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HomeMy WebLinkAboutNC0043532_Renewal (Application)_20220906 ,mot STA7� „Lt ` I G ROY COOPER I Governor t I -.� ELIZABETH S.BISER sli°Secretary Quota% ` RICHARD E.ROGERS,JR. NORTH CAROLINA Director Environmental Quality September 06, 2022 Stanly County Attn: Duane Wingo, Utilities Director 1000 N 1st St Ste 12 Albemarle, NC 28001 Subject: Permit Renewal Application No. NC0043532 West Stanly WWTP Stanly County Dear Applicant: The Water Quality Permitting Section acknowledges the September 1, 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. 150E-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-reg ulations/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, Wren Thedford Administrative Assistant Water Quality Permitting Section cc: Carl Scharfe-WOOTEN ec: WQPS Laserfiche File w/application -DE C... North Carolina Department of Environmental Quality I Division of Water Resources Moorcsvllle Regional Office 610 East Center Avenue,Suite 30t I Moorcsvllk,North Carolina 28115 " ^"1O�\ 704.663.1699 XX-' ooten 120 N Boylan Avenue Raleigh, NC 27603 (919)828-0531 RECEIVED,= August 26, 2022 SEP 0 1 202Z Mr. Michael Montebello NCDEQIDV4RINPDES Supervisor—Municipal NPDES Permitting . Division of Water Resources Water Quality Permitting Section - NPDES . • 1617 Mail Service Center Raleigh, NC 27699-1617 RE: NPDES Permit Renewal Package • West Stanly WWTP (NC0043532) • Stanly County Utilities, NC Dear Mr. Montebello: On behalf of the Stanly County, please find enclosed the NPDES permit renewal package for the West Stanly WWTP (NC0043532) for the expansion of flow from 0.9 to 1.2 MGD which was completed in February 2021. The package includes: • EPA Application Form 2A (NPDES Permit Renewal Form) • Topographic Map of WWTP and Outfall Location • Process Flow Diagram of WWTP • Effluent Scans • Quarterly Wet Tests for 2021 • Toxicity Second Species Test Results • Chemical Addendum • Upstream Hardness Data The Countyhas recentlyfinalized an industrialpre-treatment program and there is a future new indistrial P 9 discharger(Charlotte Pipe) that is expected to start discharing in 2023. However, that is not expected until next year. We can provide information on the industrial program and permitting of this discharger as desired. I canpr If you should have any questions or required additional information, please do not hesitate to contact me. Sincerely, Ce---1 :// it Carl Scharfe, PE Project Manager cscharfe@thewootencompany.com cc: Duane Wingo, Stanly County Utilities Department Director TheWootenCompany.com G: DESIGNING THE FUTURE - EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant Form U.S.Environmental Protection Agency 2A 41EPA 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 West Stanly Wastewater Treatment Plant Mailing address(street or P.O.box) 1000 North First Street,Suite 12 City or town State ZIP code 0 Albemarle NC 29001 Contact name(first and last) Title Phone number Email address Duane Wingo Utilities Director (704)986-3686 dwingo@stanlycountync.gov Location address(street,route number,or other specific identifier) ❑ Same as mailing address ea Off of NCSR 1953 City or town State ZIP code Oakboro NC 28129 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission 0 No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? ❑ Yes 0 No 4 SKIP to Item 1.4. Applicant name Applicant address(street or P.O. box) 0 oCity or town State ZIP code Contact name(first and last) Title Phone number Email address Q 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.) ❑ Owner ❑✓ Operator ❑ Both 1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.) 0 Facility El Applicant ❑ Facility 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 O NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection water) control) NC0043532 E o ❑ PSD(air emissions) ❑ Nonattainment program(CM) 0 NESHAPs(CAA) w a► in ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify) 404) EPA Form 3510-2A(Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 1.7 Provide the collection system information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served (indicate percentage) no %separate sanitary sewer 0 Own ❑ Maintain v Red Cross 762 ° /°combined storm and sanitary sewer ❑ Own ❑ Maintain d ❑ Unknown ❑ Own ❑ Maintain co ion %separate sanitary sewer ❑ Own ❑ Maintain o Locust 4,537 %combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own 0 Maintain aioo %separate sanitary sewer ❑ Own 0 Maintain e Oa 2,128 %combined storm and sanitary sewer 0 Own 0 Maintain R ❑ Unknown ❑ Own ❑ Maintain d 1o0 %separate sanitary sewer ❑ Own ❑ Maintain Stanfield 1,585 N %combined storm and sanitary sewer ❑ Own ❑ Maintain a 0 Unknown 0 Own 0 Maintain Total d PopulationTo- 9,012 Served Separate Sanitary Sewer System Combined Storm and Sanitary Sewer Total percentage of each type of ioo sewer line(in miles) a' 1.8 Is the treatment works located in Indian Country? o ❑ Yes El No R 1.9 Does the facility discharge to a receiving water that flows through Indian Country? c 0 Yes 0 No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate 1.2 mgd = Annual Average Flow Rates(Actual) Two Years Ago Last Year This Year to c o 0.675 mgd 0.611 mgd 0.678 mgd C" Maximum Daily Flow Rates(Actual) o Two Years Ago Last Year This Year 1 2.903 mgd 1.838 mgd 1.897 mgd cn 1.11 Provide the total number of effluent discharge points to waters of the United States by type. Total Number of Effluent Discharge Points by Type a a Constructed el- Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency z -0 Overflows Overflows U., v, a 1 0 0 0 0 EPA Form 3510-2A(Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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 El No-+ 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 Continuous or Intermittent Location Discharged to Surface (check one) Impoundment ❑ Continuous gpd ❑ Intermittent O Continuous gpd 0 Intermittent ❑ Continuous a gpd ❑ Intermittent 0 1.14 Is wastewater applied to land? 2 ❑ Yes ❑ No 4 SKIP to Item 1.16. 0 1.15 Provide the land application site and discharge data requested below. 0. Land Application Site and Discharge Data co o Average Daily Volume Continuous or Location Size A lied Intermittent pp (check one) CG acresgpd ❑ Continuous 0 ❑ Intermittent ❑ Continuous s acres gpd ❑ Intermittent -13 acresgpd ❑ Continuous ❑ Intermittent 1.16 Is effluent transported to another facility for treatment prior to discharge? o ❑ Yes © 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 ZIP code Contact name(first and last) Title 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 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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 -0 Facility name Mailing address(street or P.O.box) a) City or town State ZIP code 0 Contact name(first and last) Title 0 d Phone number Email address 2 flNPDES number of receiving facility(if any) ❑None Average daily flow rate mgd 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 d have outlets to waters of the United States(e.g.,underground percolation,underground injection)? s ❑ Yes ❑ No-*SKIP to Item 1.23. O 1.22 Provide information in the table below on these other disposal methods. d Information on Other Disposal Methods o Disposal Location of Size of Annual Average Continuous or Intermittent Method Disposal Site Disposal Site Daily Discharge (check one) 0 Description Volume To acres gpd ❑ Continuous ❑ Intermittent ❑ Continuous acres gpd ❑ Intermittent acresgpd ❑ Continuous 0 Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply. co w Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) c Discharges into marine waters(CWA Water quality related effluent limitation(CWA Section ❑ Section 301(h)) ❑ 302(b)(2)) O Not applicable 1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works the responsibility of a contractor? ❑ Yes ❑ No 4SKIP 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 0 Contractor name (company name) Mailing address (street or P.O.box) City,state,and ZIP ns code 0 Contact name(first and c.) 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 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2)) c Outfalls to Waters of the United States 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? rn 0 El Yes ❑ 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 1a and infiltration. 0.297 gpd Indicate the steps the facility is taking to minimize inflow and infiltration. c Town of Locust and Stanfield billed at 100%of flow including I/I financially leveraging them to reduce I/I.0akboro is part of the 2.5 MGD expansion and high flows to be equalized with an equalization(EQ)tank. c s 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for CO O. specific requirements.) o 0 E Yes ❑ No E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? c03 (See instructions for specific requirements.) rn as 0 Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes ❑ No 4 SKIP to Section 3. Briefly list and describe the scheduled improvements. 0 1 No improvements but we are in the preliminary engineering report stage to upgrade to 2.5 MGD c a, E 2. E 0 en 3. d 3 co 4. co 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements E Affected Attainment of w Scheduled Begin End Begin Outfalls Operational o Improvement Construction Construction Discharge (from above) (list outtall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level number) (MM/DD/YYYY) d 1. L co2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your response. ❑ 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 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5)) 3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.) Outfall Number 002 Outfall Number Outfall Number State NC cn County Stanly 0 City or town Oakboro . I Distance from shore o ft. ft. ft a Depth below surface o ft. ft. ft. ca Average daily flow rate 0.628 mgd mgd mgd Latitude 35° 12' 41" N ° 0 "" Longitude 80° 15 16" W 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? o 0 Yes ❑ No 4 SKIP to Item 3.4. R 3.3 If so, provide the following information for each applicable outfall. Outfall Number Outfall Number Outfall Number 0 Number of times per year g discharge occurs a Average duration of each `o discharge(specify units) o Average flow of each mgd mgd mgd discharge U, Months in which discharge occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? ❑ Yes ❑ No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser type at each applicable outfall. Q. Outfall Number Outfall Number Outfall Number vi 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more d discharge points? m 14 w El 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 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 3.7 Provide the receiving water and related information(if known)for each outfall. Outfall Number 002 Outfall Number Outfall Number Receiving water name Rocky River Name of watershed,river, Yadkin-Pee Dee River Basin c or stream system Q- U.S.Soil Conservation 'i Service 14-digit watershed 030401050705 o code tu Name of state i management/river basin Yadkin/Pee Dee River Basin A! rn U.S.Geological Survey 3 8-digit hydrologic 03040105 ix cataloging unit code Critical low flow(acute) 29 cfs cfs cfs Critical low flow(chronic) 51 cfs cfs cfs Total hardness at critical 49 7 mg/L of mg/L of mg/L of low flow CaCO3 CaCO3 CaCO3 1 3.8 Provide the following information describing the treatment provided for discharges from each outfall. Outfall Number 002 Outfall Number Outfall Number Highest Level of ❑ Primary 0 Primary 0 Primary Treatment(check all that El Equivalent to 0 Equivalent to 0 Equivalent to apply per outfall) secondary secondary secondary 0 Secondary 0 Secondary 0 Secondary ❑ Advanced 0 Advanced 0 Advanced 0 Other(specify) ❑ Other(specify) 0 Other(specify) c 0 'Q Design Removal Rates by 0 Outfall b) o BODs or CBODs 85 % % Z d 8 m TSS 85 % % % fa Not applicable 0 Not applicable ❑Not applicable Phosphorus % % % RI Not applicable 0 Not applicable 0 Not applicable Nitrogen % 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 Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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. Gas Chlorination m 0 U Outfall Number ow Outfall Number 002 Outfall Number Disinfection type •� Gas Chlorination Gas Chlorination c.) M N Seasons used All All Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable El Yes 0 Yes ❑ Yes ❑ No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? 0 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? ❑ 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 002 Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic Number of tests of discharge 18 water Number of tests of receiving 0 water 3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd? ,� ❑ Yes ❑ 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 reasonable potential to discharge chlorine in its effluent? d ❑ 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. ElNo 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? El Yes g No additional sampling required by NPDES permitting authority. EPA Form 3510-2A(Revised 3-19) Page 8 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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? No+ Complete tests and Table E and SKIP to Yes ❑ Item 3.26. 3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority? ❑ Yes ❑ No 4 Provide results in Table E and SKIP to Item 3.26. 3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results. Date(s)Submitted(MM/DD/YYYY) Summary of Results v m co 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in o toxicity? ❑ Yes ❑r No-4 SKIP to Item 3.26. F3.23 Describe the cause(s)of the toxicity: a. w 3.24 Has the treatment works conducted a toxicity reduction evaluation? ❑ Yes I 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? El Yes Not applicable because previously submitted information to the NPDES .ermittin. authori . SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.21(j)(6)and(7)) 4.1 Does the POTW receive discharges from SIUs or NSCIUs? Anticipated in 2023 ❑ Yes El No 4 SKIP to Item 4.7. al 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW. Number of SIUs Number of NSCIUs N O R 4.3 Does the POTW have an approved pretreatment program? ❑ Yes ❑ No R 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 E' application or(2)a pretreatment program? ❑ Yes ❑ No 4 SKIP to Item 4.6. TO 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7. U) 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 Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Trc atment Plant 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? ❑ Yes ❑ No 4 SKIP to Item 4.9. 4.8 If yes,provide the following information: Annual Hazardous Waste Waste Transport Method Amount of Units Number (check all that apply) Waste Received ❑ Truck ❑ Rail ❑ Dedicated pipe ❑ Other(specify) 0 ❑ Truck 0 Rail ❑ Dedicated pipe ❑ Other(specify) 0 ❑ Truck ❑ Rail _ ❑ Dedicated pipe ❑ Other(specify) as R N 6 4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities, including those undertaken pursuant to CERCLA and Sections 3004(7)or 3008(h)of RCRA? 0 ❑ Yes El No 4 SKIP to Section 5. • 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 S SKIP to Section 5. 0 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? rn ❑ Yes 0 No+SKIP to Section 6. • 5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.) 0. ❑ Yes ❑ No 5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.) cNi ❑ Yes ❑ No EPA Form 3510-2A(Revised 3-19) Page 10 L EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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 0 w 0 County ° o Latitude 0 ° co Longitude ° Distance from shore ft. ft. ft. Depth below surface 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 0 Yes 0 No El Yes 0 No 0 Yes 0 No co 0 CSO flow volume 0 Yes 0 No 0 Yes ❑ No 0 Yes 0 No CSO pollutant 0 Yes ❑ No El Yes El No 0 Yes 0 No o concentrations co Receiving water quality El Yes 0 No 0 Yes El No ❑ Yes ❑No CSO frequency 0 Yes ❑ No 0 Yes 0 No 0 Yes 0 No Number of storm events 0 Yes 0 No 0 Yes ❑ No El Yes ❑ No 5.6 Provide the following information for each of your CSO outfalls. CSO Outfall Number CSO Outfall Number CSO Outfall Number 03 0,3 Number of CSO events in events events events I-, the past year 0 a c Average duration per hours hours hours c event 0 Actual or❑Estimated 0 Actual or❑Estimated ❑Actual or 0 Estimated 63 o Average volume per event million gallons million gallons million gallons v 0 Actual or 0 Estimated ❑Actual or❑ Estimated ❑Actual or 0 Estimated Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall a CSO event in last year ❑Actual or❑Estimated 0 Actual or❑ Estimated 0 Actual or❑ Estimated EPA Form 3510-2A(Revised 3-19) Page 11 EPA Identification Number I NPDES Permit Number Facility Name Form Approved 0105'19 NC0043532 West Stanly Wastewater OMB No 20400004 Treatmpnt Plant _ 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 ;; U.S.Soil Conservation 0 Unknown 0 Unknown ❑Unknown g Service 14-digit watershed code .> (if known) d Name of state ce management'river basin o co U.S.Geological Survey 0 Unknown ❑Unknown ❑Unknown 8-Digit Hydrologic Unit —Code(if known) Description of known water quality impacts on receiving stream by CSO (see instructions for i examcles 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 a Section 1.Basic Application 0 w/variance request(s) 0 wl additional attachments Information for All Applicants Section 2:Additional El w/topographic map I w!process flow diagram El Information 0 w/additional attachments 0 w/Table A El w/Table D ❑ Section 3 Information on ❑ w/Table B ❑ wl Table E Effluent Discharges r e w/Table C ❑ w/additional attachments 1-4 Section 4:Industrial 0 w/SIU and NSCIU attachments E wl Table F c" 0 Discharges and Hazardous 0 Wastes ❑ w/additional attachments ❑ Section 5:Combined Sewer ❑ wl CSO map 0 w/additional attachments d Overflows 0 w/CSO system diagram v -. ❑ Section 6:Checklist and 0 w!attachments N Certification Statement in .r 6.2 Certification Statement U (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 and last name) Official title Duane S. W ngo lies Direc or Signature � Date signed ,,,;:)5 /,� 56) 8/26/2022 EPA Form 3510-2A(Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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 U.S.Soil Conservation ❑Unknown ❑Unknown ❑Unknown Service 14-digit watershed code > (if known) Name of state cc management/river basin en U.S.Geological Survey 0 Unknown 0 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.les 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 El Section 1:Basic Application Information for All Applicants 1-1 w/variance request(s) El w/additional attachments ❑ Section 2:Additional El wl topographic map 0 w/process flow diagram Information ❑ w/additional attachments El w/Table A El w/Table D ❑ Section 3:Information on ❑ w/Table B 0 w/Table E E' Effluent Discharges 0 w/Table C 0 w/additional attachments o Section 4:Industrial ❑ w/SIU and NSCIU attachments ❑ w/Table F cn ❑ Discharges and Hazardous Wastes ❑ w/additional attachments 0 Section 5:Combined Sewer ❑ w/CSO map ❑ w/additional attachments cOverflows ❑ wl CSO system diagram Section 6:Checklist and ❑ Certification Statement ❑ w/attachments 6.2 Certification Statement CI) /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 and last name) Official title Signature Date signed EPA Form 3510-2A(Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Methods (include Value Units Value Units Sam'les units) Biochemical oxygen demand o BOD5 or o CBOD5 221 mg/L 9.7 mg/L 65 SM5210B 2 mg/L ML 0MDL re sort one Fecal coliform 8600 #/100 mL 86 #/100 mL 65 SM9222D-MF 1#/100 ml D ML O MDL i Design flow rate 1.2 MGD 1.2 MGD pH(minimum) 6.8 • .,. pH(maximum) 8.6 Temperature(winter) 17.7 °C 12.0 9C 17 Temperature(summer) 26.9 °C 24.2 °C 15 0 ML Total suspended solids(TSS) 380 mg/L 10.4 mg/L 65 SM2540D 2.5 l7 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 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A(Revised 3-19) Page 13 This page,intentionally tell blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant 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 Methods (include Value Units Value Units Samples units) 0 ML Ammonia(as N) 41 mg/L 4.1 mg/L 65 SM4500NH3D 0.1 mg/L ❑MDL Chlorine 0 ML (total residual,TRC)2 50 ug/L 20 ug/L 65 SM4500CIG2011 10 ug/L 9 MDL Dissolved oxygen 14.63 mg/L 8.59 mg/L 65 ASTM D888-12C ❑ML 0 MDL Nitrate/nitrite 8.8 mg/L 7.95 mg/L 2 SM4500NO3F 0.5 mg/L El ML 0 MDL O ML Kjeldahl nitrogen 41.67 mg/L 16.0 mg/L 25 SM4500NH3D 1 mg/L 0 MDL O ML Oil and grease <6.2 mg/L <6.2 mg/L 2 EPA16641B 6.2 mg/L ❑MDL 0 ML Phosphorus 4.84 mg/L 2.4 mg/L 25 SM4500P-F 0.05 mg/L ❑MDL 0 ML Total dissolved solids 232 mg/L 230 mg/L 2 SM2540C 10 mg/L 0 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 0.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 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater See Attached OMB No.2040-0004 Treatment Plant TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method1 (include units) Value Units Value Units Samples Metals,Cyanide,and Total Phenols Hardness(as CaCO3) See Attached ❑ML ❑MDL 0 ML Antimony,total recoverable ❑MDL Arsenic,total recoverable 0 ML ❑MDL ML Beryllium,total recoverable ❑MDL Cadmium,total recoverable ❑ML ❑MDL Chromium,total recoverable ❑ML ❑MDL 0 ML Copper,total recoverable ❑MDL Lead,total recoverable ❑ML ❑MDL 0 ML Mercury,total recoverable ❑MDL Nickel,total recoverable 0 ML ❑MDL Selenium,total recoverable ❑ML ❑MDL Silver,total recoverable 0 ML ❑MDL Thallium,total recoverable ❑ML ❑MDL Zinc,total recoverable 0 ML ❑MDL 0 ML Cyanide ❑MDL 0 ML Total phenolic compounds ❑MDL Volatile Organic Compounds Acrolein 0 ML ❑MDL CI ML Acrylonitrile ❑MDL Benzene ❑ML ❑MDL Bromoform 0 ML ❑MDL EPA Form 3510-2A(Revised 3-19) Page 17 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater See Attached OMB No.2040-0004 Treatment Plant TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method1 (include units) Value Units Value Units Samples Carbon tetrachloride ❑ML ❑MDL Chlorobenzene ❑ML ❑MDL Chlorodibromomethane ❑ML ❑MDL Chloroethane ❑ML ❑MDL 0 ML 2-chloroethylvinyl ether ❑MDL Chloroform ❑ML ❑MDL Dichlorobromomethane ❑ML ❑MDL 1,1-dichloroethane ❑ML ❑MDL 1,2-dichloroethane ❑ML ❑MDL _ trans-1,2-dichloroethylene ❑ML ❑MDL 0 ML 1,1-dichloroethylene ❑MDL 1,2-dichloropropane ❑ML ❑MDL 1,3-dichloropropylene ❑ML ❑MDL Ethylbenzene ❑ML ❑MDL Methyl bromide ❑ML ❑MDL Methyl chloride ❑ML ❑MDL Methylene chloride ❑ML ❑MDL 1,1,2,2-tetrachloroethane ❑ML ❑MDL Tetrachloroethylene ❑ML ❑MDL Toluene ❑ML ❑MDL 1,1,1-trichloroethane ❑ML ❑MDL ❑ML 1,1,2-trichloroethane ❑MDL EPA Form 3510-2A(Revised 3-19) Page 18 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater See Attached OMB No.2040-0004 Treatment Plant TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Value Units Value Units Number of Method1 (include units) Samples o ML Trichloroethylene ❑MDL 0 ML Vinyl chloride ❑MDL Acid-Extractable Compounds 0 ML p-chloro-m-cresol 0 MDL 0 ML 2-chlorophenol ❑MDL 0 ML 2,4-dichlorophenol ❑MDL 0 ML 2,4-dimethylphenol ❑MDL 4,6-dinitro-o-cresol 0 ML ❑MDL 0 ML 2,4-dinitrophenol o MDL ❑ML 2-nitrophenol ❑MDL ❑ML 4-nitrophenol ❑MDL 0 ML Pentachlorophenol o MDL Phenol ❑ML ❑MDL 0 ML 2,4,6-trichlorophenol o MDL Base-Neutral Compounds D ML Acenaphthene ❑MDL _ 0 ML Acenaphthylene ❑MDL Anthracene ❑ML o MDL Benzidine 0 ML ❑MDL 0 ML Benzo(a)anthracene o MDL 0 ML Benzo(a)pyrene ❑MDL 3,4-benzofluoranthene 0 ML ❑MDL EPA Form 3510-2A(Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater See Attached OMB No.2040-0004 Treatment Plant TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method1 (include units) Value Units Value Units Samples o ML Benzo(ghi)perylene ❑MDL 0 ML Benzo(k)fluoranthene ❑MDL 0 ML Bis(2-chloroethoxy)methane 0 MDL 0 ML Bis(2-chloroethyl)ether ❑MDL 0 ML Bis(2-chloroisopropyl)ether ❑MDL 0 ML Bis(2-ethylhexyl)phthalate 0 MDL 0 ML 4-bromophenyl phenyl ether 0 MDL Butyl benzyl phthalate ❑MDL 0 ML 2-chloronaphthalene ❑MDL 0 ML 4-chlorophenyl phenyl ether ❑MDL ❑ML Chrysene ❑MDL 0 ML di-n-butyl phthalate ❑MDL 0 ML di-n-octyl phthalate ❑MDL 0 ML Dibenzo(a,h)anthracene ❑MDL 1,2-dichlorobenzene ❑ML ❑MDL 1,3-dichlorobenzene ❑ML ❑MDL 1,4-dichlorobenzene ❑ML ❑MDL 3,3-dichlorobenzidine ❑ML ❑MDL 0 ML Diethyl phthalate ❑MDL 0 ML Dimethyl phthalate 0 MDL 2,4-dinitrotoluene ❑ML ❑MDL 2,6-dinitrotoluene ❑ML ❑MDL EPA Form 3510-2A(Revised 3-19) Page 20 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater See Attached OMB No.2040-0004 Treatment Plant TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method1 (include units) Value Units Value Units Samples o ML 1,2-diphenylhydrazine ❑MDL Fluoranthene ❑ML ❑MDL Fluorene ❑ML ❑MDL Hexachlorobenzene ❑ML ❑MDL Hexachlorobutadiene ❑ML ❑MDL 0 ML Hexachlorocyclo-pentadiene 0 MDL Hexachloroethane 0 ML ❑MDL 0 ML Indeno(1,2,3-cd)pyrene 0 MDL 0 ML Isophorone ❑MDL 0 ML Naphthalene ❑MDL Nitrobenzene ❑ML ❑MDL 0 ML N-nitrosodi-n-propylamine ❑MDL 0 ML N-nitrosodimethylamine ❑MDL N-nitrosodiphenylamine ❑ML ❑MDL Phenanthrene ❑ML ❑MDL 0 ML Pyrene ❑MDL 1,2,4-trichlorobenzene ❑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 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A(Revised 3-19) Page 21 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY Pollutant Maximum Daily Discharge Average Daily Dischar a Analytical ML or MDL (list) Value Units Value Units Number of Method1 (include units) Samples El No additional sampling is required by NPDES permitting authority. ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL 0 ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML 0 MDL ❑ML ❑MDL ❑ML ❑MDL ❑ML ❑MDL ❑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). EPA Form 3510-2A(Revised 3-19) Page 23 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results. Test Information Test Number Test Number Test Number Test species See Attachments for all samples Age at initiation of test Outfall number Date sample collected Date test started Duration Toxicity Test Methods Test method number Manual title Edition number and year of publication Page number(s) Sample Type Check one: ❑ Grab ❑ Grab ❑ Grab ❑ 24-hour composite ❑ 24-hour composite ❑ 24-hour composite Sample Location Check one: ❑ Before Disinfection ❑ Before Disinfection ❑ Before disinfection ❑ After Disinfection ❑After Disinfection ❑After disinfection ❑ After Dechlorination ❑ After Dechlorination ❑ After dechlorination Point in Treatment Process Describe the point in the treatment process at which the sample was collected for each test. Toxicity Type Indicate for each test whether the test was ❑Acute ❑Acute ❑Acute performed to asses acute or chronic toxicity, or both.(check one response.) ❑Chronic El Chronic ❑ Chronic ❑ Both ❑ Both ❑ Both EPA Form 3510-2A(Revised 3-19) Page 25 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results. Test Number Test Number Test Number Test Type Indicate the type of test performed. (Check one ❑ Static ❑ Static 0 Static response.) ❑Static-renewal ❑Static-renewal ❑ Static-renewal ❑ Flow-through ❑ Flow-through 0 Flow-through Source of Dilution Water Indicate the source of dilution water.(Check El Laboratory water ❑ Laboratory water 0 Laboratory water one response.) ❑ Receiving water ❑ Receiving water ❑ Receiving water If laboratory water,specify type. If receiving water,specify source. Type of Dilution Water Indicate the type of dilution water.If salt 0 Fresh water 0 Fresh water 0 Fresh water water,specify"natural"or type of artificial sea salts or brine used. ❑ Salt water(specify) ElSalt water(specify) ElSalt water(specify) Percentage Effluent Used Specify the percentage effluent used for all concentrations in the test series. Parameters Tested Check the parameters tested. 0 pH ❑ Ammonia ❑ pH ❑ Ammonia ❑ pH 0 Ammonia O Salinity ❑ Dissolved oxygen 0 Salinity 0 Dissolved oxygen 0 Salinity 0 Dissolved oxygen ❑ Temperature 0 Temperature ❑ Temperature Acute Test Results Percent survival in 100%effluent % LC5o 95%confidence interval Control percent survival EPA Form 3510-2A(Revised 3-19) Page 26 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0043532 West Stanly Wastewater OMB No.2040-0004 Treatment Plant TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results. Test Number Test Number Test Number Acute Test Results Continued Other(describe) Chronic Test Results NOEC IC25 Control percent survival 0/0 Other(describe) Quality Control/Quality Assurance Is reference toxicant data available? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Was reference toxicant test within acceptable bounds? El Yes El No El Yes El No ❑ Yes ❑ No What date was reference toxicant test run (MM/DD/YYYY)? Other(describe) EPA Form 3510-2A(Revised 3-19) Page 27 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater Treatment Plant OMB No.2040-0004 TABLE F.INDUSTRIAL DISCHARGE INFORMATION Response space is provided for three SIUs.Copy the table to report information for additional SIUs. SIU SIU SIU Name of SIU Mailing address(street or P.O.box) City, state,and ZIP code Description of all industrial processes that affect or contribute to the discharge. List the principal products and raw materials that affect or contribute to the SIU's discharge. Indicate the average daily volume of wastewater discharged by the SIU. gpd gpd gpd How much of the average daily volume is attributable to process flow? gpd gpd gpd How much of the average daily volume is attributable to non-process flow? gpd gpd gpd Is the SIU subject to local limits? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Is the SIU subject to categorical standards? ❑ Yes ❑ No ❑ Yes ❑ No 0 Yes ❑ No EPA Form 3510-2A(Revised 3-19) Page 29 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0043532 West Stanly Wastewater Treatment Plant OMB No.2040-0004 TABLE F.INDUSTRIAL DISCHARGE INFORMATION Response space is provided for three SlUs.Copy the table to report information for additional Sills. SIU SIU SIU Under what categories and subcategories is the SIU subject? Has the POTW experienced problems(e.g., upsets,pass-through interferences)in the past 4.5 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No years that are attributable to the SIU? If yes,describe. EPA Form 3510-2A(Revised 3-19) Page 30 Attachments West Stanly WWTP Outfall Topographic Map orrim isr,f,,wm7.1...__.)_,,e1, 01 --11 0' it /( West Stanly „. vK,:.\.. 4,-,1„...7 r,_4 t,., '/' , -./ , IC. ` ‘ ''��..-i ;,, `` WWTP - \_ i ; ,,, r i - k ., •,.. JI4 1 q 41\I ( ,r, , , -i • +f .,t .l S\,,,,e7'. yeti / ` -'+,, �.� t' c,,, �`tr,.,f,,A et j_* i ; \ / 1 'act l =1 --),.�_)^it. ��t_ 1 --.`-� \\ 't , r ;� , _�fr�_.; /'� \ , 4t -�, , `,„ f j' d Ate,:? / u 0 , 7 fie«__ ) , -.7 ,..4., 4i1:32....5 `'+ r := " f-? • ) ,4', 1 •�' 4.1,44 ` — 4 t C ,S" (,; ---_ f, -\,„ <, \N, ,,: '. _ _ _,,kir\T ) ) ...-,, ", --", ( i''' , -', r* *,41'4,,z7? ..€,--•-/ /1",- ,,i/ / • 7/ -•\v-' __c__-'); •-,c) -- _ -', 1.` , • , 9 / ,.' '‘ • .: /-.,'-''.:( t ft" ,,-- . d )\\_--,!.-.„. '-z-': -'; • :),..r., i,'r/ ,-- ' cs,' ---", f,/o711.. i ,,,.., ,,,` '• - . -„,.,4k, \--,...„ c.s-‘) ) 1 ,. / / i, (,)• If,---:;,,,r, ‘00,41,,,,... 7 / k,._ 4 ,- '. --—; v - `` Outfall 002 11,,",Q r'` ,: ` i/ /��'j ,. Outfall 002 ,- �:� , ) z ./ ��„-,-:;;;..9 , C , .43.--- 5-.‘ •4 - -,:.......h ~ ltr-�J , � r... -A 3 Upstream !>> -. .,,,, ......,:"..\.,, ,,, '? . j," (r' �''rr = i/,, ;\ 1 ' , .......-7-, ,,--_-,c-c-o, .,...--4. —_. *"•."- ,e:-,., / ' „,\ . .:„.\---f, -."(:(9, if ' / / J--31-F () 1 , ,...;„„,,,.,,,,,:, ,,,.;., - -__-_-_-) .?f 6„ rii -0,,, ,i;j,c„„„„-t dr,,,,,„ V.-1 IA\ -)„A 1:., ,,‘St- , , / 4- "--\r i i \ �" i �_ _)f �, +f Via.!: ! t �' ► J y 1 _���-- ts'`;' "" Ja'-r.:� �1. l0 � / ,t t ' ,,'` i.' , r t rj 1 , ry ` �/J .03 aA . / (({�r ii �` t t e . 101 i �j t � rtf f t. � � 4r M � r 1 k. __, y_ - '' \: ,/ :1 t \ ,, ; {,,\.\ ` 3 t=.�`` {rr. ' `! '7 ') •t, 10� //,- -- i..rf t1s t.. i• 7,2 r` :,!'t 4 ,- ;.‘ �-`%Jf �f3 ({J! ' � 1` .i/44 �, r "j4," � r i ' l (} jL� ,.-+ �. `r rig\J . \` �C I� );, / �. /�,y: q f r�:,1r ' t�. �; - Outfall 002 r t.- A t �1 ') f Downstream ;#.011Pw- ry , ,• / y.":------•,„). . - r -.*-A ,-—a"'4..� �" 1� t ,i/ � i ®j , i ��✓ [s„-ter fi r• ' , -,...- -if '..4,0 ,- \ . / r 0 4, „\._, - ?‘, „7,_ 7:0--'„ I7.7.• .1‘))I•',. a ..•...• V, \•••••\.......27.7, i ) i. 7.•,,. , cp • i, \Zi V ,i: ((\...(Lk' '" 1011 ' \‘.\\ ...: ..' -.M.4. ''/ ,..' , '.' ' '''' .‘' ...r) 1.:;.........,:..." ....". /f), , t,;(5', , Ai ,, . .N, ,i .t :1 I 4,... ' %.\ t.--_, ,__ *1 7 i,$' ---:'!,ii' Ire,' *if) / 01 A It r i.,---.5\)‘ •? 1V , SCALE: I:34uuU USGS Quad: GI 7NE Oakboro,NC Facility Outfall 002 Latitude: 35° 14'9.8"N 35° 12'41" N Longitude: 80° 16' 8.9" W 80° 15' 16" W - Streams Class:C Facility Location North Subbasins:03-14-13/03-14-14 HUC: 03040105 Receiving Streams: Outfall 002 Rocky River West Stanly WWTP NC0043532 Stanly County West Stanly WWTP Process Flow Diagram LEGEND b• ORIGINAL WWTP FLOW LINES _._ ' RETURN/SLUDGE LINES —— 0— CHEMICAL FEED - RAS r II SULFUR I DIOXIDE GAS INEW ii CHLORINE I sii..{ 75 FT DIA 1 GAS CLARIFIER NEW 18" NEW Ti AERATION I MAG SCREENS/GRIT NEW INFLUENT—� BASIN 1 — SPLITTER I METER —� HEADWORKS SPLITTER BOXBOX _ TO ROCKY 1AERATioNI__ I NEW —� CHLORINE —10-. f jr. 0.— VAULT UNIT BASIN 2 IRAS PUMP CONTACT EFFLUENTPUMP RIVER t r— STATION CHAMBER STATION I I A I EXISTING SECONDARY CLARIFIER(50 FT DIA) I EXISTING McCOY I INFULENT PUMP STATION WAS i _ L __ DECANT AEROBIC TRUCK HAUL WET WELL DIGESTER——— AND LAND a APPLY s Z a PROJECT No.: 3211-J "o SCALE: NONE WOotell WEST STANLY WWTP a` "" DATE: JULY 2022 PROCESS FLOW DIAGRAM Zo o,ry 120 North Boylan Avenue•Raleigh,NC 27603-1423 o€H_ , (919)828-0531•thewootencompany.com - DRAWN BY: PMD License Number.F-0115 Effluent Scans January 12, 2022 April 13, 2022 July 7 & 15, 2022 K & W Laboratories Results Report ��� 1 121 Hwy 24/27 W Midland,North Carolina 28107 41 Tel(704)888-1211 Fax(704)888-1511 Client: West Stanly WWTP Date: 16-Feb-22 24939 Barbees Grove Order ID: 22011224 Albemarle,NC 28001 Project: Eff WSWWTP Collect Date: 1/12/2022 Location: Effluent Pollutant Scan Collect Time: 10:30:00 AM REPORTING ANALYSIS SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE 22011224-01 Ammonia Nitrogen 0.14 mg/L SM4500NH3D 0.1 1/19/2022 22011224-01 NO2+NO3 Nitrogen 8.8 mg/L SM4500NO3F 0.5 1/18/2022 22011224-01 Oil&Grease <6.2 mg/L EPA1664B 6.2 1/27/2022 22011224-01 TDS 232 mg/L SM2540C 10 1/14/2022 22011224-01 TKN <1 mg/L SM4500NH3D 1 2/2/2022 22011224-01 Total Nitrogen 8.8 mg/L Calculation 0.5 2/2/2022 22011224-01 Total Phosphorus 0.30 mg/L SM4500P-F 0.05 1/28/2022 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 rrrw.psalsbuasis (704)875-9092 t ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688001 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 420.4 Phenolics,Total Analytical Method:EPA 420.4 Rev 1.0 1993 Preparation Method:EPA 420.4 Rev 1.0 1993 Pace Analytical Services-Asheville Phenolics,Total Recoverable ND mg/L 0.020 1 01/26/22 08:59 01/26/22 14:25 64743-03-9 Pace Analytical Services,LLC 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 www.pactltabs.cao (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688002 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 4500CNE Cyanide,Total Analytical Method:SM 4500-CN-E-2016 Preparation Method:SM 4500-CN-E-2016 Pace Analytical Services-Asheville Cyanide 0.045 mg/L 0.0080 1 01/20/22 19:57 01/21/22 19:41 57-12-5 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full. Date:01/27/2022 05:01 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 28 Pace Analytical Services,LLC 100 • 9800Huntersv Ile.C1 aceAnalytical te 28078 www.pseddn.eom (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688003 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994 Pace Analytical Services-Asheville Antimony ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7440-36-0 Arsenic ND ug/L 10.0 1 01/14/22 16:35 01/19/22 23:58 7440-38-2 Beryllium ND ug/L 1.0 1 01/14/22 16:35 01/19/22 23:58 7440-41-7 Cadmium ND ug/L 1.0 1 01/14/22 16:35 01/19/22 23:58 7440-43-9 Chromium ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7440-47-3 Copper ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7440-50-8 Lead ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7439-92-1 Nickel ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7440-02-0 Selenium ND ug/L 10.0 1 01/14/22 16:35 01/19/22 23:58 7782-49-2 Silver ND ug/L 5.0 1 01/14/22 16:35 01/19/22 23:58 7440-22-4 Thallium ND ug/L 10.0 1 01/14/22 16:35 01/19/22 23:58 7440-28-0 Hardness,Total(SM 2340B) 57800 ug/L 662 1 01/14/22 16:35 01/19/22 23:58 Zinc 32.7 ug/L 10.0 1 01/14/22 16:35 01/19/22 23:58 7440-66-6 Pace Analytical Services,LLC m 9800 Kincey Ave. Suite 100 aceAnalytical Huntersviile,NC 28078 www.pscslstn.cem (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688004 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 625 RVE Analytical Method:EPA 625.1 Preparation Method:EPA 625.1 Pace Analytical Services-Charlotte Acenaphthene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 83-32-9 Acenaphthylene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 208-96-8 Anthracene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 120-12-7 Benzidine ND ug/L 50.0 1 01/14/22 05:46 01/14/22 14:13 92-87-5 IL Benzo(a)anthracene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 56-55-3 Benzo(a)pyrene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 50-32-8 Benzo(b)fluoranthene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 205-99-2 Benzo(g,h,i)perylene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 191-24-2 Benzo(k)fluoranthene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 207-08-9 4-Bromophenylphenyl ether ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 101-55-3 Butylbenzylphthalate ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 85-68-7 4-Chloro-3-methylphenol NO ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 59-50-7 bis(2-Chloroethoxy)methane ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 111-91-1 bis(2-Chloroethyl)ether ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 111-44-4 2-Chloronaphthalene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 91-58-7 2-Chlorophenol ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 95-57-8 4-Chlorophenylphenyl ether ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 7005-72-3 Chrysene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 218-01-9 Dibenz(a,h)anthracene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 53-70-3 3,3'-Dichlorobenzidine ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 91-94-1 2,4-Dichlorophenol ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 120-83-2 Diethylphthalate ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 84-66-2 2,4-Dimethylphenol ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 105-67-9 Dimethylphthalate ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 131-11-3 Di-n-butylphthalate ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 84-74-2 4,6-Dinitro-2-methylphenol ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 534-52-1 2,4-Dinitrophenol ND ug/L 50.0 1 01/14/22 05:46 01/14/22 14:13 51-28-5 2,4-Dinitrotoluene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 121-14-2 2,6-Dinitrotoluene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 606-20-2 Di-n-octvlohthalate ND uo/L 5.0 1 01/14/22 05:46 01/14/22 14:13 117-84-0 Pace Analytical Services,LLC 0 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville,NC 28078 wwwpacuisbs.com (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688004 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 625 RVE Analytical Method:EPA 625.1 Preparation Method:EPA 625.1 Pace Analytical Services-Charlotte N-Nitrosodimethylamine ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 62-75-9 N-Nitroso-di-n-propylamine ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 621-64-7 N-Nitrosodiphenylamine ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 86-30-6 2,2'-Oxybis(1-chloropropane) ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 108-60-1 Pentachlorophenol ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 87-86-5 Phenanthrene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 85-01-8 Phenol ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 108-95-2 Pyrene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 129-00-0 1,2,4-Trichlorobenzene ND ug/L 5.0 1 01/14/22 05:46 01/14/22 14:13 120-82-1 2,4,6-Trichlorophenol ND ug/L 10.0 1 01/14/22 05:46 01/14/22 14:13 88-06-2 Surrogates Nitrobenzene-d5(S) 52 % 10-120 1 01/14/22 05:46 01/14/22 14:13 4165-60-0 2-Fluorobiphenyl(S) 61 % 15-120 1 01/14/22 05:46 01/14/22 14:13 321-60-8 Terphenyl-d14(S) 72 % 11-131 1 01/14/22 05:46 01/14/22 14:13 1718-51-0 Phenol-d6(S) 33 % 10-120 1 01/14/22 05:46 01/14/22 14:13 13127-88-3 2-Fluorophenol(S) 48 % 10-120 1 01/14/22 05:46 01/14/22 14:13 367-12-4 2,4,6-Tribromophenol(S) 93 To 10-137 1 01/14/22 05:46 01/14/22 14:13 118-79-6 Pace Analytical Services,LLC s 9800 Kincey Ave. Suite 100 __ aceAnalytical Huntersville,NC 28078 www.pscslibs.com (704)875-9092 ( ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS Lab ID: 92582688005 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 624 Volatile Organics Acrolein Analytical Method:EPA 624.1 Pace Analytical Services-Charlotte Acrolein ND ug/L 5.0 1 01/14/22 15:19 107-02-8 IH,L1 Acrylonitrile ND ug/L 5.0 1 01/14/22 15:19 107-13-1 Benzene ND ug/L 1.0 1 01/14/22 15:19 71-43-2 Bromodichloromethane ND ug/L 2.0 1 01/14/22 15:19 75-27-4 Bromoform ND ug/L 2.0 1 01/14/22 15:19 75-25-2 Bromomethane ND ug/L 2.0 1 01/14/22 15:19 74-83-9 Carbon tetrachloride ND ug/L 2.0 1 01/14/22 15:19 56-23-5 Chlorobenzene ND ug/L 2.0 1 01/14/22 15:19 108-90-7 Chloroethane 4.5 ug/L 2.0 1 01/14/22 15:19 75-00-3 2-Chloroethylvinyl ether ND ug/L 5.0 1 01/14/22 15:19 110-75-8 Chloroform 5.7 ug/L 2.0 1 01/14/22 15:19 67-66-3 Chloromethane ND ug/L 2.0 1 01/14/22 15:19 74-87-3 IL Dibromochloromethane ND ug/L 2.0 1 01/14/22 15:19 124-48-1 1,2-Dichlorobenzene ND ug/L 2.0 1 01/14/22 15:19 95-50-1 1,3-Dichlorobenzene ND ug/L 2.0 1 01/14/22 15:19 541-73-1 1,4-Dichlorobenzene ND ug/L 2.0 1 01/14/22 15:19 106-46-7 1,1-Dichloroethane ND ug/L 2.0 1 01/14/22 15:19 75-34-3 1,2-Dichloroethane ND ug/L 2.0 1 01/14/22 15:19 107-06-2 1,1-Dichloroethene ND ug/L 2.0 1 01/14/22 15:19 75-35-4 cis-1,2-Dichloroethene ND ug/L 2.0 1 01/14/22 15:19 156-59-2 Vans-1,2-Dichloroethene ND ug/L 2.0 1 01/14/22 15:19 156-60-5 1,2-Dichloropropane ND ug/L 2.0 1 01/14/22 15:19 78-87-5 cis-1,3-Dichloropropene ND ug/L 2.0 1 01/14/22 15:19 10061-01-5 trans-1,3-Dichloropropene ND ug/L 2.0 1 01/14/22 15:19 10061-02-6 Ethylbenzene ND ug/L 1.0 1 01/14/22 15:19 100-41-4 Methylene Chloride ND ug/L 2.0 1 01/14/22 15:19 75-09-2 1,1,2,2-Tetrachloroethane ND ug/L 2.0 1 01/14/22 15:19 79-34-5 Tetrachloroethene ND ug/L 2.0 1 01/14/22 15:19 127-18-4 Toluene ND ug/L 1.0 1 01/14/22 15:19 108-88-3 1 1_1-TrirhlnrnAthann NI") un/i 2.0 1 01/14/22 15:19 71-55-6 Pace Analytical Services,LLC 9800 Kincey Ave. Suite 100 aceAnaiytical Huntersville.NC 28078 urwr.pacslsbs.con (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS LLHG Lab ID: 92582688006 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1631E Mercury,Low Level Analytical Method:EPA 1631E Preparation Method:EPA 1631E Pace Analytical Services-Asheville Mercury 2.27 ng/L 0.50 1 01/14/22 14:44 01/18/22 15:14 7439-97-6 Pace Analytical Services,LLC e 9800 Kincey Ave. Suite 100 aceAnalyfical Huntersville.NC 28078 www.pscslabs.caa (704)875-9092 ANALYTICAL RESULTS Project: 22011224-WS Pace Project No.: 92582688 Sample: 22011224-WS LLHG Lab ID: 92582688007 Collected: 01/12/22 10:30 Received: 01/13/22 08:03 Matrix: Water BLANK Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1631E Mercury,Low Level Analytical Method:EPA 1631E Preparation Method:EPA 1631E Pace Analytical Services-Asheville Mercury ND ng/L 0.50 1 01/14/22 14:44 01/18/22 14:27 7439-97-6 Pace Analytical Services,LLC t 9800 Kincey Ave. Suite 78 00 /62ceArialytical Huntersville.NC 28078 www.paalabs.caa (704)875-9092 I / QUALIFIERS Project: 22011224-WS Pace Project No.: 92582688 DEFINITIONS OF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot. ND-Not Detected at or above adjusted reporting limit. TNTC-Too Numerous To Count J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL-Practical Quantitation Limit. RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S-Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is a combined concentration. Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values. LCS(D)-Laboratory Control Sample(Duplicate) MS(D)-Matrix Spike(Duplicate) DUP-Sample Duplicate RPD-Relative Percent Difference NC-Not Calculable. SG-Silica Gel-Clean-Up U-Indicates the compound was analyzed for,but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as "Total"may vary slightly from the sum of the reported component parameters. Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes. TNI-The NELAC Institute. ANALYTE QUALIFIERS H 1 Analysis conducted outside the EPA method holding time. IH This analyte exceeded secondary source verification criteria high for the initial calibration.The reported results should be considered an estimated value. IL This analyte exceeded secondary source verification criteria low for the initial calibration.The reported results should be considered an estimated value. L1 Analyte recovery in the laboratory control sample(LCS)was above QC limits. Results for this analyte in associated samples may be biased high. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:01/27/2022 05:01 PM without the written consent of Pace Analytical Services.LLC. Page 25 of 28 CHAIN-OF-CUSTODY Analytical Request Document LAB USE ONLY-Affix Workorder/Login Label Here or List Pace Workorder Number of aeeAnalytical- MTJ L Log-in Number Here Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields Corn Billing Information:y: �rl Container ALL SHADPreservative ED Al WO* •• 92582688 ATM N W4 Z�1Zi w Yvli//i fa I Nt- 1 I ( 1 I { i 1 Report To: 7(j`In Email To: ••Preservative T es:(1)nitric acid, 2 sulfuric acid, C�0 (6)methanol,(7)sodium bisulfate,(8)sodium thiosuifi�I����+��I'I�!�111��r'��I'� Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(C 92582%88 Analyses Lao Prefile/Une: Customer Project Name/Number: State: County/City: Time Zone Collected: Lab Sample Receipt Checklist: / I JPT( JMT[ (CT ( JET Custody Seals Present/Intact Y Phone: Site/Facility ID ti: Compliance Monitoring? cuetody Signatures Present Neu Email: I ) Yes [ J No Collector Signature Present N NA Bottles Intact N NA Collected By(print): Purchase Order Ii: DW PWS ID ir: Correct Bottles N NA Quote q: DW Location Code: .....- Sufficient Volume N NA ImmediatelyPacked on Ice: Samples Received on Ice N NA Collected By(signature): Turnaround Date Required: ✓� VOA - Headspace Acceptable N NA [ )Yes I I No qJ USDA Regulated Soils ' Y Nth Samples in Holding Time t-'N NA Sample Disposal: Rush: Field Filtered(If applicable): Residual Chlorine Present Y N *( [ J Dispose as appropriate( J Return [ I Same Day ( I Next Day I J Yes i J No V Cl Strips: ' ( I Archive: I J 2 Day ( J 3 Day I 14 Day I )5 Day ate} Sample pH AGceble {�N NA [ )Hold: chargesApply) Analysis: • q) pH Stripe: -E2 t J�1/ /t (Expedite • , S. 'Sulfide Present Y N C{A •Matrix Codes(Insert In Matrix box below):Drinking Water(OW),Ground Water(GW),Wastewater(WW), 1 _ `J _ 1 Lead Acetate Stripe: Product(P),Soil/Solid(SL),O11(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) 0 _ LAB USE ONLY; • Comp/ Collected(or Composite End Res U of N n ,S Lab Semple i� / comments: Customer Sample ID Matrix• Grab Composite Start) - Ci Ctns Q - �'+ Date Time Date Time -5 226112Z1-4- v �WS � llit � lu L03O l ` OD 1 • t- 1 .. (1v'j _ 1 - v .i - t� u -,/ 0) c Job _ Ou7 �Y,.k toll Customer Remarks/Special Conditions/Possible Hazards: Type of ice Used: /Blue Dry None `SHORT HOLDS PRESENT(c72'hour J N/A Lab Sample Temperature Info: Packing Material U .:. ?ID8 LabTraddng{h :.2.6 8 314 0 Tempr Bank Rem �&NA Cooler 1 Temp Upon Receipt:y oC Radchem sample(s)screened(<500 Samples received via: Cooler 1 Therm Corr.Factor: ('� oC cpm): Y N FEDEX UPS Client Courier P Cooler 1 Corrected Temp: 2.--r—oC Relinquished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date/Time: MTJL NLY Comments: ,, lam_ :0//73 ZZ f5'c9 IJ`� 4 v ?� Zz80.3 Tableq: Acctnum:Relinquished by/Company: Signature) Date/Time: R elved by/C y:(Signature) ate/Time: Template: Trip Blank Received: Y NA �e �k/(, evi f ) j31?2 1 S WU Prelogln: ( / j L� �' l.[LA- HCL McOH TSP er Relinquish bay:(Signature at me: Received by/Company:(Signature) D /Time: PM: Non Conform,a,n Page: PB: YES / of: K & HIV Laboratories Tel: 704-888-1211 1121 Hwy 24/27 W Midland, NC 28107 Fax: 704-888-1511 Chain of Custody Record Client/Company: West Stanly WWTP Report To: Remarks: Address: 24939 Barbees Grove Rd. tgibbonsta'?stanlycounty.gov Albemarle, NC 28001 Copy To: Contact: Tommy Gibbons Bill To: Cell: 910-585-8286 Phone: 704-486-0285 Fax: PO# Matrix Types OW-Drinking Water WW- Type of Cord. p Waste Water OW-Ground Water OT- P-Plastic Project Name: WSWWTP c Other G-Glass a) i 0 >s o Sampled By: \bmvN1 (,,V bo r 1- ( U U 1 a Ti a < i °m a 24 Hour Composite Preservatives Analysis Requested E E .go- E T cn in g o t' Start End z DW o g O .8 a, 0 a Item Sample ID: Int Ett WW a = o ' z c9 u, Up Grab GW Q O rn U— Z N CO V m m ,.N (s No. Down Comp OT Z P G °C Date Time Date Time z 2 =x_x cJ a a U ,-2 Z H 0 O� 8 Lab Log# Effluent Eff C ww 1 P !-A-,- tC-c 2 1- \Oa, x x 2Z01)ZZL -W S Eff C ww 1 P ` V ` ' 3` x x --j ., Eff C ww 1 P " 1 tt tt x x Eff C ww 1 P It .1) _" 1 , x x Eff C ww 1 P " t 't 1 't x x Eff C ww 1 P ') ; ‘t it x x Eff C ww 2 P " '' x x Eff C ww 1 P ` '` '' x x Eff C ww 1 P t sI x x t, NI •Relin uis,{ed 88 / '? Date: �i Time 2 Re ed18 " Date Time:1 �" r� L !-t '3T0.' iSJON IlIZ IjZ 100 sample Temp: 4•Y9 °C quished @y: Date: Time: Recei y: Date: Time: j On Ice:• Y �tf K & W Laboratories Results Report _1� 1121 Hwy 24/27 W ..... ..__ 4 Midland,North Carolina 28107 Tel(704)888-1211 Fax(704)888-15 1 I Client: West Stanly WWTP Date: 23-May-22 24939 Barbees Grove Order ID: 22041312 Albemarle, NC 28001 Project: Eff WSWWTP-PPO Collect Date: 4/13/2022 Location: Effluent Pollutant Scan Collect Time: 10:30:00 AM REPORTING ANALYSIS SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE 22041312-01 Ammonia Nitrogen <0.1 mg/L SM4500NH3D 0.1 4/14/2022 1 22041312-01 NO2+NO3 Nitrogen 7.1 mg/L SM4500NO3F 0.05 4/15/2022 22041312-01 Oil&Grease <6.2 mg/L EPA1664B 6.2 5/2/2022 22041312-01 TDS 228 mg/L SM2540C 10 4/14/2022 22041312-01 TKN 1.2 mg/L SM4500NH3D 1 5/4/2022 22041312-01 Total Nitrogen 8.3 mg/L Calculation 0.05 5/4/2022 22041312-01 Total Phosphorus 1.7 mg/L SM4500P-F 0.05 4/15/2022 NC Certification: 559 SC Certification: 99051 Certified By c,.,t,,,Sk,� G. Kraska/Lab Director Pace Analytical Services,LLC it acEAnalyticai 9800 Kincey Ave. Suite 100 Huntersville,NC 28078 wwo.pacdtbs.carn (704)875-9092 ANALYTICAL RESULTS Project: 22041312-WS Pace Project No.: 92599488 Sample: 22041312-WS Lab ID: 92599488001 Collected: 04/13/22 10:30 Received: 04/14/22 11:24 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method:EPA 200.7 Rev 4.4 1994 Preparation Method:EPA 200.7 Rev 4.4 1994 Pace Analytical Services-Asheville Antimony ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-36-0 BC Arsenic ND ug/L 10.0 1 04/25/22 13:38 04/25/22 23:14 7440-38-2 Beryllium ND ug/L 1.0 1 04/25/22 13:38 04/25/22 23:14 7440-41-7 Cadmium ND ug/L 1.0 1 04/25/22 13:38 04/25/22 23:14 7440-43-9 Chromium ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-47-3 Copper ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-50-8 Lead ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7439-92-1 Nickel ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-02-0 Selenium ND ug/L 10.0 1 04/25/22 13:38 04/25/22 23:14 7782-49-2 Silver ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-22-4 Titanium ND ug/L 5.0 1 04/25/22 13:38 04/25/22 23:14 7440-32-6 Hardness,Total(SM 2340B) 55700 ug/L 662 1 04/25/22 13:38 04/25/22 23:14 Zinc 47.9 ug/L 10.0 1 04/25/22 13:38 04/25/22 23:14 7440-66-6 625 RVE Analytical Method:EPA 625.1 Preparation Method:EPA 625.1 Pace Analytical Services-Charlotte Acenaphthene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 83-32-9 Acenaphthylene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 208-96-8 Anthracene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 120-12-7 Benzo(a)anthracene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 56-55-3 Benzo(a)pyrene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 50-32-8 Benzo(b)fluoranthene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 205-99-2 Benzo(g,h,i)perylene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 191-24-2 Benzo(k)ftuoranthene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 207-08-9 4-Bromophenylphenyl ether ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 101-55-3 Butylbenzylphthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 85-68-7 4-Chloro-3-methylphenol ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 59-50-7 bis(2-Chloroethoxy)methane ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 111-91-1 bis(2-Chloroethyl)ether ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 111-44-4 2-Chloronaphthalene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 91-58-7 2-Chlorophenol ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 95-57-8 4-Chlorophenylphenyl ether ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 7005-72-3 Chrysene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 218-01-9 Dibenz(a,h)anthracene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 53-70-3 3,3'-Dichlorobenzidine ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 91-94-1 2,4-Dichlorophenol ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 120-83-2 Diethylphthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 84-66-2 2,4-Dimethylphenol ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 105-67-9 Dimethylphthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 131-11-3 Di-n-butylphthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 84-74-2 4,6-Dinitro-2-methylphenol ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 534-52-1 2,4-Dinitrophenol ND ug/L 41.7 1 04/20/22 06:01 04/20/22 22:31 51-28-5 2,4-Dinitrotoluene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 121-14-2 2,6-Dinitrotoluene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 606-20-2 Di-n-octylphthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 117-84-0 bis(2-Ethylhexyl)phthalate ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 117-81-7 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full. Date:05/19/2022 04:40 PM without the written consent of Pace Analytical Services.LLC. Page 4 of 24 Pace Analytical Services,LLC 9800 Kincey Ave. Suite 100 acEAnaly�lcal Huntersville.NC 28078 / www.pacalabs.com (704)875-9092 ANALYTICAL RESULTS Project: 22041312-WS Pace Project No.: 92599488 Sample: 22041312-WS Lab ID: 92599488001 Collected: 04/13/22 10:30 Received: 04/14/22 11:24 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 625 RVE Analytical Method:EPA 625.1 Preparation Method:EPA 625.1 Pace Analytical Services-Charlotte Fluoranthene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 206-44-0 Fluorene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 86-73-7 Hexachloro-1,3-butadiene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 87-68-3 Hexachlorobenzene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 118-74-1 Hexachlorocyclopentadiene ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 77-47-4 Hexachloroethane ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 67-72-1 Indeno(1,2,3-cd)pyrene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 193-39-5 Isophorone ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 78-59-1 Naphthalene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 91-20-3 Nitrobenzene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 98-95-3 2-Nitrophenol ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 88-75-5 4-Nitrophenol ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 100-02-7 N-Nitrosodimethylamine ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 62-75-9 N-Nitroso-di-n-propylamine ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 621-64-7 N-Nitrosodiphenylamine ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 86-30-6 2,2'-Oxybis(1-chloropropane) ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 108-60-1 Pentachlorophenol ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 87-86-5 Phenanthrene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 85-01-8 Phenol ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 108-95-2 Pyrene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 129-00-0 1,2,4-Trichlorobenzene ND ug/L 4.2 1 04/20/22 06:01 04/20/22 22:31 120-82-1 2,4,6-Trichlorophenol ND ug/L 8.3 1 04/20/22 06:01 04/20/22 22:31 88-06-2 Surrogates Nitrobenzene-d5(S) 46 % 10-120 1 04/20/22 06:01 04/20/22 22:31 4165-60-0 2-Fluorobiphenyl(S) 40 % 15-120 1 04/20/22 06:01 04/20/22 22:31 321-60-8 Terphenyl-d14(S) 72 % 11-131 1 04/20/22 06:01 04/20/22 22:31 1718-51-0 Phenol-d6(S) 23 % 10-120 1 04/20/22 06:01 04/20/22 22:31 13127-88-3 2-Fluorcphenol(S) 26 % 10-120 1 04/20/22 06:01 04/20/22 22:31 367-12-4 2,4,6-Tribromophenol(S) 44 % 10-137 1 04/20/22 06:01 04/20/22 22:31 118-79-6 624 Volatile Organics Analytical Method:EPA 624.1 Pace Analytical Services-Charlotte Benzene ND ug/L 1.0 1 04/19/22 20:23 71-43-2 Bromodichloromethane ND ug/L 2.0 1 04/19/22 20:23 75-27-4 Bromoform ND ug/L 2.0 1 04/19/22 20:23 75-25-2 Bromomethane ND ug/L 2.0 1 04/19/22 20:23 74-83-9 Carbon tetrachloride ND ug/L 2.0 1 04/19/22 20:23 56-23-5 Chlorobenzene ND ug/L 2.0 1 04/19/22 20:23 108-90-7 Chloroethane ND ug/L 2.0 1 04/19/22 20:23 75-00-3 L1 Chloroform 4.5 ug/L 2.0 1 04/19/22 20:23 67-66-3 Chloromethane ND ug/L 2.0 1 04/19/22 20:23 74-87-3 L1 Dibromochloromethane ND ug/L 2.0 1 04/19/22 20:23 124-48-1 1,2-Dichlorobenzene ND ug/L 2.0 1 04/19/22 20:23 95-50-1 1,3-Dichlorobenzene ND ug/L 2.0 1 04/19/22 20:23 541-73-1 1,4-Dichlorobenzene ND ug/L 2.0 1 04/19/22 20:23 106-46-7 1,1-Dichloroethane ND ug/L 2.0 1 04/19/2220:23 75-34-3 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:05/19/2022 04:40 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 24 Pace Analytical Services,LLC ® 9800 Kinsey Ave. Suite 100 aceAnalytical Huntersville.NC 28078 travRpuuIbstom (704)875-9092 ANALYTICAL RESULTS Project: 22041312-WS Pace Project No.: 92599488 Sample: 22041312-WS Lab ID: 92599488001 Collected: 04/13/22 10:30 Received: 04/14/22 11:24 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 624 Volatile Organics Analytical Method:EPA 624.1 Pace Analytical Services-Charlotte 1,2-Dichloroethane ND ug/L 2.0 1 04/19/22 20:23 107-06-2 1,1-Dichloroethene ND ug/L 2.0 1 04/19/22 20:23 75-35-4 cis-1,2-Dichloroethene ND ug/L 2.0 1 04/19/22 20:23 156-59-2 Vans-1,2-Dichloroethene ND ug/L 2.0 1 04/19/22 20:23 156-60-5 1,2-Dichloropropane ND ug/L 2.0 1 04/19/22 20:23 78-87-5 cis-1,3-Dichloropropene ND ug/L 2.0 1 04/19/22 20:23 10061-01-5 trans-1,3-Dichloropropene ND ug/L 2.0 1 04/19/22 20:23 10061-02-6 Ethylbenzene ND ug/L 1.0 1 04/19/22 20:23 100-41-4 Methylene Chloride ND ug/L 2.0 1 04/19/22 20:23 75-09-2 1,1,2,2-Tetrachloroethane ND ug/L 2.0 1 04/19/22 20:23 79-34-5 Tetrachloroethene ND ug/L 2.0 1 04/19/22 20:23 127-18-4 Toluene ND ug/L 1.0 1 04/19/22 20:23 108-88-3 1,1,1-Trichloroethane ND ug/L 2.0 1 04/19/22 20:23 71-55-6 1,1,2-Trichloroethane ND ug/L 2.0 1 04/19/22 20:23 79-00-5 Trichloroethene ND ug/L 2.0 1 04/19/22 20:23 79-01-6 Trichlorofluoromethane ND ug/L 2.0 1 04/19/22 20:23 75-69-4 Vinyl chloride ND ug/L 2.0 1 04/19/22 20:23 75-01-4 Surrogates 4-Bromofluorobenzene(S) 96 % 70-130 1 04/19/22 20:23 460-00-4 Toluene-d8(S) 100 % 70-130 1 04/19/22 20:23 2037-26-5 1,2-Dichloroethane-d4(S) 84 % 70-130 1 04/19/22 20:23 17060-07-0 420.4 Phenolics,Total Analytical Method:EPA 420.4 Rev 1.0 1993 Preparation Method:EPA 420.4 Rev 1.0 1993 Pace Analytical Services-Asheville Phenolics,Total Recoverable ND mg/L 0.020 1 04/19/22 11:20 04/19/22 16:47 64743-03-9 4500CNE Cyanide,Total Analytical Method:SM 4500-CN-E-2016 Preparation Method:SM 4500-CN-E-2016 Pace Analytical Services-Asheville Cyanide 0.029 mg/L 0.0080 1 04/25/22 20:33 04/25/22 22:40 57-12-5 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:05/19/2022 04:40 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 24 Pace Analytical Services,LLC aceAinalytical 9800 Kinsey Ave. Suite 100 Huntersville,NC 28078 traiw pacthbs tam (704)875-9092 QUALIFIERS Project: 22041312-WS Pace Project No.: 92599488 DEFINITIONS DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot. ND-Not Detected at or above adjusted reporting limit. TNTC-Too Numerous To Count J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL-Practical Quantitation Limit. RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S-Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is a combined concentration. Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values. LCS(D)-Laboratory Control Sample(Duplicate) MS(D)-Matrix Spike(Duplicate) DUP-Sample Duplicate RPD-Relative Percent Difference NC-Not Calculable. SG-Silica Gel-Clean-Up U-Indicates the compound was analyzed for,but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenyfamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as "Total"may vary slightly from the sum of the reported component parameters. Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes. TNI-The NELAC Institute. ANALYTE QUALIFIERS BC The same analyte was detected in an associated blank at a concentration above 1/2 the reporting limit but below the laboratory reporting limit. E Analyte concentration exceeded the calibration range.The reported result is estimated. L1 Analyte recovery in the laboratory control sample(LCS)was above QC limits. Results for this analyte in associated samples may be biased high. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:05/19/2022 04:40 PM without the written consent of Pace Analytical Services,LLC. Page 19 of 24 02eAna/yticar CHAIM=OF-CUSTODY Analytical Request Document LAs WO# 'rNumberor N : 92599488 Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevant fields iv Company: I Billing Information: 9288' 111111111111 Ill Y co Cop ( �DYG>✓ Y �S I Address: d J e 925 88 tin el: �I►'j 4/A l 21 01 curt lark', Conu___ Report To: I I 1 1 1 l I I l J �J��11 Email To: ••Preservative V� Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric add,(4)sodium hydroxide,(5)zinc acetate, (6)methanol,(7)sodium bisulfate,(8)sodium tttiowifate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate, Copy To: Site Collection info/Address: (C)ammonium hydroxide,(0)TSP,(U)Unpreserved,(0)Other - Analyses Lab Profi)e/Une: Customer Project Name/Number: State: County/City: Time Zone Collected: f Lab Sample Receipt Checklist: 1 / I (PT) IMT( (CT ( IET 2 `^ . Custody Seale Prosent/Intact �iNA Phone: ^Site/Facility on Si: Compliance Monitoring? 1 custody Signatures Present 6 N NA Email: I [ j Yes ( I No 6,-f/L pl Collector Signature Present ®NA - 1 Bottles Intact N NA Collected By (print): Purchase Order if: OW PWS ID If: Correct Bottles N NA i Quote C: I DW Location Code: • sufficient Volume N NA Collected By(signature): Turnaround Date Required: immediately Packed on Ice: U Samples Received on Ice N NA VOA - Head apace JYes L �� Acceptable N ( JNo U • USDA Regulated Soils x N N� Sample Disposal: Rush: Field Filtered(if applicable): KS Sxsmploa in Holding Time {Jy N NA I (Dispose as appropriate ( I Retur ( I Same Day ( I Next Day I (Yes I )No - Residual Chlorine Present Y CNA ( (Archive: I )2 Day (i )3 Day ( 14 Day [ 1 5 Day U N Cl ptrips: Sample pH Acceptable of N NA ( (Hold: Analysis: IEMPedite Charges Apply) ✓t p8 Strips: J Sulfide Present Y N.>Y1 I•Matrix Codes(Insert In Matrix..x below):Drinking Water(OW),Ground Water(GW),Wastewater(WW), S' _ Lead Acetate Stripa: L Product(P),Soil/Solid(SL),0)I(..L),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(0T) Ct. —1 1.[' a LAB UBE ONLYt Comp/ Collected(or ::051t : Res k of Lab Sample * / Co:mentaCustomer Sample ID Matrix' Grab Composte Start) CI Ctns ` --�te `� '� p..� Y ' 4(,/ �r 22Db115S z- wS I wvti Li1i - )03c� _ k ,. _ / G ( (y 1 - 1 Z ✓ L -,/ 3 ustamer Remarks/Special Condit ons/Possible Hazards: Type of Ice Used: Met Blue Dry None / �SHOR(THOLDS PRESENT(<72 hours): Y N% N/A Lab Sample Temperature Info: Packing Materiel Used: Lab Trbckbtg q Temp Blank Y �/ NA I� .1,./Le 13 3 a •,, -, 4•�: Therm IDS: Imo:s - Cooler l Temp Upon Receipt:9'.7 oc i "Samples refefve01a:' Radchem samples)screened(<500 cpm): ; Y N NA. Cooler 1 Therm Corr,Factor. —oC �J FEDEX UPS (Merit Coudel - (lace CoLr1e1 Cooler 1 Corrected Temp: Y7oC tell )shed by/ pa Slgnatu e) Date/lime: Received by/Company:(Signature) Date/Time: MTJL ABUSE ONLY Comments: //(/{ 1 l 1 7 f/ i �l I Z Z f U �2 ��Z7 Table q'i:i eli (shed by/Company: ��l gn �P LLL .AccbiUllt:,. (:Ignat •e) Date/Time: stewed by/ any:(Signature) ate/Time: , - • , �G.G y/u �y.50 / / y ^ Template: Trip Blank Received: Y 4Q NA - CAS 1/� VL f/I�/ eilnqulshed by/Company:(SI natu ''1 �'�� Preloglni HCl McOH TSP Other 8 ) -Date/Time: Received I ed by/Company:(Signature) Date/Time: PM: Non Conform�ance(s): Page: C% PB: YES / lof: MERITECH, INC. ENVIRONMENTAL LABORATORIES Laboratory Certification No. 165 Client: Pace Analytical Date Sampled 04/13/22 Digested Analysis 05/19/22 Analyst: CWL EPA 1631-E Low Level Mercury Analysis Meritech ID# Sample ID Result Reporting Limit MBLK0519 Method Blank <0.5 ng/L 0.5 ng/L M04212217 Field Blank < 1.0 ng/L 1.0 ng/L M04212218 WS <1.0 ng/L 1.0 ng/L * Samples preserved prior to receiving @ Meritech with HCL. I hereby certify that I have reviewed and approve these data. JLaboratbTy Representative 642 Tamco Rd - PO Box 27 - Reidsville, NC 27320 (336) 342-4748 Ph - (336) 342-1522 Fax E-Mail: info@meritechlabs.com Page 23 of 24 Chainof Custody -.�_ _ ��..�� �._t.. -4.�_._.�.H..� .�___ �.�.4.., ___ _ _-_. .. . .�,.w J,.�t 0. PAST Charlotte Laboratory _ ace Analytical o, www.pacolabe.com d IIIIlIIII' IIII III III II Workorder: 92599488 Workorder Name: 22041312-WS Results Requested By: 4/28/2022 Report I Invoice To —1 Subcontract To I- Requested Analysis — Tyriek Hooks I Pace Analytical Charlotte P.O, TIH 92599,188 9800 Kincey Ave. Suite 100 Meri tech Huntersville, NC 28078 642 Tamco Rd, Phone(704)875-9092 Reidsville, NC 273209. Email:tyriek.hooks@pacelabs.com T. 3 State of Sample Origin: NC Preserved Containers t1.at'Cr' Collect Item Sample ID Date/Time Lab ID Matrix LAD USE ONLY — \? •-k4 1 22041312-WS 4/13/2022 10:30 92599488001 Water 1 — X -- — 1.1.. 2 22041312-WS BLANK 4/13/2022 10:30 92599488002 Water 1 X 3 4 5 -_- Comments Transfers Released By Date/Time Received By IDa etTlme , 0 ) 4y) >,_...../ L-- 3 ��++ �h Cooler Temperature on Receipt °C Custody✓Seal Y221. o N Received on Ice Y or N Samples Intact Y or N Released to Lab Secure Areaie. a +sample5 p«.�er„e_8- LAB., �\,-. V\LIc rued from Lab Secure Area \c, e ck Tuesday.April 19,2022 3:19:12 PM FMT-ALL-C-002rev.00 24March2009 Page 1 of 1 K a vrr Laaoratories Tel: 704-888-1211 1121 Hwy 24/27 W Midland, NC 28107 Fax: 704-888-1511 Chain of Custody Record Client/Company: West Stanly WWTP Report To: Remarks: Address: 24939 Barbees Grove Rd. tgibbonsstanlvcounty.gov Albemarle, NC 28001 Copy To: Contact: Tommy Gibbons Bill To: Cell: 910-585-8286 Phone: 704-486-0285 Fax: PO# Matrix Types: DW-Drinking Water WW- Type of Cont: p Waste Water GW-Ground Water 0T- P-Plastic Project Name: WSWWTP 5 Other G-Glass a) a) _+ ���^ -1 H " �j U Sampled By: - d e, w x o . 24 Hour Composite Preservatives Analysis Requested E E .� a E 03 u) to 2 C I- Start End o 0 Item Sample ID: Inf Eff WW . v o" = o, o ) °z p Up Grab GW j Q O U Z I a aifi cga N 6 Z fn No. Down Comp oT Z P G °C Date ,�Tiimmee Datej Time z z =s s o m a rj I z O Or Lab Log# Effluent- Pollutant Scan Eff C ww 1 G L111 G lib 143C x x zZUal 3►Z -wS Eff C ww 2 G it )t it it x x Eff C ww 1 G It 'i 'I 1 t x x Eff C ww 1 G t( it if t1 x x Eff C ww 1 P ,i It 14- 'r x x Eff C ww 1 P 1( 11 it it x x Eff C ww 2 P 1( tt 'y ' 1 x x Eff C ww 1 G V / 14/13 Xgb x x Eff C ww 1 P t( ► I It tC x x r Relinquished : . ieire D te: Time: Received By. Dat J: Time �1 �t.13 i(:2� UN(,3122 t('20 SampleTemp:1� I °C Relinqui. Date: ime: Rec • a By: D te: Time. �� 0:dr 3�2 Z 12.:-( i/ 4ii s iZ L i zoO On Ice.£19/ N SSSS/N �J CC..// K & W Laboratories Results Report 5V3); '71,1C 1121 Hwy 24i27 W Midland,North Carolina 28107 / " Tel(704)888-121 1 Fax(704)888-1511 Client: West Stanly WWTP Date: 03-Auu-22 24939 Barbees Grove Order ID: 22070709 Albemarle,NC 28001 Project: Eff WSWWTP-PPO Collect Date: 7/7/2022 Location: Effluent Collect Time: 10:00:00 AM REPORTING ANALYSIS SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE 22070709-01 Ammonia Nitrogen 0.91 mg/L SM4500NH3D 0.1 7/8/2022 22070709-01 NO2+NO3 Nitrogen <0.5 mg/L SM4500NO3F 0.5 7/26/2022 22070709-01 Oil&Grease <6.2 mg/L EPA1664B 6.2 8/2/2022 22070709-01 TDS 230 mg/L SM2540C 10 7/8/2022 22070709-01 TKN 2.1 mg/L SM4500NH3D 1 7/20/2022 22070709-01 Total Nitrogen 2.1 mg/L Calculation 0.5 7/26/2022 22070709-01 Total Phosphorus 3.3 mg/L SM4500P-F 0.05 7/15/2022 NC Certification: 559 SC Certification: 99051 Certified By G.AC.,44Gr� G Kraska/Lab Director Pace Analytical Services,LLC a7. 9800 Kincey Ave. Suite 100 aceAnalytical Huntersville.NC 28078 urvrvr.paalabs.com (704)875-9092 Page 1 of 3 Laboratory Report Gosia Kraska Report Date: 07/20/2022 K & W Laboratories Date Received: 07/08/2022 1121 Hwy 24/27 West Midland, NC 28107 Project: PPO Pace Project No.:92614035 Sample: 22070709-WS Lab ID: 92614035001 Collected: 07/07/22 10:00 Matrix: Water Method Parameters Results Units Report Limit Analyzed Qualifiers EPA 200.7 Antimony ND ug/L 50.0 07/13/22 18:58 EPA 200.7 Arsenic ND ug/L 30.0 07/13/22 18:58 EPA 200.7 Beryllium ND ug/L 10.0 07/13/22 18:58 EPA 200.7 Cadmium ND ug/L 10.0 07/13/22 18:58 EPA 200.7 Chromium ND ug/L 10.0 07/13/22 18:58 EPA 200.7 Copper ND ug/L 20.0 07/13/22 18:58 EPA 200.7 Lead ND ug/L 25.0 07/13/22 18:58 EPA 200.7 Nickel ND ug/L 20.0 07/13/22 18:58 EPA 200.7 Selenium ND ug/L 40.0 07/13/22 18:58 EPA 200.7 Silver ND ug/L 10.0 07/13/22 18:58 EPA 200.7 Thallium ND ug/L 200 07/13/22 18:58 EPA 200.7 Hardness.Total(SM 2340B) 56200 ug/L 2700 07/13/22 18:58 EPA 200.7 Zinc 50.5 ug/L 20.0 07/13/22 18:58 EPA 625.1 Acenaphthene ND ug/L 4.2 07/15/22 18:36 EPA625.1 Acenaphthylene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Anthracene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Benzo(a)anthracene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Benzo(a)pyrene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Benzo(b)fluoranthene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Benzo(g,h,i)perylene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Benzo(k)fluoranthene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 4-Bromophenylphenyl ether ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Butylbenzylphthalate ND ug/L 4.2 07/15/22 18:36 EPA 625.1 4-Chloro-3-methylphenol ND ug/L 4.2 07/15/22 18:36 EPA 625.1 bis(2-Chloroethoxy)methane ND ug/L 8.3 07/15/22 18:36 EPA 625.1 bis(2-Chloroethyl)ether ND ug/L 4.2 07/15/22 18:36 EPA 625.1 2-Chloronaphthatene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 2-Chlorophenol ND ug/L 4.2 07/15/22 18:36 EPA 625.1 4-Chlorophenylphenyl ether ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Chrysene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Dibenz(a,h)anthracene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 3,3'-Dichlorobenzidine ND ug/L 8.3 07/15/22 18:36 EPA 625.1 2,4-Dichlorophenol ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Diethytphthalate ND ug/L 4.2 07/15/22 18:36 L1 EPA 625.1 2,4-Dimethytphenol ND ug/L 8.3 07/15/22 18:36 EPA 625.1 Dimethylphthalate ND ug/L 4.2 07/15/22 18:36 L1 EPA 625.1 Di-n-butytphthalate ND ug/L 4.2 07/15/22 18:36 EPA 625.1 4.6-Dinitro-2-methylphenol ND ug/L 8.3 07/15/22 18:36 EPA 625.1 2,4-Dinitrophenol ND ug/L 41.7 07/15/22 18:36 EPA 625.1 2.4-Dinitrototuene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 2.6-Dinitrototuene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Di-n-octylphthatate ND ug/L 4.2 07/15/22 18:36 Page 1 of 6 Pace Analytical Services,LLC s 9800 Kincey Ave. Suite 100 )°, aceAnalytical Huntersville.NC 28078 www.pacolaMs.com (704)875-9092 Page 2 of 3 Sample: 22070709-WS Lab ID: 92614035001 Collected: 07/07/22 10:00 Matrix: Water Method Parameters Results Units Report Limit Analyzed Qualifiers EPA 625.1 bis(2-Ethylhexyl)phthalate ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Fluoranthene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Fluorene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Hexachloro-1,3-butadiene ND ug/L 4.2 07/15/22 18:36 L2 EPA 625.1 Hexachlorobenzene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Hexachlorocyclopentadiene ND ug/L 8.3 07/15/22 18:36 EPA 625.1 Hexachloroethane ND ug/L 4.2 07/15/22 18:36 L2 EPA 625.1 Indeno(1,2,3-cd)pyrene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Isophorone ND ug/L 8.3 07/15/22 18:36 EPA 625.1 Naphthalene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Nitrobenzene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 2-Nitrophenol ND ug/L 4.2 07/15/22 18:36 EPA 625.1 4-Nitrophenol ND ug/L 8.3 07/15/22 18:36 EPA 625.1 N-Nitrosodimethylamine ND ug/L 4.2 07/15/22 18:36 EPA 625.1 N-Nitroso-di-n-propylamine ND ug/L 4.2 07/15/22 18:36 EPA 625.1 N-Nitrosodiphenylamine ND ug/L 8.3 07/15/22 18:36 EPA 625.1 2,2'-Oxybis(1-chloropropane) ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Pentachlorophenol ND ug/L 8.3 07/15/22 18:36 EPA 625.1 Phenanthrene ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Phenol ND ug/L 4.2 07/15/22 18:36 EPA 625.1 Pyrene ND ug/L 4.2 07/15/22 18:36 L1 EPA625.1 1,2,4-Trichlorobenzene ND ug/L 4.2 07/15/22 18:36 L2 EPA 625.1 2.4,6-Trichlorophenol ND ug/L 8.3 07/15/22 18:36 EPA 624.1 Benzene ND ug/L 1.0 07/13/22 04:07 EPA 624.1 Bromodichloromethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Bromoform ND ugfL 2.0 07/13/22 04:07 EPA 624.1 Bromomethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Carbon tetrachloride ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Chlorobenzene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Chloroethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Chloroform ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Chloromethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Dibromochloromethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1.2-Dichlorobenzene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1.3-Dichlorobenzene ND ugfL 2.0 07/13/22 04:07 EPA624.1 1,4-Dichlorobenzene ND ug/L 2.0 07/13/2204:07 EPA 624.1 1,1-Dichloroethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1,2-Dichloroethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1,1-Dichloroethene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 cis-1,2-Dichloroethene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 trans-1,2-Dichloroethene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1,2-Dichloropropane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 cis-1,3-Dichloropropene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 trans-1,3-Oichloropropene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Ethylbenzene ND ug/L 1.0 07/13/22 04:07 EPA 624.1 Methylene Chloride ND ug/L 2.0 07/13/22 04:07 EPA 624.1 1,1,2,2-Tetrachloroethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Tetrachloroethene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Toluene ND ugfL 1.0 07/13/22 04:07 EPA 624.1 1,1,1-Trichloroethane ND ug/L 2.0 07/13/2204.07 EPA 624.1 1,1,2-Trichloroethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Tnchloroethene ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Trichlorofluoromethane ND ug/L 2.0 07/13/22 04:07 EPA 624.1 Vinyl chloride ND ug/L 2.0 07/13/22 04:07 EPA 335.4 Cyanide 0.24 mg/L 0.10 07/19/22 15:39 EPA 420.4 Rev 1.0 1993 Phenolics,Total Recoverable ND mg/L 0.020 07/13/22 15:46 Page 2 of 6 Pace Analytical Services,LLC s 9800 KinceyAve. Suite 100 aceAnalytical Huntersville,NC 28078 www.paceIafts.corn (704)875-9092 Page 3 of 3 ANALYTE QUALIFIERS 2g Due to a power outage on 7/12/22,the temperature of the refrigerated storage unit holding samples waiting preparation and analysis exceeded the acceptance range of 0-6C. The maximum temperature recording during this time frame was 19.6C. L1 Analyte recovery in the laboratory control sample(LCS)was above QC limits. Results for this analyte in associated samples may be biased high. L2 Analyte recovery in the laboratory control sample(LCS)was below QC limits. Results for this analyte in associated samples may be biased low. Reviewed by: Sarah Graham (704)875-9092 sarah.graham@pacelabs.com Pace Analytical Services Ormond Beach 8 East Tower Circle,Ormond Beach,FL 32174 Missouri Certification#:236 Alaska DEC-CS/UST/LUST Montana Certification#:Cert 0074 Alabama Certification#:41320 Nebraska Certification:NE-OS-28-14 Colorado Certification:FL NELAC Reciprocity New Hampshire Certification#:2958 Connecticut Certification#:PH-0216 New Jersey Certification#:FL022 Delaware Certification:FL NELAC Reciprocity New York Certification#: 11608 Florida Certification#:E83079 North Carolina Environmental Certificate#:667 Georgia Certification#:955 North Carolina Certification#: 12710 Guam Certification:FL NELAC Reciprocity North Dakota Certification#:R-216 Hawaii Certification:FL NELAC Reciprocity Ohio DEP 87780 Illinois Certification#:200068 Oklahoma Certification#:D9947 Indiana Certification:FL NELAC Reciprocity Pennsylvania Certification#:68-00547 Kansas Certification#:E-10383 Puerto Rico Certification#:FL01264 Kentucky Certification#:90050 South Carolina Certification:#96042001 Louisiana Certification#:FL NELAC Reciprocity Tennessee Certification#:TN02974 Louisiana Environmental Certificate#:05007 Texas Certification:FL NELAC Reciprocity Maine Certification#:FL01264 US Virgin Islands Certification:FL NELAC Reciprocity Maryland Certification:#346 Virginia Environmental Certification#:460165 Massachusetts Certification#:M-FL1264 West Virginia Certification#:9962C Michigan Certification#:9911 Wisconsin Certification#:399079670 Mississippi Certification:FL NELAC Reciprocity Wyoming(EPA Region 8):FL NELAC Reciprocity Pace Analytical Services Charlotte South Carolina Laboratory ID:99006 South Carolina Certification#:99006001 9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Drinking Water Cert.#:99006003 North Carolina Drinking Water Certification#:37706 Florida/NELAP Certification#:E87627 North Carolina Field Services Certification#:5342 Kentucky UST Certification#:84 North Carolina Wastewater Certification#:12 Louisiana DoH Drinking Water#:LA029 South Carolina Laboratory ID:99006 VirginiaNELAP Certification#:460221 Pace Analytical Services Asheville 2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030 Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001 North Carolina Drinking Water Certification#:37712 VirginiaNELAP Certification#:460222 North Carolina Wastewater Certification#:40 Pace Analytical Services Peachtree Corners 110 Technology Pkwy,Peachtree Corners,GA 30092 North Carolina Certification#:381 Florida DOH Certification#:E87315 South Carolina Certification#:98011001 Georgia DW Inorganics Certification#:812 Page 3 of 6 • a CHAIN-OF-CUSTODY Analytical Request Document LAB USE ONLY-Affix Workorder/Login I Thal Nora nr I ixt W,-a Wnrknrdor Nnmhor,nr MTh.it W0# : 92614035 Pace Analytical Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields ci BillingInformation: is .1- Company:/ t t (ai? ra.-bt,i e\ ALL SHADED ARE, 111111 1111111111111111a. Ailc r/st R1 j r ,/ I z- ,a^,G11k n,/� I I Container Pres IrvativI Typ;" 1 / "I Lf f I t t t f U I I ' 82614035 Report To: S)a•1 Email To: ••Preservative Types:Ill nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5)zinc acetate, [� (6)methanol,(7)sodium bisulfate,(el sodium thiosuitate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate, Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other Analyses Lab Profile/Line: Custo r rQject Name/Number: State: County/City: Time Zone Collected: Lob sample Receipt Checklist: {pa)� 0 / I (PT) IMT[ IR I IET 2. q {� ' custody Seals Present/Intact ' 9 NA Phone: Site/Faci ty ID N: Compliance Monitoring? '- Custody Signatures Present Y i NA .-i�S-+.v Collector Signature Present ,;�N NA Email: ( ) Yes I )No Bottles Intact i tt N NA Collected By(print): Purchase Order fl: OW PWS ID II: Correct Bottles ')N NA Quote N: DW Location Code: 3 SufficientntVolume �i N NA ..,,,..) _- Samples Received on Ice C/N NA Immediately Packed on Ice: 't VOA - Headspace Acceptable • VIM Collected By(signature): Turnarotnd Date Required: USDA Regulated Soils �Ct� ( I Yes [ )No �- Samples in Holding Time `)N NA Sample Disposal: Rush: Field Filtered(if applicable): - Residual Chlorine Prennnt • r{'i NA I I Dispose as appropriate( I Return I I Same Day [ I Next Day [ I Yes I I No "�j cl Strips:Z.Y2.1`) L0•LLtwl v ( 12 Clay [ 13 Day I 14 Day [ 15 Day C`Z Sample pit Ac-e t b ;`,�/� I N NA ( (Archive: Analysis: `''f U pH Strips: 2� ��r'fifl ( !Hold; (Expedite Charges Apply) J Sulfide Present ' N •Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), ] - �m Lead Acetate Strips: — v Product(P),Soil/Solid(SI).Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) ` ') `� L/4 USE ONLY: Comp/ Collected(or Res If of N ` t.-. Lab Sample # / comments: Composite End r► l� Customer Sample lD Matrix' Grab Composite Start) Cl Ctns r, �c v ,, y I-(�� Date Time Date Time �' ') 3`19 14 - - Customer Remarks/Special Conditions/Posible Hazards: Type of Ice Used: et Blue Dry None SHORT HOLDS PRESENT(<72 hours): Y (N0i N/A Lab Sample Temperature Inft: Packing Material Used: 1 , ( \-� Lab Tracking 9: Temp Blank Received: f N BVIVA)) (r ti7 ( , Q �, Therm IDq:(11:�1. '� r1`l v 2 7 8 6 6 6 ti' Cooler 1 Temp Upon Rece pt.• oC /// } Samples received via: Cooler 1 Therm Corr,Fact sf: oC Radchem sample(s)screened(<500 epm); Y N A j FEDEX UPS Client Courier Couri Cooler 1 Corrected Tem lI, oC Relinquished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date ime: MTHL LAB USE ONLY Comments: /12 7 09t� Table if: C. O?/e9/LL `tit✓ R 21'' Acctnum: Relinquished by/Company:(Signature) Date/Time: Received by/Com .(Signature) Date/time: Template: Trip Blank Received: Y N NA G 1 P �� /ZZ i r/: k� ?Pk,t � 1igp. `L ,r� Prelogin: HCL McOH TSP % er Relinquished by/Company: ignature) Dale/Time: Received by/Company:(Signature) Dale me: PM: N mance(s): Pi ge: PB: NO of K & W Laboratories Tel: 704-888-1211 1121 Hwy 24/27 W Midland, NC 28107 Fax: 704-888-1511 Chain of Custody Record Client/Company: West Stanly WWTP Report To: Remarks: I Address: 24939 Barbees Grove Rd. tgibbonsstanlycounty.gov `Y, /���Ct{✓y I�I1 •V ��� Albemarle, NC 28001 Copy To: IC W/J( Se4 of ti P ebc 4 ne)(-1 weer Contact: Tommy Gibbons Bill To Cell: 910-585-8286 Opnei-a l2mr1 V h( Phone: 704-486-0285 Fax: PO# m pre de m,!51 Matrix Types: OW-Drinking Water WW- Type of Corn o Waste Water GW-Ground Water OT- P-Plastic Project Name: WSWWTP t— Other G-Glass a) a� y} ,/Sampled By ,/► 4 l�l ill FT y U O n o x m o a 24 Hour Composite Preservatives Analysis Requested d'a E co co 2 o 1- i- Start End o o a u) Z H ID: Int En wW OW a o o a, o v - v z 0- Sample Item Up Grab GW E e o o = a c V. z 0 CO No. Down Comp OT Z P G 'C Date �q Date Time j Z Z =_ _ J E. U 2 i -- - O r Lab Log# Effluent- Pollutant Scan Eff C ww 1 G ?-/,-ZZ-t-' 'I-1 2z 'Pat' x x 27,00709-W Eff C ww 2 G /t x x " Eff C ww 1 G /r x x Eff C ww 1 G 'i x x I Eff C ww 1 P / x x tl Eff C ww 1 P x x rI Eff C ww 2 P x x /t Eff C ww 1 G x x It Eff C ww 1 P x x Relinquished By: Apidvii, Date: Time: Received By: Date: Time: 1-/"� ll YS �' "01/7L //'1' Sample Temp: 1 ' I °C Relinquished By: Date: Time. Received By Date. Time � 6...` v 712 /z15 On Ice Vy�/ N Pace Analytical Services,LLC s 9800 Kincey Ave. Suite 100 aac eAnalytical Huntersyille,NC 28078 wtw.pacalabs.cam (704)875-9092 ANALYTICAL RESULTS Project: W1013-WS Pace Project No.: 92617065 Sample: W1013-WS Lab ID: 92617065001 Collected: 07/26/22 10:00 Received: 07/27/22 08:40 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 624 Volatile Organics Analytical Method:EPA 624.1 Pace Analytical Services-Charlotte Benzene ND ug/L 1.0 1 07/28/22 12:18 71-43-2 Bromodichloromethane ND uglL 2.0 1 07/28/22 12:18 75-27-4 Bromoform ND ug/L 2.0 1 07/28/22 12:18 75-25-2 Bromomethane ND ug/L 2.0 1 07/28/22 12:18 74-83-9 Carbon tetrachloride ND ug/L 2.0 1 07/28/22 12:18 56-23-5 Chlorobenzene ND ug/L 2.0 1 07/28/22 12:18 108-90-7 Chloroethane ND ug/L 2.0 1 07/28/22 12:18 75-00-3 Chloroform 2.4 ug/L 2.0 1 07/28/22 12:18 67-66-3 Chloromethane ND ug/L 2.0 1 07/28/22 12:18 74-87-3 Dibromochloromethane ND ug/L 2.0 1 07/28/22 12:18 124-48-1 1,2-Dichlorobenzene ND ug/L 2.0 1 07/28/22 12:18 95-50-1 1,3-Dichlorobenzene ND ug/L 2.0 1 07/28/22 12:18 541-73-1 1,4-Dichlorobenzene ND ug/L 2.0 1 07/28/22 12:18 106-46-7 1,1-Dichloroethane ND ug/L 2.0 1 07/28/22 12:18 75-34-3 1,2-Dichloroethane ND ug/L 2.0 1 07/28/22 12:18 107-06-2 1,1-Dichloroethene ND ug/L 2.0 1 07/28/22 12:18 75-35-4 cis-1,2-Dichloroethene ND ug/L 2.0 1 07/28/22 12:18 156-59-2 trans-1,2-Dichloroethene ND uglL 2.0 1 07/28/22 12:18 156-60-5 1,2-Dichloropropane ND ug/L 2.0 1 07/28/22 12:18 78-87-5 cis-1,3-Dichloropropene ND ug/L 2.0 1 07/28/22 12:18 10061-01-5 trans-1,3-Dichloropropene ND ug/L 2.0 1 07/28/22 12:18 10061-02-6 Ethylbenzene ND ug/L 1.0 1 07/28/22 12:18 100-41-4 Methylene Chloride ND ug/L 2.0 1 07/28/22 12:18 75-09-2 1,1,2,2-Tetrachloroethane ND ug/L 2.0 1 07/28/22 12:18 79-34-5 Tetrachloroethene ND ug/L 2.0 1 07/28/22 12:18 127-18-4 Toluene ND ug/L 1.0 1 07/28/22 12:18 108-88-3 1,1,1-Trichloroethane ND ug/L 2.0 1 07/28/22 12:18 71-55-6 1,1,2-Trichloroethane ND ug/L 2.0 1 07/28/22 12:18 79-00-5 Trichloroethene ND ug/L 2.0 1 07/28/22 12:18 79-01-6 Trichlorofluoromethane ND ug/L 2.0 1 07/28/22 12:18 75-69-4 Vinyl chloride ND ug/L 2.0 1 07/28/22 12:18 75-01-4 Surrogates 4-Bromofluorobenzene(S) 100 % 70-130 1 07/28/22 12:18 460-00-4 Toluene-d8(S) 108 % 70-130 1 07/28/22 12:18 2037-26-5 1,2-Dichloroethane-d4(S) 102 % 70-130 1 07/28/22 12:18 17060-07-0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:07/29/2022 08:51 AM without the written consent of Pace Analytical Services.LLC. Page 4 of 11 Al CHAIN-OF-CUSTODY Analytical ( 'mko erNumberor 'e uest Document + .` PaceAnalytical' ' a- t o @rain-of-Custody is a LEGAL DOCUMENT-Col plete all relevent fields ("- �I�� rl�"I'ill ' 1111(1111 Company: i- y, Billing Information: `- In111t/W 13 r 1 e o LY co Add s: >r: iv i 77I �I w 4 lii 1 z-7 '� i 0 i6l!Ara' —1-7 T--I. ----I —, .- Report To: z 7((i��Email To: I ••Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxld,(S)zinc acetate, i1 (6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic add,(8)am onlum sulfate, Copy To: Site Collection Info/Addresf: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other 1 Analyses Lab Profile/Line: Customer Project Name/Number: State: County/City: Time Zone Collected: Lob Sample Recei•• Checklist: / I (PT( IMTI ICI I lET Custody Seals Present/Intact %NA Phone: Site/Fat ity ID k: Com't dance Monitoring? Custody signatur . Present ' N NA Email: I I ies I I No Collector Signatu e Present ' N NA Bottles Intact N NA Collected By(print): Purchasi Order a: DW:WS ID Si: Correct Bottles N NA Quote U DW !•cation Code: Sufficient Volume ' N NA r Samples Received .n Ice ' N NA Collected By(signature): Turnaro nd Date Required: Imm:diately Packed on Ice: VOA - Readopace A coptablo N I 1 -a I I No USDA Regulated So le N Samples in Holdin. Time 'i�A Sample Disposal: Rush: Field pilfered(If applicable): Residual Chlorine Present .' N v I (Dispose as appropriate 1 )Return I Same Day ( I Next Day ( )Yes I I No Cl Strips: I I Archive: ( 12 C ay I 1 3 Day I I Day 1 15 Day I Sample pH Accept••to :'N I I Hold: (Expedite Charges Apply) Anal}Isis: pH Strips: •. Sulfide Present •Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),y7�'astewater(WW), Load Acetate Stri•s: Product(P),Soil/Solid(Si),Oil(OL),Wipe VW),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) ` LAB USE ONLY: Comp/ Collected(or Res ff of \`V Lab Sample d / C••• •nts: Customer Sample ID Matra• Grab Composite Start) Composite End CI Ctns 0 +s Date Time Die Time _ �Z�/ ! 0 6 Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: I(Wet Blue Dry None SHORT HOLDS PRESENT(<72 hours): Y N/A Lab Sample T mperature Info: Packing Material U ed: Lab Tracking Temp Blan ecelved: s' N Y� '��P� �� g �'��'� ��`�' N: 2786686 Therm(Da ' Cooler 1 T mp Upon Receipt: • oC II^ I I Samples received via: Cooler 1 T erm Corr.Factor: oC i W Itil D J Radchem sample{s)Isaeen)•(<500 cpm): Y N V FEDEX UPS Client Courier ace • • Cooler 1 rrected Temp: 21. l oC Relinquished by/Company:(Signature) Date/Time: Recel •y/Com •y:(SI Lure)) Date/Time: / ��{ MTJL LAB U •• . Commen Ce.. a 1/z)/22. S*YD /— " " Rl" /606c)Table It: Acctnum: Reli s ny: attire Date/Time: Recel.d by/Company: i nature) Date/Time: 70�2 ////t ` I C I�� jj��q Template: Trip Blank eceived: Y N'(•NA ! f v (�% P k SVV 1�.� L 1O (, in: HCL M H TSP Other elinquished Co any: Signature) Date tme: !!! Recreh-/ed ba/Company:(Signature) Date/Ti e: PM: Non Confo eels): Pai:e: PB: YES / of: ( GEL LABORATORIES LLC 2040 Savage Road Charleston SC 29407-(843)556-8171 -www.gel.com Certificate of Analysis Report Date: August 8,2022 Company: Pace Analytical Services,Inc. Address: 9800 Kincey Avenue Suite 100 Huntersville,North Carolina 28078 Contact: Mr.Matthew Brainard Project: PACE Hunterville,NC Analysis _ Client Sample ID: W78I-S BLANK Project: PACE00720 Sample ID: 587942002 Client ID: PACE001 Matrix: BLANK Collect Date: 15-JUL-22 10:00 Receive Date: 28-JUL-22 Collector: Client Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method Mercury Analysis-CVAA EPA 1631 Low Level Mercury Analysis"As Received" Mercury 0.537 0.200 0.500 ng/L I LYG I 08/08/22 1022 2298176 1 The following Analytical Methods were performed: Method Description _ Analyst Comments 1 EPA 1631 E Notes: Column headers are defined as follows: DF:Dilution Factor Lc/LC:Critical Level DL:Detection Limit PF:Prep Factor MDA:Minimum Detectable Activity RL:Reporting Limit MDC:Minimum Detectable Concentration SQL:Sample Quantitation Limit Page 6 of 12 Page 4 of 10 SDG: 92615633 GEL LABORATORIES LLC 2040 Savage Road Charleston SC 29407-(843)556-8171 -www.gel.com Certificate of Analysis Report Date: August 8,2022 Company: Pace Analytical Services,Inc. Address: 9800 Kincey Avenue Suite 100 Huntersville,North Carolina 28078 Contact: Mr.Matthew Brainard Project: PACE Hunterville,NC Analysis Client Sample ID: W781-S Project: PACE00720 Sample ID: 587942001 Client ID: PACE001 Matrix: Water Collect Date: 15-JUL-22 10:00 Receive Date: 28-JUL-22 Collector: Client Parameter Qualifier Result DL RL Units PF DF Analyst Date Time Batch Method Mercury Analysis-CVAA EPA 1631 Low Level Mercury Analysis"As Received" Mercury 2.82 0.200 0.500 ng/L I LYGI 08/08/22 1027 2298176 1 The following Analytical Methods were performed: Method _ Description _ Analyst Comments 1 EPA 1631E Notes: : Column headers are defined as follows: DF:Dilution Factor Lc/LC:Critical Level DL:Detection Limit PF:Prep Factor MDA:Minimum Detectable Activity RL:Reporting Limit MDC:Minimum Detectable Concentration SQL:Sample Quantitation Limit Page 5of12 Page 3 of 10 SDG: 92615633 p ] CHAIN-OF-CUSTODY Analytical Request Document I .• - 'norkorder Number or Pace,analytical WO# • 2 615 6 3 Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields Co.mpy:� I(t ✓klb �hyi ` Billing Information: III III III 1111 I liv III ONLY • Al)rs . 14V+ i- 7,411++ I t A1dIa4r1-c I ,82sisr33 Report To: Z yt D,1 Email To: ••Preservative Types:(1)nitri acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sod`m hydroxide,(5)zinc acetate, J (6)methanol,(7)sodium bisulf le,(8)sodium thiosullate,(9)hexane,(A)ascorbic rud,(8)ammonium suit ate, Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(0) P,(U)Unpreserved,(0)Other Antilyses Lab Profle/L ne: Customer Project Name/Number: State: County/City: Time Zone Collected: Lab Sampile Receipt Checklist: / ( (PT) IMT( )CT I (ET Custody Seals Present/Intact N NA \ Phone: Site/Facility ID N: Compliance Monitoring? Custody Signatures Present Y NA Email ( I Yes I I No Collector Signature Present Y jNA Bottles Intact 1 NN NA Collected By(prir t): Purchase Order II: DW PWS ID N: Correct 3ottles Y NA Quotetl: DWLocationCode: i Sufficient Volume Y)N NA Samples �Teceived on Ice N NA Collected By(stet ature): Turnaround Date Required: immediately Packed on Ice: VOA - Begadspace Acceptable Y N,45,� ( j Yes ( )No USDA Re:,elated Soils �( Nay Samples in Holding Time (y}N NA Sample Disposal Rush: Field Filtered(if applicable): Residual Chlorine Present Y N NA I I Dispose as app:opriate( I Return I ]Same Day ( ]Next Day ( I Yes ( (No - CI StripN: I I Archive._ 1 (2 Day ( j 3 Day ( ]4 Day 115 Day Sample pd Acceptable Y N NA I I Hold: (Expedite Charges Apply) Analysis: pH Stripe: Sulfide Present Y N NA 'Matrix Codes(I isert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), .L " Lead Acetate Strips: Product(P),Soi/Solid(SL),Oil(01),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) LAB USE 7NLY: Comp/ Collected(or Res Il of ---) Lab Sample I / Comments i Composite End Customer Sampl:ID Matrix' Grab Composite Start) CI Ctns / L ly �G 7 r Date Time Date Time 7 \NN/'1/ )''*.N vN.)A.) Heil,. I 0• 4 5, ✓ Ci-t:4 c L t Customer Remar:s/Special Conditions/Possible Hazards: Type of Ice Used: Wet Blue Dry None SHORT HOLDS PRESEt.1T(<72 hours): Y (N N/A U b Sample Temperature Info: I Packing Material Us�. Lab Tracking N: 2 7 8 Temp Blank f;pcived: Y 6 6 7 5 Therm IDN:-1. .'t' (,:(_iT..NA Cooler 1 Temp Upon Receipt. Samples received via: Cooler 1 Therm Corr.Factor 'oC Radchem sample(s)screened(<500 cpm): Y N NA FEDEX UPS Client Courier Pa Courier Cooler 1 Corrected Temp:j ) i_{oC Relinquished by/ompany:(Signature) Date/Time: Received by/Company:(Signature) Date/Time: , MTJL LAB USE ONLY Comments: m Acctnum: linquished by/:ompany:(Signature) Date/Time: eceivedh mpany:(Signature) Date ime: — Trip Blank ,,/ ` f / Template: p Received. Y i N / NA N i �GC.� ..7(zL //00 (\.— ', i l 1L ( 1\ I L T. 1C Pielogin: HCL McOH TSP 'Other R inquished .ompany:(Signature) Datefhlime: Received by/Company:(Signature) ate me: PM: Non Conformance(s): Page:______ PB: YES / NO of: K & W Laboratories Tel: 704-888-1211 1121 Hwy 24/27 W Midland, NC 28107 Fax: 704-888-1511 Chain of Custody Record Client/Company: West Stanly WWTP Report To Remarks Address: 24939 Barbees Grove tgibbons(c�stanlycounty.gov Albemarle, NC 28001 Copy I o Ammonia I Is pH <2 ? Y / N Contact. Tommy Gibbons bin To Is Residual Chlorine ND? Y / N Cell. 910-585-8286 Phone 704-486-0285 Fax Po# c Matne Types DW.Dn V)nking Water W Type of Cent Waste Water GW-Ground Water n r P-Plastic Project Name WSWWTP a0i Other G-Glass a) 4� l-wO' t'e �s -J H Sampled By y y -co `o E E ` 0 oa E 24 Hour Composite Preservatives_ Analysis Requested u U u) co 2 -5 1 H Start End J DV: Int Elf WINa a) O Item Sample ID: up Grab cw E a 6, o zn o 0 to "' No. Doan Comp OT P G C Date Time Date Tm z z =0 Z 0 E- Z u_ Lab Log# Relinquished By �/ e: `` ,�C Tune cei e y �n 1 / Date 7� t imfe: �� 7�J I ��5 N rA�/V�1b /l Q Al j --ANT 1 Sample Temp 5c Relinquished By Date Time Received By r ( Date I ime On Ic Y N Wet Tests January 2021 April 2021 July 2021 October 2021 Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/21/21 Facility: WEST STANLY WWTP NPDES#: NC0043532 Pipe#: 002 County: STANLY Laboratory Performing Test: MERITECH LABS, INC. X Comments: tur of Operator in Responsible Charge X SY�gnature of La oratory Supervisor * PASSED: -1.79* Reduction * Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = 0.65E CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -1.79 # Young Produced 23 23 23 25 20 21 25 25 23 24 24 24 Mortality Avg.Reprod. 0.00 23.33 ` Adult (L)ive (D)ead L L L L L L L L L L L L Control Control 0.00 23.75 Effluent W: 4.6t Treatment 2 Treatment 2 TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 6.673* PASS FAIL # Young Produced 23 23 25 25 22 25 24 22 22 23 24 27 * control orgs X producing 3rd — —. Adult (L)ive (D)ead L L L L L L L L L L L L brood Check One 1st sample 1st sample 2nd sample Complete This For Either Test pH Teat Start Date: 01/13/21 Control 8.00 8.12 8.02 8.19 8.15 8.05 Collection (Start) Date Treatment 2 8.02 8.03 8.00 8.23 7.99 8.02 Sample 1: 01/11/21 Sample 2: 01/13/21 ample Type/Duration 2nd s s 1st P/F s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.2 hrs L A A r d r d r d - U M M t t t Sample 2 X 23.8 hrs T P p 1st sample, 1st sample 2nd sample D.O. Hardness(mg/1) 44 Control 8.2217.91 8.1418.13 8.05 7.94 Treatment 2 8.2917.99 8.0618.251 8.06 7.90 Spec. Cond. (}imhos) 154 270 281 Chlorine(mg/1) c0.1 c0.1 LC50/Acute Toxicity Test Sample temp. at receipt(°C) 1.3 0.9 (Mortality expressed as *, combining replicates) I • * % t % * % % % t t Concentration Completeease This t % t % * t % % % * Mortality Section Also start/end start/end LC50 = % Method of Determination Control 95* Confidence Limits Moving Average Probit * -- % Spearman Karber -- Other — High - Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs) : Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/14/21 Facility: WEST STANLY WWTp NPDES#: NC0043532 Pipe#: 002 County: STANLY Laboratory Pecformin T t: MERITECH LABS, INC. Comments: Signature o pera or in Responsible Charge X i4` Signature o Laboratory Supervisor * PASSED: -0.8111 Reduction * j Work Order: MAIL ORIGINAL TO: Div. of Environmental Q ter u litys Branch Qualty N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 North Carolina Ceriodaphnia Chronic Peas/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = -0.122 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Tabular t = 2.508 Reduction = -0.81 # Young Produced 24 21 11 21 25 21 21 18 24 25 18117 Mortality Avg.Reprod. • 0.00 20.50 Adult (L)ive (D)ead L L L L L L L L L L L L Control Control 0.00 20.67 Effluent W: 4.6$ Treatment 2 Treatment 2 ' TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 19.787% PASS FAIL # Young Produced 24 18 24 21 20 22 21 18 20 22 22 16 'a control orgs X producing 3rd Adult (L)ive (D)ead L L L L L L L L L L L L brood 91.7% Check One pH 1st sample 1st sample 2nd sample Complete This For Either Test Test Strt Date: Control 7 99 7.86I 7.90 7.92 7.79 7.86 Collection (Start)4Date21 Sle Treatment 2 7,93 7.92 7.87 8.04 7.98 7.85 Sample 1: 04/05/21 Sample 2: 04/07/21 Type/Duration 2nd S s Grab Co /t e t e t e mp. Duration D 1st P g a n a I SS r d r d a d Sample 1 X 24.0 hrs L A A tU M P D.O. t t 1st sample 1st sample 2nd sample Sample 2 X 23.9 hrs T P M Control 8,12 7.58 7.86 7.48 7.84 7.60 Hardness(mg/1) 44 Treatment 2 7.$9 7.65 7.80I7.64 7.80 7.52 Spec. Cond. (Nmhos) 151 416 453 Chlorine(mg/1) <0.1 <0.1 LC50/Acute Toxicity Test Sample temp, at receipt(*C) 0.8 1.3 (Mortality expnessed as 1., combining replicates) ( % 1 %I %I * t & 'a g 'a Concentration Note: Please It (I Complete This $ 'a t t $ 'a 'a Mortality Section Also $ start/end start/end LC50 = t Method of Determination 95% Confidence Limits Moving Average - Probit- I Control 'a -- t Spearman Barber - Other - I High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs) : I Copied from DW' form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) I Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/29/21 Facility: WEST STANLY WWTP NPDES#: NC0043532 Pipe#: 002 County: STANLY Laboratory P sfo 'rig Test: MERITECH LABS, INC. X Comments: gna re o perator in Responsible Charge X ,�;��( . Signature o#_ L ratory Supervisor * PASSED: -1.33$ Reduction * Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = -0.353 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Tabular t = 2.508 $ Reduction = -1.33 # Young Produced 27 23 25 23 22 27 24 26 29 26 24 25^ $ Mortality Avg.Reprod. 0.00 25.08 I Adult (L)ive (D)ead L L L L L L L L L L L L Control Control 0.00 25.42 Effluent $: 4.E$ Treatment 2 Treatment 2 TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV I 8.056$ PASS FAIL 1 # Young Prodvced 25 27 24 27 27 27 27 25 29 24 19 24 $ control orgs X producing 3rd - Adult (L)ive (�)ead L L L L L L L L L L L L brood Check One 100$ 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 07/21/21 Control 7.95 7.75 7.92 8.07 8.03 8.04 Collection (Start) Date STreatment 2 7.91 7.97 7.91 8.15 7.93 8.14 Sample 1: 07/19/21 Sample 2: 07/21/21 P Sample Type/Duration 2nd s e st s Grab Comp. Duration D 1st /F e t e S a n a n a n Sample 1 X 24.0 hrs L A A tr d r d d U M M t t Sample 2 X 24.0 hrs T P p 1st sample 1st sample 2nd sample D.O. Hardness(mg/1) 48 Control 18.13 7.38 8.10 7.70 7.93 7.52 Treatment 2 8.1..5 7.58 8.177.78 7.93 7.58 Spec. Cond.(pmhos) 145 466 405 Chlorine(mg/1) <0.1 <0.1 LC50/Acute Tox,.city Test Sample temp. at receipt(°C) 1.3 1.5 (Mortality exprssed as $, combining replicates) ( $ $ $, $ $ $ $ I I I Concentration Note: Please Complete This $ % $ I I I I $ % I Mortality Section Also start/end start/end LC50 = I Method of Determination 95$ Confidence Limits Moving Average Probit Control I -- % Spearman Karber = Other - High Conc. PH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs) : Copied from DWQ(form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/21/21 Facility: WEST STANLY WWTP NPDES#: NC0043532 Pipe#: 002 County: STANLY Laboratory Pe o ng Test: MERITECH LABS, INC. Comments: XCg- r� y���� atu perra�` for�i.u�Etessponsible Charge Signature of Laboratory Supervisor * PASSED: -0.69% Reduction * Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = -0.226 Tabular t = 2.508 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -0.69 % Mortality Avg.Reprod. # Young Produced 25 25 23 24 25 25124 24 25 22 22 24 0.00 24.00 Control Control Adult (L)ive (D)ead L L L L L L L L L L L L 0.00 24.17 Treatment 2 Treatment 2 Effluent %: 4.6% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 4.701% PASS FAIL # Young Produced 27 27 20 24 26 26 26 23 21 23 23 24 % control orgs X producing 3rd brood Check One Adult (L)ive (D)ead L L L L L L L L L L L L 100% 1st sample 1st sample 2nd sample Complete This For Either Test 1 pH Test Start Date: 10/13/21 Control 7.94 8.02 8.05 7.93 7.84 8.10 Collection (Start) Date Sample 1: 10/11/21 Sample 2: 10/13/21 Treatment 2 7.90 8.04 7.91 8.04 8.00 8.12 Sample Type/Duration 2nd lst P/F 1 s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 23.9 hrs L A A ✓ d r d r d U M M t t t Sample 2 X 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness(mg/l) 46 Control 7.20 7.00 7.81 7.10 8.03 6.80 Spec. Cond. (pmhos) 160 305 554 Treatment 2 7.55 7.05 7.88 7.29 7.87 6.83 Chlorine(mg/1) <0.1 <0.1 LC50/Acute Toxicity Test 'Sample temp. at receipt(°C) 1.2 1.5 (Mortality expressed as %, combining replicates) I Note: Please % % % % % % % % % % Concentration Complete This Section Also % % % % % % % % % % Mortality start/end start/end LC50 = % Method of Determination Control 95% Confidence Limits Moving Average Probit , % -- % Spearman Karber _ Other - High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs) : Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) Second Species Toxicity Test Scans April 20, 2022 May 26, 2022 June 24, 2022 July 18, 2022 . T PO Box 7565 '' Asheville,NC 28802 e Phone: (828)350-9364 Fax: (828)350-9368 )tnensm.rt a.aawe,..r Effluent Toxicity Report Form•Chronic Fathead Minnow Multi-Concentration Test Date: April 20,2022 Facility:K&W laboratories NPDES n:NC 0043532 Piped: 001 County: Stanly West Stanly WWTP Utwratxy Performing Test: Environmental Testing Solutions,Inc.,Certiflcat 9 037 comments Signatweof Operator in Responsible Charge e((ORC): - ORC Phone/E-mail: _'D4 4 DI -o prettier a: 16846 Srgnattreof laboratory Supervisor: ( Sample It 210405 25,220407.16,210409.14 eihrliThl to.ATForms.ATBC7p nctlenr.eo Test Organisms:Pimephales prome/as Or Mail Original to: North Carolina Division of water Resources supplier Water Silences Section/Aquatic Toxicology Branch f lnhouse Culture 1621 Mail Service Center from hatch: 04.04-22 1458 Raleigh,NC 27699-1621 End Minh: 04-05-22 0507 Test Start Date: I April 05,2022 1 Replicate number 1 2 3 4 Control Surviving number of larvae 10 10 10 10 survaal 1%l 100.0 Organisms anginal number of lame 10 10 10 10 Average of(mgl 0.870 Weight/original(mg/larvae) 0.861 0.785 0.911 0.923 Average wt/ 0.870 survwing Intel %Effluent Surviving number of larvae 10 10 10 10 I1.15%I original number of lame 10 10 10 10 Survival(%) 100.0 Weight/anginal(mg/lame) 0.913 0.928 0.866 0.853 Average wt Intel 0.890 %Effluent SurnMng number of lame 10 10 10 10 I--I Original number of lame 10 10 10 10 Survival I%l 100.0 Weight/original(nit/lame) 0.980 0.943 0.890 0.853 Average wt(mg) 0.917 %Effluent Surviving number of larvae 10 10 10 10 Ongmal number of larvae 10 10 10 10 Survival 1%1 100.0 Weighf/onenalOng/lame) 0.793 0.831 0.831 0.967 Average wt(mg) 0.856 %Effluent Surviving number of larvae 10 10 10 10 19.2%I Original number of larvae 10 10 10 10 Survival(%) 100.0 weghuonginallmg/larvael 0.831 0.828 0.881 0.884 Average art(mg) 0.856 %Effluent Surviving number of larvae 10 10 10 10 I I anginal number of lame 10 10 10 10 Survival(%) 100.0 weight/ongmal(nrg arvae) 0.972 0.978 0.893 0.957 Average wt Ong) 0.950 Water 2uality Data Day 0 oay l Day 2 Day 3 Day! Day 5 Day 6 Initial I Final Initial I Find Initial I Final Initial I Final Initial I Final Initial I Final Initial I Final meltrol PH(Su): 7.75 7.56 7.68 7.52 7.49 7.47 7.67 7.61 7.53 7.58 7.66 7.55 7.67 7.18 DO(rig/1.1: 7.7 7.8 7.7 7.7 7.9 7.3 7.9 7.3 7.7 6.8 7.9 7.9 7.8 6.2 Tenn/A.l: 24.7 24.8 24.8 24.7 24.7 24.6 24.8 24.7 24.9 24.8 24.8 24.7 24.8 24.9 legh Concentration on(501: 7.54 7.53 757 7.43 7.54 7.42 7.64 7.44 7.62 7.39 7.78 7.54 7.74 7.08 DO(mg/Il: &0 7.9 7.9 7.8 7.8 7.2 &0 7.1 7.7 6.8 7.8 7.7 82 6.2 Temp.('c): 24.8 24.7 25.0 24.5 24.9 24.6 24.9 24.6 25.1 24.9 24.9 24.8 25.0 24.7 Sample information Sample 1 Sample 2 sample 3 Control Analyses Survival Growth Co action start date: 04 03-22 04-05-22 04-07-22 Normal: Yes Yes Grab, . . "Pm.Va, Yes Yes Composite duration: 24-it 24-I, 24-I, NOEL: 18.4% 18.4% Alkagnity lmg/I CaCO,): 27 46 42 63.63.58 LOEC: .18.4% .18.4% Ha tltdss(met CaC0.): 57 55 45 90,86,86 OW: >3&4% >18.4% Conellt88tN(limbos/on): 352 362 263 295324 Method: Visual P.P. Dunnett's Total residual dilonrolmg/Il: <0.1.0 <0.10 <0.10 Salvia Temp.at Receipt('C): 0.9 1.1 1.7 survival Gowth %Effluent Critical Calculated CMical Calc fated 1.15% . 2.410 -0.536 2.3% . 1.410 -1.246 4.6% 2.410 0.389 9.2% . . 2.410 0.375 OverdllIAnalysis: 18.4% . 2.410 -2.144 Reult: PASS LOEC: >18.4% NOEC: 18.4% ChV: >18.4% DWR Rlport form AT-5 WATER SYSTEMS, INC. C(VAII0L-5) 311 Dooley Road Lexington,SC 29073 803-755-0090 fax 803-957-7390 SC Laboratory ID No.:32576 Water Systems, Inc. NC Lab Certificate No.:045 LABORATORY SERVICES Report Date: May 26,2022 WSI Project ID: KWWS Reported To: Ms.Wioleta Montgomery K&W LABORATORIES wioleta@kwlaboratories.com 1121 NC 24/27 W Midland, NC 28107 PROJECT DESCRIPTION: WEST STANLY WWTP NPDES#NC0043532 IWC: 6% Chronic Multi-Concentration Survival and Growth Test Test Species: Pimephales promelas (Fathead Minnow) NC Parameter Code: THP6C EPA Test Method: EPA-821-R-02-013,1000.0 WSI Lab Sample ID(s): 22051703 22051901 22052101 Collection Date(s): 05/16/22 05/18/22 05/20/22 Collection Time(s): 1005 1001 1000 Sample Location: WSWWTP EFF WSWWTP EFF WSWWTP EFF Test Start: 5/17/22 @ 1538 Test End: 5/24/22 @ 1350 TEST RESULTS: %Survival Effect at IWC of 6%: 1% NOEC: 24.0% %Growth Effect at IWC of 6%: 4% LOEC: >24.0% IC25: >24% ChV: >24.0% Pass/Fail: PASS Current Reference 5/10/22 @ 1445; IC25 0.76 g/L KCI Toxicant Test: Within Control Chart Limits(LCL:0.65g/L-UCL:0.80g/L) Reagent Grade KCI Lot#MID2060 Reporting: Please note Operator in Responsible Charge(ORC)must sign the attached AT Form and submit to: North Carolina Division of Water Resources Water Sciences Section/Aquatic Toxicology Branch 1621 Mail Service Center Raleigh, NC 27699-1621 Reported By: C elsi J.Lo rato hector WA TE NC. SCDHEC Laboratory ID No.32576 • NCDEQ Biological Laboratory Certificate No.045 Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date: 5/26/2022 Facility: WEST STANLY WWTP (via K&W tabs) NPDES# NC0043532 Pipe# 002 County: Stanly Laboratory: Water Systems,Inc. (Certificate No.045) Comments: X Signature of Operator in Responsible Charge ORC Phone/Email X Sign r of L y Su isor Water Sciences Section Div.of Water Resources,NC DENR MAIL ORIGINAL TO: 1621 Mail Service Center ATForms.ATB@ncdenr.gov Raleigh,NC 27699-1621 Test Initiation Date/Time 5/17/2022 / 1538 Avg Wt/Surv.Control 0.92 Test Organisms %Eff Repl. 1 2 3 4 Cultured In-House Control Surviving# 9 10 10 10 %Survival 97.5 X Outside Supplier Original# 10 10 10 10 Hatch Date: 5/15/2022 Wt/original(mg) 0.89 0.91 0.79 1.00 Avg Wt(mg) 0.90 Hatch Time: 1600-1700(EST) 1.5% Surviving# 10 9 9 10 %Survival 95.0 Original# 10 10 10 10 Wt/original(mg) 0.86 0.85 0.75 0.74 Avg Wt(mg) 0.80 ( 3.0% Surviving# 10 9 9 10 %Survival 95.0 Original# 10 10 10 10 Wt/original(mg) 0.95 0.82 0.71 0.81 Avg Wt(mg) 0.82 6.0% Surviving# 10 10 9 9 %Survival 95.0 Original# 10 10 10 10 Wt/original(mg) 0.92 0.85 0.85 0.94 Avg Wt(mg) 0.89 12.0% Surviving# 10 10 9 10 %Survival 97.5 Original# 10 10 10 10 Wt/original(mg) 0.89 0.91 0.8 0.95 Avg Wt(mg) 0.89 24.0% Surviving# 10 10 10 10 %Survival 100 Original# 10 10 10 10 Wt/original(mg) 0.74 0.83 1.03 1.08 Avg Wt(mg) 0.92 Water Quality Data Day Control 0 1 2 3 4 5 6 pH(SU)Init/Fin 7.74 / 7.88 8.05 / 7.84 8.07 / 7.70 7.93 / 7.74 7.85 / 7.84 8.01 / 7.92 7.99 / 7.86 DO(mg/L)Init/Fin 7.3 / 7.0 7.3 / 7.0 7.8 / 7.8 6.9 / 8.0 7.8 / 7.3 7.9 / 7.2 7.1 / 7.8 Temp©!nit/Fin 26.0 / 24.9 26.0 / 25.1 26.0 / 24.4 25.6 / 24.9 25.3 / 25.4 25.8 / 25.3 26.0 / 24.6 High Concentration 0 1 2 3 4 5 6 pH(SU)Init/Fin 7.84 / 7.87 7.89 / 7.69 7.72 / 7.65 7.91 / 7.77 7.87 / 7.67 7.78 / 7.85 7.96 / 7.69 DO(mg/L)!nit/Fin 7.4 / 6.9 7.3 / 7.0 7.8 / 6.6 7.9 / 7.3 8.0 / 7.2 8.1 / 7.2 7.6 / 7.6 Temp©!nit/Fin 25.9 / 24.8 25.9 / 25.0 25.9 / 24.8 25.6 / 24.6 25.4 / 25.1 25.4 / 25.2 25.1 / 24.3 Sample 1 2 3 Survival Growth Overall Result Collection Start Date 05/15/22 05/17/22 05/19/22 Normal No Yes ChV >24% Grab - - - Horn.Var. Yes Yes Composite(Duration) 24 HR 24 HR 24 HR NOEC 24.0% 24.0% X PASS Hardness(mg/L) 59 58 62 LOEC >24.0% >24.0% FAIL Alkalinity(mg/L) 32 38 38 ChV >24.0% >24.0% Conductivity(µmhos/cm) 425 425 458 Method Steel's Dunnett's Chlorine(mg/L) <0.05 0.26 <0.05 Temp.at Receipt IT( 0.9 0.7 0.4 Stats Survival Growth Conc. Critical Calculated Critical Calculated Dilution H2O 1.5% 10 16 3.206 1.468 Hardness mg/L 3.0% g/ 85 10 16 3.206 1.106 Alkalinity(mg/L) 57 6.0% 10 16 3.206 0.113 Conductivity(µmhos/cm) 301 12.0% 10 18 3.206 0.162 24.0% 10 20 3.206 -0.332 DWR Form AT-5 revised 9/2014 / Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date:6/24/2022 Facility:West Stanly NPDES#NCOO 43532 Pipe#:002 County: Stanly Laboratory Meritych,Inc. �` (Lab#NCO27) Comments' In Signat a of.Opera r in Rep nsible Charge/Email Address/Phone Number Lt. Signature of Laboratory Supervisor .I:UI.ORIGINA1.TO: Water Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 hail Service Center Raleigh,N.C.27699-1621 Test Initiation Date/Time 6/14/2022 5:00 PM Avg Wt/Surv.Control 0.544 Test Organisms %Eff. Repl. 1 2 3 4 [ Cultured In-Hour Control Surviving# 10 10 10 10 %Survival 100.0 I_ Outside Supplies Original# 10 10 10 10 WI/original(mg) 0.503 0.539 0.564 0.568 Avg Wt(mg) 0.544 Hatch Date: 6/13/22 1.5 Surviving# 10 9 9 9 %Survival 92.5 Hatch Time: 4:00-5:00 pn Original# 10 10 10 10 WVoriginal(mg) 0.654 0.558 0.571 0.518 Avg Wt(mg) 0.575 3 I Surviving# 9 10 10 10 %Survival 97.5 Original# 10 10 10 10 Wt/original(mg) 0.494 0.499 0.548 0.552 Avg Wt(mg) 0 523 6 Surviving# 10 9 10 10 %Survival 97.5 Original# 10 10 10 10 ' Wt/original(mg) 0.524 0.538 0.520 0.700 Avg Wt(mg)I 0.571 I 12 Surviving# 10 10 10 10 %Survival 100.0 Original# 10 10 10 10 Wt/original(mg) 0.554 0.589 0.611 0.676 Avg Wt(mg) 0.608 I 24 I Surviving# 10 10 9 10 %Survival 97.5 Original# 10 10 10 10 Wt/original(mg) 0.510 0.527 0.599 0.546 Avg Wt(mg) 0.546 Water Quality Data Day Control 0 1 2 3 4 5 8 pH(SU)Init/Fin 7.71 I 7.38 7.78 I 7.62 7.17 I 7.53 7.95 / 7.79 7,87 / 7.85 7.92 / 7.71 7.85 / 7.31 DO(mg/L) Init/Fin 7.73 / 7.30 7.77 / 6.99 7.69 / 6.81 7 70 / 7 54 7.75 / 8.04 8.22 / 7.16 7.82 / 6.42 Temp(C)'nit/Fin 24.3 I 24.4 24.5 / 24.4 24.4 / 24.6 25.5 I 24.1 24.4 i 24.1 24.2 / 24.5 24.6 / 24.1 High Concentration o 1 2 3 4 5 6 pH(SU)Ind/Fin 7.20 17.41 7.42 / 7.50 7.31 / 7.48 7.37 17.70 7.68 r 7.64 7.66 / 7.60 7.72 / 7.40 DO(mg/L) InIt/Fin 7.65 17.05 7 80 / 7.06 7.68 / 7.12 7.64 / 7.55 7.67 / 7.96 8.04 17.40 7.88 / 6.95 Temp(C)Ina/Fin 24.5 / 24.0 24.0 / 24.6 24.1 1 24.2 24.9 124.2 25.0 / 24.4 25.0 / 24.3 25.2 124.0 Sample 1 2 3 Survival Growth Overall Result Collection Start Date 6/13/2022 6/15/2022 6/16/2022 Normal I-I ri ChV L >24 Grab Horn.Var. (') Fl Composite(Duration) 24.0 24.0 24.0 NOEC 24 24 Hardness(mg/L) 72 70 62 LOEC >24 >24 Alkalinity(mg/L) 21 32 29 ChV >24 >24 Conductivity(umhos/cm) 525 530 520 Method Steel's Dunnett's Chlorine(mg/L) <0.1 <0.1 <0.1 Temp.at Receipt(°C) 1.1 1.7 1.3 Stats Survival Growth Conc. critical Calculated Critical Calculated Dilution H2O Batch# 42 43 44 1.5 10 12 2.41 -0.8496 Hardness(mg/L) 44 44 44 3 10 16 2.41 0.5419 Alkalinity(mg/L) 31 30 30 6 10 16 2.41 -0.7225 Conductivity(umhos/cm) 159 153 169 12 10 18 2.41 -1.7127 24 10 16 2.41 -0.0535 DWQ Form AT-5(1/04) 1 Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date 7/28/2022 Facility- West Stanly NPDES#NCCO 43532 Pipe# 002 County Stanly Laboratory Mentech 129. Lab#NCO271 Comments' x ----ice,. - .,� /, . •-- ‘nature of Operatorr in sponsibte tiarge/Email Address/Phone Number x �� L -C F' Signature of Laboratory Supervisor MAIL ORIGINAL TO: V,ater Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center Raleigh,N.C.27699-1621 Test Initiation Date/Time 7/19/2022 3.58 PM Avg Wt/Surv.Control 0 662 Test Organisms Eff. Repl. 1 2 3 4 r Cultured In-House Control Surviving# 10 10 10 10 %Survival 100 0 7 Outside Supplier Original# 10 10 10 10 Wtlonginal(mg) 0 575 0.664 0 571 0 839 Avg Wt(mg) 0 662 Hatch Date 7/18/22 1 5 _ Surviving# 9 10 10 10 %Survival 97.5 Hatch Time: 4 00-5 00 pm I Original# 10 10 10 10 Wt/onginal(mg) 0 581 0 753 0 668 0 595 Avg Wt(mg) 0 649 i 3 Surviving# 10 10 10 10 %Survival 100 0 Original# 10 10 10 10 Wt/original(mg) 0 723 0 687 0 606 0.627 Avg Wt(mg) 0 661 _ 6 Surviving# 10 10 10 10 %Survival 100 0 Original# 10 10 10 10 Wt/onginal(mg) 0 804 0 764 0 773 0 693 Avg Wt(mg) 0.759 12 Surviving# 10 10 10 10 %Survival 100 0 Original# 10 10 10 10 Wtioriginal(mg) 0 795 0810 0.735 0.804 Avg Wt(mg) 0 786 24 Surviving# 10 10 10 10 %Survival 100.0 Original# 10 10 10 10 Wt/onginal(mg) 0 698 0 724 0 706 0.740 Avg Wt(mg) 0 717 Water Qual ity ty Data Day Control 0 0 1 2 3 4 5 6 pH(SU)Init'Fin 7 88 r 7 76 7.94 ; 7.87 7.92 / 7.76 7 88 r 7.78 7 82 / 7 78 8.00 r 7.83 8.05 / 7.72 DO(mg/L) Init.'Fin 7 96 r 7 66 7.61 r 8 08 7 97 r 7 70 7 78 ; 7 69 7 83 i 7.93 8.25 r 7 64 7 89 r 6.86 Temp(C)Init/Fin 24.8 r 25.0 24.2 / 25 7 24.7 ! 24 6 24 5 24 4 24.3 , 24 1 24 4 r 24.6 24 3 / 25 1 High Concentration 0 1 2 3 4 5 6 pH(SU)Init/Fin 7 84 r 7.86 7 81 / 7.75 7 82 r 7 76 7.82 , 7 84 7.97 , 7 93 8.00 r 7 83 7 88 / 7.50 DO(mg/L) Init/Fin 7.61 r 7 71 7 75 / 7.95 8 10 r 7.62 7 92 / 7.60 7.80 r 8 05 8 21 r 7 60 7 89 r 6.29 Temp(C)Init/Fin 24.9 r 24 7 24.2 r 24 1 24.2 / 24 4 24.2 / 24 2 24 4 ' 24 6 24 8 r 24 0 24 9 / 25 7 Sample 1 2 3 Survival Growth Overall Result Collection Start Date 7/18/2022 7/20/2022 7/21/2022 Normal Fl Fl ChV >24 Grab Horn.Var rl Fl Composite(Duration) 24 0 24 0 24 0 NOEC 24 24 Hardness(mg/L) 60 56 56 LOEC >24 >24 Alkalinity(mg/L) 94 75 71 ChV >24 >24 Conductivity(umhos/cm) 364 372 337 Method Steel's Dunnett's Chlonne(mg/L) <0 1 <0 1 <0 1 Temp at Receipt(CC) 1 7 1 6 1 5 Stats Survival Growth Conc. Critical Calculated Critical Calculated Dilution H2O Batch# 48 49 50 1 5 10 16 2 41 0 2662 Hardness(mg/L) 42 48 44 3 10 18 2 41 0 0307 Alkalinity(mg/L) 30 32 30 6 10 18 2 41 -1 9711 Conductivity(umhos/cm) 169 179 157 12 10 18 2 41 -2.5342 24 10 18 241 -1 1212 DWQ Form AT-5(1/04) Chemical Addendum EPA Identification Number NPDES Number Facility Name Outfall Number West Stank/Wastewater Treatment NC0043532 Plant 2 Method Number Estimated Concentration (If Pollutant(Required) CAS number (if Applicable) Reason Pollutant Believed Present in Discharge Known) No additional samples have been taken • Upstream Hardness Data Total Hardness Sample Date mg/L 2/12/2019 71 4/3/2019 55 7/16/2019 62.5 10/16/2019 73.6 1/8/2020 39.3 4/7/2020 40 7/8/2020 61 10/14/2020 38.5 1/13/2021 37.1 4/7/2021 38.2 7/21/2021 51.5 10/13/2021 48.2 1/12/2022 43.3 4/13/2022 36.7. Average 49.7 Max 73.6i