NC0001643_Renewal (Application)_20220428

STATE o
,Ym > 4.
ti _ t
ROY COOPER + I`
Governor d�
ELIZABETH S.BISER �k °,, _
QuA .
M Nit,
Secretary , ,�`'
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
April 28, 2022
City of Eden
Attn: Melinda Ward, Utilities Manager
PO Box 70
Eden, NC 27289
Subject: Permit Renewal
Application No. NC0001643
Eden Real Estate WWTP
Rockingham County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 28, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely
lc
Wren Th dford
Administrative Assistant
Water Quality Permitting Section
cc: Chris Powell, Chief Operator
ec: WQPS Laserfiche File w/application
DE Q O North Caroinston-Sallinaem DepartRegionalmentOffice of Environmental450WestHanes Quality
Mill Ro Divisionad.Suite of300 Water Resources
Winston-Salem North Carolina 27105
• � +1.6Nci." 336.776.9800

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
2A :.EPA Application for NPDES Permit to Discharge Wastewater
NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
SECTION 1. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
New Street WWTP
Mailing address(street or P.O.box) -
PO Box 70
City or town State ZIP code
o Eden North Carolina 27289
Contact name(first and last) Title Phone number Email address
Ronald Wright ORC
[phone] [e-mail]
to
Location address(street,route number,or other specific identifier) m Same as mailing address
A
City or town State ZIP code
1,2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
Applicant address(street or P.O.box)
0
€ City or town State ZIP code
Contact name(first and last) Title Phone number Email address
a
O.
a 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner El Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
El Facility El Applicant 1--1Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits _
✓❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
c _
B 0 PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
w
rn
r2; 0 Ocean dumping(MPRSA) Dredge or fill(CWA Section ❑ Other(specify)
u'S 404)
EPA Form 3510-2A(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name
Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
City of Eden 25 people no %separate sanitary sewer 0 Own El Maintain
w %combined storm and sanitary sewer ❑ Own 0 Maintain
<n ❑ Unknown ❑ Own 0 Maintain
o %separate sanitary sewer 0 Own ❑ Maintain
77.
rci
%combined storm and sanitary sewer ❑ Own 0 Maintain
a 0 Unknown ❑ Own ❑ Maintain
0
n %separate sanitary sewer ❑ Own 0 Maintain
ro
%combined storm and sanitary sewer 0 Own 0 Maintain
E
0 Unknown ❑ Own ❑ Maintain
%separate sanitary sewer ❑ Own ❑ Maintain
co %combined storm and sanitary sewer ❑ Own ❑ Maintain
c ❑ Unknown 0 Own 0 Maintain
Total
°' Population 25 people
0
c� Served
Separate Sanitary Sewer System Combined Storm and
Total percentage of each type of
Sanitary Sewer
sewer line(in miles) 100 % o
Z' 1.8 Is the treatment works located in Indian Country?
C
c 0 Yes ID No
o
= 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
0 Yes No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
Ti
o-s mgd
Annual Avera e Flow Rates(Actual)
Two Years Ago Last Year This Year
hEr
0.0415075 mgd 0.0474445 mgd 0.044955 mgd
o Maximum Daily Flow Rates(Actual)
Two Years Ago Last Year This Year
0.068155 mgd 0.05328 mgd 0.05328 mgd
9
1.11 Provide the
e total number of effluent
discharge points to waters of the United States by type.
a — Total Number of Effluent Discharge Points by Type
Cl
Treated Effluent Untreated Effluent CombinedOverf Sewer
Constructed
to a Bypasses Emergency
n — — — Overflows
p 1 — -
EPA Form 3510-2A(Revised 3-19)
Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
Outfalls Other Than to Waters of the United States
1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ❑✓ No 3 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume
Location Discharged to Surface Continuous or Intermittent
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
O Continuous
o gpd ❑ Intermittent
L 1.14 Is wastewater applied to land?
❑ Yes ❑ No 4 SKIP to Item 1.16.
o1.15 Provide the land application site and discharge data requested below.
N Land Application Site and Discharge Data
°, Location Size Average Daily Volume Continuous or
rn
Applied Intermittent
(check one)
acres 0 Continuous
gpd 0 Intermittent
5 gpd acres 0 Continuous
0 Intermittent
acres ❑ Continuous
y _ gpd ❑ Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes m No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O.box)
City or town State 7 ZIP code
Contact name(first and last) Tit
le
Itte
Phone number Email address
EPA Form 3510-2A(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number
Facility Name Form Approved 03/05/19
NC0001643 New Street W W TP OMB No.2040-0004
1.20 In the table below,indicate the name,address,contact information; NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
o
Facility name Mailing address(street or P.O.box)
c
City or town State
0 ZIP code
O Contact name(first and last) Title
0
5 Phone number Email address
Tes
'" NPDES number of receiving mgd
facility(if any) 0None Average daily flow rate m d
�'
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not
have outlets to waters of the United States e. underground
o, ( 9, 9 percolation,underground injection).
m ❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0 1.22 Provide information in the table below on these other disposal methods.
gd Information on Other Disposal Methods
Disposal Annual Average
Method Location of Size ofContinuous or Intermittent
Daily Discharge
e Description Disposal Site Disposal Site Volume
q p i (check one)
Izi F acres d 0 Continuous
o 9P 0 Intermittent
acres gpd 0 Continuous
❑ Intermittent
acres gpd ❑ Continuous
Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 10
22.21(n)?(Check all that apply.
a) w Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters(CWA Water quality related effluent limitation(CWA Section
Section 301(h)) ❑ 302(b)(2))
✓❑ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
I the responsibility of a contractor?
0 Yes ❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
c Contractor name7.7
.E (company named
o Mailing address —
(street or P.O.box)
6 City,state,and ZIP
code
o Contact name(first and
o last)
Phone number
Email address
Operational and maintenance
responsibilities of
contractor
EPA Form 3510-2A(Revised 3-19)
Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
o Outfalls to Waters of the United States
c 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o 0 Yes 0 No SKIP to Section 3.
c 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration,
0 9pd
c Indicate the steps the facility is taking to minimize inflow and infiltration.
c None
m
3
0
w
c
r 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
C specific requirements.)
o
n
o
❑ Yes 0 No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
0 0, (See instructions for specific requirements.)
co
o ❑✓ Yes 0 No
2.5 Are improvements to the facility scheduled?
❑ Yes © No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
cei 1.
c
d
E
0)
a 2.
E
ti
d 3.
3
IL
) 4.
-a
m 2.6 Provide scheduled or actual dates of completion for improvements.
N
c Scheduled or Actual Dates of Completion for Improvements
dScheduled Affected gin Attainment of
o Improvement Outfalls Construction Construction Diegin End scharge har a Operational
E (from above) (list outfall (MM/DD/YYYY9 Level
number) ) (MMIDD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
0,
c 1.
-0
0)
t —
-y 2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
0 Yes ❑ No ❑ None required or applicable
Explanation:
EPA Form 3510-2A(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number
Facility Name Form Approved 03105/19
NC0001643 New Street WWTP OMB No 2040-0004
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.210)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number 1101 Outfall Number Outfall Number
State North Carolina
N
73.
County Rockingham
O City or town Eden
S
c
g Distance from shore woo ft• ft. ft.
a
d Depth below surface 9 ft ft
0 ft.
Average daily flow rate 0.031837 mgd mgd mgd
Latitude 3� 29' 34" Na ° ° ""
Longitude 79° 42' 13" El ° °
ca
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
0 ❑✓ Yes 0 No-4 SKIP to Item 3.4.
d
s 3.3 If so,provide the following information for each applicable outfall.
o Outfall Number 001 Outfall Number Outfall Number
LI Number of times per year
o discharge occurs As Needed
a Average duration of each
o discharge(specify units) 5 days
ira
Average flow of each
A discharge 0.05328 mgd mgd mgd
a) Months in which discharge
occurs As Needed
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes 0 No 4 SKIP to Item 3.6.
C, 3.5 Briefly describe the diffuser t)pe at each applicable outfall.
Q.
a
1-- Outfall Number Outfall Number Outfall Number
a> —
U)
0
o 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
m• discharge points?
al
w 0 Yes ❑✓ No 4SKIP to Section 6.
EPA Form 3510-2A(Revised 3-19)
Page 6

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0001643 1 New Street WWTP DMB No.2040-0004
I
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number 001 Outfall Number Outfall Number
Receiving water name Dan River
Name of watershed,river,
o
4, or stream s stem Upper Dan River Sub Basin
Y
•°- U.S.Soil Conservation
La Service 14-digit watershed
o code
°' Name of state
man agemenUnver basin
Roanoke River Basin
ea
U.S.Geological Survey
8-digit hydrologic 03010103
ce cataloging unit code
Critical low flow(acute) cfs cfs cfs
ri'C tical low flow(chronic) 386 cfs cfs cfs
Total hardness at critical mg/L of mglL of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall. _
Outfall Number 001 Outfall Number Outfall Number
Highest Level of ❑ Primary 0 Primary ❑ Primary
Treatment(check all that 0 Equivalent to ❑ Equivalent to ❑ Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary ❑ Secondary 0 Secondary
0 Advanced ❑ Advanced 0 Advanced
O Other(specify) ❑ Other(specify) 0 Other(specify)
0 Time,Dilution
'Q Design Removal Rates by
to
o
w
BOD5 or CBOD5 %
%
E
TSS % o
m Not applicable CI Not applicable 0 Not applicable
Phosphorus
% % °k
0 Not applicable ❑Not applicable ❑Not applicable
Nitrogen
0/0
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
% % %
EPA Form 3510-2A(Revised 3-19) Page 7

EPA Identification Number — NPDES Permit Number FacilityName
Form Approved 03105/19
NC0001643 New Street WWTP OMB No.2040-0004
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below.
When we pump out the basin to make the plant discharge,we add chlorine tablets for disinfection,then we add sodium
3 bisulfite tablets for dechlorination.
0
o Outfall Number ooi Outfall Number Outfall Number
Q. Disinfection type
Chlorine Tablets
Seasons used As Needed
Dechlorination used? 0 Not applicable 0 Not applicable
❑ Not applicable
© Yes 0 Yes 0 Yes
0 No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
© Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
0 Yes ❑✓ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge — -
water
Number of tests of receiving
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑ Yes 0 No 4 SKIP to Item 3.16.
0 3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
cr reasonable potential to discharge chlorine in its effluent?
✓❑ Yes 4.Complete Table B,including chlorine. ❑ No 4 Complete Table B.omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑✓ Yes ❑ No
3.16 Does one or more of the following conditions apply?• The facility has a design Flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C,must
sample other additional parameters(Table D).or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls(Table E).
❑ Yes 4 Complete Tables C.D,and E as
applicable. 0 No 4 SKIP to Section 4.
3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
❑ Yes ❑ No
3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
❑ Yes 0 No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A(Revised 3-19)
Page 8

EPA Identification Number r NPDES Permit Number Facility Name Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to yur NPDES permitting authority and provide a summary of the results.
Date(s)Submitted
(MMrDD/YYYY) Summary of Results
ctl
3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
_' ❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package'?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES aermittin. authorit .
SECTION 4. INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122,21(j)(6)and(7))
4.1 Does the POTW receive discharges from Sills or NSCIUs?
❑ Yes ❑ No 4 SKIP to Item 4.7.
4.2 Indicate the number of Sills and NSCIUs that t dischanr e to the POTW.
Number of Sills Number of NSCIUs
N
O
P.
4.3 Does the POTW have an approved pretreatment program?
❑ Yes
.o ❑ No
a 4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F:(1)a pretreatment program annual report submitted within one year of the
application or(2)a pretreatment program?
❑ Yes
❑ No-)SKIP to Item 4.6.
5 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7.
� _ I
4.6 Have you completed and attached Table F to this application package?
❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number FacilityName
Form Approved 03/05119
NC0001643 New Street WWTP OMB No 2040-0004
4.7 Does the POTW receive,or has it been notified that it will receive,by truck,rail,or dedicated pipe,any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
0 Yes ❑✓ No 4 SKIP to Item 4.9.
4.8 If yes,provide the following information:
Annual
Hazardous Waste
Waste Transport Method Amount of
Number (check all that apply) Waste Units
Received
0 Truck ❑ Rail
IDDedicated pipe ❑ Other(specify)
.c
0
V
—
co
❑ Truck - — ❑ Rail
ij ❑ Dedicated pipe 0 Other(specify)
u)
c
0
'a
ra
0 Truck ❑ Rail
c ❑ Dedicated pipe ❑ Other(specify)
R
N
w
Q)
= 4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities,
H including those undertaken pursuant to CERCLA and Sections 3004(7)or 3008(h)of RCRA?
0
Ti ❑ Yes ❑✓ No 4 SKIP to Section 5.
•c
TA
4.10 Does the POTW receive(or expect to receive)less than 15 kilograms per month of non-acute hazardous wastes as
specified in 40 CFR 261.30(d)and 261.33(e)?
❑ Yes 4 SKIP to Section 5. ❑ No
4.11 Have you reported the following information in an attachment to this application:identification and description of the
site(s)or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents:and
the extent of treatment,if any,the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8))
5.1 Does the treatment works have a combined sewer system?
R
, El Yes ❑� No SKIP to Section 6.
in
5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
m
o. 0 Yes ❑ No
m
5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
co
0 Yes
0 No
EPA Form 3510-2A(Revised 3-19)
Page 10

EPA Identification Number NPDES Permit Number FacilityName
Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
5.4 For each CSO outfall,provide the following information.(Attach additional sheets as necessary.)
CSO Outfall Number CSO Outfall Number CSO Outfall Number
City or town
0
n- State and ZIP code
U
cn
a,
O County
`m
oLatitude ° • ,- ° - .,
0
Longitude - •
Distance from shore ft ft. ft
Depth below surface 1 ft. ft. ft
5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number CSO Outfall Number CSO Outfall Number
Rainfall ❑ Yes ❑ No 0 Yes ❑No 0 Yes 0 No
co
o CSO flow volume ❑ Yes ❑No ❑ Yes ❑ No ❑ Yes ❑No
E
O CSO pollutant
o concentrations CI ❑ No 0 Yes ❑ No 0 Yes ❑ No
Receiving water quality 0 Yes 0 No 0 Yes 0 No Cl Yes 0 No
CSO frequency 0 Yes ❑No ❑ Yes ❑No 0 Yes ❑No
Number of storm events ❑ Yes 0 No 0 Yes 0 No 1 0 Yes ❑No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number_ CSO Outfall Number CSO Outfall Number
✓ Number of CSO events in
the past year events events events
a _co
c Average duration per hours hours hours
event
> ❑Actual or❑Estimated 0 Actual or 0 Estimated 0 Actual or El Estimated
w
0 Average volume per event million gallons million gallons million gallons
U ❑Actual or El Estimated _ ❑Actual or❑Estimated ❑Actual or❑Estimated
Minimum rainfall causing inches of rainfall inches of rainfall inches of rainf
all
a CSO event in last year ❑Actual or❑Estimated 0 Actual or❑Estimated _ 0 Actual or 0 Estimated
EPA Form 3510-2A(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number FacilityName
Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
I
5.7 Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
Receiving water name
Name of watershed/
stream system
a U.S.Soil Conservation 0 Unknown ❑Unknown ❑Unknown
Service 14-digit
watershed code
._ (if known)
m U Name of state
a,
ce management/river basin
0
a) U.S.Geological Survey ❑Unknown ❑Unknown 0 Unknown
8-Digit Hydrologic Unit -
Code(if known)
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam Iles
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below,mark the sections of Form 2A that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1 Column 2
© Section 1:Basic Application ❑
Information for All Applicants w/variance request(s) ❑ w/additional attachments
✓❑ Section 2:Additional 0 wl topographic map ❑ w/process flow diagram
Information 0 wl additional attachments
❑� w/Table A ❑ w/Table D
[2] Section 3:Information on ❑Effluent Discharges ❑ w/Table B w/Table E
co
E ✓ w/Table
a) C 0 w/additional attachments
Section 4:Industrial
co ❑ w/SIU and NSCIU attachments ❑ w/Table F
❑ Discharges and Hazardous
Wastes ❑ w/additional attachments
0
m
:.—z Section 5:Combined Sewer 0 w/CSO map 0 w/additional attachments
v ❑ Overflows El9
w/CSO system diagram
Mc
3 ❑ Section 6:Checklist and
El w/attachments
as Certification Statement
N
66.2 Certification Statement
CD
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted,Based on my inquiry of the person or persons who manage
ge the system.or those persons directly responsible
for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and
complete.I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Melinda Ward Utilities Manager
Signature Date signed
k/4,E4�frtcla, 3'. ,}a4 to
04/27/2022
EPA Form 3510-2A(Revised 3-19)
Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Value Units Value Units Methods (include units)
Samples
Biochemical oxygen demand
o BOD5 or ElCBOD5 25.5 mg/L 10.0 mg/L 7 SM5210B-2011 ❑ML
(report one) ❑MDL
Fecal coliform >200.5 #/100mL 125 #/100mL 7 IDEXX Colilert 18 ❑ML
❑MDL
Design flow rate 0.5328 MGD 0.031837 MGD 33
pH(minimum) 6.41 su
f
pH(maximum) 8.59 su
Temperature(winter) 5.9 deg C 11.2 deg C 3
Temperature(summer) 24.1 deg C 18.8 deg C 4
Total suspended solids(TSS) 22.35 mg/L 19.6 mg/L 7 SM ft 2540 D 2015 ❑ML
1 ❑MDL
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19)
Page 13

1 EPA Identification Number NPDES Permit Number Facility Name Outfall Number —1 Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
TABLE B. EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge
Analytical • ML or MDL
Pollutant Number of
Value Units Value Units Methods (include units)
Samples
Ammonia(as N) 1.4 mg/L 0.78 mg/L 7 EPA 350.1 1993 o ML
Chlorine ❑MDL
20 ug/L 4.29 ug/L 7 SM.4500 ClG 2011 ❑ML
(total residual,TRC)2 g ❑MDL
Dissolved oxygen 11.37 mg/L 5.87 mg/L 7 SM.4500-0 G-2016 ❑ML
❑MDL
Nitrate/nitrite ❑ML
o MDL
Kjeldahl nitrogen ❑ML
❑MDL
Oil and grease ❑ML
❑MDL
Phosphorus 0.39 mg/L 0.23 mg/L 7 EPA 365.1 1993 ❑ML
0 MDL
Total dissolved solids 0 ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3.19)
Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC0001643 New Street WWTP OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
I Samples
Metals,Cyanide,and Total Phenols
Hardness(as CaCO3) ❑ML
❑MDL
Antimony,total recoverable ❑ML
0 MDL
Arsenic,total recoverable ❑ML
0 MDL
Beryllium,total recoverable ID ML
❑MDL
Cadmium,total recoverable ❑ML
❑MDL
Chromium,total recoverable El ML
❑MDL
Copper,total recoverable 0.0085 mg/L 0.0059 mg/L 7 EPA 200.7 1994 ❑ML
❑MDL
Lead,total recoverable 0 ML
0 MDL
Mercury,total recoverable 0 ML
❑MDL
Nickel.total recoverable 0 ML
❑MDL
Selenium,total recoverable ❑ML
❑MDL
Silver,total recoverable ❑ML
❑MDL
Thallium,total recoverable ❑ML
- ❑MDL
Zinc.total recoverable ❑ML
❑MDL
Cyanide ❑ML
❑MDL
Total phenolic compounds I ❑ML
❑MDL
Volatile Organic Compounds
Acrolein ❑ML
❑MDL
Acrylonitrile ❑ML
❑MDL
Benzene ❑ML
❑MDL
Bromoform El ML
0 MDL
EPA Form 3510-2A(Revised 3-19)
Page 17