NC0024279_Renewal (Application)_20241028

n i
ROY COOPER iif
I`
Governor
MARY PENNY KELLEY `. e*•.,
Secretory - .. : -
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
October 28, 2024
City of Conover
Attn: Tom Hart, City Manager
PO Box 549
Conover, NC 28613-0549
Subject: Permit Renewal
Application No. NC0024279
Southeast WWTP
Catawba County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 28, 2024, receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://www.deq.nc.gov/permits-rules/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.
it rel
(i}�t
Wren edford
Administrative Assistant
Water Quality Permitting Section
cc: Eric Williams, Assistant Public Utilities Director
ec: WQPS Laserfiche File w/application
DECO
North of Quali I is of R
1 r MooresCarolinavllk RegionalDepartment Office 610Environmental East Curter Avrnue,ty Suite
Div 301ion I MooresvWaterilk.Noesourcesrth Carolina 28115
w.4 r�'\ 704.663.1699

■NA
City of Conover
October 22nd 2024
Nick Coco, PE RECEIVED
NCDEQ Permitting Department OCT 2 8 2024
1617 Mail Service Center, Raleigh, NC 27699
NCDEQ/DWR/NPDES
Subject: Permit Renewal NC0024279
Dear Nick,
I thank you for your help in this odd situation that we have with an "idle" wastewater plant. We do intend to
keep this permit for future use. The City respectfully requests the renewal of NC0024279 for the City of Conover
Southeast Treatment Plant.
While the facility has been closed since 2004, Conover is experiencing growth that could potentially create the
need to rehabilitate this plant and take some flow from Newton to alleviate the extra flow. Currently we partner with
the City of Newton to handle the flow that used to go to our SEWWTP. Renewal of this permit will give us adequate
time to evaluate growth and future needs to do a cost analysis on keeping and rehabbing this facility or other viable
options.
We appreciate your professional opinions and will be happy to provide any additional information needed for
renewal.
Please feel free to reach out to me at [e-mail] or 828-464-4808.
Sincerely,
Eric Williams
City of Conover
Assistant Public Utilities Director
[Post Office Box 549 I Conover, North Carolina 128613 I voice/tdd [phone] I fax [phone]]

_ CON°N
Ihte
'iir:_ City of Conover
[Post Office Box 549on r C o�er North Carolina I 28613 I voice/tdd 828 464-1191 I fax [phone]]

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
Form U.S. Environmental Protection Agency
2A `&EP 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
Conover Southeast WWTP
Mailing address(street or P.O. box)
PO Box 549
City or town State ZIP code
o Conover NC 28613
Contact name(first and last) Title Phone number Email address
Eric Williams Assistant Public Utilities DirQ(828)464-4808 [e-mail]
Location address(street, route number, or other specific identifier) ❑ Same as mailing address
1702 Southeast Plant Road
City or town State ZIP code
Conover NC 28613
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
El Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
City of Conover
Applicant address(street or P.O.box)
0
PO Box 549
o City or town State ZIP code
Conover NC 28613
co Contact name(first and last) Title Phone number Email address
U
a Eric Williams Assistant Public Utilities Dire [phone] [e-mail]
1.4 Is the applicant the facility's owner,operator, or both?(Check only one response.)
❑ Owner ✓❑ Operator El Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
CI Facility ❑ 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
a ❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
NC0024279
o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CAA)
.N ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
404)
EPA Form 3510-2A Page 1

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
17 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
N/A 0 100 %separate sanitary sewer [] Own ❑ Maintain
Z %combined storm and sanitary sewer 0 Own 0 Maintain
o 0 Unknown 0 Own 0 Maintain
c %separate sanitary sewer 0 Own 0 Maintain
•� %combined storm and sanitary sewer 0 Own 0 Maintain
❑ Unknown ❑ Own ❑ Maintain
a
a %separate sanitary sewer 0 Own 0 Maintain
c %combined storm and sanitary sewer 0 Own 0 Maintain
E 0 Unknown 0 Own 0 Maintain
%separate sanitary sewer 0 Own 0 Maintain
N %combined storm and sanitary sewer 0 Own 0 Maintain
c 0 Unknown 0 Own ❑ Maintain
0
Total
°' Population
70
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100 % °
sewer line(in miles) °
z 18 Is the treatment works located in Indian Country?
C
= ❑ Yes 0 No
c,
R 19 Does the facility discharge to a receiving water that flows through Indian Country?
c ❑ Yes No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.30 mgd
Annual Average Flow Rates(Actual)
.T Two Years Ago Last Year This Year
a o` ---
CO 0 mgd o mgd 0 mgd
.�" Maximum Daily Flow Rates(Actual)
0 Two Years Ago Last Year This Year
0 mgd 0 mgd 0 mgd
u, 1.11 Provide the total number of effluent discharge points to waters of the United States by type.
o Total Number of Effluent Discharge Points by Type
d T Constructed
a'1— Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
s ver Oflows Overflows
U
_N
0 0 0 0 0
EPA Form 3510-2A Page 2

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
Outfalls Other Than to Waters of the United States
1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ✓❑ No 4 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
Impoundment (check one)
❑ Continuous
gpd 0 Intermittent
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd 0 Intermittent
0 1.14 Is wastewater applied to land?
❑ Yes ❑s No 4 SKIP to Item 1.16.
u 1.15 Provide the land application site and discharge data requested below.
0
(I) Land Application Site and Discharge Data
o Continuous or
Location Size Average Daily Volume Intermittent
En Applied (check one)
L acres d 0 Continuous
N 9p ❑ Intermittent
CT)0
❑ Continuous
s acres gpd ❑ Intermittent
-0 acres d 0 Continuous
gp ❑ Intermittent
Tu 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes 0 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 Page 3

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279
Conover Southeast WWTP Expires 07/31/2026
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
Facility name Mailing address(street or P.O. box)
City or town State ZIP code
0
U
4 Contact name(first and last) Title
0
Phone number Email address
aNPDES number of receiving facility(if any) 0 None Average daily flow rate mgd
1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not have
o outlets to waters of the United States(e.g.,underground percolation, underground injection)?
❑ Yes No + SKIP to Item 1.23.
1.22 Provide information in the table below on these other disposal methods.
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)
Description Volume
acresgpd 0 Continuous
❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
acresgpd ❑ Continuous
❑ 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.
N Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
@ Discharges into marine waters(CWA
❑ Section 301(h)) ❑ Water quality related effluent limitation(CWA Section 302(b)(2))
✓❑ 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+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and
maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
0 Contractor name
(company name)
8 Mailing address
(street or P.O.box)
City,state,and ZIP code
Contact name(first and
U
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Form 3510-2A Page 4

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(J)(1)AND(2))
o 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
o ❑✓ Yes ❑ No 4 SKIP to Section 3.
2_2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
4171 and infiltration.
o gpd
5 Indicate the steps the facility is taking to minimize inflow and infiltration.
-0
0
0
t 2_3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
E specific requirements.)
0
0.
✓❑ Yes
E 2_4 Have you attached a process flow diagram or schematic to this application that contains all the required information?(See
o es instructions for specific requirements.)
11 th
0 ❑✓ Yes
2_5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
= Briefly list and describe the scheduled improvements.
0
1.
c
d
E
d
fl 2.
E
r=
0
3.
a
d
4.
-0
2_6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
Scheduled> Begin End Begin Outfalls Operational
o Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level
number) (MM/DD/YYYY)
-0
1.
z
2.
co
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 Page 5

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
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 10 Did Outfall Number Outfall Number
State NC
County Catawba
O City or town Conover
Distance from shore ft. ft. ft.O.
Depth below surface ft. ft. ft.
Average daily flow rate 0 mgd mgd mgd
Latitude 31 41"06"
Longitude 81 11"54"
3_2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
❑ Yes 0 No 4 SKIP to Item 3.4.
)
3_3 If so, provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
Number of times per year
o discharge occurs
a Average duration of each
`o discharge(specify units)
Tys Average flow of each
o discharge mgd mgd mgd
Months in which discharge
occurs
3_4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
El Yes ❑✓ No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
a
Outfall Number Outfall Number Outfall Number
d
o 3-6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
d
❑ Yes ❑ No 4 SKIP to Section 6.
EPA Form 3510-2A Page 6

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WTP Expires 07/31/2026
W
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number N/A Outfall Number Outfall Number
Receiving water name Mclin Creek
Name of watershed,river,
or stream system Catawba River
0
•Q Natural Resources
•E) Conservation Service 14-
odigit watershed code
d Name of state
management/river basin Catawba River Basin
c U.S. Geological Survey
8-digit hydrologic
cataloging unit code
ce
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
w flow CaCO3 CaCO3 CaCO3
loLi Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number N/Ala Outfall Number Outfall Number
Highest Level of ❑ Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary 0 Secondary 0 Secondary
O Advanced 0 Advanced 0 Advanced
O Other(specify) 0 Other(specify) 0 Other(specify)
c Inactive at this Time
0
....7. Design Removal Rates by
Outfall
y -
d
in
BODs or CBODs % %
E
m TSS % % %
F-
O Not applicable 0 Not applicable 0 Not applicable
Phosphorus % % %
O Not applicable 0 Not applicable 0 Not applicable
Nitrogen %
Other(specify) ® Not applicable 0 Not applicable 0 Not applicable
EPA Form 3510-2A Page 7

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by season,
describe in the table below.
Outfall Number N/A Outfall Number Outfall Number
0
Disinfection type N/A
.a
y Seasons used N/A
0
Dechlorination used? ❑ Not applicable ❑ Not applicable El Not applicable
❑ Yes ❑ Yes ❑ Yes
El No El No El No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
El Yes
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?
El Yes ❑r 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 N/A Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge N/A
water
Number of tests of receiving N/A
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
✓❑ Yes El No 4 SKIP to Item 3.16.
= 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?
El Yes 4 Complete Table B, including chlorine. ❑✓ No 4 Complete Table B,omitting chlorine.
g 3_15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application package?
w El Yes
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. ✓❑ No 4 SKIP to Section 4.
3.17 Have you completed monitoring for all Table C pollutants and attached the results to this application package?
❑ Yes
3.18 Have you completed monitoring for all Table D pollutants required by your NPDES permitting authority and attached the
results to this application package?
❑ Yes No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A Page 8

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279
Conover Southeast WWTP Expires 07/31/2026
•
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?
El Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No-I 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 Summary of Results
(MM/DD/YYYY)
c
O
CO 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
�' ❑ Yes ❑✓ No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
d
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No -4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ✓❑ Not applicable because previously submitted
information to the NPDES •ermittin• authorit .
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?(See instructions for definitions of SIUs and NSCIUs.)
❑ Yes ❑✓ No 4 SKIP to Item 4.7.
4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW.
Number of SIUs Number of NSCIUs
O
4.3 Does the POTW have an approved pretreatment program?
_ ❑ Yes ❑ No
a
4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F:(1)a pretreatment program annual report submitted within one year of the application
or(2)a pretreatment program?
H ❑ Yes ❑ No 4 SKIP to Item 4.6.
63 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7.
�L
17)
4.6 Have you completed and attached Table F to this application package?
❑ Yes
EPA Form 3510-2A Page 9

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
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?
El Yes 0 No 4 SKIP to Item 4.9.
4_8 If yes, provide the following information:
Annual
Hazardous Waste Waste Transport Method Amount of
P Units
Number (check all that apply) Waste
Received
❑ Truck El Rail
❑ Dedicated pipe ❑ Other(specify)
0
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
0
a
N ❑ Truck ❑ Rail
C6
_ ❑
-a Dedicated pipe ❑ Other(specify)
t4_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?
El Yes ❑s 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)?
El Yes 4 SKIP to Section 5. ❑ No
4.11 Have you reported the following information in an attachment to this application: identification and description of the site(s)
or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents; and the extent
of treatment, if any,the wastewater receives or will receive before entering the POTW?
❑ Yes
SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(J)(8))
5.1 Does the treatment works have a combined sewer system?
ct
❑ Yes ❑ No 4 SKIP to Section 6.
i5 5_2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
El Yes
a
5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
o ❑ Yes
EPA Form 3510-2A Page 10

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279
Conover Southeast WWTP Expires 07/31/2026
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
State and ZIP code
U
U)
d
County
0
Latitude
0
cn
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 ❑ Yes ❑ No El Yes El No ❑ Yes El No
a)
o CSO flow volume ❑ Yes ❑ No ❑ Yes ❑ No El Yes ❑ No
CSO pollutant El Yes El No ❑ Yes El No ❑ Yes El No
concentrations
o Receiving water quality El Yes ❑ No El Yes El No El Yes ❑ No
CSO frequency ❑ Yes El No ❑ Yes ❑ No ❑ Yes El No
Number of storm events El Yes ❑ No ❑ Yes 0 No El Yes El No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
as
Number of CSO events in events events events
the past year
a
Average duration per hours hours hours
event 0 Actual or 0 Estimated 0 Actual or❑Estimated 0 Actual or 0 Estimated
w
o Average volume per event million gallons million gallons million gallons
co� 0 Actual or 0 Estimated 0 Actual or❑Estimated 0 Actual or 0 Estimated
Minimum rainfall causing a inches of rainfall inches of rainfall inches of rainfall
CSO event in last year ❑Actual or❑Estimated ❑Actual or❑Estimated 0 Actual or 0 Estimated
EPA Form 3510-2A Page 11

EPA Identification Number NPDES Permit Number Facility Name OMB No.2040-0004
NC0024279 Conover Southeast WWTP Expires 07/31/2026
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
Natural Resources E Unknown ❑ Unknown ❑ Unknown
Conservation Service 14-
a, digit watershed code
(if known)
Name of state
ce management/river basin
U.S. Geological Survey ❑ Unknown ❑ Unknown ❑ Unknown
8-Digit Hydrologic Unit
Code(if known)
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam sles
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(A)AND(D))
6_1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all
applicants are required to provide attachments.
Column 1 Column 2
= Section 1: Basic Application
❑ Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments
Section 2:Additional ❑ w/topographic map ❑ w/process flow diagram
cn
o ▪ Information ❑ w/additional attachments
CO
❑ w/Table A ❑ w/Table D
❑ Section 3: Information on ❑ w/Table B ❑ w/Table E
ci Effluent Discharges
❑ w/Table C ❑ w/additional attachments
co
Section 4: Industrial ❑ wl SIU and NSCIU attachments ❑ w/Table F
❑ Discharges and Hazardous
Wastes Elw/additional attachments
❑ Section 5:Combined Sewer ❑ wl CSO map ❑ w/additional attachments
Overflows ❑ wl CSO system diagram
• Section 6:Checklist and
Certification Statement ❑ w/attachments
6-2 Provide the following certification.(See instructions to determine the appropriate person to sign the application.)
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information,including the possibility of fine and
imprisonment for knowing violations.
Name(print or type first and last name) Official title
orvN, �.•�}�-
Signature Date signed
C C . - G---� gal 111 4c+
EPA Form 3510-2A Page 12

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Facility Location Conover Southeast WWTP
Will,--! 11!� `,� NPDES Permit NC0024279
j iii - i�i t ver 36°41' 06" N
.,_thiko..j P I 'i 1$ � , Latitude: USGS Quad: Newton
dm • ittio ��' Longitude: 81° 11' 43" W Stream Class: C
M Receiving Stream: McLin Creek
4 Sub-Basin: 03-08-32

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ICEAS Basin .150 MGD
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ICEAS Basin .150 MGD U
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Influent Pump Station
with Bar Screen .300
MGD