NC0037834_Permit (Issuance)_20090724

NPDES DOCUMENT SCANNING COVER SHEET
NC0037834
Archie Elledge WWTP
NPDES Permit:
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
July 24, 2009
This document is printed on reuse paper - ignore any
contemt on the reszerse Bide

f-r
Beverly Eave s Perdue
Governor
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
Mr. David K. Saunders P.E.
Director of Utilities
City of Winston-Salem
P.O. Box 2511
Winston-Salem, North Carolina 27102
Dear Mr: Saunders,
July 24, 2009
Subject: Issuance of NPDES Permit NC0037834
Archie Elledge WWTP
Forsyth County
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
This final permit includes following major changes from the draft permit sent to you on May 20, 2009:
• Monthly average limit for F was added to the permit in response to EPA requirement and based on the 40
CFR Part 122.45 (d)(2).
• Daily maximum limit for Hg was added to the permit based on the updated results of the statistical analyses
of the effluent data.
• Monitoring frequencies for Cu and Zn were reduced to Monthly based on the review of the effluent data
and in response to your request.
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.ircwatenquality.org .
An Equal Opportunity t Affirmative Action Employer
NO119thCarolina
Naturally

The Division has reviewed your request regarding the change in the procedure for Chronic Toxicity testing.
The Division is unable to grant this request. The existing test procedure has been developed to provide information
regarding the toxic effluent concentration, which is necessary to determine the cause of toxicity and provide
protection of water quality in the receiving stream. This procedure is applied uniformly for all facilities and cannot
be changed.
The Division has reviewed you request regarding removal of the fluoride limit. The Division is unable to
grant this request. The limit is based on 10 sampling point, which is a statistically valid data set. If monitoring results
in the future indicate that the F limit is not needed, the facility can apply for a permit modification.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh,
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this discharge ultimately flows to High Rock lake, which is listed as impaired on the 303(d)
list for chlorophyll -a due to excessive nutrient inputs. A TMDL is currently in progress, and nutrient limitations are
a potential future requirement.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements
to obtain other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit
that may be required. If you have any questions concerning this permit, please contact Sergei Chernikov at
telephone.number [phone].
Sincerely,
el
Coleen H. Sullius..
cc: US EPA, Marshall Hyatt
WSRO-Surface Water Protection
NPDES File
Central Files
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.ncwaterquatity.org
An Equal opportunity 1 Affirmative Action Employer
NOne Carolina
Naturallytura!!r� • •

Permit NC0037834
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water
Pollution Control Act, as amended, the
City of Winston-Salem
is hereby authorized to discharge wastewater from a facility located at the
Archie Elledge Wastewater Treatment Plant
NCSR 2972 (Griffith Road)
Southwest of Winston-Salem
Forsyth County
to receiving waters designated as Salem Creek in the Yadkin -Pee Dee River Basin in accordance with
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective September 1, 2009.
This permit and authorization to discharge shall expire at midnight on June 30, 2014.
Signed this day July 24, 2009.
71 L"
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

•
Permit NC0037834
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this
permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive
authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and
provisions included herein.
The City of Winston-Salem is hereby authorized to:
1. Continue operation of an existing 30.0 MGD wastewater treatment system that includes the
following components:
> Mechanical screening and grit removal
➢ Primary clarification
> Aeration basins
> Final clarification
➢ Sodium hypochlorite and bisulfite feed for disinfection and dechlorination
> Lime/magnesium hydroxide blend and caustic feed for alkalinity control
➢ Three centrifuges with screw conveyors
> Sludge digestion
> Polymer andiron salt feed facilities
> Odor control system
➢ Sludge drying facility
> Waste sludge lagoons
> Instrumented flow measurement
This permitted facility is located at the Archie Elledge WWTP on Griffith Road southwest of
Winston-Salem in Forsyth County.
2. Discharge _from said treatment works at the location specified on the attached map into Salem
Creek, currently classified C waters in subbasin 03-07-04 of the Yadkin -Pee Dee River Basin.

NC0037834 - Archie Elledge WWTP
Latitude: 36°01'04"
Longitude: 80°1854"
Stream Class: C
Receiving Stream: Salem Creek
Sub -Basin: 03-07-04
Quad #: C17SE
City of Winston-Salem
Forsyth County

Permit NC0037834
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS [0011
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
PARAMETER_ . ;
._... .. _, - _ .
LIMITS
• MONITORING REQUIREMENTS
Monthly
`Average '
Weekly
. Average':
Daily` :
-Mazunum
M_ easurement
. Frequency - _
Fre uen
Sample.
.. e
=.. Type
Sample ,
-. Locations.
Flow •
30 MGD
•
Continuous
Recording
Influent or Effluent
BOD, 5-Day, 200C2
(April 1— October 31)
21.0 mglL
31.5 mglL
Daily
Composite
Influent & Effluent
BOD, 5-Day, 200C2
(November 1 = March 31)
30.0 mg/L
45.0 mg/L
Daily
Composite
Influent & Effluent
BOD, 5-Day, 200C
Weekly
Grab
U & D
Total Suspended Solids2
30.0 mg/L
45.0 mg/L
Daily
Composite
Influent & Effluent
NH3-N (April 1— October 31)
1.2 mg/L
3.6 mg/L
Daily
Composite
Effluent
NH3-N (November 1— March 31)
9.0 mg/L
27.0 mg/L
Daily
Composite
Effluent
NH3-N
Weekly
Grab
U & D
Dissolved Oxygen
Daily Average > 6.5 mg/L
Daily
Grab
Effluent
Dissolved Oxygen
.
Variable
Grab
U & D
Fecal Coliform (geometric mean)
200/100 mL
400/100 mL
Daily
Grab
Effluent
Fecal Coliform (geometric mean)
Variable
Grab
U & D
Total Residual Chlorine3
22.5 pg/L Daily Average
Daily
Grab
Effluent
Total Nitrogen (NO2+NO3+TKN)
Weekly
Composite
Effluent
Total Phosphorus
Weekly
Composite
Effluent
Temperature, 0C
Daily
Grab
Effluent , . .
Temperature, 0C
Variable
Grab
U & D
Conductivity
Monthly
Grab
Effluent, U & D . .
Total Cadmium
Quarterly
Composite
Effluent
Total Copper
Monthly
Composite
Effluent
Cyanide4
Quarterly
Grab
Effluent
Fluoride
2,381 pg/L
2,381 pg/L
Weekly
Composite
Effluent
Total Zinc
Monthly
Composite
Effluent
Chronic Toxidty5
Quarterly
Composite
Effluent
pH
> 6.0 and < 9.0 standard units
Daily
Grab
Effluent
Total Mercury
0.016 pg/L
2/Month
Grab
Effluent
Annual Pollutant Scan
Annually
See A. (3)
Effluent
Notes:
1. U: Salem Creek ca. 1300 feet above NCSR 1120. D: (1) Salem Creek at NCSR 2991, (2) Muddy Creek at NCSR 1493, and (3)
Muddy Creek at NCSR 1485. Instream sampling requirements are provisionally waived in light of the pennittee's
participation in the Yadkin -Pee Dee River Basin Association. Should participation in the Association cease, all instream
sampling requirements are immediately reinstated: grab samples shall be collected 3/week during the months of June, July,
August, and September and weeldy during the remainder of the year with the exception of BOD, NH3-N, and conductivity.
BOD and NH3-N instream samples shall be collected weekly and conductivity samples monthly.
2. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed 15% of their respective
influent values (85% removal).
3. Facility shall report all effluent TRC values reported by a NC certified laboratory including field certified. However, effluent
values below 50 µg /L will be treated as zero for compliance purposes.
4. Cyanide (Cn) detection level shall be 20µg/L. CN levels reported < 20 µg/L shall be considered • zero for compliance
purposes.
5. Chronic Toxicity (Cer odaphnia) ChV @ 76%; January, April, July, October [see A. (2)].
There shall be no discharge of floating solids or foam visible in other than trace amounts.

.Permit NC0037834
A. (2) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 76 %.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or
"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent
versions. The tests will be performed during the months of January, April, July, October. Effluent sampling for this
testing shall be performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit limit,
then multiple -concentration testing shall be performed at a minimum, in each of the two following months as
described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or
subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that does
have a detectable impairment of reproduction or survival. The definition of "detectable impairment," collection
methods, exposure regimes, and further statistical methods are specified in the "North Carolina Phase II Chronic
Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for the
pass/fail results and THP3B for, the Chronic Value. Additionally, DWQ Form AT-3 (original) is to be sent to the
following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Branch no later than 30 days
after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (Al) test form indicating the facility
name, pemnit number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the
comment area of the form. The report shall be submitted to the Environmental Sciences Branch at the address cited
above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month. Should any test data from this monitoring requirement or tests performed by
the North Carolina Division of Water Quality indicate potential impacts to the receiving stream, this permit may be
re -opened and modified to include alternate monitoring requirements or limits.
If the Permiee monitors any pollutant more frequently then required by this permit, the results of such monitoring
shall be included in the calculation & reporting of the data submitted on the DMR & all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid
test and will require immediate follow-up testing to be completed no later than the last day of the month following
the month of the initial monitoring.

Permit NC0037834
A. (3) EFFLUENT POLLUTANT SCAN
The Permittee shall perform an annual Effluent Pollutant Scan for all parameters listed in the attached table (using a
sufficiently sensitive detection level in accordance with 40 CFR Part 136). Samples shall represent seasonal
variations. Unless otherwise indicated, metals shall be analyzed as "total".
Ammonia (as N) Trans-1,2-dichloroethylene Bis (2-chloroethyl) ether
Chlorine (total residual, TRC)' 1,1-dichlorocthylene Bis (2-chloroisopropyl) ether
Dissolved oxygen 1,2-dichloropropane Bis (2-ethylhexyl) phthalate
Nitrate/Nitrite 1,3-dichloropropylene 4-bromophenyl phenyl ether
Kjcldahl nitrogen Ethylbenzene • Butyl benzyl phthalate
Oil and grease Methyl bromide 2-chloronaphthalene
Phosphorus Methyl chloride .4-chlorophenyl phenyl ether
Total dissolved solids Methylene chloride Chrysene
Hardness 1,1,2,2-tetrachlorocthane Di-n-butyl phthalate
Antimony Tetrachlorocthylene Di-n-octyl phthalate
Arsenic Toluene Dibenzo(a,h)anthracene
Beryllium 1,1,1-trichloroethane 1,2=dichlorobenzene
Cadmium 1,1,2-trichloroethane 1,3-dichlorobenzene
Chromium Trichloroethylene 1,4-dichlorobenzene
Copper Vinyl chloride 3,3-dichlorobenzidine
Lead Acid-eaclmclabk compoandr, Diethyl phthalate
Mercury
Nickel
Selenium
Silver
Thallium
Zinc
Cyanide
Total phenolic compounds
Volatik otganic compounds:
Acrolein
Acrylonitrile
Benzene
Bromoform
Carbon tetrachloride
Chlorobenzene
Chlorodibromomethane
Chloroethane
2-chloroethylvinyl ether
Chloroform
Diehlorobromomethane
1,1-dichloroethane
1,2-dichloroethane
P-chloro-m-cresol
2-chlorophenol
2,4-dichlorophenol
2,4-dimethylphenol
4,6-dinitro-o-cresol
2,4-dinitrophenol
2-nitrophenol
4-nitrophenol
Pentachlorophenol
Phenol
2,4,6-trichlorophenol
base -neutral compoxndr,
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
3,4 benzofluoranthene
Benzo(ghi)perylene
Benzo(lk)fluoranthene
Bis (2-chloroethoxy) methane
Dimethyl phthalate
2,4-dinitrotoluene
2,6-dinitrotolucne
1,2-diphenylhydrazine
Fluoranthene
Fluorene
Hexathlorobenzene
Hexachlorobutadiene
Hexachlorocyclo-pentadiene
Hexachloroethane
Indeno(1,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
N-nitrosodi-n-propylamine
N-nitrosodimethylamine
N-nitrosodiphenylamine
Phenanthrene
Pyrene
1,2,4-trichlorobenzene
Test results shall be reported to the Division in DWQ Form- A MR-PPA1 or in a form approved by the
Director within 90 days of sampling. The report shall be submitted to the following address: Division of
Water Quality, Water Quality Section, Central Files, 1617 Mail Service Center, Raleigh, North Carolina
27699-1617.

Permit NC0037834
A. (4) Potential INSTREAM sampling exemption
Per 15A NCAC 2B .0505(c)(4), stream sampling (as well as influent/effluent sampling) may be discontinued when
flow conditions could result in injury or death of the person(s) collecting the samples.
In such cases, on each day that sampling is discontinued, written justification shall be specified in the monitoring
report for the month in which the event occurred. This provision shall be strictly construed and may not be utilized
to avoid the requirements of this Section when performance of these requirements is attainable.
When there is discontinuance pursuant to this provision, stream sampling shall be resumed at the first opportunity
after the risk period has ceased.

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NC0037834
Facility Information
Applicant/Facility Name:
City of Winston-Salem — Archie Elledge WWTP
Applicant Address:
P.O. Box 2511, Winston-Salem, NC 27102
Facility Address:
On Griffith Road, Winston-Salem, NC
Permitted Flow
30.0 MGD
Type of Waste:
22% industrial
78% domestic
Facility/Permit Status:
Renewal w/o expansion
County:
Forsyth
Miscellaneous
Receiving Stream:
Stream Classification:
Salem Creek - 001
C
Regional Office:
USGS Topo Quad:
Winston-Salem
C17SE
303(d) Listed?:
Subbasin:
YES
03-07-04
Permit Writer:
Date:
Sergei Chernikov
April 23, 2009
Drainage Area (mi2):
Summer 7Q10 (cfs)
67.3
15
Winter 7Q10 (cfs):
18
Average Flow (cfs):
65
IWC (%) @ 30.0 MGD:
76%
Primary SIC Code:
4952
Treatment Plant Class:
IV
-44"11,
SUMMARY
This facility is a major municipal treatment plant operating in Forsyth County. At 30.0 MGD, it is one of
the largest municipal facilities in the state. The facility serves 108,000 people in Winston Salem,
Kernersville, and Walkertown. The City administers an industrial pretreatment program to control the
discharge of industrial and commercial wastes into its collection system and treatment works. Industrial
sources include 32 Significant Industrial Users, 11 of which are Categorical Industrial Users. The permit will
continue to require the City to implement its pretreatment program.
As indicated above, this facility discharges into Salem Creek, which is a listed stream on North Carolina's
303(d) list. The creek is listed due to the impaired biological integrity and violations of fecal coliform
standard.
In 1996, the City has conducted a special study for CN . The study concluded that a 20 µg/L cyanide
quantitation level was appropriate for the wastewater matrix present. It indicated that numerous false
positive results were reported using quantitation levels lower than 20 µg/L. The Division accepted the
study's recommendations. As a result of this site specific study, the quantitation level will remain unchanged
at 20 p.g/L instead of the currently accepted value of 10 µg/L.
INSTREAM MONITORING
The Archie Elledge WWTP discharges treated municipal wastewater to the Salem Creek, a Class C water in
the Yadkin -Pee Dee River basin. Instream monitoring is required for BOD, NH3-N, temperature, dissolved
oxygen, fecal coliform, and conductivity. The Permittee is provisionally exempted from the instream
monitoring requirements based on the participation in the Yadkin Pee -Dee Monitoring Coalition.
\VS — Archie Elledge Fact Sheet
NPDES Renewal
Page I

TOXICITY TESTING
Type of Toxicity Test:
Existing Limit:
Recommended Limit:
Monitoring Schedule:
Chronic P/F
001: Chronic P/F @ 76%
001: Chronic P/F @ 76%
January, April, July, October
The facility has been consistently passing it's WET test with one exception.
COMPLIANCE HISTORY
The City had a very good compliance record during the previous permit cycle. In 2007 only one Notice of
Violation (NOV) was issued for failing tox. test.
The most recent compliance evaluation inspection conducted on 03/30/2009 determined that operation
and maintenance of the facility deemed satisfactory.
REASONABLE POTENTIAL ANALYSIS
Reasonable potential analysis was conducted for: As, Be, Cd, Cr, Cu, CN, F, Pb, Hg, Mo, Ni, Sb, Se, Tl,
and Zn (see attached).
PROPOSED CHANGES:
• Monitoring: Weekly monitoring for fluoride has been introduced due to the implementation of the new
permit limit.
• Limits: Based on the Reasonable Potential Analysis: limit is being introduced for fluoride, and
mercury limit is being removed.
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: May 20, 2009 (est.)
Permit Scheduled to Issue: July 13, 2009 (est.)
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please contact Sergei
Chernikov at [phone]
CHANGES IN THE FINAL PERMIT:
• Monthly average limit for F was added to the permit in response to EPA requirement and based on
the 40 CFR Part 122.45 (d) (2).
• Daily maximum limit for Hg was added to the permit based on the updated results of the statistical
analyses of the effluent data.
• Monitoring frequencies for Cu and Zn were reduced to Monthly based on the review of the effluent
data and in response to the permittee's request.
WS — Archic Elledge Fact Sheet
NPDES Renewal
Page 2

s
REASONABLE POTENTIAL ANALYSIS
Archie Elledge WWTP
NC0037834
Time Period 2008-2009
Ow (MGD) 30
7Q1OS (cfs) 15
7010W (cfs) 18
3002 (cfs) 0
Avg. Stream Flow, QA (cfs) 65
Rec'ving Stream Salem Creek
WWTP Class IV
IWC (%) (a) 7Q1OS 75.61
(0 7Q10W 72.093
© 3002 NIA
© OA 41.704
Stream Class C
Outfall 001
Qw = 30 MGD
PARAMETER
TYPE
(1)
STANDARDS &
CRITERIA (2)
PQL
Units
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
NCMOS/
Chronic
1tFAY/
Rads
n IPDA NUsrPndew t1*Chr
Arsenic
C
50
ug/L
12 0
9.6
Acute: N/A
Chronic: 120-------------------------------•
no Limit
Beryllium
•
•
C
6.5
ug/L
3 0
Note: n<12
Limited data
2.5
set
Acute: N/A
_ -------------•------•—•—•—•
Chronic: -- 16
no limit
— — ---
Cadmium
NC
2
15
ug/L
29 0
N/A
Acute: 15
Chro—nic: ---3---------
no limit, alt below detect
---------,-----------
Chromium
NC
50
1,022
ug/L
29 3
7.7
Acute: 1,022
Chronic: -- �---------------------_—_—_—.—_—.
no limit ,
Copper
NC
7
AL
7.3
ug/L
28 21
7.7
Acute: 7
Chronic: ---9-------------•-----------------•
no limit. action level standard
'
Cyanide
NC
5
N
22
10
ug/L
12 0
10.0
Acute: 22
--
Chronic: --1--------.'"
no limit, all below detect
.—. —
— — - —
Fluorlde
NC
1,800
ug/L
10 10
Note: n<12
Limited data
3,281.0
set
Acute: N/A
_ _
Chron_ ic:_ 2,381-----
add limit and weekly monitoring
-------•--_—•—�--- —
Lead
NC
25
N
33.8
ug/L
29 0
5.8
Acute: 34
Chronic: -- �---•—•—_---------_—.—_—.—_---.—.
no limit
Mercury
NC
12
2.0000
nglL
31 31
107.3800----------------_—_—_—_—_—_—_—
Acute: WA
Chrontc 16 -
keep the limit
Molybdenum
NC
2,000
ug/L
27 27
20.0
Acute: N/A
_ _ _-_
Chro -ic 2,645 —
no timtt
---------•—_—_—_-------_—•—_—
Nickel
NC
88
261
ug/L
29 7
18.3
Acute: 261
_ ___
Chronic: 116----------
no limit
------- -------------
Antimony
NC
640
N
ug/L
3 0
Note: n<12
Limited data
12.5
set
Acute: NIA
_ -_ _--•---------------------------
Chronic: 846
no limit
Selenium
NC
5.0
56
ug/L
12 0
5.0
Acute: 58
Chronic: '--�-----------•-----•-------------•
no limit
Thallium
NC
0.47
Al.
1.23
ug/L
3 0
Note: n<12
Limited data
10.0
set
Acute: 1
_
Chronic: ---1-------
no timlt, alt below detect
—---_---_---_—_---_—_—.
Zinc
NC
50
AL
67
ug/L
29 29
279.2
Acute: 67
_ --6s-------------------------------
Chron_ ic:_
no limit, action Level standard
• Legend:
C z Carcinogenic
NC = Non-cardnogenfc
A = Aesthetic
•• Freshwater Discharge
•
37834-rpa-2009-1.xls, rpa
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Arsenic
Beryllium
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1/2DL
10.0 5.0
5.0 2.5
10.0 5.0
5.0 2.5
5.0 2.5
5.0 2.5
5.0 2.5
5.0 2.5
10.0 5.0
5.0 2.5
5.0 2.5
5.0 2.5
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
1.1307
3.1250
0.3618
12
1.9200
5.0 ug/L
9.6 ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
BDL=1/2DL
5 2.5
5 2.5
5 2.5
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.0000
2.5000
0.0000
3
1.0000
2.5 ug/L
2.5 ug/L
- 1 -
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Cadmium
Chromium
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1l2DL
2 1.0
2 1.0
2 1.0
2 1.0
2 1.0
2 1.0
2 1.0
2 1.0
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2 1.00
2.5 1.25
2.5 1.25
2.5 1.25
2.5 1.25
2.5 1.25
2.5 1.25
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.1031
1.0517
0.0980
29
N/A
1.3 ug/L
N/A ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1l2DL
4 2.0
4 2.0
5 2.5
4 2.0
4 2.0
4 2.0
4 2.0
5 2.5
4 2.0
4 4.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
4 2.0
5 2.5
5 5.0
5 2.5
5 5.0
5 2.5
5 2.5
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.8308
2.3793
0.3492
29
1.5400
5.0 ug/L
7.7 ug/L
- 2 -
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Copper
Cyanide
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
4
3
2
3
4
3
3
3
2
5
3
4
3
3
2
2
5
4
4
4
3
5
4
5
5
5
5
5
BDL=1/2DL
4.0
3.0
1.0
3.0
4.0
3.0
3.0
3.0
2.0
5.0
3.0
4.0
3.0
3.0
2.0
2.0
5.0
4.0
4.0
2.0
3.0
5.0
2.0
2.5
2.5
5.0
2.5
2.5
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
1.0616
3.1429
0.3378
28
1.5300
5.0 ug/L
7.7 ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1/2DL
20 10.0
20 10.0
20 10.0
20 10.0
20 10.0
20 10.0
20 10.0
20 10.0
20 10.000
20 10.000
20 10.000
20 10.000
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.0000
10.0000
0.0000
12
1.0000
10.0 ug/L
10.0 ug/L
-3-
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Fluoride
Lead
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
1000
1600
1700
900
1100
1100
1400
890
680
580
BDL=1/2DL
1000.0
1600.0
1700.0
900.0
1100.0
1100.0
1400.0
890.0
680.0
580.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
371.2816
1095.0000
0.3391
10
1.9300
1700.0 ug/L
3281.0 ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
8
8
10
8
8
8
8
10
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
10
10
10
10
10
10
BDL=1/2DL
4.0
4.0
5.0
4.0
4.0
4.0
4.0
5.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
4.0
5.0
5.0
5.0
5.0
5.0
5.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.4549
4.2759
0.1064
29
1.1500
5.0 ug/L
5.8 ug/L
- 4 -
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Mercury
Molybdenum
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Feb-2007
Feb-2007
permit applic.
Data
2.2
2.3
1.5
1.7
2
3
1.2
1.6
1.0
1.1
1.5
1.4
1.0
1.4
1.4
2.4
1.0
2.2
1.8
1.4
2.5
1.4
3.0
4.3
2.5
3.6
2.7
1.7
19.0
7.7
26.0
BDL=1/2DL
2.2
2.3
1.0
1.0
2.0
3.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
2.4
1.0
2.2
1.0
1.0
2.5
1.0
3.0
4.3
2.5
3.6
2.7
1.0
19.0
7.7
26.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
5.3993
3.2710
1.6507
31
4.13
26.0 ng/L
107.4 ng/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
6
6
9
9
7
11
7
11
11.0
8.0
8.0
11.0
8.0
11.0
12.0
8.0
12.0
11.0
10.0
12.0
12.0
12.0
10.0
11.0
15.0
12.0
9.0
BDL=1/2DL
6.0
6.0
9.0
9.0
7.0
11.0
7.0
11.0
11.0
8.0
8.0
11.0
8.0
11.0
12.0
8.0
12.0
11.0
10.0
12.0
12.0
12.0
10.0
11.0
15.0
12.0
9.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
2.19
9.96
0.22
27
1.3300
15.0 ug/L
20.0 ug/L
- 5 -
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Nickel
Antimony
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1/2DL
8 4.0
8 4.0
10 5.0
8 8.0
8 8.0
8 4.0
8 4.0
10 5.0
8 8.0
8 8.0
8 4.0
8 4.0
8 4.0
8 4.0
8 4.0
8 4.0
11 11.0
8 4.0
8 4.0
8 4.0
8 4.0
8 4.0
8 4.0
10 10.0
10 5.0
10 5.0
11 11.0
10 5.0
10 5.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
2.2613
5.4483
0.4150
29
1.6600
11.0 ug/L
18.3 ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
BDL=1/2DL
25 12.5
25 12.5
25 12.5
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.0000
12.5000
0.0000
3
1.0000
12.5 ug/L
12.5 ug/L
-6-
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Selenium
Thallium
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
<
<
<
<
<
<
<
<
<
BDL=1/2DL
10.0 5.0
10.0 5.0
10.0 5.0
10.0 5.0
10.0 5.0
10 5.0
10 5.0
10 5.0
10.0 5.0
10.0 5.0
10.0 5.0
10.0 5.0
Results
Std Dev.
Mean
C.V.
n
Mull Factor =
Max. Value
Max. Pred Cw
0.0000
5.0000
0.0000
12
1.0000
5.0 uglL
5.0 ug/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
Date
Data
<
<
<
BDL=1/2DL
20 10.0
20 10.0
20 10.0
Results
Std Dev.
Mean
C.V.
n
Mult Factor =
Max. Value
Max. Pred Cw
0.0000
10.0000
0.0000
3
1.0000
10.0 ug/L
10.0 ug/L
-7-
37834-rpa-2009-1.xls, data
7/15/2009

REASONABLE POTENTIAL ANALYSIS
Zinc
Date Data BDL=1/2DL Results
1 104 104.0 Std Dev. 33.5893
2 99 99.0 Mean 94.3793
3 64 64.0 C.V. 0.3559
4 98 98.0 n 29
5 95 95.0
6 73 73.0 Mult Factor = 1.5600
7 59 59.0 Max. Value 179.0 ug/L
8 64 64.0 Max. Pred Cw 279.2 ug/L
9 55 55.0
10 90 90.0
11 96 96.0
12 59 59.0
13 56 56.0
14 65 65.0
15 57 57.0
16 67 67.0
17 96 96.0
18 86 86.0
19 84 84.0
20 71 71.0
21 98 98.0
22 119 119.0
23 126 126.0
24 101 101.0
25 179 179.0
26 154 154.0
27 155 155.0
28 114 114.0
29 153 153.0
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
199
200
-8-
37834-rpa-2009-1.xls, data
7/15/2009

Winston-Salem • Forsyth County
City/County Utilities
Water • Sewer • Solid Waste Disposal
Manson Meads Complex • 2799 Griffith Road • Winston-Salem, NC 27103 • Tel [phone] • Fax [phone]
Mr. Sergei Chernikov
Division of Water Quality
Department of Environment
and Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Chernikov:
June 12, 2009 RECEIVED
J U N 2 2 2009
DENR - WATER QUALITY
POINT SOURCE BRANCH
Re: Comments on Draft NPDES Permit
Archie Elledge WWTP (NC0037834)
City of Winston-Salem; Forsyth County
The City of Winston-Salem has reviewed the draft permit for the Archie Elledge WWTP.
The following items of concern were discussed with Mr. Tom Belnick, on June 10, 2009
via conference call. The City of Winston-Salem makes the following requests based on
past plant performance and budgetary concerns.
• Fluoride Limit- As indicated in the draft permit information packet, there is
limited data to evaluate fluoride at this time. The City of Winston-Salem request
monitoring only, per our State approved Long Term Monitoring Plan, over the
next permitting cycle to gather more data points. 0)
• Chronic Toxicity- The City of Winston-Salem requests that in the future we be
allowed to perform toxicity sampling as a Pass/Fail, Single Dilution Test rather
than the current Multi-Concentration/Chronic Value method in an effort to
conserve limited monetary resources.
• Upstream Sampling Location- On the Effluent Limitations And Monitoring
Requirements page of the draft permit there is a mistake on the Upstream
Sampling Location. Note #1 indicates upstream sample location is located at
NCSR 112D, this should read NCSR1120D. ,O\L—

• Mercury Limit- Our draft permit indicates the limit was removed for the Archie
Elledge WWTP. Jon Southern, the Plant Supervisor, was later notified by email
that, an error had been made and we would continue to have a limit in our new
permit. The City of Winston-Salem would agree to keep the current limit of
.016ug/1 and monitoring schedule of twice/month. If there is a change in sampling
frequency or concentration we request an extension in the comment period on
mercury. 0--
• Copper and Zinc- The Archie Elledge WWTP requests that due to the low
concentration of copper and zinc detected in past effluent samples that our new
permit be modified from twice/month to once/month monitoring to reduce cost.
We appreciate your review of these requests before the final permit becomes applicable.
If you have any concerns or comments you may contact Jon Southern/ Senior Utility
Plant Supervisor/ORC @ 336-240-5738.
Dave Saunders, Director of Utilities
PC: Susan Meadows, Aquatic Toxicity Section
Ron Hargrove, Deputy Utilities Director
Jon Southern, Senior Utility Plant Supervisor/ORC
Frank Crump, Plant Superintendent
Lee Byerly, Plant Superintendent
Chris Shamel, Asst. Plant Superintendent
01.c-

Chernikov, Sergei
From: [e-mail]
Sent: Thursday, June 04, 2009 12:25 PM
To: Chernikov, Sergei
Subject: RE: comments on NC0037834, Winston Salem Archie Elledge WWTP
thanks for getting back to me so quickly. EPA has no comments on this
draft permit.

Chernikov, Sergei
From: [e-mail]
Sent: Thursday, June 04, 2009 8:37 AM
To: [e-mail]
Subject: comments on NC0037834, Winston Salem Archie Elledge WWTP
hope these are useful. Let me know what you think.
1. Footnote 2 on permit page A.1 should specify "total suspended solids" instead of "total
suspended residue".
2. re Hg, the maximum effluent sample you listed in the n=28 dataset in the factsheet is 4.3
ng/1. Based on that value, RP doesn't exist.
However, the permit application reports a daily max value of 26 ng/1.
Also, looking at n=38 for the DMR data in PCS for the period 1/06-2/09, the daily max and
A.,
monthly average values reported for February 2007 were ��
19 ng/1 and 13.3 ng/1, respectively. Similarly, for October 2006, the �L..
respective values were 26 ng/1 and 14.7 ng/1. Based on these values
and the chronic threshold of 16 ng/1, it appears RP does exist. If you
want me to send you the n=38 data, let me know.
3. For fluoride, the draft permit contains a weekly average limit.
Based on 40 CFR Part 122.45(d)(2), the permit should also contain a monthly average limit,
which could be equal to the weekly average limit.
S\I"'//
5 edj- re^A)
k1M-- ivui)
DA. obbitt
1

Winston-Salem Journal
Advertising Affidavit
Winston-Salem Journal
P.O Box 3159
Winston-Salem, NC 27102
NCDENR/DWO/POINT SOURCE BRANCH
ATTN: DINA SPRINKLE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
3376309
Date
May 22, 2009
Date
Category
Description
Ad Size
Total Cost
05/22/2009
Legal Notices
PUBLIC NOTICE North Carolina Environment
2 x 63 L
433.75
PUBLIC NOTICE
North Carolina Environmental
Management Commisslon/NPDES Unit
1617 Mall Service Center
Raleigh, NC Z7699.1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental Management
Commission proposes to issue a NPDES wastewater
discharge permit to the person(s) listed below.
Written comments regarding the proposed permit
will be accepted until 30 days after the publish date
of this notice. The Director of the NC Division of
Water Quality (DWQ) may hold a public hearing
should there be a significant degree of public In-
terest. Please mall comments and/or Information
requests to DWQ at the above address. Interested
persons may visit the DWQ at 512 N. Salisbury
Street. Raleigh, NC to review information on file.
Additional information on NPDES permits and this
notice may be found on our website: www.ncwater
quallty.org, or by calling [phone].
PPG Industries Fiber Glass Products, Inc requested
renewal of permit NC0004626 for Lexington Plant in
Davidson County; this facility discharge Is treated
Industrial wastewater to North Potts Creek.
The city of Winston-Salem requested renewal of
permit NC0086011 for the Neilson WTP In Forsyth
County. This permitted discharge is treated filter -
backwash wastewater to an unnamed tributary to
Muddy Creek in the Yadkin -Pee Dee River Basin.
The City of Winston-Salem requested renewal of
permit NC0079821 for the R.A. Thomas WTP in For-
syth County. This permitted discharge Is treated
filter -backwash wastewater to Salem Creek In the
Yadkin -Pee Dee River Basin.
The City of Winston-Salem requested renewal of
permit NCU05o442 for Muddy Creek WWTP in For-
syth County; this facility discharge Is treated mu-
nicipal wastewater to Yadkin River. Yadkin River
Basin.
The City of Winston-Salem requested renewal of
permit NC0037834 for Archie Elledge WWTP in For-
syth County; this facility discharge is treated mu-
nicipal wastewater to Salem Creek, Yadkin River
Basin.
The Town of Boonville has requested renewal of
permit NC0020931 for the Boonville WWTP in
Yadkin County. This permitted discharge Is treated
domestic wastewater to the Tanyard Creek in the
Yadkin Pee -Dee River Basin.
WSJ: May 22, 2009
Media General Operations, Inc.
Publisher of the
Winston-Salem Journal
Forsyth County
Before the undersigned, a Notary Public of Forsyth County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, personally appeared
D.H. Stanfield, who by being duly sworn deposes and says: that he is Controller of the
Winston-Salem Journal, engaged in the publishing of a newspaper known as Winston-Salem
Journal, published, issued and entered as second class mail in the City of Winston-Salem, in
said County and State: that he is authorized to make this affidavit and sworn statement: that
the notice or other legal advertisement, a true copy of which is attached hereto, was
published in the Winston-Salem Journal on the following dates:
05/22/2009
and that the said newspaper in which such notice, paper document, or legal advertisement
was published was, at the time of each and every such publication, a newspaper meeting all
the requirements and qualifications of Section 1-597 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General
Statutes of North Carolina.
This 22th day of May, 2009
(14
(signature ofperso maki davit)
Sworn to and subscribed before me, this 22th day of May, 2009
Public)
KIMALEY JOHNSON
SlC(� NOTARY PUBLIC
My Commission expires ,oLb2.01D FORSYTHCOUNTY
STATE OF NORTH CAR LjI�I9A
MY COMMISSION EXPIRE -41'• 2d10
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Winston-Salem • Forsyth County
4
pity/County Utilities
Water • Sewer • Solid Waste Disposal
Manson Meads Complex • 2799 Griffith Road • Winston-Salem, NC 27103 • Tel [phone] • Fax [phone]
Mrs. Dina Sprinkle
NC DENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Dear Mrs. Sprinkle,
RECEIVED
DEC
0 2008
Re: Request for NPDES Renewal
Archie Elledge WWTr00 s tR QUALITY
City of Winston-SaiiEWNR
POINT SOURCE BRANCH
The City of Winston-Salem requests the simple renewal of the NPDES permit for the
Archie Elledge WWTP (NC0037834). The current permit expires on June 30th, 2009.
There is no increase in flow capacity being requested at this time and should remain at
the current 30 MGD limit. The application and supporting documentation requested in
your February 29th, 2008 letter are attached.
There have been a few changes to the Archie Elledge plant since the last renewal in 2004.
Please note the changes listed below;
• A new Dryer Facility was built and put online in March of 2008 to handle
solids from the Archie Elledge WWTP and the Muddy Creek WWTP.
• A lime/magnesium hydroxide blend is being used for alkalinity in conjunction
with caustic.
• Waste sludge lagoons are being utilized for holding centrate from centrifuges.
• A 3`d centrifuge was added to existing dewatering facility.

If you or your staff has any questions or comments concerning content of application
please contact Mr. Jon M. Southern at 336-659-4322.
Sincere
David K. a - - rs P.E.
Director of Utilities
City of Winston-Salem
CC: J, Frank Crump, Plant Superintendant
Jon M. Southern, Plant Supervisor/ORC

Biosolids Disposal Strategy 2008-2012
Winston-Salem/Forsyth County Utility Commission
Archie Elledge WWTP (NPDES Permit NC0037834)
Muddy Creek WWTP (NPDES Permit NC0050342)
Sludges from the Utility Commission's two wastewater treatment plants are anaerobically
digested to meet Class B criteria established by EPA's 40CFR Part 503 Regulations.
Anaerobic digestion occurs by subjecting the sludges to times and temperatures that meet
PSRP requirements. Both the Archie Elledge and Muddy Creek plants have lagoons for
storage and dewatering of liquid biosolids to approximately 5.0% solids for land
application. The Commission currently disposes of its Class B biosolids under the North
Carolina Division of Water Quality Land Application of Residuals Permit WQ0000094.
Stabilized biosolids from the anaerobic digestion process at Muddy Creek are now being
pumped 5.2 miles into two blending tanks at Archie Elledge WWTP. Three 8" HDPE
pipe lines are utilized to pump biosolids between each facility. One line is for biosolids
from the Muddy Creek plant to the Elledge plant, the second line brings centrate from
Elledge Plant centrifuges back to Muddy Creek Lagoons, and the third is a spare line.
The Muddy Creek digested biosolids are pumped into the blending tanks along with the
biosolids from Archie Elledge's anaerobic digesters. The blend of biosolids is then
centrifuged into cake biosolids of approximately 22% solids and is available for land
application as a Class B material or for landfill disposal.
The newest addition to the biosolids handing system (3/2008) is the Andritz biosolids
dryer. Cake biosolids from the centrifuges are fed into the dryer to produce a 90-93%
solids dry pellet. This is a Class "EQ" biosolids and is disposed of by land application
through a contractor or may be disposed of by other approved methods. The North
Carolina Division of Water Quality permit number for this facility is WQ0029804.
In summary, there are several biosolids disposal options for Winston-Salem. The
preferred method is distribution of class A pelletized biosolids. The next option would be
to land apply liquid or cake biosolids and the least likely method would be to landfill
cake or pelletized biosolids.
Si
David K. Sam dens
Utilities Division Director
CC: Frank Crump, Superintendent
Jon Southern, Plant Supervisor
Chris Shamel, Plant Supervisor

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users (Sills) and Categorical Industrial Users (ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 21
b. Number of CIUs. 11
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: ADELE KNITS
Mailing Address: 3304 OLD LEXINGTON ROAD
WINSTON-SALEM NC 27107
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
TEXTILE
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): KNIT DYE
Raw material(s): POLYESTER, NYLON, DYESTUFF
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.
100,000 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.
20,000 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes 0 No
b. Categorical pretreatment standards 0 Yes X No
If subject to categorical pretreatment standards, which category and subcategory?
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
ADELE KNITS.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ® No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail 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.) X 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.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
c. Number of non -categorical SIUs.
d. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
Supply the following information for each
provide the Information requested for each
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
SIU. If more than one SIU discharges
SIU.
to the treatment works, copy questions F.3 through F.8 and
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: B/E AEROSPACE
Mailing Address: 1455 FAIRCHILD ROAD
WINSTON-SALEM, NC 27105
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FABRICATION
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): AIRLINE SEATING
Raw material(s): ALUM, STEEL, PLASTICS
F.6. Flow Rate.
c. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
8,000 gpd ( continuous
volume
following:
No
subcategory?
of process wastewater discharge into
or X intermittent)
of non -process wastewater flow discharged
or intermittent.
or X intermittent)
the collection system in gallons per
into the collection system
d. Non -process wastewater flow rate_ Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
2,000 gpd ( continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
433 SUB A
0 No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
B/E AEROSPACE
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 X 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 REMEDIATIONICORRECTIVE 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.) X 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.
c. 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):
d. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWfP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (Gills). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
e. Number of non -categorical SIUs.
f. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: BEKAERT TEXTILES
Mailing Address: 240 BUSINESS PARK DRIVE
WINSTON-SALEM NC 27107
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
TEXTILE
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): WOVEN AND KNIT FABRICS
Raw material(s): POLYESTER, NYLON, BINDERS
F.6. Flow Rate.
e. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
10,000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow
or intermittent.
or intermittent)
the collection system in gallons per
discharged into the collection system
f. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
20,000 gpd ( X continuous
F.T. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards 0 Yes
If subject to categorical pretreatment standards, which category and
❑ No
X No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
BEKAERT TEXTILES
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 X 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 REMEDIATIONICORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation 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.) X 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.
e. 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):
f. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
I
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
g. Number of non -categorical SIUs.
h. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: CORN PRODUCTS CO.
Mailing Address: P.O. BOX
WINSTON-SALEM, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
CORN MILLING
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): CORN, FRUTOSE, DEXTROSE
Raw material(s): CORN, SURFACTANTS ACIDS
F.6. Flow Rate.
g. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
700,000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow
or intermittent
or intermittent)
the collection system in gallons per
discharged into the collection system
h. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
1000,000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards ❑ Yes
If subject to categorical pretreatment standards, which category and
❑ No
X No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
F.8. Problems at tho 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 El No If yes, describe each episode.
CORN PRODUCTS CO.
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 X No (go to F.12)
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
E Truck E 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.) X 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.
g. 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):
h. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
i. Number of non -categorical SIUs.
j. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: DAIRY FRESH
Mailing Address: P.O. BOX 4009
WINSTON-SALEM, NC 27115
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
•
DAIRY
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): MILK. ICE CREAM, FRUIT DRINKS
Raw material(s): MILK, CORN SYRUP, SANITIZERS
F.6. Flow Rate.
i. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intennittenL
135.000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow
or intermittent.
or intermittent)
the collection system in gallons per
discharged into the collection system
j. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
25,000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards ❑ Yes
If subject to categorical pretreatment standards, which category and
0 No
X No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
DAIRY FRESH
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 d 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?
❑ Yes (complete F.13 through F.15.) X 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.
i. 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):
j. Is the discharge (or will the discharge be) continuous or intermittent?
D Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
k. Number of non -categorical SIUs. 21
I. Number of CIUs. 11
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: DEERE-HITACHI CONSTRUCTION
Mailing Address: P.O. BOX 1187
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FABRICATION
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): HYDRAULIC EXCAVATORS
Raw material(s): STEEL, PAINT, DETERGENTS
F.6. Flow Rate.
k. 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.
2,000 gpd ( continuous or X intermittent)
I. 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
1.000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes 0 No
b. Categorical pretreatment standards X Yes No
If subject to categorical pretreatment standards, which category and subcategory?
433 SUB A
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE VVVVTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
F.B. 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 X No If yes, describe each episode.
DEERE-HITACHI CONSTRUCTION
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.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLAlRCRAfor 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
k. 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):
I. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
questions F.3 through F.8 and
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
m. Number of non -categorical SIUs.
n. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
to the treatment works, copy
Supply the following information for each SIU. If more than one SIU discharges
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: DOUGLAS BATTERY
Mailing Address: P.O. BOX 12159
WINSTON-SALEM, NC 27117
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
BATTERY
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): INDUSTRIAL, LEAD, ACID
Raw material(s): LEAD, SULFURIC ACID, ZINC
F.6. Flow Rate.
m. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
12.000 gpd ( X continuous
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
n. Non -process wastewater flow rate. Indicate the average daily volume
in gallons per day (gpd) and whether the discharge is continuous
2.000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes No
If subject to categorical pretreatment standards, which category and subcategory?
SUB 461 C
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
F.B. 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 worts in the past three years?
❑ Yes X No If yes, describe each episode.
DOUGLAS BATTERY
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ® No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
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.) X 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 ner sary.)
F.15. Waste Treatment
m. 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):
n_ Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X 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.
o. Number of non -categorical Silts. 21
p. Number of ClUs. 11
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: GRASS AMERICA
Mailing Address: P.O. BOX 1019
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FABRICATION
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): FURNITURE HINGES
Raw material(s): STEEL, POWDER COATING
F.6. Flow Rate.
o. 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
2.000 gpd ( continuous or X intermittent)
p. 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.
1.000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes No
b. Categorical pretreatment standards X Yes No
If subject to categorical pretreatment standards, which category and subcategory?
433 SUB A
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE VVVVTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
GRASS AMERICA
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPEUNE:
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.) X 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, irf
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
o. 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):
p. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intemiittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X 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.
q. Number of non -categorical SIUs. 21
r. Number of ClUs. 11
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: HANES DYE & FINISHING
Mailing Address: P.O. BOX 202
WINSTON-SALEM, NC 27102
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
TEXTILE
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): DYEING AND FINISHING
Raw material(s): DYESTUFF. ACIDS, CAUSTICS
F.6. Flow Rate.
q. 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.
300,000 gpd ( X continuous or intermittent)
r. 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.
75,000 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards ❑ Yes X No
If subject to categorical pretreatment standards, which category and subcategory?
NPDES FORM 2A Additional Information

FACIUTY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
HANES DYE & FINISHING
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 X 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 REMEDIATIONICORRECTIVE 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.) X 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
q. 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):
r. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
. OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE VVVVTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
questions F.3 through F.8 and
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
s. Number of non -categorical SIUs.
t. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
to the treatment works, copy
Supply the following information for each SIU. If more than one SIU discharges
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: HIGHLAND INDUSTRIES
Mailing Address: 215 DRUMMOND STREET
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
TEXTILE COATING
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): FABRIC FOR AIRBAGS
Raw material(s): TIECOATS, NEOPRENE, SILICONE
F.6. Flow Rate.
s. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
8,000 gpd ( continuous
of process wastewater discharge into
or X intermittent)
of non -process wastewater flow
or intermittent.
or X intermittent)
the collection system in gallons per
discharged into the collection system
t. Non -process wastewater flow rate. Indicate the average daily volume
in gallons per day (gpd) and whether the discharge is continuous
2,000 gpd ( continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes 0 No
b. Categorical pretreatment standards ❑ Yes X No
If subject to categorical pretreatment standards, which category and subcategory?
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
HIGHLAND INDUSTRIES
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ 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.) X 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.
s. 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):
t. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACIUTY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
F.
complete part
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users (Sills) and Categorical Industrial Users (ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
u. Number of non -categorical SIUs. 21
v. Number of CIUs. 11
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 worts. Submit additional pages
as necessary.
Name: HOH CORPORATION
Mailing Address: 1701 VARGRAVE STREET
WINSTON-SALEM, NC 27107
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
WASTE TREATMENT
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): NON -HAZARDOUS
Raw material(s): POYMERS, SAWDUST, CARBON
F.6. Flow Rate.
u. 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.
15,000 gpd ( continuous or X intermittent)
v. 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.
200 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards X Yes No
If subject to categorical pretreatment standards, which category and subcategory?
437 SUB D
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
F.B. 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 X No If yes, describe each episode.
HOH CORPORATION
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
0 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?
0 Yes (complete F.13 through F.15.) X 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.
u. 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):
v. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(Sills) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
w. Number of non -categorical Sills.
x. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: JOHNSON CONTROLS BATTERY
Mailing Address: P.O. BOX 1867
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
BATTERY
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): INDUSTRIAL LEAD, ACID
Raw material(s): LEAD, SULFURIC ACID, ZINC
F.6. Flow Rate.
w. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
8,000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow
or intermittent.
or intemrittent)
the collection system in gallons per
discharged into the collection system
x. Non -process wastewater flow rate_ Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
15.000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
461 SUB C
D No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
JOHSON CONTROL BATTERY
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 X 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?
❑ Yes (complete F_13 through F_15.) X 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.
w. 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):
x. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F. INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
y. Number of non -categorical Sills.
z. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
Supply the following information for each SIU. If more than one SIU
provide the information requested for each SIU.
discharges to the treatment works, copy questions F.3 through F.8 and
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: KABA ILCO CORP.
Mailing Address: 2941 INDIANA AVE.
WINSTON-SALEM, NC 27105
F.4. Industrial Processes. Describe all
DIECASTING METAL FABRICATION
or contribute to the SIU's discharge.
the industrial piuxases that affect
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): LOCKS
Raw material(s): ZINC, BRIGHTNERS, ACIDS
F.6. Flow Rate.
y. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
20.000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
z. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
6,000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
433 SUB A
❑ No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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?
D Yes X No If yes, describe each episode.
KABA ILCO CORP.
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
E Truck E 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.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRAIor 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.
y. 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):
z. Is the discharge (or will the discharge be) continuous or intermittent?
Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE VWVfP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
aa. Number of non -categorical Sills.
bb. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(Sills) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: MICROFIBERS INC.
Mailing Address: 3821 KIMWELL DRIVE
WINSTON-SALEM, NC 27103
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
TEXTILE
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): UPHOLSTRY FABRIC
Raw material(s): DYESTUFF, POLYESTER, COTTON
F.6. Flow Rate.
aa. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
400,000 gpd ( X continuous
volume
following:
X
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
bb. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
100.000 gpd ( X continuous
F.T. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards ❑ Yes
If subject to categorical pretreatment standards, which category and
0 No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
MICROFIBERS INC.
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 X No (go to F_12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ 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.) X 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.
aa. 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):
bb. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
X Yes ❑ No
F.2. Number of Significant Industrial Users (Sills) and Categorical Industrial Users (ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
cc. Number of non -categorical SIUs. 21
dd. Number of CIUs. 11
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: PEPSI BOTTLING
Mailing Address: 3425 MYER LEE DRIVE
WINSTON-SALEM, NC 27101
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
SOFT DRINK
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): CARBONATED AND NON CARBONATED
Raw material(s): WATER, NITROGEN. CITRIC ACID
F.6. Flow Rate.
cc. 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.
120,000 gpd ( X continuous or intermittent)
dd. 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.
10,000 gpd ( X continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes ❑ No
b. Categorical pretreatment standards ❑ Yes X No
If subject to categorical pretreatment standards, which category and subcategory?
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No • If yes, describe each episode.
PEPSI BOTTLING
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 X 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 REMEDIATIONICORRECTIVE 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.) X 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.
cc. 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):
dd. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
ee. Number of non -categorical SIUs.
ff. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. tf more than one SIU
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: PIEDMONT AVIATION
Mailing Address: 3817 N. LIBERTY STREET
WINSTON-SALEM, NC 27105
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FABRICATION
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): AVIATION REPAIR
Raw material(s): CHROME, NICKEL, CAUSTICS
F.6. Flow Rate.
ee. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
2,000 gpd ( continuous
volume
following:
subcategory?
of process wastewater discharge into
or X intermittent)
of non -process wastewater flow
or intermittenL
or X intermittent)
the collection system in gallons per
discharged into the collection system
ff. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
1,000 gpd ( continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
433 SUB A
0 No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
PIEDMONT AVIATION
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 X No (go to F.12)
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ 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.) X 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
ee. Is this waste treated (or will be treated) prior to entering the treatrnent works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
ff. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
gg. Number of non -categorical SIUs.
hh. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(Sills) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: REXAM BEVERAGE CAN
Mailing Address: 4000 OLD MILWAUKEE LANE
WINSTON-SALEM, NC 27117
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
CAN MAKING
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): ALUMINUM BEVERAGE CAN
Raw material(s): ALUMINUM, INKS, ACIDS
F.6. Flow Rate.
gg. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
120,000 gpd ( X continuous
volume
following:
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
hh. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
180.000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
465 SUB D
❑ No •
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
REXAM BEVERAGE CAN
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 X 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. Remediatlon 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.) X 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
gg. 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):
hh. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(Sills) and Categorical industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
ii. Number of non -categorical Sills.
jj. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: SUNOCO CORFLEX
Mailing Address: P.O. BOX 12669
WINSTON-SALEM. NC 27117
F.4. Industrial Processes. Describe all the industrial prnrrsses that affect or contribute to the SIU's discharge.
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): DISPLAYS AND PACKAGING
Raw material(s): PAPER, STARCH, CAUSTIC
F.6. Flow Rate.
ii. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
20,000 gpd ( X continuous
volume
following:
X
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
jj. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
3.000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards 0 Yes
If subject to categorical pretreatment standards, which category and
0 No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
SUNOCO CORFLEX
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ 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.) X 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.
ii. 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):
jj. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
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 Users
industrial users that discharge to the
kk. Number of non -categorical SIUs.
II. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: STRATFORD METAL FINISHING
Mailing Address: 807 SOUTH STRATFORD ROAD
WINSTON-SALEM, NC 27101
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FINISHING
F.6. 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): FURNITURE HARDWARE
Raw material(s): NICKEL, CADMIUM, ZINC
F.6. Flow Rate.
kk Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
5,000 gpd ( continuous
volume
following:
subcategory?
of process wastewater discharge into
or X intermittent)
of non -process wastewater flow discharged
or intermittent.
or X intermittent)
the collection system in gallons per
into the collection system
II. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
500 gpd ( continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards X Yes
If subject to categorical pretreatment standards, which category and
433 SUB A
❑ No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
STRATFORD METAL FINISHING
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
0 Truck ❑ 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.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRAfor 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
kk. 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):
II. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous 0 Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
mm. Number of non -categorical SIUs.
nn. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(Sills) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
questions F.3 through F.8 and
11
INFORMATION:
to the treatment works, copy
Supply the following Information for each SIU. If more than one SIU discharges
provide the information requested for each SIU.
F.3. Significant Industrial User Infomration. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: TYCO ELECTRONICS
Mailing Address: 3900 REIDSVILLE ROAD
WINSTON-SALEM, NC 27101
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
METAL FABRICATION
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): ELECTRICAL CONNECTORS
Raw material(s): COPPER, NICKEL, TIN
F.6. Flow Rate.
mm. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
15,000 gpd ( X continuous
of process wastewater discharge into
or intermittent)
of non -process wastewater flow
the collection system in gallons per
discharged into the collection system
nn. Non -process wastewater flow rate. Indicate the average daily volume
in gallons per day (gpd) and whether the discharge is continuous
3,000 gpd ( X continuous
or intermittent.
or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X Yes 0 No
b. Categorical pretreatment standards X Yes No
If subject to categorical pretreatment standards, which category and subcategory?
433 SUB A
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
TYCO ELECTRONICS
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 X 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 REMEDIATIONICORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation 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.) X 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.
mm. 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):
nn. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
X Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
oo. Number of non -categorical SIUs.
pp. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (CIUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
discharges to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU
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: UNIFIRST CORP.
Mailing Address: P.O. BOX 684
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
INDUSTRIAL LAUNDRY
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): UNIFORMS, SHOP TOWELS
Raw material(s): DETERGENTS, DEGREASER, CAUSTIC
F.6. Flow Rate.
oo. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
20,000 gpd ( X continuous
volume
following:
X
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
pp. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
10,000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits X Yes
b. Categorical pretreatment standards 0 Yes
If subject to categorical pretreatment standards, which category and
❑ No
No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
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 X No If yes, describe each episode.
UNIFIRST CORP.
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 X No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check aII 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.) X 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.
oo. 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):
pp. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
ARCHIE ELLEDGE WWTP, NC0037834
PERMIT ACTION REQUESTED:
RENEWAL
RIVER BASIN:
YADKIN
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatment works receiving discharges
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment
El Yes ❑ No
F.2. Number of Significant Industrial Users
industrial users that discharge to the
qq. Number of non -categorical Sills.
rr. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER
from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
works have, or is subject ot, an approved pretreatment program?
(SIUs) and Categorical Industrial Users (ClUs). Provide the number
treatment works.
21
of each of the following types of
11
INFORMATION:
to the treatment works, copy questions F.3 through F.8 and
Supply the following information for each SIU. If more than one SIU discharges
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: UNIFIRST CORP.
Mailing Address: P.O. BOX 684
KERNERSVILLE, NC 27285
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
INDUSTRIAL LAUNDRY
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): UNIFORMS, SHOP TOWELS
Raw material(s): DETERGENTS, DEGREASER, CAUSTIC
F.6. Flow Rate.
qq. Process wastewater flow rate. Indicate the average daily volume
day (gpd) and whether the discharge is continuous or intermittent.
20,000 gpd ( X continuous
volume
following:
IS]
subcategory?
of process wastewater discharge into
or intermittent)
of non -process wastewater flow discharged
or intermittent.
or intermittent)
the collection system in gallons per
into the collection system
rr. Non -process wastewater flow rate. Indicate the average daily
in gallons per day (gpd) and whether the discharge is continuous
10,000 gpd ( X continuous
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the
a. Local limits ® Yes
b. Categorical pretreatment standards 0 Yes
If subject to categorical pretreatment standards, which category and
0 No
No
NPDES FORM 2A Additional Information