NC0023876_Annual Monitoring & Pollutant Scan_20220729

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Glenn McGirt
From: Berry, Ron <[e-mail]>
Sent: Thursday, February 25, 2016 8:41 AM
To: Glenn McGirt
Cc: Grzyb,Julie
Subject: RE: permit numbers
Mr. McGrit;
The intent of the dates in the priority pollutant scan special condition is to assist the Permittee with completing the three seasonal US EPA required scans for
the next scheduled permit renewal. In this case, the renewal application submittal is due by the end of 2018, thus, the three full years preceding 2018 were
designated for obtaining the seasonal scans. A renewal application is considered incomplete if the three required seasonal scans are not included with the
application and will delay issuance of a new permit.
The Division concurs with your request to reschedule the missed 2015 seasonal scan to 2018 for NC0023868 and NC0023876 with completion prior to submittal
of each permitted facility's renewal application.The other two seasonal scans are still to be completed in 2016 and 2017.
Just a reminder, any concerns or questions related to conditions in your NPDES permit should be brought to the Division attention during the draft comment
period so they may be resolved.
Ron Berry
Engineer
Division of Water Resources/Complex Permitting
North Carolina Department of Environmental Quality
919 807 6396 office
ron.berrv@ ncdenr.gov
512 N. Salisbury Street
1617 Mail Service Center
Raleigh, NC 27699-1617
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
1

From:Glenn McGirt [mailto:[e-mail]]
Sent:Wednesday, February 24, 2016 4:31 PM
To: Berry, Ron<[e-mail]>
Subject: permit numbers
Mr Berry:
As per our phone conversation, below are our NPDES permit numbers.
East Burlington WWTP-NC0023868
South Burlington WWTP-NC0023876
Both were issued July 1, 2014 and expire June 30, 2015
Thank you so very much.
geam D.McQirt
Superintendent of Laboratory Services
City of Burlington,NC
336-222-5133
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June 15,2016 "t,
NC DENR/DWQ
Central Files
1617 Mail Service Center RECEIVED
Raleigh,NC 27699-1617
JUL 2 9 2022
Subject: South Burlington Priority Pollutant Scan
NCDEQIDWRINPDES
Dear Sirs:
Enclosed please find a copy of the Amended Priority Pollutant reporting form for
sampling of 4/20-21/2016 for the South Burlington WWTP(permit#NC0023876).
The original submission contained an incorrect detection limit for Methyl Chloride
as reported by our contract lab. The lab has since revised its report to us and this
DT has been amended on this enclosure.
If you have any questions or need additional information, feel free to contact me at
[phone].
Sincerely,
/0(2,4./6
Glenn D. McGirt
Superintendent of Laboratory Services
City of Burlington
Enclosures
CC: Robert C Patterson—Water resources Director
Rick Asher—ORC South Burlington WWTP
Connecting the Thai and the TriangT
425 South LexingtonAvenue -PO Box 1358—Burlington, WC 27216
[phone] business
www.Ourlington.M.gov

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month:April
Outfall 001 AMMENDED
Facility Name South Burlington WWTP 1�9� ORC: Richard Asher
Date of sampling 4/20-21/2016 Phone [phone]
Analytical Laboratory: Meritech, Inc.
Parameter Sample ';:Analytical' guantltatlon 'Sample Units of
Parameter Code -�,� Level Result Measurement ilde Od
Ammonia(as N) C0610 Composite SM4500NH3D 0.1 0.23 mg/L
Chlorine (total residual,TRC) 50060 Grab SM4500C1G 15 <15 ug/L
Dissolved Oxygen 00300 Grab HACH 10360 1 6.33 mg/L
Nitrite plus Nitrate total (as N) 00630 Composite HACH10206 0.1 2.9 mg/L
Total Kjeldahl Nitrogen 00625 Composite HACH10242 1 2.1 mg/L
Oil and Grease 00556 Grab EPA1664A 5 <5 mg/L
Total Phosphorus C0665 Composite SM4500PE 0.05 0.7 mg/L
Total Dissolved Solids 70295 - Composite SM2540C 10 661 mg/L
Hardness 00900 Composite SM2340C 1 60 mg/L
Mee a(total recoverable),cyanide aad total pliena-,
Antimony 01097 Composite EPA200.7 0.025 <0.025 mg/L
Arsenic 01002 Composite EPA200.7 0.01 <0.010 mg/L
Beryllium 01012 Composite EPA200.7 0.005 <0.005 mg/L
Cadmium 01027 Composite EPA200.7 0.002 <0.002 mg/L
Chromium 01034 Composite EPA200.7 0.005 0.011 mg/L
Copper 01042 Composite EPA200.7 0.002 0.009 mg/L
Lead 01051 Composite EPA200.7 0.01 <0.010 mg/L
Mercury(Method 1631E) COMER Composite EPA1631 1 5.26 ng/L
Nickel 01067 Composite EPA200.7 0.01 <0.010 mg/L
Selenium 01147 Composite EPA200.7 0.01 <0.010 mg/L
Silver 01077 Composite EPA200.7 0.005 <0.010 mg/L
Thallium 01059 Composite EPA200.7 0.02 <0.020 mg/L
Zinc 01092 Composite EPA200.7 0.01 0.036 mg/L
Cyanide 00720 Grab EPA335.4 0.005 <0.005 mg/L
Total phenolic compounds 32730 Grab EPA420.1 0.01 0.035 mg/L
Vola€ile organic compounds . . . . _-.. . , , k , _ _: . _ .. . ._.,. .. .,..
Acrolein 34210 Grab EPA624 500 <500 ug/L
Acrylonitrile 34215 Grab EPA624 100 <100 ug/L
Benzene 34030 Grab EPA624 10 <10.0 ug/L
Bromoform 32104 Grab EPA624 10 <10.0 ug/L
Carbon Tetrachloride 32102 Grab EPA624 10 <10.0 ug/L
Chlorobenzene 34301 Grab EPA624 10 <10.0 ug/L
Chlorodibromomethane 34306 Grab EPA624 10 <10.0 ug/L
Chloroethane 85811 Grab EPA624 50 <10.0 ug/L
2-chloroethyl vinyl ether 34576 Grab EPA624 50 <10.0 ug/L
Chloroform 32106 Grab EPA624 10 <10.0 ug/L
Dichiorobromomethane 32101 Grab EPA624 10 <10.0 ug/L
1,1-dichloroethane 34496 Grab EPA624 10 <10.0 ug/L
1,2-dichloroethane 32103 Grab EPA624 10 <10.0 ug/L
Trans-1,2-dichloroethylene 34546 Grab EPA624 10 <10.0 ug/L
Form - DMR- PPA-1 Page 1

Annual M1� EN-41 ID ant Scan
• Permit No. NC0023876 Month:April
Outfall 001
Parameter Sample Analytical gnantitation Sample 'Units of
Parameter Code Type Method Level Result Measurement
1,1-dichloroethylene 34501 Grab EPA624 10 <10.0 ug/L
1,2-dichloropropane 34541 Grab EPA624 10 <10.0 ug/L
1,3-dichloropropylene 77163 Grab EPA624 10 <10.0 ug/L
Ethylbenzene 34371 Grab EPA624 10 <10.0 ug/L
Methyl Bromide 34413 Grab EPA624 50 <50.0 ug/L
Methyl Chloride y 34418 Grab EPA624 50 <50.0 ug/L
Methylene Chloride 34423 Grab EPA624 10 <10.0 ug/L
1,1,2,2-tetrachloroethane 81549 Grab EPA624 10 <10.0 ug/L
Tetrachloroethylene 34475 Grab EPA624 10 <10.0 ug/L
Toluene 34010 Grab EPA624 10 <10.0 ug/L
1 1,1,1-trichloroethane 34506 Grab EPA624 10 <10.0 ug/L
1,1,2-trichloroethane 34511 Grab EPA624 10 <10.0 ug/L 1
Trichloroethylene 39180 Grab EPA624 10 <10.0 ug/L
Vinyl Chloride 39175 Grab EPA624 50 <50.0 ug/L
Acid-extractable compounds
P-chloro-m-creso 34452 Grab EPA625 10 <10.0 ug/L
2-chlorophenol 34586 Grab EPA625 10 <10.0 ug/L
2,4-dichlorophenol 34601 Grab EPA625 10 <10.0 ug/L
2,4-dimethylphenol 34606 Grab EPA625 10 <10.0 ug/L
4,6-dinitro-o-cresol 34657 Grab EPA625 50 <50.0 ug/L
2,4-dinitrophenol 34616 Grab EPA625 50 <50.0 ug/L
2-nitrophenol 34591 Grab EPA625 10 <10.0 ug/L
4-nitrophenol 34646 Grab EPA625 50 <50.0 ug/L
Pentachlorophenol 39032 Grab EPA625 50 <50.0 ug/L
Phenol 34694 Grab EPA625 10 <10.0 ug/L
2,4,6-trichlorophenol 34621 Grab EPA625 10 <10.0 ug/L
BasWei ir I compoinds
Acenaphthene 34205 Composite EPA625 10 <10.0 ug/L
Acenaphthylene 34200 Composite EPA625 10 <10.0 ug/L
Anthracene CO220 Composite EPA625 10 <10.0 ug/L
Benzidine 39120 Composite EPA625 50 <50.0 ug/L
Benzo(a)anthracene 34526 Composite EPA625 10 <10.0 ug/L
Benzo(a)pyrene 34247 Composite EPA625 10 <10.0 ug/L
3,4 benzofluoranthene 34230 Composite EPA625 10 <10.0 ug/L
Benzo(ghi)perylene 34521 Composite EPA625 10 <10.0 ug/L
Benzo(k)fluoranthene 34242 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroethoxy) methane 34278 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroethyl) ether 34273 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroisopropyl) ether 34283 Composite EPA625 10 <10.0 ug/L
Bis (2-ethylhexyl) phthalate 39100 Composite EPA625 10 <10.0 ug/L
4-bromophenyl phenyl ether 34636 Composite EPA625 10 <10.0 ug/L
Butyl benzyl phthalate 34292 Composite EPA625 10 <10.0 ug/L
2-chloronaphthalene 34581 Composite EPA625 10 <10.0 ug/L
4-chlorophenyl phenyl ether 34641 Composite EPA625 10 <10.0 ug/L
Chrysene 34320 Composite EPA625 10 <10.0 ug/L
Form - DMR- PPA-1 Page 2

Annual Mo•'t• ; • • • ,,, ' ant Scan
Permit No. NC0023876 '��` , r' Month:April
Outfall 001
Parameter Sample Anattical gasntltation Sample Units of
Parameter Code Tgpe Me>liod Level Result Measurement
Di-n-butyl phthalate 39110 Composite EPA625 10 <10.0 ug/L
-
Di-n-octyl phthalate 34596 Composite EPA625 10 <10.0 ug/L
Dibenzo(a,h)anthracene 34556 Composite EPA625 10 <10.0 ug/L
1,2-dichlorobenzene 34536 Composite EPA625 10 <10.0 ug/L
1,3-dichlorobenzene 34566 Composite EPA625 10 <10.0 ug/L
1,4-dichlorobenzene 34571 Composite EPA625 10 <10.0 ug/L
3,3-dichlorobenzidine 34631 Composite EPA625 50 <50.0 ug/L
Diethyl phthalate 34336 Composite EPA625 10 <10.0 ug/L
Dimethyl phthalate 34341 Composite EPA625 10 <10.0 ug/L
2,4-dinitrotoluene 34611 Composite EPA625 10 <10.0 ug/L
2,6-dinitrotoluene C0626 Composite EPA625 10 <10.0 ug/L
1,2-diphenylhydrazine 34346 Composite EPA625 10 <10.0 ug/L
Fluoranthene C0376 Composite EPA625 10 <10.0 ug/L
Fluorene 34381 Composite EPA625 10 <10.0 ug/L
Hexachlorobenzene C0700 Composite EPA625 10 <10.0 ug/L
Hexachlorobutadiene 39702 Composite EPA625 10 <10.0 ug/L
Hexachlorocyclo-pentadiene 34386 Composite EPA625 50 <50.0 ug/L
Hexachloroethane 34396 Composite EPA625 10 <10.0 ug/L
Indeno(1,2,3-cd)pyrene 34403 Composite EPA625 10 <10.0 ug/L 1
Isophorone 34408 Composite EPA625 10 <10.0 ug/L
Naphthalene 34696 Composite EPA625 10 <10.0 ug/L
Nitrobenzene 34447 Composite EPA625 10 <10.0 ug/L
N-nitrosodi-n-propylamine 34428 Composite _ EPA625 10 <10.0 ug/L
N-nitrosodimethylamine 34438 Composite EPA625 10 <10.0 ug/L
N-nitrosodiphenylamine 34433 Composite EPA625 10 <10.0 ug/L
Phenanthrene 34461 Composite EPA625 10 <10.0 ug/L
Pyrene 34469 Composite EPA625 10 <10.0 ug/L
1,2,4,-trichlorobenzene 34551 Composite EPA625 10 <10.0 ug/L
"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 managed 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 fines and imprisonment for knowing violations."
Authorized Representative name
k(iuuk e_Vuvt---11
Signature
Date
Form - DMR- PPA-1 Page 3

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a�?�E8 I4.1a93
December 15,2017
NC DENR/DWQ
Central Files
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: South Burlington Priority Pollutant Scan
Dear Sirs:
Enclosed please find a copy of the results from a Priority Pollutant sampling
conducted on sample for the South Burlington WWTP(permit#NC0023876). All
analyses were performed by Meritech,Inc except the Ammonia,NO2+NO3,TKN,
cyanide & Total Phosphorus, performed by City of Burlington Lab Services and DO
& Residual chlorine performed by operations staff. The cyanide result on sample
caught on 10/31 was qualified due to improper preservation. However, another
cyanide sample was taken November 16 with an identical result and,in fact, all
cyanide results for this location have been <0.01 ppm for at least the last 5 years.
If you have any questions or need additional information, feel free to contact me at
[phone].
Sincerel ,
0111 4, I b )&_____________.___________
Glenn D. McGirt
Superintendent of Laboratory Services
City of Burlington
Enclosures
CC: Robert C Patterson—Water resources Director
Rick Asher—ORC South Burlington WWTP
Connecting the Triad and the Triang1
425 South Lexington Avenue —TO Box 1358—Burlington, WC 27216
[phone] business
www.Bur(ington.NCgov

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month: October
Outfall 001
Facility Name South Burlington WWTP ORC: Richard Asher
Date of sampling 10/19,31/2017 Phone [phone]
Analytical Laboratory: Meritech, Inc. &City of Burlington Lab Services
Parameter Sample Analytical guantitation` Sample Units of
Parameter Code Type- Method Level Result Measurement
Ammonia(as N) C0610 Composite SM4500NH3D 0.1 <0.10 mg/L
Chlorine (total residual,TRC) 50060 Grab SM4500C1G 15 <15 ug/L
Dissolved Oxygen 00300 Grab HACH10360 1 6.09 mg/L
Nitrite plus Nitrate total (as N) 00630 Composite HACH10206 0.1 5.6 mg/L
Total Kjeldahl Nitrogen 00625 Composite HACH10242 1 2.9 mg/L
Oil and Grease 00556 Grab EPA1664A 5 <5 mg/L
Total Phosphorus C0665 Composite SM4500PE 0.05 0.2 mg/L
Total Dissolved Solids 70295 Composite SM2540C 10 387 mg/L
Hardness 00900 Composite SM2340C 1 56 mg/L
Metals(total recoverable),cyanide and total phenols
Antimony 01097 Composite EPA200.7 0.025 <0.025 mg/L
Arsenic 01002 Composite EPA200.7 0.01 0.01 mg/L
Beryllium 01012 Composite EPA200.7 0.005 <0.005 mg/L
Cadmium 01027 Composite EPA200.7 0.002 <0.002 mg/L
Chromium 01034 Composite EPA200.7 0.005 <0.005 mg/L
Copper 01042 Composite EPA200.7 0.002 0.004 mg/L
Lead 01051 Composite EPA200.7 0.01 <0.010 mg/L
Mercury(Method 1631E) COMER Composite EPA1631 1 1.45 ng/L
Nickel 01067 Composite EPA200.7 0.01 <0.010 mg/L
Selenium 01147 Composite EPA200.7 0.01 <0.010 mg/L
Silver 01077 Composite EPA200.7 0.005 <0.005 mg/L
Thallium 01059 Composite EPA200.7 0.02 <0.020 mg/L
Zinc 01092 Composite EPA200.7 0.01 0.05 mg/L
Cyanide 00720 Grab EPA335.4 0.005 <.010* mg/L
Total phenolic compounds 32730 Grab EPA420.1 0.01 <0.010 mg/L
Volatile ozganic compounds
Acrolein 34210 Grab EPA624 50 <50.0 ug/L
Acrylonitrile 34215 Grab EPA624 10 <10.0 ug/L
Benzene 34030 Grab EPA624 1 <1.00 ug/L
Bromoform 32104 Grab EPA624 1 <1.00 ug/L
Carbon Tetrachloride 32102 Grab EPA624 1 <1.00 ug/L
Chlorobenzene 34301 Grab EPA624 1 <1.00 ug/L
Chlorodibromomethane 34306 Grab EPA624 1 2.65 ug/L
Chloroethane 85811 Grab EPA624 5 <5.00 ug/L
2-chloroethyl vinyl ether 34576 Grab EPA624 5 <5.00 ug/L
Chloroform 32106 Grab EPA624 1 13.8 ug/L
Dichlorobromomethane 32101 Grab EPA624 1 9.32 ug/L
1,1-dichloroethane 34496 Grab EPA624 1 <1.00 ug/L
1,2-dichloroethane 32103 Grab EPA624 1 <1.00 ug/L
Trans-1,2-dichloroethylene 34546 Grab EPA624 1 <1.00 ug/L
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. NCOO23876 Month: October
Outfall 001
Parameter Sample Analytical guantitation Sample Units of
Parameter Code Type Method Level Result Measurement
1,1-dichloroethylene 34501 Grab EPA624 1 <1.00 ug/L
1,2-dichloropropane 34541 Grab EPA624 1 <1.00 ug/L
1,3-dichloropropylene 77163 Grab EPA624 1 <1.00 ug/L
Ethylbenzene 34371 Grab EPA624 1 <1.00 ug/L
Methyl Bromide 34413 Grab EPA624 1 <1.00 ug/L
Methyl Chloride 34418 Grab EPA624 5 <5.00 ug/L
Methylene Chloride 34423 Grab EPA624 1 <1.00 ug/L
1,1,2,2-tetrachloroethane 81549 Grab EPA624 1 <1.00 ug/L
Tetrachloroethylene 34475 Grab EPA624 1 <1.00 ug/L
Toluene 34010 Grab EPA624 1 <1.00 ug/L
1,1,1-trichloroethane 34506 Grab EPA624 1 <1.00 ug/L
1,1,2-trichloroethane 34511 Grab EPA624 1 <1.00 ug/L
Trichloroethylene 39180 Grab EPA624 1 <1.00 ug/L
Vinyl Chloride 39175 Grab EPA624 5 <5.00 ug/L
Acid-extractable compounds
P-chloro-m-creso 34452 Grab EPA625 10 <10 ug/L
2-chlorophenol 34586 Grab EPA625 10 <10 ug/L
•
2,4-dichlorophenol 34601 Grab EPA625 10 <10 ug/L
2,4-dimethylphenol 34606 Grab EPA625 10 <10 ug/L
4,6-dinitro-o-cresol 34657 Grab EPA625 50 <50 ug/L
2,4-dinitrophenol 34616 Grab EPA625 50 <50 ug/L
2-nitrophenol 34591 Grab EPA625 10 <10 ug/L
4-nitrophenol 34646 Grab EPA625 50 <50 ug/L
Pentachlorophenol 39032 Grab EPA625 50 <50 ug/L
Phenol 34694 Grab EPA625 10 <10 ug/L
2,4,6-trichlorophenol 34621 Grab EPA625 10 <10 ug/L
Base-neutral compounds
Acenaphthene 34205 Composite EPA625 10 <10.0 ug/L
Acenaphthylene 34200 Composite EPA625 10 <10.0 ug/L
Anthracene CO220 Composite EPA625 10 <10.0 ug/L
Benzidine 39120 Composite EPA625 50 <50.0 ug/L
Benzo(a)anthracene 34526 Composite EPA625 10 <10.0 ug/L
Benzo(a)pyrene 34247 Composite EPA625 10 <10.0 ug/L
3,4 benzofluoranthene 34230 Composite EPA625 10 <10.0 ug/L
Benzo(ghi)perylene 34521 Composite EPA625 10 <10.0 ug/L
Benzo(k)fluoranthene 34242 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroethoxy) methane 34278 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroethyl) ether 34273 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroisopropyl) ether 34283 Composite EPA625 10 <10.0 ug/L
Bis (2-ethylhexyl) phthalate 39100 Composite EPA625 10 <10.0 ug/L
4-bromophenyl phenyl ether 34636 Composite EPA625 10 <10.0 ug/L
Butyl benzyl phthalate 34292 Composite EPA625 10 <10.0 ug/L
2-chloronaphthalene 34581 Composite EPA625 10 <10.0 ug/L
4-chlorophenyl phenyl ether 34641 Composite EPA625 10 <10.0 ug/L
Chrysene 34320 Composite EPA625 10 <10.0 ug/L
Form - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month: October
Outfa11 001
Parameter Sample Analytical guantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Di-n-butyl phthalate 39110 Composite EPA625 10 <10.0 ug/L
Di-n-octyl phthalate 34596 Composite EPA625 10 <10.0 ug/L
Dibenzo(a,h)anthracene 34556 Composite EPA625 10 <10.0 ug/L
1,2-dichlorobenzene 34536 Composite EPA625 10 <10.0 ug/L
1,3-dichlorobenzene 34566 Composite. EPA625 10 <10.0 ug/L
1,4-dichlorobenzene 34571 Composite EPA625 10 <10.0 ug/L
3,3-dichlorobenzidine 34631 Composite EPA625 50 <50.0 ug/L
Diethyl phthalate 34336 Composite EPA625 10 <10.0 ug/L
Dimethyl phthalate 34341 Composite EPA625 10 <10.0 ug/L
2,4-dinitrotoluene 34611 Composite EPA625 10 <10.0 ug/L
2,6-dinitrotoluene C0626 Composite EPA625 10 <10.0 ug/L
1,2-diphenylhydrazine 34346 Composite EPA625 10 <10.0 ug/L
Fluoranthene C0376 Composite EPA625 10 <10.0 ug/L
Fluorene 34381 Composite EPA625 10 <10.0 ug/L
Hexachlorobenzene C0700 Composite EPA625 10 <10.0 ug/L
Hexachlorobutadiene 39702 Composite EPA625 10 <10.0 ug/L
Hexachlorocyclo-pentadiene 34386 Composite EPA625 50 <50.0 ug/L
Hexachloroethane 34396 Composite EPA625 10 <10.0 ug/L j
Indeno(1,2,3-cd)pyrene 34403 Composite EPA625 10 <10.0 ug/L
Isophorone 34408 Composite EPA625 10 <10.0 ug/L
Naphthalene 34696 Composite EPA625 10 <10.0 ug/L
Nitrobenzene 34447 Composite EPA625 10 <10.0 ug/L
N-nitrosodi-n-propylamine 34428 Composite EPA625 10 <10.0 ug/L
N-nitrosodimethylamine 34438 Composite EPA625 10 <10.0 ug/L
N-nitrosodiphenylamine 34433 Composite EPA625 10 <10.0 ug/L
Phenanthrene 34461 Composite EPA625 10 <10.0 ug/L
Pyrene 34469 Composite EPA625 10 <10.0 ug/L
1,2,4,-trichlorobenzene 34551 Composite EPA625 10 <10.0 ug/L
*cyanide samle was caught 10/31 and is qualified for incorrect preservation. Additional sample caught 11/16
"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 managed 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 fines and imprisonment for knowing violations."
Authorized Representative ame
Signature
1 Z1-z► l2 1�
Date
Form - DMR- PPA-1 Page 3

GI0,
i
J �
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01‘"' •
e Cit o cBur(ington
��8 14.1993-
March 6,2018
NC DENR/DWQ
Central FilesC
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: South Burlington Priority Pollutant Scan
Dear Sirs:
Enclosed please find a copy of the results from a Priority Pollutant sampling
conducted on sample from 1/31/18-2/2/18 for the South Burlington WWTP(permit#
NC0023876). All analyses were performed by Meritech,Inc except the Ammonia,
NO2+NO3,TKN, & Total Phosphorus, performed by City of Burlington Lab
Services and DO & Residual chlorine performed by operations staff.
If you have any questions or need additional information,feel free to contact me at
[phone].
Sincerely,
Glenn D. McGirt
Superintendent of Laboratory Services
City of Burlington
Enclosures
CC: Robert C Patterson—Water resources Director
Rick Asher—ORC South Burlington WWTP
Connecting the Triad and the Triangle
425 South LeXingtonAvenue —(P0 Bo.�1358—Burlington, NC 27216
[phone] 6usiness
www.BurlingtonNe.gov

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month:Jan, Feb 2018
Outfall 001
Facility Name South Burlington WWTP ORC:Richard Asher
Date of sampling 1/31/18-2/2/18 Phone [phone]
Analytical Laboratory: Meritech, Inc. &City of Burlington Lab Services
Parameter Sample Analytical guantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Ammonia(as N) C0610 Composite SM4500NH3D 0.1 0.1 mg/L
Chlorine(total residual,TRC) 50060 Grab SM4500C1G 15 <15 ug/L
Dissolved Oxygen 00300 Grab HACH10360 1 6.1 mg/L I
Nitrite plus Nitrate total(as N) 00630 Composite HACH10206 0.1 7.0 mg/L
Total Kjeldahl Nitrogen 00625 Composite HACH10242 1 1.8 mg/L
Oil and Grease 00556 Grab EPA1664A 5 <5 mg/L
Total Phosphorus C0665 Composite SM4500PE 0.05 0.6 mg/L
Total Dissolved Solids 70295 Composite SM2540C 10 378 mg/L
Hardness 00900 Composite SM2340C 1 64 mg/L
Metals(total recoverable),cyanide and total phenols
Antimony 01097 Composite EPA200.7 0.025 <0.025 mg/L
Arsenic 01002 Composite EPA200.7 0.01 <0.005 mg/L
Beryllium 01012 Composite EPA200.7 0.005 <0.005 mg/L
Cadmium 01027 Composite EPA200.7 0.002 <0.002 mg/L
Chromium 01034 Composite EPA200.7 0.005 <0.005 mg/L
Copper 01042 Composite EPA200.7 0.002 0.005 mg/L
Lead 01051 Composite EPA200.7 0.01 <0.010 mg/L
Mercury(Method 1631E) COMER Grab EPA1631 1 1.77/ ng/L
Nickel 01067 Composite EPA200.7 0.01 <0.010 mg/L
Selenium 01147 Composite EPA200.7 0.01 <0.010 mg/L
Silver 01077 Composite EPA200.7 0.005 <0.005 mg/L
Thallium 01059 Composite EPA200.7 0.02 <0.0005 mg/L
Zinc 01092 Composite EPA200.7 0.01 0.038 mg/L
Cyanide 00720 Grab EPA335.4 0.005 <0.005 mg/L
Total phenolic compounds 32730 Grab EPA420.1 0.01 0.024 mg/L
Volatile organic compounds
Acrolein 34210 Grab EPA624 50 <50.0 ug/L
Acrylonitrile 34215 Grab EPA624 10 <10.0 ug/L
Benzene 34030 Grab EPA624 1 <1.00 ug/L
Bromoform 32104 Grab EPA624 1 <1.00 ug/L
Carbon Tetrachloride 32102 Grab EPA624 1 <1.00 ug/L
Chlorobenzene 34301 Grab EPA624 1 <1.00 ug/L
Chlorodibromomethane 34306 Grab EPA624 1 <1.00 ug/L
Chloroethane 85811 Grab EPA624 5 <5.00 ug/L
2-chloroethyl vinyl ether 34576 Grab EPA624 5 <5.00 ug/L
Chloroform 32106 Grab EPA624 1 12 ug/L
Dichlorobromomethane 32101 Grab EPA624 1 3.51 ug/L
1,1-dichloroethane 34496 Grab EPA624 1 <1.00 ug/L
1,2-dichloroethane 32103 Grab EPA624 1 <1.00 ug/L
Trans-1,2-dichloroethylene 34546 Grab EPA624 1 <1.00 ug/L
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month:Jan, Feb 2018
Outfall 001
Parameter Sample Analytical guantitation Sample Units of
Parameter Code Type Method Level Result Measurement
1,1-dichloroethylene 34501 Grab EPA624 1 <1.00 ug/L
1,2-dichloropropane 34541 Grab EPA624 1 <1.00 ug/L
1,3-dichloropropylene 77163 Grab EPA624 1 <1.00 ug/L
Ethylbenzene 34371 Grab EPA624 1 <1.00 ug/L
Methyl Bromide 34413 Grab EPA624 5 <5.0 ug/L
Methyl Chloride 34418 Grab EPA624 5 <5.00 _ ug/L
Methylene Chloride 34423 Grab EPA624 1 <1.00 ug/L
-
1,1,2,2-tetrachloroethane 81549 Grab EPA624 1 <1.00 ug/L
Tetrachloroethylene 34475 Grab EPA624 1 <1.00 ug/L
Toluene 34010 Grab EPA624 1 <1.00 ug/L
1,1,1-trichloroethane 34506 Grab EPA624 1 <1.00 ug/L
1,1,2-trichloroethane 34511 Grab EPA624 1 <1.00 ug/L
Trichioroethylene 39180 Grab EPA624 1 <1.00 ug/L
Vinyl Chloride 39175 Grab EPA624 5 <5.00 ug/L
Acid-extractable compounds
P-chloro-m-creso 34452 Grab EPA625 10 <10 ug/L
2-chlorophenol 34586 Grab EPA625 10 <10 ug/L
2,4-dichlorophenol 34601 Grab EPA625 10 <10 ug/L
2,4-dimethylphenol 34606 Grab EPA625 10 <10 ug/L
4,6-dinitro-o-cresol 34657 Grab EPA625 50 <50 ug/L
2,4-dinitrophenol 34616 Grab EPA625 50 <50 ug/L
2-nitrophenol 34591 Grab EPA625 10 <10 ug/L
4-nitrophenol 34646 Grab EPA625 50 <50 ug/L
Pentachlorophenol 39032 Grab EPA625 50 <50 ug/L
Phenol 34694 Grab EPA625 10 <10 ug/L
2,4,6-trichlorophenol 34621 Grab EPA625 10 <10 ug/L
Base-neutral compounds
Acenaphthene 34205 Composite EPA625 10 <10.0 ug/L
Acenaphthylene 34200 Composite EPA625 10 <10.0 ug/L
Anthracene CO220 Composite EPA625 10 <10.0 ug/L
Benzidine 39120 Composite EPA625 50 <50.0 ug/L
Benzo(a)anthracene 34526 Composite EPA625 10 <10.0 ug/L
Benzo(a)pyrene 34247 Composite EPA625 10 <10.0 ug/L
3,4 benzofluoranthene 34230 Composite EPA625 10 <10.0 ug/L
Benzo(ghi)perylene 34521 Composite , EPA625 10 <10.0 ug/L
Benzo(k)fluoranthene 34242 Composite EPA625 10 <10.0 ug/L
Bis(2-chloroethoxy) methane 34278 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroethyl) ether 34273 Composite EPA625 10 <10.0 ug/L
Bis (2-chloroisopropyl) ether 34283 Composite EPA625 10 <10.0 ug/L
Bis (2-ethylhexyl) phthalate 39100 Composite EPA625 10 <10.0 ug/L
4-bromophenyl phenyl ether 34636 Composite EPA625 10 <10.0 ug/L
Butyl benzyl phthalate 34292 Composite EPA625 10 <10.0 ug/L
2-chloronaphthalene 34581 Composite EPA625 10 <10.0 ug/L
4-chlorophenyl phenyl ether 34641 Composite EPA625 10 <10.0 ug/L
Chrysene 34320 Composite EPA625 10 <10.0 ug/L
Form - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant Scan
Permit No. NC0023876 Month:Jan, Feb 2018
Outfall 001
Parameter Sample Analytical guantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Di-n-butyl phthalate 39110 Composite EPA625 10 <10.0 ug/L
Di-n-octyl phthalate 34596 Composite EPA625 10 <10.0 ug/L
Dibenzo(a,h)anthracene 34556 Composite EPA625 10 <10.0 ug/L
1,2-dichlorobenzene 34536 Composite EPA625 10 <10.0 ug/L
1,3-dichlorobenzene 34566 Composite EPA625 10 <10.0 ug/L
1,4-dichlorobenzene 34571 Composite EPA625 10 <10.0 ug/L
3,3-dichlorobenzidine 34631 Composite EPA625 50 <50.0 ug/L
Diethyl phthalate 34336 Composite EPA625 10 <10.0 ug/L
Dimethyl phthalate 34341 Composite EPA625 10 <10.0 ug/L
2,4-dinitrotoluene 34611 Composite EPA625 10 <10.0 ug/L
2,6-dinitrotoluene CO626 Composite EPA625 10 <10.0 ug/L
1,2-diphenylhydrazine 34346 Composite EPA625 10 <10.0 ug/L
Fluoranthene CO376 Composite EPA625 10 <10.0 ug/L
Fluorene 34381 Composite EPA625 10 <10.0 ug/L
Hexachlorobenzene CO700 Composite EPA625 10 <10.0 ug/L
Hexachlorobutadiene 39702 Composite EPA625 10 <10.0 ug/L
Hexachlorocyclo-pentadiene 34386 Composite EPA625 50 <50.0 ug/L
Hexachloroethane 34396 Composite EPA625 10 <10.0 ug/L
Indeno(1,2,3-cd)pyrene 34403 Composite EPA625 10 <10.0 ug/L
Isophorone 34408 Composite EPA625 10 <10.0 ug/L
Naphthalene 34696 Composite EPA625 10 <10.0 ug/L
Nitrobenzene 34447 Composite EPA625 10 <10.0 ug/L
N-nitrosodi-n-propylamine 34428 Composite EPA625 10 <10.0 ug/L
N-nitrosodimethylamine 34438 Composite EPA625 10 <10.0 ug/L
N-nitrosodiphenylamine 34433 Composite EPA625 10 <10.0 ug/L
Phenanthrene 34461 Composite EPA625 10 <10.0 ug/L
Pyrene 34469 Composite EPA625 10 <10.0 ug/L
1,2,4,-trichlorobenzene 34551 Composite EPA625 10 <10.0 ug/L
"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 managed 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 fines and imprisonment for knowing violations."
Authorized Representative name
bt �� 1
Signature/
03 /671261B
Date
Form - DMR- PPA-1 Page 3

EPA Identification Number NPDES Number Facility Name Outfall Number
NC0023876 South Burlington WWTP 001
Method Number(if sample date Estimated Concentration (If
Pollutant(Required) CAS number Applicable) Reason Pollutant Believed Present in Discharge 24 hour comp Known)
1,4 Dioxane 123-91-1 EPA 624.1 10/25-26/2020 2.08
11/9/-10/2020 5.27
11/30-12/1/2020 <1.0
1/11-12/2021 14.0
2/8-9/2021 <1.0

EPA Identification Number NPDES Number Facility Name Outfall Number
NC0023876 South Burlington WWTP C01
Method Number(if Estimated Concentration (If
Pollutant(Required) CAS number Applicable) Reason Pollutant Believed Present in Discharge Sample Date grab/comp Known)
1,4 Dioxane 123-91-1 EPA 624.1 7/16/2019 grab 4.91
8/6/2019 grab 3.8
10/25-26/2020 comp 1.29
11/9-10/2020 comp 2.18
11/30-12/1/2020 comp <1.0
1/11-12/2021 comp 2.51
2/8-9/2021 comp <1.0

SOUTH BURLINGTON WASTEWATER TREATMENT PLANT(SBW WTP)EFFLUENT-PFAS Permit 4 NC0023876
Sample Sample PFOA PFOS PFBA PFPeA PFH>;A PFHpA PFNA PFDA PFUnDA PFDODA PFTrDA PFTeDA PFBS PFPeS PFHhS PFHpS PFNS PFD'7> t' 11-PF3O 11C 306
Date T.. ., .t ..t . t ,.t .. yet ..t ..t .t vt., ..t ..t t .vt .xi: e ..t _, 1r •- a.
11/18/2019 Grab 9.24 10.80 000 1950 15.40 4.32 0.00 000 0.00 0.00 0.00 0.00 0.00 0.011 000 0.00 0.00 0.00 0.00 0.00 000
1120/20/9 Grab 21.30 9.19 0.00 0.00 18.40 5.14 5.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.58 0.00 0.00 0.00 0.00 0.00 0.00
5/12020 Comp 0.00 0.00 0.00 0.00 7.41 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/18/2020 Comp 18.20 9.59 28.30 88.90 34.00 7.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/18/2020 Comp 12.20 8.82 0.00 59.40 44.00 11.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/23/2020 Comp 16.60 8.29 0.00 44.90 24.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11
10/9/2020 Comp 16.10 11.60 0.00 141.00 79.60 13.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1028/2020 Comp 13.30 11.30 0.00 28.70 21.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/10/2020 Comp 27.90 9.25 0.00 23.30 21.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/1/2020 Comp 15.00 14.10 0.00 16.90 18.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/12/2021 Comp 15.60 15.40 0.00 11.80 15.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/9/2021 Comp 11.20 8.79 0.00 13.30 12.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
NOTES:
1.)A nuneric 0 is used in lieu of non detect(ND)to facilitate calculation of averages.1 values are considered sordetect
2.)PFAS compounds expressed as ng/L
3.)Samples analyzed for targeted PFAS by a commercial lab by isotope dilution method
4.)Data provided for informational purposes and not as certified results as there was not an EPA-approved Standard Method for PFAS analysis for wastewater at time of analysis.

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Jlly0' 0, •Ty
efJ -r� City of Burlington
�E814.189�
City of Burlington
Water Resources Department
P.O. Box. 1358
Burlington, NC 27216-1358
July 12, 2022
Diana Yitbarek
Environmental Engineer II
Division of Water Resources
Water Quality Permitting Section - Municipal NPDES Permitting and Pretreatment
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: BOD5 testing frequency reduction for SBWWTP
Permit#NC0023876
Dear Ms. Yitbarek:
We are writing this letter to request a reduction of the sampling frequency for Biochemical Oxygen Demand (BOD)at South
Burlington Wastewater Treatment Plant (SBWWTP). The SBWWTP has consistently met its effluent limitations for BOD
for many years. Specifically, the last three years data, which is enclosed with this letter, shows that the monthly average
effluent BOD is less than fifty percent of the monthly average permit limit. Also, we believe that the SBWWTP satisfies the
remaining criteria regarding the reduction of monitoring frequencies in NPDES permits.
We would appreciate your consideration to lower the BOD testing frequency for both influent and effluent to twice per week
(2/week). The City staff is confident in its ability to keep the effluent BOD concentration below the permit limit.
Should you have any questions or need additional information, please do not hesitate to contact Ben Bani at (336) 222-
5133 or at [e-mail].
Sincerely,
r—RdLa C—(\
1
Bob Patterson, PE
Water resources Director
Connecting the Triad and the Triangle
425 South Le.jngtonAvenue --TO BoX 1358—Bur(ington, NC 27216
[phone] business
www.Burizngton C.gov

y
C
,B 8934, City ofcBurlington
Enclosure:
✓ SBWWTP Effluent monthly average BOD concentrations
SBWWTP Effluent Monthly Average BOD, mg/L
Year
Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct. Nov. Dec.
2019 4.01 5.22 3.50 4.31 1.93 2.39 0.65 0.51 1.16 1.93 2.15 1.33
2020 1.29 3.36 2.78 1.28 3.92 0.40 0.60 3.17 3.21 3.12 2.54 2.98
2021 4.65 4.30 3.41 4.10 3.02 2.82 3.62 2.86 1.98 1.34 2.10 2.12
Effluent
permit limit 18.0 18.0 18.0 9.0 9.0 9.0 9.0 9.0 9.0 9.0 18.0 18.0
for BOD
Connecting the Triad and the Triang1
425 South LeVngtonAvenue -TO Box.1358-Burlington, .NC 27216
[phone] business
www.Burangton.NC.gov

2021 Dental Amalgam Rule Update
According to the NC Dental Board, in 2019, 43 licensed dentists are in the City of
Burlington's service area. Some of the dentists on this list have dental facilities that are located
outside the City of Burlington's service area, closed, or do not place or remove dental amalgam.
One-time Compliance Report forms were sent to 31 dental facilities and have been completed by
and received from 31 dental facilities.

Mercury Monitoring
East-Influent East-Effluent South-Influent South-Effluent SW-Labcorp 1 SIU-Labcorp 2 SIU-Carolina Bio
mg/L ng/L mg/L ng/L mg/L mg/L mg/L
<0.0002 <0.0002
1/31/2018 0.002 0.0001 0.0001
<0.0002 <0.0002
3/8/2018 0.0001 7.05 0.0001 1.12
<0.0002 <0.0002
4/24/2018 0.0018 0.0001 0.0001
<0.0002 <0.0002
6/7/2018 0.0001 6.05 0.0001 3.01
7/19/2018 0.0006 0.0002 0.0002
9/19/2018 0.0008
<0.0002 <0.0002
9/27/2018 0.0001 7.78 0.0001 6.18
<0.0002
10/18/2018 0.0021 0.00093 0.0001
<0.0002 <0.0002
12/19/2018 0.0001 12.6 0.0001 4.28
<0 0002 <0.0002
1/17/2019 0.0003 0.0001 0.0001
<0.0002 <0.0002
2/7/2019 0.0001 8.46 0.0001 2.93
<0 0002 <0 0002
3/14/2019 0.0001 9.5 0.0001 3.49
<0.0002 <0.0002
4/4/2019 0.0001 5.36 0.0001 3.55
<0.0002
4/16/2019 0.0001
4/17/2019 0.001
<0.0002
4/30/2019 0.0001
<0.0002 <0.0002
5/9/2019 0.0001 6.9 0.0001 1.05
<0 0002 <0 0002
6/6/2019 0.0001 6.54 0.0001 3.01
<0.0002 <0 0002
7/18/2019 0.0001 6.22 0.0001 3.33
<0.0002 <0.0002
7/25/2019 0.0034 0.0001 0.0001
<0 0002
I 8/8/2019 0.0003 49.8 0.0001 1.67
<0 0002 <0 0002
9/12/2019 0.0001 4.33 0.0001 3.02
<0 0002 <0.0002
10/10/2019 0.0001 4.67 0.0001 3.14
<0.0002 <0.0002
10/16/2019 0.0001 0.0001
<0.0002
10/30/2019 0.0001
<0 0002 <0 0002 <1 00
11/7/2019 0.0001 3.09 0.0001 0.5
<0.0002 <0.0002 <1.00
12/12/2019 0.0001 13.5 0.0001 0.5
<0.0002 <0 0002 <1 00
1/16/2020 0.0001 10.8 0.0001 0.5

<0.0002 <0.0002 <0.0002
3/5/2020 0.0001 0.0001 0.0001
<0.0002
4/9/2020 0.0001
<0.0002
4/14/2020 0.00097 0.0001
<0.0002 <0.0002
6/11/2020 0.0001 3.92 0.0001 3.37
7/23/2020 0.0012 0.0005 0.0005
<0.0002
9/17/2020 0.0001 1.29 0.0003 1.1
<0.0002
10/13/2020 0.00095 0.0001
10/14/2020 0.0002
<0.0002 <0.0002 <1.00
11/4/2020 0.0001 1.07 0.0001 0.5
<0.0002 <0.0002
3/4/2021 0.0001 4.4 0.0001 2.51
<0.0002 <0.0002
3/18/2021 0.0033 0.0001 0.0001
<0.0002
4/8/2021 0.00085 0.0001
<0.0002
4/13/2021 0.0001
<0.0002 <0.0002
6/17/2021 0.0001 177 0.0001 2.17
<0.0002 <0.0002
7/29/2021 0.0001 0.0001
8/12/2021 0.0007
<0.0002
10/26/2021 0.0001
10/27/2021 0.00069
10/28/2021 0.00054
<0 0002 <0 0002
11/11/2021 0.0001 2.04 0.0001 1.22
<0.0002
1/27/2022 0.0005 0.0002 0.0001
<0 0002 KO 0002
3/17/2022 0.0001 3.51 0.0001 1.38
4/26/2022 0.0019 0.00026
<0.0002
4/27/2022 0.0001

. sppatv - bOWr(cp
Hardness (titration)
Analyzed by: Meritech, Inc Lab Certification#165
South Effluent South Upstream
Date mg/L mg/L
10/12/2015 60 60
10/20/2015 56 76
10/26/2015 56 80
8/2/2017 52 48
8/9/2017 56 44
8/16/2017 52 44
8/23/2017 56 52
8/30/2017 48 40
9/6/2017 60 36
9/13/2017 56 28
9/20/2017 52 44
9/27/2017 56 52
10/4/2017 52 54
10/11/2017 52 48
10/18/2017 48 56
10/25/2017 48 44
11/1/2017 52 60
11/8/2017 56 60
11/15/2017 52 52
11/22/2017 26 30
11/29/2017 28 32
2/14/2018 32 22
12/13/2017 30 26
12/20/2017 28 29
1/3/2018 32 30
1/10/2018 30 34
1/24/2018 36 26
1/31/2018 28 22
2/28/2018 32 23
3/7/2018 30 18
3/14/2018 60 40
3/21/2018 60 36
3/28/2018 60 42
4/4/2018 64 48
4/11/2018 34 22
4/18/2018 32 20
4/25/2018 34 18
5/2/2018 34 20
5/9/2018 34 24
5/16/2018 30 24
5/23/2018 32 20

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Attachment A—Request for Missing Information
Table 2. EPA Application Form 2A Missing Information
0 CFR 122.21(j)(1)
1.1 Email address of facility contact
1.2 Applicant email address
1.3 Email address of the organization transporting the discharge for treatment prior to discharge
1.4 Email address of the organization receiving the discharge for treatment prior to discharge
1.5 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply. Consult
with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters(CWA Section ❑ Water quality related effluent limitation(CWA
301(h)) Section 302(b)(2))
El Not applicable
1.6 Email address of contractor responsible for operational or maintenance aspects of the treatment works
0 CFR 122.21(j)(6)
1.7 Indicate the number of SlUs and NSCIUs that discharge to the POTW.
Number of Sills Number of CIUs
7 0
40 CFR 122.22(a)and(d)
1.8 Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,accurate,and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing
violations.
Name(print or type first gnsi kV name) Official itle _ .f_�
b O�i .2n a o o Ada 7�4s oux.c2..o dt.s.r-u't-
Signize. A t, n Date signed �/13/020'14.