NC0024228_Application_20131024

PUBLIC SERVICES DEPARTMENT
Terry Houk
ASSISTANT DIRECTOR
October 24, 2013
Charles H. Weaver
NC DENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: City of High Point Westside WWTP
Permit Renewal Application
NPDES #NC0024228, Davidson County
Dear Mr. Weaver,
re W10,00,
4.9 l ItNKIIII\>'+ h 1164 i 110CAl CI I,
NOV — 4 2013
The NPDES permit for the City of High Point Westside WWTP expires on April 30, 2013. In accordance
with State and Federal regulations, the City is requesting NPDES renewal for the subject facility. This
permit renewal application includes: Form 2A, Application Overview; Part B, Additional Application
Information; Part C, Certification; Part D, Expanded Effluent Testing Data; Part E, Toxicity Testing Data;
Part F, Industrial User Discharges and RCLA/CERCLA Wastes; and other supplemental information as
required and/or needed.
The Westside WWTP has a single permitted discharge; Outfall 001, Rich Fork Creek. Rich Fork Creek has
always been the receiving stream for the Westside discharge.
We look forward to working with you on the renewal of Westside's NPDES permit. Please contact me at
336-883-3166 or John Hodges, Wastewater Plants Manager, at 336-822-4730 if you need any additional
information.
Sincerely,
Terry L.
Assistant Director of Public Services
CC: John Hodges, Wastewater Plants Manager
Tim Fitzgerald, Wastewater Plant Superintendent
Mike Swan, Westside WWTP Chief Operator
File
City of High Point, P.O.230, 211 South Hamilton Street, High Point, NC 27261 USA
Phone 336.883,3215 Fax [phone] TDD 336.883.8517

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside WWTP NCO024228 Renewal Yadkin
FORM
2A NPDES FORM 2A APPLICATION OVERVIEW
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12,
B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions BA through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
Has a design flow rate greater than or equal to 1mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCtA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Farm 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP, NCO024228
Renewal
Yadkin
BASIC AIPPLICATION INFQRMATION )
.s .
PART A. BASIC APPLICATION, 'INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.I. Facility Information.
Facility Name Westside Wastewater Treatment Plant
Mailing Address PO Box 230 High Point NC 27261
Contact Person Michael Swan
Title Chief Operator
Telephone Number [phone]
Facility Address 1044 W. Burton Rd
(not P.O. Box) Thomasville NC 27360
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name City of High Point
Mailing Address PO Box 230
Hiah Point NC 27261
Contact Person Terry Houk
We Assistant Director of Public Services
Telephone Number [phone]
Is the applicant the owner or operator (or both) of the treatment works?
X owner ❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
X facility ❑ applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been Issued to the treatment works
(include state -issued permits).
NPDES NCO024228 PSD
UIC Other Stormwater NCG710000
RCRA Other
A.4. Collection System Information. Provide Information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide Information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
City of High Point 29000 separate Municipal
Total population served
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7650-6 & 7550-22. Page 2 of 22

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FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside, NCO024228 I Renewal I Yadkin
A.S. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes X No
b. Does the treatment works discharge to a receiving water that Is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes X No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12t' month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 6.2 mgd
Two Years Ano Last Year This Year
b. Annual average daily flow rate 4.10 2.78 2.82
C. Maximum daily flow rate 8.05 6.76 9.59
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
X Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer na %
A.B. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? X Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent 1
ii. Discharges of untreated or partially treated effluent 0
Ill. Combined sewer overflow points 0
iv. Constructed emergency overflows (prior to the headworks) 0
V. Other 0
b. Does the treatment works discharge effluent to basins, ponds, or other surface Impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes X No
If yes, provide the following for each surface Impoundment:
Location: na
Annual average daily volume discharge to surface impoundment(s) na mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? ❑ Yes X No
If yes, provide the following for each land application site:
Location: na
Number of acres: na
Annual average daily volume applied to site: na mgd
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? X Yes ❑ No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside, NCO024228 Renewal Yadkin
If yes, describe the mean(s) by which the wastewater from the treatment works Is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
Tank Truck
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number ( )
For each treatment works that receives this discharge, provide the following:
Name City of High Point Eastside WWiP
Mailing Address PO Box 230
High Point NC 27261
Contact Person Randy Smith
Title Chief Operator
Telephone Number [phone]
If known, provide the NPDES permit number of the treatment works that receives this discharge NCO024210
Provide the average daily flow rate from the treatment works into the receiving facility. 500,000 apy mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
In A.8. through A.8.d above (e.g., underground percolation, well injection): Yes No
If yes, provide the following for each disposal method:
Description of method (including location and size of sites) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous
or intermittent?
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: I PERMIT ACTION REQUESTED: I RIVER BASIN:
High Point Westside, NCO024228 I Renewal I Yadkin
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.acomplete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent Is discharged. Do not Include Information on combined sewer overflows in this section. If you answered "No" to question
A.8.a. go to Part B. "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22

A.9. Description of Outfall.
a. Outfall number 001
b. Location
(City or town, if applicable)
(Zip Code)
Davidson
NC
(County)
(State)
35°56'42"
8006'6"
(Latitude)
(Longitude)
C. Distance from shore (if applicable)
160
d. Depth below surface (if applicable)
NA
ft.
e. Average daily flow rate
2.82
mgd
f. Does this outfall have either an intermittent or a periodic discharge?
❑ Yes
X No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
na
Average duration of each discharge:
na
Average flow per discharge:
na
mgd
Months In which discharge occurs:
na
g. Is outfall equipped with a diffuser?
❑ Yes
X No
A.10. Description of Receiving Waters.
a. Name of receiving water Rich Fork Creek
b. Name of watershed (if known) Yadkin River Basin
United States Soil Conservation Service 14-digit watershed code (if known): 030401030204
C. Name of State Management/River Basin (if known): Yadkin River Basin
United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03040103
d. Critical low flow of receiving stream (if applicable)
acute unknown cis chronic unknown cis
e. Total hardness of receiving stream at critical low flow (if applicable): unknown mg/l of CBC03
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
X Primary X Secondary
X Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 96 °%
Design SS removal 86 °%
Design P removal 99 °%
Design N removal 64 (NH3-N only) °%
Other °%
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Ultraviolet
If disinfection Is by chlorination is dechlorination used for this outfall? ❑ Yes X No
Does the treatment plant have post aeration? ❑ Yes X No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the Indicated effluent testing required by the permitting authority for each outfall through which effluent Is
discharged. Do not Include Information on combined sewer overflows in this section. All Information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number. 001
MAXIMUM DAILY VALUE
" AVERAGE DAILY VALUE
PARAMETER
Value
Unks
Value
Units
Number of Samples `-
pH (Minimum)
6.73
S.U.
pH (Ma)imum)
7.04
s.u.
Flow Rate
3.41
mgd
2.76
m d
71037
Temperature (Winter)
18.8
C
15.6
C
Temperature (Summer)
26.9
C
22.5
C
149
* For pH please report a minimum
and a maximum daily value
MAXIMUM. DAILY
AVERAGE DAILY DISCHARGE''
POLLUTANT
DISCHARGE
ANALYTICAL
MUMOL
Number of
METH
:Cons.OD
Units
Conc.: �,
Units
Sean � as.
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
17
M /I
3
M /I
251
SM 5210B
2.0
CBODS
DEMAND (Report one)
FECAL COI_IFORM
2420
Ct/m1
3
Ct/ml
251
1 Colilert 118
1.0
TOTAL SUSPENDED SOLIDS (TSS)
25.5
M /I
3.3
M /I
261
SM 2540D
2.5
!
i t ES#tiFF i i t . 3' ;
3 i,.,:,:..,t .,oi �. F { ,Si., .' l ..$d R ,4i� t :.. S t.,.,.,.,.,., ,.,I.fi :. ,$ 1 i,.., ,, . D,OF[{ }All l�T,�.
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SS.,,.;I.. ., tf �: £E ,.....,.. ,- ., s s.. ..,.�Ef ��ff:�tS}{
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-RE ER Tt� THE APLICATION'�VEVIEW' PAGF ,
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.�3 { r3 �-.,.. •.. (EE:( ..r,. .... .. ,: , .,[[, }.,. �. sf i .:: .., t ,it , iS $FEt # .,{>; .. .fv ,t {.;.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7650-6 & 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Westside WWTP, NCO024228
Renewal
Yadkin
,... �
t
B,,SIC APPLICATQIV' INP�ORMATION E , u #
ADDITIONAL. APPLI�AT ON tlli
NFRIATtQN FOR AI�PLtC,ANT°11YLA dEStGN PLOW GREATER YHAN `a
-,=1� '
_ :%' .=f i Si _ ,
EQUAL�TOO'CSlIt3GD1OOOgai�ons
ice► _... _ ._...... Y�
All applicants with a design flow rate 2 0.1 mgd must answer questions BA through B.S. All others go to Part C (Certification).
B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
unknown gpd
Briefly explain any steps underway or planned to minimize inflow and Infiltration.
Ensley creek outfall upgrade is in the planning stages.
W/S Mains department regularly examines the outfalls for potential problems.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following Information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant Is Injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within % mile of the property boundaries of the treatment
works, and 2) listed In public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works Is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, Including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, Including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Opomtlon/Malntenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes X No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number. ( )
Responsibilities of Contractor.
B.S. Scheduled Improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for Improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several ditrent Implementation schedules or is planning several Improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned In question A.9) for each outfall that is covered by this Implementation schedule.
001
b. Indicate whether the planned Improvements or implementation schedule are required by local, State, or Federal agendas.
X Yes ❑ No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7650-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside, NCO024228 Renewal Yadkin
C. If the answer to B.5.b Is "Yes," briefly describe, Including new maximum daily Inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the Implementation steps listed below, as
applicable. For Improvements planned Independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
- Begin Construction 03/01/2014
- End Construction 9/1/2016
- Begin Discharge 1 1 1 1
- Attain Operational Level I I 1 1
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? X Yes ❑ No
Describe briefly: NC DWR has Issued an authorization to contruct.
B.S. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the Indicated
effluent testing required by the permitting authority for each outfall through which effluent Is discharged. Do not include information
on combine sewer overflows In this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QNQC requirements of 40 CFR Part 136 and other appropriate
QA1QC requirements for standard methods for anatytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number. 001
MAXIMUM. DAILY ;
AVE
DISC_ HARGE
POLLUTANT
�: �.....�
CONVENTIONAL AND NON CONVENTIONAL
COMPOUNDS
AMMONIA (as N)
13.36
mg/L
1.040
CHLORINE (TOTAL
RESIDUAL, TRC)
na
DISSOLVED OXYGEN
9.32
mg/L
7.28
TOTAL KJELDAHL
14.759
mg/L
1.692
NITROGEN (TKN)
NITRATE PLUS NITRITE
37.31
mg/L
16.96
NITROGEN
OIL and GREASE
<5
mg/L
<5
PHOSPHORUS (Total)
1.88
mg/L
0.61
TOTAL DISSOLVED SOLIDS
388
mg/L
324
(TDS)
OTHER
o.
,,.
REFER THE APPLICATION OVE.RViEVV `(P
,
3E DAILY DISCHARGE
;ANALYTICAL
Number of
METHOD ML/MDL
Units �$amples
mg/L 1 263 1 SM 4500NH3G 1 0.01
na
mgiL 261 SM 4600-0 G 0.01
mg/L 52 SM 4500NorgC 0.096
mg/L
52
SM 450ONO3F
0.01
mg/L
3
SM 5520B
5.0
mg/L
52
SM 450OPF
0.01
mg/L
3
SM 2540C
10.0
Fi. .
1 TO DETER11'11" 1411CH OTHER PARTS
a►T COMP�.ETE �,t .:.f.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-8 & 7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
APPLIC SAW; ATION INFORMATION
............
j.CERT IF CATION
All applicants must complete the Certification Section. Refer to Instructions to determine who Is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained In the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application Is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
X Basic Application Information packet Supplemental Application Information packet:
X Part D (Expanded Effluent Testing Data)
X Part E (Toxicity Testing: Blomonftodng Data)
X Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
[I Part G (Combined Sewer Systems)
ALL APPLICANTS MUSTCOMPLETETHES FRL NG CERTIFICATION.-,��
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision In accordance with a system
designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the Information, the information Is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title Terry L. Houk
Signature
Telephone number (336) 883-31�
Date signed — 10 /ve Ago 1.3
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or !den* appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENRI DWR
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaoes EPA forms 7550-6 & 7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
High Point Westside WWTP, NCO024228 Renewal Yadkin
SUPPLEMENTAL, LI�ATtON.INFORMA'C�ON ' F
/�
PART
�, EXPANDED Et: aL E T T
TIN+ DATA' N° M
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or Is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the Indicated effluent testing Information and any other Information required by the permitting authority for each outfall through which
effluent is discharoed. Do not Include Information on combined sewer overflows In this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analyses not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically fisted In this form. At a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE....:': RAGE DAILY DISCHARGE .
Number : ANMETHOD
L,�YTfo AL
POLLUTANT: _. MLIMDL
Conc. Units Mass Units, Conc.. nits Mass Units of M D
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY <0.025 mg/L 0.0125 mg/L 3 EPA 200.7 0.025
ARSENIC <10.0 mg/L 0.006 mg/L 3 SM 3113 B 0.010
BERYLLIUM 40.010 mg/L 0.003 mg/L 3 EPA 200.7 0.010
CADMIUM <0.001 mg/L 0.0005 mg/L 47 SM 3113 B 0.001
CHROMIUM 0.015 mg/L 0.0035 mg/L 47 SM 3113 B 0.005
COPPER 0.040 mg/L 0.0071 mg/L 50 SM 3113 B 0.005
LEAD 0.0125 mg/L 0.0014 mg/L 51 SM 3113 B 0.005
MERCURY 0.007 pg/L 0.003 pg/L 24 EPA 1631 0.002
NICKEL <0.010 mg/L 0.0048 mg/L 48 SM 3113 B 0.010
SELENIUM <10.0 mg/L 0.005 mg/L 3 SM 3113 B 0.010
SILVER <0.005 mg/L 0.0023 mg/L 49 SM 3113 B 0.005
THALLIUM <0.020 mg/L 0.010 mg/L 3 EPA 200.7 0.020
ZINC 0.110 mg/L 0.045 mg/L 52 SM 3113 B 0.025
CYANIDE <0.01 mg/L 0.005 mg/L 24 ach t 0-20014�- 0.01
TOTAL PHENOLIC 30 0 Ng/L 8.51 pg/L 3 EPA 420.1 & 25.0
COMPOUNDS EPA 604
HARDNESS (as CaCO3) 90.0 mg/L 80.7 mg/L 3 SM 2340 C 2.0
Use this space (or a separate sheet) to provide Information on other metals requested by the permit writer
BDL assigned % detection limit to datermtne averages. Date used- 2012 DMRS, 2010, 2011, 2013 PaA
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-8 & 7550-22. Page 12 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP, NCO024228
Renewal
Yadkin
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM
.DAILY DISCHARGE :
AVERAGE DAILY DISCHARGE
POLLUTANT
A NALYTICAL
MLiMD L:
..
"
Number °
Conc.
Units.
Mass
Units
Conc..
Units_ 'Mass-
Units
of:: _
METHOD
Samples .
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
<500
pg/L
250
pg/L
3
EPA 624
500
ACRYLONITRILE
<100
pg/L
50
pg/L
3
EPA 624
100
BENZENE
<10
pg/L
5
pglL
3
EPA 624
10
BROMOFORM
<10
pg/L
5
pg/L
3
EPA 624
10
CARBON
TETRACHLORIDE
<10
pg/L
5
pg/L
3
EPA 624
10
CHLOROBENZENE
<10
pg/L
5
pg/L
3
EPA 624
10
CHLORODIBROMO-
<10
pg/L
5
pg/L
3
EPA 624
10
METHANE
CHLOROETHANE
<50
pg1L
25
pg/L
3
EPA 624
50
2-CHLOROETHYLVINYL
<50
pg/L
25
pg/L
3
EPA 624
50
ETHER
CHLOROFORM
<10
pg/L
5
pg/L
3
EPA 624
10
DICHLOROBROMO-
<10
pg/L
5
pg/L
3
EPA 624
10
METHANE
1,1-DICHLOROETHANE
<10
pg/L
5
pg/L
3
EPA 624
10
1,2-DICHLOROETHANE
<10
pg/L
5
pg/L
3
EPA 624
10
TRANS-I,2-DICHLORO-
<10
pg/L
5
pg/L
3
EPA 624
10
ETHYLENE
1,1-DICHLORO-
<10
pg1L
5
pglL
3
EPA 624
10
ETHYLENE
1,2-DICHLOROPROPANE
<10
pg/L
5
pg/L
3
EPA 624
10
1,3-DICHLORO-
<10
pg/L
5
pg/L
3
EPA 624
10
PROPYLENE
ETHYLBENZENE
<10
pg/L
5
pg/L
3
EPA 624
10
METHYL BROMIDE
<50
pg/L
25
pg/L
3
EPA 624
50
METHYL CHLORIDE
<50
pg/L
25
pg/L
3
EPA 624
50
METHYLENE CHLORIDE
<10
pg/L
5
pg/L
3
EPA 624
10
1,1,2,2-TETRA-
<10
pg/L
5
pg/L
3
EPA 624
10
CHLOROETHANE
TETRACHLORO-
<10
pg/L
5
pg/L
3
EPA 624
10
ETHYLENE
TOLUENE
0
2
pg/L
5
pg/L
3
EPA 624
10
OWL Usstgnea )% aetemon uma gss. caste used: Z072 LIMP
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER:
High Point Westside WWTP, NCO024228
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
:MAXIMUM
DAILY DISCHARGE
;
; _ AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD;
MLlM ©L
Conc.
Units:
Mass
Units=
Cond.Units
-777=1POLLUTANT ".
;..
_
Mass
Units .
NuMb
ber
of
;Samples
TRICHLOROETHANE
<10
pg/L
5
pg/L
3
EPA 624
10
1,1,2
TRICHLOROETHANE
<10
pg/L
5
pg/L
3
EPA 624
10
TRICHLOROETHYLENE
<10
pg/L
5
pg/L
3
EPA 624
10
VINYL CHLORIDE
<10
pg/L
5
pg/L
3
EPA 624
50
Use this space (or a separate sheet) to provide information on other volatile organic compounds
requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
<10
pg/L
5
pg/L
3
EPA 625
10
2-CHLOROPHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
2,4-DICHLOROPHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
2,4-DIMETHYLPHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
4,6-DINITRO-0-CRESOL
<50
pg/L
25
pg/L
3
EPA 625
50
2,4-DINITROPHENOL
<50
pg/L
25
pg/L
3
EPA 625
50
2-NITROPHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
4-NITROPHENOL
<50
pg/L
25
pg/L
3
EPA 625
50
PENTACHLOROPHENOL
<50
pg/L
25
pg/L
3
EPA 625
50
PHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
2,4,6-
TRICHLOROPHENOL
<10
pg/L
5
pg/L
3
EPA 625
10
Use this space (or a separate sheet) to provide information on other acid -extractable
compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<10
pg/L
5
pg/L
3
EPA 625
10
ACENAPHTHYLENE
<10
pg/L
5
pg/L
3
EPA 625
10
ANTHRACENE
<10
pg/L
5
pg/L
3
EPA 625
10
BENZIDINE
<50
pg/L
25
pg/L
3
EPA 625
50
BENZO(A)ANTHRACENE
<10
pg/L
5
pg/L
3
EPA 625
10
BENZO(A)PYRENE
<10
pg/L
5
pg/L
3
EPA 625
10
ttuL assIgnea )i aem=n umn w aetermure averages. care uses: zoiz LTMP
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 14 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP, NCO024228
Renewal
Yadkin
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM °DAILY. DISCHARGE..
.AVERAGE►AILY,©;SCHARGE
POLLUTANT
ANALYTICAL,;,:
M
Number
Conc.
U�Its
Mass
Units
Conc
Units
:Mass'
Units.
of
M ETHOD;
Samples
3,4 BENZO-
FLUORANTHENE
<10
pg/L
5
pg/L
3
EPA 625
10
BENZO(GHI)PERYLENE
<10
pg/L
5
pg/L
3
EPA 625
10
BENZO(I)
FLUORANTHENE
<10
pg/L
5
pg/L
3
EPA 625
10
BIS (2-CHLOROETHOXY)
METHANE
<10
pg/L
5
pg/L
3
EPA 625
10
BIS (2-CHLOROETHYL)-
ETHER
<10
pg/L
5
pg/L
3
EPA 625
10
BIS (2-CHLOROISO-
PROPYL) ETHER
<10
pg/L
5
pg/L
3
EPA 625
10
BIS (2-ETHYLHEXYL)
PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
4-BROMOPHENYL
PHENYL ETHER
<10
pg/L
5
pg/L
3
EPA 625
10
BUTYL BENZYL
PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
2-CHLORO-
NAPHTHALENE
<10
pg/L
5
pg/L
3
EPA 625
10
4-CHLORPHENYL
<10
pg/L
5
pg/L
3
EPA 625
10
PHENYL ETHER
CHRYSENE
<10
pg/L
5
pg/L
3
EPA 625
10
DI-N-BUTYL PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
DI-N-OCTYL PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
DIBENZO(A,H)
<10
pg/L
5
pg/L
3
EPA 625
10
ANTHRACENE
1,2-DICHLOROBENZENE
<10
pg/L
5
pg/L
3
EPA 625
10
1,3-DICHLOROBENZENE
<10
pg/L
5
pg/L
3
EPA 625
10
1,4-DICHLOROBENZENE
<10
pg/L
5
pg/L
3
EPA 625
10
3,3-DICHLORO-
<50
pg/L
25
pg/L
3
EPA 625
50
BENZIDINE
DIETHYL PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
DIMETHYL PHTHALATE
<10
pg/L
5
pg/L
3
EPA 625
10
2,4-DINITROTOLUENE
<10
pg/L
5
pg/L
3
EPA 625
10
2,6-DINITROTOLUENE
<10
pg/L
5
pg/L
3
EPA 625
10
1,2-DIPHENYL-
HYDRAZINE
<10
pg/L
5
pg/L
3
EPA 625
10
BDL asslarned % detection lima to determine averages. Data used. 2o12 cTM?
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside WWTP, NCO024228
Renewal
Yadkin
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUIIlt .DAILY DISCHARGE
AVERAGE
DAILY DISCHARGE
POLLUTANT
ANALYTICAL
=
Number
:.
Conc.
Units
Mass
Units ;i
Conc.
n is
ass
nits
of
METHOD
.Samples
FLUORANTHENE
<10
pg/L
5
pg/L
3
EPA 625
10
FLUORENE
<10
pg/L
5
pg/L
3
EPA 625
10
HEXACHLOROBENZENE
<10
pg/L
5
pg/L
3
EPA 625
10
HEXACHLORO-
BUTADIENE
<10
pg/L
5
pg/L
3
EPA 625
10
HEXACHLOROCYCLO-
<50
pg/L
25
pg/L
3
EPA 625
50
PENTADIENE
HEXACHLOROETHANE
<10
pg/L
5
pg/L
3
EPA 625
10
INDENO(1,2,3-CD)
PYRENE
<10
pg/L
5
pg/L
3
EPA 625
10
ISOPHORONE
<10
pg/L
5
pg/L
3
EPA 625
10
NAPHTHALENE
<10
pg/L
5
pg/L
3
EPA 625
10
NITROBENZENE
<10
pg/L
5
pg/L
3
EPA 625
10
N-NITROSODI-N-
<10
pg/L
5
pg/L
3
EPA 625
10
PROPYLAMINE
N-NITROSODI-
<10
pg/L
5
pglL
3
EPA 625
10
METHYLAMINE
N-NITROSODI-
PHENYLAMINE
<10
pg/L
5
pg/L
3
EPA 625
10
PHENANTHRENE
<10
pg/L
5
pg/L
3
EPA 625
10
PYRENE
<10
pg/L
5
pg/L
3
EPA 625
10
1,2,4-
TRICHLOROBENZENE
<10
pg /L
5
pg /L
3
EPA 625
10
Use this space (or a separate sheet) to provide lnformaton on other base -neutral compounds requested
by the permit writer
I Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
tt , r tt33 ; END'OF rPART p. ` 3:.
,,� .:.. ,.:.,!..,.... ,rL i ,-.�Z:f •;il; f. 3 +•t F,,;, , t�.t .: `r. - ..t,.r Y i .
z z
REFER TO'TME APPLIC #T�QM'C'NERVI IN {PAGE 1j TO DETERMI E' II�'HICH 0THER PARTS
4F FC)I��If 2A YOU MUST CQW,,LETE r,
. ,,, ..,. .., , .•,. ...,.. :.._ � i,,,,., ,,,, a..._ rtrt;rts.,, ,t itflE? �_...2 ,.., ..�� t.,.,i, , ,ti... r ,.alt.,as,,,, , ,,,,,,,,, <,# ., .,.. ...t .... ,,.t — t3+a.:,;�
BDL asslgned'rS detection Ilrrtit to detemtlrte averages. Dam used., 2012 LTUP
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
StUPPLEMIENTAL APPLICATION-INFORMAT{S
� ;
f Z •}i{t} (t; .. a w ..:i[ 1 .,: o } 1',:� .... 3St L�i} v ., ... � ..
TQXlCITY TESTING DATA .. t
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must Include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
Information on combined sewer overflows In this section. All Information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QAIQC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for anaiytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, If one was conducted.
• If you have already submitted any of the Information requested in Part E, you need not submit It again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted In place of Part E.
If no biomonitoring data Is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
❑ chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted In the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number. Test number.
a. Test information.
Test Species & test method number
Age at initiation of test
Outfall number
Dates sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken In relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 17 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test, Include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
1. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100°%
effluent
%
%
%
LCso
95°% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Chronic:
NOEC
%
%
%
IC25
%
%
%
Control percent survival
%
%
%
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
I 1
1 !
I 1
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reductlon Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes X No If yes, describe:
EA. Summary of Submitted Blomonitoring Test Information. If you have submitted blomonitoring test Information, or Information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: 8/19/10 11 /4/10 1 /27/11 4/20/11, 10/12/11, 2/23/12, 4/26/12, 8/9/12, 10/14/12, 12/19/12, 2/19/13,
5/23/13, 8/16/13 Chronic Pass/Fail and Acute LD50 (Cedodaahnia)
Summary of results: (see instructions)
All biomonitodng samples were from Outfall 001. All of the Chronic Pass/Fail and Acute LD50 tests were a pass.
,,..... ...t ... ... :..: �, k�,..: k ' i t, ..,.,k,„.., f.
.. .,,. i...., i { k
iSkk {.. t f i }#SYi u t t SY i ikf I L i�i t ..,5L ;.f�.sF { 2 $S kFj1 3 t.. t AFT
i A
i k' i r{(i P L ik -_
� PAR
... �
E,. REFER TO THE APPLICATION OVER%AE�IV, PAGE �Ij„TO,DETERMINE WHICH OTHER PARTS
�,
ii., t{ «,:'i { y.. tip i. .k.-, t
t. ... '� i ,ii 1 ti 3i
L. t �32
O �.�0 2�YO1 MUST-CQi1IPLETE.
i
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
SUPPLEMENTAL APPLICAT [ON INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAIfiCERCLA WASTES
All treatment works receiving discharges from significant Industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
® Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
Industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 1
b. Number of CIUs. 3
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. if more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Cascade Die Casting
Mailing Address: 1800 Albertson Rd
High Point, NC 27260
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
High Pressure aluminum die casting: wastewater generated during die casting, vibratory polishing. and floor cleaning activities.
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Aluminum parts for the automotive industry.
Raw material(s): Aluminum 380.1. 383, 413: occasionally copper and silicon are used to adiust chemistries if needed.
F.B. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge Is continuous or intermittent.
4,680 gpd ( continuous or X Intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged Into the collection system
In gallons per day (gpd) and whether the discharge Is continuous or intermittent.
2,400 gpd [ continuous or X intermittent)
F.T. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ❑ Yes ® No
b. Categorical pretreatment standards ® Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
40 CFR 464.16
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point, Westside NCO024228
Renewal
Yadkin
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes ® No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rall or dedicated pipe?
❑ Yes ® No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) ® No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
_. `.f..END QF=PART,f,.
REFER.TO THE APPLICATION OVERVIEW {RAGE 1) TO DETERMINE WHICH,.OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
SUPPLEMENTAL
APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system, complete Part G.
G.1. System Map. Provide a map Indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
outstanding natural resource waters).
C. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram, either In the map provided in GA or on a separate drawing, of the combined sewer collection system that
Includes the following Information.
a. Location of major sewer trunk lines, both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
C. Locations of In -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through GA once for each CSO discharge point
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
C. Distance from shore (if applicable) ft.
d. Depth below surface (€f applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
GA. CSO Events.
a. Give the number of CSO events in the last year.
events (❑ actual or ❑ approx.)
b. Give the average duration per CSO event.
hours (❑ actual or ❑ approx.)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forrns 7550-6 & 7550-22. Page 22 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
C. Give the average volume per CSO event.
million gallons (❑ actual or ❑ approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.S. Description of Receiving Waters.
a. Name of receiving water.
b. Name of watershedfdver/stream system:
United State Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin:
United States Geological Survey 84git hydrologic cataloging unit code (if known):
G.S. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO (e.g., permanent or intermittent beach closings, permanent or
Intermittent shell fish bed closings, fish kills, fish advisories, other recreational loss, or violation of any applicable State water quality standard).
END OP PART G :
REFER TO THE APPLICATION. OVERVIEW (FOA ) TO ,D,ETERMINE WHICH OTHER PARTS
OF CORM 2A YOU ..ST COMPLETE..'
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 23 of 22

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6415 OLD PLANK RD, HIGH POINT, NC 27M
WESTS I DE VW TP
(336) 8864821 1 WWW.DMP4NC.COM I LICENSE: F-0245

Sludge Management Plan for the Westside WWTP
Solids are concentrated in the primary clarifier and are then pump to the sludge holding tanks. Waste
sludge from the secondary clarifiers is pumped to the RDT (rotary drum thickener) where they are
partially de -watered. From there, the solids are pumped to the holding tanks along with the primary
solids. The two sludge holding tanks have a combined capacity of around 1.6 million gallons and are
mixed using a combination of air and a mixing pump.
The primary sludge disposal method is sludge dewatering by centrifuge at the Westside WWTP. The
resulting cake sludge is then trucked to the Eastside WWTP for incineration. Liquid hauling of the
Westside sludge is an emergency option if the centrifuge is unavailable. The City of High Point landfill is
an emergency option for the disposal of cake sludge if the incinerator is unavailable.

Westside WWTP Process Narrative
The Westside WWTP is designed and permitted for a 6.2 MGD flow. The influent flow moves through a
coarse bar rack for preliminary rag removal. The flow moves from the coarse bar rack to four vertical
turbine solids handling pumps, which pump the flow to the preliminary treatment facility (PTF). Once in
the PTF, the influent waste stream goes through two mechanical fine screens operated in parallel. The
fine screens remove the remaining rags, plastics and other debris that remains in the waste water. The
fine screens dump the rags into screw compactors which compress the screenings to remove the excess
water as they are augered to the screw conveyor. The screw conveyor carries the screenings to the
dumpster for final disposal in the landfill.
The flow then moves through a pair of Parshall flumes for influent flow measurement and into the
vortex grit collectors, which allow the inorganics to settle out of the waste water. Grit pumps then pump
the grit from the grit collectors to the two grit classifiers. The classifiers remove the excess water from
the grit and deposit the grit into the dumpster for final disposal in the landfill.
From the grit collectors, the waste water flows to the two primary clarifiers so that the organic material
can settle out. The organic solids are then pumped to the sludge holding tanks for storage. From the
primary clarifiers, the supernatant flows by gravity to the head of the three aeration basins where it is
recirculated through the Bio-filter by way of three vertical turbine pumps at between 1.2q to 2q,
depending on the influent flow.
The bio-filter effluent gravity flows from the bio-filter back through the three aeration basins. The
aeration basin effluent then gravity flows to the two secondary clarifiers. The solids that settle in the
secondary clarifiers are either returned to the aeration basins for recycling via one of three return
sludge pumps, or wasted to the rotary drum thickener (RDT). The wasted solids are partially dewatered
in the RDT and then pumped to the sludge holding tanks. The solids are dewatered via centrifuge and
the dewatered solids (sludge cake), is then transported to the Eastside Plant for incineration.
The effluent from each secondary clarifier gravity flows to a wetwell from which it is pumped to the
effluent filters where the remaining solids are removed. Treated wastewater from the effluent filters
gravity flows through the two UV channels for disinfection and then through a pair of Parshall flumes for
effluent flow measurement.
The treated effluent then flows to the storm water pump station. Under normal circumstances the
effluent gravity flows to the receiving stream, (Rich Fork Creek). During flood conditions, the effluent
discharge channel is sealed off to prevent the creek from backing up into the plant and the four storm
water pumps are used divert the effluent flow into the creek.

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:8/5/2013
Facility: High Point - West
Laborartory: Meritech, Inc.
x..
Signature of Ope ator espo ble Charge
x
Signature of laboratory Supervisor
NPDES # NC00 24228 Pipe M County: Guilford 1
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Datefrime 7/23/2013 4:10 PM
% Eff. Repl. 1 2 3 4
Control Surviving #
Original #
Wt/odginal (mg)
22.5 Surviving #
Original #
Wt/original (mg)
45 Surviving #
Original #
Wt/original (mg)
75 Surviving #
Original #
Wt/odginal (mg)
E= Surviving #
Original #
Wt/odginal (mg)
100 Surviving #
Original #
Wt/odginal (mg)
Avg Wt/Surv. Control 0.821
10
10
10
10
10
10
10
10
0.873
0.812
0.843
0.756
10
10
10
10
10
10
10
10
0.741
0.851
0.778
0.811
10
10
10
10
10
10
10
10
0.804
0.701
0.845
0.830
10
10
10
9
10
10
10
10
0.865
0.854
0.810
0.879
10
10
10
10
10
10
10
10
0.848
0.966
0.959
0.881
9
10
10
10
10
10
10
10
0.777
0.768
0.843
0.883
Water Quality Data
Control 0 1 2
pH (SU) IniVFin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Day
% Survival 1 100.0
Avg Wt (mg)l 0.821
% Survival 100.0
Avg Wt (mg) 1 0.795
% Survivall 100.0
Avg Vllt (mg) 1 0.795
% Survivall 97.5
Avg VVt (mg) 0.852
% Survival 100.0
Avg V1ft (mg) 0.914
% Survival 97.5
Avg Wt (mg) 0.818
Test Organisms
it Cuitured In -House
i@ Outside Supplier
Hatch Date: 7/22/13
Hatch Time: 3:00 pm CT
8.26 / 8.02
8.15 / 7.87
8.22 / 7.93
8.22 1 8.01
8.17 / 8.32
8.28 / 7.80
8.05 1 7.74
7.65 1 7.24
7.65 / 6.66
7.65 / 6.80
7.70 / 7.35
7.70 / 7.32
7.65 / 7.14
7.61 / 6.69
24.3 / 25.5
24.2 / 25.6
24.2 / 25.5
24.6 / 24.8
25.2 / 25.5
25.5 / 25.2
25.7 / 24.9
High Concentration o 1 2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) [nit/Fin
7.31 / 7.70
7.43 / 7.55
7.52 / 7.85
7.71 / 7.88
7.90 / 7.91
7.80 / 7.70
7.72 / 7.58
8.22 / 7.24
7.93 / 6.70
8.26 / 6.82
8.16 / 7.36
7.68 / 7.12
7.78 1 6.94
7.81 / 6.54
24.9 / 25.5
24.4 / 25.6
24.5 / 25.5
25.1 / 24.8
25.7 / 25.5
25.6 / 25.2
24.5 1 24.9
Sample 1 2 3
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlonne(mg/L)
Temp. at Receipt (°C)
7/22/2013
7/24/2013
7/25/2013
24.0
24.2
24.0
92
82
78
39
63
61
494
507
523
<0.1
<0.1
<0.1
1.5
1.2
1.5
Dilution H2O Batch # 733 734 7361 736 -737
Hardness (mg/L) 48 44 48 44 44
Alkalinity (mg/L) 61 61 61 59 54
Conductivity (umhoslcm) 223 231 221 207 221
Survival
Growth Overall Result
Normal
��`.
irk; ChV >100
Hom. Var.
Q"('
F1
NOEC
1C0
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunnet's
Stats
Survival
Growth
Cone.
Critical Calculated
Critical Calculated
22.5
10 18
2.41 0.7008
45
10 18
2.41 0.7076
75
10 16
2.41-0.8437
90
10 - 18 -
2.41-2.5175
100
10 16
2.41 0.0885

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:4/30/2013
Facility: High Point - West
Labgr6tory: Meritech, Inc.
Signature of Operat r t sponsible Charge
X
Signature? I- oratory Sup
NPDES # NC00 24228
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Datetrime
4/16/2013
2:50 PM
% Eff. Repl.
1
2
3
Control Surviving #
Original #
Wt/orlglnal (mg)
22.5 Surviving #
Original #
Wt/odginai (mg)
4
Pipe #: 001 County: Guilford
Comments
Avg Wt/Surv. Control 0.707
10
10
10
10
10
10
10
10
0.777
0.656
0.701
0.694
10
10
10
10
10
10
10
10
0.717
0.682
0.620
0.673
45 Surviving #
Original #
Wt/odginal (mg)
75 Surviving #
Original #
Wt/original (mg)
90 Surviving #
Original #
Wt/odginal (mg)
10
10
10
9
10
10
10
10
0.733
0.832
0.623
0.574
10
10
10
9
10
10
10
10
0.723
0.863
0.810
0.625
100 Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
0
1
2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
0
1
2
pH (SU) Init/Fin
DO (mg/L) InIUFln
Temp (C) InlUFin
Sample
1
2
3
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp. at Receipt (OC)
Day
%Survival 100.0
Avg Wt (mg) 0.707
% Survival 100.0
Avg Wt (mg) 0.673
% Survival 97.5
Avg Wt (mg) 0.724
%Survival 97.5
Avg Wt (nmg) 0.691
% Survival 97.5
Avg Wt (mg) 0.755
% Survival 97.5
Avg Wt (mg) 0.713
3 4 5 6
Test Organisms
Cultured In -House
Outside Supplier
Hatch Date: 4/15/13
Hatch Time: 3:00 pm CT
8.28 / 8.01
8.15 / 7.91
8.21 / 8.03
8.25 / 8.12
8.28 / 8.05
8.25 / 8.05
8.26 / 7.90
7.60 / 7.31
7.75 / 6.89
7.55 / 7.29
7.72 / 7.53
7.82 J 7.74
7.95 / 7.75
8.20 / 7.20
25.4 / 24.8
24.6 / 25.4
25.0 J 25.4
25.1 / 25.6
24.4 / 24.7
24.8 / 25.5
24.2 / 25.5
3 4 5 6
6.94 ! 7.50
7.11 ! 7.38
7.20 / 7.77
7.46 / 8.01
7.74 / 8.00
7.95 / 7.81
7.63 / 7.75
8.18 ! 6.96
8.06 ! 6.58
8.11 / 7.19
7.89 / 7.47
7.75 / 7.66
7.73 1 7.57
8.18 / 7.28
24.9 / 24.8
24.3 / 25.4
25.0 / 25.4
25.1 / 25.6
24.9 / 24.7
25.6 / 25.5
25.6 / 25.5
4/15/2013
4/17/2013
4/18/2013
24.0
23.9
24.2
96
86
88
31
52
48
500
519
560
<0.1
<0.1
<0.1
1.3
0.8
1.5
Dilution H2O Batch # 706 70717081 710
Hardness (mg/L) 48 48 46 46
Alkalinity (mg/L) 59 63 61 61
Conductivity (umhos/cm) 12161 219 214 205
Survival
Growth
Normal
Hom. Var.
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunners
Overall Result
ChV I >100
Stats
Survival
Growth
Cone.
Critical Calculated
Critical Calculated
22.5
10 18
2.41 0.6151
45
10 16
2.41-0.3121
75
10 16
2.41 0.2985
0
go
16
2.41-0.8729
100
10 16
2.41-0.1085
10
10
10
9
10
i0
10
10
0.760
0.699
0.741
0.652
10
9
10
10
10
10
10
10
0.795
0.739
0.614
0.749

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:2111l2013
Facility: High Point - West
., J.abolatory: Msritech. Inc.
Signature of Operator in Responsible Charge
X
Signature of Laboratory Supervisor
NPDES # NC00 24228
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Pipe #: County: Guilford
Test Initiation Daterrime 1/29/2013 2:20 PM Avg Wt/Surv. Control 0.569
°% Eff. Repl. 1 2 3 d
Control Surviving #
Original #
Wt/odginai (mg)
22.5 Surviving #
Original #
Wt/odginal (mg)
45 Surviving #
Original #
Wt/original (mg)
75 Surviving #
Original #
Wt/odginal (mg)
90 Surviving #
Original #
Wt/odginal (mg)
100 Surviving #
Original #
Wt/original (mg)
iter Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) In!YFin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlodne(mg/L)
Temp. at Receipt (°C)
10
10
10
10
10
10
10
10
0.596
0.639
0.625
0.417
10
10
10
10
10
10
10
10
0.562
0.540
0.627
0.584
9
10
10
10
10
10
10
10
0.566
0.551
0.559
0.616
9
10
10
10
10
10
10
10
0.513
0.704
0.646
0.642
10
10
10
10
10
10
10
10
0.601
0.535
0.668
0.686
10
10
10
10
10
10
10
10
0.629
0.504
0.715
0.739
Day
% Survival 100.0
Avg Wt (mg) 0.569
% SUMV811 100.0
Avg Wt (mg) 0.578
% Survival 97.5
Avg Wt (mg) 0.573
°% Survival 97.5
Avg Wt (mg) 0.626
°% Survival 100.0
Avg Wt (mg) 0.623
% Survival 100.0
Avg Wt (mg) 0.647
0 1 2 3 4 5 6
Test Organisms
Cultured In -House
Outside Supplier
Hatch Date: 1128/13
Hatch Time: 3:00 pm CT
8.21 / 8.02
8.24 / 7.70
8.21 / 7.80
8.21 / 7.92
8.23 / 7.92
8.03 / 7.95
8.25 / 7.95
7.55 / 7.06
7.63 / 6.41
7.60 / 7.17
7.77 / 6.96
7.88 / 7.74
7.95 1 7.13
7.87 / 7.12
25.8 / 25.8
24.9 / 25.0
24.2 / 25.0
24.2 / 25.5
25.2 / 25.3
25.3 / 25.0
25.0 / 25.4
0 1 2 3 4 6 6
7.01 / 7.67
7.28 1 7.48
7.33 / 7.89
7.57 / 7.88
7.51 / 8.08
7.93 / 7.88
7.58 / 7.97
9.02 / 6.88
7.91 / 6.42
7.85 / 7.34
7.85 / 7.04
8.09 / 7.77
7.85 / 7.04
8.05 / 7.13
25.7 / 25.8
25.6 / 25.0
24.9 / 25.0
25.1 / 25.5
24.9 / 25.3
24.7 1 25.0
25.1 / 25.4
1 2 3
1 /28/2013
1 /30/2013
1 /31 /2013
24.0
23.9
24.0
84
82
92
40
77
77
532
608
559
<0.1
<0.1
<0.1
1.5
2.6
0.7
Dilution H2O Batch # 682 683 6841 686 686
Hardness (mg/L) 48 46 46 49 48
Alkalinity (mg/L) 62 61 56 62 62
Conductivity (umhos/cm) 12341 228 262 221 218
Survival
Growth
Normal
n'
F100
Hem. Var.
ri
K
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
Dunnefs
Overall Result
ChV I >100
Stats
Survival
Growth
Conc.
Critical Calculated
Critical Calculated
22.5
10 18
2.41 -0.1657
45
10 16
2.41-0.0691
75
10 16
2.41-1.0496
90
10 18
2.41 -0.9805
100
10 18
2.41-1.4271

-Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test Date:11/28/2012
. Facility: High Point -West NPDES # NC00 24228 Pipe #: 001 County: Guilford
LaboratolY: Meritech. Inc. 1commentsi
x �r
Signature of Ope for in Responsible Charge
x
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Datefrime
11/13/2012
3:15 PM
% Eff. Repl.
1
2
3
FC-on-troll Surviving #
Original #
Wt/original (mg)
22.5 Surviving #
Original #
Wt/original (mg)
45 Surviving #Original #
Wt/odginal (mg)
75 Surviving #
Original #
Wt/original (mg)
90 Surviving #
Original #
Wt/original (mg)
Avg Wt/Surv. Control 0.721
4
10
10
10
10
10
10
10
10
0.750
0.653
0.743
0.739
10
9
10
10
10
10
10
10
0.737
0.574
0.811
0.650
10
10
10
10
10
10
10
10
0.704
0.650
0.680
0.781
8
10
10
10
10
10
10
10
0.632
0.676
0.738
0.779
10
10
10
8
10
10
10
10
0.696
0.610
0.739
0.644
100 Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
o
1
2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Day
°% Survival 100.0
Avg Wt (mg) 0.721
% Survivall 97.5
Avg Wt (mg) 0.693
% Survival 100.0
Avg Wt (mg) 0.704
% Survivall 95.0
Avg Wt (mg) 1 0.706
% Survivall 95.0
Avg Wt (mg) 0.672
% Survivall 97.5
Avg Wt (mg) 1 0.669
3 4 5 6
Test Organisms
e Cultured in -House
r Outside Supplier
Hatch Date: 11/12/12
Hatch Time: 3:00 pm CT
8.11 1 7.81
8.16 1 7.99'
8.17 / 7.99
8.24 / 7.94
8.27 / 8.02
8.28 / 8.08
8.29 1 7.92
7.88 / 7.02
7.75 1 7.43
7.99 / 7.13
7.63 1 7.17
7.78 / 7.26
7.79 / 7.54
7.99 / 6.77
24.5 1 24.8
24.4 1 24.5
24.8 1 24.9
25.6 / 25.0
25.6 / 25.4
25.0 / 24.9
24.7 / 24.6
High Concentration o 1 2
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) In'rt/Fin
3 4 5 a
7.40 17.56
7.35 / 7.68
7.59 / 7.81
7.53 / 7.77
7.47 / 7.83
7.42 / 7.91
7.62 / 7.66
8.26 / 6.80
8.18 / 7.30
8.10 / 7.15
8.62 / 6.97
8.58 / 6.98
8.72 / 7.20
8.40 / 6.30
25.0 / 24.8
25.3 / 24.5
25.3 / 24.9
24.4 / 25.0
25.5 / 25.4
25.5 1 24.9
25.4 / 24.6
Sample 1 2 3
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlodne(mg/L)
Temp. at Receipt (°C)
11/12/2012
11 /14/2012
11 /15/2012
23.9
23.9
24.0
92
84
78
44
54
62
522
514
518
<0.1
<0.1
<0.1
0.7
0.5
10.5
Dilution H2O Batch # 669 670 671
Hardness (mg/L) 46 46 48
Alkalinity (mg/L) 54 62 64
Conductivity (umhos/cm) 225 232 231
Survival
Growth Overall Result
Normal
V_I
FIB ChV >100
Ham. Var.
B" l
I"I'
NOEC
100
100
LOEC
>100
>100
ChV
>100
>100
Method
Steel's
DunneCs
Stats
Survival
Growth
Conc.
Critical Calculated
Critical Calculated
22.5' �
10 16
2.41 0.5585
45
10 18
2.41 0.3460
75
10 16
2.41 0.2965
90
10 16
2.41 0.9687
100
10 16
2.41 1.0280
10
9
10
10
10
10
10
10
0.558
0.709
0.758
0.652

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant Industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Dairy Fresh, LLC
Mailing Address: 1350 W Fairfield Rd.
High Point, NC 27263
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dairy processing (mil buttermilk cream <1% fruit uice drinks ice cream base bottled water). Wastewater generated from processing and cleaning
activities.
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw, materials that affect or contribute to the SIU's
discharge.
Principal pmduct(s): Milk and uice products products
Raw material(s): Milk high fructose corn syrup water
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is confinuous or intermittent.
123,000 gpd ( X continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent
1.500 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes ❑ No
b. Categorical pretreatment standards ❑ Yes ® No
If subject to categorical pretreatment standards, which category and subcategory?
NIA
F.b. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes ® No If yes, describe each episode.
No upsets or interferences.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.J. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: KAO Specialties Americas LLC
Mailing Address: 243 Woodbine St
High Point, NC 27261
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
SoecialN Chemicals Manufacturing Company: (11 Oleo Specialties (2) Chemical Specialties (3) Toner Binder Resins
F.5. Principal Product(s) and Raw Materlal(s). Describe all of the principal processes and raw materials that effector contribute to the SIU's
discharge.
Principal product(s): Fatty alto of and ally] alcohol alkox late surfactantsmethacrylate ester copolymers, wivester resins fatty alcohol blends
Raw material(s): C-16 & C-18 Fatty alcohols: ethylene oxide: propylene oxide: methacrvlic acid: bis-phenol A
F.B. Flow Rate.
C. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent
113,000 gpd ( continuous or X intermittent)
d. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
1.000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ❑ Yes E No
b. Categorical pretreatment standards E Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
40 CFR 414 Subpart H
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes E No If yes, describe each episode.
No upsets or interferences

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
High Point Westside, NCO024228
Renewal
Yadkin
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES
All treatmentworks receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Piedmont Chemical I LLC
Mailing Address: 331 Burton Avenue
Hiah Point, NC 27262
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Specialty chemical manufacturer
F.S. Principal Products) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): multiple products: See attached list
Raw material(s): various chemicals See attached list
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent
49,000 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flaw discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
1,600 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Loral limits ❑ Yes ® No
b. Categorical pretreatment standards ® Yes ❑ No
If subject to categoncal pretreatment standards, which category and subcategory?
40 CFR 4L4_Subpart H
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
® Yes ❑ No If yes, describe each episode.
March 2013, Industry experienced a boil over incident of un-reacted or partially reacted Product that made it to Pretreatment system and
subsequently discharged to sewer. The Plant experienced foam issues within the plant (did not make it to creek) solids were not settling, UV not
abla�enetrate. VW TP experienced NPDES oernit violations for weekly and monthly Boo limits weekly and monthly ammonia limits and weekly
fecal limit. Industry was issued a NoV, considered SNC for plant upset and issued a fine

10,
Piedmont Chemical Active FG ��""''"''�`11736AN
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Page A ol7

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Page of 7
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1105C
POMOSOFT 479 CHUNKS
1265A
POMOSOFT 5 CE
1102E
POMOSOFT 54 BASE
1141B
POMOSOFT54SMUSH
1210A
FOMOSOFT 540
flagv 5 of 7

4922.A
POMOCO L 167
3817B
POMOCO L 70
3917D
POMOCO L 7D CONC.
0022A
POMOCO L 737
2327A
POMOCO L CONC.
5306A
POMOCO LF 1226
0662A
POMOCO LGD2
05MA
POMOCO ISA 44
1399A
POMOCO MLM 12
1445A
POMOCO MLM 902
9899A
POMOCO M09
0706A
Pomoco MSO
4477A
POMOCO NRAC
3061A
POMOCO PF RESIN
4509A
POMOCO R 200
0646A
POMOCO RDC CONC
000824A
POMOCO REDUCER PER
4516A
POMOCO RL537
2131A
POMOCO SA 1000
2130A
POMOCO SA 400
3893E
POMOCOSD
3200A
POMOCO SR 92
3201A
POMOCO SRA 30
3503A
POMOCO SRE 60
0651A
POMOOD STH
4472C
POMOCO TAM 25
0494A
POMOCO TBC
0595A
POMOCO TC 96
3880A
POMOCO TDA3
9226A
FOMOCOTDA9
10199A
POMOCO TDA 9 90%
0304A
POMOCO TM 22
0149A
POMOOD TW 200
2960E
POMOCOIX3
1781A
POMOCO UVN 107
2909A
POMOCO VAC
.111'...,.- --.11 11
1295A
.................
POMOCO W 69
1776A
POMOCO WMM
. .. .......
3827E
POMOCO WSW
2938A
POMOCOXP
6233A
POMOCRYL US 15
4711A
POMOFIX 693
8897A
POMOFIX BFF
7926A
POMOFIXCLF5
0563C
POMOFIX D 300
4736A
POMOFIX DXB
4703B
FOMOFIX G 43
2039A
POMOIIIX NCT 4
4739A
POMOFIX NP 70
000747A
POMOFIX NFF50
0656A
POMOFIX NL 45
0978A
.......
POMOFIX OHK
...
1953A
POMOFLEX 1122 DP 90
10210A
POMOFLEX 1122PEA NEAT
8148A
POMOFLEX 20-187
8312A
POMOFLEX 21225NB
2032A
POMOFLEX2152F
1100B
POMOFLEX5079
10186A
POMOFLEX 8 250 CS
10197A
POMOFLEX EARD20
10228A
POMOFRESH NH 964
3070A
POMOFRESHTIOOO
3079A
POMOFRESH T 1503
3057A
POMOFRESH T 2000
2097A
POMOFRESH T 2D6
3185A
POMOFRESH TSI 204
2047A
POMOFRESH X 105
3080A
POMOFRESH Z 35
7909A
POMOFRESH Z 35 TP 1
8169A
POMOFRESH Z 60
Page 4 44 7

1982A
POMOSOFT 560 C
0904A
POMOSOFT777
7941A
POMOSOFT 8 CE
1262A
POMOSOFTAC70
5915E
POMOSOFT BASE 20 CHUNKS
10009A
POMOSOFT BET 1
1238A
POMOSOFT CC 30
4040A
POMOSOFT CMF 5
0OW32B
POMOSOFTCWFFLAKES
------
1159B
_ .._-..__
POMOSOFT DNY 2
5910H
POMOSOFT DPJ 3 BASE
1227A
POMOSOFT DS 4
2122A
POMOSOFT DSQ 15
1277A
POMOSOPT EHS
2045A
POMOSOFT JNF
1171A
POMOSOFT LCCS
1553A
POMOSOFT MQ 72
1485A
POMOSOFI N 18 P
11070
POMOSOFT SAQ CHUNKS
8007A
POMOSOFT SAQ 52
4610A
POMOSPERSEAL36
3506A
POMOSPERSE DRDA 2
4600D
POMOSPERSE IL
0632B
POMOSPERSE M 575
4728B
POMOSPERSE NPS 30
4508A
POMOSSIST 18 J
0684A POMOSSLSTKXL
3274A POMOSSIST PML
5900A
POMOSTAT 953
4528A
POMOSTAT DK 18
5903A
POMOSTAT DPX
1171F
POMOSTAT J 12
01238
POMOSTAT SEA
1053A
POMOSTAT SPO 4
2078A
POMOVOL BLD
7921A
POMOVOL PC 22 GB
4100A
POMOVOL XC
2034A
PREMIER POLYESTER 601
000910A
PRODUCT 412
1032A
PRODUCT W 55940
1538F
PYROCOOLFEF5
10230A
...............
RCX 10-526P
........ .... .
0679A
REDICOTB E 7000
0088A
REZAX
5832A
RP 33
5832C
RP77
.....
1391A
................
SANITIZED BRAND DPN 30
1031C
SANITIZING SOLUTION #50891
23UA
SOFTENER
7500A
....._.............
SOFTENER C 18 BASE
7502A
.................
SOFTENER N 15 BASE
7503A
_.... .._
SOFTENER N 62 BASE
.
... ..... .....
2514I
.......... .
SOLUBLE WAX HWH100%
2555A
SOLUBLE WAX HWHN
1050A
SOYAQUAT
0195C
STABILIZER HDC CONIC
3237C
STABILIZER JBS
8217A
STARPELS610
1299B
STARPEL SRF
0554C
STARSCOUR TRD 3
8171A
STEPANOL. PH-56
8171B
STEPANPOL PH-56 2000
10190A
STEPANPOL PHN 56
3196A
STEPANPOL PN 110
1012A
SULPONEX M 80
SURFTECHS 4583
SYNTHACAT 1050
Page.
SYNTHACAT 2044
6 of 7

1038A
SYNTHALUBB DTX 60
3921E
SYNTHALUBETXB-H50
6213B
SYNTHASffr 55
6216A
.. ........... .
SYNTHASET LQ 44
000795A
SYNTHASILCFC
1832A
SYNTHASIL D 49 D
1644A
..........
SYNTHASIL HAN 30
10004A
SYNTHASIL XF 17 FLUID
1638A
SYNTHASIL LAN C
16451)
SYNTHASIL MF 5
1623A
SYNTHASIL PM 2
1635A
SYNTHASIL Q2 HSSD
1603F
SYNTHASIL S 240
2621A
SYNTHASILSE LF
1280A
SYNTHASILSW18
1645A
SYNTHASIL SW 216
1600A
SYNTHASIL SW 34
0630B
SYNTHAWICK CATALYST ME
MA
..........
SYNTHAZYMEACT
1567A
SYNTHAZYME NEX
1724C
SYNTHAZYME PF 200
0561A
SYNTHAZYME SGL 2 X
1705A
SYNTHAZYME XC`I'
....... -------- .....
8167A
- .
TA 1300
10203A
TENAX A
10205A
THNAXE
10208A
TENAX FEED
9040A
TREATING AEEA
3879C
ULTRA MMC
1895A
UR 2780 us
10168C
UR 2785 US
2008A
USSANITIZING SLEEVE
FORMULATION
9998A
WASTE WATER FOAMER
VERSION 2
01010A
WATER 40%/DBG 609E
6001A
WEIGHTER. REG
9209A
VVb-ITER D 90
. .. ....... ....
8909A
........
WT-143P
1757A
ZTREX 72 MUP
fljge7,07

BULK INVENTORY SHEET
PRODUCT TKVLV
! a4I LOCKED
9
S4 s a
PEG 1450
GAUGE
GALLONS
GALLONS
TKII
LOCATION
;. } ,
TANKFARM"
TANKFARM
CAPACITY
Ic�P,y
7520
6000
READING
PER IN.
31.3
41.7
IN STOCK
-a�
rx,r:�a
40
45
AEEA
DIETHYLENE GLYCOL
27.8
:°aA
48
TANKFARM
4000
27,8
44
TANKFARM
4000
31.3
41
TANKFARM
6000
SARATAN S
27.8
49
TANKFARM
4000
KOH 45% EAST
M'!Ma!I
DIMETHYL SULFATE
�Ii
31.3
35.2
42
43
I;ltl s a q?a 46
��ayl ";�a 50
TANKFARM
TANKFARM
6000
6200
352
DIGITAL
TANKFARM
TANKFARM
6200
DUOMEEN TTM
41.7
34
FENCE
6000
PEG 400
34.7
32
FENCE
5000
LACTIC ACID 88%
34.7
30
FENCE
5000
E 7000
DIGITAL
64
FENCE
8000
POT. BICARBONATE 20%
CHART 1
27
FENCE
3300
HAMPENE 100
40
28
1 FENCE
6000
FA 101X
34.7
29
FENCE
5000
SODIUM ALUMINATE 43%
34.7
31
FENCE
5000
DICYCLOPENTADIENE HP-9
41.7
33
FENCE
6000
PROPYLENE GLYCOL
DIGITAL
66
FENCE
PHOSPHORIC ACID 85%
DIGITAL
65
FENCE
E 7000
_
NO GAUGE
31.3
u'
j �.,F!.+!�,
c.r..�o,.b�
ti.':u€;:.
MX 02
FENCE
3500
POT. CARBONATE 47%
CHART 1
22
YARD
3300
POMOSOFT 560 C
CHART 1
21
YARD
3300
SARATAN LS
CHART 1
24
YARD
3300
PEG 400
CHART 1
23
YARD
3300
POMOCO SR 92
CHART 3
62
IN PLANT
7150
L-5 MWV
• �:•'� ��. �v$ rJv di' "I�g�F?I
L-5 MWV
I. � �
� E�Ir:j.'..ryp.�,G
G 1 I! i�H�
._„�'1� .fir.
Ell
CHART 2
31.3
31.3
& I
I��ia' ���.. '
18
7
9
IN PLANT
IN PLANT
IN PLANT
6500
6000
6000
RICINOLEIC ACID
37.4
6
8
IN PLANT
HANGING
5400
1600
AEEA
NITROGEN
IN.
NOT BELOW 50INCHES VOL.
SUPERVISOR HOT WATER TEMP ___ TIME DATE —

PRODUCT
TX VLV
LOCKED
GAUGE
READING
GALLONS
PER INCH
GALLONS
IN STOCK
TK#
WCATION
CAPACITY
KNOCKOUT
10
3000
KNOCKOUT
20
3000
WASTEWATER
57
16000
WASTEWATER
58
16000
WASTEWATER
59
16000
SLUDGE
60 ;
11750
SLUDGE
61
11750
WASTEWATER
1
1
163
1
16000
KNOCKOUT
67 1
3000