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HomeMy WebLinkAboutNC0003450_ Renewal Application_20160708 PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary• S. JAY ZIMMERMAN Water Resources Director ENVIRONMENTAL QUALITY August 04, 2016 Mr. Gerald F. James,Public Works Dir. Town of Wallace 316 E. Murray Street Wallace,NC 28466-2317 Subject: Permit Renewal Application No.NCO 003450 Wallace Regional WWTP Duplin County Dear Mr. James: The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on July 08, 2016. 'The primary reviewer for this renewal application is Tom Belnick. The primary reviewer will review your application, and he will contact you if additional information is required to complete your permit renewal. 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. Please respond in a timely manner to requests for additional information necessary to complete the permit application. If you have any additional questions concerning renewal of the subject permit,please contact Tom Belnick at 919-807-6390 or Tom.Belnick@ncdenr.gov. Sincerely, Wren Thedford Wastewater Branch cc: Central Files NPDES Wilmington Regional Office State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh,North Carolina 27699-1617 919-807-6300 / . FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear FORM i 2A ,ES FORM 2A APPLICATION 2VERVIEW 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 B.1 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): 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 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/CERCLA 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 (CERTIFICATICI JUL 0 81016 Water EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. PemtNIkL9 age of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Wallace Regional wwtp, NC0003450 Renewal Cape Fear BASIC APPLICATION INFORMATION 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 Wallace Regional WWTP Mailing Address 316 E Murphy St Wallace N C 28466 Contact Person Gerald F.James Title Public Works Director Telephone Number 910-285-2812 Facility Address 851 Old Wilmington Rd Wallace N.C.28466 (not P.O.Box) A.2. Applicant Information. If the applicant is different from the above,provide the following: Applicant Name Mailing Address Contact Person Title Telephone Number ( 1 Is the applicant the owner or operator(or both)of the treatment works? ® owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ❑ 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 NC0003450 PSD UIC Other 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 fts ownership(municipal,private,etc.). Name Population Served Type of Collection System Ownership Town of Wallace 3574 separate municipal Town of Teachey/Greenevers 258/590 separate/separate municipal Town of Burgaw 3872 separate municipal Total population served 8294 REC8MfNCWWDM JUL 0 8 2016 EPA Forth 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. VISW Q�Page 2 of 22 Atg Ponnk FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear A.S. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes ® 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 ® No A.S. Flow. Indicate the design flow rate of the treatment plant(i.e.,the wastewater flow rale 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 12th month of'lhis year"occurring no more than three months prior to this application submittal. a. Design flow rate 5.42 mgd Two Years Ado Last Year This Year b. Annual average daily flow rate 1.363 1.396 1.512 C. Maximum daily flow rate 2.382 2.693 3.114 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. ® Separate sanitary sewer 100 % ❑ Combined storm and sanitary sewer % A.B. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No Ii 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 iii. 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 ® No If yes,provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) mgd Is discharge ❑ continuous or ❑ intermittent? C. Does the treatment works land-apply treated wastewater? ❑ Yes ® No If yes,provide the following for each land application site: Location: Number of acres: Annual average daily volume applied to site: mgd Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ 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: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear 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). If transport is by a party other than the applicant,provide: Transporter Name N/A Mailing Address Contact Person Title Telephone Number ( 1 For each treatment works that receives this discharge,provide the following: Name N/A Mailing Address Contact Person Title Telephone Number ( 1 If known,provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily Flow rate from the treatment works into the receiving facility. 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 site(s)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 8 7550-22, Page 4 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NCO03450 Renewal Cape Fear WASTEWATER DISCHARGES: If you answered"Yes"to question A.8.a,complete 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." A.9. Description of Outfall. a. Outfall number 001 It. Location Wallace 28466 (City or town.H applicable) (Zip Code) Dublin NC (County) (State) 34D 42'59"N 77D 58'43"W (Latitude) (Longitude) C. Distance from shore(if applicable) ft. d. Depth below surface(if applicable) ft. e. Average daily flow rate 1.512 mgd I. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes ® No (go to A.9.g.) If yes,provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: mgd Months in which discharge occurs: g. Is outfall equipped with a diffuser? ❑ Yes ® No A.10. Description of Receiving Waters. a. Name of receiving water Rockfish Creek b. Name of watershed(8 known) Northeast Care Fear River United States Soil Conservation Service 14-digit watershed code(if known): C. Name of State Management/River Basin(if known):Cape Fear United States Geological Survey 8-digit hydrologic cataloging unit code(if known): 0303007 d. Critical low flow of receiving stream(if applicable) acute cis chronic cis e. Total hardness of receiving stream at critical low flow(if applicable): mg/I of CaCO3 EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP , NC0003450 Renewal Cape Fear A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ® Primary ® Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates(as applicable): Design BODS removal or Design CBOD5 removal 98 % Design SS removal 98 % Design P removal % Design N removal % 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 ® No Does the treatment plant have post aeration? ® Yes ❑ 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. Oulfall number: 001 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH(Minimum) 6.8 S.U. pH(Maximum) 7.8 S.U. Flow Rate 4.869 mgd 2.484 m d 365 Temperature(winter) 10 DegC 11 De C 3 Temperature(Summer) 28 DegC 26 De C 3 For pH please report a minimum and a maximum daily value MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT METHOD MUMDL Cone. Units Cone. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BODS 3 m l 1 m l 3 SM5210B 2.0 DEMAND(Report one) CBOD5 FECALCOLIFORM 77 HOOml .66 NOOml 3 SM9222D 1.0 TOTAL SUSPENDED SOLIDS(TSS) 2.9 m I 2.8 m I 3 SM2540D 5.0 END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 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 6 of a2 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear BASIC APPLICATION INFORMATION PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR EQUAL TO 0.1 MGD(100,000 gallons per day). All applicants with a design flow rate 2 0.1 mild must answer questions B.1 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. 30.000 gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. Continue smoke testing 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 ouffalls 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. I. 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. BA. Operation/Maintenance 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 ® No If yes,list the name,address,telephone number,and status of each contractor and describe the contractors 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 different implementation schedules or is planning several improvements,submit separate responses to question B.5 for each. (If none,go to question B.S.) a. List the outfall number(assigned in question A.9)for each outfall that Is covered by this implementation schedule. b. Indicate whether the planned improvements or Implementation schedule are required by local,State,or Federal agencies. ❑ Yes ❑ No EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-5&7550-22. Page 7 of 22 1. To continue to operate a 5.42 MGD domestic wastewater treatment facility consisting of- 0 Spiral mechanical screen(peak flow rating of 13.6 MGD) o Vortex grit removal system(peak flow rating of 13.6 MGD) o Influent flow meter system o Influent composite sampler with proportional sampling control o Influent transfer basin with four(4)variable drive pumps and controls(capacity 13.6 MGD) o Three(3) 1,900,000 gallon concrete Sequencing Batch Reactor(SBR)basins with fine bubble diffusers,floating mixer,-floating decanter,sludge transfer pump, and controls o Five(5) 1,443 scfin blowers o One (1)2,300,000 gallon post aeration basin with floating aerator o Two (2)tertiary disk filters (peak flow rating of 10.8 MGD) o Two (2)UV disinfection channel unit with three (3)banks each(peak flow rating of 10.8 MGD) o Effluent composite sampler o Effluent basin with four(4)variable drive pumps and controls(capacity 13.6 MGD)with 6,355 ft of 24 in diameter force main to outfall o Effluent flow meter system with recorder o Effluent composite sampler with proportional sampling control o One (1) 1,900,000 gallon concrete aerobic sludge digester with three(3)floating aerators,floating decanter, and two(2)sludge transfer pumps o Three (3) 900 scfin blowers o Two(2)330,000 gallon concrete sludge thickening basins with sludge transfer pumps o Sludge truck loading station 0 2,250 kW emergency generator with automatic transfer o Additional emergency power connection capability at outfall Located at the Wallace Regional WWTP, 851 Old Wilmington Road, Wallace in Duplin County. 2. Discharge from said treatment works to the location specified on the attached map into Rock Fish Creek, a class C-Sw water in the Cape Fear River Basin. kl PftlVWCir -y iF1.•r��My in Oly -y •a � - - _ a '-A s Wallace Regional �..,, E *A NCO00345O $ _�� l lj:. n v x ` Dv.. IIJII illi tl NCO003450 Discharge 0 i lar - — __ --- -- _ r Viol _ a . � r 1 I F UpSLIe21n1 Isa. t) Sample r x { 4- Ar Yt K, ♦ a `i i USGS Quad: I27NW Wallace East, NC Outfall Facility Latitude: 340 4311.4"N 340 43' 58"N Longitude: 770 58' 45.8" W 770 59' 1" W Facility Location Stream Class: C, Sw North Subbasin: 03-06-22 HUC: 03030007 Wallace Regional WWTPNC0003450 Receiving Stream: Rock Fish Creek Duplin County FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape fear C. If the answer to B.5.b Is"Yes,'briefly describe,including new maximum daily Inflow rate(fl 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 dales,as applicable. Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY -Begin Construction / / / / -End Construction / -Begin Discharge / / / / -Attain Operational Level e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: 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 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 pollutant scans and must be no more than four and on-half years old. Outfall Number: 001 MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT METHOD ML/MDL Units Cone. Conc. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA(as N) 0.2 mgl 0.2 mgl 3 EPA360.1 0.1 CHLORINE(TOTAL RESIDUAL,TRC) DISSOLVED OXYGEN 8.4 mgl 8.3 mgl 3 We n1a TOTAL KJELDAHL 0,5 mol .42 mol 3 EPA361.2 0.5 NITROGEN(TKN) NITRATE PLUS NITRITE 10.2 mol 6.4 mgt 3 EPA353.2 0 NITROGEN OIL and GREASE 5 mgt 5 mgl 3 EPA1664 5 PHOSPHORUS(Total) 2.48 mol 1.44 mgl 3 SM450OPF 0 TOTAL DISSOLVED SOLIDS 417 mgt 411 mgl 3 SM2640C 0 (TDS) OTHER END OF PART B. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A(Rev.1.99). Replaces EPA forms 7550-6 8 7550-22. Page 8 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC000345 Renewal Cape Fear BASIC APPLICATION INFORMATION PART C. CERTIFICATION 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 Forth 2A,as explained In the Application Overview. Indicate below which parts of Form 2A you have completed and are submttting. 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: ® Basic Application Information packet Supplemental Application Information packet: x® Part D(Expanded Effluent Testing Data) x® Part E(Toxicity Testing: Biomonitodng Data) x® Part F(Industrial User Discharges and RCRAICERCLA Wastes) ❑ Part G(Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING 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 propedy 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 Ge Id James PuPIk.Works Di dor Signature �— Telephone number 910-285- 12 Date signed 0 & — 3 d lli Upon request of the permitting authority,you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-8&7550-22. Page 9 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION PART D. EXPANDED EFFLUENT TESTING DATA Refer to the directions on the cover page to determine whether this section applies to the treatment works. Effluent Testing: 1.0 m9d 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 discharged. 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 analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below any data you may have on pollutants not specifically listed 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: 1 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL ML/MDL Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS. ANTIMONY <0.1 mgt mgt 3 EPA200.7 0.01 ARSENIC <0.1 mgt mgt 3 EPA200.7 0.01 BERYLLIUM <0.1 mgt 3 EPA200.7 0.01 CADMIUM <0.1 mgl 3 EPA200.7 0.01 CHROMIUM <0.1 mgl 3 EPA200.7 0.01 COPPER 0.006 mgt 3 EPA200.7 0.01 LEAD <0.1 mgt 3 EPA200.7 0.01 MERCURY 2.64 ngl 1.96 ngl n9l 3 1631E 0 NICKEL <0.1 mgt 3 EPA200.7 0.01 SELENIUM <0.1 mgt 3 EPA200.7 0.01 SILVER <0.1 mgt 3 EPA200.7 0.01 THALLIUM <0.1 mgt 3 EPA200.7 0.01 ZINC .047 mgt .039 mgt 3 EPA200.7 0.01 CYANIDE 0.006 mgt .005 mgl 3 EPA335.4 0.005 TOTAL PHENOLIC 059 mgt .023 mgt 3 EPA420.1 0.008 COMPOUNDS HARDNESS(as CaCO3) 92 mgl 84 mgt 3 SM2340.0 0 Use this space(or a separate sheet)to provide information on omen metals requested by the permit writer EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 10 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Renewal CapeFear Town of Wallace Regional WWTP, NC0003450 Outfall number 1 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL MLIMDL Conc. Units Mass Units Conc. Unita Mass Units of METHOD Samples VOLATILE ORGANIC COMPOUNDS ACROLEIN <0.5 ugl 3 EPA624 6 ACRYLONITRILE <0.5 ugl 3 EPA624 5 BENZENE <0.5 ugl 3 EPA624 0.5 BROMOFORM <0.5 ugl 3 EPA624 0.6 CARBON <0.5 ugl 3 EPA624 0.5 TETRACHLORIDE CHLOROBENZENE <0.5 ugl 3 EPA524 0.6 CHLORODIBROMO- <0.5 ugl 3 EPA624 0.5 METHANE CHLOROETHANE <0.5 ugl 3 EPA624 0.5 2-CHLOROETHYLVINYL <0.5 ugl 3 EPA624 0.5 ETHER CHLOROFORM <0.5 ugl 3 EPA624 0.5 DICHLOROBROMO- <0.5 Ugl 3 EPA624 0.5 METHANE 1,1-DICHLOROETHANE <0.5 ugl 3 EPA624 0.5 1,2-DICHLOROETHANE <0.5 ugl 3 EPA624 0.5 TRANS-I,2-DICHLORO- <0.5 ugl 3 EPA624 0.5 ETHYLENE 1,1-DICHLORO- <0.5 ugl 3 EPA624 0.5 ETHYLENE 1,2-DICHLOROPROPANE <0.5 ugl 3 EPA624 0.5 1,3-DICHLORO- <0.5 ugl 3 EPA624 0.5 PROPYLENE ETHYLBENZENE <0.5 ugl 3 EPA624 0.5 METHYL BROMIDE <0.5 ugl 3 EPA624 0.6 METHYL CHLORIDE <0.5 ugl 3 EPA624 0.5 METHYLENE CHLORIDE <0.5 ugl 3 EPA624 0.5 1.1.2.2-TETRA- <0.6 ugl 3 EPA624 0.5 CHLOROETHANE TETRACHLORO- <0.6 ugl 3 EPA624 0.5 ETHYLENE TOLUENE <0.5 ugl 3 EPA624 0.6 EPA Fonn 3510-ZA(Rev. 1-99). Replaces EPA forms 7550-6 5 7550-22. Page 11 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear Outfall number: 1 (Complete once for each outlall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL ML/MDL Cone. Units Mass Units Cone. Units Mass Units of METHOD Samples 40.5 ugl 3 EPA624 0.5 TRICHLOROETHANE 1'1'2 <0.5 ugl 3 EPA624 0.5 TRICHLOROETHANE TRICHLOROETHYLENE <0.5 ugl 3 EPA624 0.5 VINYL CHLORIDE <0.5 ugl 3 EPA624 0.5 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 <5 ugl 3 EPA625 5 2-CHLOROPHENOL <5 ugl 3 EPA625 5 Z4-13ICHLOROPHENOL <5 ugl 3 EPA625 5 2,4-DIMETHYLPHENOL <5 ugl 3 EPA625 5 4,6-DINITRO-O-CRESOL <5 ugl 3 EPA625 5 2,4-DINITROPHENOL <25 ug! 3 EPA625 25 2-NITROPHENOL <25 ugl 3 EPA625 25 4-NITROPHENOL 425 ugl 3 EPA625 25 PENTACHLOROPHENOL 425 ugl 3 EPA625 25 PHENOL <5 ugl 3 EPA625 5 2'4.6- <5 ugl 3 EPA625 5 TRICHLOROPHENOL Use this space(or a separate sheet)to provide information on other acid-extractable compounds requested by the permit writer BASE-NEUTRAL COMPOUNDS ACENAPHTHENE <5 ugl 3 EPA625 5 ACENAPHTHYLENE <5 ugl 3 EPA625 5 ANTHRACENE <10 ugl 3 EPA625 10 BENZIDINE <5 ugl 3 EPA625 5 BENZW)ANTHRACENE <5 ugl 3 EPA625 5 BENZO(A)PYRENE <5 ugl 3 EPA625 5 EPA Form 3510-2A(Rev. 1-99). Replaces EPA fortes 7550-6&7550-22. Page 12 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear Outfall number. 1 (Complete once for each ou0all discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL MLIMDL Conc. Unita Mass Units Conc. Units Mass Units of METHOD Samples 3,4 BENZO- FLUORANTHENE uBl 3 EPA625 5 BENZO(GHQPERYLENE <5 ugl 3 EPA625 5 BENZO(K) <5 ugl 3 EPA625 5 FLUORANTHENE BIS(2-CHLOROETHOXY) <5 ugl 3 EPA625 5 METHANE BIS(2-CHLOROETHYL} <5 ugl 3 EPA625 5 ETHER BIS(2-CHLOROISO- <5 ugl 3 EPA625 5 PROPYL)ETHER BIS(2-ETHYLHEXYL) <5 ugl 3 EPA625 5 PHTHALATE 4-BROMOPHENYL <5 ugl 3 EPA625 5 PHENYLETHER BUTYL BENZYL <5 ugl 3 EPA625 5 PHTHALATE 2-CHLORO- <5 ugl 3 EPA625 5 NAPHTHALENE 4-CHLORPHENYL PHENYL ETHER <5 ugl 3 EPA625 5 CHRYSENE <5 ugl 3 EPA625 5 DI-N-BUTYL PHTHALATE <5 ugl 3 EPA625 5 DI-N-OCTYL PHTHALATE <5 ugl 3 EPA625 5 DIBENZO(A,H) <5 ugl 3 EPA625 5 ANTHRACENE 1,2-DICHLOROBENZENE <5 ugl 3 EPA625 5 1,3-DICHLOROBENZENE <5 ugl 3 EPA625 5 1,4-DICHLOROBENZENE <5 ugl 3 EPA625 5 3,3-DICHLORO- <10 ugl 3 EPA625 10 BENZIDINE DIETHYL PHTHALATE <5 ugl 3 EPA625 5 DIMETHYL PHTHALATE <5 ugl 3 EPA625 5 2,4-DINITROTOLUENE <5 ugl 3 EPA625 5 2,6-DINITROTOLUENE <5 ugl 3 EPA625 5 1,2-DIPHENYL- <5 ugl 3 EPA625 5 HYDRAZINE EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear Outfall number: 1< (Complete once for each outlall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL MLIMDL Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples FLUORANTHENE 45 ugl 3 EPA625 5 FLUORENE 46 ugi 3 EPA625 5 HEXACHLOROBENZENE <5 ugl 3 EPA625 5 HEXACHLORO- <5 ugl 3 EPA625 6 BUTADIENE HEXACHLOROCYCLO- <52 ugl 3 EPA625 52 PENTADIENE HEXACHLOROETHANE <6 ugl 3 EPA625 5 INDENO(1,2,3-CD) <5 ugl 3 EPA625 6 PYRENE ISOPHORONE <5 U91 3 EPA625 5 NAPHTHALENE <5 ugl 3 EPA625 5 NITROBENZENE <5 ugi 3 EPA625 5 N-NFTROSODI-N- <5 ugl 3 EPA625 5 PROPYLAMINE N-NITROSODI- <5 ugl 3 EPA625 5 METHYLAMINE N-NITROSODI- <5 ugl 3 EPA625 5 PHENYLAMINE PHENANTHRENE <5 ugl 3 EPA625 5 PYRENE <5 ugl 3 EPA626 6 1.2'4- <5 ugl 3 EPA626 5 TRICHLOROBENZENE Use this space for a separate sheet)to provide information on other base-neutral compounds requested by the permit writer Use this space(or a separate sheet)to provide information on other pollutants(e.g..pes6ddes)requested by the Permit writer END OF PART D. REFER TO THE APPLICATION OVERVIEW (PAGE 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 14 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA 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-halt 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 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. • 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. 4❑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 lest(where each species constitutes a test). Copy this page if more than three tests are being reported. Test number: 1 Test number: 1-2 Test number. 1 a. Test information. Test Species&test method number EPA-621-R-02-013 EPA-821-R-02-013 Pimephalespromelas EPA1000.0 Age at initiation of test 1 1 <24 hrs Outfall number 001 001 001 Dates sample collected 01-11-16 01-1346 June 05-10-2016 Date test started 01-12-16 01-14-16 June 07 2016 Duration 23.75 HR 23.5HR 24 hr each b. Give toxicity test methods followed. Short term methods for Manual title NC Cerodaphania NC Cerodaphania est chronic toxicity to freshwater org. EPA-821- R-02-013 Edition number and year of publication DEC 85 revised 1988 DEC 85 revised 1988 Page number(s) 1-335 c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection EPA Farm 3510-2A(Rev.1.99). Replaces EPA fortes 7550-6&7550-22. Page 15 of 22 After disinfection X X X After dechlorination 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: Town of Wallace Regional WWTP, NCO00345O Renewal Cape Fear Test number. Test number: Test number: e. Describe the point in the treatment process at which the sample was collected. Sample was collected: I. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both Chronic toxicity X X X Acute toxicity g. Provide the type of lest performed. Static Static-renewal X Flow-through h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source. Laboratory water Receiving water I. Type of dilution water. If salt water,specify"natural"or type of artificial sea salts or brine used. Fresh water x Salt water j. Give the percentage effluent used for all concentrations in the test series. 67% 67% 0,16.75,33.5,67,83.5,100% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH yes Salinity n/e Temperature yes Ammonia n/a Dissolved oxygen yes I. Test Results. Acute: Percent survival in 100% % % % effluent LCm 95%C.I. % % % Control percent survival % % % Other(describe) EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 75506&7550-22. Page 17 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear Chronic: NOEC % % 100% ICs % % >100% Control percent survival % % 100 % Other(describe) ChV>100% m. Quality Control/Quality Assurance. Is reference toxicant data available? yes Was reference toxicant test within acceptable bounds? yea What date was reference toxicant test / / / / 06/07/2016 run(MM/DD/YYYY)? Other(describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes x❑ No If yes,describe: EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring 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: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-8&7550-22. Page 18 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear 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. GENERAL INFORMATION: F.1. Pretreatment program. Does the treatment works have,or is subject of an approved pretreatment program? x❑ 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. 0 b. Number of ClUs. 0 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: Mailing Address: F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. F.6. 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): Raw material(s): 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. gpd ( 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. gpd ( continuous or 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? EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 19 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Wallace Regional WWTP, NC0003450 Renewal Cape Fear 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. 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,rail or dedicated pipe? ❑ Yes x❑ 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. Remediation 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.) x❑ 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. END OF PART F. REFER TO THE APPLICATION OVERVIEW (PAGE 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 20 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. GA. 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 G.1 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 sep ry. b. Locations of points where separate sanitary sewers feed i o the combin war 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 G.6 ncNr each CSO dischar a inL G.3. Description of Outfall. a. Ouffall number b. Location (City or town,i t ble) (Zi Code) (County) State) (Latitude) (Longitude) C. Distance from shore(if applicable) ft. d. Depth below surface(if applicable) ft. e. Which of the following were monitored during the Iasi year for this CSO? ❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency ❑ CSO flow volume ❑ Receiving water quality I. 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 forms 7550-6&7550-22. Page 21 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 watershed/river/stream system: United State Soil Conserved n rvioe 14-digit atershed a(if known): C. Name of State Management/ er Bas United States Geological Survey igit 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 OF PART G. REFER TO THE APPLICATION OVERVIEW (PAGE 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 22 of 22 Additional information,if provided,will appear on the following pages. NPDES FORM 2A Additional Information