.t. ' e4.M
PAY*
PART FBk,, ADDITIeNAL AM:ltA o INFgRMATION�FOR
'' `'ts-,,F"�y".�'`'-"8
"S MA(rM="b*L�i-`". Rt.S1�6• .. i
APPLICANTS WITH DESIGN FLOW GREATER:THAN OR '
i+Y^r.� N a R F'y''T a 4 r g� '
_� , f� , ti �.
l .._,, . �', l.,?: a.F ;T If ;"� as `ai°jnp .ss^ 2 § 9f
lY T� . 7yEQUAL 0 . 1 4 D ' `"
r'a �,-: afl+Y:...M1n a •4: ... a,,.Ast'n�a*3a..HF�?sn +'sb:..
' 4�I j;.(100;000. gallons pevil
All applicants with a design flow rate z 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
350,000 (Average Season) gpd
that flow into the treatment works from inflow and/or infiltration.
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Storm Water Separation On going
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 outfalls 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'/4 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.
8.4. 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 X 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.
None
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes X No

FACILITY NAME AND PERMIT NUMBER:.
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed
applicable. For improvements
applicable. Indicate
Implementation Stage
- Begin Construction
- End Construction
- Begin Discharge
= Attain Operational
e. Have appropriate
Describe briefly:
by any compliance schedule
planned independently
dates as accurately as possible.
Level
permits/clearances concerning other
or any actual dates of completion for the implementation steps listed
of local, State, or Federal agencies, indicate planned or actual completion
Schedule Actual Completion
MM/DD/YYYY MM/DD/YYYY
below, as
dates, as
Yes ❑ No
/ / / /
/ / / ' /
/ / / /
/ / / /
Federal/State requirements been obtained? ❑
B.6. EFFLUENT TESTING DATA
Applicants that discharge
effluent testing required
on combine sewer overflows
using 40 CFR Part 136
QA/QC requirements for
based on at least three
Outfall Number: 001
(GREATER THAN 0.1 MGD
to waters of the US must
by the permitting authority
in this section. All information
methods. In addition, this data
standard methods for analytes
pollutant scans and must be
ONLY).
provide effluent testing data for the following parameters. Provide
for each outfall through which effluent is discharged. Do not include
the indicated
information
conducted
other appropriate
data must be
reported must be based on data collected through analysis
must comply with QA/QC requirements of 40 CFR Part 136 and
not addressed by 40 CFR Part 136. At a minimum effluent testing
no more than four and on -half years old.
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
0.424
mg/I
0.20
mg/I
3
SM4500-NH3D
4.0 SUMMER
8.0 SUMMER
CHLORINE (TOTAL
RESIDUAL, TRC)
<10
u ll
g
<10
u /l
9
3
SM4500-CI G
28
DISSOLVED OXYGEN
9.04
mg/I
8.49
mg/l
3
SM4500-0
>5
TOTAL KJELDAHL
NITROGEN (TKN)
1.36
mg/I
1.25
mg/l
3
EPA 351.2
NITRATE PLUS NITRITE
NITROGEN
8.72
mg/I
6.31
mg/l
3
EPA 353.2
OIL and GREASE
<5.0
mg/I
<5.0
mg/I
3
EPA 1664 A
PHOSPHORUS (Total)
0.91
mg/l
0.45
mgll
3
EPA 365.4
TOTAL DISSOLVED SOLIDS
(TDS)
1160
mg/I
730
mg/
3
SM2540 C
OTHER
, Z h
iu `. ,'
'' r .2A `rA a ,,z, .E
END OF PART Bir
(PAGE 10 10 DETERMINE
2A YOU MUST C�OMPLEITL,
3 R^� L C, �'W
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• ,,,i, ). , F
WHICH OTHER
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PARTS
;,�q x
_. �{. 1i 1'M3An
REFER TO TH€ ARP LI,CATION OVERdIEW
� �,� � .�{, OF FORM
_. : ' ,?i. a `�• ... ., N1'

i ,- Y I1 IT,74.. •1,R; 1:- !! IVE NT 1PIL NT
Type Activated Sludge Extended Aeration Process:
A. Activated sludge process is a biological wastewater
treatment process which speeds up the decomposition of
wastes in water being treated. Activated sludge is added to
wastewater and the mixture is aerated and agitated. After
sometime in the aeration tank, the activated sludge is
allowed to settle'out by sedimentation and disposed of
(wasted), or reused to aeration tank as needed. The
remaining wastewater then under goes more treatment
B.) Extended aeration is the period of time a particle or in this
case organisms stay in the aeration tank in contact with
waste. The extended aeration type have long solids
retention time, high mixed liquor suspended solids and low
food / microorganism ratios.

•
•
•
Ay.
'S 3 •
GEN.2
Dist
B3
S1
••• ••
• • • •
GEN. 3
• • • •
Dist B l
•
P
_
0
DIG. 1,2
PUMP ST.
1�JJt' 3,
GRIT CHAMBER
Junction
Box
_
GEN.].
•
Flumes
1&2
Bar
Screen
1 and 2
LUMBERTON WWTP
PIPING AND VALVE
SCHEMATIC
DIG. 3
PUMP ST.
HAUL
PUMP
ST.
HOLDING
TANK 1
HOLDING
TANK 2
INF
Pump
Station
0 •
HEADWORKS

LUMBERTON WWTP
MAP LEGEND
1. INFLUENT SEWER LINES AT HEADWORK (OLIVE)
2. AERATION BASINS 1,2,3,4 (EACH BASIN 3.5 GALLONS EACH)
3. INFLUENT FLOW PATH (GREEN)
4. PUMP STATIONS (RED)
5. VALVES (RED OPEN)
6. VALVES (BLACK CLOSED)
7. RETURN LINES TO BASINS (RED OPEN)(BLACK CLOSED)
8. WASTING POINTS TO DIGESTERS 1,2, (PURPLE)
9. CLARIFIERS (BLUE)(3/ 120 FT. DIA. AND 2/80 DIA. CLARIFIERS)
10. FLOW PATH FROM CLARIFIERS TO EFFLUENT (BLUE)
11.. DIGESTERS (OLIVE) (800,000GALLONS EACH)
12. HOLDING TANKS 1,2 (OLIVE)(200,000 GALS EACH)
13. VALVES STRUCTURE FOR DIGESTERS 1,2,3 (PURPLE)
14. VALVE STRUCTURE HOLDING TANKS 1,2 ( )
15. DIGESTER SUPERNATE LINES (BLACK)
16. 3 BACK UP GENERATORS (200 KW, 250 KWAND 900.KW)

LUMBERTON WASTEWATER TREATMENT PLANT
PUMP INFORMATION
1. INFLUENT PUMP ST.
A. TWO 90 HP. PUMPS: TYPE FLYGT (SUBMERSIBLE)
B. BOTH FLYGT PUMPS ARE VARIABLE FREQUENCY DRIVE UNITS
C. ONE 75 HP. PUMP: TYPE WEMCO-HIDROSTAL (IMMERSIBLE)
D. ONE 50 HP. SCREW MOTOR: TYPE US. MOTOR
2. RECIRCULATION PUMP ST. 1
A. ONE 20 HP. PUMP: TYPE WEMCO-HIDROSTAL
B. TWO 25 HP. PUMPS: TYPE WEMCO-HIDROSTAL
C. ONE PUMP IN THIS PUMPST IS VARIABLE FREQUENCY DRIVE UNIT
3. RECIRCULATION PUMP ST. 2
A. THREE 25 HP PUMPS: TYPE: WEMCO-HIDROSTAL
B. ONE PUMP IN THIS PUMP ST. IS A VARIABLE FREQUENCY DRIVE
UNIT
4. RECIRCULATION PUMP ST. 3
A. TWO 32.4 HP. PUMPS: TYPE: WEMCO-HYDROSTAL (IMMERSIBLE)
B. BOTH PUMPS VARIABLE FREQUENCY DRIVE UNITS
5. RECIRCULATION PUMP ST. 3
A. TWO 32.4 HP. PUMPS: TYPE: WEMCO-HYDROSTAL (IMMERSIBLE)
B BOTH PUMPS VARIABLE FREQUENCY DRIVE UNITS
6. FILTER PUMP ST.
A. FOUR 93.5 HP. PUMPS: TYPE: WEMCO-H DROSTAL (IMMERSIBLE)
B. ALL PUMPS VARIABLE FREQUENCY DRIVE PUMPS
7. FILTER MUDWELL PUMP ST.
A. TWO 5 HP. PUMPS: TYPE: FLYGT (IMMERSIBLE)
8. OLD DIGESTER PUMP ST.
A. ONE 10 HP. PUMP: TYPE: DAVIS EMU (IMMERSIBLE)
B. ONE 7.5 HP. PUMP: TYPE: DAVIS EMU (IMMERSIBLE)
9. NEW DIGESTER PUMP ST.
A. TWO 20.7 HP. PUMPS: TYPE: WEMCO-HIDROSTAL (IMMERSIBLE)
10. HAULING PUMP ST.
A. TWO 9.7 HP PUMPS: TYPE: WEMCO HIDROSTAL (IMMERSIBLE)
11. SLAKR PUMP ST. (NOT SHOWN ON THE SCHEMATIC)
A. ONE 9.7.HP PUMP: TYPE: WEMCO-HIDROSTAL (IMMERSIBLE) NOT.

CLARIFIER INFORMATION
1. CLARIFIER 1 TYPE: 85FT. DIAMETER WESTECH SUCTION PIPE CLARIFIER
2. CLARIFIER 2 TYPE: 85FT. DIAMETER SUBURBIA NATIONAL HYDRO
SUCTION PIPE TYPE CLARIFIER
3. CLARIFIER 3 TYPE: 120FT. SUBURBIA NATIONAL HYDRO
SUCTION PIPE CLARIFIER
4. CLARIFIER 4 TYPE: 120FT. DIAMETER WESTECH SUCTION PIPE
CLARIFIER
5. CLARIFIER 5 TYPE: 120FT. DIAMETER WESTECH SUCTION PIPE
CLARIFIER
NOTE: VOLUMES =120 FT DIAMETER CLARIFIER =1,000,000 GALLONS
85 FT DIAMETER CLARIFIER = 425,000 GALLONS
AERATORS AND MIXERS INFORMATION
1. AERATION BASINS (1,2)
A.TWELVE (12) 75 HP AERATORS TYPE: EIMCO-SIMCAR
B.FOUR (4) 40 HP MIXERS TYPE: AQUA AEROIC
2. AERATION BASINS (3,4)
A.TWELVE (12) 75 HP AERATORS TYPE: AQUA AEROBIC
B.FOUR (4) 40 HP MIXERS TYPE: AQUA AEROBICS
NOTE: AERATION BASINS
3. DIGESTER (1,2,3) AERATORS
A. ONE AERATOR PER DIGESTER TYPE: AQUA AEROBIC
B. 1. (DIG #1 100HP), 2. (DIG#2 75HP), 3. (DIG #3 75HP)
C. DIGESTER 1,2,3 CAPACITY = 800,000 GALLONS EACH
4. HOLDING TANK (1,2)
A. ONE MIXER PER TANK TYPE: AQUA AEROBIC
B. 1. (HOLDING TANK #1 HP. 40), 2. (HOLDING TANK #2)
C. HOLDING TANK CAPACITY = 200,000 GALLONS EACH
GENERATOR INFORMATION / EMERGENCY POWER
1. BACK UP POWER
A. GENERATOR # 1 \ 200 KW
B. GENERATOR # 2 \ 900 KW
C. GENERATOR # 3 \ 200 KW

CITY OF
LUMBERTON
WATER
BALANCE CHART
INFLUENT
PUMP ST
•
BARSCREENS
•
FLOW METERS
FLOW DATA
INF /EFF AVG. DAILY
FLOWS
JAN 2012 -DEC. 2012
GRIT
CHAMBER
INFLUENT COMPOSITE
SAMPLER
•
AEREATION
BASIN # 1
FLOW 3.02 MGD
•
AERATION
BASIN #2
FLOW 3.02 MGD
♦
CLARIFIER #1
FLOW 2.02 MGD
•
CLARIFIER #2
FLOW 2.02 MGD
1
•
Influent Flow
6.05 MGD
AERATION
BASIN # 3
OFFLINE
CLARIFIER #3
FLOW 2.02 MGD
DIGESTERS
1,2,3
CHLORINE
CONTACT TANK
•
EFFLUENT
FLOW METERS
AERATION
BASIN #4
OFFLINE
♦
CLARIFIER #4
OFFLINE
•
CLARIFIER #5
OFFLINE
FILTERS
OFFLINE
T
EFFLUENT -
COMPOSITE
SAMPLER
•
OUTFALL
EFFLUENT
FLOW 5.54
MGD
Narrative description of flow diagram and water balance chart:
Note Aeration Basin # 3 and 4,Clarifier #4 and 5 and the Filters are offline. The water balance chart designates flows to reflect these
units being offline.

Topographical Map
Waste Treatment Plant Location

Part C
Certification Page Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
r m i n ,Ft n Tih : :, 4 ,� St 1y7 t 4
BASIC APPLICApT10�N INFORMATION h'7rj
4 R �'dl J
i .
rR�a M.hu �.-tC1��Y v �Gxv w � y,.,y�m '�'., y i S}'+ � 1 _ y xc c..'n ( 9
P,A`-RT • ERT IC�T,.. 4 ' � y _ ^�� fi
r,
Ao
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
® Basic Application Information packet Supplemental
® Part
® Part
are submitting:
Application Information packet:
D (Expanded Effluent Testing Data)
E (Toxicity Testing: Biomonitoring Data)
(Industrial User Discharges and RCRA/CERCLA Wastes)
G (Combined Sewer Systems)
0 Part F
® Part
si)41 .w.ak`f w d
A APPPPLICANTS MUST COMPLETE THE FOLLOWINGCERTIFICATION s t a a.
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 Jim' Walters Deputy Director Public Works
Signature
Telephone number [phone]
qq 1
Date signed 1 . • (O — oLV 1
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/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Part D
Expanded Effluent Testing Results
Information

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4 '; , it/Il t0[ rVIr� .711i0 yl['J,<a' v
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,� jel JLll-. - i Cinr..1aEllti .. aI.'_ r
1c\-13i.114W
�li f�-
`~1� cI
�11 wvau,
•
'

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit. Renewal
RIVER BASIN:
Lumber River Basin
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
to have) a pretreatment program,
pollutants. Provide the indicated•effluent
effluent is discharged. Do
and Pretreatment
or is otherwise
testing
not include information
using 40 CFR Part.136
for standard
pollutants not specifically
than four and one-half
(Complete
Works. If. the treatment works has a design flow. greater than or equal to 1.0
required by the permitting authority to provide the data, then provide effluent•testing
information. and any other information required by the permitting authority
on combined sewer overflows in•this section. All information reported must
methods. In addition, these data must comply with QA/QC requirements
methods for analytes not addressed by 40 CFR Part 136. Indicate in the
listed in this form. At a minimum, effluent testing data must be based'on
years old.
once for each outfall discharging effluent to waters of the United
"mgd or it has (or is required
data for the following
for each•outfall through which •
be based on data collected .
of 40 CFR Part 136 and
blank rows provided below
at least three pollutant
States.)
through analyses conducted
other appropriate QA/QC. requirements
any data you may have on
scans and must be no more
Outfall number: 001
POLLUTANT
- MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
-MLIMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
<0.003
mg/L
<0.003
mg/L
3
EPA 200.8
<0.03 mg/L
ARSENIC
<0.005
mg/L
<0.005
mg/L
3
SM 3113 B
<0.005 mg/L
BERYLLIUM
<0.001
mg/L .
<0.001
mg/L
3
EPA 200.7
<0.005 mg/L
CADMIUM
<0.001
mg/L
<0.001
mg/L
3
SM 3113 B
<0.001 mg/L
CHROMIUM
<0.005
mg/L
<0.005
mg!L.
3
EPA200.7
<0.005mg/L
COPPER
0.018
mg/L
0.011
mg/L
3
EPA200.7
<0.01 mg/L
LEAD
<0.005
mg/L
<0.005
mg/L
3
SM 3113 B
<0.005 mg/L
MERCURY
1.40
nglL
0.47
nglL
3
EPA 1631
<1.0 ng/L
NICKEL
<0.01
mg/L
<0.01
mg/L
3
EPA200.7
<0.01 mg/L
SELENIUM
<0.01
mg/L
<0.01
mg/L
3
SM 3113 B
<0.01 mg/L
SILVER
<0.005
mg/L
<0.005
mg/L
3
EPA 200.7
<0.005 mg/L
THALLIUM
<0.001
mg/L
<0.001
mg/L
3
EPA200.8
<0.001 mg/L
ZINC
0.028
mg/L
0.025
mg/L
3
SM 3111 B
<0.01 mg/L
CYANIDE
<5.0
ug/L
<5.0
ug/L
9
SM 4500 CNE
<5.0 ug/L
TOTAL PHENOLIC
COMPOUNDS
<2.0
ug/L
<2.0
uglL
3
SM 510 A&B
<2.0 ug/L
HARDNESS (as CaCO3)
55
mg/L
52.7
mg/L
3
SM 2340 C
0 mg/L
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:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:.
Permit Renewal
RIVER BASIN:
Lumber River Basin
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
MLIMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
<100
ug/L
<100
ug/L
3
EPA 624
<100 ug/L
ACRYLONITRILE
<50
ug/L
<50
ug/L
3
EPA 624
<50 ugIL
BENZENE
<5 .
ugIL
<5
ugIL
3 .
EPA 624
<5 ug/L
BROMOFORM
<5
ug/L
<5
ug/L
3
EPA 624
<5 ugIL
CARBON
TETRACHLORIDE
<5
ugIL
<5
ugIL
3
EPA 624
<5 ugIL
CHLOROBENZENE
<5
ug/L '
<5
ug/L
3
EPA 624
<5 ug/L
CHLORODIBROMO-
METHANE
<5
ug/L
<5
ugIL
3
EPA 624
<5 ugIL
CHLOROETHANE
<10
ugIL
<10
ugIL
3
EPA624
<10 ugIL
2-CHLOROETHYLVINYL
ETHER
<5
ug/L
<5
ugIL
3
EPA 624
<5 ug/L
CHLOROFORM ,
9.50
ug/L
4.47
ug/L
3
EPA 624
<5 ug/L
DICHLOROBROMO-
METHANE
<5
ug/L
<5
ugIL
3
EPA 624
<5 ugIL
1,1-DICHLOROETHANE
<5
ugIL
<5
ug/L
3
EPA624
<5uglL
1,2-DICHLOROETHANE
<5
.ugIL
<5
ug/L
3
EPA 624
<5 ug/L
TRANS-1,2-DICHLORO-
ETHYLENE
<5
ug/L
<5
ugIL
3
EPA 624
<5 ugIL
1,1-DICHLORO-
ETHYLENE
<5
ug/L
<5
ugIL
3
EPA 624
<5 ugIL
1,2-DICHLOROPROPANE
<5
ugIL
<5
ug/L
3
EPA 624
<5 ugIL
1,3-DICHLORO-
PROPYLENE
<5
ug/L
<5
ug/L .
3
EPA 624
<5 ugIL
ETHYLBENZENE
<5
ug/L
<5
ug/L
3
EPA 624
<5 ugIL
METHYL BROMIDE
<10
ug/L
<10
ug/L
3
EPA 624
<10 ugIL
METHYL CHLORIDE
<10
ug/L
<10 .
ug/L
3
EPA 624
<10 ugIL
METHYLENE CHLORIDE
<10
ug/L
<10
ug/L
3
EPA 624
<10 ugIL
1,1,2,2-TETRA-
CHLOROETHANE
<5
ug/L
<5
ug/L
3
EPA 624
<5 ug/L
TETRACHLORO-
ETHYLENE
<5
ug/L
<5
ug/L
3
EPA 624
<5 ug/L
TOLUENE
<5
ug/L
<5
ugIL
3
EPA 624
<5 ugIL
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 11 of 22

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Ouffall number: 001 (Complete
once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
1,1,1
TRICHLOROETHANE
<5
ug/L
<5
ug/L
3
EPA 624
<5 ug!L
1,1,2-
TRICHLOROETHANE
<5
uglL
<5
ug/L
3
EPA 624
<5 ug/L
TRICHLOROETHYLENE
<5
uglL
<5
ug/L
3
EPA 624
<5 uglL
VINYL CHLORIDE
<10
ug/L
<10
uglL
3
EPA 624
<10 ug/L
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
<20
uglL
3
EPA625
<20ug/L
2-CHLOROPHENOL
<10
uglL
<10
ug/L
3
EPA 625
<10 ug/L
2,4-DICHLOROPHENOL
<50
ug/L
<50
ug/L
3
EPA625
<50ug/L
2,4-DIMETHYLPHENOL
<10
ugrL
<10
ug/L
3
EPA625
<10 ug/L
4,6-DINITRO-O-CRESOL
<50
ug/L
<50
uglL
3
EPA625
<50ug/l
2,4-DINITROPHENOL
<10
ug/L
<10
ug/L
3
EPA625
<50 ug/L
2-NITROPHENOL
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
4-NITROPHENOL
<50
ug/L
<50
ug/L
3
EPA625
<50ug/L
PENTACHLOROPHENOL
<50
ug/L
<50
uglL
3
EPA 625
<50 ug/L
PHENOL
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
2,4,6-
TRICHLOROPHENOL
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
Use this space (or a separate sheet) to provide information on other add -extractable compounds reques ed by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
ACENAPHTHYLENE
<10
ug/L
<10
ug!L
3-
,EPA 625
<10 ug/L
ANTHRACENE
<10
ug/L
<10
uglL
3
EPA625
<10ug/L
BENZIDINE
<100
ug/L
<100
ug/L
3
EPA625
<100ug/L
BENZO(A)ANTHRACENE
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
BENZO(A)PYRENE
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 12 of 22

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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
MLIMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
3,4 BENZO-
FLUORANTHENE, -
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
BENZO(GHI)PERYLENE
<10
ug/L
<10
ug/L
3
EPA625
<10 ug/L
BENZO(K)
FLUORANTHENE
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
BIS (2-CHLOROETHOXY)
METHANE
<10
ug/L
<10
ug!L
3
EPA625
<10 ug/L
BIS (2-CHLOROETHYL)-
ETHER
<10
ug/L
<10
ug!L
3
EPA625
<10ug/L
BIS (2-CHLOROISO-
PROPYL) ETHER
<10
ug/L
<10
ug/L
3
EPA625
<10 ug/L
BIS (2-ETHYLHEXYL)
PHTHALATE
<P0
ug/L
<20
ug/L
3
EPA 625
<20 ug/L
4-BROMOPHENYL
PHENYL ETHER
<10
ug/L
<10
ug/L
3
EPA625
<l0ug/L
BUTYL BENZYL
PHTHALATE
<10
ug/L
<10
uglL
3
EPA 625
<10 ug/L
2-CHLORO-
NAPHTHALENE
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
4-CHLORPHENYL
PHENYL ETHER
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
CHRYSENE
<10
ug/L
<10
uglL
3
EPA625
<10ug/L
DI-N-BUTYL PHTHALATE
<10
ug/L
<10
ug/L
3
EPA625
<10ug/L
DI-N-OCTYL PHTHALATE
<10
ug/L
<10
ug/L
3
EPA625
<10 ug/L
DIBENZO(A,H)
ANTHRACENE
<10
ug/L
<10
uglL
3
EPA625
<10ug/L
1,2-DICHLOROBENZENE
<5
ug/L
<5
ug/L
3
EPA625
<5ug/L
1,3-DICHLOROBENZENE
<5
ug/L
<5
ug/L
3
EPA625
<5ug/L
1,4-DICHLOROBENZENE
<5
ug/L
<5
ug/L
3
EPA625
<5ug/L
3,3-DICHLORO-
BENZIDINE
<10
ug/L
<10
uglL
3
EPA 625
<10 ug/L
DIETHYL PHTHALATE
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
DIMETHYL PHTHALATE
<10
ug/L
<10
ug/L
3
EPA625
<10 ug/L
2,4-DINITROTOLUENE
<10
ug/L
<10
ug/L
3
EPA625
<10ug!L
2,6-DINITROTOLUENE
<10
uglL
<10
ug/L
3
EPA625
<10 ug/L
1,2-DIPHENYL-
HYDRAZINE
<10
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 13 of 22

FACILITY NAME AND PERMIT NUMBER: ,
City. of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit. Renewal
RIVER BASIN:
Lumber River Basin •
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
ML/MDL
Conc.
Units
Mass
Units
Conc.
.Units
Mass
Units
Number
of
Samples
FLUORANTHENE
<10
ug/L -
<10
ug/L ,
3
. EPA625
<10ug/L
FLUORENE
<10
ug/L
<10
. ug/L
3
EPA625
<10ug/L
HEXACHLOROBENZENE
<10 •
ug/L
<10 •
'ugh_ .
"
3
.EPA 625
<10 ug/L
HEXACHLORO-
BUTADIENE
<10
ug/L
<10
ug/L
• 3
EPA625
.<10 ug/L
HEXACHLOROCYCLO- •
PENTADIENE
<10
ug/L
<10 .
ug/L
3
EPA625
. <10ug/L
HEXACHLOROETHANE .
<lo
•ug/L
: <10
ug/L
. 3
EPA 625
<10 ug/L
INDENO(1,2,3-CD)
PYRENE
<10
ug/L
. <10 •
ug/L
3
EPA625 -
<10 ug/L
ISOPHORONE
<10
ug/L
<10
ug/L
3
• EPA625
<10ug/L
NAPHTHALENE
<10
•ug/L
<10
ug/L
3
EPA 625
<10 ug/L
'NITROBENZENE
<10 •
ug/L
<10
ug/L
3
EPA625
<10ug/L ,
N-NITROSODI-N-
PROPYLAMINE
<10
:ug/C
<10 '
ug/L
3
EPA625
<10ug/L
N-NITROSODI-
METHYLAMINE
<10
ug/L
-•<10
ugiL
3
EPA 625
<10 ug/L
N-NITROSODI-
PHENYLAMINE
<10.
ug/L
<10
ug/L
3
EPA 625
<10 ug/L
PHENANTHRENE •
<10
ug/L
-
<10
ug/L
3
EPA 625
<10 ug/L
PYRENE
<10
ug/L
<10
ug/L
3
EPA 625-
<10 ug/L
1,2,4
TRICHLOROBENZENE
<10
ug/L
<10 •
ug/L
3
EPA625
<10ug/L
Use this space (or a separate sheet) to provide information on, other base -neutral compounds requested by the permit writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g , pesticides) requested by the permit writer _
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

Part D
Expanded Effluent Testing Results Information
Supporting documentation
PPO August 2010

EIEVANIEnga
R.O. BOX 7085, 114 OAKMONT DR?VE
GREENVILLE, NC. 27835-7085
�®
CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
vTotal Kjeldahl Nitrogen as N,mg/I
,.Nitrate -Nitrite as N, mg/➢
Total Phosphorus as P, mg/1
roil & Grease (HEM), mg/1 0-12i)
henol, ug/1 �db
otal Cyanide, mg/l C,I?Ab
-Total Hardness, mg/1
- Total Dissolved Residue, mg/1
/Antimony, ug/I.
"'Arsenic, ug/I
Beryllium, ug/I
"-Cadmium, ug/1
-Copper, ug/1
--- Copper, ug/1
-Total Chromium, ug/1
Lead, ug/1
- Mercury, ug/1
Molybdenum, ug/I
VNickel, ug/1
`Selenium, ug/1
,Silver, ug/1
Thallium, ug/I
/*Zinc, ug/I
Influent
<0.005
Effluent
rin4ing_Water�;2D 377�15!,
=:Wastewater'I;D 10.�; ';
Pi-IONE (2521 756-6208 .
'FAX [phone]
ID#: 667
DATE COLLECTED: 08/03/10
DATE REPORTED : 08/24/10
REVIEWED BY:
Analysis Method
Date Analyst Code
1.18 08/09/10
8.24 08/06/10
0.37 08/09/10
<5.0 08/06/10
<2 08/09/10
<0.005 08/10/10
50 08/05/10
583 08/06/10
<3.0 08/10/10
<5.0 <5.0 08/11/10
<1.0 08/05/10
<1.0 <1.0 08/09/10
18 08/05/10
39 08/05/10
7 <5.0 08/05/10
<5.0 <5.0 08/06/10
<0.2 08/12/10
<10 <10 08/05/10
<10 <10 08/05/10
<10 <10 08/12/10
<5.0 <5.0 08/05/10
<1.0 08/10/10
103 24 08/10/10
ANO
TWA
TWA
SEJ
SEJ
SEJ
TRB
MJN
CMF
CMF
LFJ
CMF
LFJ
LFJ
LFJ
CMF
ADD
LFJ
LFJ
CMF
LFJ
CMF
ADD
EPA351.2
EPA353.2
EPA365.4
EPA1664A
SM510A&B
SM4500 CN-E
SM2340C
SM2540C
EPA200.8
SM3113B
EPA200.7
SM3113B
EPA200.7
EPA200.7
EPA200.7
SM3113B
EPA245.1
EPA200.7
EPA200.7
SM3113B
EPA200.7
EPA200.8
SM3111B
CO n ve.0643euaS :
1. g , 2 Y = To {-pi
ToTAI Allno(,E-nt: •TV/4 No2No? = 9•(12v,-,/4
(_yAntcr_� ,r(1L-to pL : IGOO rctc.O( = �S0,tag/L
?I4 E- kloL : i+5/L -(o aro15IL = L2 loco = Q.oc., my L
AN`limoAN: PO- io016_,IL loco_ Lv.c1.-.3ms1L
Al2SLNiL'_ ,UO)L.-br�SIL = G5 ~"'coo _ Cv.�.:�`, ,r,SIL
1j( IZuji li u rrl : &SrL - ry,S/L = L { : tow mslL
CQcinn; : .6(s!L Er (. Icck> - Gc7•GC.,c ry 5/c
Co PA:: :Usk. !� rr,�lL lg.,= 1000 :. 0.0(R on
761�1L Lllrvcri;,n: LL'JL {�, sit =LSU .,ct.,. LDu5 p,,,/c.
Ylalfod \l ��r) ? Y) un i . :l/'S/L fD r-trIL �lc0= 1 D x) '> G o.c1 n sl�-
�liC1(e(: ,245kipoisi( .Zi:-1i>cu Go.01 SIC
� f � ev) : -0 r 'c IC. ;-- too) Co. c; (ms%-
SrIVL(?._: .L<IL-12n--cL 24;.0 1f30v=41:)•D6s L
h6,11, rJ.vi : ,1J fL -f-D fnS/L . <I.i =,WO oc- r^c3�L
2..t: .6(11L 1,5 24(.-r000 l�.02:�fr SIL

EllWU ©SIC gat
hOOF
BOX 7085, 114 OAKMONT DRIVE
• GREENVILLE, N.O: 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, N• 28359
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
CLIENT ID:
Drinking Water'; ID -:_ 3.7.7,15�
Wastewater.,.ID 10, `
PHONE [phone]
FAX [phone]
667
ANALYST: MAO
DATE COLLECTED: 08/03/10
DATE ANALYZED: 08/12/10
DATE REPORTED: 08/24/10
Effluent
PARAMETERS, ug/1
�1. Chloromethane
2. Vinyl Chloride
•3. Bromomethane
4. Chloroethane
5. Trichlorofluoromethane
6.. 1,1-Dichloroethane
7. Methylene Chloride
8. trans-1,2-Dichloroethene
'9. 1,1-Dichloroethene
wr0. Chloroform
11. 1,1,1-Trichloroethane
-12. Carbon Tetrachloride
-13. Benzene
14. 1,2-Dichloroethane
15. Trichloroethene
16. 1,2-Dichloropropane
v17. Bromodichloromethane
A8. 2-Chloroethylvinyl Ether
r19. cis-1,3-Dichloropropene
"20. Toluene
21. trans-1,3-Dichloropropene
'22. 1,1,2-Trichloroethane
^23. Tetrachloroethene
v-24. Dibromochloromethane
025. Chlorobenzene
26. Ethylbenzene
4227. Bromoform
1,1,2,2-Tetrachloroethane
1,3-Dichlorobenzene
30. 1,4-Dichlorobenzene
1.. 1,2-Dichlorobenzene
Acrolein
33. Acrylonitrile
<10.00
<10.00
<10.00
<10.00
<5.00
<5.00
<10.00
<5.00
<5.00
9.50
<5.00
< 5.00
< 5.00
< 5.00
< 5.00
< 5.00
<5.00
<5.00
< 5.00
< 5.00
< 5.00
< 5.00
< 5.00
< 5.00
< 5.00
<5.00
< 5.00
< 5.00
< 5.00
<5.00
< 5.00
<100.00
< 50.00

kmitroanarg
LI
uucupwrmUi
PC BOX 7085, 114 OA14MONT DRIVE
.GREENVILLE, N.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 28359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
CLIENT ID:
rinking Water; ID-.;3,7715
�rwa8te4/8teii=in
PHONE (252)'756 6208
FAX [phone]
667
ANALYST: CHS
DATE COLLECTED: 08/03/10
DATE EXTRACTED: 08/05/10
DATE ANALYZED: 08/06/10
DATE REPORTED: 08/24/10
PARAMETERS, ug/1
Effluent
f'1. N-Nitrosodimethylamine
--'2. Phenol
,.3. Bis(2-Chloroethyl) Ether
:•4. 2-Chlorophenol
5. 1,3-Dichlorobenzene
6. 1,4-Dichlorobenzene
°_.7.. 1,2-Dichlorobenzene
-8. Bis(2-Chloroisopropyl) Ether
/9. Hexachloroethane
10. N-Nitrosodi-N-Propylamine
'11. Nitrobenzene
v12. Isophorone
13. 2-Nitrophenol
14. 2,4-Dimethylphenol
"15. Bis(2-Chloroethoxy) Methane
46. 2,4-Dichlorophenol
v1 7. 1, 2, 4-Trichlorob enz en e
v18. Naphthalene
/19. Hexachlorobutadiene
v-20. 4-Chloro-3-Methylphenol
v21. Hexachlorocyclopentadiene
"%22. 2,4,6-Trichlorophenol
2-Chloronaphthalene
v24. Acenaphthylene
v25. Dimethylphthalate
16. 2,6-Dinitrotoulene
1-27. Acenaphthene
v28. 2,4-Dinitrophenol
29. 4-Nitrophenol
g 30. 2, 4-Dinitrotolu ene
v31. Fluorene
1,32. Diethylphthalate
033. 4-Chlorophenyl Phenyl Ether
V34. 4,6-Dinitro-2-Methylphenol
35. N-Nitrosodiphenylamine
«36. 4-Bromophenyl Phenyl Ether
37. Hexachlorobenzene
Pentachlorophenol
Phenanthrene
"40. Anthracene
"41. Di-N-Butylphthalate
‘,42. Fluoranthene
««43. Benzidine
v44. Pyrene
v45. Butylbenzylphthlate
«46. Benzo[a]anthracene
"47. 3,3-Dichlorobenzadine
«"48. Chrysene
<10.00
< 10.00
< 10.00
< 10.00
< 10.00
<10.00
<10.00
< 10.00
< 10.00
<10.00
< 10.00
< 10.00
<10.00
<10.00
<10.00
<10.00
< 10.00
<10.00
<10.00
<20.00
< 10.00
< 10.00
< 10.00
<10.00
<10.00
<10.00
<10.00
<50.00
<50.00
< 10.00
<10.00
<10.00
< 10.00
<50.00
<10.00
< 10.00
<10.00
<50.00
< 10.00
<10.00
<10.00
< 10.00
< 100.00
<10.00
<10.00
<10.00
<10.00
< 10.00
Page: 1

Baku-[(1 C M `L
11
[nIC�OQ
i .O. BOX 7085; 114 OAKMONT DRIVE
GREENVILLE; 'N.C. 27835-7085
P©
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC, 28359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
CLIENT ID:
Drinking. Water Y'.
Waatewaterl:
PHONE [phone].
FAX [phone].
667
ANALYST: CHS
DATE COLLECTED: 08/03/10
DATE EXTRACTED: 08/05/10
DATE ANALYZED: 08/06/10
DATE REPORTED: 08/24/10
Effluent
PARAMETERS, ug/1
%449. Bis(2-Ethylhexyl)phthalate
w50. Di-N-Octylphthalate
51. Benzo[b]fluoranthene
-52. Benzo[k]fluoranthene
+>53. Benzo[a]pyrene
:_'S4. Indeno(1,2,3-C,d)pyrene
55. Dibenzo[a,h]anthracene
56. Benzo[g,h,i]perylene
57. 1,2-Diphenylhydrazine
< 20.00
<10.00
< 10.00
<10.00
< 10.00
< 10.00
<10.00
< 10.00
<10.00
Page: 2

C F' [ Coy CUSTODY RECOR.
ill
Environmer le.
P.O. Box 7i/a✓,-_ Oakmont Dr.
Greenville, NC 27858
Page �_ of
Phone [phone] o Fax [phone]
""iivrrL 11U1N
CHLORINE
°
CHLORINE NEUTRALIZED AT COLLECTION
CLIENT: 667 Week: 35
7
e
j
Lti
CZ'SIC
(�Z
pH CHECK LAB )
CITY OF LUMBERTON (PPO)
TAMMY SMITH
e NONE
p
PIP
__I
G
G
P
P
P
P
G
G
('
G G
G
CONTAINER TYPE,P/G
EUSD-LABORATORY
P.O. BOX 1388
"'
C
j
CI C
C
C
A
A
A
A
E
E
E
CHEMICAL PRESERVATION
LUMBERTON
DCA
NC 28359
[phone]
2010
ILORINE, mg/I
CTION
PERATURE, °C
OLLECTION
CONTAINERS
[TEN
I Nitrate -Nitrite
IT. Phosphorus
I®&G (HEM)
Phenol
Hardness
TDS
EPA 625
625 Duplicate 1
625 Duplicate 2
EPA 624 (APA)
624 Duplicate 1
624 Duplicate 2
PARAMETERS
A - NONE D - NAOH
B-HNO3 E -HCL
C-H2S0, F - ZINC ACETATE
G-NATHIOSULFATE
COLLECTION
TOTAL C
AT COLLE
i
SAMPLE LOCATION
DATE
TIME
cs
v
Effluent
ffl ent
sa
tcioc,
...
..
CLASSIFICATION:
S ICATI
rn�
�
Q�q
X F
WASTEWATER
) nclUerfl-1 C-C3
gl
ia. 3
(NPDES)
I r1P o ti— G
i�
8i �
Z
c . 2-�
'
DRINKING WATER
U
DWO/GW
•
i SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
•
DURING SHIPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
F-
(Please Print)
Pr
SAMPLES RECEIVED
.
IN LAB AT 0
RELINQUISHED
'Ai
BY
i s
(SIG, SAMPLER)
1 Al
DATE/TIME
,2 .r�..1�
R_ EIVED BY (SIG.)
� \CQ- e' y,-r....
DATEJTIME
4qk—Q.
icy .i
COMMENTS:
RE Li QUISHED BY SIG
( �REEDBYRELNQUISHED
::'::
e -o 1c
BY (SIG.)
RECEIVED BY IG.)
DATE/TIME
FORM #5
)EASE READ Instructions for completing this form on the reverse side
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter reauested.
211473

EJll : ©E !© i gd
P.O. BOX 7085, 114 OAKMON'T DRIVE •
GREENVILLE, N C 27835-7085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
Effluent Analysis Method
PARAMETERS Date Analyst Code
Total Cyanide, mg/I <0.005 08/17/10 SEJ SM4500 CN-E
CO 1/ C_Cf0_117
4o,CDC PO
:1-- -(5-, 0 7-,st(--
k inn gW a t esI-D347s715;
Wastewater ID: 10
P1710NE (252)'756-6208
�:. FAX [phone]
ID#: 665
DATE COLLECTED: 08/11/10
DATE REPORTED : 08/17/10
REVIEWED BY:

Environment 1, Inc.
P.O. Bo r083,114 Oakmont Dr.
Greenville, NC 27858
Phone [phone] ® Fax [phone]
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON.-NC 28359
[phone]
SAMPLE LOCATION
Effluent GrCIE
Week: 36
(WW
2010 cam
. COLLECTION
DATE
8/11
TIME
CHAIN OF CUSTODY RECORD
Page 1 of 1
DISINFECTION
CHLORINE
NONE
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
CONTAINER TYPE, P/G
D
CH
w
w
F
as
PARAMETERS
EMICALPRESERVATION
A -NONE
B - HNO3
C - H2SO4
D - NAOH
E - HCL
F - ZINC ACETATE
G - NATHIOSULFATE
CLASSIFICATION:
XSTEWATER (NPDES)
DRINKING WATER
rj DWO/GW
ri SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SF IPMENT/DELIVERY
N
RELINQUISHED BY (SIG. SAMPLER)
RELINQUISHED BY (SI
'RELINQUISHED BY (SIG.)
DATE/TIME
$•11.10 I
DATE/TIME
SAMPLES COLLECTED BY:
(Please Print) r Grodd Floyd/
den Q=1-161,nr
SAMPLES RECEIVED IN LAB AT °C
RECEIVED BY (SIG.)
RECEIV BY (SIG;)--\
DATE/TIME
RECEIVED BY (S
`;ASE READ Instructions for completing this form on the reverse side.
DATE/TIME
IZ 12!sa
DATE/TIME
fDATE/i1ME Z,
COMMENTS:
Sampler must place a "C" for composite sample or a "G" for
�N.4B00

BOX°7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Effluent Analysis Method
Date Analyst Code
Total Cyanide, mg/J <0.005 08/27/10 SEJ SM4500 CN-E
CoIllvvulto-,
(T)L. -b ,t0—.
loop v.00
-- cS.O,�tslL
Drinking Water ID: 37715
Wastewater ID: 10
.PHONE [phone]
FAX (252) 706'-0633
ID#: 665
DATE COLLECTED: 08/18/10
DATE REPORTED : 08/27/10
REVIEWED BY:

Environment 1, Inc.
P.O. Box 7va5 -+ 4 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of
Phone [phone] a Fax
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON-NC 28359
[phone]
(2-52) 756-0633
Week: 37
(WW)
-` O
DISINFECTION
CHLORINE
UV
NONE
CHLORINE NEUTRALIZED AT COLLECTION
lj
'`2-
pH CHECK (LAB)
P
CONTAINER TYPE, P/G
D
CHEMICAL
PRESERVATION
_
A -NONE D-NAOH
B HNO3 E HCL
C - H2S0, F - ZINC ACETATE
G - NATHIOSULFATE
ILORINE, mg/1
ECTION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
Cyanide
PARAMETERS
COLLECTION
TOTAL C
AT COLL
SAMPLE LOCATION
DATE
TIME
Effluent Gra,13812
7 :3 ]
1
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURINGI' J SIPMENT/DELIVERY
HN
SAMPLES
(Please
'KelajaK
SAMPLES
COLLECTED BY:
Print)
rai ne
RECEIVED IN LAB AT °C
RELI QUISHED BY (SIG.) (S LER)
ATEITIMEp
rn
RECEI
ED BY (SIG.)
ll
DATFJTIME
COMMENTS: .
RE QUISHED BY (SI .
DATE/TIME
RECE
D Y (SIG.,
D TE/TIME
DATETI1M`EE
`NQUISHED BY (SIG.)
DATE/TIME
A
RECEIVED BY (SIG.)
EASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G' for
2 1 72

Drinking Water ID: 3771
Wastewater ID: 10
.�>. E3OX 7085, 114 OAK.IVIONlT DRIVE Cf lO�l 2. ^ e
GREENVILLE,' N.C,. 27835-7005 �. �r_I /raj
�Ari ;r1 • LIGy„FiS 1'tiijr�i;f, .
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
Effluent Analysis Method
PARAMETERS Date Analyst Code
Total Cyanide, mg/1 <0.005 08/27/10 SEJ SM4500 CN-E
C.() ti„uu-Lr
m L. a-o ,I,LSI
f000_X <L.oilc
f S,. () /L5/L.
ID#: 665
DATE COLLECTED: 08/25/10
DATE REPORTED : 08/27/10
REVIEWED BY:

Environment 1, Inc.
P.O. Box 7 R�'r 4 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of
1
Phone [phone] ® Fax
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
O.BOX1388 EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
[phone] •
Week: 38
(WW)
2010 Qum
DISINFECTION
CHLORINE
UV
N
,
_
.
.
pH CHECK (LAB)
P
$
$
CONTAINER TYPE, P/G
D
CHEMICAL
PRESERVATION
A -NONE D-NAOH
3-HNO3E -HCL
C - H2SO4 F - ZINC ACETATE
G - NATHIOSULFATE
TOTAL CHLORINE, mg/I
AT COLLECTION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
t -
Cyanide
PARAMETERS I
COLLECTION
SAMPLE LOCATION
DATE
TIME
�,��U �
Effluent �:JiL__�
Q '
C3
p
p'
■
1`
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWQ/GW
D SOLID WASTE SECTION
■
.�■
.�
■■..
®■■■
■
CHAIN OF CUSTODY MAINTAINED
DURING SPMENT/DELIVERY
U N
■■
.-
■RII
.
SAMPLES
(Please`
COLLECTED BY:
Print)
■■�■
.
�La+.
�.■
SAMPLES
RECEIVED IN LAB AT
RELINQUISHED BY (SI ( MPLER)
DATE/TIME
PM
R C VED BY (SIG.)
DATE/TIME
COMMENTS:
Cr)
REL QUISHED BY S
DATE/TIME
RE IV D SIG.
= DATEIIME
RELINQUISHED BY (SIG.)
DATE/TIME
R ED BY SIG.
/ DATTI�
l
EASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
(-',rah camnIo in tho Hi -trite ahrnuo fnr oanh noromo+or rorninc+nri
211016

BEM hanmc Ood
Drinking Water ID: 37715
Wastewater ID: 10
P.O. Bo:{ 7085, 114 OAKMONT DRIVE • PHONE [phone]
GREENV1LLE, N.C. 27835-7085 FAX [phone]
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Mercury (Method 1631), ng/1
ID#: 665 A
DATE COLLECTED: 08/03/10
DATE REPORTED : 08/11/10
REVIEWED BY:
Effluent Field Analysis Method
Blank Date Analyst Code
<1.0 <1.0 08/10/10 ADD EPA1631

En-9inment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page � of
Phone [phone] . Fax (252)
CLIENT: 665 A
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON -NC 28359
[phone]
756-0633
Week: 33
(WW)
2 0 tO Q r1,
DISINFECTION
1
i1V
ED
CHLORINE
NONE
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
G
CONTAINER TYPE, P/G
A
-
CHEMICAL
PRESERVATION
A - NONE D - NAOH
B - HNO3 E - HCL
C - HZSO, F - ZINC ACETATE
G - NATHIOSULFATE
TOTAL CHLORINE, mg/I
AT COLLECTION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
Low Level HG
-
•
PARAMEIERS
COLLECTION
SAMPLE LOCATION
TIME
^_�
Effluent Grob
pDATE
O/91 i0
{O' 15
1
CLASSIFICATION:
Field Blank (21 c
Oh//io
0%14
1
WASTEWATER(NPDES)
DDRINKING WATER
DWO/GW
jSOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING,IPMENT/DELIVERY
1 Y 1 N
SAMPLES
(Please
Keth
COLLECTED BY:
Print) S'bue <,c_r`
t-e C--Lve or
-
SAMPLES
RECEIVED IN LAB AT 22. y °C
RELI UISHED BY (SIG.) S ' LER
a. ATE(iIME
O' Jr/TIME
REC IYED BY (SIG.)_.
DATE/TIME
n.
COMMENTS:
n,, �,y
YL. c( e 1.�� je�1 �Gll
REL. .UISHED BY (SIG./
DATE/TIME
R � IVE BY ( )
IDATE(fIME
S 0 F PRESERVED WITH JCL
,3 I vh 6Y .®
'NQUISHED BY (SIG.)
DATE/TIME
1
R C IVED BY (SIG.)
DATE/TIME r
1
-EASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested.
210912

Part D
Expanded Effluent Testing Results Information
Supporting documentation
PPO February 2011

.da1J nLI'V�L
r
kroarjouiaNg
P,O.. BOX 7085. 114 OAKMONT D,--li}Ir.=
2: 8ii5^:1. 8 5
CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Total Kjeldahl Nitrogen as N,mg/1
Nitrate -Nitrite as N, mg/I
Total Phosphorus as P, mg/I
Oil & Grease (HEM), mg/I
Phenol, ug/I
Total Cyanide, mg/1
Total Hardness, mg/I
Total Dissolved Residue, mg/1
Antimony, mg/1
Arsenic, mg/1
Beryllium, mg/1
Cadmium, mg/I
Copper, mg/1
Total Chromium, mg/1
Lead, mg/1
Mercury, mg/1
Molybdenum, mg/I
Nickel, mg/1
Selenium, mg/1
Silver, mg/I
Thallium, mg/1
Zinc, mg/I
Influent
Drinking Water ID: 37715',
.Wastewater ID: 10
PHONE [phone]
FAX (252) i 56-0633
ID#: 667 Y
DATE COLLECTED: 02/08/11
DATE REPORTED : 03/11/11
REVIEWED BY: %4N`
Effluent Analysis Method
Date Analyst Code
1.36 02/14/11 ANO
1.97 02/11/11 TWA
0.08 02/14/11 MPH
< 5.0 02/10/11 SEJ
<2 02/14/11 SEX
<0.005 <0.005 02/10/11 SEJ
55 02/09/11 MPB
1160 02/10/11 MEL
<0.003 02/16/11 CMF
<0.005 <0.005 02/16/11 CMF
< 0.001 02/10/11 LFJ
< 0.001 < 0.001 02/11/11 CMF
0.043 0.006 02/10/11 LFJ
0.010 < 0.005 02/10/11 LFJ
< 0.005 < 0.005 02/14/11 CMF
<0.0002 <0.0002 02/24/11 ADD
<0.010 • <0.010 02/10/11 LFJ
0.013 <0.010 02/10/11 LFJ
<0.010 <0.010 02/15/11 CMF
<0.005 <0.005 02/10/11 LFJ
<0.001 02/16/11 CMF
0.112 0.028 03/03/11 ADD
EPA351.2
EPA353.2
EPA365.4
EPA1664A
SM510A&B
SM4500 CN-E
SM2340C
SM2540C
EPA200.8
SM3113B
EPA200.7
SM3113B
EPA200.7
EPA200.7
SM3113B
EPA245.1
EPA200.7
EPA200.7
SM3113B
EPA200.7
EPA200.8
SM3111B

Owjmno n UOOONr c
. P.O. BOX.7085, 114 O;A.K MMONT DRIVE
GREENVILLE, N.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 28359
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
CLIENT ID:
Drinking Water ID: 37715
Wastewater ID:. 10
PHONE. (252) .758-6208
FAX (252)
56
33.
667
ANALYST: MAO
DATE COLLECTED: 02/08/11
DATE ANALYZED: 02/11/11
DATE REPORTED: 03/01/11
PARAMETERS, ug/1
Effluent
1.
Chloromethane
<10.00
2.
Vinyl Chloride
<10.00
3.
Bromomethane
<10.00
4.
Chloroethane
<10.00
5.
Trichlorofluoromethane
<5.00
6.
1,1-Dichloroethane
<5.00
7.
Methylene Chloride
<10.00
8.
trans-1,2-Dichloroethene
<5.00
9.
1,1-Dichloroethene
<5.00
10.
Chloroform
<5.00
11.
1,1,1-Trichloroethane
<5.00
12.
Carbon Tetrachloride
<5.00
13.
Benzene
<5.00
14.
1,2-Dichloroethane
<5.00
15.
Trichloroethene
<5.00
16.
1,2-Dichloropropane
<5.00
17.
Bromodichloromethane
<5.00
18.
2-Chloroethylvinyl Ether
<5.00
19.
cis-1,3-Dichloropropene
<5.00
20.
Toluene
<5.00
21.
trans-1,3-Dichloropropene
<5.00
22.
1,1,2-Trichloroethane
<5.00
23.
Tetrachloroethene
<5.00
24.
Dibromochloromethane
<5.00
25.
Chlorobenzene
<5.00
26.
Ethylbenzene
<5.00
27.
Bromoform
<5.00
28.
1,1,2,2-Tetrachloroethane
<5.00
29.
1,3-Dichlorobenzene
<5.00
30.
1,4-Dichlorobenzene
<5.00
31.
1,2-Dichlorobenzene
<5.00
32.
Acrolein
<100.00
33.
Acrylonitrile
.< 50.00

0
TIATO RM h©oPIIMITMco
P.G. BOX 7085, 114 OAKMON I DREV F
GREENVILLE, P.I.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 28359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
Drinking Water ID: 37715
•Wastewater ID: 10
PHONE [phone]
�252) 756-06633
CLIENT ID: 667
ANALYST: CHS
DATE COLLECTED: 02/08/11
DATE EXTRACTED: 02/15/11
DATE ANALYZED: 02/16/11
DATE REPORTED: 03/01/11
Effluent
PARAMETERS, ug/1
1. N-Nitrosodhnethylamine
2. Phenol
3. Bis(2-Chloroethyl) Ether
4. 2-Chlorophenol
5. 1,3-Dichlorobenzene
6. 1,4-Dichlorobenzene
7. 1,2-Dichlorobenzene
8. Bis(2-Chloroisopropyl) Ether
9. Hexachloroethane
10. N-Nitrosodi-N-Propylamine
11. Nitrobenzene
12. lsophorone
13. 2-Nitrophenol
14. 2, 4-Dimethylphenol
15. Bis(2-Chloroethoxy) Methane
16. 2,4-Dichlorophenol
17. 1,2,4-Trichlorobenzene
18. Naphthalene
19. Hexachlorobutadiene
20. 4-Chloro-3-Methylphenol
21. Hexachlorocyclopentadiene
22. 2,4,6-Trichlorophenol
23. 2-Chloronaphthalene
24. Acenaphthylene
25. Dimethylphthalate
26. 2,6-Dinitrotoulene
27. Acenaphthene
28. 2,4-Dinitrophenol
29. 4-Nitrophenol
30. 2,4-Dinitrotoluene
31. Fluorene
32. Diethylphthalate
33. 4-Chlorophenyl Phenyl Ether
34. 4,6-Dinitro-2-Methylphenol
35. N-Nitrosodiphenylamine
36. 4-Bromophenyl Phenyl Ether
37. Hexachlorobenzene
38. Pentachlorophenol
39. Phenanthrene
40. Anthracene
41. Di-N-Butylphthalate
42. Fluoranthene
43. Benzidine
44. Pyrene
45. Butylbenzylphthlate
46. Benzo[a]anthracene
47. 3,3-Dichlorobenzadine
48. Chrysene
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
< 10.00
<10.00
< 10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<20.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<50.00
<50.00
<10.00
<10.00
<10.00
<10.00
<50.00
<10.00
<10.00
<10.00
<50.00
<10.00
<10.00
<10.00
<10.00
<100.00
<10.00
<10.00
<10.00
<10.00
<10.00
Page: 1

ERAM_tHOE'R dumxpoMgd.
P.O. PO)( 7085. 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835.7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 28359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
Drinking .Water; :ID: 3 7.7.15
wastewater- ID: •1D
•
PHONE ([phone]
FAX [phone]
CLIENT ID: 667
ANALYST: CHS
DATE COLLECTED: 02/08/11
DATE EXTRACTED: 02/15/11
DATE ANALYZED: 02/16/11
DATE REPORTED: 03/01/11
Effluent
PARAMETERS, ug/1
49. Bis(2-Ethylhexyl)phthalate
50. Di-N-Octylphthalate
51. Benzo[b]fluoranthene
52. Benzo[k]fluoranthene
53. Benzo[a]pyrene
54.. Indeno(1,2,3-C,d)pyrene
55. Dibenzo[a,h]anthracene
56. Benzo[g,h,iJperylene
57. 1,2-Diphenylhydrazine
<20.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
Page: 2

P.O. Box 708, `1- Oakmont Dr.
Greenville, N� ,// 58
Phone [phone] a Fax [phone] DISy..JIECTION
CI ' )\1 T: 667 Week: 9
CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
SAMPLE LOCATION
201 I_
COLLECTION
DATE. TIME
Effluent Comp 2� f 1 S 10:45I
EFI G-�rab�?/ 1q28
'IncluentCorry . 48J t. 02
Inauen# Glob 2�- 7.8 9:03
RELINQUISHED BY (SIG. isAMPLER)
RELI. (-WISHED BY (SIG.)
RELINQUISHED BY (SIG.)
IME �7:-n
I'2=35
DATE/TIME
DATE/11 MME
r L.ELORINE
UV
I' NONE
RFC IVED BY (SIG.L DATE/TIME
RECEIVED BY)(SIG.) DATE/flME
RECEIVED BY (SIG.)
DATE/TIME
Page 1 of, )
CHLORINE NEUTRALIZED AT COLLECTIO
pH CHECK (LAB)
CONTAINER -TYPE, P/G
CHEMICAL PRESERVATION
A -NONE
B - HNO3
C - H,SO4
D-NAOH
E - HCL
F - ZINC ACETATE
G - NATI-IIOSULFATE
CLASSIFICATION:
LX I WASTEWATER (NPDES)
IT, . DRINKING WATER
r DWOJGW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING NIPMENT/DELIVERY
SAMPLES COLLECTED BY:
(Please Print) M ti (hod Cis
SAMPLES RECEIVED IN LAB AT
G G G
E E E
•
� J
COMMENTS: Annua ...
Sri
FORM 45
PLEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
• Grab sample in the blocks above for each parameter requested. II
2 12514

o
�L1LIi1J�L.':.'"mV' LILT IS I L © jJOErIaJ lSod
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835`-7085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
Effluent
PARAMETERS
Total Cyanide, mg/1
C on LK-ein-l.J1k Lc,-:)G.haP
l
loco
<s, 0 its/c-
Analysis Method
Date Analyst Code
<0.005 02/10/11 SEJ SM4500 CN-E
Drinking Wa^,ter ID:>
Wastewater ID: 10
PHONE (252) 75,6,.6208
FAX (252} 756-0633
ID#: 665
DATE COLLECTED: 02/02/11
DATE REPORTED : 02/23/11
REVIEWED BY:

Environment 1, Inc.
P.O. Box— 6 5, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of
Phone [phone] ®Fax
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388-
LUMBERTON NC 28359
[phone]
[phone]
Week: 8
(WW)
2011
COLLECTION
DISI►IFECTION
CHLORINE
t
U
L'''
pH CHECK (LAB)
P
CONTAINER TYPE, P/G•
D
CHEMICAL
PRESERVATION
A -NONE D-NAOH
B - HNO3 E - HCL
C-H2S0, F - ZINC ACETATE
G - NATHIOSULFATE
TOTALCHLORINE, mg
AT COLLECTION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
U•
PARAMETERS
SAMPLE LOCATION
DATE
TIME
Effluent Grab
2.2
o
4.1UQ
1
CLASSIFICATION:
1 WASTEWATER (NPDES)
DRINKING WATER
DWQ/GW
FJSOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING S PMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES
RECEIVED IN LAB AT �--°C
RELINQUISHED BY (SIG.) (SAMPLER)
gAd '�
DATFfIMEpVr1
2211 ►2J1
REC IVED P (SIG.)
f o__,,
DATE/i1ME
al l
COMMENTS:
•QUISHED BY (SIG.
DATETIME
RECEIVED BY (.. .,
DATEMME
‘,:7.0 BY (SIG.)
I' --
DATE/t1ME
l
RECEIVED BY (SI
DATEJTIME
-`-`A A or nr_ Art
Samnlar mi iet nlara a "('." fnr rmmnncita camnla nr a 'Y," fnr

dooff 1lo Eln@cvpoumWI
P.O. BOX7085, 114 OAKMONT DRivE
:°GREENVILLE, N.C.278357085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Effluent Analysis Method
Date Analyst Code
Total Cyanide, mg/1 <0.005 02/22/11 SEJ SM4500 CN-E
Cc VW 211,Ltinn . C_.(..)[„r_Lc
l.- 1-4-z)
GC:. 005- X (r-r>.::,
r S 0/U.S/ L-.
Icidg Wittee ID: 377.15
Wastewater ID; 10
PHONE.(252) 756.=6208,
„FAX•(22) 75p=•0633
ID#: 665
DATE COLLECTED: 02/16/11
DATE REPORTED : 02/23/11
REVIEWED BY:

Environment 1, Inc.
P.O. Bbx �vo&; 114 Oakmont. Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of 1
Phone [phone].o Fax
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
[phone]
Week: 10
(WW)
20-11
COLLECTION
DIST 4FECTION
CHLORINE
CHLORINE NEUTRALIZED AT COLLECTION
UV
t
pH CHECK (LAB)
NONE
P
CONTAINER TYPE, P/G
D
CFIEMICAL PRESERVATION
TOTAL CHLORINE, mg/I
AT COLLECTION
TEMPERATURE, °C
AT COLLECTION •
#' FCONTAINERS
c,
-�i-
v
c
w
A -NONE D-NAOH
B - HNO3 E - HCL
C - H2 SO4 F - ZINC ACETATE
G - NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Effluent Grab
2, 1
Q..212
1
�.�
CLASSIFICATION:
�■
•
■•��
�■
/ WASTEWATER (NPDES)
DRINKING WATER
L=, DWO/GW
irinip
II
SOLID WASTE SECTION
■
■�
..
CHAIN OF CUSTODY MAINTAINED
laill
MN
DURING�MENT/DELIVERY
N
11
�■.���. SAMPLES COLLECTED BY: i
(Please Print) 1 _ �'� •UI !�I QYy��i,►
■N.
1111.111=111
III1'LISAMSCEVEDNLABAT
v C-• °C
RELINQUISHED
_ ^�
BY SIG.) (SAMPLER)
DATE/fIN1E
21(9 11
prn
12
4
RECEI ti
VD BY (SIG.) DATE/i1ME
COMMENTS:
\ Q.ZZ,^r'' 2\4 +
0,c lig
+NQUISHED BY (Si,
DAI ETVIME
I.
REEVED BY (�. a.) DATE/TIME
j Z/J col
31--(1
'`IED BY (SIG.)
DATE/TIME
RECEIVED BY G.)
DAT ETIME
i
_LEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for

Alumna Dmccvp Qff1
BOX!7085, 114 OAKNMONT;`DRIVE:'
GREENVILLE; N C: 27835-7085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
Effluent Analysis Method
PARAMETERS Date Analyst Code
Total Cyanide, mg/1 <0.005 03/04/11 SEJ SM4500 CN-E
C47 V �CLi
Dr3'ri-kin'g Water: ,I,D 3774:'5
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 665
DATE COLLECTED: 02/23/11
DATE REPORTED : 03/07/11
REVIEWED BY.:

Environment 1, Inc.
P.O. Box 7D8 r•4 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of 1
Phone [phone]DISINFECTION
t ) • Fax
CLIENT: 665
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
252 ) 756-0633
Week: 11
(WW)
2011___Qroo
U
-
CHLORINE
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
P
' CONTAINER TYPE, PIG
D
CHEMICAL
PRESERVATION
A: NONE D-NAOH
B - HNO3 E - HCL
C - H2SO4 F - ZINC ACETATE
G - NATHIOSULFATE
TOTAL CHLORINE, mgA
AT COLLECTION
I
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
0
es
C.j
-
PARAMETERS
.
COLLECTION
SAMPLE LOCATION
DATE
TIME
Effluent @tb
2.73.2
; 12
1
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
lj DWQ'GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES
RECEIVED IN LAB AT U--- °C
RELI QUISHED BY (SIG. ( PLER)
etr"Plii22l'
'c. I UISHED BY (SIG.)
DATE/TIM
.,
Y2
REC IVED BY (SIG.)
)
ci
DATE/TIME
Ali
DATE/TIME
ia�sc,
COMMENTS:
DATE/TIME
REC D BY (SIC.
'SHED BY (SIG.)
DATEffIME
RECEIVED BY (SG.
DATE/TIME
'LEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
(,rah samnIP in the hlnrkc ahnvn fnr oarh nominator ror.iioo+orl
212802

O ¶o iiIE©©ITp©M[
Ku. BOX 7085, 114 OKMONT DRIVE
GREENVILLE;';N C.:2783577085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Mercury (Method 1631), ng/1
Drinking Water ID: 37715
Wastewater ID: 10
PH-tQNE (252) 75:0 6208
FAX-:(25Z 756 0633
ID#: 665 A
DATE COLLECTED: 02/08/11
DATE REPORTED : 02/16/11
REVIEWED BY:
Effluent Field Analysis Method
Blank Date Analyst Code
1.4 1.0 02/15/11 ADD EPA1631

Environment 1, Inc.
P.O. Box ��� —14 Oakmont Dr.
Greenville, NC 27858
Phone [phone] ® Fax [phone]
CLIENT: 665 A Week: 7
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
COLLECTION
SAMPLE LOCATION
Effluent Gub
Field Blank
RELINQUISHED BY (SS (AMPLER)
l.OUISHED BY (S
AED BY (SIG.)
• DATE
TIME
2•S-u 1015
2.8.11 1011-1-
DATE/TIME ;ern
2•° • 11 1'2
DATE/TIME
DATE/TIME
CHAIN OF CUSTODY RECORD
DISI' , ECTION
CHLORINE
UV
ij NONE
ow Level HG
RECEIV D BY(SI
41-
1)11
RECEIVED BY (SIG.)
E)VED BY (SI
i w - t '-
DATE/TIME
z- ci' ll f a:35
DATE!/TIME
DATE/TIME
Page
1
of
1
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
CONTAINER TYPE, P/G
CHEMICAL PRESERVATION
A -NONE D-NAOH
B-HNO3 E-HCL
C - H2SO4 . F - ZINC ACETATE
G - NATHIOSULFATE
CLASSIFICATION:
WASTEWATER (NPDES)
IJ DRINKING WATER
Li DWO/GW
jSOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURINGf u PMENT/DELIVERY
l 1 1 N
SAMPLES COLLECTED BY:
(Please Print) 1 C maker/
K�,e-eJ. o�vry
SAMPLES RECEIVED IN LAB AT '/�f / °C
COMMENTS: pre.s d e 0_0.311,7/d , J
SAMPLES1WERE PRESERVED WITH BRCL
\EASE READ Instruction.. for rmmnIntinn *do f..r.., ..

Part D
Expanded Effluent Testing Results Information
Supporting documentation
PPO May 2012

_Eiw'diromrogN Imarpur, g
P.0. BOX 7085, 114 OAK MONT DRIVE
GREENVILLE, N.C. 27835-7085
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
PARAMETERS
Total Kjeldahl Nitrogen as N,mg/1
Nitrate -Nitrite as N, mg/1
Total Phosphorus as P, mg/1
Oil & Grease (HEM), mg/I
Phenol, ug/1
Cotal Cyanide, mg/I
Total Hardness, mg/1
Total Dissolved Residue, mg/1
Antimony, mg/I
Arsenic, mg/I
Beryllium, mg/1
Cadmium, mg/I
Copper, mg/1
Copper, mg/I
Total Chromium, mg/1
Lead, mg/1
Mercury, mg/1
Molybdenum, mg/1
Nickel, mg/I
Selenium, mg/I
Silver, mg/I
Thallium, . mg/I
Zinc, mg/I
Total Nitrogen, mg/1
BY:
(PPO)
Influent
<0.005
<0.005
<0.001
0.048
0.006
<0.005
<0.0002
<0.010
<0.010
<0.010
0.086
JUN 19 2012
Dr nking .Water ':ID 37.715 .
. Wastewater ID: 10 -
PHONE E [phone]
FAX [phone]
ID#: 667
DATE COLLECTED: 05/08/12
DATE REPORTED : 06/11/12
REVIEWED BY:
Effluent Analysis Method
Date Analyst Code
1.20 05/14/12 ANO
8.72 05/11/12 ANO
0.91 z 05/14/12 BJC
<5.0 05/11/12 SEJ
<2 05/14/12 SEJ
<0.005 a 05/17/12 SEJ
53 05/10/12 TRB
446 05/14/12 HLB
<0.003 05/24/12 LFJ
<0.005 o- 05/17/12 MEL
<0.001 05fi5/12 LFJ
<0.001 m 05/18/12 MEL
<0.010 9 05/15/12 LFJ
05/15/12 LFJ
<0.005 a 05/15/12 LFJ
<0.005 s 05/15/12 CMF
05/23/12 ADD
<0.010.Q 05/15/12 LFJ'
<0.010 • 05/15/12 LFJ
<0.010 4 05/16/12 CMF
<0.005 • 05/15/12 LFJ
<0.001 05/24/12 LFJ
0.024: 05/17/12 ADD
9.92 •
EPA351.2
EPA353.2
EPA365.4
EPA1664A
SM510A&B
SM4500 CNE
SM2340C
SM2540C
EPA200.8
SM3113B
EPA200.7
SM3113B
EPA200.7
EPA200.7
EPA200.7
SM3113B
EPA245.1
EPA200.7
EPA200.7
SM3113B
EPA200.7
EPA200.8
SM3111B

EntlfraLeir Lp
P.C. PC;?( 7065, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 28359
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
CLIENT ID:
PHONE [phone]
FAX [phone]
667
ANALYST: MAO
DATE COLLECTED: 05/08/12
DATE ANALYZED: 05/14/12
DATE REPORTED: 06/11/12
Effluent
PARAMETERS, ug/1
1. Chloromethane
2. Vinyl Chloride
3. Bromomethane
4. Chloroethane
5. Trichlorofluoromethane
6. 1;1-Dichloroethane
7. Methylene Chloride
8. trans-1,2-Dichloroethene
9. 1,1-Dichloroethene
10. Chloroform
11. 1,1,1-Trichloroethane
12. Carbon Tetrachloride
13. Benzene
14. 1,2-Dichloroethane
15. Trichloroethene
16. 1,2-Dichloropropane
17. Bromodichloromethane
18. 2-Chloroethylvinyl Ether
19. cis-1,3-Dichloropropene
20. Toluene
21. trans-1,3-Dichloropropene
22. 1,1,2-Trichloroethane
23. .Tetrachloroethene
24. Dibromochloromethane
25. Chlorobenzene
26. Ethylbenzene
27. Bromoform
28. 1,1,2,2-Tetrachloroethane
29. 1,3-Dichlorobenzene
30. 1,4-Dichlorobenzene
31. 1,2-Dichlorobenzene
32. Acrolein
33. Acrylonitrile
< 10.00
< 10.00
< 10.00
< 10.00
< 5.00
< 5.00
< 10.00
< 5.00
< 5.00
8.90
<5.00
<5.00
< 5.00
< 5.00
<5.00
< 5.00
<5.00
<5.00
<5.00
< 5.00.
< 5.00
.< 5.00
< 5.00
< 5.00
<5.00
<5.00
< 5.00
< 5.00
< 5.00
< 5.00
<5.00
<100.00
<50.00

Euliwricr.mumug IL, Hum orpar8.3101,
P.O. BOX 7085, 114 OAKLv1ONT DRIVE
GREENVIL_L,E, N.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC Z6359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
CLIENT ID:
Dripk3ng'Watez ID 37715
Wastewater -"ID`. 10
PI:IONE (252.) 756-6208
FAX
667
ANALYST: CHS
DATE COLLECTED: 05/08/12
DATE EXTRACTED: 05/15/12
DATE ANALYZED: 05/25/12
DATE REPORTED: 06/11/12
Effluent
PARAMETERS, ug/1
1. N-Nitrosodimethylamine
2. Phenol
3. Bis(2-Chloroethyl) Ether
4. 2-Chlorophenol
5. 1,3-Dichlorobenzene
6. 1,4-Dichlorobenzene
7. 1,2-Dichlorobenzene
8. Bis(2-Chloroisopropyl) Ether
9. Hexachloroethane
10. N-Nitrosodi-N-Propylamine
11. Nitrobenzene
12. Isophorone
13. 2-Nitrophenol
14. 2,4-Dimethylphenol
15. Bis(2-Chloroethoxy) Methane
16. 2,4-Dichlorophenol
17. 1,2,4-Trichlorobenzene
18. Naphthalene
19. Hexachlorobutadiene
20. 4-Chloro-3-Methylphenol
21. Hexachlorocyclopentadiene
22. 2, 4, 6-Trichlorophenol
23. 2-Chloronaphthalene
24. Acenaphthylene
25. Dimethylphthalate
26. 2, 6-DinitrotouLene
27. Acenaphthene
28. 2,4-Dinitrophenol
29. 4-Nitrophenol
30. 2,4-Dinitrotoluene
31. Fluorene
32. Diethylphthalate
33. 4-Chlorophenyl Phenyl Ether
34. 4,6-Dinitro-2-Methylphenol
35. N-Nitrosodiphenylamine
36. 4-Bromophenyl Phenyl Ether
37. Hexachlorobenzene
38. Pentachlorophenol
39. Phenanthrene
40. Anthracene
41. Di-N-Butylphthalate
42. Fluoranthene
43. Benzidine
44. Pyrene
45. Butylbenzylphthlate
46. Benzo[a]anthracene
47. 3,3-Dichlorobenzadine
48. Chrysene
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<20.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<10.00
<50.00
<50.00
<10.00
<10.00
<10.00
<10.00
<50.00
<10.00
<10.00
<10.00
<50.00
<10.00
<10.00
<10.00
<10.00
<100.00
<10.00
<10.00
<10.00
<10.00
<10.00
Page: 1

kiiiwOtironumnd
1
Riowripoo o .
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CLIENT: CITY OF LUMBERTON (PPO)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON, NC 7/8359
REVIEWED BY:
SEMIVOLATILE ORGANICS
EPA METHOD 625
CLIENT ID:
Drinking Water'; ID: 377Y.5
WaetewaterID:- 1
PHONE [phone]
FAX [phone]
667
ANALYST: CHS
DATE COLLECTED: 05/08/12
DATE EXTRACTED: 05/15/12
DATE ANALYZED: 05/25/12
DATE REPORTED: 06/11/12
PARAMETERS, ug/1
Effluent
49.
Bis(2-Ethylhexyl)phthalate
<20.00
50.
Di-N-Octylphthalate
<10.00
51.
Benzo[b]fluoranthene
<10.00
52.
Benzo[k]fluoranthene
<10.00
53.
Benzo[a]pyrene
<10.00
54.
Indeno(1,2,3-C,d)pyrene
<10.00
55.
Dibenzo[a,h]anthracene
<10.00
56.
Benzo[g,h,i]perylene
<10.00
57.
1,2-Diphenylhydrazine
<10.00
Page: 2

Environment 1, Inc.
P.O. Box 70&5.,. 1.J.4 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECO D
Page 1 of 1—
Phone [phone] a Fax
CL NT:667 Week:
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
[phone]
9
(PPO)
DISZNNbCTZON
CHLORINE
NONE
(
ME
CHLORINE NEUTRALIZED AT COLLECTION
1✓IS111
----
pH CHECK (LAB)
u
p.
p
P
G
G
P
I�
r
P
G G
CONTAINER -TYPE, P/G
C
C
C
C
C
D
C
IA
A
CHEMICAL
PRESERVATION
A -NONE D - NAOH
B - HNO3 E - HCL
C - H2SO4 F - ZINC ACETATE.
G - NATHIOSULFP,TE
p+.wr
TOTALCHLORINE, mg/I
ATCOLLECTION
r TEMPERATURE, °C
ATCOLLECTION
•
# OF CONTAINERS
� w
�z
E.
L
Z
IT. Phosphorus
�
O
�
a
d
�
U
`iHardness
�
A
�
EPA 625
625 Duplicate 1
[625 Duplicate 2
_-.
EPA 624 (APA)
�,
au
-
-
624DiiiiIicafe 2 T
PARAMETERS
COLLECTION
SAMPLE LOCATION
DATE
TIME
�`
Effluent t O Mp
5 8
in O7
�
,
<':;;
.
ION:
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
it - . 1 f
! o
I O •
�
1&41...
A.,.'
�,
is k) "- CoCT
5/1•o
9..28
—
,
Ili
u DWO/GW
E SOLID WASTE SECTION
■
CHAIN OF CUSTODY MAINTAINED
DURING LENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print) oap Y Aid r
KP L /
MIMI
NM=
SAMPLES
RECEIVED IN LAB AT 0 3 °C
RELI QUISHED BY SI 5�MPLER)
DATE/TIME
CEIVED BY IG.)
DATE
TIME
COMMENTS:
R I( QUISHED BY (SI
DATE/TIME
' R ; D BY (Si' .
DATEEEMME
'IATEIflMElaltaira
1
In.�� AIMrl
♦alir
RELINQUISHED BY (SIG.)
DATE 11ME
1
RECEIVED BY (.
�jf � 5
)LEASE READ Instructions for completing this form on the reverse side.
Flli7M $�
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested.
0 0

Environment 1, Inc.
P.O. Box 7085, ill Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 4 of _1
Phone [phone] a Fax
` EN T e
667 Week:
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
[phone]
9
(PPO)
DISINFECTION
CHLORINE
NONE
n
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
fUV
Lj
i
p
P
P
G
G
P
P
P
IG
CONTAINER TYPE, P/G
CCCCCDC
A%
�1
A
CHEMICAL
PRESERVATION
A - NONE D-NAOH
B - HNO3 E - HCL
C HZSO, F ZINC ACETATE
G NA I HIOSl1LFATE
HLORINE, mgA
EC1ION
TEMPERATURE, °C
AT COLLECTION
# OF CONTAINERS
-j
TEN -- -- ---- ---
I
<
0o
cz i
z
T. Phosphorus
C.7
O
a
a
•ed
b
n
U
Hardness — —
TDS
�
EPA 625
625 Duplicate-1—
w ea
A
�
w7.,!k....73...:#74.:::4::::
72-4�upIicate 1--_
w
a
�1
er
CO
cc
COLLECTION
TOTAL C
AT COLL
SAMPLE LOCATION
DATE
TIME
Ft7r..
„..:
::::::,
CLASSIFICATION:
U WASTEWATER (NPDES)
DRINKING WATER
LIDWOJGW
. E.4 i leX1T G
/8
J O. 17
4.4*....,
l 1ucr?r Co
51•
q'.
1
1�r1a !Z G
S
q .29
,
u, SOLID WASTE SECTION
-
CHAIN OF CUSTODY MAINTAINED
DURIN n ENT/DELIVERY
Y• N
SAMPLES
(Please
‹calakSaolN.L.
SAMPLES
COLLECTED BY:
Print) a C1VQ1 r
4
RECEIVED IN LAB AT
RELINQUISHED BY SIG ‘ S MPLER)
DATE/TIME
5.q.��
t;EIVED
B��,SIG.)
DATFJTIME
5 2. ) 2: Z)
COMMEM S: �n �l ��
RE II\ QUISHED BY (SIG.)DATE/TIMERECElL
D BY (SIG'
DATrJiIME
1
r
I CLA.S_
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
)LEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "G" for
n n •i

E�w ©HRTR hiooQpo[rmUd
P.O. BOX,7085, 114 OAKMONT DRIVE,
G REENVILLE, N.C. 27835-7085
CITY OF LUMBERTON (WW)
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON ,NC 28359
Effluent
PARAMETERS
Mercury (Method 1631), ng/1
Waetewater ID. 1
PHONE (252) ,756-6208
FAX [phone]
ID#: 665 A
DATE COLLECTED: 05/08/12
DATE REPORTED : 05/14/12
REVIEWED BY:
Field Analysis Method
Blank Date Analyst Code
1.0 <1.0 05/11/12 ADD EPA1631

Environment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page
1
of
1
Phone [phone] v Fax
CLIENT: 665 A
CITY OF LUMBERTON
TAMMY SMITH
EUSD-LABORATORY
P.O. BOX 1388
LUMBERTON NC 28359
[phone]
[phone]
Week: 22
(WW)
DISI
Duv
11'hCTION
CHLORINE
NONE
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
G
CONTAINER TYPE, P/G
A
•
CHEMICAL
PRESERVATION
A -NONE D-NAOH
B - HNO3 E - HCL
C - H2S0, F - ZINC ACETATE
G - NATHIOSULFATE
ILORINE, mg/I 1
ECTION J
TEMPERATURE, °C
AT COLLECTION
It OF CONTAINERS
Low Level HG
PARAMETERS
COLLECTION
TOTAL C
AT COLL
SAMPLE LOCATION
DATE
TIME
Effluent G
52812
la 13
1
CLASSIFICATION:
WASTEWATER (NPDES)
Field BIank
Nit
5,5-12
101 t5
1
'.
IJ DRINKING WATER
jDWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES
(Please
Ke.YdC\
COLLECTED BY:
Print) jb-I C o mer
IC. C C. 1.--aW (-
SAMPLES
RECEIVED IN LAB AT ZZ-- 7 C
RELINQUISHED SIG. (SA
PLEB)
.cfa I IME
yECE1 D BY (SIG.)
�
:;;j:
DATE/TIME
COMMENTS: s e d C6 o
0"
Lill____
ONS + l-1 ? ®AT g.ie. )`_ BY rt '1 ,"
•'UNQUISHED BY SIG.
DATME
I
RC ED BY SIG.
D iME u -
J
,EASE READ Instructions for completing this form on the reverse side.. I
Sampler must place a "C" for composite sample or a "G" for ,)

Part E
Toxicity Testing Data
Chronic Pass / Fail LC50
August 2010
May 2012
May 2013
August 2013
Chronic Fathead Minnow Multi / Concentration Test
August 2010
May 2012
May 2013
September 2013

Part E
Toxicity Test Data
August 2010
Chronic Pass / Fail Acute LC50
And
Chronic Fat Head Minnow Multi / Concentration Test

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/11/10
'\ acility: LUMBERTON WWTP, CITY OF NPDES#: NC0024571 Pipe#: 1 County: ROBESON
aboratory Performing Test: MERITECH, INC.
X 1-, (J z,�..��_ '/:3��a
gnature Operator in. Responsible Charge
"2"?:q aa,e(?
i
Signature of Laboratory Supervisor
Work Order:
MAIL ORIGINAL TO:
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
Comments: Dilution Water Batch
#822 & 823 Used
* PASSED: -12.18% Reduction *
Environmental Sciences Branch _
F Div. of Water Quality NC DENR
i 1621 Mail Service Center
Raleigh, NC 27699-1621
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
28
21
24
21
21
19
20
22
23
23
24
25
Adult (L) ive (D) ead
Effluent %: 21%
TREATMENT 2 ORGANISMS 1 2. 3 4
5 6 7 8 9 10 11 12
# Young Produced
27
23
27
26
25
21
25
25
27
27
26
25
„adult Wive (D) ead
45
Chronic Test Results
Calculated t = -3.104
Tabular t = 2.508
% Reduction = -12.18
% Mortality
Avg.Reprod.
0.00
Control
22.58
Control
0.00
Treatment 2
25.33
Treatment
2
Control CV
10.922%
% control orgs
producing 3rd
brood
100%
PASS FAIL
Check One
pH
Control
Treatment 2
D.O.
Control
Treatment 2
1st sample 1st sample 2nd sample
8.06
7.95
8.00
7.98
8.10
7.95
7.98
7.95
s s
t e t e
a n a n
✓ d r d
t t
1st sample 1st sample
7.73
7.37
7.80
7.43
7.88
7.46
7.82
7.41
8.07
7.99
8.00
7.97
s
t
a
r
t
2nd, sample
e
n
d
7.82
7.24
7.85
7.26
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates
Complete This For Either Test
Test Start Date: 08/04/10
Collection (Start) Date
Sample 1: 08/02/10 Sample 2: 08/05/10
Sample Type/Duration 2nd
1st P/F
Grab Comp. Duration D
I S S
Sample 1 X 24.1 hrs L A A
U M M
Sample 2 X 23.7 hrs T P P
Hardness(mg/1)
Spec. Cond.(µmhos)
Chlorine(mg/1)
Sample temp. at receipt(°C)
42
174
1147
845
<0.1
<0.1
0.7
1.3
%
Concentration
Mortality
LC50 =
95% Confidence Limits
% --
Method of Determination
Moving Average _ Probit
Spearman Karber Other
start/end
Note: Please
Complete This
Section Also
start/end
Control
High
f'nnn
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
D.O.
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

Client: L.A
3-/Li /40
NPDES*. NIC 5- -7 Date / Time of Culture Transfer: q---7; J.; / 9 . Air, Time Start: /0.:10.A-Y)
Dilution Water: Lake Reidsville Date / Time Neonates born: 1st Renewal Date:
Test Organism Source: Tray# a'. Age of Neonates at Test Start: hours
Meritech, Inc.
Mini Chronic Pass/Fail Test: Cericdaphnia clubia
Pipe*: c.) i County: Date Start:
Stirred / Aerated for D.O.: Y igRandomized. / N Culture Tray Temp: °c
2nd Renewal.Date: Ck hp
Control Organism Reproduction
Date End:
Time End:
. Time:
Time:
Analyst(s): Reviewed by:
Incubator #: -7
C1:: lc-7cl A
- fa
tr(2--
Day #2 1 2 3 4
5 6 7 8
# Young Produced
0
0
0
n
0
0
0
_ _
cD I C,-,'
._
(,)
..
()
.._
0
Adults Live / Dead
L-.
L
1-
I-
L
.1.-::
L
I. 1 \--
i
t__
L.
ftw #5
1
2 3 4 5
# Young Produced
Si'
4-1/-7
4/c5
3 )71 3/g
,V7
7
9 /
Li A I Lif161 rill C
Vi i
Adults Live / Dead
L.
L—.
L--
L. i--
L
L..
L.
i-- I i-- I 1-,
1-.
flav #7
1
2
3
4
5
6
8
In
# Young Produced
1.21
10i 1)-
11 ( 0
i if.)
i /
.1C;
_ ._ ..
CO I ./ 01 /r,
.....
to
Adults Live / Dead
L___.
I__
t___. L
L
L.,.__
.1.---
I-- 1 t- V.::
L.....-
Total Produced
4.
?,,_)
--t't
.?-1
DA
14
qe)
d 7:231:;,-).3
1
-1-1'
Test S:ample Organism Reproduction
r Effluent `)/D:
Dav 2
1
2
3
Percent of of Control Producing third brood: I 2.70
4
# Young Produced
0
0
0
0
0
0
0
./..:,.'
Adults Live / Dead
(.-.
L-
L
L-
k......
L
L..
L_
D iv #5
1.
2 3.
# Young Produced
(c7-h
Lin
s/
51/0
5/10
0
Adults Live / Dead
L-
L
L-
L
L
L-
L
L
' I— 1 ' L..
L
I-
Dav #7
1
2
3
5
7
# Young Produced
/
lb
I?
)1
5
1 O
_
ii
,- , .
71 1 i ;.:/'
i
,....
Adults Live / Dead
L.
L-
I--
t-,
(--
L
L
L
L i ii_.:
(..._
Total Produced
?,7..-
2.3
.a.7-
A.t.)
2
,Z,71
2,5--
7L3>-;) 1
;14,..
.a---
1ments:
Collection (Start) Dates:
Sample 1:
Sample Information
Sample 2:
100% pH
G / C?
Duration
Sample 1
),.7 /
C-
7-9 . /
hours
Sample 2
-7 . 7 y
C.-
Z.3. -2
hours
Batch #
.2
>
-7
(.6-z,
Sample
1
Sample
2
Transfer Day
0
2
5
iiiVei,4
t.
Hardness
(mg/L)
Li t
----.*
i'l1/40
iligthtri7:
'1'titZ
1,1tig;Itin
)ill:gt:4!:F•
Spec. Cond.
(umhos/cm)
I-744
kl
1A7
g .45
Chlorine
(mg/L)
..iti1:".L;
'ib'...eht44
:.'.,- .... f;EL.Z.1
1"
- :17;40
°
X... •
Receipt Sample
Temp. (°C)
i
e ..
1,3
pH
1st Sam le
Control
3-0(D
79S/
Sample
(7313°
7.4Fa
D.O.
initial final
lst Sam le
Control
111 -7, 37
Sample
7 '18°
'7 613
initia
final
Temp. 1st Sample
Transferred by: Fed by:
/AL
Day 0
Day 1
Day 2 614-:-L-
Day 3
Day-4
Day 5 .471— yk.2/1--
Day 6
Terminated by: by:
1st Sample
sic)
-7 -14 )
i 1
"718
initial final
1st Sample
7S8
LI
-74L.
I
2nd Sample
7.99
7:5'7
initial final
2nd Sample
7 ?
/
7,r,/
7, b
initial finalinitial final
1st Sample 2nd Sample
. I
initial
final
zr..- I. • .
t..) •
:1 2 2,
initial
final

Client:
Contact Person:
Address:
City:
County:
MERITECH, INC.
Bioassay Sampik Chain of Custody
642 Tamco Road, Reidsville, NC 27320
Phone: [phone] Fax: [phone]
Email: [e-mail] Web Site: www.meritech-labs.com
Meritech Sample ID #: OtO9 Q
Sam* te 2-
CLIENT INFORMATION
Ci �l OCr • Lunnber-}-pn
-Tarn S -
TC0 I a -•dye* S- reP-�-
1 u n
Robeson State: 1 VC, Zip:
PO #:
NPDES #: NC 00214
Phone: (0-1 l •
Pipe #: -
25358
Y v
q �� V / SAMPLE INFORMATION
Sample Site: V TV � 1 OCn+ VI On i c:i 14-`/
Sample Type: ❑ Grab Composite # of containers:
Sampling Time: Start Date: O ' 4 ' 1. Start Time: \ an \ Q PM
11 /''`(�i
End Date: j 1 - 1 0 End Time: t� CPI PM `'':- I' CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
***SAMPLE CONTAINERS ARE TO BE COii/PLETELY FULL (no air space), CHILLED AND COVERED WITH ICE"
Collector's Naine:
Print:\ A , C,. L.,QVV Signature:
Test Required \. hronic (7 days)
❑ Acute (24-48 hours)
IWC: 2 t
TOXICITY TEST INFORM ION
Test Organism�Criodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Comments:
SHIPPING INFORMAr�T101y_
Date: l
?) o Time: U g— AM
Date: A 1 ` /6) Time: t3 <' c ' 2' AM
Date: r�" �� �/� Time: 9 ! v'�t AM
Date: lime: AM PM
Date: Time: AM PM
Date: lime: AM PM
Date: Time: AM PM
Date: Time: AM PM
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Sample Temperature: (2C):
Method of Shipment: ❑ UPS ❑ Fed Ex eritech Pick-up
-*Samples shipped on Friday must be FedEx and must be !early labeled for Saturday delivery**
DIVING (Laboratory U�C�IVed from Lab Secure Area
Relinquished by: l_ � Y�
Receive: - Vt 111 07 iL
AM PM
Sample Temperat re(( : .
rieieas c o L ic)
/
/ Sample Condition: L CC(
WHITE = Laboratory copy YELLOW = Client copy

MERITECH INC.
Bioassay Sampio Chain of Custody
642 Tamco Road, Reidsville, NC 27320
Phone: [phone] Fax: [phone]
1
Meritech Sample ID #: Cf.3 0(0 / i
Email: [e-mail] Web Site: www.meritech-Iabs.com
Sample ij
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
CI OF LI irlibPriT) n
'Tarn r-nv
7c0 d-Car-Re. S-1--
\--L1 rnh er-t-o
Qohcnn State: Zip:
PO #:
NPDES #: NC 03/2_45-1 I
Phone: CII0 • Co-7 t • ")).S
Pipe #: 1
25_23213
Sample Type:
Sampling Time:
SAMPLE INFORMATION
Sample Site: Vq\NrilD ._f"'C'k liCni- MU n1 ci pck\
CI Grab X Composite # of containers: 2,
Start Date: ').) • 5- 10
K
PM
PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
CONTittiVERS ARE To i3r: c:omf,i.,s-TELY FULL {no :lir ..cc), CHILLED AND COVERED WITH !OP'''.
Collector's Name:
Test Required:
End Date:
Print:
hronic (7 days)
U Acute (24-48 hours)
2 t
Start Time:
End Time: CT• (r)
Signature: \.,( 11
TOXICITY TEST INFORMATION
Test Organism: Cedodaphnia dubia (water flea)
Pirnephales promelas (fathead minnow)
LI Alysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Comments:
SHIPPING INFORMATION
Relinquished by: Date: (8 • G - 10 Time: 12- 10
_.../.
Received by: Date: cri"` Z `/ P Time: ip..;)6
Relinquished by: Date: f7//041 lime:
Received by: 1 Date: Time:
Relinquished by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: Time:
Received by: Date: Time:
i
Sample Temperature: (gC):
Method of Shipment: DI UPS 0 Fed Ex Meritech Pick-up
"Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery,'"
AM
AM
AM
AM
AM
AM
AM
AM
PM
PM
PM
PM
Relinquished by:
SAMPLE RECEIVING (Laboratory Use Only)
Received by:
Sample Temperatures (gC):
Date: -/
Time: AM PM
Sample Condition: -/k/
WHITE = Laboratory copy YELLOW = Client copy

Effluent Toxicity Statistical Results - Chronic Pass/Fail
Facility: LLJMBERTON WWTP, CITY OF
Laboratory Performing Test: MERITECH, INC.
Reduction: -12.18%
# Replicates
Female Live
Adult Male
Adult Dead
Adult Mortality
# Neonates
Mean # Neonates
Standard Deviation
Coefficient of Variation
A = 12
Date: 08/11/10
NPDES#: NC0024571 Pipe#: 1 County:ROBESON
CONTROL
12
12
0
0.00%
271
22.583
2.466
10.922%
Fisher's Exact Test
B = 12
a/A = 1.00
Success
a = 12
b/B = 1.00
is: survival
Critical b value = 8
12 > 8
21% Effluent
12
12
0
0
0.00%
304
25.333
1.826
b = 12
The test concludes that the proportion of survival is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered
i Group Neonates Centered
1
2
3
4
5
6
7
8
9
10
11
12
E
C
C
E
C
C
C
C
E
E
E
E
21
19
20
23
21
21
21
22
25
25
25
25
- 4.3333
- 3.5833
- 2.5833
-2.3333
-1.5833
- 1.5833
- 1.5833
-0.5833
- 0.3333
- 0.3333
- 0.3333
- 0.3333
13
14
15
16
17
18
19
20
21
22
23
24
C
C
E
E
C
C
E
E
E
E
C
C
23
23
26
26
24
24
27
27
27
27
25
28
0.4167
0.4167
0.6667
0.6667
1.4167
1.4167
1.6667
1.6667
1.6667
1.6667
2.4167
5.4167

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
COEFFICIENTS AND DIFFERENCES
i x(n-i-1) x(i) a(i) x_(n-i-1) - x(i)
1 5.4167 -4.3333 0.4493 9.7500
2 2.4167 -3.5833 0.3098 6.0000
3 1.6667 -2.5833 0.2554 4.2500
4 1.6667 -2.3333 0.2145 4.0000
5 1.6667 -1.5833 0.1807 3.2500
6 1.6667 -1.5833 0.1512 3.2500
7 1.4167 -1.5833 0.1245 3.0000
8 1.4167. -0.5833 0.0997 2.0000
9 0.6667 -0.3333 0.0764 1.0000
10 0.6667 -0.3333 0.0539 1.0000
11 0.4167 -0.3333 0.0321 0.7500
12 0.4167 -0.3333 0.0107 0.7500
1
W = X 99.9380
103.5833
Calculated W = 0.965 Critical W = 0.884
0.969 > 0,8R4
The reproduction data is normally distributed
evaluated at a 99% confidence interval.
Test Passes!
F test for Homogeneity of Variance
Control variance 6.0833
F = _ = 1._83
Effluent variance 3.3333
Numerator degrees of freedom; 11 Denominator degrees of freedom: 11
Critical F = 5.32
1.83 s 5.32 =► The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.

EQUAL VARIANCE t TEST
22.6 - 25.3
t = - 3.104
0.886
Degrees of freedom = 22
Critical t = 2.508
-3.104 < 2.508
Test passed. There is not• a significant difference in reproduction
between the Control and the effluent evaluated at a 99% confidence interval.
Chronic Test PASSES

Part E
Toxicity Test Data
August 2010
Chronic Fat Head Minnow Multi / Concentration Test

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 E.4 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.1. Required Tests.
Indicate the number of whole effluent
® chronic 0 acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 1-Pimephales promelas Test number:
Test number:
a. Test information.
Test Species & test method number
Pimephales promelas, Method 1000.0
Age at initiation of test
21.75 to 23.75 hrs
Outfall number
001
Dates sample collected
8/02/10, 8/03/10, 8/06/10
Date test started
8/03/10
Duration
7 days
b. Give toxicity test methods followed.
Manual title
Short Term methods for estimating the
Chronic Toxicity of Effluents and
Receiving Waters to Freshwater
Organisms
Edition number and year of publication
Fourth Ed. October 2002
Page number(s)
53 to 111
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
3 - 24hr samples
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
X
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Test number: : 1-Pimephales promelas
Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Effluent outfall 001, after all treatment
processes
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both ,
Chronic toxicity
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Soft synthetic water, made with reagent
grade chemicals according to EPA
methods
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
5.25, 10.5, 21, 42, 84%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Yes
Salinity
nla
Temperature
Yes
Ammonia
nla
Dissolved oxygen
Yes.
I. Test Results.
Acute:
Percent survival in 100%
effluent
nla
%
LCso
n/a
95% C.I.
n/a %
%
%
Control percent survival
n/a %
%
%
Other (describe)
n/a
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571,
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Chronic:
NOEC
84 %
%
%
IC25
>84 %
%
%
Control percent survival
100 %
%
%
Other (describe)
Chv >84%
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Yes
Was reference toxicant test within
acceptable bounds?
Yes
What date was reference toxicant test
run (MM/DD/YYYY)?
08/03/10
/ /
/ /
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes ® No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: n/a/ / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
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.
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Date:8/12/2010
Facility: Lumberton
NPDES # NCOO 24571
Pipe #: 001 County: Robeson
aboratory: Meritech, Inc.
%:?//Q
ature of Operator in Responsible Charge
x
Signature of Laboratory Supervisor
Comments
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 8/3/2010
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
5.25
Surviving #
Original #
Wt/original (mg)
10.5
Surviving #
Original #
Wt/original (mg)
21
Surviving #
Original #
Wt/original (mg)
42
Surviving #
Original #
Wt/original (mg)
84
Surviving #
Original #
Wt/original (mg)
Water 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)
Temp. at Receipt ("C)
Dilution H2O Batch #
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
2
2:45 PM Avg Wt/Surv. Control 0.744 Test Organisms
3
10
10
10
10
10
10
10
10
0.756
0.721
0.718
0.780
10
10
10
10
10
10
10
10
0.707
0.749
0.810
0.689
10
.10
10
10
10
10
10
10
0.711
0.697
0.735
0.754
10
10
10
10
10
10
10
10
0.742
0.782
0.733
0.773
10
10
10
10
10
' 10
10
10
0.974
0.733
0.800
0.763
10
10
10
10
10
10
10
10
0.768
0.818
0.771
0.800
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
100.0
0.744
100.0
0.739
100.0
0.724
100.0
0.758
100.0
0.818
100.0
0.789
L Cultured In -House
F. Outside Supplier
Hatch Date: 8/2/10
Hatch Time: 3:00 pm CT
0
2
3
4
6
8.15 /
7.96
8.20 /
7.88
8.22 /
7.83
8.14 /
7.85
8.23 /
7.82
8.21 /
7.87
8.20 /
7.75
7.69 /
7.18
7.65 /
7.25
7.51 /
6.87
7.50 /
7.10
7.65 /
7.15
7.72 /
6.94
7.57 /
7.09
24.5 /
24.3
24.2. /
24.1
24.2 /
25.6
25.4 /
25.5
25.2 /
24.9
25.1 /
25.8
25.4 /
24.2
0
2
3
4
5
6
7.85 /
7.89
7.93 /
7.81
7.76 /
7.76
7.80 /
7.66
7.76 /
7.77
7.74 /
7.88
7.92 /
7.74
7.90 /
7.21
7.78 /
7.77
8.16. /
6.93
7.84 /
6.63
8.55 /
6.89
8.40 /
7.14
7.97 /
6.88
25.0 /
24.3
24.3 /
24.1
24.1 /
25.6
25.1 /
25.5
25.2 /
24.9
25.1 /
25.8
24.8 /
24.2
1
2
3
8/1/2010
8/2/2010
8/5/2010
24.1
24.1
23.7
50
52
48
62
52
63
1015
1156
851
<0.1
<0.1
<0.1
0.2
0.7 .
1.3
475
48
60
210
476
477
44
48
57
57
212
219
478
48
55
233
Normal
Hom. Var.
NOEC
Survival
l l
84
Growth
ll
lrl
84
LOEC >84 >84
ChV >84
>84
Method Steel's Dunnet's
Overall Result
ChV
>84
Stats
Conc.
5.25
10.5
21
42
84
Survival
Critical Calculated
10 18
10
10
10
10
18
18
18
18
Growth
Critical Calculated
2.41 0.1321
2.41 0.5153
2.41-0.3634
2.41-1.9490
2.41 -1.2025
DWQ Form AT-5 (1/04)

Client:
Lumberton
NPDES #: NC 0024571
Initiated by: „!`�
Date/Time Fed: 8/3/10 2_ i) i,v.-
r
Date/Time Born: 8/2/10 3:00 PM CT
Day 1
Day 2
Day 3
Transferred by:
Date Time Initials
8/4 lc; &?'n-
8/5
8/6 r•c�
1
Day 4 8/7
Day 5 8/8
Day 6
2_0 Aril
8/9 1
r
Test Termination
Initials/Signature:
End Date:
End Time:
Data:. //;1 i n
jj"✓L / 0}
8/10/10
Meritech, Inc.
Chronic Fathead Minnow Benchsheet
Transfer and Feeding Dates and Times
# of Organisms per Chamber: 10
Test Vessel Size: 400 mi
Test Solution Volume: 250 ml
Temp. of Stock: c- ; . °C
# of Reps: 4
Start Date: 8/3/10 Time:
End Date: 8/10/10 Time:
Randomization:
Incubator #: 7-
Fed by:
Date Time 1 Initials Time 2 Initials Time 3 Initial
Day 0 8/3 's ' ? ? 21; MIL- LI J-S ,I1 =
j1r
Day 1 8/4 '2C.:::c1..,,r ir,-'I ; %e./.5,'? -- . 4. (C. n 1,,vL.
,� ' 7 , t c---`ie
Day 2 8/5 ; •�ji6'„- %yi.i�:-c._ 1` f l�,p;�'l il'�L.. ti,..� `7 � .''Y‘P--`
0
Day 3 8/6 ?'3l J - ' 91, ,h-- NI1 i.,'• 316 (,-z r 2-.
' 'U'- * *
8/7
Day4 ,.:_.— afi ass ;3
ir
Day 5 8/8 tc-).",Y, i J :",, MA.,
Day6 8/9 ., ; 10 t1),`_,(A,.. f,'2t.�- 4:Lc,i,,,, i L
t.. i
*
*
= Weekend, only 2 feedings needed

/
k;:glik"
ETZI TE-chrff
ErNiViRCii\iiViENTAL LABOR.ATORIES
A Division of Vliater Technology and Cc-)ntrc>ls.
Chemical and Physical Determinations
Client: NPDES#: iUc0 is 2.q5-'71 Start Date: Time:
Test Organism: Pimephales promelas Analyst(s): Time: g12.. obai_ End Date: C/0/10.
Day
Concentration: control
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
Batch #
ur7 5-
1./7 (,.5-.>
11/1 1.1
Y -77,--)
q ir
pH Initial
5/ ,i
g, 2,0
."1-"2-
53. il
q;2.3
8. 2,1
9', z0
Final
-7 ri (iv
-7 .s,-,x
-7, ?)3
7: C155--
q. €,,,,---i
7. e.--7
.7,7 .
D.O. Initial
-Tip ,q
...•
-Pp,
7,.51
"7.5-o
7, (.2 . 5"
I
, . r,i4
-2,5---2
Final
) A
7, 2-:(r;
(.7
7,. )0
ft, t r,-.
6-; ..qi-1
--,),,oci
Temp. Initial
4-S.
'2,Xt.1.-
2-4 :a-
1,5:1
:7,....)-7A
2...:1-:' .
Final
'21-1 .3
DI , /
7-••(-C• 6
,257,C:.
2 4 . (--)
1.-5
"-2ILI'
Conductivity Initial
:)./e,r,',
_1) 0 c-c:
.2, I '
2 .3 •.3
Final
-.',.
'
, ,
.._, . 74
Residual Chlorine
4C) d'
L,& , i
4) , (
4 z.f. I
(-_.. ?,
...`:.. • I
;LC,' • '
Hardness
,••
Li 'IS
1 I
-
/ r) ••
. ._....•
.„.•
,,, i,
Alkalinity
11
/nu
s
,65. '2 -------% •
--i;11 -
-f' --
• ,-.2
..' ..,1
Concentration: . •,:;7,
0-1
1-2
2-3
- --.,
3-4
4-5
5-6
6-7
Remarks
pH Initial
V !)
5. t; C(
e3:2,0
;'..i ,..;
V., :2-0
Pr 1.::!i
, ,, i )
Final
'7. 11
-IS'',
'7:it
7., 77
il . Id) i
.7 l'il3
--7. 7 7
D.O. Initial
7,7 ?...-
-2, to-7 ,
.7 ,.511 _
-7,5 -L,
:/".• 7) z)
11..7b
.7
Final
7 )
io.1-
(,.1.
I0
7 .1 L- : .
. _.
Temp. Initial
:?.... 9 . Cc
-2..Li,..6
-,?9,2..,'2(27
. 1,1
7..,
Final
2) 3
7 il. 1
-1/...C:(1.2
)..5-:-.,t.)----
2,4 , 1
2‘'--)._?i
7.L1 .2.--.
Conductivity Initial
)._S-7
2.(c,C•
2.ei::;;(1,,,
26,1
,:„.1::4,:-... if..-,3
:245
, 1:)-1.,
Final
9j,-A-,
:-.11
?AL
,29.R
} 0
*2-6 6
2,70
Residual Chlorine
46. I
4 .1
Lo,t
10.11
Le)
Z. (.:. )
1-0J
Concentration: 10,..5 X
0-1
1-2
2-3
_ .,...,
3-4
4-5
5-6
6-7
Remarks
pH Initial
S. DR
c;;;17
To
T.11
46- ' I. (--;
f... eci
13.1 V
Final
snci
-7.s1
7.77-
7 -7-1
r I . P/1
,'5'.0 2--
7.,7 0
D.O. Initial
7.79
-7714
7. 67
-7.51
3, '5
ri.
SH Final
.7 .06
?-7-7'"ttID'
) 6, • Li (i.)
e,,-; . i
(,-, . e l i.`
.2 .:3
" 7-7
Temp. initial
Dili _ c
-),4, ,,?„, .
2.1I.1
7.:$ .4
77a.fi,-,--)
Final
i 4,3
24./
-2, ..5-. to
•:-.0.,,-,--,c-
LJ.I , A
•-t ,-.) ff,..)
-2-L-1 , 2--
Conductivity Initial
4)1S
..3.(4.-:',
:322-
al .'
-3 l'.....)0
2. L b
Final
,S-;:i 3
:3.143
3(.,- -2_,
Widf
.1;;.E.5,--,
-2-8-3
...303
Residual Chlorine
46,1
'40, (
1-b , I
4 0 .1
.<:. ( 9 ., /
Z, v ,

F_N VI RON ME NTAL 1_ABO1RATOR t ES
n......nn ni v...,r.-r r .r.,nornos, »r,
Chemical and Physical Determinations
Client: l.. vK '! t`t.CJ b �.
Page 2 of 2
NPDES#: 'VC Li `> 2 ! Start Date: l.) Time: 2_,(1,c.
��•
Test Organism: Pimephales promelas Analyst(s):I t2 iW7 %7(e End Date: )-�; v �% L Time: 1
Concentration: '2-1 '%,
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH Initial
g ."_h
q,l.t
-3,it
` .()6
q.,66
P>L%ii•
` /,ff7
Final
7•S7
.7,9 3
`7.73
7>, 7.
r(. 1-:?;?) �
'7, 3
.7.( 8
D.O. Initial
--%.-)'I-•
-7.714
7. 62.-
-,' /
7,r
li.'1.3
7. _i -
Final
7,Cy3
-?.t�
�^.6�
��.`7l;
(�-..e! (
(�,%G.
6.
Temp. Initial
`)-Li-
Z_, ',
.Z1Z ,
7,5 6/
-Tie
2 s.1
5. 3
7.
Final
ZIA, 3
21.1
-7 l0
roc,';-
VT,61
U.c.-
2.irli• G..-
Conductivity Initial
.'sc3t)
.4 t, t
4...1
}I 1-1
-; ,-'s
. ;%
.,-,. 7.,..-'
Final
,(' /")!
392. 7
f/ 5r(
9.7,f-,
- i C)
3(i'3
'3V—)
Residual Chlorine
40,1
L,
t< :,
Lb,/
1
� � . 1
< =e i
;' .1
4:6:l
Day
Concentration: 'i . r
0-1
I-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH Initial
--) ri'<.r"
cii.D°'4_.
7. `j.
..7q (Z
--7 'If6
.1 4
�; �; ?;
Final
•7, (i
11 b
•7.'iT.5
`G7`;
-i -)
-.,' (o'i
D.O. Initial
1. ��
77
/' 7(
l•G7'!
y7,.
/. 3(,
�rj. j,`•..
(7.iif}
i.,,, Y `�
ri
Final
?.F `
1. 5 (
,M1
r' . ii'
L.:' .,...2
// (r,
-t1 : 7.
Temp. Initial
. ; ?
2.'t. i-
r.l . 1
L: 71 �>
)_`s, ,2
2S . i
.Z• - L.'
Final
a
--.7,4,3
7. $
2- (✓
D..5.
' 't(. !
li-5.'
2-it. 7
Conductivity Initial
`; ,�-t',
` „?,
r',; J:
�G"v'
`.">}
f "76,
i l LQ
Final
j�1.1
:�
�;.6c
(.:,,...:1�
'��? -;
5-0 1
i='.
Residual Chlorine
L ' , I
4 0.1
6-0 .1
4.0 . t
' t' : i
4. (-' . 1
Z. l
Concentration: j'`//
0-1
1-2
2 3
3-4
4-5
5-6
6-7
Remarks
pH Initial
7 .;��
"?.�('"3
`�.7e:�
'7,h0
�•
7.,., J�°�
fl• rf'.f
-7. q 1-
Final
•7, 2 9
) .`r11
7• 76)
•7r t.L944
t l . ° i 11
7 . '
—7, '4
D.O. Initial
1. go
7.7C
`,6,1k,
.7,e,tt
.5
;. 1 Ci
'-7,c77
Final
.7, al
7 .17
(• A.3
L • (:
L. 1
'7,) 9
(b `" /
Temp. Initial
d..S. J
21f, 3
2.'-1.1
-2,5: i
, ._
2c • 1
2 Li, 6
Final
..7
Z ti, C
Z.a, ((J
2; --.c
2q,'1
"7..9",
7 ii -2''
Conductivity Initial
c(W
pig c
`) Bc,
(st
`7 %:IC:)
° i i �,,,_,-")
0 l
Final
p,,c- ,
:.j0.5
1023
1L)/ -
44
7(il.''j
-7 5 5
Residual Chlorine
LO,1
40 i/
L6.1
40,1
Z--fj s /
— O. j
10, 1
Day
ry ti n: ��►o�
.Concentration: V .V
n 1 I ,
0 1 ,--
2
•, 3 3 4
� n c
c c
..
j
6 7
Rcnaarlcs
pH
? • 7 f
7�j l
�,, V;•
Conductivity
(;
r !
11'
s •
Residual Chlorine
4 c'r , /
L. fI 1 /
o , i
Hardness
50
!_;2,..8Alkalinity
\ v
'� Z
9:2

0111PR Af C
ENVIRONMENTAL LABORATORIES
i:.*:;sion vtali, Technolaciy and CararnIs.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Li)0A.\1e,
NPDES #: /1) 00 aq.5 7 7
Date of Test:
`CC/31i 6'
Initial weights taken on: /0 by: mt,
Final weights taken on: lb by: f",-(L_.
Page: of 2
Outfall: I
Organism: Pimephales promelas
REP
A
PAN WT.
(mg)
(.t; I2, . (r.A.
PAN 4- ORG.
INT. (mg)
'4.5'2"b ''
WT. OF ORG.
(mg)
# ORG.
MEAN
WT.IORG. (mg)
SURV %
CONC
--; -C-L,
47:' . 7 .(....-,-4.)
i C; 0 •
,....
,......
(,)
A ,
i 11
T-
,..,
i ----
B
81o. 24
c'e5t-7 ..
-7, .,;,..1
(
(-)10. ::18
,-- . -1
. 1
' ---/ /
1 CAI)
1
1-...01 E-,...!,-) ,
-- 0,-.‘„ ,- .,
7. st
r (...)
0 . 7 (iv!)
1A 00
Bef21::
'S' 1 Li „ -.4'2
;"."
1 0
0. -2 1'1
a
ae, _ 641-.
%. 1 f. • i 3
---si;--4- ,.._;
-to , Lit(
1 o
e.) 79 Li
1 oo
o
815.ci3
%• 2-,-1,0_.3
, i o
1 0
-/0
/a)
WO
D
ci 37
(0 cl
.
I 0
6:(( 9
I ( j ,S 7-•
•
A
beg 21
c-f/6, .2,i?.
7, I/
i 0
4.' , 7I i
100
B
P/bs. P.:-
eb) 1 q 3
G . 97
i 0
0 ct. 1
100
P
Pk.,2....52.,
qoet , Csr-7
, ,
st
I 00
, '7 3 S----
D
8011-, Nr;
co i 0
--.) 5-Li
I 0
.... .
o5
-7 4-
i ciu

81 Ktf-7 L-10. ye- - Ara
EL= til ivt 1 %lb* 'czt.
ENVIRONMENTAL LABORATORIES
A Division ot Voter Technology and Conlrols. Inc.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: L00,11:7e1-1-0ek-
NPDES #: Mc 0(-)2L/S .7/
Date of Test: SA/6
Initial weights taken on: R 9- I by: iA.1,.
Final weights taken on: )1) by:
Page: -- of 2
Outfall:
Organism: Pimephales promelas
CONIC
REP
A
PAN WT.
(m0)
PAN + ORG.
INT. (mg)
WT. OF ORG.
(mg)
It ORG.
MEAN
VVTJORG. (nag)
SUM/ %
2-1 /
X::;47:, ....f.)
5 :,,k, -/:$;'
,,,
i Ci
49 - .) Li
B
1-C.6. 17 i
. ....,
S t ?) ' . "
7 - ‘ird-\
i0
c
f:3 e. CI
c:67,"*".5. ,
10
D. 732
/ (.3 c;
D
POCI . 5,3
s, -1 :A.1)
?.'.7.3
i 0
0773
I 00
41/
,,P7/.
A
(Mil-,?(1
t-5( - 7 19
IC) .
, ,q79
0 _--) 3.11
ia)
(00
foci
B
hit. (,.)rf
C61. -570 0
7.33
10
c
812.90
Sd-1),. 61 0
55", 00
ID
6 , Q;60
A
802-614
0) L-M
qi f (1) ' tr.-A.
''.7 . 6-,
. In
b , 7 4 Cs-
WO
/()
B
8(11.1-1{3
''6 i ). ( 9
(\q4 . t Ck
i 0
0 • ?; 1 g
c
P.; /2_
`..,5 .7) 0 0' - ; -
- -7 -71,_
f 0
0 . 7 7 i
Mu
D
:ILI
Rb4)..8ci
,
c:;;- i Li, Ci9
c6 , 6 0 ,
)0
,.. . ....
0 , b. O)
1 01)

Client: 1 _,A) ft( 1 ti
MERITECH, INC.
Mortality Data: Chronic Fathead Test
,
Start Date: -) Start Time:
End Date: V% di 6 End Time:
K7,.
Concentration L___(3,,i-tic /
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 (..) 0 _o__ 0 0 0 0
Rep #2 0 0 6 0 0 0 • 0 0
Rep #3 Li i) 0 0 0 0 0 0
rN i 0
Rep #4 6' , „, 1
Concentration .() .
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
c.)
Rep #1 (..? C.) t_it 0 t- Ci t..;
Rep #2 (.., 0 _.J 1
„..., o_,I 1
Rep #3 6 (.) 0 . 0 (Th
k, P 11)
t../ 4') 0
Rep #4 (..." 0 0 0 (:).1 0 ' 0
Concentration
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 - 0 0 0 0 0 0 0
Rep #2 0 0 0 a C) 0 ) 0
Rep #3 (,) 0 0 0 0 :kJ 0 I)
Rep #4 U 0 C.)
(.7) D 0 ..•.
( ) ,r-sN,
t)

Client: 4-1 u
Concentration 2J
MERITECH, INC.
. Mortality Data: Chronic Fathead Test
Start Date: :?/..3/14::' Start Time:
End Date: (6110/0 End Time: /06),:cok•—•
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 0 . . oc 0
__O___ P 0 0
Rep #2 0 0 (1) 0 0 0 0 (-1
A..)
Rep #3 0 0 0 E.) 0 d V rTh
0
Rep #4 („; „/
1
Concentration 112.
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 0 ()
t
Rep #2 0 t.) C.)
Rep #3 () i:_; f`) 0 0 1
Rep #4 (sp 0 0
Concentration
.?tu
0
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 0 0 0 0 . ff) 0 0
Rep #2 0 0 0 0 0 I) 0 0
Rep #3 0 (..)
0 .0. 0 L) O.
-c)
Rep #4 -6) (.) rTh .)' 0 0
0
,-,

MERITECH, INC.
Bioassay Sarnpie Chain of Custody
642 Tarnco Road, Reidsville, NC 27320
Phone: [phone] Fax: [phone]
Meritech Sample ID #: QV T() I
Email: [e-mail] Web Site: www.meritech-labs.com
CLIENT INFORMATION
Client: CI Oc Ltrnbc-r-l-on PO #:
Contact Person: -To rnrny Srni-l-h NPDES #: NC 002-1-1-51 1
Address: 700 LID--cari-e S#. Phone: ci 10. ( 0 I. asss
City: \ t Imbnr--1-or, Pipe #: 1
County: Robeson State: NC Zip: 2S3-12
SAMPLE INFORMATION
Sample Site: WW TP E-WI u cnt Munia pat -1
Sample Type: CI Grab Composite # of containers: 9.
Sampling Time: Start Date: _all ' i 0 S Start Time 10 CO PM
IS • 7 • 10 1\1
End Date:
End Time: IC.. CD M PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AlIA IF AT ALL POSSIBLE
MIL' TO DE 1,..)Mi.-'LLY-111/ FULL (no air space), CHILLED AND COVERED WITH ICE'
Collectors Name: Print: Ken:16-1e_ C' W Signature: 1
TOXICITY TEST INFI RM TION
Test Required: chronic (7 days) Test Organism: -.Qeriodaphnia dubia (water flea)
U Acute (24-48 hours) Punephales promelas (fathead minnow)
01 Mysidopsis bahia (shrimp)
!WC: % Test Concentrations (if multiple dilutions):
' Comments:
SHIPPING INFORMATION
Relinquished by: Date: 2i 0
Received by: Date:
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Sample Temperature: (QC):
Method of Shipment: CI UPS 1'Ex c -up
"Samples shipped on Friday must be PedEx and must be clearly labeled for Saturday delivery'
Time: AM el
lime: AM PM
Time: AM PM
Time: AM PM
Time: AM PM
Time: AM PM
lime: AM PM
Time: AM PM
Relinquished by:
Received by: Date:
/
Sample Temperatures (QC): 0,
SAMPLE RECEIVING (Laboratory Use Only)
Time:
/ PM
Sample Condition: 1_
WHITE = Laboratory copy YELLOW = Client copy

Collector's Name:
Test Required:
MER!TECH5 INC.,
Bioassay Sample Chain of Custody
642 Tamco Road, Reidsville, NC 27320
Phone: [phone] Fax: [phone]
Meritech Sample ID #: OVH v
Email: [e-mail] Web Site: www.meritech-labs.com
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
0 fy oC \ u mbe a►n
0.rnrn./ 3rniT
-lap LcIL-C-cCye--i-1--e- S reP+
1 u rnbe H o ri I
Robeson State: 1 VC, Zip:
PO #: 1 '
NPDES #: NC 0024451 1
Phone: q10 (9.71 • ' LC,S
Pipe #:
2S358
Sample Site:
Sample Type:
Sampling Time:
SAMPLE INFORMATION
\NVWTiV F-f lun i �An iK:1 p0l4y
U Grab Composite # of containers: 2
Start Date: 10 Start Time: 10 0A CAM
End Date:
2)-10
End Time: t i i
SAMPLE CONTAINERS AR3L :01: L;OMPL LELY] FULL Ow
Print Ci C� c�:�-1 , . 1 0 W
PM
PM " CHRONIC TESTS SHOULD BE TAKEN
AI= ER 10:OO AM IF AT ALL POSSIBLE.
;t), CHILI.,} D AND COVERED 11'071
Signature:
TOXICITY TEST INFORMATION
hronic (7 days) Test OrganisCpriodaphnia dubia (water flea)
LI Acute (24-48 hours) Pimephales proinelas (fathead minnow)
Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Comments:
Relinquished by:
Received by:
Relinquished by: 7 1 ,:1,64.,2�
SHIPPING INFORMATION
l Ll A Date: e ' Time: `t J
(YIP'
Date: 4j / ,/ Time: u / G/ :r
Date: s..i' Time:
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Date: Time:
Sample Temperature: (9C):
Method of Shipment: CI UPS LI Fed Ex
**Samples shipped on Friday must be FedEx and must be
Aeritech Pick-up
Iearly labeled for Saturday delivery''
AM \EMI
AM
AM
AM PM
AM PM
AM PM
AM PM
AM PM
e
Relinquished
Receive
by:
Sample Temper
by:
G r' LP_ fa- -2---
/
atd� ). / O. /
res
JaaIVING (Laboratory Use On '%Il
eceivea from Lab Secure Area
Date: ", �J I f lI Time: O71 C C A % PM
.
/ Sample Condition: U e. c/ �'
WHITE = Laboratory copy
YELLOW = Client copy

SAMPLE INFORMATION
\Al v\/TP ECT\ vcr)* Muni ci � hi
2
Relinquished by: 1 1 ! .�. '.. • ��. . .
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Client:
Contact Person:
Address:
City:
County:
MERITECK iN
Meritech Sample ID #: C��r� 067
Bioassay Sample Chain of Custody
642 Tamco Road, Reidsville, NC 27320
Phone: 1-•336-342-4748 Fax: [phone]
Email: [e-mail] Web Site: www.meritech-labs.corn
. CLIENT INFORMATION
Ci y c1 LL irnbp)r -on
Tarn ► n SrnrVn
-7C0 1 d--a I?-4+e.
►r S-k-.
LurnheinY
Robeson
State:
NC
Zip:
Sari) 3
PO #:
NPDES #: NCQ02y-51 I•
Phone: C110 • (671- - 12552
Pipe #:
2235
Sample Site:
Sample Type:
Sampling Time:
*` SAMPLE
Collector's Name:
Test Required:
CIGrab Composite # of containers:
Start Date: 3 ' )) • IC R Start Time: IC) • \ CO AM PM
End Date: ? ' (f) - 1 End Time: AO.- l (AM PM ''" ' CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH ICE'
Print: K ^d C, 0\A Signature: 4)0'1/1.Aii
hronic (7 days)
❑ Acute (24-48 hours)
IWC:
TOXICITY TEST INFORMATION
Test Organism: Q' Ceriodaphnia dubia (water flea)
•
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Comments:
SHIPPING INFORMATION
P/0
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Sample Temperature: (°C):
Method of Shipment: ❑ UPS ❑ Fed Ex
Time: 2 K o
Time: /9-:I b
Time: yr /4&
Time:
Time:
Time:
Time:
Time:
eritech Pick-up
AM
AM
AM
AM
AM
AM
AM
AM
PM
PM
PM
PM
**Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery**
Relinquished by:
Received by:
Sample Temperatures (2C):
SAMPLE RECEIVING (Laboratory Use Only)
7 /
Date:
Time:
/ Sample Condition:
('2 V(1 AM
PM
WHITE = Laboratory copy • YELLOW = Client copy

Title: lumberton - survival
,- ^ile : lumbertonsur Transtorm: NO TRANSFORMATION
i }
Shapiro - Wilk's Test for Normality
D=
W=
0.0000
0.0000
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data FAIL normality test (alpha = 0.01). Try another transformation.
Warning - The first three homogeneity tests are sensitive to non -normality
and should not be performed with this data as is.

Title: lumberton - survival
File: lumbertonsur Transform: NO TRANSFORMATION
tartley's Test for Homogeneity of Variance
Bartlett's Test for Homogeneity of Variance
These two tests can not be performed because at least one group has
zero variance.
Data FAIL to meet homogeneity of variance assumption.
Additional transformations are useless.

Title: lumbe.r.ton - survival
pile : iumbertonsur Transform: NO TRANSFORMATION
1
Steel's Many -One Rank Test - Ho: Control<Treatment
MEAN IN RANK CRIT. SIG
GROUP IDENTIFICATION ORIGINAL UNITS SUM VALUE DF 0.05
1 control 1.0000
2 5.25 1.0000 18.00 10.00 4.00
3 10.5 1.0000 18.00 10.00 4.00
4 21 1.0000 18.00 10.00 4.00
5 42 1.0000 18.00 10.00 4.00
6 84 1.0000 18.00 10.00 4.00
Critical values are 1 tailed ( k = 5 )

Title: lumberton
;-'ile : lumberton 'Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D=
W=
0.0515
0.8844
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data PASS normality test (alpha = 0.01). Continue analysis.

Title: lumberton
lumberton Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 11.9569 (p-value = 0.0354)
Data PASS B1 homogeneity test at 0.01 level. Continue analysis.
Critical B = 15.0863 (alpha = 0.01, df = 5)
= 11.0705 (alpha = 0.05, df = 5)

Title: lumberton
ile : lumberton Transform: NO '1'RANSL ORNu1TION
SOURCE
ANOVA Table
DF SS MS F
Between
5 0.0246 0.0049 1.7158
Within (Error) 18 0.0515 0.0029
Total
23 0.0761
(p-value = 0.1820)
Critical F = 4.2479 (alpha = 0.01, df = 5,18)
= 2.7729 (alpha = 0.05, df = 5,18)
Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05)

Title: lumberton
File: lumberton Transform: NO `1`kANSFoRMATION
Dunnett's Test
TABLE 1 OF 2
Ho:Control<Treatment
GROUP IDENTIFICATION
TRANSFORMED MEAN CALCULATED IN SIG
MEAN
ORIGINAL UNITS T STAT 0.05
1 control 0.7437 0.7437
2 5.25 0.7388 0.7388 0.1321
3 10.5 0.7243 0.7243 0.5153
4 21 0.7575 0.7575 -0.3634
5 42 0.8175 0.8175 -1.9490
6 84 0.7892 0.7892 -1.2025
Dunnett critical value = 2.4100 (1 Tailed, alpha = 0.05, df = 5,18)
Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Dunnett's Test
TABLE 2 OF 2
Ho:Control<Treatment
NUM OF MIN SIG DIFF o OF DIFFERENCE
GROUP IDENTIFICATION REPS (IN ORIG. UNITS) CONTROL FROM CONTROL
1 control 4
2 5.25 4 0.0912 12.3 0.0050
3 10.5 4 0.0912 12.3 0.0195
4 ' 21 4 0.0912 12.3-0.0138
5 42 4 0.0912 12.3-0.0738
6 84 4 0.0912 12.3-0.0455

Part E
Toxicity Test Data
May 2012
Chronic Pass / Fail Acute LC50
And
Chronic Fat Head Minnow Multi / Concentration Test

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/18/12
JFacility: CITY OF LUMBERTON
7
x
x
NPDES#: NC0024571 Pipe#: 001 County: ROBESON
aboratory Performing Test: MERITECH LABS, INC.
UU
Si nature of Operator,in Respgnsible Charge
Signature of Laboratory Supervisor
Comments:
* PASSED: 0.99% Reduction *
Work Order:
MAIL ORIGINAL TO:
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
14
18
15
18
15
18
20
19
14
16
18
17
Adult (L)ive (D)ead
Effluent %: 21%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9, 10 11 12
# Young Produced
16
19
11
18
16
18
13
21
17
16
15
20
Adult (L)ive (D)ead
Chronic Test Results
Calculated t = 0.166
Tabular t = 2.508
% Reduction = 0.99
% Mortality
Avg.Reprod.
0.00
Control
16.83
Control
8.33
Treatment 2
16.67
Treatment
2
Control CV
11.836%
control orgs
producing 3rd
brood
100%
ASS FAIL
X
Check One
pH
Control
Treatment 2
D.O.
Control
Treatment 2
1st sample 1st sample 2nd sample
8.17
8.13
8.06
8.14
8.18
8.10
8.15
8.12
8.16
7.92
8.13
8.00
s s s
t e t e t e
a n a n a n
✓ d r d r d
t t t
1st sample 1st sample 2nd sample
7.65
7.45
7.65
7.30
7.55
7.48
7.6.1
7.45
7.69
7.18
7.70
7.26
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates
Complete This For Either Test
Test Start Date: 05/09/12
Collection (Start) Date
Sample 1: 05/07/12 Sample 2: 05/09/12
Sample Type/Duration 2nd
1st P/F
Grab Comp. Duration D
I S S
Sample 1 X 24.1 hrs L A A
U M M
Sample 2 X 24 hrs T P P
Hardness(mg/1)
Spec. Cond.(pmhos)
Chlorine(mg/1)
Sample temp. at receipt(°C)
44
180
753
675
<0.1
<0.1
0.3
0.6
0,1
%
96
96
%
%
96
96
Concentration
Mortality
LC50 =
95% Confidence Limits
Method of Determination
Moving Average Probit
Spearman Karber _ Other
start/end
Note: Please
Complete This
Section Also
start/end
Control
High
frm n
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
D .0.
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Client: Lv„„1,,er w
o ,c,C ✓\ Date Start:
NPDES #: NC c c- 2 Li S 7 / Date / Time of Culture Transfer: S ' 'I ' { i Time Start:
Dilution Water: Lake Rein Ie l 'vdate / Time Neonates born:.`�� ' 1;� I :9O --) ,10 fi 1 st Renewal Date:
Test Organism Source: Tray # Age of Neonates at Test Start: 'XI hours 2nd Renewal Date:
Stirred / Aerated for D.O.: Y © Randomized: oY / N Culture Tray Temp: 2- .3 °C
S 1li7
0: 3
Control Organism Reproduction
Day #2 1 2 3
iviernecn, Inc.
Mini Chronic Pass/Fail Test: Ceriodaphnia dubia
Pipe #: Gp j County:
Analyst(s): mer, MR, ST
Incubator #:
Date End:
Time End: "%/, ,
Time: % (�<�-�
.i/l'-/ / z Time: : (9.`?
Reviewed by:
4 5 6
# Young Produced
0
0
0
0
C>
0
0
0
0
.
C)
a
Adults Live / Dead
L-
L-
L
..
L...
L
\--
l-_-
L.
L-
\--
Day #5
3 , 4a 5 s 6
# Young Produced
54
4/
-3/‘,3/6,*,,
3 6
? 7
3/(7
.'77
° �_,
fee;r.
!
Adults Live / Dead
.L
L
L_._
L.
L
L
L
i_-
t__
L
g—
Day #7
1
2 3 4 5 6
# Young Produced
.
6,
9
6
'
0
/6
rS
7
7
Adults Live / Dead
1___
L
(_
L
L
L
L
L
L__
,_
L
'
Total Produced
/9
/ 1
) t) t '
/5-
/8
, 19
/
/
7()
/
/7
Test Sample Organism Reproduction
Effluent %: 2
Day #2
1
Percent of Control producing third brood: _
2 3 4 5 6
# Young Produced
)
0
0
0
0
0
Cis
0
Ci
C)
0
Adults Live / Dead
L
L .
(..-
(__
L
t-.
L.
L-
l_-, •
L
L.—
L
Day #5
1; 23 4, 5
7 8. 9 10 11
# Young Produced
���-
��7
���
;7
11
�..�
IA
�/7
`�/
��
.7
-�
Adults Live 1 Dead
�,_
I,_
L
I,—L
L
a
'i 1
Day #7
1
2 3 4 5
# Young Produced
7
V
1
1.
6
7
el
c
6
6
6
10
Adults Live / Dead
L
L.
c)
L
L
t_
L
(-_
L
e__
L
C t
- Total Produced
1C3
/
j
Icii
(t,
/'
) `7
- j
)7
)4,
cc
;Tt J
Cnmrnents:
Sample 1:
Collection (Start) Dates:
517 //2-
Sample Information
yvti
Sample 2: < % //2-
100% pH
G / C?
Duration
Sample 1
'7.1
C.
2 Li. 1 hours
Sample 2
7! . €
c.•
2-q hours
Batch #
6)
.-72
Sample
Sample
Transfer Day
0
2
5
J
4 '5
Hardness
(mg/L)
�jj 1)
I
111_
`IIwt
:L.,(y;
t
�3 laitk
y't�x
Spec. Cond.
(umhos/cm)
i
I
3S'3
<
67J
Chlorine
(mg/L)
-, 4;1Y
'
r"ct ,
iZr
,^ '' ,
/
f, 1
-"'"' I
Receipt Sample
Temp. (C)
,1 ri $;
. � 'I
i:, i
' ..si!
i 'S ,•
e� '� .'''
6 3
//°��
V. (0
lst Sample
Control
9'')�
C<')7'
Sample
C06
-,1(
D.O.
initial final
lst Sam le
Control
14(
7'1/S
Sample
As
7)0
Temp.
initial final
1st Sample
Control
2q'vl
��
Sample
Z`I' V
-/,10
initial final
Transferred by: Fed by:
Day 0 (AUL- r'►tY�-
Day 1'�
Day 2
Day 3
Day 4
rLQ L—
Day S Utif 19-'-
Day 6 Y�t4-
Terminated by:
2nd Sample
c6-, Ip
rz
initial final
2nd Sample
75
'?'fib'
76/
initial final
2nd Sample
z�('L
Z
2nd Sample
gib
79z-
gi3
initial final
2nd Sample
7 i1
'7/-i
770
Initial final
2nd Sample
2gd
initial
final
nitial
final

MERITECH, INC.
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(r�bellsouth.net Web Site: www.meritech-labs.com
Meritech Sample ID #: V v l (:
Tox IOf3
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
Ci{y O� Lunn eon
Tormm\ Sm"
70C Laf c 5+
Limber--0�n
Robe,SOr> State: NC
Zip:
PO#:
NPDES#: NC 002457I
Phone: qlO . ( 7 l- ,3
Pipe #:
2372
Sample Site:
SAMPLE INFORMATION
W\NTP Muni clpaii-, L- luenf
Sample Type: ❑ Grab Composite # of containers: 3
Sampling Time: Start Date:
End Date:
5--1- 12.
—� CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH ICE ***
5-R-.12
Start Time: IC • 07 AM PM
End Time: 10 .07 AM PM
Collectors Name: Print: Ken:IC- C C , LoWlry
TOXICITY TEST INFORMATION
Test Required:
Comments:
Chronic (7 days)
❑ Acute (24-48 hours)
FWC: 2,1 %
Test Organism:
Signature:
.f4A.( l D
Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
CgNQ"Uk..
Relinquished by;
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
Date:
Date:
5.8 12
Date:
Date:
Date:
Date:
Date:
Date:
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX
Time:
Time:
Time: y -' AM
Time:
Time:
Time:
Time:
Time:
AM
/;' c) t, AM
Meritech Pick-up
** Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery **
AM PM
AM PM
AM PM
AM PM
AM PM
Relinquished by:e
ReceivEd by:
`�i
SAMPLE RECEIVING (Laboratory Use Only)
7 I
Sample Tempera t res (°C): / C, �j /
Date:
Mb.;
c�
Time: J : L( 5 A
r-7 Sample Condition: (L'.�
WHITE = Laboratory copy
YELLOW = Client copy

MERITECH, INC.
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(o�bellsouth.net Web Site: www.meritech-Iabs.com
Meritech Sample ID #:
—rox 2or 3
CLIENT INFORMATION
Client: G) � Lu r-njC n
Contact Person: —VG 1"Y7r"'�1\� YYl•IT1
700 Ic a e T 11•
��
Ltmber+0
Address:
City:
County:
Sample Site:
Sample Type:
Sampling Time:
State: \ C Zip:
SAMPLE INFORMATION
PO#:
NPDES#: NC CCDL.-57 I
Phone: glQ•(0-/ t 385
Pipe #:
V\lwTP Muo►capca11 &p yen+
❑ Grab # of containers: 3
Start Date:
End Date:
5 • q 12w
PM
PM —fl CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (rio air space), CHILLED AND COVERED WITH E,U)(11±1:1DC Pi j
**
Collector's Name: Print:
5•10-12_ R
Start Time: 10 ' 07
End Time: 1 0 % an
Signature:
Test Required:
Comments:
Chronic (7 days)
❑ Acute (24-48 hours)
awc: 29 %
TOXICITY TEST INFORMATION
Test Organism:` Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished. by:
Received by:
Relinquished by:
Received by: •
Relinquished by:
SHIPPING INFORMATION
a
1
Received by:
Relinquished by:
Received by:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
5-ID.12
Date: / d/;
1 i'f/
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX ❑ Meritech Pick-up
** Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery **
AM P,
AM
AMA
AM PM
AM PM
AM PM
AM PM
AM PM
MPLE RECEIVING (Laboratory Use Only)
() c J
Relinquished by: C / t✓ ( �,.�-�
Receivedis iJ Date:
�f►�CE a_
Time:
Sample Temperatures (°C): 0, �i / U.. Cr / / Sample Condition:
C.a.
AM M `
WHITE = Laboratory copy YELLOW = Client copy

Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 05/18/12
Facility: CITY OF LUMBERTON NPDES#: NC0024571 Pipe#: 001 County:ROBESON
Laboratory Performing Test: MERITECH LABS, INC.
Reduction: 0.99%
CONTROL 21% Effluent
# Replicates 12 12
Female Live 12 11
Adult Male 0 0
Adult Dead 0 1
Adult Mortality 0.00% 8.33%'
# Neonates 202 200
Mean # Neonates 16.833 16.667
Standard Deviation 1.992 2.839
Coefficient of Variation 11.836%
A = 12
Fisher's Exact Test
B = 12 a = 12
a/A = 1.00 b/B = 0.92
Success is: survival
Critical b value = 8
11 > 8
b = 11
The test concludes that the proportion of survival is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered i Group Neonates Centered
1 E 11-5.6667 13 E 17 0.3333
2 E 13-3.6667 14 C 18 1.1667
3 C 14-2.8333 15 C 18 1.1667
4 C 14-2.8333 16 C 18 1.1667
5 C 15-1.8333 17 C 18 1.1667
6 C 15-1.8333 18 E 18 1.3333
7 E 15-1.6667 19 E 18 1.3333
8 C 16-0.8333 20 C 19 2.1667
9 E 16-0.6667 21 E 19 2.3333
10 E 16-0.6667 22 C 20 3.1667
11 E -16-0.6667 23 E 20 3.3333
12 C 17 0.1667 24 E 21 4.3333

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
COEFFICIENTS AND DIFFERENCES
i x(n-i-1) x(i) a(i) x(n-i-1) - x(i)
1 4.3333 -5.6667 0.4493 10.0000
2 3.3333 -3.6667 0.3098 7.0000
3 3.1667 -2.8333 0.2554 6.0000
4 2.3333-2.8333. 0.2145 5.1666
5 2.1667 -1.8333 0.1807 4.0000
6 1.3333 -1.8333 0.1512 3.1666
7 1.3333 -1.6667 0.1245 3.0000
8 1.1667 -0.8333 0.0997 2.0000
9 1.1667 -0.6667 0.0764 1.8334
10 1.1667 -0.6667 0.0539 1.8334
11 1.1667 -0.6667 0.0321 1.8334
12 0.3333 0.1667 0.0107 0.1666
1
W = X 129.4191
132.3333
Calculated W = 0.978 Critical W = 0.884
0.978 z 0.884
The reproduction data is normally distributed
evaluated at a 9996 confidence interval.
Test Passes!
F test for Homogeneity of Variance
Effluent variance 8.0606
F = _ - 2.03
Control variance 3.9697
Numerator degrees of freedom: 11 Denominator degrees of freedom: 11
Critical F = 5.32
2.03 s 5.32 =► The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.

EQUAL VARIANCE t TEST
16.8 - 16.7
t = _ 0.166
1.001
Degrees of freedom = 22
Critical t = 2.508
0.166 < 2.508
Test passed. There is not a significant difference in reproduction
between the Control and the effluent evaluated at a 9991; confidence interval.
Chronic Test PASSES

Part E
Toxicity Test Data
May 2012
Chronic Fat Head Minnow Multi / Concentration Test

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 E.4 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.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
® chronic 0 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: 1-Pimephales promelas Test number: Test number:
a. Test information.
Test Species & test method number
Pimephales promelas, Method 1000.0
Age at initiation of test
21.75 to 23.75 hrs
Outfall number
o01
Dates sample collected
8/08/12, 8/10/12, 8/11/12
Date test started
8/08/12
Duration
7 days
b. Give toxicity test methods followed.
Manual title
Short Term methods for estimating the
Chronic Toxicity of Effluents and
Receiving Waters to Freshwater
Organisms
Edition number and year of publication
Fourth Ed. October 2002
Page number(s)
53 to 111
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
3 - 24hr samples
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
X
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Test number: : 1-Pimephales promelas
Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Effluent outfall 001, after all treatment
processes
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
Acute toxicity
g. Provide the type of test performed.
Static
-
Static -renewal
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Soft synthetic water, made with reagent
grade chemicals according to EPA
methods
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
5.25, 10.5, 21, 42, 84%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Yes
Salinity
n/a
Temperature
Yes
Ammonia
n/a
Dissolved oxygen
Yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
nra
LCso
nla
95% C.I.
nla %
%
%
Control percent survival
n/a %
%
%
Other (describe)
n/a
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571,
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Chronic:
NOEC
84 %
%
%
IC25
>84 %
%
%
Control percent survival
100 %
%
Other (describe)
Chv >84% .
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Yes
Was reference toxicant test within
acceptable bounds?
Yes
What date was reference toxicant test
run (MM/DD/YYYY)?
08/10/12
/ /
/ /
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes ® No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:
E.4.- Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: n/a/ / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PARTE.
REFER TO. THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
NPDES FORM 2A Additional Information

' Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Date:5/22/2012
Facility: Lumberton NPDES # NC00 24571
Pipe #: 001 County: Robeson
Laboratory: Meritech, Inc.
uV
ure of Operator in Responsible Charge
X
Signature of Laboratory Supervisor
Comments
Single statistical inversion in the 5.25% test
Concentration.
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
5.25
Surviving #
Original #
Wt/original (mg)
10.5
Surviving #
Original #
Wt/original (mg)
21
Surviving #
Original #
Wt/original (mg)
42
Surviving #
Original #
Wt/original (mg)
84
Surviving #
Original #
Wt/original (mg)
Water 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) !nit/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp. at Receipt (°C)
Dilution H2O Batch #
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
5/8/2012
1
2
6:30.PM
3
4
Avg Wt/Surv. Control 0.752 Test Organisms
10
10
10
10
10
10
10
10
0.808
0.636
0.801
0.762
10
10
9
10
10
10
10
10
0.496
0.644
0.665
0.678
10
10
10
10
10
10
10
10
0.767
0.728
0.739
0.719
10
10
10
10
10
10
10
10
0.723
0.728
0.768
0.708
10
10
10
10
10
10
10
10
0.709
0.609
0.596
0.845
10
10
10
10
10
10
10
, 10
0.747
0.742
0.729
0.693
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
100.0
0.752
97.5
0.621
100.0
0.738
100.0
0.732
100.0
0.690
100.0
0.728
r Cultured In -House
I Outside Supplier
Hatch Date: 5/7/12 •
Hatch Time: 3:00 pm CT
0
2
3
4
5
6
8.22 /
7.92
8.23 /
7.78
8.17 /
7.90
8.21 /
8.04
8.26 /
8.15
8.22 /
7.82
8.27 /
7.96
7.44 /
7.18
7.57 /
6.83
7.55 /
6.64
7.68 /
7.54
7.77 /
7.55
7.64 /
6.90
7.59 /
6.92
24.4 /
24.2
24.5 /
24.3
25.0 /
24.2
24.7 /
24.2
24.5 /
24.2
.25.0 /
24.2
25.5 /
24.2
0
2
3
4
5
6
7.69 /
7.97
7.87 /
7.89
7.85 /
7.89
7.81 /
8.36
8.25 /
8.35
8.21 /
8.05
7.95 /
8.05
8.18 /
7.06
7.70 /
6.84
7.90 /
6.90
7.84 /
7.48
7.58 /
7.43
7.60 /
6.97
8.01 /
7.22
24.5 /
24.2
24.9 /
24.3
25.5 /
24.2
25.1 /
24.2
24.3 /
24.2
24.4 /
24.2
24.7 /
24.2
1
2
3
5/7/2012
5/9/2012
5/10/2012
24.08
23.98
23.92
54
60
62
79
109
107
759
682
843
<0.1
<0.1
<0.1
0.3
0.6
1.4
625
48
55
218
626
627
48
48
57
59
206
229
628
629
41
48
56
59
194
222
Normal
Hom. Var.
NOEC
Survival
84
Growth
Trik
d `(
84
LOEC >84 >84
ChV >84
>84
Method Steel's Dunnet's
Overall Result
ChV
>84
Stats
Conc.
5.25
10.5
21
42
Survival
Critical Calculated
10 16
10 18
10 18
10 18
Growth
Critical Calculated
2.41 2.6917
2.41 0.2774
2.41 0.4109
2.41 1.2739
DWQ Form AT-5 (1/04)
84
10 18
2.41 0.4931

Meritech, Inc.
Chronic Fathead Minnow Benchsheet
Transfer and Feeding Dates and Times
Client: Lumberton # of Organisms per Chamber: 10
NPDES #: NC0024571 Test Vessel Size: 400 ml
Start Date: 5/8/12 Time: L
End Date: 5/15/12 Time: �✓c c
Initiated by: Test Solution Volume: 250 ml
Date/Time Fed: 5/8/12 )4. ,,, Temp. of Stock: ,, °C Randomization:
Date/Time Born: 5/7/12 3:00 PM CT # of Reps: 4 Incubator #:
Transferred by: Fed by:
Date Time Initials Date Time 1 Initials Time 2 Initials Time 3 Initial
Day 1 5/9 !/�` Y a- LL ; Day 0 5/8 1C)1 etL., /MIA- 7L ,(k --
Day 2 5/10 (12 }A,,. 33u-:' Day 1 5/9 100A... )-b' A- / Zc) ;4 i_ . �3; q e ?f
Day 3 5/11 '. � - ' ` y Day 2 5/10 7?'�-i 4VA- t4 iL � VIJ7—
d' ). J d
Day4 5/12 f��.;�.dJvti-- �"���'�- Day 3 5/11 �`�U1):e2� +'��"`'" e2,3,5.,.-- �!/;:�. � �� 9'��:��. Si'
•
Day 5 5/13 a n.�"-tii�- rL Day 4 5/12
1,14'L,- A/14.c b? jD`,A `s :,'--
Day 6 5/14 3"`3-CV rill,: 1— Day 5 5/13
Day 6 5/14 ys � t:,� . i !,E �u�,_. > ^v,: "2, :� � • J4
Test Termination Data:cf,.
Initials/Signature: 67; )94..
End Date: 5/15/12
End Time:
= Weekend, only 2 feedings needed

ERITECM, I
ENVIRONMENTAL LABORATORIES
Division of Water Technology and Controls, inc_
Chemical and Physical Determinations
Client: Lumberton NPDES#: NC0024571 Start Date: 5/8/12 Time: i;, 7 I1.1
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/15/12 Time: 11.2506L---
Day
Concentration: control
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
Batch # :
/ _ ..,
._....
s
6
4.
( j'1'
f
pH: Initial
"", .`2_
c', -2-3
q, i ?
g 2- I'
'�i e '
L ' 4� L.s
`� .9:
t"p r :rt
:Z7
Final
-7.9 % -
•7,,i°S
-2 :qO
, -
% pa:
--" ,S' ,
---) .96
D.O.. Initial
7 ,L4 q
? $ .2
l., 5:
+] 6k'
, ;. ,
Z
-, �t
Final
7rir
(5-3
6)-(a`t
7,
',, S.
1-_9&
( qL-
Temp.: Initial
.!',LI
t/.
7� , 0
ZY?
2 / e___
�� ,,b,
. -:,5---
Final
.2q _.
, .
2Lt3
2:, �
'. a/z�_
2 1L._
�' 5 .
71/) _
Conductivity: Initial
.* . g`
o&.it ,
: ' '. .:
. ,YJ
/ )LI
r -j
1 (r;
Final
; ; )� i
3k,to
25i
aL f2
`: f '«
`?
8'
Residual Chlorine:
i u C
411
.:4 /
C()< /
r .t`,?, l
i ... /
iL l
Hardness:
;'
Zr?:,�
. _
..z,
'i l
'I ".
Alkalinity:
^,
a'
y
a': w-
Da
Concentration: 5.25%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
s V -$'
6, Z 2-`
% I L/
/ � .
8a'i
.- /
gr, G
Final
'` '.
%
, .7s--
`-7 . %
', '-1-
- / c/
?. .3
', <✓)
D.O.. Initial
, Li
.'5-
7•(r c'
0
7�
s r3
. Final
—2, �11
'�C0
,.(9
./,444
`7` J.3
07
7,5 c'.-
Temp.. Initial
2 �j (7(
-....?, 9, (
2.1LU
29, 7
I,.5
' �L
_ 5' ..
Final
?Li
..2 �_)
`z � �..__
/..?
- .-4 ., L-_
..? t(,
z 2
Conductivity: Initial
2:-.` 7_,
,� `
' 9 ` 3
z T
-::914 1
-- e". C
Final
::!.0Cj
` ,'..
2t
` :::t(,)
7;t1c. I='-
�'i`}. 3
Residual Chlorine:
.0 • C
LG . I .
r. & . /
Z C' , i
;r, i
. 1', %
40. , f
Da
Concentration: 10.5%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
,S 2
5. 1.7
Foe/
5.1 u
t 8 Q
e.,;-k
r
Final
��: C :?
'7. j
,.� 7
r' , g-t
F..i s :" _`
'-c6 rI
7 7 7
D.O.: Initial
.r !• `i
)63
"7 too
7,?2-
: 3
'/,
''.,,,'.frf:,/
Final
-]./ C.
6),(0, P
6 ,SD
141
'` _ s
.705 -
%t�
Temp.: Initial
7Li, L/
2'_,Fl. J
? i
.7 ar
•-7 e/.Vf
qel
.',` P._
Final
2,1-1 a-
2'4a 3
Z V, a.
='/Z
. `'i• -
? . ),-,.
Z 2—
Conductivity: Initial
,, %' j"
(1:7, c `;..
*;:-.,.1
'Y
' { y' '"--
R,° ''''
: *-- • t.
Final
r-.. �:;..
#
.247
c::: 1
}1
rd it
°:,z.
r, i 0)
Residual Chlorine:
7e,,:.0
4-e .. i
La bi
0:
isel. I
?; /
;t : /

7T7E0-1-77,
LAkEtCIR...:1-CDFUES
rpc-I,e.cology C-crfer.o/s. "-PK,
Chemical and Physical Determinations
Page 2 of 2
Client: Lumberton NIMES/4: NC0024571 Start Date: 5/8/12 Time: L- -
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/15/12 Time: j 02"
Concentration: 21%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7 ,99
,g, II
g Os-
9,6
Final
7, (1 i
.---?.?5—
-7 .8/
5-c,,.,,,..4 .
; , Ilci.
74 3
s._ 0 2_
D.O.: Initial
7 ,(,s.-
-2, (-4-
'7,(r,2-
.7.. 7 o
--,q, (thy
7. (0 `k.
7, 7?-,,,/
Final
7. LI (1..1
(,'..-.2„, 5
--) is--
-.3- ..1.5-
":7 „ V, 41
(0, qei
Temp.: Initial
'234, i-1
"2q .- .
...zs-.2....-
giii. 7
•--4' 9 /
..7.L).(0
2...t,-/.. 4?
Final
.r2.q., 1_
24,-.3
.-2 '1,2_-
-.,7 (.1,2_
21L--
-2.14 1.
.2,q. 2...._
Conductivity: Initial
-
54(0
:7i:54
-2,,.fi
2/
-,7 IS
Final
;V:44--1-
A
P;(1) ,I
7:2;6 '
-StY-1--
•1+)
Residual Chlorine:
,L 0- i
-=',.' e , 1
,i-o ,
--c>•LC,";.
i
Z...,)
-'-'.` 0. i
Da
Concentration: 42 Vo
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7, F 7
Si 01(
7. c7 7
.7 9 i
is',, 83
) •
Vx) 6
Final
'7.ci.f1
"? .3f-/
790
, g 3?)
(i,', -,-.3 a'
--/,
D.O.: Initial
7.,z,- 3
-26K
'7,6 q
.7, g2-
1-, 5'6
- . s. -
'75"'l
Final
' „":,-
6-S-if
-?-0 --2
':1,-. 14 i
'7 , LI-F)--
..2 .
..- '
Temp.: - Initial
-I- II ., ,c--
1...ii, il..--,-,
7,5-. q
25,-. 0
-211 z
7, tt''r
Final
2_ 71-•
c.,, (4,3
7-4 .7,,
72.:i1,2_,.
-2-1-1, z..
-2 t,i,L.
a II t—
Conductivity: Initial
Li L'iL-
1-481,-=1
'''.1. (7
(i ILI f
Lr--.).;-.1)
I (.; ;-.),
' ' t'
Final
'‘Itkili2;'
..CY
14 Li 3
1:14.Ci'S.--
411'4
Residual Chlorine:
-4 cl- I
2., t.:.„ /
..2:0 . 1
2_0, /
.4 ei. /
-" I,'
.4 0,, /
Da
Concentration: 84%
0-1
1-2 y
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7, (Oci
'7S? I;
-7-Y'S----
'7, '/'
q-as
...74--,:.--47
Final
'''7, cf?
.7,51 "
,1119
15)i a°
3: -..-..e: :r--
, . `0,_C
... -
? : 0
D.O.: Initial
(4. 1, rl '
2'26
- .
790
-7 ..q
-4 :..`7),---s
Final
--?,Ob
(;.5''-/ '
6...4ic1-1-2--
Temp.: Initial
2 ti, 5-
254.7
--z.,5,-„(
05: /
21- 1:, ,3
'7 Et. t./
7 ti '7
Final
„,.—
• -HQ.
1 2.--
, i ,
7--L
74 1--' 1
- - 7
-7--if,--1_,
-.2_(4..t.,
2t.642---
Conductivity: Initial
(63 7
.2-44,.c.:!,-;,_..L:
'_:-. 1 (.,
,cit? t
.7-1.,:‘::;?;;),
Final
'UFO
7 :,:-7) 9
633
(OLI-e:-...t.
7,/,`-; -"t-1721(-)
:',".iv' f 0
Residual Chlorine:
46' '1
4 C; , 1
Z 0 . I
Z-0 : 1
f. ti I --.Ce:' . i
t - e'. /
Da
Concentration: 100%
0-1
1-2
2-3
3-4
4-5
5-6 6-7
Remarks
pH:
-," 41c;
,.....,
.
<, 2---
Conductivity:
?
5-9
(c) e 7-
Residual Chlorine:
41
(..:1 , /
2......
0 , /
Hardness:
Alkalinity:
7 9
1 (c) ct
1
(7

x 'ERITEcI, IN -Cm
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 5/8/12
Initial weights taken on: , y by:
Final weights taken on: r'1?'tj L.- by:
Page: 1 of 2
Outfall:
Organism: Pimephales promelas
CONC
REP
PAN WT.
(mg)
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV %
Control
A
r.(C.�, , dt_��``€
7`/ ' 5 ?
c4, )%
I C,rj
ti� o'z
(�) 0
yy V
fJ
-
C
s (
L t
q ,ir 1
(, iJ
l_[.
t o
-�,
ti. a:•
A
A
` '
Oi
`'� L
1
,`r Lac
' )
!/ IJC
B
(r�.tL...i ij 9
�'s .j�\ �Yi zh , _ -
' ; ` 7 .5 j
jj
(j°j . / Li
f L
t / 6, Lit('
i 1) b
D
`' : :_
s>'i(. !I
(
� '.
(` '
0.
{ CIO
10.5%
A
� ..r3 yK/ :1
6 .)
� t�
� �
� '.. 7�, 7
I ; �
B
-
Ii7U
C
figg, 4,_ , ( '11.,
( Ip�
<sll.. J ,`: 44`
1. •I)L
i
i i:rP
F
f;. --) 2 C1
tiy)

ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 5/8/12
Initial weights taken on: , I L. If) by: BOrganism: Pimephales promelas
Final weights taken on: ;!> 1' by: 0-0-t----
Page: 2 of 2
Outfall:,
CONC
REP
PAN WT.
(mg)
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV
21 %
B
",
' , , 1r. .�
`�i i% ?) . 7 C;
{' . -00
) L)
C` ....
-) Z-.Cam
1 t l
D
rr
am,
Z7. 5 2 (
C)3
( i
1
c•�
42%
A
i�:'• C:_,0
• (0
r , li?
. t
1' `r
0, 7( ) I
ll tj i_.
B
, . ;- '71
. „• 11l
c./71.- (
/ 0
c4. Cr<c`, t
< <v•L1
•
/
;
0

MERITECH, INC.
Mortality Data: Chronic Fathead Test
Client: Lumberton NPDES#: NC0024571
Start Date: 5/8/12 Time: _2011
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/15/12 Time: ID2,-'L.---
Concentration Control
Day 0
Rep #1 C1)
Rep #2 0
Rep #3
Rep #4 0
Concentration 55.25%
Day 0
Rep #1
�.r.
4
Day 1
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
�J
5 `I
C)
Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
` • ,; `t
l f'
/ i 'ems 0
Rep #2--`' �) 0
Rep #3 0
Rep#4
Concentration 1®.5%
0
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 0 0 (L) 0
Rep #2 t`�,S /r) (,_,0�.
Rep #3 0 0 0 `
Rep #4

MERITECH, INC.
Mortality Data: Chronic Fathead Test
Client: Lumberton NPDES#: NC0024571
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST
Concentration 21 %
Start Date: 5/8/12 Time: L„ -0;,
4
End Date: 5/15/12 Time: t, ��-0'� �` -
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 L" 0{•.!'�
Rep #2 0(1) (� 0
Rep #3 0
Rep #4 0 0 C)
Concentration 42%
0
)
0
0
0
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1
Rep #2 `= 0 (;: % 0
Rep #3
0
z 0l
Rep #4
Concentration
84%
/2
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
sy r11 /1 ' .Z (,)
Rep #1 U '� 1 r 2
Rep #2 (t) • l
0
Rep #3
)
.7' l 4 \
1
Rep #4 i e, ;
c
(� a

MERITECH, INC. Meritech Sample ID #: O co ` CP
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtechObellsouth.net Web Site: www.meritech-Iabs.com
%x I of 3
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
Ci+y c Lum e *on
7o v , 5+
Ro
JGJU n
State:
N5
Zip:
PO#:
NPDES#: NC 00214-511
Phone: 910- (01- aS 8
Pipe #: 1
2S372
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
SAMPLE INFORMATION
WWTP Mt iniclp()Ai`�y E1 1ven-�
" 'Composite # of containers: 3
Start Time: Id • LJ/ AM PM
End Date: 5-g -12 End Time: to . O7 AM PM -0 CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH ICE ***
Signature: l C L
Collector's Name: Print: Kerrie-Hr. C _ L0 wry
TOXICITY TEST INFORMATION
Test Required: Chronic (7 days) Test Organism: Ceriodaphnia dubia (water flea)
-❑ Acute (-24-48 hours) Pimephales promelas .. (fathead. minnow)
❑ Mysidopsis bahia (shrimp)
2,1 % Test Concentrations (if multiple dilutions):
Comments:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
Date: 5 - 8 - 12. Time:
Date: . .i " ^/ Time:
Date: S—, 0-` / Time:
Date: Time:
Date: Time:
Date: Time:
Date: Time:
Date: Time:
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑. Fed EX
Meritech Pick-up
AM
AM
AM
AM . PM
AM PM
AM PM
AM PM
AM PM
** Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery **
c
SAMPLE RECEIVING (Laboratory Use Onlv)
Relinquished by: 7v
Received by:
Sample Tempera ures (°C): (f' / G4 /
Date:
Time:
n
Sample Condition: Ce0(
WHITE = Laboratory copy YELLOW = Client copy

MERITECH, INC. Meritech Sample ID #: 0 S N, bG6
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtechAbellsouth.net Web Site: www.meritech-Iabs.com
-Tox 2 QC -
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
Ci+\j1 of Lumb
he -son
Si-•
State:
t\C
Zip:
PO#:
NPDES#: NC COS-57
Phone: (IC -tin k-3858
Pipe #: I
2.958
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date:
SAMPLE INFORMATION
y\JWT,P M,unicapca1; &- 1uen+
omposite
# of containers: 3
5• q 12' Start Time: 10 07
7
5.10 - 19 R End Time: l n % ao
PM
PM —' CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH E ***
Collector's Name: Print: rariAt C. 1_0vir1 Signature:l� X J�1LY�� '3`uM C
TOXICITY TEST INFORMATION
Test. Required: Chronic (7 days) Test Organism: Ceriodaphnia dubia (water flea)
❑ Acute (24-48 hours) _ P-imephales promelas {fathead minnow)-
0 Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Comments:
IWC: 2JOA
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
5- 1 D.12
a
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Time: I . 3. AM GA i
Time: / ^y % J AM ,
Time: f .,'/ AM ENV
Time: AM PM
Time: AM PM
Time: AM PM •
Time: AM PM
Time: AM PM
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX ❑ Meritech Pick-up
** Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery **
MPLE RECEIVING (Laboratory Use Only)
Relinquished by: tyJl�C.t.L r
Received Y Date: c l 1 0! l )--'
Sample Temperatures (C): V . lQ / U - Cr I /
Time: J l C! AM N
Sample Condition:
WHITE = Laboratory copy YELLOW = Client copy

MERITEC INC. MeritechSample ID#: 05 / I 55
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(a bellsouth.net Web Site: www.meritech-labs.com
-Tox 3 of 3
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
Tam meJ kurte-y+0
rr�
-boo .I -4I�,l e Si
pu mb,r +o
1� oh on State: NC
Zip:
PO#:
NPDES#: NC o02457 1
Phone: i `Q • (c-] I.358
Pipe #: i 1
�355
•
Sample Site:
Sample Type: ❑ Grab
W
Sampling Time: Start Date:
End Date:
Composite
I I /12
SAMPLE INFORMATION
1 un i a SCIA 14\/ E- t uCn+
2
# of containers:
Start Time: ‘CY-0(0
End Time: Io - O
PM
M PM _ CHRONIC TESTS SHOULD BE TAKEN
-J W AFTER 10:00 AM IF AT ALL POSSIBLE
' SAMPLE CONTAINERS ARE TO BE COMPLEi tELY FULL (rio air space), CHILLED AND COVERED WITH iCE "*
Collector's Name: Print: `<',ra e-N-e. CC C. W Wr
Signature:
Test Required:
Comments:
Chronic (7 days)
❑ Acute (24-48 hours)
21 %
'TOXICITY TEST INFORMATION
Test Organism: ►7Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
SHIPPING INFORMATION
Relinquished by: RAthttDC
(e•1"A Date: 5.1 1 • 12 Time: �-° 1 ;t �AM p .
t
Received by: � !,...4;;„,,,= ff �;.�-�.�� Date: �{', f • l Time: ; '�.ff AM PM'
Relinquished by: ,f' ra..e-E. ! sF Date: ,"-//-, Time: },` AM f?M;l
Received by:i'
; � Date: Time:
Relinquished by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: .. Time:
Received by: Date: Time:
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX Meritech Pick-up
ip es :shipp0 on Friday must. b( FeciEx and must y� "� l S ,abeam fo Sat d:
€.7� Gii?e..i t� .., lei. .ss' ''c. a.Ci f'.xdy d
SAMPLE RECEIVING (Laboratory Use Only)
Relinquished by: (1,)vle „,]
Received by: 'jt..) _ ,;r%rfC;,....
Sample Temperatures (°C): _ w1 / / =14 /
Date: 5-11- 0
Time:
Sample Condition:
AM PM
AM PM
AM PM
AM PM
AM PM
52
AM
WHITE = Laboratory copy YELLOW = Client copy

Title: lumberton
ile: lumberton Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W=
0.0853
0.9337
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data PASS normality test (alpha = 0.01). Continue analysis.

Title: lumberton
—file: lumberton Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 12.5111 (p-value = 0.0284)
Data PASS Bl homogeneity test at 0.01 level. Continue analysis.
Critical B = 15.0863 (alpha = 0.01, df = 5)
= 11.0705 (alpha = 0.05, df = 5)

Title: lumberton
-File: lumberton Transform: NO TRANSFORMATION
ANOVA Table
SOURCE
DF SS MS F
Between
5 0.0468 0.0094 1.9767
Within (Error) 18 0.0853 0.0047
Total
23 0.1321
(p-value = 0.1312)
Critical F = 4.2479 (alpha = 0.01, df = 5,18)
= 2.7729 (alpha = 0.05, df = 5,18)
Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05)

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Dunnett's Test - TABLE 1 OF 2
Ho:Control<Treatment
GROUP IDENTIFICATION
TRANSFORMED MEAN CALCULATED IN SIG
MEAN
ORIGINAL UNITS T STAT 0.05
1 control 0.7518 0.7518
2 5.25 0.6208 0.6208 2.6917 *
3 10.5 0.7383 0.7383 0.2774
4 21 0.7317 0.7317 0.4109
5 42 0.6898 0.6898 1.2739
6 84 0.7278 0.7278 0.4931
Dunnett critical value = 2.4100 (1 Tailed, alpha = 0.05, df = 5,18)
Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Dunnett's Test - TABLE 2 OF 2
Ho: Control<Treatment
NUM OF MIN SIG DIFF o OF DIFFERENCE
GROUP IDENTIFICATION REPS (IN ORIG. UNITS) CONTROL FROM CONTROL
1 control 4
2 5.25 4 0.1173 15.6 0.1310
3 10.5 4 0.1173 15.6 0.0135
4 21 4 0.1173 15.6 0.0200
5 42 4 0.1173 15.6 0.0620
6 84 4 0.1173 15.6 0.0240

Title: lumberton
File: lumberton
Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W =
0.0639
0.9299
Critical W = 0.8680 (alpha = 0.01 , N = 20)
W = 0.9050 (alpha = 0.05 , N = 20)
Data PASS normality test (alpha = 0.01). Continue analysis.

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 12.1472 (p-value = 0.0163)
Data PASS B1 homogeneity test at 0.01 level. Continue analysis.
Critical B = 13.2767 (alpha = 0.01, df = 4)
= 9.4877 (alpha = 0.05, df = 4)
a� �

Title: lumberton
Pile: lumberton Transform: NO TRANSFORMATION
ANOVA Table
SOURCE
DF SS MS F
Between
4 0.0086 0.0021 0.5036
Within (Error) 15 0.0639 0.0043
Total
19 0.0725
(p-value = 0.7338)
Critical F = 4.8932 (alpha = 0.01, df = 4,15)
= 3.0556 (alpha = 0.05, df = 4,15)
Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05)

Title: lumberton
_File: lumberton
Dunnett's Test
Transform: NO TRANSFORMATION
- TABLE 1 OF 2
Ho:Control<Treatment
GROUP IDENTIFICATION
TRANSFORMED MEAN CALCULATED IN SIG
MEAN
ORIGINAL UNITS T STAT 0.05
1 control 0.7518 0.7518
2 10.5 0.7383 0.7383 0.2924
3 21 0.7317 0.7317 0.4333
4 42 0.6898 0.6898 1.3431
5 84 0.7278 0.7278 0.5199
Dunnett critical value = 2.3600 (1 Tailed, alpha = 0.05, df = 4,15)
Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Dunnett's Test - TABLE 2 OF 2
Ho:Control<Treatment
NUM OF MIN SIG DIFF % OF DIFFERENCE
GROUP IDENTIFICATION REPS (IN ORIG. UNITS) CONTROL FROM CONTROL
1 control 4
2 10.5 4 0.1089 14.5 0.0135
._; 3. 21 4 0.1089 14.5 0.0200
4 42 4 0.1089 14.5 0.0620
5 84 4 0.1089 14.5 0.0240

Title: lumberton - survival
-File: lumbertsury Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W =
0.0075
0.4651
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data FAIL normality test (alpha = 0.01). Try another transformation.
Warning - The first three homogeneity tests are sensitive to non -normality
and should not be performed with this data as is.

Title: lumberton - survival
mile: lumbertsury Transform: NO TRANSFORMATION
Hartley's Test for Homogeneity of Variance
Bartlett's Test for Homogeneity of Variance
These two tests can not be performed because at least one group has
zero variance.
Data FAIL to meet homogeneity of variance assumption.
Additional transformations are useless.

Title: lumberton - survival
File: lumbertsury Transform: NO TRANSFORMATION
1
Steel's Many -One Rank Test - Ho: Control<Treatment
MEAN IN RANK CRIT. SIG
GROUP IDENTIFICATION ORIGINAL UNITS SUM VALUE DF 0.05
1 control 1.0000
2 5.25 0.9750. 16.00 10.00 4.00
3 10.5 1.0000 18.00 10.00 4.00
4 21 1.0000 18.00 10.00 4.00
5 42 1.0000 18.00 10.00 4.00
6 84 1.0000 18.00 10.00 4.00
Critical values are 1 tailed ( k = 5 )

Part E
Toxicity Test Data
May 2013
Chronic Pass / Fail Acute LC50
And
Chronic Fat Head Minnow Multi / Concentration Test

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/28/13
(Facility: CITY OF LUMBERTON
NPDES#: NC0024571 Pipe#: 001 County: ROBESON
aboratory Performing Test: MERITECH LABS, INC.
X
nature off O•erator in Responsible Charge
Signature -Of- Or Supervisor
Comments:
* PASSED: 1.36% Reduction *
Work Order:
MAIL ORIGINAL TO:
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
CONTROL ORGANISMS - 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
21
27
26
24
25
24
25
26
25
26
25
20
Adult (L)ive (D)ead
L
Effluent %: 21%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
26
25
24
8
29
25
27
25
26
27
26
22
Adult (L) ive (D) ead
Chronic Test Results
Calculated t =
Tabular t =
% Reduction = 1.36
% Mortality
Avg.Reprod.
0.00
Control
24.50
Control
0.00
Treatment 2
24.17
Treatment
2
Control CV
8.437%
% control orgs
producing 3rd
brood
100%
PASS FAIL
X
Check One
pH
Control
Treatment 2
D.O.
Control
Treatment 2
1st sample 1st sample 2nd sample
8.05
8.15
8.06
8.15
8.12
8.09
8.08
8.12
8.13
8.02
8.09
8.05
s s s
t e t e t e
a n a n a n
✓ d r d r d
t t t
1st sample 1st sample 2nd sample
7.94
7.68
7.92
7.69
7.91
7.63
7.98
7.62
7.78
7.55
7.89
7.53
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates
Complete This For Either Test
Test Start Date: 05/15/13
Collection (Start) Date
Sample 1: 05/13/13 Sample 2: 05/15/13
Sample Type/Duration 2nd
1st P/F
Grab Comp. Duration D
I S S
Sample 1 X 23.7 hrs L A A
U M M
Sample 2 X 24.1 hrs T P P
Hardness(mg/1)
Spec. Cond. (pzmhos)
Chlorine(mg/1)
Sample temp. at receipt(°C)
44
169
564
640
<0.1
<0.1
0.8
1.1
%
%
%
%
96
%
%
%
%
96
%
%
96
96
Concentration
Mortality
LC50 =
95% Confidence Limits
%
-- o
Method of Determination
Moving Average _ Probit _
Spearman Karber Other
start/end
Note: Please
Complete This
Section Also
start/end
Control
High
flr,n r.
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
D.O.
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Client: L. vilAW4-04.
NPDES #: NC ; cY2 L157 /
Dilution Water: Lake Brandt
Test Organism Source: Tray #
Stirred / Aerated for D.O.: Y i(
. Pipe #: pc'( County:
Date / Time of Culture Transfer:
Date / Time Neonates born:
N
Meritech, Inc.
Mini Chronic Pass/Fail Test: Ceriodaphnia dubia
i� I�2.5Ot1 Date Start: ' //3 / 3
(o L'(7:. Time Start: c�'��
`�"1 1)` t (1)/Y)1st Renewal Date: 57/7) )
(
Age of Neonates at Test Start: .:)-1). P'y hours 2nd Renewal Date: s /zc)//
Incubator #:
Date End: .� g2 - / 3
Time End: 7153,,a,M
Time: / n ; Gi 74r
Time: yr ;,:'?(`) A. /'t)
Randomized* oY N Culture Tray Temp: ?";,2. °C Analyst(s): mer, MR, ST Reviewed by: /1P--
Control Organism Reproduction
Day #2 1 2
# Young Produced
)
0
0
C.0
�
0
0
d
0
0
I 1
0
IL
0
Adults Live / Dead
L-
L-
1--
L._.
L
L
L-
L_
L
L._
L
L.
Day #5
1
2
#Young Produced
3/7
(1/0
q C
U / ,
j
L?, 9
/-1
,
34/
v,,,
1\.f 1 1
c v5ix
IrG
/�=,
L.._
Adults Live / Dead
L_
�.
L
�_
L_
/ <
i
t_
i
LL_
Day #7
1
2
# Young Produced
I)
i.
/'3
)q,
la
)3-
f1
i:_
Ia_
jr.
/3
Adults Live / Dead
t ,..
L.-
(_._.
L
L_
i' f
L_
i _
L
L
i✓
Total Produced
3)
2')
Plp
21
2-,--,— ram)
A
Test Sample Organism Reproduction
Effluent %: '2-(
Day #2
1
2
3
Percent of Control producing third brood: ! %
# Young Produced
CY
0
0.0
0
0
00
0
U
0
C
Adults Live / Dead
L
L_
L.—
L.
L_
L-
L
L—
L
L___.
L.
l___
Day #5
3
#Youn g Produced
tl/ I
II
L�
Alii
1�
���
t/IgLf� ►
1 o
!
Lj f�
/
Adults Live / Dead
fL._
�,
iL
'I_
L
L
L L
'L
I (.__
L_
Day #7
1
2
1n
12
# Young Produced
1 ?
j2
l.
1
/V
%a
/ -i
/ '
/ 2
/,'
j
Adults Live / Dead
(__._
L
L_,
i
L-
L
L
L
L
L
L
L_
Total Produced )‹ ))) ;21'
,_s"'
),7
1
5-
,27
; 6,
z
r� ��,iments:
1
Collection (Start) Dates:
Sample 1: S ! (3 (
Sample Information
Sample 2: • -�.
100% pH
G / C?
Duration
Sample 1
', (S-
C,,
2 3, 7
hours
Sample 2
%,9)
L_.
—2--t) • 1
hours
Batch #
•7`1�
.I .�
Sample
SaZple
5
Transfer Day
0
2
5
k ,�
1,
Ha 9/e) s
Ll
Lj)r
,�
Spec. Cond.
(umhos/cm)
( 1
I �'(1
Ct
�� 1,��
p��I
lCJ f �}
Chlorine
(mg/L)
i `'�`',
fQ r,
�(�
``G.
{
'
Receipt Sample
Temp. (°C)
Ij
f e
y it
�AjV!
{
)
pH
lst SamDle
Control
3.05
°.
Sample
�'Ii
D.O.
initial final
1st SamDle
Control
'394
7687
Sample
1'q2
7,(9
Temp.
initial final
1st SamDle
Control `WaA,`l
Sample
)-)
2'"r
Transferred by: Fed by:
Day 0 '✓)l'"' /2/54,
Day 1
Day 2 / OLL
Day 3 OWL --
Day 4
Day 5 /"1�4(1/--
Day 6
Terminated by: AA-
2nd Sample
br,/Z
�Iz
initial final
2nd Sample
7,9/
7. 63
7`l g
7,Gz
initial final
2nd Sample
Z� )
2nd Sample
g0a
c
[DJ
initial
final
2nd Sample
7,7E;
7S3
7, SY
'7,53
initial final
2nd Sample
2tis"
295
2�S
initial
final
initial
final
initial
final

MERITECH, INC. Meritech Sample ID/: G S) 9I4-
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(a)bellsouth.net Web Site: www.meritech-labs.com
Tox 1c)-3
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
4/c LDbex+n
�mcrwL Snnr1-h
100 n c e`-�-�e S-V.
�i �r-EYn
State:
NC
Zip:
PO#:
NPDES#: NC C32 451 I
Phone: Quo . (.6-7 1-
Pipe #: t
2S358
Sample Site:
\ ,� r` I /1 SAMPLE INFORMATION
VV -CP Munici y�/
Sample Type: ❑Grab .- mposite
Sampling Time: Start Date:
End Date:
# of containers:
PM
2
PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH IC *
Kercieri-r C. Signature: (tcL ET
Collectors Name: Print:
5-14--l3
Test Required: Chronic (7 days)
❑Acute (24-48 hours)
Comments:
EwC: 21
Start Time:
End Time: \n •05
TOXICITY TEST INFORMATION
Test Organism:
Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead min ow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING 'INFORMATION
Date: 5-
Date: ' 11R`
Date: ��i �•
Date:
Date:
Date:
Date:
Date:
Sample; Temperature (°C):
Method of Shipment: ❑: UPS ❑ Fed EX
** Samples shipped on Friday must be FedEx and must be clearly la'
Time:
Time:
Time:
Time:
Time:
Time:
• Time:
Time:
Meritech Pick-up
AM
AM
AM
AM
AM
AM
AM
PM
PM
PM'
PM
AM PM
eled for Saturday delivery **
Relinquished by:
Received by:
v�
Sample Tempera res CC): U � `� / ` 1
SAMPLE RECEIVING (Laboratory Use Only)
I
Date:
Time:
Sample Condition: i_
1t CC/
AM
WHITE = Laboratory copy
YELLOW = Client copy

Test Required:
Comments:
MERITECHI, INC. Meritech Sample ID #: " S) W ` •
Bioassay Sample Chin of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(c�bellsouth.net Web Site: www.meritech-labs.com
Tox 20 3
Client:
Contact Person:
CLIENT INFORMATION
Tpmmy Sm idin
Address:700 er Si
City: UaY`ni
County: %he's° rn State: l VC
PO#:
NPDES#: NC cJ2-5T
Phone: CI\O' C0-1 1 •3R55
�>QpPipee #:
Zip: e 3
Sample Site:
Sample Type:
Sampling Time:
SAMPLE INFORMATION
W M V T' Mc1pa1
❑ Grab Composite
Start Date:
5.15.13w
End Date: 5 • 1L • ti3 R End Time: I& 05
# of containers:
Start Time: 10.. a)
PM
2
PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (rio air space), CHILLED AND COVERED WITH ICE***
Collectors Name: Print: 1< x-t\ - e G, \-0Wry Signature: .iaj dQ sD Cctstyvv-Iiij
TOXICITY TEST INFORMATION
Test Organism: _,Ceriodaphniadubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Chronic (7 days)
❑ Acute (24-48 hours)
FWC: 2.1 %
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
5. \Cs•13
Date:
Date:
Date: / /-3
Date:
Date:
Date:
Date:
Date:
Sample Temperature (°C):
Method of Shipment: ❑ UPS
** Samples shipped on Friday must be FedEx and m
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Fed EX ❑ Meritech Pick-up
st be clearly labeled for Saturday delivery'
: AM
�1 1
AM
•� .T,� AM
AM PM
AM PM
AM PM
AM PM
AM PM
Relinquished by: C
Received by:
Sample Temperatur-s
(°
SAMPLE RECEIVING (Laboratory Use Only)
Date:
Jll / (fS
Time: S ' AM
Sample Condition: L C �` (11
WHITE = Laboratory copy YELLOW = Client copy

Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 05/28/13
Facility: CITY OF LUMBERTON NPDES#: NC0024571 Pipe#: 001 County:ROBESON
Laboratory Performing Test: MERITECH LABS, INC.
Reduction: 1.366
CONTROL . 21% Effluent
# Replicates 12 12
Female Live 12 12
Adult Male 0 0
Adult Dead 0 0
Adult Mortality 0.00% 0.009;
# Neonates 294 290
Mean # Neonates 24.500 24.167
Standard Deviation 2.067 5.374
Coefficient of Variation 8.437%
A = 12
Fisher's Exact Test
B = 12 a = 12
a/A = 1.00 b/B = 1.00
Success is: survival
Critical b value =
12 > 8
b = 12
The test concludes that .the proportion of survival :is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered i Group Neonates Centered
1 E 8-16.1667 13 E 25 0.8333
2 C 20-4.5000 14 E 25 0.8333
3 C 21-3.5000 15 C 26 1.5000
4 E 22-2.1667 16 C 26 1.5000
5 C 24-0.5000 17 C 26 1.5000
6 C 24-0.5000 18 E 26 1.8333
7 E 24-0.1667 19 E 26 1.8333
8 C 25 0.5000 20 E 26 1.8333
9 C 25 0.5000 21 C 27 2.5000
10 C 25 0.5000 22 E 27 2.8333
11 C 25 0.5000 23 E 27 2.8333
12 E 25 0.8333 24 E 29 4.8333

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
COEFFICIENTS AND DIFFERENCES
i x(n-i-1) x (i) a (i) x(n-i-1) - x(i)
1 4.8333 -16.1667 0.4493 21.0000
2 2.8333 -4.5000 0.3098 7.3333
3 2.8333 -3.5000 0.2554 6.3333
4 2.5000 2.1667 - 0.2145 4.6667
5 1.8333 -0.5000 0.1807 2.3333
6 1.8333 -0.5000 0.1512 2.3333
7 1.8333 -0.1667 0.1245 2.0000
8 1.5000 0.5000 0.0997 1.0000
9 1.5000 0.5000 0.0764 1.0000
10 1.5000 0.5000 0.0539 1.0000
11 0.8333 0.5000 0.0321 0.3333
12 0.8333 0.8333 0.0107. 0.0000
1
W = X 243.0422
364.6667
Calculated W = 0.666 Critical W = 0.884
0.666 < 0.884
The reproduction data is not normally distributed
evaluated at a 9996 confidence interval
Test Failed!
Wilcoxon Rank Sum Test
Rank Sum - Effluent Group(treatment): 165 Control Group: 136
Mann -Whitney U = 86.5 nl(treatment) = 12 n2(control) = 12
The critical value from TABLE A.15 (0.01 Level of T) for the above n values:
Critical T = 109
165 > 109
The Sum of the Ranks of the effluent group is greater than the significant
value from the table. Therefore there is no significant difference between
the means of the effluent and control groups and the test passes.
TEST PASSES
Chronic Test PASSES
The reduction was less then 200

Part E
Toxicity Test Data
May 2013
Chronic Fat Head Minnow Multi / Concentration Test

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 oh 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 E.4 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.1. Required Tests.
Indicate the number of whole effluent
® chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 1-Pimephales promelas Test number:
Test number:
a. ' Test information.
Test Species & test method number
Pimephales promelas, Method 1000.0
Age at initiation of test
21.75 to 23.75 hrs
Outfall number
001
Dates sample collected
5/14/13, 5/16/13, 5/17/13
Date test started
5/14/13
Duration
7 days
b. Give toxicity test methods followed.
Manual title
Short Term methods for estimating the
Chronic Toxicity of Effluents and
Receiving Waters to Freshwater
Organisms
Edition number and year of publication
Fourth Ed. October 2002
Page number(s)
53 to 111
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
3 - 24hr samples
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
-
After disinfection
X
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Test number: : 1-Pimephales promelas
Test number: Test number:
• e. Describe the point in the treatment process at which the sample was collected. ,
Sample was collected:
Effluent outfall 001, after all treatment
processes
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Soft synthetic water, made with reagent
grade chemicals according to EPA
methods
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
5.25, 10.5, 21, 42, 84%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Yes
Salinity
nla
Temperature
Yes
Ammonia
nla
Dissolved oxygen
Yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
nla
LCso
n/a
95% C.I.
nla %
Control percent survival
nla %
Other (describe)
nla
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571,
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Chronic:
NOEC
84 %
%
ICze
>84 %
Control percent survival
100 %
Other (describe)
Chv >84%
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Yes
,
Was reference toxicant test within
acceptable bounds?
Yes
What date was reference toxicant test
run (MM/DD/YYYY)?
05/15/13
/ /
/ /
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes D No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: n/a/ / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PARTE. .
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
NPDES FORM 2A Additional Information

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Date:5/28/2013
Facility: Lumberton NPDES # NCO() 24571
Pipe #: 001 County: Robeson
Laboratory: Meritech, In
ature of Opeptor'r. Responsible Charge
Signature of Laboratory' ..upervisor
Comments
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 5/14/2013
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
5.25
Surviving #
Original #
Wt/original (mg)
10.5
Surviving #
Original #
Wt/original (mg)
21
Surviving #
. Original #
Wt/original (mg)
42
Surviving #
Original #
Wt/original (mg)
84
Surviving #
Original #
Wt/original (mg)
Water 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)
Temp. at Receipt (°C)
ilution H2O Batch #
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
2
6:20 AM
3
4
Avg Wt/Surv. Control
10
. 9
10
10
10
10
10
10
0.717
0.506
0.593
0.662
10
9
10
9
10
10
10
10
0.661
0.507
0.548
0.576
10
9
10 /•
10
10
10
10
10
0.597
0.635
0.565
0.638
9
.10
10
9
10
10
10
10
0.460
0.593
0.638
0.586
8
10
10
10
10
10
10
10
0.656
0.532
0.545
0.664
9
10
10
10
10
10
10
10
0.553
0.536
0.627
0.569
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
0.634
97.5
0.620
95.0
0.573
97.5
0.609
95.0
0.569
95.0
0.599
97.5
0.571
Test Organisms
Cultured In -House
l~: Outside Supplier
Hatch Date: 5/13/13
Hatch Time: 3:00 pm CT
0
2
3
5
6
8.19 /
8.07
8.27 /
7.82
8.10 17.97
8.15 /
7.73
8.18 /
8.10
8.17 /
7.90
8.20
/ 7.78
7.61 /
7.53
7.90 /
6.51
7.60 /
7.10
7.74 /
6.46
7.65 /
7.45
7.90 /
7.18
7.81
/ 6.86
25.0 /
25.3
24.4 /
24.5
24.8 /
25.0
24.4 /
24.5
24.4 /
25.4
'24.8 /
24.9
25.5
f 24.3
0
2
3
5
6
7.67 /
8.08
8.09 /
7.78
7.72 /
7.94
7,91 /
7.85
7.76 /
8.17
7.91 /
8.02
7.95
/ 7.82
8.59 /
7.50
7.81 /
6.19
8.26 /
7.05
8.02 /
6.35
8.28 /
7.68
7.82 /
7.24
8.11
/ 6.52
24.3 /
25.3
24.9 /
24.5
25.1 /
25.0
24.3 /
24.5
24.3 /
25.4
24.7 /
24.9
25.0
124.3
1
2
3
5/13/2013
5/15/2013
5/16/2013
23.67
24.08
24.08
60
60
58
80
85
87
579
646
625
<0.1
<0.1
<0.1
0.8
1.1
0.8
715
42
54
212
716
717
48
42
56
56
209
206
Survival Growth Overall Result
Normal Ms 1rF9+ ChV
Horn. Var. YES FP
NOEC 84 84
LOEC >84 >84
ChV >84 >84
Method Steel's Dunnet's .
>84
Stats
Conc.
5.25
10.5
Survival
Critical Calculated
10 16
10 18
21
42
84
10
10
10
16
17.5
18
Growth
Critical Calculated
2.41 0.9971
2.41 0.2305
2.41 1.0775
2.41 0.4342
2.41 1.0346
DWQ Form AT-5 (1/04)

Initials/Signature:
End Date:
End Time:
Meritech, Inc.
Chronic Fathead Minnow Benchsheet
Transfer and Feeding Dates and Times
Client: Lumberton # of Organisms per Chamber: 10
NPDES #: NC0024571 Test Vessel Size: "400 ml
Initiated by: 1'`—/ !'iC�� Test Solution Volume: 250 ml
Date/Time Fed: 5/14/13 /• yL+ .prn Temp. of Stock: ty 1-17 °C
Date/Time Born:
5/13/13 3:00 PM CT # of Reps: 4
Organism Source: Aquatox, Inc.
Transferred by:
Date Time Initials
Day 1 5/15 , ..7G}ctl,- 41 ._ Day 0
Day 2 5/16 (1'' ,rRU tAn,,('L- Day 1
Day 3 5/17 ` 1, //1 �yl— Day 2 5/16
Day4 5/18 ,.�1)Gf ) .. Day3 5/17
Day 5 5/19 132`_ Sp)�1--. Day 4 5/18
Day 6 5/20 , ({:� ,�j Day 5 •5/19
Test Termination Data:
5/21/13
�/ /(, �✓-
Date Time 1 Initials
5/14
Day 6 5/20
Start Date: 5/14/13 Time:
End Date: 5/21/13
Fed by:
Randomization:
Time:
9/061„---
Incubator #:
Time 2 Initials Time 3 Initial
/ • !/�An /, ram
1,
5/ 15 710c;'d ��(/ - 1 i i S1 (/i/ -.
i) Cq "-- i'I LL t �: on i rr\
L
l�,tin
v/W— ei ` >,5; /t\ ,J\41
= Weekend, only 2 feedings needed

r —
ENV! RON M ENTAL LABORATORIES
A Division of Water Technology and Controls, /no.
Chemical and Physical Determinations
Client: Lumberton NPDES#: NC0024571 Start Date: 5/14/13 Time: Z D/1-u_
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/21/13 Time:
Da
Concentration: control
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
Soft Synthetic Freshwater
--7 ) C ....._.,1
.:_*)
7 47 —
:
)
7 17
pH: Initial
Sr, iq
.(4-1-
g-,/6
,F-.15—
t‘./S'--
9, i 7
g 2-0
Final
S01'
7 ,Si 2,-
,c1 )
713
9, / D
7. it)
7,-7 e)
D.O.: Initial
7, 6 /
-4 :q 0
76,6
7. 7 q
7,65—
7cAro
70
Final
q,c3
G.3- ( ,_
-2 , /6)
b • L1
7 1,5
7, tr
Temp.: Initial
257.0
2 Lt Y"
-)L - 1 g"
214 I /
?-' 9,.q
iv:A
Final
77,3
--,-•-_,-/ r
-2„.5--:c.).,?-11.
is--
?shy
,-_,._),(-/
211.3
Conductivity: Initial
-2...0
toil
2 V
::.-)0-i
,-,-,LI --;---
.70 Li
Final
a..Q.
'9_ "",•-k.
a?)C-1
Zcel
:2 / -7
I ....
Residual Chlorine:
. 4 0 ,
-2-0 , /
40 ; /
41,7,/
< L' 1
4.-0, (
Hardness:
t-I. 7- ------->'
-r----
----'-' '
1715) ---
----% ---4. .
9 2- •
Alkalinity:
5Li '
.----
-.5"-&.. .---
:-----.--4
567
Day
Concentration: 5.25%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
S7', / /
g, Q4.
s'. , 0 y
S'-", 13
--.,. I !
A) , ) g
9., a)
Final
i oil-
-2
-' ,G„ct
7 .c/ /
-7.71-/
e. //
7 1
7. 77
D.O.: Initial
-7 .63
'7- . ?-7-+
) .62--
77g..
-a 1.
Final
-4,6L
6, :35
(c), Q6/
(, .9 Lf
-..7. c-?•,..
' --? , a (
,71)
Temp.: Initial
2)Y, CI
2q Li
-) Lf c•-.3
--2.17),y
,2q. Li
-z 9,
Final
5-3
,T2q,
2.:5-T 0
7-$ c-
.2g--. t7
7.111 c(
2143
Conductivity: Initial
'-i- 'II?)
a3.--+
)._, -7
414
)-.-,, i---
-
<Q.S'
Final
)11
3 Dv-,
als,
,2.72,
,s- 95—
(9.)
Residual Chlorine:
'40. /
40.
r-1,6 , j
z•LC) . /
4 b s i
26. /
46, /
Day
Concentration: 10.5%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
< ao
e.0 (0
?till)
9- r:,
6', /3
F.ite
Final
b', 06
7. 7 __,.
.7. (-10
7 . ') 5—
q, 13
7 q 1,
78-0
D.O.: Initial
74p
1. 8.-(e
--). Co 3
7 cf,
z,.-7,
k 7
7, S'72-
Final
1, LH
6. 36,
7 6-
6 , '1 7).
7-
7, ZS
61_6 7
, Temp.: Initial
2_ L i ,S7
2 t-,Jc
:),Li..6
-2)-i .L_,-,•/!"./.-/
2 V rcr-
72,'".•`-/
Final
'2 5 , -2)
-21/,
-2:570
).-`1- Sr.
1--5-11'
iq
Conductivity: -Initial
'z40
.,,„7"-z.LL-)
27 2-
• Final
a cic,
-. 1 0
es(o
.,9,e(p._.
.:5-_--;715-ao_ci
.11-
Residual Chlorine:
Z-0 , )
2_0 ,
--/,(:. 1
4(::1- /
Z.-I.() •1
4 6., i
''./

F Ar C" f J NI4C-
Client: Lumberton
ENVIRONMENTAL LABORATORIES
A O/v/s/ors c/ Lev, rer r chno/ogy and Con rro/s• /rsc.
Chemical and Physical Determinations
NPDES#: NC0024571 Start Date: 5/14/13 Time: p,
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/21/13 Time: 1. (Do,
Da
Page 2 of 2
OA-
Concentration: 21%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
.-2 , c y
L4
7, cis-7
c7 .
S , co
R, e,,, g-
g-. 12-
Final
g".Op
-7.(oCj
7.)7
7.7Co
g•ict
:CD
7.'/
D.O.. Initial
7, e) 2
1. 5
?kg
--?.,7-
. !�� c
7. 6
Final
, 1 { 0
(b .1,
7. L s7
.. .�s,
7. L
7, 'f/
6 .(ku5/
Temp.: Initial
14 (p
2' . S __
2 1
2
2 La
Final
72 S ,3
ZL//,S
2-S,l:/
0.4", j
z5T
.
2-y.,
Conductivity: Initial
3 O 0
,2`cX
` , ‘
;) Q3
' ck ,S
2 `_ 8
?
Final
' d
2,
` "
Residual Chlorine:
40 ,/
z_o. /
i.O. /
J l . /
C 9 , j
G-0. (
4-6 /
Day
Concentration: 42%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
-> S
.1
-7, %
4 L19
7. 9`
?• G
Fog
Finals,
7. % i.
79
7. '-/
S r 1 b
7.9 5
7, !'
D.O.. Initial
'i', [i,
.s-q
T
7.9 ?_
---7.(--,_
�' .. f 7
7• 8- 4
-7, 9.
Final
- �
;
) 9
& .. 37
7,
Temp.: Initial
.Z4,.S-
2 .2
),- C,'G,
2.11.3
- t /, 2,-..
2.y r
? C. /
Final
2S-,
% t'.1
Z.S , L?
- .sue
$ `/
; i'-, L
', y/
Conductivity: Initial
3 (0 t
1. ,
'6i 00
•34?
�71
3 (Is
-f{ jj1
Final
.
L12-n
`-ia,
i D.- O
� `L
4403
'�:H-,
Chlorine:
Z.Residual 1 �
L� f
Z(7, /
/-. /
6, (
2- Y.)
Z---0. l
Da
Concentration: 84%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
P-7
,,(p-7
,f4
7 72.
f.
7/
77 L
. `l P/
7. 95
Final
a.ogi
7I
..-)9y
7, s-s`"
S'.1 %
,'(),
7,7 2
D.O.: Initial
S`, :cc{
-3 .
c. z- (G'
_ S� C' �
S . 2 , -
-7 • V
c. / /
Final
�,(sn
% , iV
7, 0,5
(:,...-.S
-1, /v'
-7, z- L/
6. ,S-2-
Temp.: Initial
7 `7 ,. j
2 Li, j
15 ,
-L/:
4)- ,
2 V)
%._ i ("
Final
7 .5 , 3
2 V, f
' '.O
-29-.
"lc, `j
--U-,,r'`
•2 '/.3
Conductivity: Initial
6} 15F,c53
C7 2..
c
(`,m 4'
��
Final
`a'3
76(.
Fp%
S` 7
5177
F
L(
Residual Chlorine:
L(1, I
G:(:), (
/, ((, i
,4 r
'--b. . k
. /
40,1
Da
Concentration: 100%
0-1 1-2
2-3 3-4
4-5 5-6 6-7 .
Remarks
pH:
7.6 2-7,
y
7 :.7
Conductivity:
-
Yb
t
Residual Chlorine:
) , i
4 � • /
L9 _ 1
Hardness:
(a( 0
(or.)
4 ; S;/
Alkalinity:
SO
b,"
b 7

WlRTC® I
ENVIRONMENTAL LABORATORIES
A Division of t'Vater Technology and Controls. Inc.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 5/14/13
Initial weights taken on: h"f3 by: ar
Final weights taken on: 5 -- by: S j
Page: 1 of 2
Outfall: 1
Organism: Pimephales promelas
CONC
REP
PAN WT.
(mg)
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV %
Control
A
S7j, I
Rq y. L--
I i -y
1°
D --
1.00.
B
, , va 9Lo
` - , Q
5 , uo
q
0 :1-1/.3U.
go
c
2-,
{-6_=;4
ric.q
5,q
ID
Q.,59,
le0
D
q -s-.
8E5, -
L.U_,3,
f 0
c (0L-0
100
o
5.25 /o
A
q'4-9,� o
S5 ! , `J i
(0 , u-A
` V
0 - 11.(0.
k a)
B
q .59
-.��
.c-}-
9
sa
qo
c
-.; 1� :33
S'41. q- \
5: L;--
I °
0 5,--Si
f DO
D
9 514, .24L)
2t0,0 ,a9
5 r 3G-2
9
0 :6]-(c)
90
10.5%
A
',oc2.,
,e,
Ei-
CCU
©.59.
ta)
qo
B
q�
Q
,35
q I(0J3

1.4
MERBTECH,
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, inc.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 5/14/13
Initial weights taken on:
Page: 2 of 2
Outfall:
by: J Organism: Pimephales promelas
Final weights taken on: S '" a by: ST
CONC
REP
PAN WT.
(mg)
5L5-
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV %
21%
A
S'L'_ , 6Q
,1Q ,°1
4, ( 6 n
9\
0,14(00
qn
`.
-F_)9,co
c.(3.q
lb
0 6c73
KO
c
-1-5,60
R,L-
11 .SS
Co :3`8
I.O
QL r3S
J.CO
D
� 45 Z- 7
c� a`
?>
c, 6
CI
C
a, s 110
9 b
42%
0
,
B
aK II,QD44,1.
5, Z
I b
a 5J
tc\\
c
(>:'t
si-p6,14
6,45
ID
C/5'
IAD
WO
D
0 -
3
.5-
L,(04
1 D
CI . (o(GLC
A
35,30
a40, �
�, J,3
0.: 5(.53.
90
84%
B
a3L.-o
?c,
,OLO
6,3LL
(0
0 ,(� n
(CO
c
S�� , 3
8 ,`="1-0
c- :g7
C 0
c) u-)
COD
r'
J kof

Client: Lumberton
MERITECH, INC.
Mortality Data: Chronic Fathead Test
NPDES#: NC0024571 Start Date: 5/14/13 Time:
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 5/21/13 Time:
Cif(1)�
Concentration Control
Day 0
Rep #1 C�
Rep #2
Rep #3
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
C o 0 b
o 0 G
`- o
Rep #4 � �J 0
Concentration 5.25%
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 v f� 0 0
Rep #2 V 0 1. v i')
r;l Rep #3 G' 0 (7) J
Rep #4
Concentration '10.5%
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1
Rep #2 V
Rep #3 \) 0 l
0
Rep #4 t.

MERITECH, INC.
Mortality Data: Chronic Fathead Test
Client: Lumberton NPDES#: NC0024571
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST
Concentration 21 %
Start Date: 5/14/13 Time: lO /'-
End Date: 5/21/13 Time: q16(11•A/
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
r,
.6
Rep #1 0 U ( b 6 v
Rep #2 D C U (...%
Rep #3 0 n 0 U 0 f G. 0
Rep#4 (5 I ) c) 0 (._)
Concentration 42%
Dayr0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Rep #1 U b U ti 0 �)
Rep #2 0 t\ (1 V Q 0
Rep #3 U / ' 0 Cr' 0
0 C.)
Rep #4 0 ) 0` , 0
Concentration 84%
Day 0 Day 1 Day 2 Day 3
ce)Rep #1
Rep #2 f 0
v
Rep #3 D .`_,'
Z
Rep #4 0
Day4 Day5 Day6 Day7
0
0

MERITECHI, INC. Meritech Sample ID#: v J 1 I
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(a bellsouth.net Web Site: www.meritech-labs.com
Tox 103
Client:
Contact Person:
Address:
City:
County:
CLIENT INFORMATION
m--,,b--er-}on
rokc3:
1 �t der-�aYn
State: NC,
Zip:
PO#:
NPDES#: NC 032_451 I
Phone:
Pipe*:
22358
g10•(0-71- 8
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date:
SAMPLE @NFORMATION
WW-TP Mu.niC:►pal my £ \Urn+
2
5 -13-13
5.-1L1-.13
# of containers:
Start Time:
End Time: \n • v` 1
PM
PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 90:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH IC'
Collector's Name: Print: Ke.rdC C,.. Signature: JVCA—±6)C-
Test Required:
Comments:
Chronic (7 days)
❑ Acute (24-48 hours)
WC:
TOXICITY TEST INFORMATION
Test Organism:
Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
Date:
.5- \LA
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Sample Temperature (°C):
Method of Shipment:' ❑ UPS Cl Fed EX
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Meritech Pick-up
** Samples shipped on Friday must be FedEx and must be clearly la
.`— AM
'[1 AM
it' AM
AM
AM
AM
AM
AM
eled for s-aturday delivery **
PM
PM
PM
PM
PM
Relinquished by: 6_
Received by:
SAMPLE RECEIVING (Laboratory Use Only)
Sample Tempera res (°C): 01 / /
Date:
Time: S • { l) AM
Sample Condition: It
WHITE = Laboratory copy
YELLOW = Client copy

•
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Email: txmrtech(o�bellsouth.net Web Site: www.meritech-Iabs.com
MERITECH, INC. , Meritech Sample ID #: 0 S 1 ` lO ti
Toy, 20-3
l ` CLIENT INFORMATION
Client: C v� W m [fir. o i�
Contact Person: T lj
Address: -700 1.�
„{-0,NCiir
RCA-) SQ h State: NC
City:
County:
l_urnbcx--A-b
Zip:
PO#:
NPDES#: NC 042- E 7
Phone: —110. CcTi, .35
MSS
Sample Site:
Sample Type:
Sampling Time:
SAMPLE INFORMATION
WW-1-P U1M1et`pa1�-
# of containers:
PM
PM CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH ICE ***
Collector's Name:
Test Required:
Comments:
❑ Grab
Start Date:
End Date:
. Composite
5.1/5.13w
5- 1C0.13R
Start Time: RICO
End Time: 10 • 05
Print: Ke_x-dc-We.G• I-JNVIj-)I Signature: 1 Cct�v.,lA
TOXICITY TEST INFORMATION
Chronic (7 days)
❑ Acute.(24-48 hours)
fwc: 2.1 ono
Test Organism:
Ceriodaphnia dubia (water flea)
_ Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
5. \( 'i3
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
��• /� AM
AM
S.•fjv AM
AM
AM
AM
AM
AM
/•lam
Sample Temperature (°C):
Method of Shipment: ❑ UPS ► ._ Fed EX ❑ Meritech Pick-up
** Samples shipped on Friday must be FedEx and m .st be clearly labeled for Saturday delivery**
PM
PM
PM
PM
PM
Relinquished by:
Received by:
Sample Temperatur
SAMPLE RECEIVING (Laboratory Use Only)
s.o ,1
Date: Slit(/ It
i I Sample Condition:
Time: S. 0 AM 6
Th
WHITE = Laboratory copy YELLOW = Client copy

MERITEcH, Cio
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Meritech Sample ID #: `,) r J /3 C 'J
Email: txmrtechabelisouth.net Web Site: vtnmw.meritech-Iabs.com
"� jCLIENT INFORMATION
'1
Client: Qr lr(l
Contact Person: C,t- - I Lam or
Address: 100 LOSIGNI4te,
City: ��rnbP _
County: 2,..ohe ors State: NC,
Zip:
PO#:
NPDES#: NC CUNT
i
Phone: 910. Co l 1 553
Pipe #:
2S358
Sample Site:
SAMPLE INFORMATION
W W-TP Muni ►c,1 poi Di v ent
Sample Type: El Grab C 1n�posite of containers: 2
Sampling Time: Start Date: ��p
End Date:
5 • • Start Time: \ 0.405e PM
5 • f • 13 End Time:
--4-CHRONIC TESTS SHOULD BE TAKEN
AFTER 10:00 AM IF AT ALL POSSIBLE
*** SAMPLE CONTAINERS ARE TO BE COMPLETELY FULL (no air space), CHILLED AND COVERED W TH ICES*
Collector's Name: Print: � � C. �wcy Signature:
Test Required:
Comments:
Chronic (7 days)
Li Acute (24-48 hours)
c: 21
TOXICITY TEST INFORMATION
Test Organism: Ceriodaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION
5 i-1 • v3
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Sample Temperature (°C):
Method of Shipment: ❑ UPS
Time: AM PM
Time: AM PM
Time: AM PM
Time: AM PM
Time: AM ' PM
Time: AM PM
Time: AM PM
Time: AM PM
Fed EX ❑ Meritech Pick-up
• ** Samples shipped an Friday must he FedEx and must be clearly labeled for Saturday delivery **
SAMPLE RECEIVING (Laboratory Use Only)
Relinquished by:
Received by: .III
Sample Temperatures (°C): L7 r / J
Date:
Time: �� `.J , AM P
/ Sample Condition: 1
WHITE = Laboratory copy YELLOW = Client copy

Title: lumberton
'Tile: lumberton Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W =
0.0783
0.9741
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data PASS normality test (alpha = 0.01). Continue analysis.

Title: lumberton
-T'ile: lumberton Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 3.3625 (p-value = 0.6443)
Data PASS B1 homogeneity test at 0.01 level. Continue analysis.
Critical B = 15.0863 (alpha = 0.01, df = 5)
11.0705 (alpha = 0.05, df = 5)

Title: lumberton
mile: lumberton Transform: NO TRANSFORMATION
ANOVA Table
SOURCE
DF SS MS F
Between
5 0.0095 0.0019 0.4374
Within (Error) 18 0.0783 0.0044
Total
23 0.0878
(p-value = 0.8166)
Critical F = 4.2479 (alpha = 0.01, df = 5,18)
= 2.7729 (alpha = 0.05, df = 5,18)
Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05)

Title: lumberton
file :
(
lumberton
Dunnett's Test
Transform: NO TRANSFORMATION
TABLE 1 OF 2
Ho:Control<Treatment
GROUP IDENTIFICATION
1
2
3
4
5
6
control
5.25
10.5
21
42
84
TRANSFORMED MEAN CALCULATED IN SIG
MEAN
0.6195
0.5730
0.6088
0.5693
0.5993
0.5712
ORIGINAL UNITS T STAT 0.05
0.6195
0.5730
0.6088
0.5693
0.5993
0.5712
0.9971
0.2305
1.0775
0.4342.
1.0346
Dunnett critical value = 2.4100 (1 Tailed, alpha = 0.05, df = 5,18)
Title: lumberton
File: lumberton
Dunnett's Test
Transform:
TABLE 2 OF 2
NO TRANSFORMATION
Ho:Control<Treatment
GROUP IDENTIFICATION
2
3
4
5
6
control
5.25
10.5
21
42
84
NUM OF MIN SIG DIFF % OF DIFFERENCE
REPS (IN ORIG. UNITS) CONTROL FROM CONTROL
4
4
4
4
4
4
0.1124
0.1124
0.1124
0.1124
0.1124
0.0465
0.0108
0.0503
0.0203
0.0483

lumberton
Number
Conc. Exposed
Control 40
5.2500 40
10.5000 40
21.0000 40
42.0000 40
84.0000 40
Number
Resp.
1
2
1
2
2
1
Observed
Proportion
Responding
0.0250
0.0500
0.0250
0.0500
0.9500
0.0250
2hi - Square for Heterogeneity (calculated)
2hi - Square for Heterogeneity
(tabular value at 0.05 level)
Proportion
Responding
Adjusted for
Controls
0.0000
0.0258
0.0002
0.0258
0.0258
0.0002
= 0.729
7.815
k**************************************************************
k
k
k
k
NOTE
Slope not significantly different from zero..
LC/EC fiducial limits cannot be computed.
k**************************************************************
Lumberton
Estimated LC/EC Values and Confidence Limits
Point
1,C/EC 1.00
JC/EC 50.00
Exposure
Conc.
137.775
0.000
95% Confidence Limits
Lower Upper
*
*
*
*

Title: lumberton - survival
lumbertsury
Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D = 0.0725
W = 0.7974
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data FAIL normality test (alpha = 0.01). Try another transformation.
Warning - The first three homogeneity tests are sensitive to non -normality
and should not be performed with this data as is.

Title: lumberton - survival
ale: lumbertsury Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 2.3899 (p-value = 0.7930)
Data PASS B1 homogeneity test at 0.01 level. Continue analysis.
Critical B = 15.0863 (alpha = 0.01, df = 5)
= 11.0705 (alpha = 0.05, df = 5)

Title: lumberton - survival
.File: lumbertsury Transform: NO TRANSFORMATION
Steel's Many -One Rank Test -. Ho: Control<Treatment
MEAN IN
RANK CRIT. SIG
GROUP IDENTIFICATION ORIGINAL UNITS SUM VALUE DF 0.05
1 control 0.9750
2 5.25 0.9500 16.00 10.00 4.00
3 10.5 0.9750 18.00 10.00 4.00
4 21 0.9500 16.00 10.00 4.00
5 42 0.9500 17.50 10.00 4.00
6 84 0.9750 18.00 10.00 4.00
Criticalvalues are 1 tailed ( k = 5 )

Part E
Toxicity Testing Data
Chronic Pass / Fail LC50
August 2013
Chronic Fathead Minnow Multi / Concentration Test
September 2013

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/22/13
17'acility: CITY OF LUMBERTON
Laboratory Performing Test: MERITECH LABS, INC.
X v,),
gnature o-Opera.tor in Responsible Charge
i
Signature of Laboratory -Supervisor.
NPDES#: NC0024571 Pipe#: 001 County: ROBESON
Comments:
* PASSED: -1.89% Reduction *
Work Order:
MAIL ORIGINAL TO:
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
Young Produced
21
21
23
20
23
22
24
21
22
24
21
23
Adult (L)ive (D)ead
Effluent %: 21%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
23
21
23
23
21
23
21
25
24
23
19
24
9dult (L)ive (D)ead
Chronic Test Results
Calculated t = -0.678
Tabular t = 2.508
% Reduction = -1.89
% Mortality
Avg.Reprod.
0.00
Control
22.08
Control
0.00
Treatment 2
22.50
Treatment
2
Control CV
5.938%
% control orgs
producing 3rd
brood
100%
PASS FAIL
X
Check One
pH
Control
Treatment 2
D.O.
Control
Treatment 2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates
1st sample 1st sample 2nd sample.
8.09
7.82
7.94
7.81
7.87
7.82
7.79
7.84
8.02
7.94
7.80
7.99
s s s
t e t e t e
a n a n a n
✓ d r d r d
t t t
1st sample 1st sample 2nd sample
7.70
7.64
7.71
7.64
7.84
7.64
7.88
7.67
7.81
7.31
7.95
7.38
Complete This For Either Test
Test Start Date: 08/14/13
Collection (Start) Date
Sample 1: 08/12/13 Sample 2: 08/14/13
Sample Type/Duration 2nd
1st P/F
Grab Comp. Duration D
I S S
Sample 1 X 24 hrs L A A
U M M
Sample 2 X 23.9 hrs T P P
Hardness(mg/1)
Spec. Cond. (iimhos)
Chlorine(mg/1)
Sample temp. at receipt(°C)
48
161
2220
1061
<0.1
<0.1
0.8
0.3
96
%
%
%
%
%
%
%
%
%
96
%
%
%
Concentration
Mortality
LC50 = 96
95% Confidence Limits
o
Method of Determination
Moving Average _ Probit
Spearman Karber Other
start/end
1
Note: Please
Complete This
Section Also
start/end
Control
High
Cnn n
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
D.O.
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Client: L
NPDES #: NC n 5- 7 1
Dilution Water: Lake Brandt
Test Organism Source: Tray #
Stirred / Aerated for D.O.: Y
N
Meritech, Inc.
Mini Chronic Pass/Fail Test: Ceriodaphnia dubia
Pipe #: 06 County: Rol() 0 ri Date Start:
Date / Time of Culture Transfer ,c'•/'? .'Cl.27,6- Time Start:
r /
Date/Time Neonates born: ':.).•),.,1st Renewal Date:
L. Age of Neonates at Test Start:)49,.57.3I hours 2nd Renewal Date:
Randomized: (/ N Culture Tray Temp: 2, Analyst(s): mer, MR, ST
Control Organism Reproduction
•Day #2 1 2 3
4 5 6 7 8 9 10 11 12
# Young Produced
0
r)
0
0
0
0
0
0
00
C)
6
Adults Live / Dead
(.--.
1.---
I-
L.--
l---
L-
L-
U-
L.-
L-
(---
Day #5
1, 2 3. 4, 5
6; 7, 8 9
# Young Produced
.
7:/6%.
r
9/7
q./7
9rk
1/7
'II*
(17
Y/7
9/
,
f
.
Adults Live / Dead
I ....
L.
--
L._
t—
I
1----
'i _.-
i
L__
i
1___,.
i.
.I____
• L.,..
Day #7
1
2 3 4 5 6 7 8 9 10 11 12
# Young Produced
/0
/6
ii:9
(0
/-2
(z)
/
io
it
it
9
Adults Live / Dead
L...
t__.
L.
L_
L.
L.
1____
L_
I--
i _
L
(.._.
Total Produced
,)-1
11 i
cr,
'''Vr
,. - •5
'1 CI
0
'1-'77
.,..--r .-->
1 (7
a-'0..\
0
(p. I
)-I
,,,
•
e? A
. ,
N
)--1
.23
Test Sample Organism Reproduction
Effluent %:
Day #2
1
Percent of Control producing third brood: / A %
2 3 4 5. 6 7 8 9 10
# Young Produced
0
0
D
0
0
0
00
0
0
C)
Adults Live / Dead
(---
1,
(--
L-
L.
L--
L-
k___
L-
L-
L
Day #5
1
2 3, 4 5
6, 7
8 9
# Young Produced
I:// 4
q /4
Livg
11 /-,.,-,,Ty--/
Li&
w7
3,/9
lit,
Adults Live / Dead
L....'
I L_
1L
1—
L.
1
:i
1
1_"_
` L._
`1___.
L.
Day #7
1
2 3,. 4 5 6 7 8 9
# Young Produced
ii
//I
//
ii
6/
/3
/19
i 3
/ 3
Adults Live / Dead
1. ,
i
L.,
L
t--
L._
L.
i
L
ii".,-
L
L--
L
Total Produced
)57)
II
:7
)2
/Li
a75
91
'7).S---,
9-
.7.;.'
1
61
ALI
Comments:
In
Incubator #:
Date End: g.7/ ///
Time End: (;;": : •13;741%',
Time: /.../.;
Time: f.;):/, 3 S'
Reviewed by: /NIL
Collection (Start) Dates:
.1
Sample 1: Vi /0. Sample 2: /
Sample Information
100% pH
G / C?
Duration
Sample 1
7: Sy
• --
.,.. hours
Sample 2
-7.-77
c
.-z3. .7 hours
Batch #
51
Sample
Sample
2
Ti-ansfer Day
0
2
5
Hardness
(mg/L)
Spec. Cond.
(umhoslcm)
UM'
Al
I tiO
;14X
Chlorine
(mg/L)
Receipt Sample
Temp. (°C)
03
pH
lst Sample
Control
0 h 1. '''
7 g?'
•
Sample
7ff-I
-11g/
D.O.
initial final
1st Sample
Control
-7' .?()
70
Sample
7 71
.
7 01
•
Tem .
initial final
1st Sam le
Control
111.:)
7‘")0
7 LI
7,,t-1
Sample
:•'..2
Transferred by: Fed by:
Day 0
Day 1
Day 2 /1,1L--
Day 3
Day 4
Day 5
Day 6
Terminated by:
2nd Sample
-7,87
7, Y-
77?
initial final
2nd Sample
7.
vi
-70
initial final
2nd Sample
••?!,1
z9. V
'1 II I)
2nd Sample
ti •
7V-1
initial final
2nd Sample
-
-1 2 Q,
initial final
2nd Sample
1.1
-4 7/
-2 e
initial final
initial
final
initial
final

Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 08/22/13
Facility: CITY OF LUMBERTON NPDES#: NC0024571 Pipe#: 001 County:ROBESON
Laboratory Performing Test: MERITECH LABS, INC.
Reduction: -1.89% CONTROL
2196 Effluent
# Replicates 12 12
Female Live 12 12
Adult Male 0 0
Adult Dead 0 0
Adult Mortality 0.00% 0.0096
# Neonates 265 270
Mean # Neonates 22.083 22.500
Standard Deviation 1.311 1.679
Coefficient of Variation 5.938%
A = 12
Fisher's Exact Test
B = 12 a = 12
a/A = 1.00 b/B = 1.00
Success is: survival
Critical b value = 8
12 > 8
b = 12
The test concludes that the proportion of survival is not
significantly different for the control and the effluent groups.
Test Passes!
SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA
ORDERED OBSERVATIONS
i Group Neonates Centered
i Group Neonates Centered
1 E 19 --3.5000 13 E 23 0.5000
2 C 20-2.0833 14 E 23 0.5000
3 E 21-1.5000 15 E 23 0.5000
4 E 21-1.5000 16 E 23 0.5000
5 E 21-1.5000 17 C 23 0.9167
6 C 21-1.0833. 18 C 23 0.9167
7 C 21-1.0833 19 C 23 0.9167
8 C 21-1.0833 20 E 24 1.5000
9 C 21-1.0833 21 E 24 1.5000
10 C 22-0.0833 22 C 24 1.9167
11 C 22-0.0833 23 C 24 1.9167
12 E 23 0.5000 24 E 25 2.5000

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.)
i x(n-i-1)
COEFFICIENTS AND DIFFERENCES
x(i)
a(i) x(n-i-1) - x(i)
1 2.5000 -3.5000 0.4493 6.0000
2 1.9167 -2.0833 0.3098 4.0000
3 1.9167 -1.5000 0.2554 3.4167
4 1.5000 -1.5000 0.2145 3.0000
5 1.5000 -1.5000 0.1807 3.0000
6 0.9167 -1.0833 0.1512 2.0000
7 0.9167 -1.0833 0.1245 2.0000
8 0.9167 -1.0833 0.0997 2.0000
9 0.5000 -1.0833 0.0764 1.5833
10 0.5000 -0.0833 0.0539 0.5833
11 0.5000 -0.0833 0.0321 0.5833
12 0.5000 0.5000 0.0107 0.0000
1
W = X 47.8193
49.9167
Calculated W = 0.958 Critical W-= 0.884
0.958 a 0.884
The reproduction data is normally distributed
evaluated at a 99%- confidence interval.
Test Passes!
F test forHomogeneityof Variance
Effluent variance 2.8182
F = _ - 1.64
Control variance 1.7197
Numerator degrees of freedom: 11 Denominator degrees of freedom: 11
Critical F = 5.32
1.64.5 5,32 =- The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.

EQUAL VARIANCE t TEST
22.1 - 22.5
t = - 0.678
0.615
Degrees of freedom = 22
Critical t = 2.508
-0.678 < 2.508
Test passed. There is not a significant difference in reproduction
between the Control and the effluent evaluated at a 99%- confidence interval.
Chronic Test PASSES

Sample Type; ❑ Grab '- Composite
Sampling Time; Start bate:
End Date:
1
KCL
oS/14/2013 12:50 City of Lumberton Lab
MERITECH, INC.
P/o88sav Semple Chain of CustQdv
842 Tamco Rd,Reidsville NC 27320
Phone: [phone] Fax: [phone]
Toxicity Supervisor email: lnlke,reedamerttech-Iabs,com
(FA){)9106713932 P.002/002
Merltech Sample ID #:
Web Slte: www.merttsch-laba,cQrn
_1 l CLIENT INFORMATION "
Client: -T r-r 'i lY'��.) Y Y()IM
Contact Parson: f O c'1r-y-w// Yl I TI 1
Address: 7 co.TAce
City: L 4 Y _ C�
County: , .`�i' iaeSC) ri State: `� C
t
MPLE INFORMATION
I
Sample Site; 1�r' `s 1l"11 4 )Cd t+�.! E \ 1�)(rani
1
. # of containers:
PO#: ).N1
NPDES#: NC'
Phone: q --)F1c;
Zip: 2 i ��)
Start Time:
End Time: `l Ll
PM
PM
*"" SAMPLE CONTAINERS MUST BE COMPLETELY PULL (no air space), CHILLED AIkD COVERED WITfl10E ""
Collector's Name: Print: Kr" Y' (1 r-H r \~ • L(� �l f' \! Signature:
TOXICITY TEST INFO_RMATION
ti
Test Required Chronic (7 days) Test Organism: cerlodephnla dutila (water flea)
• -,. 0.Acute(24-48.hpurs)• .- , 'S Plmephalespromelas. •(fathead•min'rib i) -
r0 Myyldops15bahla (shrimp)
Teat Concentrations (If multiple dilutions):
Comments;
swc: 21. %
Relinquished by:
Received by:
Relinquished by:
Received by:
Relinquished by
Received by:
Relinquished by:
Received by:
SHIPPING INFORMATION j
,� Date: Fi • i3 • 1 0,) .Time; i� ; Y � AM P ,/
Data: o -2 . A /l? Time; / ••' S'..r AM rli
Date: Time: AM PM
Date: Time: AM PM
Date: Time: AM PM
Date:. Time: AM PM
Date: Time: AM PM
Date: _ Time: - AM PM
**
Sample. Temperature (QC):
Method of Shipment: Q. UPS ❑ Fed EX// ,�Meritech Plck-up ❑ Delivered � Oiler
Samples shipped on Friday must be FedEx and must clearly labeled for Saturday delivery, NO SIONATURS REQUIRED '.
$AMPLE R_ CE VING_(Laboratory Use Only)
Relinquished by:
Received by;
Sample Temperatures (°C):
Date:
Time: ' AM • .PM
Sample Condition:
WHITE = Laboratory copy
YELLOW = Client copy

MERIITECEip.MC.
SfasssaiF S'C rapfe CP th c t CEasfo :
642 Tames) Rd, Reidsville NC 27320
Phone: [phone] Far.: 1-336-342-1522
Meritech Sample ID #: C.
-Tox At 2
Tonicity Supervisor email: mifte.reedameritech-labs.cos Web Site: www.meritech-labs.com
Client:
Contact Person:
Address:
City:
County:
c
CLEM' OMPOR A T POM
amhrx+n
rn
tho
esc� n
State: NC,
PO#:
NPDES#: NC (T0e21451 j
Phone: q n . c01 I 2
Pipe #:
Zip: 2355
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date: 8 • l`) • l
SAMPLE PLE CCuFO[ ft ATCOKI
# of containers:
Start Time: la2
End Time: _.0 : 11-1
2
PM
PM
r*"` SAMPLE CONTAINERS taus T°EE COMPLETELY RILL (t a ,frspace), CHILLED' AND COVERED WITH IC
Collector's lame: Print: Kerar, , C • OW try
TOMMY TEST CHFORMATCON
Test Required: J Chronic (7 days) Test OrganisAtm Cereadaptg afa olrah is (water flea)
❑ Acute (24-48 hours) PfaaephaIes prom Ias (fathead minnow)
❑ SWysidopsis ! ahfa (shrimp)
Test Concentra:Ions (if multiple dilutions):
Comments:
MC: 21
i**
Relinquished by:
SC-§CPPCNt', CCLPO[ Gt fkTCON
-15-2
Received by:
Date:
Date: c,i `� . j Q
Relinquished by: �'� �(l Date: cf).`. / 0"•°,%�•
Received by:
Relinquished by:
Received by:
Relinquished by:
Received by:
Method of Shipment:
Dat?:
Date:
Date:
Date:
Sample Temperature (°C):
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
❑ UPS ❑ Fed EX ,= Meritech Pick-up ❑ Delivered ❑ Other
AM
AM
AM
AM
AM
AM
AM
AM
Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday deliver', NO: S•lG[dA T LlRE REQUERED
PM
PM
PM
PM
PM
eCe led 9C ornt i gmk Li'a-alb t•ete r Use QrsJ )
Relinquished by: r f ► L [ ( j
Received
f �i
Sample Temperatures (°C): (' / / . /
Date:
Time:
Rf'1 PM
Sample Condition: 1_C Gi
1'tr[• [TE - Laboratory copy
YELLOW rg CHertt ccp`,

Part E
Toxicity Testing Data
September 2013
Chronic Fathead Minnow / Concentration Test

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 E.4 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.1. Required Tests.
Indicate the number of whole effluent
0 chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 1-Pimephales promelas Test number:
Test number:
a. Test information.
Test Species & test method number
Pimephales promelas, Method 1000.0
Age at initiation of test
21.75 to 23.75 hrs
Outfall number
o01
Dates sample collected
9/17/13, 9/19/13, 9/20/13
Date test started
9/17/13
Duration
7 days
.
b. Give toxicity test methods followed.
Manual title
Short Term methods for estimating the
Chronic Toxicity of Effluents and
Receiving Waters to Freshwater
Organisms
Edition number and year of publication
Fourth Ed. October 2002
Page number(s)
53 to 111
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
3 — 24hr samples
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
X
After dechlorination

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Test number:: 1-Pimephales promelas
Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Effluent outfall 001, after all treatment
processes
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Soft synthetic water, made with reagent
grade chemicals according to EPA
methods
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
5.25, 10.5, 21, 42, 84%
k. Parameters measured during the test. (State whether parameter meets test method specifications).
pH
Yes
Salinity
n/a
Temperature
Yes
Ammonia
n/a
Dissolved oxygen
Yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
n/a
LC50
n/a
95% C.I.
n/a %
%
%
Control percent survival
n/a %
%
%
Other (describe)
n/a

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571,
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
Chronic:
NOEC
84 %
%
%
IC25
>84 %
%
% ".
Control percent survival
100 %
- %
%
Other (describe)
Chv >84%
m. Quality Control/Quality Assurance. -
Is reference toxicant data available?
Yes
Was reference toxicant test within
acceptable bounds?
Yes
What date was reference toxicant test
run (MM/DD/YYYY)?
8/12/13
/ - /
/ /
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes ® No
Is the treatment works involved in a Tox city Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: n/a/ / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
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.

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Date:9/30/2013
\+Facility: Lumberton
Laboratory: Meritech, Inc.
•
Si re of Operator in es
onsible Charge
NPDES # NCOO 24571
Signature of Laboratory Supervisor
Pipe #: 001 County: Robeson
Comments'
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 9/17/2013
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
5.25
r 10.5
Surviving #
Original #
Wt/original (mg)
21
Surviving #
Original #
Wt/original (mg)
42
Surviving #
Original #
Wt/original (mg)
84
Surviving #
Original #
Wt/original (mg)
Water 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)
`iductivity (umhos/cm)
Chlorine(mg/L)
Temp. at Receipt (°C)
Dilution H2O Batch #
Hardness. (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
2
6:50 PM
3
4
Avg Wt/Surv. Control 0.779 Test Organisms
10
10
10
10
10
10
10
10
0.763
0.777
0.728
0.849
10
10
9
8
10
10
10
10
0.764
0.754
0.706
0.730
10
10
10
7
10
10
10
10
0.713
0.804
0.660
0.648
10
8
10
10
10
10
10
10
0.710
0.725
0.667
0.838
10
10
10
10
10
10
10
10
0.818
0.692
0.996
0.707
10
10
9
10
10
10
10
10
0.920
0.798
0.864
0.612
Day
% Survival
Avg Wt (mg)
100.0
0.779
r Cultured In -House
F.- Outside Supplier
Hatch Date: 9/16/13
% Survival 92.5 Hatch Time: 3:00 pm CT
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
0.739
92.5
0.706
95.0
0.735
100.0
0.803
97.5
0.799
0
1
2
3
6
8.14 /
7.75
7.95 /
7.46
8.24 /
7.72
8.00 /
8.11
8.13 /
8.09
8.24 /
7.82
8.10 /
7.69
7.62 /
7.15
7.70 /
6.59
7.65 /
6.99
7.72 /
7.22
7.41 /
7.43
7.81 /
7.15
7.80 /
6.91
24.9 /
24.9
24.4 /
25.3
24.6 /
25.8
24.7 /
25.4
25.0 /
25.6
25.2 /
25.8
25.0 /
24.8
0
1
2
3
5
6
7.54 /
7.72
7.59 /
7.60
7.66 /
7.72
7.60 /
8.01
8.18 /
8.15
8.13 /
7.95
7.77 /
7.78
8.21 /
7.15
7.85 /
6.53
8.06 /
7.14
8.02 /
7.07
7.18 /
7.10
7.65 /
-7.40
8.01 /
7.49
24.4 /
24.9
24.5 /
25.3
24.9 /
25.8
24.5 /
25.4
25.0 /
25.6
25.5 /
25.8
25.8 /
24.8
1
2
3
9/16/2013
9/18/2013
9/19/2013
24.5
23.9
23.9
70
62
64
86
90
95
2980
2050
2470
<0.1
<0.1
<0.1
0.3
0.6
1.2
750
48
60
215
751
752
48
48
64
62
218
225
753
48
63
219
Normal
Horn. Var.
NOEC
LOEC >84 >84
Survival
Irl'
84
Growth
F1>J
84
ChV >84 >84
Method Steel's Dunnet's
Overall Result
ChV
>84
Stats
Conc.
5.25
10.5
21
42
Survival
Critical Calculated
10 14
10 16
10 16
10 18
Growth
Critical Calculated
2.41 0.6236
2.41 1.1172
2.41 0.6772
2.41-0.3673
84
10 16
2.41-0.2946

Client: Lumberton
NPDES #: NC0024571
Initiated by:
Date/Time Fed: 9/17/13
Date/Time Born: 9/16/13 3:00 PM CT
Organism Source: Aquatox, Inc.
Transferred by:
Date
Day 1 9/18
Day2 9/19
Day 3 9/20
Time J
(1.) ,, �ti/ ",/
Initials
Day 9/21 4f1, f/thol.
Day 5 9/22
Meritech, Inc.
Chronic Fathead Minnow Benchsheet
Transfer and Feeding Dates and Times
# of Organisms per Chamber: 10
Test Vessel Size: 400 ml
Test Solution Volume: 250 ml
Temp. of Stock: °C
# of Reps: 4
Date Time 1 Initials
Day0 9/17
Day 1
Day 2
Day 3
Day 4
Day 6 9/23 tl>�� I��J�-- Days
rest Termination Data:
nitials/Signature:
End Date:
End Time:
9/24/13
J_5
I'n 3.16-1,k..
9 / 18 ?TM"-
9/19
9/21 tt��c;b,-
9/22 (7/i
Day 6 9/23 (NICL
Start Date:
End Date:
Fed by:
Time 2
//JSL.
/
n
9/17/13 Time: i aSU(Fk-
9/24/13 Time: JOSOc.„%_,
Randomization:
Initials Time 3 Initial
,/ --- '7 v1.J,Pfik
L(r,1)
i/PiejL,. ' t/ek
t
*
= Weekend, only 2 feedings needed

1
•
AV!,
I TEC
• •
r ,1‘
ENVI RON IVIENTAL LABORATORIES
A Division of Water Technology and Controls_ Inc_
Chemical and Physical Determinations
Client: Lumberton NTI'DES#: NC0024571 Start Date: 9/17/13 Time:
Test Organism: Pimephafes promelas Analyst(s): mer, MR, ST End Date: 9/24/13 Time:
Da
Concentration: control
0-1
1-2
2-3
3-4 .
4-5
5-6
6-7
Remarks
Soft Synthetic Freshwater
Batch # :
/.-->n.
pH: Initial
?•-, / y
-7 set;y.. ,
R., 2_1/
2J7/
Final
7- (
-7 L,'
.-7:1z-
gt 1 \
, c "k
---7 , g 2-
.?• 69
ce--
D.O.: Initial
7. (2--
7 -2 0 _...
. 7(5--
7, 7
14- \
-7, c.): /
• 7 _ ,-•;!:).' ,
Final
-). I 5,
&C,•e''''
(c, 9 9
1- .).-- -,.),
7 4/ a
7./1
(/(
Temp.: Initial
2-4:;9
-2171,. V
2 q. 6:.;
z9 72,c,
0
'4,-.:74-
,. A
25Th
Final
17 /.....]
2--S---:.3
.25: 57
ZST V
ZS-.
Conductivity: Initial
-2- i
at
"2- 3 0
-.)- \ Ci
.--?.. 7:11,',..
g \ c7-‘1
Final
Qg...9-
[-),._").\
;,9,,,--tr-2,-,
Residual Chlorine:
At.
c..&
z_o, J
AC,./
40 ,/'-2..
6) _ 1
Hardness:
/-/ r —
..; .....---,--
Alkalinity:
60 ---
(....,‘'i
Day
Concentration: 5.25%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
S, O. 3
7.? 3
(, It'
-7 5
S , IS
'-'?'''-, ,2i
g 4 0 5. -
-
Final
'-7,6:).7
-7, 53
7, 7 ?
$ Q
71, ii
3/42-
-7.7(c,
D.O.: Initial
76j--
7 ( 1, 5".
'7 6,/c)
' - - ) ."-ic:
—1- . --;:2,(--)
7;7 9'
7 .
Final
7 . / I
A 3,9
7 , /5
',IL i,-
7-
Temp.: Initial
7 y:c7
7 t1,1/
214 e,-'
7-Y , )
2,17 0
?,7,
2-5: i
Final
ILI ;
.1.57,3
-=2, r
:75-. './
7-5. (.9
74,11.-
2-lig
Conductivity: Initial
;z)(/' -
).----1-
-3LC)
.31-44---
Final.
q/3
.7;
1
Residual Chlorine:
40 , 1
Z_O ,
4.,0_ \
-O • 1
-4C), k
4.0. 1
e_o, /
Day
Concentration: 10.5%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7, LI V
7 : r.
-?. c--)
7, 90
3 , U_
, .2 t)
5, 62-
Final
—?,72-3
7,52--
'`). 7/.
ct3 .0(n
-..•i;Z.
'-),i .C/S
7A
D.0,: Initial
7 7`7`
77a-
7. foct
.7, S I
1 D-1
7 ,r? 5-'7
-q3 ,
Final
—) , /5
(21
-7. (, 3
7- ,t --)
7 / .7
7 , 3 ,,"")
7: ze7t.
Temp.: Initial
2.1-1.3
-2 y, yr
) Li,. -?
-14, 7
-2.5,D
--2,-6, 2,,,..-
72---.. 2-- ,
Final
-2 q: 'fi
'2, (-'3
.7/z57 X
.25: 1
7.. • (.9
-)4-4
,7-- (fX
Conductivity: Initial
..
.c.- 2-6
. .'.-'.57.-
/---,3`1'
,t---1- 2:,.{:j.
49.5
V 7q
'-i-f,,,, 1-1-
Final
3
E-i-,:! ci\
"--'6T
c(r)*.)
qcf :s.
,
3grap
Residual Chlorine:
40,1
40 .. 1
40
i.L0 , (
<la, 1
4,0 . i
2.:.0, 1

war ouo alw 60 NI.> '444aso /S7 &IF Apr- ASO AV Cr.e.1 ',dieser or
an' \if R.CD IN INA E PJ L Lc,F2.41-CIFC ES
o/v/sioe, 0/Cogy /7 r(e,,, fl-c.
Chemical and Physical Determinations
Page 2 of 2
Client: Lumberton NPDES#: NC0024571 Start Date: 9/17/13 Time:
/
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 9/24/13 Time: i Lid ocA—
Da
Concentration: 21%
. 0-1
- .1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7, co
-7,5--/
R, of
7, 8 (,
13 j,,,
' - I 9-;
7 5 g-
Final
7 , 73
-7 , sT)
7, 7'(:
(---, Dc
c;-,-, i P.
-7 (
7 /43
D.O.: Initial
-7 .. 75
'7.70
-7 ,-7 .3.
7 .V 2—
-----i- ,2-,-.---- •
'7 ._ '7 1
"*,-,1 i,' Final
7 i q
1--c-,.-'76.'.:,-7
- -7 ,0•5-
'--- , DI)
7.1 . 1 i
-7, 2- LK
7 , / ;,2r;
Temp.: Initial
2-V-S
7 `1....,c
2 Y ..r
'2 `1, 7
Z-. 0
7,5-3 ,
.?C LI
Final
)-. V , (1
2-113
, , K
'7 S: Y
--7 5-, (.,..,
--2.- 5- -X
0 ig
Conductivity: Initial
''i,'. ( 6/
'F).--, __.--4-
G -3 /
Cc S-9-
------,-.=2) i
-/PFT-,,..7,
7.1
Final
:`..".„-Lrj
,5).-,as
(;,..Th—a,
T1, . ,Q.
1 7..
Residual Chlorine:
2_6 , (
z_. 0 ,(
4)‘ (
'-O. )
-"---:-Cl ,
2-0 . i
4(..1, i
Day
Concentration: 42%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
7:0
7, 73
7 63,5
--/' ,7( 0
.5..,k7,--
C>,
Final
7 . 7 3 .
-?, ('; b
7,7 /
5.)(1 (3
,c1. 2'4
72 C.))L,
7.7 ..17
D.O.: Initial
"7„S?, c-;
7 . 2- S'
7 , 5- 2—
7.,c:'' 7
".---1 .,cc -it.
2
Final
/'-/
6...57
.,),(c--,
'74-, g---s-
7449
-). /3
7-6 2_
Temp.: Initial
7.-4,(,)
2 'it, r)
24, ci
2t 1
2,.S2()
--,$).:;,'I ,
7 ,(4:..,
Final
-.) tj, ci
--zS1..3
2f _
2j7/
7s- . 6.
-2 r.y
sy.,/
Conductivity: Initial
[ (-4 2,2-
V.)..-1 4.
/ e) / S
clot ----f-
1 i---1-';.).
...,,,:)(S.)
1 1 3
Final
\14.--Y-)
1 /---i-9L:,)
1 ic,, (c. \
k„0:-"-K..<
mg%
1....x,i4
1 Icil
Residual Chlorine:
..C),. k
Z---6). 1
Z-0 il
‘0, \
..‹.() )
4-0. 1
40. I
Day
Concentration: 84%
0-1
1-2
2-3
3-4
4-5
5-6
6-7
Remarks
pH: Initial
.7, 5i7i
7, 5-7
7 , 6,;(,...,
7 0
.1c
(-, ) :7's
7, 7)
Final
.7, -7 -',..7..-
7( 1,.9_
-7 ri :23-
, c2., c
4-:-., i .e,---
----7 ,ci .5-
7- 7 ,.„-.
D.O.: Initial
CZ, ?-i'
7_ Sr.-5
(,-."
,C:2--
--7 , IV
-7 ,t'd .5---
(..,' f
Final
7, S. ..
(,,,,5,3
7 i ,.--,1
—4; )1-----ii
., 10
7, VO
7 51
Temp.: Initial
2Jg. Lif
-,.7...y,_
-,., fi cy
21 i , s
.-----: u
.7, 3- , ..c
-2„5-,3--
Final
.7 Li , t.,-;
-2417
?....._5,V
• 2,57,
---7,5-, 6.)
'157,5
'2(1,-,457
Conductivity: Initial
7...5-2-0
,a2F2
i 7 -2,-,
1 ( r, .574,
..ailn-,
,Ztf)
0So
Final
-1404 0
g--1--1-c;.st)
FiC1
5270
',7...1. An/
,A.,,s-t)
Residual Chlorine:
-0- i
Z---0 : 1
/_:-_(),. \
,./.......(:), 1
<IC: C
Z-C-', i
..ef-0 : i
Day
Concentration: 100%
0-1 1-2
2-3 3-4
4-5 5-6 6-7
Remarks
pH:
7 4 V.
7, (c 1
Conductivity:
T_ci 8-'0
2_050
Residual Chlorine:
z_O. / '
LO, 1
-.3' .
Hardness:
71- ,C)
_.),._,--7..),
LV-4- .
Alkalinity:
f.2)(.,,
(,
'IL)
q '9-

IFERH=CL%, imic
ENVIRONMENTAL LABORATORIES
A Division of We ter Technology and Conrrols.
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 9/17/13
cL Initial weights taken on:s- i,3 by: Organism: Pimephales promelas
Final weights taken on: ) by: --ST-
Page: 1 of 2
Outfall:
CONC
REP
PAN WT.
(mg) •
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV %
Control
A
-,,--i,..-+.7-1-
--Th. .-.2.--,2)
\, C.)
L •--3
c
s9-e
I
D
1
?Y4-1- ric
?5 ' \rA C)
1,
U . 7,H--ci
i • ,
loc.
\ ' ."--...
i,,c,c)
5.25%
A
, 4,15.Cy5
?s5(;cci
'---i,()-4-
\()
0,-9_(„Li
B
c
-Lac,
ci,
D
)) i ---
.,2, ' ,.
. 5o
S
r, ---- ,--„.._
c_,,,, - c.--)c\,
10.50/0
A
B
'3H-J\-.7-Sc5
f-‘.F.,. .--)c-1
$'.. Lq-
\, C\.'
. '3 Sst, L-4-
(,,CQ
c
8.H- L., ,5'
(--:73- - '__, ?)
( ( , (e,-::.C)
\ C).
CL±C
-, . -_-) (-.7,
a• U7
• _ --) ; 1
''"-T— :)-1-

EalTE:CH HNC.
ENVIRONMENTAL LABORATORIES
A Division of 14fater Technology and Conrrols,
FISH LARVAL SURVIVAL/GROWTH DATA SHEET
CHRONIC FATHEAD MINNOW
Facility: Lumberton
NPDES #: NC0024571
Date of Test: 9/17/13
Initial weights taken on:
(
r-
by:
Final weights taken on: -;;,L-7 by:
Page: 2 of 2
Outfall:
Organism: Pimephales promelas
CONC
REP
PAN WT.
(mg)
PAN + ORG.
WT. (mg)
WT. OF ORG.
(mg)
# ORG.
MEAN
WT./ORG. (mg)
SURV %
210/0
A
Bill , A-11:3
Si-A-C: .53
-TT , I C',
U
C -\. - k 0)
B
.,-)c)-, (()D
r---, 1 ),__
:Li 0 .s3
....___ ,,........,
. ,,_::),(..--)
-t,
CH, ,--:-.)
.:31__)-''
c
9?)(--1,\
_J-A5
61r-
.i\c'D
,), J !.
( CFr
c "
'''-
D
i3(CA1-k.-:1
. r;,1?)
42%
A
5'3,rh
3)4Lc-i ,j44
56
c..9:s.•<s
B
S 5- FO
•Cr
c)
e Ticz-
WC,
840/0
A
)-(-Lc- ,c1
S'5 LT.
1:3
c't , .:).n)
;
C_E-'1•Qc.,
\, LC)
B
3 S e-
--\.2,1
---1,c219/
c).
KWO
c
S':-3t4_:,--),-4
cr,-Li\-':----)_1-11-_)
ii.1.()L-1:-
01
c),i_.,.
D
,3q...3
i-'.-, ,
, ."-a
,,
.., 1
-7..4-.,J

Mortality Data: Chronic Fathead Test
Client: Lumberton NPDES#: NC0024571 Start Date: 9/17/13 Time:6LJZ"----
i
/00 ,-,
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST End Date: 9/24/13 Time: •
Concentration Control
Rep #1
Rep #2
Rep #3
Rep #4
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
0 0
0 0
) (,)0 0
Concentration 5.25%.
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
r,
Rep #1 0 1 )
0
,,..., ry) ) e)
Rep #2 0 r'..,
U - 0
Rep #3 0 I 1
....) \ 0 0 0
Day 7
(2)
Day 7
00
Rep #4
Concentration 1 0.5%
Day 0
Rep #1
Rep #2
Rep #3 --0
Rep #4
Day 1
,
j.
Day 2
)
7-\
6
Day 3 Day 4 Day 5 Day 6 Day 7
L.5 r' •
)
,.;
(\\J

6 VI 16 1.-'..06 6, 66YV.
Mortality Data: Chronic Fathead Test
Client: Lumberton
NPDES#: NC0024571
Test Organism: Pimephales promelas Analyst(s): mer, MR, ST
Concentration 21 %
Rep #1
Rep #2
Rep #3
Rep #4
Day 0 Day 1
l)
0 )
a 1 0
J•
Concentration 42%
Day 2
0
Start Date: 9/17/13 Time: �,�I G'��•�,
End Date: 9/24/13 Time: ('1'� t:cam"---
Day 3 Day 4 Day 5 Day 6
Dt
U
U
Day 0 Day 1 Day 2 Day 3
Rep #1 U
Rep #2
Rep #3 �� (�%
Rep #4
) ()
Concentration 84%
rDay 0 Day 1
Rep #1
Rep #2
Rep #3
Rep #4
D
Day 2 Day 3
Day 4 Day.5
V
IL)
D
Day7
Day6 Day7
0
0
�i
Day 4 Day 5 Day 6 Day 7
V

B iltNE u tL; EPIy'll��
Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Meritech Sample ID #: r-1 \" 2. I
TO ici--fir \ 6-c3
Toxicity Supervisor email: mike.reed(aimeritech-iabs.com Web Site: www.meritech-labs.com
Client:
Contact Person:
CC_CENT NFORMATMN.
CI o c 1--U h
Torym- Srni
Address: 700 \/ r
►1�CSOr> State: NC
City:
County:
Zip:
PO#:
NPDES#: NC 0O(2-1-15i
Phone: q (0 co-] I ' 0)ssS
Pipe #: (
358
Sample Site:
SAMPLE HPRCinATGON
WW1 P 1�i mict JoV
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date:
Composite
• KO• l`3
•I-1•13
Start Time:
End Time:
E-WI urn+
# of containers: 2,
PM
PM
t{," SAMPLE CONTAINERS MUST SE CO[&IPLETELY FULL (nc our space), CHILLED AND COVERED WITH !C :"
Collector's Name:
Test Required:
Comments:
Print: , � Lowry Signature: f Q C "
P TOXICITY TEST G�8 ORf'dde`ATC®6ii
►: Chronic (7 days)
❑ Acute (24-48 hours)
Test Organic
r edaplanie-dia waterflea _ -
Pimephales promelas (fathead minnow)
D Mysidopsis bahia (shrimp)
C: 2 9 % Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
SHIPPING CNPORMMATCON
l t Date: q .1� • 13
,o'w' J Date: 9‘ %% 'J
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Date: 9 . % , /
Dat•
nie,`.KRed to }�
Received
m Lab e
Date:
05L. E 0
Date:
Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX
Meritech Pick-up
Time:
Time:
Time:
Time:
Time:
Time:
Time:
Time:
❑ Delivered ❑ Other
AM PMi
AM
AM!
AM
AM
AM
AM
AM
" Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, MO SIGNATURE REQUIRED t`
PM
PM
PM
PM
PM
SAMPLE RECECVCNG (Laboratory Use Only)
Relinquished by: (
Received b� ( 4
/
Sample Temperature ): ' , 3 / C.', 7 1 / /
Date:
7.
Time: L ) I A PM
Sample Condition: _j t. C
WWWWG-fCTE _ Laboratory copy
YELLOW = GCCertt copy

MJEMITECF11,
Eioassav Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Toxicity Supervisor email: mike.reedemeritech-labs.com Web Site: V tflftrW.merttech-labs.com
Meritech Sample ID #:'." /:
03-r
%x o 3
CLIENT INBFORMAT/ON
Client: oLu mber- or
Contact Person:-1-0, YYl4 / �Yl t
7 Address: � i:cxv
1d� S*
City: L u mbeY+Orlf
County: Robe 50n State: NC,
Zip:
PO#:
NPDES#: NC C0—457
Phone: coo- i1'3R
Pipe #:
2 ?)5 3
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date:
SAMPLE INFORMATION
MATION
W mud,
Composite # of containers: 2
9-Ig• I�F'
Start Time: 1O10CI
End Time: i V • Q
PM
PM
*** SAMPLE CONTAINERS MUST BE COMPLETELY FULL (no air space), CHILLED AND) COVERED WITH ICE ttt
Collector's Fame: Print:\ ra. C. LW r,i Signature:
TOXICITY TEST INFORWIATION
Test Required:
Comments:
hronic (7 days)
❑ Acute (24-48 hours)
WC:
Test Organism:
eslaphnia dubia (water flea)
Pimephales promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
�rUn on\
H PPING INFORMATION
ho by:t!'M Date: 9/jq " .Time:
Relinquished / .�,./-„�,,.�i-�- �':' e /: 7-42
Received by:Date:
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Method of Shipment: ❑ UPS
Date:
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Dats, . i Pe, ' 11 Q,reTVP
Date:. Time:
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Sample Temperature (°C):
❑ Fed EX Meritech Pick-up
Time:
Time:
❑ Delivered ❑ Other
AM
AM
AM
AM
AM
AM
AM
l A)l
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'" Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGiv'ATURE REQUIRED
Relinquished by:
Received by:
Sample Temperatures (°C):
SAMPLE RECEGVBNG (Laboratory Use Only)
;./0 / rt /
Date:
t'! ( Time: AM
Sample Condition: ! Ce
Wt ITE = La t orat:oty copy
YELLOV.rtr = CEUer€t copy

Bioassay Sample Chain of Custody
642 Tamco Rd, Reidsville NC 27320
Phone: [phone] Fax: [phone]
Toxicity Supervisor email: mike.reed(a meritech-labs.com Web Site: wwwsneritech-labs.com
MERITECIii1y Meritech Sample ID #: Ocl
moo ; aJ'3
CLIENT INFORMATION
Client: C j
Contact Person:-T(Ay rn\/ m
Address: �Li
t j� Q_t/eMe S+,
L�.
City: irni1^ h`r�f fl
Ron
County:
State:
NC.
Zip:
PO#:
NPDES#: NC CSC- 21 51
Phone: �Q • O�� ��j
Pipe #:
2859
Sample Site:
Sample Type: ❑ Grab
Sampling Time: Start Date:
End Date:
SAMPLE D FORMATION
8"kCinIcApakty.
Composite of containers:
q- aq - \e Start Time: 101n-1
q ` 2!. J p , End Time: (11`co
PM
PM
*`;: SAILI PLE CONTAINERS MUST BE COMPLETELY FULL (no air space), CHILLED AND COVERED WITH
Collector's fame: Print: 1 rr e c C L(-wvc Signature:
Test Required:
Comments:
Chronic (7 days)
❑ Acute (24-48 hours)
WC: 21
Ok
TOXICITY TEST INFORMATION
Test Organism: ❑ •Ceriodaphnia dubia (water flea)
Pimephaies promelas (fathead minnow)
❑ Mysidopsis bahia (shrimp)
Test Concentrations (if multiple dilutions):
Relinquished by:
Received by:
Relinquished
Received by:
Relinquished by:
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SHIPPING INFORMATION
.I (7Q'1
Date:
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Date:
Date:
Date:
Date:
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Sample Temperature (°C):
Method of Shipment: ❑ UPS ❑ Fed EX
"* Samples shipped on Friday must be FedEx and must b
Time: �6 / 0.',%AM �r�"
Time: AZ p AM
Time:
Time: AM PM
Time: AM PM
Time: AM PM
Time: AM PM
Time: AM PM
eritech Pick-up ❑ Delivered ❑ Other
clearly labeled for Saturday delivery, MO SIGNATURE REQUIRED `t
Relinquished by:
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Sample Temperatures (°C):
SAMPLE RECEIVING (Laboratory Use Only)
P,t�
)\
• 1 1
Date: l i Time: 4.:1\ AM,
C.
Sample Condition:
WHITE = Laboratory copy YELLOW ® C[ient copy

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W=
0.1537
0.9798
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data PASS normality test (alpha = 0.01). Continue analysis.

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
Bartlett's Test for Homogeneity of Variance
Calculated B1 statistic = 8.3867
(p-value = 0.1362)
Data PASS B1 homogeneity test at 0.01 level. Continue analysis.
Critical B = 15.0863 (alpha = 0.01, df = 5)
= 11.0705 (alpha = 0.05, df = 5)

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
SOURCE
ANOVA Table
DF SS MS F
Between
5 0.0308 0.0062 0.7213
Within (Error) 18 0.1537 0.0085
Total
23 0.1845
(p-value = 0.6160)
Critical F = 4.2479 (alpha = 0.01, df = 5,18)
= 2.7729 (alpha = 0.05, df = 5,18)
Since F < Critical F FAIL TO REJECT Ho: All equal (alpha = 0.05)

Title: lumberton
File: lumberton Transform: NO TRANSFORMATION
i
Dunnett's Test - TABLE 1 OF 2
Ho:Control<Treatment
GROUP IDENTIFICATION
TRANSFORMED MEAN CALCULATED IN SIG
MEAN
ORIGINAL UNITS T STAT 0.05
1 control 0.7793 0.7793
2 5.25 0.7385 0.7385 0.6236
3 10.5 0.7063 0.7063 1.1172
4 21 0.7350 0.7350 0.6772
5 42 0.8033 0.8033 -0.3673
6 84 0.7985 0.7985 -0.2946
Dunnett critical value = 2.4100 (1 Tailed, alpha = 0.05, df = 5,18)
Title: lumberton
File: 'lumberton Transform: NO TRANSFORMATION
Dunnett's Test - TABLE 2 OF 2
Ho:Control<Treatment
NUM OF MIN SIG DIFF o OF DIFFERENCE
GROUP IDENTIFICATION REPS (IN ORIG. UNITS) CONTROL FROM CONTROL
1 control 4
2 5.25 4 0.1575 20.2 0.0408
3 10.5 4 0.1575 20.2 0.0730
4 21 4 0.1575 20.2 0.0442
5 42 4 0.1575 20.2-0.0240
6 84 4 0.1575 20.2-0.0193

Title: lumberton - survival
File: lumbertsury Transform: NO TRANSFORMATION
Shapiro - Wilk's Test for Normality
D =
W=
0.1325
0.8152
Critical W = 0.8840 (alpha = 0.01 , N = 24)
W = 0.9160 (alpha = 0.05 , N = 24)
Data FAIL normality test (alpha = 0.01). Try another transformation.
Warning - The first three homogeneity tests are sensitive to non -normality
and should not be performed with this data as is.

Title: lumberton - survival
File: lumbertsury Transform: NO TRANSFORMATION
Hartley's Test for Homogeneity of Variance
artlett's Test for Homogeneity of Variance
These two tests can not be performed because at least one group has
zero variance.
Data FAIL to meet homogeneity of variance assumption.
Additional transformations are useless.

Title:. lumberton - survival
File: lumbertsury Transform: NO TRANSFORMATION
Steel's Many -One Rank Test - Ho: Control<Treatment
MEAN IN RANK CRIT. SIG
GROUP IDENTIFICATION ORIGINAL UNITS SUM VALUE DF 0.05
1 control 1.0000
2 5.25 0.9250 14.00 10.00 4.00
3 10.5 0.9250 16.00 10.00 4.00
4 21 0.9500 16.00 10.00 4.00
5 42 1.0000 18.00 10.00 4.00
6 84 0.9750 16.00 10.00 4.00
Critical values are 1 tailed ( k = 5 )

Part F
Industrial User Discharges and RCRA / CERCLA Wastes
The City of Lumberton has (6) discharges in the Pretreatment Program. (5) are
non categorical Significant Industrial Users and ( 1 ) CIUS. There is a completed
form for each discharge included in this section.
City of Lumberton has no RCRA / CERCLA Wastes.
1. Robeson County Landfill (NCSIU)
2. Kayser Roth (NCSIU
3. Elkay (NCSIU)
4. Buckeye (NCSIU)
5. International Paper (NCSIU)
6. Trinity (CIU)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
*INIoEWJr� 1'� •�
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13 RT F. DU,,STRIAL USER CIS H RGES AND Re ,.WASTE, S y ,;1F s� n' � `j13
All treatment works receiving discharges from significant industrial users
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject
or which receive RCRA,CERCLA,
ot, an approved pretreatment program?
Users (ClUs). Provide the number
or other remedial wastes must
of each of the following types of
questions F.3 through F.8 and
0 Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 5
b. Number of CIUs. 1
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy
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: Robeson County Solid Waste Management Landfill
Mailing Address: 246 Landfill Road
St. Pauls , NC 28384
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Leachate is generated from Robeson County MSW Landfill, Phases 2 and 3, which receives solid waste for disposal. The liquid in the waste is
collected into a leachate collection system (LCS) and is pumped via 4-inch force main lines into two on -site 253,000 gallon storage tanks.
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): None- - no products are produced at this waste disposal facility.
Raw material(s): Caustic soda and muratic acid are used for pretreatment of the leachate to balance ph levels
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the
day (gpd) and whether the discharge is continuous or intermittent.
20,000 gpd ( continuous or X intermittent)
collection system in gallons per
into the collection system
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes D No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards, which category and subcategory?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 E 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 E No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply): .
0 Truck ❑ Rail ❑ Dedicated Pipe
F.11. 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
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.) E 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.16. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ 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 tom.
PART;I
cocut'o) DETERMINE niM2 OTHER ARTS
COMPLETE f . . I.
1,14pLij-,MUXN APPLICATION OVERVIEW (PAGE
k _ _ FORM YOUEMU

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c`-tna• c � � r ;.
SUPPLEMENTAL APPLICATION INFORMATION
�'P:Y.
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PART F: IN USTRIALUSER DISCHARGES RCR CERCL�'A WASTES c'��'' '
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,
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 (ClUs). Provide the number
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 5
or other remedial wastes must
of each of the following types of
questions F.3 through F.8 and
b. Number of CIUs. .1
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy.
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: Kayser Roth
Mailing Address: 3707 West Fifth Street
Lumberton, Nc. 28358
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Knit and Dye Panty Hose -
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): Panty Hose .
Raw material(s): Yarn and Dye
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the
day (gpd) and whether the discharge is continuous or intermittent.
24,000 gpd ( continuous or X intermittent)
collection system in gallons per
into the collection system
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( 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 0 Yes 0 No
If subject to categorical pretreatment standards, which category and subcategory? .

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 ►_ 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 0 No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck 0 Rail 0 Dedicated Pipe
F.11. 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
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.) ® 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 ❑ 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 0 Intermittent If intermittent, describe discharge schedule.
rh fz w � �'
END t
PARTifkts�...
y
1�APPLICATION
OVERVIEW (PAGE Q DETERMINE OTHER
FORM YOU COMPLETE
CARTS a�

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
d M''znx Cra A r'z4
SUPPLEMENTALAPPLICATION;INFORMATION
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PA/RTFINUsk7SeRT. R:. IAL ;..rRD.::. .:.- Sws+31A, 27�q.
�.i�„?'�D"., 1CRCRACERCLA dV ,
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
® Yes ❑ No
F.2. Number of Significant Industrial
industrial users that discharge to the
a. Number of non -categorical SIUs.
b. Number of Gills.
SIGNIFICANT INDUSTRIAL USER
Supply the following information for each
provide the information requested for each
from significant industrial users or which receive RCRA,CERCLA,
works have, or is subject ot, an approved pretreatment program?
Users (SIUs) and Categorical Industrial Users (Gills). Provide the number
treatment works.
5
or other remedial wastes must
of each of the following types of
questions F.3 through F.8 and
1
INFORMATION:
SIU. If more than one SIU discharges to the treatment works, copy
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: Elkay Plant
Mailing Address: 880 Caton Road
Lumberton, Nc. 28358
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Knit and Dye Panty Hose
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): Sinks
Raw material(s): Sheets of Stainless Steel .
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the
day (gpd) and whether the discharge is continuous or intermittent.
19,000 gpd ( continuous or X intermittent)
collection system in gallons per
into the collection system
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( 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?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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 ® 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 EI No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
0 Truck 0 Rail ❑ Dedicated Pipe
F.11. 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
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?
0 Yes (complete F.13 through F.15.) ® 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 ❑ 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.
yx Y} ; } rf b ?i,, 8
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a.,' END PART
REFER APPLICATION OVERVIEW (PAGE Qi
FORM Y • U EIWUCOMPLETE
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�
DETERMINE OTHER PARTS
.t.. �+`T�`A}._1't .yt /3; _. rM1,3�'n.pY��

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
a h PVC �:• IIxY� .�,�. - ...
5APPLICATION'INFORMATION4; y`t
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'PART tINDUSTRIAL USER DISCHARGES RCRA/CERCLA WASTES .4 `�' � 7 N
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,
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 (SlUs) and Categorical Industrial Users (ClUs). Provide the number
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 5
or other remedial wastes must
of each of the following types of
questions F.3 through F.8 and
b. Number of CIUs. 1
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy
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: Buckeye Of Lumberton
Mailing Address: 1000 East Noir Street
Lumberton, Nc. 28358
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Wash and Dry Cotton
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): Cotton Balls
Raw material(s): Cotton
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the
day (gpd) and whether the discharge is continuous or intermittent.
20,000 gpd X continuous or intermittent)
collection system in gallons per
into the collection system
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ❑ No
b. Categorical pretreatment standards 0 Yes 0 No
If subject to categorical pretreatment standards, which category and subcategory?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributes to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes ® 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 0 Rail ❑ Dedicated Pipe
F.11. 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
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?
0 Yes (complete F.13 through F.15.) D 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?
ID Yes ❑No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
0 Continuous 0 Intermittent If intermittent, describe discharge schedule.
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END 'PART, _ > ,� ,
&NA:4;TM TM APPLICATION OVERVIEW (PAGE DETERMINE
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J OTHER PARTS
. a,> •
1 a .. t�'�' �l%�B

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
tYar„. k:l+ w .'� 'm , �n..ff ;r-� T ,, k,^ au� 5, 1
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APPLICA�TIO(N INFORMATION,�� g ,��
F. 3r. ;' `Yb gr n" 7- ux tikS . 4Y-sx, K-»c,, s3 r..,, S. i,' { t .,>: v 1 -, ar:,?:�,k tb:�: 5�,3
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PART F? INDUSTRIAL• USER DlSCNARGES RCRia / 2'CIFAA VNASTrSI`, . "' of
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?
E Yes ❑ No
F.2. Number of Significant Industrial Users (SlUs) 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. 5
b. Number of CIUs. 1
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: International Paper Company
Mailing Address: 820 Caton Road
1 Lumberton, Nc. 28358
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dve and Print Corrugated Boxes
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): Corrugated Boxes
Raw material(s): Paper, Starch, Ink
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.
11,800 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.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits E Yes ❑ No
b. Categorical pretreatment standards ❑ Yes E No
If subject to categorical pretreatment standards, which category and subcategory?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
F.8. Problems at the Treatment Works Attributed to Waste Discharge
upsets, interference) at the treatment works in the past three years?
by the SIU. Has the SIU caused or contributed to any problems (e.g.,
❑ Yes 0 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 0 Rail 0 Dedicated Pipe
F.11. 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
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.) ® 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 ❑ 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 0 Intermittent If intermittent, describe discharge schedule.
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APPLICATION OVERVIEW (PAGE DETERMINE OTHER PARTS "=s
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C e` �s t.'a h �. saF .
51,

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTAPPLICATION INFORMATION }' 4
w rg ,
PART I INDUSTRIAL USERDISGHARGES MD 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?
ID 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. 5
b. Number of CIUs. 1
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: Trinity
Mailing Address: PO. Box 1519
Hamlet, NC 28345
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Production of Agriculture and Textile Chemicals.
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): Southern Thiosulfate, Sodium Meta- Bisulfite, 93 % Sulfuric Acid, Sulfuric Acid, Chlorine , 50% Sodium Hydroxide
,Nitromethane, 20% Sodium Hypochlorite
Raw material(s): Chloropicrin, Sodium Hypochlorite Bleach,Sodium Chloride (aqueous) Sodium Hydroxide
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. -
39,598 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.
gpd ( 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 0 Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
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? •
0 Yes ® 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?
0 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
F.11. 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
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?
0 Yes (complete F.13 through F.15.) ® 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 ❑ 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 0 Intermittent If intermittent, describe discharge schedule.
F�9� �_ x,x
©© TERMINE'WHICH 0 ER PARTS
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APPLICATION OVERVIEW (PAGE.i).f
a FORM,2AYOU-MA
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Part G
Combined Sewer Systems
Information
The City of Lumberton does not have a
numbering system for CSO outfalls
(discharge points). The outfalls (discharge
points are named by location. There is a
completed form in this section for each
outfall(discharge point) where an
overflow(spill) occurred wring the past
twelve months.

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SU PLEMENTt APPLICATION INFORMATION,
PART ( COMBINED SEWER ��f '� �' i k "�*
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 Dunn Rd. and Anne St. Manhole
.
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.6201 W 79.044
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or 0 approx.)
CSO?
® CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (0 actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Na.
b. Name of watershed/river/stream system: Na.
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
END CV PART (�
REFER ifir1/4DMIA APPLICATION OVERVIEW (PAGE 'I1D im DETERMINE OTHER ARTS
OO [;= FORM ;, YOU EIMF COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENT APPLICATION INFORMATIONy
PART; COMBINED SEWER §REffil2ig <e°`! � ' �ti >, j�
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 Elizabethtown Rd. and Godwin Ave. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.629 W 78.977
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
® CSO frequency
8
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
CSO?
►I Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
b. Give the average duration per CSO event.
1.86 hours (0 actual or El approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber. River Basin
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
_
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water: Meadow Branch
b. Name of watershed/river/stream system: Meadow Branch
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intemiittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
ENDPARTC
LI.PIA3 MIEN `U APPLICATION OVERVIEW(PAGE t `VU DETERMINE niMil OTHER
FORM YOU COMPLETE• ARTSP
^,i4 . 11;-.k''

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTAL APPLICATION INFORMATION
PART k s p
1f 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 Sinclair St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.615 W 79.023
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
El Rainfall 0 CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or 0 approx.)
CSO?
® CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (0 actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Na.
b. Name of watershed/river/stream system: Na.
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
EaD CP PART
REFER irOVCIE APPLICATION OVERVIEW (PAGE 41 '1U DETERMINE MEM OTHER PARTS,
OCR FORM YOU EMU COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTAPPLICATION INFORMATION
3 , t
RANT G <.C_OMBINED SEWER SYSITIEMS "... � ' ' ._,
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 Tines, 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 Stephens Park Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.640 W 79.004
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 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 0 Receiving water quality
f. How many storm events were monitored during the last year? 8
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
b. Give the average duration per CSO event.
1.86 hours (❑ actual or El approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or 0 approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
WEI CCU
REFER 1i APPLICATION OVERVIEW (PAGE
FORM YOU
PART Q,
OTHER PARTS
41D' DETERMINE WON
TIEW COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENT APPLICATION INFOR TIONa,
ky , {
&.,
PART „ `COMBINE©;2iL11
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 Godwin Ave. and Cedar St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.633 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
® Rainfall D CSO pollutant concentrations @ CSO frequency
0 CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year? 8
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
b. Give the average duration per CSO event.
1.86 hours (0 actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water: Meadow Branch
b. Name of watershed/river/stream system: Meadow Branch
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
.,
1:4AD CPpla,
REFER "g9)YKIA APPLICATION OVERVIEW (PAGE Tip DETERMINEMEM OTHER PARTS
Ct FORM YOU COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTAL APPLICATION INF o MATIONK
,rose, ,�,'.O+i
PART(, COMBINED tr ;"s$sv�} ��tm€��
.:... l' P+.ITii`^,7i2A'tl:1 �kIf
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. Locationof 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 Nair and Cedar Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.363 W 79.003
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
CSO?
® CSO frequency
8
14 events (0 actual or 0 approx.)
b. Give the average duration per CSO event.
1.86 hours (❑ actual or IS] approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water. Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
END CV [;GEC
REFER'1lt)M APPLICATION OVERVIEW PAGE q lc) DETERMINE.MIMI (� D OTHER PARTS
FORM YOU EMIT COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTAPPLICATION INFORMATION
x 3F x
PART COMBINED SEWER' _ As � tb ,,
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. Duffel! number 515 Noir St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.366 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
CSO?
. @ CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (❑ actual or 181 approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or El approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
RAD CV
PGA
% ft oo DETERMINEMUM OTHER ARTS
COMPLETE.LL
A.4,-L ,l'inUNN APPLICATION OVERVIEW (PAGE
oCP FORM ,t YOUI

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
,
SUPPLEMENT t APPLICATION INFORMATION ti=�
.PART G. eOMBINED 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 515 Noir St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.366 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or 0 approx.)
CSO?
® CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (❑ actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
'
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
Toss, or violation of any applicable State water quality standard).
,.
AC@PART
REFER APPLICATION OVE ' VIEW (P GE 9p eu@) DETERMINE WWI OTHER ARTS
OG� FORM ?p YOUi COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENT ; APPLICATION INFORMATION yLx� F 71=fr
PART COMBINED r - s U : �""" �'a
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 515 Noir St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.366 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
E Rainfall 0 CSO pollutant concentrations
E CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (E actual or ❑ approx.)
CSO?
E CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (0 actual or E approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or El approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
MD OF
PART
DETERMINE VNXIM OTHER ARTS
REFER TOME APPLICATION OVERVIEW FingAqD`.r©
©Cry FORM YOU IMWDOMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENTL APPLICATION INFORMATION:
PART COMBINED`,
<, a....,. , .
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 515 Noir St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.366 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
CSO frequency
8
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx)
CSO?
®
b. Give the average duration per CSO event.
1.86 hours (❑ actual or (81 approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
G.5.
G.6.
c. Give the average volume per CSO event.
.003096 million gallons (0 actual or ® approx.)
-
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code,
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
OP PARTC,.
REFER .I CO APPLICATION OVERVIEW (PAGE f]D 1 DETERMINE WEN OTHER ARTS
FORM YOU L i COMPLETE.
4tl, i � ,- �_

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENT G,L APPLICATION INFORMATION3b
f�
b
,.:
� s_
PART COMBINED 6110..4AMANag
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
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches,
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially
G.2. System Diagram. Provide a diagram, either in the map provided in G.1
includes the following information.
a. Location of major sewer trunk lines, both combined and separate
b. Locations of points where separate sanitary sewers feed into the
c. Locations of in -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
with Basic Application Information)
drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
affected by CSOs.
or on a separate drawing, of the combined sewer collection system that
sanitary.
combined sewer system.
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number 515 Noir St. Manhole
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.366 W 79.002
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
CSO frequency
8
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall 0 CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
CSO?
®
b. Give the average duration per CSO event.
1.86 hours (❑ actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5.
Description of Receiving Waters.
a. Name of receiving water: Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code
(if known):
c. Name of State Management/River Basin: Lumber
River
United States Geological Survey 8-digit hydrologic cataloging unit
code (if known): 03040203
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 Toss, or violation of any applicable State water quality standard).
YS�G hstas 'i�a'�' 1 '� ?'✓ �'- 4�f 1 1 e ��$ � .: �'#1„Z,Y '. `t
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REFER TO.THEAPPLICATION OVERVIEW (PAGE 1 PTO DETERMINE WHICH OTHER PARTS
FORM 2A YOU'M,UST COMPLETE x3
'"£. 9 `hT f "° 8'

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
SUPPLEMENT GYL APPLICATION INFORMATION j#1
t:< t
. n
� r ,'
Zj .rY... � ,X ��e
PART COMBINED �r �
i . .. _ .... ) 41.�✓.yl
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 Pines Lift Station
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.359 W 79.003
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or 0 approx.)
CSO?
® CSO frequency
8
'
b. Give the average duration per CSO event.
1.86 hours (0 actual or 0 approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water: Na.
b. Name of watershed/river/stream system: Na.
United State Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin: Lumber River
United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03040203
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).

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
a';• to .emu
`t;���,`�,.�.,;�.�
SUPPLEMENT APP CATION INFORMATION
—,k
... �,•�, k,'."ye t ... P� , t �-}� fSq� �,+t+i�,.� �.�,r t,. yt �4-1.ttr
- ?"- 3,, T�CD S_ '3e.' � y: h
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 Pines Lift Station
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.359 W 79.003
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
® CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or 0 approx.)
CSO?
® CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (0 actual or 0 approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water: Na.
b. Name of watershed/river/stream system: Na.
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin: Lumber
(if known):
River
United States Geological Survey 8-digit hydrologic cataloging unit
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known): 03040203
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
END PART L�
REFE' ;1i APPLICATION OVERVIEW (PAGE it a) DETERMINEMEM OTHER hrARTS
FORM YOU GNU' COMPLETE 4

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
1
SUPPLEMENT APPLICATION INFORMATIONn�k ���
t {/R l,ka ffi
PART ''COMBINED SEWER ya <�
f} j,� r1 s,.ss r s
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 Ed's Tire Lift Station
b. Location Lumberton 28358
(City or town, if applicable) (Zip Code)
Robeson NC.
(County) (State)
N 34.370 W 79.006
(Latitude) (Longitude)
c. Distance from shore (if applicable) 1000 ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
® Rainfall ❑ CSO pollutant concentrations
El CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
14 events (® actual or ❑ approx.)
CSO?
® CSO frequency
8
b. Give the average duration per CSO event.
1.86 hours (❑ actual or ® approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Lumberton, NC0024571
PERMIT ACTION REQUESTED:
Permit Renewal
RIVER BASIN:
Lumber River Basin
c. Give the average volume per CSO event.
.003096 million gallons (❑ actual or ® approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
1.9 Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water. Lumber River
b. Name of watershed/river/stream system: Lumber River
United State Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin: Lumber River
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
03040203
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).

City of Lumberton Lift Stations Latitude & Longitude
Lift Stations Miles to Repeater Latitude Longitude
Tank #2 Repeater 0 34.36.14N 078.58.77W
#1 Ed's Tire 2:06 34.37.03N 079.00.67W
#3 Ford Place 2.56 34.37.41N 079.01.00W
#5 King Street 2.75 37.37.44N 079.01.20W
#7 BlueFlash 2.29 34.36.83N 079.01.04W
#9 Nevada Street . 2.47 34.36.47N 079.01.36W
#10 41 South 3.53 34.35.57N 079.02.43W
#11 Parkview 2.76 34.36.60N 079.01.63W
#12 Hollyridge 2.73 34.37.02N 079.01.45W
#13 Freemans 3.13 34.37.23N 079.01.81W
#13 Schoolview 3.26 34.36.47N 079.02.19W
#15 Airport 4.57 34.37.13N 079.03.45W
#18 Fleetwood 8.32 34.36.69N 079.07.53W
#19 Contempora 5.58 34.36.69N 079.04.63W
#20 Nash Finch 8.33 34.39.71N 079.06.43W
#21 Cancer Inst. 4.8 34.37.58N 079.03.52W
#22 Raft Swamp 6.38 34.38.81N 079.04.67W
#23 Junk Yard 3.92 34.37.64N 079.02.48W
#24 Freeman Invest 3.71 34.37.73N 079.02.18W
#25 Britt Farm 3.83 34.38.58N 079.01.54W
#27 Mayfair 3.85 34.39.10N 079.00.74W
#28 Mayfair North 4.44 34.39.69N 079.00.60W
#29 RCC 5.36 34.40.55N 079.00.61W
#30 Mallard Circle 5.63 34.40.60N 079.00.96W
#31 Ramada Inn 3.59 34.38.85N 079.00.65W
#33 Vann Drive 3.62 34.38.98N 079.00.43W
#35 Cricklewood 3.76 34.39.22N 079.00.11W
#37 Wesley Pines 3.89 34.39.39N 078.59.92W
#39 Scarboro's 2.49 34.38.06N 078.59.96W
#41 Gavintown 2.72 34.38.49N 078.59.24W
#42 East Robeson 3.53 34.37.54N 078.55.48W
# 43 Brittswood 1.42 34.37.26N 078.58.12W
# 44 Harrell Road 1.76 34.37.64N 078.58.42W
# 45 Ivey's 1.09 34.36.87N 078.59.50W
#47.CliffRidge 2.78 34.38.46N 078.59.65W
# 48 Gerber . 6.3 34.37.75N 079.05.13W
# 50 Outerbanks 5.77 34.36.46N 079.04.85W
# 51 Kenny Biggs 4.72 34.35.64N 079.03.71W
# 52 Lovette Road 2.59 34.35.26N 079.01.29W
# 53 Pines 1.46 34.35.97N 079.00.30W
# 54 John Deere 0.78 34.36.29N 078.57.97W
# 55 Side Street 2.86 34.36.81N 078.01.68W
# 56 Fire Department 0.26 34.36.35N 078.58.86W
# 57 Sprunt Avenue 1.88 34.37.68N 078.59.42W

# 59 Old Whitteville Road 0.58 34.35.94N 078.58.22W
Prepared by Harold Lovette
30-Sep-13