Loading...
HomeMy WebLinkAboutNC0025721_Renewal (Application)_20160916N, Water Resources ENVIRONMENTAL QUALITY September 20, 2016 Mrs. Julia M. Meacham, Mayor Town of Weldon PO Box 551 Weldon, NC 27890-0551 PAT MCCRORY Governor DONALD R. VAN DER VAART Secreraq S. JAY ZIMMERMAN Director Subject: Renewal application Application No. NCO025721 Weldon WWTP Halifax County Dear Mrs. Meacham: The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on September 16, 2016. The primary reviewer for this renewal application is Teresa Rodriguez.. The primary reviewer will review your application, and she 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 Teresa Rodriguez at 919-807-6387 or Teresa.Rodrigpez@Acdenr.gov. cc: Central File_ s NPDES Raleigh Regional Office Sincerely, ?Am 7&1e o Wren Thedford Wastewater Branch State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6300 September 14, 2016 NCDEQ Division of Water Resources 9'' Floor Archdale Bldg. 512 N. Salisbury St. Raleigh, North Carolina 27604 Attention: Mr. Joe Corporon Water Quality Permitting Section - NPDES SUBJECT: NPDES Permit Renewal Application Weldon Wastewater Treatment Plant - Permit No. NCO025721 Town of Weldon Halifax County, North Carolina Project No.: 16-091 Dear Mr. Corporon: Please find attached one (1) original and one (1) copy of the NPDES Permit Renewal Application package for the Weldon Wastewater Treatment Plant, Weldon, North Carolina, Permit No. NC0025721. The expiration date for this permit is listed as March 31, 2017. A few items regarding the application package are described below: 1. Contact Person Consistent with the last renewal, the Contact Person for this NPDES Permit Renewal Application is Mayor Julia M. Meacham. 2. Part B.6 Effluent Testing Data a. "Number of Samples" Column — Abbreviations Used "12 DMRs" — Data provided is based on the DMR Average and Maximum values reported during the 12 month period from August 2015 through July 2016. "3 (Scans) — The data provided is based on three annual priority pollutant scans provided by the Town of Weldon: November 2012, December 2015, and April 2016. wAweldo\16091 (refer to woNs 06-070,10-059 & 11-052)\office\npdes renewal trans cover Itr-9-14-16.doc Mr. Joe Corporon Page Two (2) September 14, 2016 b. Total Residual Chlorine (TRC) Consistent with the last renewal application, the Town still conducts TRC analyses utilizing a HACH 10014 unit with an MDL of 50 ug/L. Although Weldon's NPDES limit is 28 ug/L the Town has reports that they are authorized by NCDEQ to utilize the HACH 10014 unit for the purposes of DMR reporting and record reading below the MDL of 50 ug/L. 3. Part D. Expanded Effluent Testing Data — Priority Pollutant Scans a. Below Detection Level (BDL) Readings Most toxicants listed in Part D have been labelled BDL, due to their readings being below detection level across the three pollutant scans utilized. Exceptions were Bromoform, Chlorodibromomethane, Chloroform, and Dichlorobromomethane. -These pollutants registered readings, which have been averaged across the three pollutant scans utilized. b. Some Pollutants did riot register for all Scans For Bromoform, Chlorodibromomethane, and Dichlorobromomethane; one of three samples (one of the three scans analyzed), the April 2016 Pollutant Scan, listed as BDL, or Below Detection Level, Below Quantitation Level. For Nickel and for Chloroform, samples were BDL for the December 2015 Pollutant Scan. In all cases, the threshold for detection level was substituted in for each sample in order to produce three total samples for averaging. Copies of the Three (3) Pollutant Scans analyzed are attached. Please notify if more information is required. 4. Part E. Toxicity Testing Data The Town of Weldon has provided Five (5) Toxicity Tests, with dates as follows: • October 15, 2015 • January 8, 2016 • April 7, 2016 • April 21, 2016 • July 15, 2016 wAweldo\16091 (refer to woVs 06-070, 10-059 & 11-052)\office\npdes renewal tracts cover ltr-9-14-16.doc Mr. Joe Corporon Page Three (3) September 14, 2016 Copies of all Five (5) Toxicity Tests are attached. I trust that with this information you will be able to complete your review. Should you require additional information, please feel free to call. Respectfully, W. and Younce, P.E. WLY cc: Mrs. Julia M. Meacham - Mayor, Town of Weldon, N.C. w:\weldo\16091 (refer to wofPs 06-070, 10-059 & 11-052)\offlce\npdes renewal trans cover ltr-9-14-16.doc FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE FORM �;� NPDEma�c,S. -Es��OR,�, 'M��2a�A� P.PM La nIiC� �►TIO�4Nt®�Hg- MINIIEW2A a NPDES - a:, 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 >_ 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 6.6. 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 (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 Town of Weldon Wastewater Treatment Plant Mailing Address P. O. Box 551 Weldon, NC 27890 Contact Person Julia M. Meacham Title - Mayor Telephone Number (252) 536-3478 Facility Address 525 River Road (not P.O. Box) Weldon, NC 27890 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 NC 0025721 PSD UIC Other WQ 0002368 RCRA Other NC G110000 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 Town of Weldon 1.600 Separate - Gravity Sewer Town of Weldon Halifax County 6.500 Separate - Gravity Sewer Halifax County Northampton County 3.000 Separate - Gravity Sewer Northampton County Total population served (See Additional Information — Expanded Table Attached) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE A.5. 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.B. 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 12`h month of "this year' occurring no more than three months prior to this application submittal. a. Design flow rate 1.20 mgd Two Years Ago Last Year This Year b. Annual average daily flow rate 0.792 (2014) 0.756 (2015) 0.798 (2016) C. Maximum daily flow rate 2.435 (2014) 2.369 (2015) 2.310 (2016) 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 If yes, list how many of each of the following types of discharge points the treatment works uses: I. Discharges of treated effluent ii. Discharges of untreated or partially treated effluent iii. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) V. Other 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 If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) Is discharge ❑ continuous or ❑ intermittent? C. Does the treatment works land -apply treated wastewater? If yes, provide the following for each land application site: Location: Halifax County and Northampton County Number of acres: 159.7 acres remain permitted: 40.3 acres are utilized 1 ® No ® Yes Annual average daily volume applied to site: 0.001529 mgd Is land application ® continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ Yes mgd ❑ No ® No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 Mailing Address Contact Person Title Telephone Number ( ) For each treatment works that receives this discharge, provide the following: Name 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. 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): 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? mgd ❑ Yes ® No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 b. Location Town of Weldon 27890 (City or town, if applicable) (Zip Code) Halifax County NC (County) (State) 36° 25'24" -77° 34'39" (Latitude) (Longitude) C. Distance from shore (if applicable) N/A ft. d. Depth below surface (if applicable) N/A ft. e. Average daily flow rate 0.798 mgd f. 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: Months in which discharge occurs: g. Is outfall equipped with a diffuser? ❑ Yes ® No mgd A.10. Description of Receiving Waters. a. Name of receiving water Roanoke River b. Name of watershed (if known) Roanoke River Basin United States Soil Conservation Service 14 -digit watershed code (if known): NC -03-02-08 C. Name of State Management/River Basin (if known): Roanoke River Basin United States Geological Survey 8 -digit hydrologic cataloging unit code (if known): NC -03-02-08 d. Critical low flow of receiving stream (if applicable) acute cfs chronic cfs 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 & 7550-22. Page 5 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary E Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal % Design SS removal % 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: Chlorine If disinfectionis 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. Outfall number: 001 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH (Minimum) 6.0 S.U. pH (Maximum) 8.4 S.U. Flow Rate 2.31 MGD 0.798 MGD 12 MRS Temperature (Winter) 17.8 0C 13.4 DC 12 MRS Temperature (Summer) 28.0 ° C 25.0 ° C 12 DMRS ' For pH please report a minimum and a maximum daily value MAXIMUM DAILY AVERAGE DAILY DISCHARGE POLLUTANT DISCHARGE ANALYTICAL ML/MDL Number of METHOD Conc. Units Conc. Units Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BOD5 9.90 mg/L 1.20 mg/L 3 MRS EPA 405.1 DEMAND (Report one) CBOD5 FECAL COLIFORM 24.0 #/100mL 2.87 #/100mL 3 MRS SM9222D TOTAL SUSPENDED SOLIDS (TSS) 53.0 m /L 10.0 m /L 3 MRS EPA 160.2 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 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 Z 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification). B.1. Inflow and Infiltration.. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration. 157,502 gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. Data is based on owner records. 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''X mile of the property boundaries of the treatment works, and 2) listed in public record or otherwiseknown 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. 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 contractor's responsibilities (attach additional pages if necessary). Name: Mailing Address: Telephone Number: ( 1 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.6.) 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 7550-6 & 7550-22. Page 7 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NIC0025721 Renewal ROANOKE 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 / / / / - End Construction / - Begin Discharge - Attain Operational Level e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: B.6. 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 MLIMDL - Conc. Unit's Conc. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 3.70 mg/L 0.200 mg/L 12 DMRs EPA 350.1 0.1 mg/L CHLORINE (TOTAL 28.00 ug/L 3.018 ug/L 12 DMRs HACH 10014 50 ug/L RESIDUAL, TRC) DISSOLVED OXYGEN 7.950 mg/L 7.733 mg/L 3 (Scans) EPA 360.2 TOTAL KJELDAHL 1.680 mg/L 0.990 mg/L 3 (Scans) EPA 351.1 0.2 mg/L NITROGEN (TKN) NITRATE PLUS NITRITE 17,10 mg/L 13.82 mg/L 3 (Scans) EPA 353.2 0.1 mg/L NITROGEN OIL and GREASE BDL mg/L BDL mg/L 3 (Scans) EPA 1664A 5 mg/L PHOSPHORUS (Total) 7.570 mg/L 3.185 mg/L 3 (Scans) EPA 200.7 0.05 mg/L TOTAL DISSOLVED SOLIDS 632 mg/L 386 mg/L 3 (Scans) SM 2540C 10 mg/L (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: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 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: ® Basic Application Information packet Supplemental Application Information packet: El Part D (Expanded Effluent Testing Data) ® Part E (Toxicity Testing: Biomonitoring Data) ® 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 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 Julia M. Meacham - Mayor, Town of Weldon, N.C. Signature. Telephone number (252) 536-3478 Date signed 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 7550-6 & 7550-22. Page 9 of 22 FACILITY NAME AND PERMIT NUMBER: Weldon Wastewater Treatment Plant, NJC0025721 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: ROANOKE 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 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 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: 001 (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Conc. Units Mass Units Number of Samples METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY BDL BDL 3 EPA 200.7 ARSENIC BDL BDL 3 EPA 200.7 BERYLLIUM BDL BDL 3 EPA 200.7 CADMIUM BDL BDL 3 EPA 200.7 CHROMIUM BDL BDL 3 EPA 200.7 COPPER 0.016 mg/L 0.308 #/day 0.014 mg/L 0.093 #/day 3 EPA 200.7 LEAD BDL BDL 3 EPA 200.7 MERCURY 4.920 ng/L .00009 #/day 3.217 ng/L .00002 #/day 3 EPA 245.1 NICKEL 0.014 mg/L 0.270 #/day 0.012 mg/L 0.080 #/day 3 EPA 200.7 SELENIUM BDL BDL 3 EPA 200.7 SILVER BDL BDL 3 EPA 200.7 THALLIUM BDL BDL 3 EPA 200.7 ZINC 0.266 mg/L 5.125 #/day 0.124 mg/L 0.825 #/day 3 EPA 200.7 CYANIDE BDL BDL 3 EPA 335.4 TOTAL PHENOLIC COMPOUNDS 0.465 mg/L 8.958 #/day 0.167 mg/L 1.111 #/day 3 EPA 420.1 HARDNESS (as CaCO3) 183 mg/L 3,526 #/day 93 mg/L 618.9 #/day 3 EPA 2340B Use this space (or a separate sheet) to provide information on other metals requested by the permit writer EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 10 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NIC0025721 Renewal ROANOKE Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples VOLATILE ORGANIC COMPOUNDS ACROLEIN BDL BDL 3 EPA 624 ACRYLONITRILE BDL BDL 3 EPA 624 BENZENE BDL BDL 3 EPA 624 BROMOFORM 4.440 ug/L 0.086 #/day 2.327 ug/L 0.016 #/day 3 EPA 624 CARBON BDL BDL 3 EPA 624 TETRACHLORIDE CHLOROBENZENE BDL BDL 3 EPA 624 CHLORODIBROMO- 7,420 ug/L 0.143 #/day 4.630 ug/L 0.031 #/day 3 EPA 624 METHANE CHLOROETHANE BDL BDL 3 EPA 624 2-CHLOROETHYLVINYL BDL BDL 3 EPA 624 ETHER CHLOROFORM 5.130 ug/L 0.099 #/day 2.753 ug/L 0.018 #/day 3 EPA 624 DICHLOROBROMO- 9,700 ug/L 0.187 #/day 4.440 ug/L 0.030 #/day 3 EPA 624 METHANE 1,1-DICHLOROETHANE BDL BDL 3 EPA 624 1,2-DICHLOROETHANE BDL BDL 3 EPA 624 TRANS-1,2-DICHLORO- BDL BDL 3 EPA 624 ETHYLENE 1,1-DICHLORO- BDL BDL 3 EPA 624 ETHYLENE 1,2-DICHLOROPROPANE BDL BDL 3 EPA 624 1,3-DICHLORO- BDL BDL 3 EPA 624 PROPYLENE ETHYLBENZENE BDL BDL 3 EPA 624 METHYL BROMIDE BDL BDL 3 EPA 624 METHYL CHLORIDE BDL BDL 3 EPA 624 METHYLENE CHLORIDE BDL BDL 3 EPA 624 1,1,2,2 -TETRA- BDL BDL 3 EPA 624 CHLOROETHANE TETRACHLORO- BDL BDL 3 EPA 624 ETHYLENE TOLUENE BDL BDL 3 EPA 624 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 11 of 22 FACILITY NAME AND PERMIT NUMBER: Weldon Wastewater Treatment Plant, NIC0025721 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: ROANOKE Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Conc. Units Mass Units Number of Samples 1,1,1- TRICHLOROETHANE BDL BDL 3 EPA 624 1'1'2- TRICHLOROETHANE BDL BDL 3 EPA 624 TRICHLOROETHYLENE BDL BDL 3 EPA 624 VINYL CHLORIDE BDL BDL 3 EPA 624 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 BDL BDL 3 EPA 625 2 -CHLOROPHENOL BDL BDL 3 EPA 625 2,4-DICHLOROPHENOL BDL BDL 3 EPA 625 2,4 -DIMETHYLPHENOL BDL BDL 3 EPA 625 4,6-DINITRO-0-CRESOL BDL BDL 3 EPA 625 2,4-DINITROPHENOL BDL BDL 3 EPA 625 2-NITROPHENOL BDL BDL 3 EPA 625 4-NITROPHENOL BDL BDL 3 EPA 625 PENTACHLOROPHENOL BDL BDL 3 EPA 625 PHENOL BDL BDL 3 EPA 625 2,4,6- TRICHLOROPHENOL BDL BDL 3 EPA 625 Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer BASE -NEUTRAL COMPOUNDS ACENAPHTHENE BDL BDL 3 EPA 625 ACENAPHTHYLENE BDL BDL 3 EPA 625 ANTHRACENE BDL BDL 3 EPA 625 BENZIDINE BDL BDL 3 EPA 625 BENZO(A)ANTHRACENE BDL BDL 3 EPA 625 BENZO(A)PYRENE BDL BDL 3 EPA 625 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 i£ 7550-22. Page 12 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples 3,4 BENZO- BDL BDL 3 EPA 625 FLUORANTHENE BENZO(GHI)PERYLENE BDL BDL 3 EPA 625 BENZO(K) BDL -BDL 3 EPA 625 FLUORANTHENE BIS (2-CHLOROETHOXY) BDL BDL 3 EPA 625 METHANE BIS (2-CHLOROETHYL} BDL BDL 3 EPA 625 ETHER BIS (2-CHLOROISO- BDL BDL 3 EPA 625 PROPYL)ETHER BIS (2-ETHYLHEXYL) BDL BDL 3 EPA 625 PHTHALATE 4-13ROMOPHENYL BDL BDL 3 EPA 625 PHENYL ETHER BUTYL BENZYL BDL BDL 3 EPA 625 PHTHALATE 2 -CHLORO- BDL BDL 3 EPA 625 NAPHTHALENE 4-CHLORPHENYL BDL BDL 3 EPA 625 PHENYLETHER CHRYSENE BDL BDL 3 EPA 625 DI -N -BUTYL PHTHALATE BDL BDL 3 EPA 625 DI-N-OCTYL PHTHALATE BDL BDL 3 EPA 625 DIBENZO(A,H) BDL BDL 3 EPA 625 ANTHRACENE 1,2 -DICHLOROBENZENE BDL BDL 3 EPA 625 1,3 -DICHLOROBENZENE BDL BDL 3 EPA 625 1,4 -DICHLOROBENZENE BDL BDL 3 EPA 625 3,3-DICHLORO- BDL BDL 3 EPA 625 BENZIDINE DIETHYL PHTHALATE BDL BDL 3 EPA 625 DIMETHYL PHTHALATE BDL BDL 3 EPA 625 2,4-DINITROTOLUENE BDL BDL 3 EPA 625 2,6-DINITROTOLUENE BDL BDL 3 EPA 625 1,2 -DIPHENYL- BDL BDL 3 EPA 625 HYDRAZINE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 13 of 22 FACILITY NAME AND PERMIT NUMBER: Weldon Wastewater Treatment Plant, NCO025721 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: ROANOKE Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Conc. Units Mass Units Number of Samples FLUORANTHENE BDL BDL 3 EPA 625 FLUORENE BDL BDL 3 EPA 625 HEXACHLOROBENZENE BDL BDL 3 EPA 625 HEXACHLORO- BUTADIENE BDL BDL 3 EPA 625 HEXACHLOROCYCLO- PENTADIENE BDL BDL 3 EPA 625 HEXACHLOROETHANE BDL BDL 3 EPA 625 INDENO(1,2,3-CD) PYRENE BDL BDL 3 EPA 625 ISOPHORONE BDL BDL 3 EPA 625 NAPHTHALENE BDL BDL 3 EPA 625 NITROBENZENE BDL BDL 3 EPA 625 N-NITROSODI-N- PROPYLAMINE BDL BDL 3 EPA 625 N-NITROSODI- METHYLAMINE BDL BDL 3 EPA 625 N-NITROSODI- PHENYLAMINE BDL BDL 3 EPA 625 PHENANTHRENE BDL BDL 3 EPA 625 PYRENE BDL BDL 3 EPA 625 1,2,4- TRICHLOROBENZENE BDL BDL 3 EPA 625 Use this space (or 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., pesticides) 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: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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-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 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.1. Required Tests. Indicate the number ❑ chronic E.2. Individual Test Dat Part E was notfilled due to possibil.ityof error in -half years. Allow one column per test (wh transferring the informationfrom • this form. st number: n lieu of completing thlis partof the form, copies of a. Test information Toxicityattached: Test Species & test metho Age at initiation of test The Town of Weldon's Toxicity Tests are dated: Outfall number October 1 Dates sample collected January 8,1 • • 1 • Date test started April1 • Duration July 15,1 16 b. Give toxicity te: Manual title Edition number and year c 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 15 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NJC0025721 Renewal ROANOKE Test number: Test number: Test number: e. Describe the point Sample was collected: f. For each test, inch Part E was not • due to the possibility of • Chronic toxicity transferring the informationfrom • this form. Acute toxicity In lieu of • • • this part of •copies of g. Provide the type of Toxicityattached: Static The Town of Weldon's Toxicity Tests are dated: Static -renewal October1 Flow-through January 8,, 2016 h. Source of dilution i ' • ril 7, 2016 Apri,l 21, 2016 Laboratory water July 115,20116 Receiving water i. Type of dilution wa 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 1. Test Results. Acute: Percent survival in 100% effluent % % % LC50 95% C.I. % % % Control percent survival % % % Other (describe) 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: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE Chronic: NOEC % IC25 % Control percentsPart E was not • in due to the possibility of • % Other (describe) transferringthe information• to form. m. Quality Control/G In lieu of completing this part of the form, copies of Is reference toxicant data a% Toxicity Tests are attached: Was reference toxicant test acceptable bounds? The Townof • •n's Toxicity Tests are dated: What date was reference to: run (MM/DD/YYYY)? October 1 Other (describe) January 8,1 • April 1 E.3. Toxicity Reduction I April1 • ❑ Yes ❑ No July 15,1 16 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 7550-6 & 7550-22. Page 17 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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.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. 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: Roanoke Valley Energy Facility (R.V.E.F.) Mailing Address: 290 Power Place Dr. Weldon, NC 27890 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Cooling Tower Blowdown, Reverse Osmosis Refect Water, Laboratory Wastes, Equipment Washdown, Floor Drains. 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): Electricity Raw material(s): Bituminous Coal 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. 59,000 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. 17.000 gpd (X 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 & 7550-22. Page 18 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE 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 ® 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.) ® 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 19 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NIC0025721 Renewal ROANOKE 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 . s a. All CSO discharge poin APPLICABLE • b. Sensitive use areas pot sitive aquatic ecosystems, and outstanding natural res. C. Waters that support thn 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 G.6 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 (if 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 forms 7550-6 & 7550-22. Page 20 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Weldon Wastewater Treatment Plant, NCO025721 Renewal ROANOKE C. Give the average vc d. Give the minimum r • APPLICABLE G.5. Description of Receiving Wafers. a. Name of receiving water: b. Name of watershed/river/stream system: United State Soil Conservation Service 14 -digit watershed code (if known): C. Name of State Management/River Basin: United States Geological Survey 8 -digit hydrologic cataloging unit code (if known): G.6. 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 21 of 22 Additional information, if provided,, will appear on the following pages. Regarding the Pollutant Scans: For Nickel, Bromoform, Chlorodibromomethane, Chloroform, and Dichlorobromomethane, one of three samples (one of the three scans used) listed as BDL, or Below Detection Level, Below Quantitation Level, as per Pollutant Scan Description. In these cases, the threshold for detection level was substituted in for each, sample to allow three samples for averaging. Please notify if more information is required. Attached are copies of the Toxicity Tests for the Town of Weldon Wastewater Treatment Plant. The Town of Weldon provided Five (5) Toxicity Tests, which are dated as follows: • October 15, 2015 • January 8, 2016 • April 7, 2016 • April 21, 2016 • July 15, 2016 The Town of Weldon Wastewater Treatment Plant now accepts flow from the Town of Halifax, N.C. as well. Expanded Table is represented below: 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 Town of Weldon Town of Halifax Halifax County Northampton County Total population served 1.600 230 6,500 3.000 11.330 NPDES FORM 2A Additional Information Population Served Type of Collection System Ownership Separate - Gravity Sewer Town of Weldon Separate - Gravity Sewer Town of Halifax Separate - Gravity Sewer Halifax County Separate - Gravity Sewer Northampton County 436 25 24, -77 t,.• C 2016 GoogIa GOO Imagery Date: 11/15/2015 36025'2237" 11 77034'40.83" W elev 53 ft ,} ' 'Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date W) -V5-A5 FaciliNPDES# NCO 0 a I Pipe# _L_ County c,1i I VY0I 11 VVIGIIGGJ Vv�•.v.. MAIL ORIGINAL TO: Aquatic Toxicology Branch Division of Water Resources 1623 Mail Service Center North Carolina Acute Pass Fail Toxicity Test Raleigh, NC 27699-1623 Collection Date: Collection Time: 1(�tCi ,an i'.GGC.rr, Test Start Date: j iJ - t`l —\ S Hardness (mg/1) Spec. Cond. (pmhos) Chlorine (mg/1) Sample temp. at receipt (°C) Treatment 1 (Control) A Organism Tested Plmephales promelas PH Control o Treatment X D.O. Control Gm Treatment •5 6 R C D Treatment 2 (exposure) A B C D Concentration 900/ O % O % % O Tested (NOTE: If mean control mortality exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t ® PASS Arc -Sine Square Root Transformed data Tabular Student's t L� FAIL (ONE TAILED) If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the If the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. 7�,'V'6 1) C1 5 '71,6 TD2,0 M CL Mean Mortal Q 1T-YA TD2,0 Mean Mortal Q Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date FacilityLe-101no NPDES# NC002M Pipe# County CL MAIL ORIGINAL TO: North Carolina Acute Pass/Fail Toxicity Test Collection Date: Collection Time: Test Start Date: Hardness (mg/1) Spec. Cond..(pmhos) Chlorine (mg/1) Sample temp. at receipt (°C). t7 0 c� X o c' Water Sciences Section Aquatic Toxicology Branch Division ofWater Resources 1623 Mail Service Center Raleigh, NC 27699-1623 Organism Tested P/mephales prome/as H Control g.<�3 . P Treatment D.O. Control Treatment Treatment 1 (Control) A B C D Ic) 010 010 1 o% 1 c>% Treatment 2 (exposure) A B. C I D Concentration 900/ ^ IJ % ev Dr's% Tested (/ ° � (f V . (NOTE: If mean control mortality:exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t *71 � PASS Arc -Sine Square Root Transformed data Tabular Student's to ' FAIL (ONE TAILED) If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. Treatment 2 (exposure) A B. C I D Concentration 900/ ^ IJ % ev Dr's% Tested (/ ° � (f V . (NOTE: If mean control mortality:exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t *71 � PASS Arc -Sine Square Root Transformed data Tabular Student's to ' FAIL (ONE TAILED) If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. -Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date `1-1 -1(4 Facility �o_ 5ep k A NPDES# NCOQMOPipe#—�— County Comments VVd1C1 ouU"'IOa .jc-.uvu MAIL ORIGINAL i O . Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center North Carolina Acute Pass/Fail Toxicity Test Raleigh, NC 27699-1621 Collection Date: H l'-l-Sf%& Organism Tested Collection Time: /000 — MOO Plmephales promelas Test Start Date: Sample Type/Duration O °i° Grab I Comp. Duration x Z4 $ �3 r v X C• o ami Cl)m °- UJ A-- /mn/I1 / ✓ _- I IGI VIIVVu �I 11�1�� Spec. Cond. (Nmhos) Chlorine (mall) w Z•DJ 63C)7 O °i° D.O. Control 53 ?'67 Treatment 722- 709 g• Control $ �3 r rl ---1 pH Treatment v X C• o ami Cl)m °- UJ A-- /mn/I1 / ✓ _- I IGI VIIVVu �I 11�1�� Spec. Cond. (Nmhos) Chlorine (mall) w Z•DJ 63C)7 O °i° D.O. Control 53 ?'67 Treatment 722- 709 40-1 Sample temp. at receipt (°C) �� I I Mortality Replicate Mean Mortality Trcatmant 1 Mnntrnn A B C D Treatment 2 (exposure) A B C D I I Concentration O % O °i° © % I O % Treatment 2 (exposure) A B C D I I Concentration nOo/ 7 2 % I O % �� % Tested (NOTE: If mean control mortality exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t E�Q PASS Arc -Sine Square Root Transformed data Tabular Stud'ent's t FAIL (ONE TAILED) If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date Ll — a l fl b SINPDES# NFacility—WA&C00� 7 tripe# County F cilityJ Lab Perforrving Test M itech Inc. Comments X ' ��t3LgC� , oT Signature ? Operator in es o ible Charge ti�o,n % jp Ct J� l�Ye- X i�'/ / l Signature of Laboratory Supervisor vvater sciences omami MAIL ORIGINAL T O . Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center North Carolina Acute Pass/Fail Toxicity Test Raleigh, NC 27699-1621 Collection Date: Collection Time: Test Start Date: - / - I✓ ) Zd Jamie iypervuration Grab Comp. Duration Hardness (mg/1) Spec. Cond. (pmhos) Chlorine (mg/1) Sample temp. at receipt (°C) Aali Treatment 1 (Control) A % Treatment 2 (exposure) A B C D Concentration nOo/ % % % �/° Tested 7 C! (NOTE: If mean control morta Ity exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t PASS Arc -Sine Square Root Transformed data Tabular Student's t FAIL (ONE TAILED) If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. M Organism Tested P/mephales prome/as pH Control o Treatment X 25' IN 11 71-5 D.O. Control ©� Treatment R C D vn m sv � CL v Effluent Aquatic Toxicity Report Form - Acute Pass/Fail Date 7-15-16 Facility Wi°. /,1l00 NPDES# NC0025 .� ( Pipe# L ora Pei;W Tei MM ech. Inc. 1%1%, f X N4 2SSS,4N4�t re Signatuof Opera or in Respo i X /J''� _ Signature of Laboratory Supervisor _County Comments MAIL ORIGINAL TO . Water Sciences Section Aquatic Toxicology Branch Division of Water Resources 1621 Mail Service Center North Carolina Acute Pass/Fail Toxicitv Test Raleigh, NC 27699-1621 Grab Comp. Duration Collection Date: C Collection Time: Test Start Date: Sample Type/Duration 00 - x o Hardness (mg/1) Spec. Cond. (pmhos) 1,030Chlorine (mg/1) Sample temp. at receipt t.o(°C) Grab Comp. Duration C Organism Tested Pimephales promelas pH Control Treatment D.O. Control Treatment 80K 7 40 C Organism Tested Pimephales promelas pH Control Treatment D.O. Control Treatment 80K 7 40 Cn m v :3 Mortali Replicate Mean Mortality Treatment 1 (Control) A B C D 0 % C % 0 % Treatment 2 (exposure) A B CC `DJ V Concentration nOo/ % ^ % 00,01 Tested 7 ° /v) (NOTE: If mean control mortality exceeds 10%, the test is considered invalid) Calculate using Calculated Student's t PASS r� Arc -Sine Square Root Transformed data Tabular Student's t L� FAIL (ONE TAILED) ISI If the absolute value of the calculated t is less than or equal to the absolute value of the tabular t, check PASS. If the absolute value of the calculated t is greater than the absolute value of the tabular t, check FAIL. If all vessels within each treatment have the same response but the treatment two response is greater than the control, check FAIL. Permit No. NC0025721 Outfall 001 Facility Name Town of Weldon Date of sampling 11/28/12 Analytical Laboratory _Meritech, Inc Annual :Monitoring and Pollutant Scan ORC Donald L. Crowder Phone 252-536-3600 Month November Year 2012 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Ammonia (as N) Composite EPA 350.1 10 <0.1 mg/l 1 Dissolved oxygen Grab EPA 360.2 N/A 7.95 mg/1 1 Nitrate/Nitrite Composite EPA 353.2 0.1 7.95 mg/l 1 Total Kjeldahl nitrogen Composite EPA 351.1 0.2 1.68 mg/1 1 Total Phosphorus Composite EPA 200.7 0.02 1.46 mg/1 1 Total dissolved solids Composite SM 2540C 10 632 mg/l 1 Hardness Composite EPA 2340B 1 183 mg eq CaCO3 1 Chlorine (total residual, TRC) Grab Hach 10014ULR 50 <14 ug/1 1 Oil and grease Grab EPA 1664A 5 <5 mg/l 1 Metals (total recoverable), cyanide and total jihenols Antimony 1 Composite EPA 200.7 0.025 <0.025 mg/l 1 Arsenic Composite EPA 200.7 0.010 <0.01 mg/1 1 Beryllium Composite EPA 200.7 0.005 <0.005 mg/l 1 Cadmium Composite EPA 200.7 0.002 <0.002 mg/1 1 Chromium Composite EPA 200.7 0.005 <0.005 mg/l 1 Copper Composite EPA 200.7 0.002 0.014 mg/l 1 Lead Composite EPA 200.7 0.010 <0.010 mg/l 1 Mercury Composite EPA 245.1 1 1.11 ng/l 1 Nickel Composite EPA 200.7 0.010 0.014 mg/l 1 Selenium Composite EPA 200.7 0.010 <0.010 mg/l 1 Silver Composite EPA 200.7 0.005 <0.005 mg/1 1 Thallium Composite EPA 200.7 0.020 <0.020 mg/1 1 Zinc Composite EPA 200.7 0.010 0.074 mg/l 1 Cyanide Grab mg/1 1 Total phenolic compounds Grab EPA 420.1 0.010 <0.010 mg/1 1 Volatile organic compounds Acrolein Grab EPA 624 50 <50 ug/1 1 Acrylonitrile Grab EPA 624 10 <10 ug/l 1 Benzene Grab EPA 624 1 <1.00 ug/l 1 Bromoform Grab EPA 624 1 1.54 ug/l 1 Carbon tetrachloride Grab EPA 624 1 <1.00 ug/1 1 Chlorobenzene Grab EPA 624 1 <1.00 ug/l 1 Chlorodibromomethane Grab EPA 624 1 7.42 ug/1 1 Chloroethane Grab EPA 624 5 <5.00 ug/1 1 2-chloroethylvinyl ether Grab EPA 624 5 <5.00 ug/l 1 Chloroform Grab EPA 624 1 5.13 ug/1 1 Dichlorobromomethane Grab EPA 624 1 9.7 ug/1 1 1,1-dichloroethane Grab EPA 624 1 <1.00 ug/l 1 1,2-dichloroethane Grab EPA 624 1 <1.00 ug/l 1 Trans-1,2-dichloroethylene Grab EPA 624 1 <1.00 ug/1 1 Form - DMR- PPA -1 Page 1 Annual Monitoring and Pollutant Scan Permit No. NCO025721 Month November Qutfall 001 Year 2012 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Volatile organic compounds (Cont.) 1, 1 -dichloroethylene Grab EPA 624 1 <1.00 ug/1 1 1,2-dichloropropane Grab EPA 624 1 <1.00 ug/1 1 1,3-dichloropropylene Grab EPA 624 1 <1.00 ug/1 1 Ethylbenzene Grab EPA 624 1 <i.00 ug/ 1 1 Methyl bromide Grab EPA 624 5 <5.00 ug/1 1 Methyl chloride Grab EPA 624 5 <5.00u g/1 1 Methylene chloride Grab EPA 624 1 <1.00 ug/1 1 1,1,2,2 -tetrachloroethane Grab EPA 624 1 <1.00 ug/1 1 Tetrachloroethylene Grab EPA 624 1 <1.00 ug/1 1 Toluene Grab EPA 624 1 < 1.00 ug/1 1 1,1,1 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 1,1,2 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 Trichloroethylene Grab EPA 624 1 <1.00 ug/1 1 Vinyl chloride Grab EPA 624 5 <5.00 ug/1 1 Acid -extractable compounds P -chloro -m -creno Grab EPA 625 10 <10.0 ug/1 1 2 -chlorophenol Grab EPA 625 10 <10.0 ug/1 1 2,4-dichlorophenol Grab EPA 625 10 <10.0 ug/1 1 2,4 -dimethylphenol Grab EPA 625 10 <10.0 ug/1 1 4,6-dinitro-o-cresol Grab EPA 625 50 <50.0 ug/1 1 2,4-dinitrophenol Grab EPA 625 50 <50.0 ug/1 1 2-nitrophenol Grab EPA 625 10 <10.0 ug/1 1 4-nitrophenol Grab EPA 625 50 <50.0 ug/1 1 Pentachlorophenol Grab EPA 625 50 <50.0 ug/1 1 Phenol Grab EPA 625 10 <10.0 ug/1 1 2,4,6 -trichlorophenol Grab EPA 625 10 <10.0 ug/1 1 Base -neutral compounds Acenaphthene Grab EPA 625 10 <10.0 ug/1 1 Acenaphthylene Grab EPA 625 10 <10.0 ug/1 1 Anthracene Grab EPA 625 10 <10.0 ug/1 1 Benzidine Grab EPA 625 50 <50.0 ug/1 1 Benzo(a)anthracene Grab EPA 625 10 <10.0 ug/1 1 Benzo(a)pyrene Grab EPA 625 10 <10.0 ug/1 1 3,4 benzofluoranthene Grab EPA 625 10 <10.0 ug/1 1 Benzo(ghi)perylene Grab EPA 625 10 <10.0 ug/1 1 Benzo(k)fluoranthene Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroethoxy) methane Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroethyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroisopropyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-ethylhexyl) phthalate Grab EPA 625 10 <10.0 ug/1 1 4-bromophenyl phenyl ether Grab EPA 625 10 <10.0 ug/1 1 Butyl benzyl phthalate Grab EPA 625 10 <10.0 ug/1 1 2-chloronaphthalene Grab EPA 625 10 <10.0 ug/1 1 4-chlorophenyl phenyl ether Grab EPA 625 10 <10.0--j-ug/1 1 Form - DMR- PPA -1 Page 2 Annual Monitoring and Pollutant Scan Permit No. NCO025721 Month November Outfall 001 Year 2012 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of - samples Base -neutral compounds (cont.) Chrysene Grab EPA 625 10 <10.0 ug/l 1 Di -n -butyl phthalate Grab EPA 625 10 <10.0 ug/l 1 Di-n-octyl phthalate Grab EPA 625 10 <10.0 ug/1 1 Dibenzo(a,h)anthracene Grab EPA 625 10 <10.0 ug/l 1 1,2 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 1,3 -dichlorobenzene Grab EPA 625 10 <10.0 ug/1 1 1,4 -dichlorobenzene Grab EPA 625 10 <10.0 ug/1 1 3,3-dichlorobenzidine Grab EPA 625 50 <50.0 ug/l 1 Diethyl phthalate Grab EPA 625 10 <10.0 ug/l 1 Dimethyl phthalate Grab EPA 625 10 <10.0 ug/1 1 2,4-dinitrotoluene Grab EPA 625 10 <10.0 ug/l 1 2,6-dinitrotoluene Grab EPA 625 10 <10.0. ug/l 1 1;2-diphenylhydrazine Grab EPA 625 10 <10.0 ug/l 1 Fluoranthene Grab EPA 625 10 <10.0 ug/l 1 Fluorene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorobenzene Grab EPA 625 10 <10.0 ug/1 1 Hexachlorobutadiene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorocyclo-pentadiene Grab EPA 625 50 <50.0 ug/l 1 Hexachloroethane Grab EPA 625 10 <10.0 ug/l 1 Indeno(1,2,3-cd)pyrene Grab EPA 625 10 <10.0 ug/l 1 Isophorone Grab EPA 625 10 <10.0 ug/l 1 Naphthalene Grab EPA 625 10 <10.0 ug/1 1 Nitrobenzene Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodi-n-propylamine Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodimethylamine Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodiphenylamine Grab EPA 625 10 <10.0 ug/l 1 Phenanthrene Grab EPA 625 10 <10.0 ug/l 1 Pyrene Grab EPA 625 10 <10.0 ug/l 1 1,2,4,-trichlorobenzene Grab EPA 625 10 <10.0 ug/1 1 I certify under penalty of law that this document and all attachments were prepared under my direction and supervision in accordance with a system to design to assure that qualified perdonnel properly gather and evaluat the information submitted. Based on my inquiry of the person or persons that manage the system, or those persons directly responsibel for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Julia M. Meacham, Mayor Authorized Representative name Signature 12/20/2012 Date Form - DMR- PPA -1 Page 3 Annual Monitoring and Pollutant Scan Permit No. NCO025721 Month December Outfall 001 Year 2015 Facility Name Town of Weldon Date of sampling 12 2 15 Analytical Laboratory _Meritech, Inc ORC Donald L. Crowder . Phone 252-536-3600 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Ammonia (as N) Composite EPA 350.1 0.1 <0.1 mg/l 1 Dissolved oxygen Grab EPA 360.2 N/A 7.87 mg/l 1 Nitrate/Nitrite Composite EPA 353.2 0.1 17.1 mg/l 1 Total Kjeldahl nitrogen Composite EPA 351.1 0.1 0.99 mg/l 1 Total Phosphorus Composite EPA 200.7 0.02 7.57 mg/l 1 Total dissolved solids Composite SM 2540C 10 192 mg/l 1 Hardness Composite SM 2340C 1 48 mg eq CaCO3 1 Chlorine (total residual, TRC) Grab Hach 10014ULR 50 19 ug/l 1 Oil and grease Grab EPA 1664A 5 <5 mg/l 1 Metals (total recoverable), cyanide and total phenols Antimony Composite EPA 200.7 0.025 <0.025 mg/1 1 Arsenic Composite EPA 200.7 0.010 <0.01 mg/1 1 Beryllium Composite EPA 200.7 0.005 <0.005 mg/l 1 Cadmium Composite EPA 200.7 0.002 <0.002 mg/l 1 Chromium Composite EPA 200.7 0.005 <0.005 mg/1 1 Copper Composite EPA 200.7 0.002 0.016 mg/1 1 Lead Composite EPA 200.7 0.010 <0.010 mg/l 1 Mercury Composite EPA 245.1 0.5 3.62 ng/1 1 Nickel Composite EPA 200.7 0.010 <0.010 mg/1 1 Selenium Composite EPA 200.7 0.010 <0.010 mg/1 1 Silver EPA 200.7 0.005 <0.005 mg/1 1 Thallium EPA 200.7 0.020 <0.020 mg/l 1 Zinc EGrab EPA 200.7 0.010 0.031 mg/1 1 Cyanide EPA 335.4 0:005 <0.005 mg/1 1 Total phenolic compounds EPA 420.1 0.010 0.465 mg/1 1 Volatile organic compounds Acrolein Grab EPA 624 50 <50 ug/1 1 Acrylonitrile Grab EPA 624 10 <10 ug/l 1 Benzene Grab EPA 624 1 <1.00 ug/1 1 Bromoform Grab EPA 624 1 4.44 ug/l 1 Carbon tetrachloride Grab EPA 624 1 <1.00 ug/1 1 Chlorobenzene Grab EPA 624 1 <1.00 ug/l 1 Chlorodibromomethane Grab EPA 624 1 5.47 ug/1 1 Chloroethane Grab EPA 624 5 <5.00 ug/1 1 2-chloroethylvinyl ether Grab EPA 624 5 <5.00 ug/1 1 Chloroform Grab EPA 624 1 <1.00 ug/1 1 Dichlorobromomethane Grab EPA 624 1 2.62 ug/1 1 1,1-dichloroethane Grab EPA 624 1 <1.00 ug/1 1 1,2-dichloroethane Grab I EPA 624 1 <1.00 ug/1 1 Trans-1,2-dichloroethylene Grab I EPA 624 1 <1.00 ug/1 1 Form - DMR- PPA -1 Page 1 Annual Monitoring and Pollutant Scan Permit No. NC0025721 Month December Outfall 001 Year 2015 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Volatile organic compounds (Cont.) 1, 1 -dichloroethylene Grab EPA 624 1 <1.00 ug/l 1 1,2-dichloropropane Grab EPA 624 1 <1.00 ug/1 1 1,3-dichloropropylene Grab EPA 624 1 <1.00 ug/1 1 Ethylbenzene Grab EPA 624 1 <1.00 ug/l 1 Methyl bromide Grab EPA 624 5 <5.00 ug/1 1 Methyl chloride Grab EPA 624 5 <5.00 ug/1 1 Methylene chloride Grab EPA 624 1 <1.00 ug/1 1 1,1,2,2 -tetrachloroethane Grab EPA 624 1 <1.00 ug/l 1 Tetrachloroethylene Grab EPA 624 1 <1.00 ug/1 1 Toluene Grab EPA 624 1 <1.00 ug/1 1 1,1,1 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 1,1,2 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 Trichloroethylene Grab EPA 624 1 <1.00 ug/ 1 1 Vinyl chloride Grab EPA 624 5 <5.00 ug/1 1 Acid -extractable compounds P-chloro-m-creso , Grab EPA 625 10 <10.0 ug/1 1 2 -chlorophenol Grab EPA 625 10 <10.0 ug/1 1 2,4-dichlorophenol Grab EPA 625 10 <10.0 ug/1 1 2,4 -dimethylphenol Grab EPA 625 10 <10.0 ug/1 1 4,6-dinitro-o-cresol Grab EPA .625 50 <50.0 ug/1 1 2,4-dinitrophenol Grab EPA 625 50 <50.0 ug/1 1 2-nitrophenol Grab EPA 625, 10 <10.0 ug/1 1 4-nitrophenol Grab EPA 625 50 <50.0 ug/1 1 Pentachlorophenol Grab EPA 625 50 <50.0 ug/1 1 Phenol Grab EPA 625 10 <10.0 ug/1 1 2,4,6 -trichlorophenol Grab EPA 625 10 <10.0 ug/l 1 Base -neutral compounds Acenaphthene Grab EPA 625 10 <10.0 ug/1 1 Acenaphthylene Grab EPA 625 10 <10.0 ug/1 1 Anthracene Grab EPA 625 10 <10.0 ug/1 1 Benzidine Grab EPA 625 50 <50.0 ug/l 1 Benzo(a)anthracene Grab EPA 625 10 <10.0 ug/l 1 Benzo(a)pyrene Grab EPA 625 10 <10.0 ug/l 1 3,4 benzofluoranthene Grab EPA 625 10 <10.0 ug/l 1 Benzo(ghi)perylene Grab EPA 625, 10 <10.0 ug/l 1 Benzo(k)fluoranthene Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroethoxy) methane Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroethyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroisopropyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-ethylhexyl) phthalate Grab EPA 625 10 <10.0 ug/1 1 4-bromophenyl phenyl ether Grab EPA 625 10 <10.0 ug/1 1 Butyl benzyl phthalate Grab EPA 625 10 c10.0 ug/1 1 2-chloronaphthalene Grab EPA 625 10 <10.0 ug/1 1 4-chlorophenyl phenyl ether Grab EPA 625 10 <10.0 ug/1 1 Form - DMR- PPA -1 Page 2 Annual Monitoring and Pollutant Scan Permit No. NCO025721 Month December Outfall 001 Year 2015 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Base -neutral compounds (cont.) Chrysene Grab EPA 625 10 <10.0 ug/l 1 Di -n -butyl phthalate Grab EPA 625 10 <10.0 ug/1 1 Di-n-octyl phthalate Grab EPA 625 10 <10.0 ug/l 1 Dibenzo(a,h)anthracene Grab EPA 625 10 <10.0 ug/l 1 1,2 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 1,3 -dichlorobenzene Grab EPA 625 10 <10.0 ug/1 1 1,4 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 3,3-dichlorobenzidine Grab EPA 625 50 <50.0 ug/l 1 Diethyl phthalate Grab EPA 625 10 <10.0 ug/l 1 Dimethyl phthalate Grab EPA 625 10 <10.0 ug/l 1 2,4-dinitrotoluene Grab EPA 625 10 <10.0 ug/l 1 2,6-dinitrotoluene Grab EPA 625 10 <10.0 ug/l 1 1,2-diphenylhydrazine Grab EPA 625 10 <10.0 ug/1 1 Fluoranthene Grab EPA 625 10 <10.0 ug/l 1 Fluorene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorobenzene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorobutadiene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorocyclo-pentadiene Grab EPA 625 50 <50.0 ug/l 1 Hexachloroethane Grab EPA 625 10 <10.0 ug/l 1 Indeno(1,2,3-cd)pyrene Grab EPA 625 10 <10.0 ug/l 1 Isophorone Grab EPA 625 10 <10.0 ug/l 1 Naphthalene Grab EPA 625 10 <10.0 ug/1 1 Nitrobenzene Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodi-n-propylamme Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodimethylamine Grab EPA 625 10 <10.0 ug/l 1 N-nitrosodiphenylamine Grab EPA 625 10. <10.0 ug/l 1 Phenanthrene. Grab EPA 625 10 <10.0 ug/l 1 Pyrene Grab EPA 625 10 <10.0 ug/l 1 1,2,4,-trichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 I certify under penalty of law that this document and all attachments were prepared under my direction and supervision in accordance with a system to design to assure that qualified perdonnel properly gather and evaluat the information submitted. Based on my inquiry of the person or persons that manage the system, or those persons directly responsibel for gathering the information, the information submitted is , to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Julia M. Meacham, Mayor Authorized Representative name Signature Date Form - DMR- PPA -1 Page 3 Annual Monitoring and Pollutant Scan Permit No. NCO025721 Month April Outfall 001 Year 2016 Facility Name Town of Weldon Date of sampling 4/6/16 Analytical Laboratory _Meritech; Inc ORC Donald L. Crowder Phone 252-536-3600 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Ammonia (as N) Composite EPA 350.1 0.1 3 mg/l 1 Dissolved oxygen Grab EPA 360.2 N/A 7.38 mg/l 1 Nitrate/Nitrite Composite EPA 353.2 0.1 16.4 mg/1 1 Total Kjeldahl nitrogen Composite EPA 351.1 0.1 0.3 mg/1 1 Total Phosphorus Composite EPA 200.7 0.02 0.524 mg/I 1 Total dissolved solids Composite SM 2540C 10 334 mg/l 1 Hardness Composite SM 2340C 1 48 mg eq Caw, 1 Chlorine (total residual, TRC) Grab I Hach 10014ULR 50 16 ug/1 1 Oil and grease Grab EPA 1664A 5 <5 mg/l 1 Metals (total recoverable), cyanide and total phenols Antimony Composite EPA 200.7 0.025 <0.025 mg/1 1 Arsenic Composite EPA 200.7 0.010 <0.01 mg/1 1 Beryllium Composite EPA 200.7 0.005 <0.005 mg/l 1 Cadmium Composite EPA 200.7 0.002 <0.002 mg/l 1 Chromium Composite EPA 200.7 0.005 <0.005 mg/1 1 Copper Composite EPA 200.7 0.002 0.012 mg/1 1 Lead Composite EPA 200.7 0.010 <06010 mg/1 1 Mercury Composite EPA 245.1 0.5 4.92 ng/1 1 Nickel Composite EPA 200.7 0.010 0.013 mg/l 1 Selenium Composite EPA 200.7 0.010 <0.010 mg/1 1 Silver Composite EPA 200.7 0.005 <0.005 . mg/1 1 Thallium Composite EPA 200.7 0.020 <0.020 mg/1 1 Zinc Composite EPA 200.7 0.010 0.266 mg/1 1 Cyanide I Grab EPA 335.41 0.005 <0.005 mg/1 1 Total phenolic compounds Grab EPA 420.1 0.010 0.027 mg/1 1 Volatile organic compounds. -. Acrolein Grab EPA 624 50 <50 ug/1 1 Acrylonitrile Grab EPA 624 10 <10 ug/1 1 Benzene Grab EPA 624 1 <1.00 ug/1 1 Bromoform Grab EPA 624 1 <1.00 ug/1 1 Carbon tetrachloride Grab EPA 624 1 <1.00 ug/1 1 Chlorobenzene Grab EPA 624 1 <1.00 ug/l 1 Chlorodibromomethane Grab EPA 624 1 <1.00 ug/1 1 Chloroethane Grab EPA 624 5 <5.00 ug/1 1 2-chloroethylvinyl ether Grab EPA 624 5 <5.00 ug/1 1 Chloroform Grab EPA 624 1 2.13 ug/1 1 Dichlorobromomethane Grab EPA 624 1 <1.00 ug/1 1 1, 1 -dichloroethane Grab EPA 624 1 <1.00 ug/1 1 1,2-dichloroethane Grab EPA 624 1 <1.00 ug/1 1 Trans-1,2-dichloroethylene Grab EPA 624 1 <1.00 ug/1 1 Form - DMR- PPA -1 Page 1 Annual Monitoring and Pollutant Scan .Permit No. NCO025721 Month April Outfall 001 Year 2016 Parameter Sample Type Analytical Method , Quantitation Level Sample Result " Units of Measurement Number of samples Volatile organic compounds (Cont.) 1, 1 -dichloroethylene Grab EPA 624 1 <1.00 ug/1 1 1,2-dichloropropane Grab EPA 624 1 <1.00 ug/1 1 1,3-dichloropropylene Grab EPA 624 1 <1.00 ug/1 1 Ethylbenzene Grab EPA 624 1 <1.00 ug/1 1 Methyl bromide Grab EPA 624 5 <5.00 ug/1 1 Methyl chloride Grab EPA 624 5 <5.00 ug/1 1 Methylene chloride Grab EPA 624 1 <1.00 ug/1 1 1,1,2,2 -tetrachloroethane Grab EPA 624 1 <1.00 ug/1 1 Tetrachloroethylene Grab EPA 624 1 <1.00 ug/1 1 Toluene Grab EPA 624 1 <1.00 ug/ 1 1 1,1,1 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 1,1,2 -trichloroethane Grab EPA 624 1 <1.00 ug/1 1 Trichloroethylene Grab EPA 624 1 <1.00 ug/1 1 Vinyl chloride Grab EPA 624 5 <5.00 ug/1 1 Acid -extractable compounds P-chloro-m-creso Grab EPA 625 10 <10.0 ug/1 1 2 -chlorophenol Grab EPA 625 10 <10.0 ug/l 1 2,4-dichlorophenol Grab EPA 625 10 <10.0 ug/1 1 2,4 -dimethylphenol Grab EPA 625 10 <10.0 ug/1 1 4,6-dinitro-o-cresol Grab EPA 625 50 <50.0 ug/1 1 2,4-dinitrophenol Grab EPA 625 50 <50.0 ug/1 1 2-nitrophenol Grab EPA 625 10 <10.0 ug/l 1 4-nitrophenol Grab EPA 625 50 <50.0 ug/1 1 Pentachlorophenol Grab EPA 625 50 <50.0 ug/1 1 Phenol Grab EPA 625 10 <1.0.0 ug/1 1 2,4,6 -trichlorophenol Grab EPA 625 10 <10.0 ug/1 1 Base -neutral compounds Acenaphthene Grab EPA 625 10 <10.0 ug/1 1 Acenaphthylene Grab EPA 625 10 <10.0 ug/1 1 Anthracene Grab EPA 625 10 <10.0 ug/1 1 Benzidine Grab EPA 625 50 <50.0 ug/1 1 Benzo(a)anthracene Grab EPA 625 10 <10.0 ug/1 1 Benzo(a)pyrene Grab EPA 625 10 <10.0 ug/l 1 3,4 benzofluoranthene Grab EPA 625 10 <10.0 ug/1 1 Benzo(ghi)perylene Grab EPA 625 10 <10.0 ug/1 1 Benzo(k)fluoranthene Grab EPA 625 10 <10.0 ug/l 1 Bis (2-chloroethoxy) methane Grab EPA 625 10 <10.0 ug/l 1 Bis (2-chloroethyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-chloroisopropyl) ether Grab EPA 625 10 <10.0 ug/1 1 Bis (2-ethylhexyl) phthalate Grab EPA 625 10 <10.0 ug/l 1 4-bromophenyl phenyl ether Grab EPA' 625 10 <10.0 ug/1 1 Butyl benzyl phthalate Grab EPA 625 10 <10.0 ug/1 1 2-chloronaphthalene Grab EPA 625 10 <10.0 ug/1 1 4-chlorophenyl phenyl ether Grab EPA 625 10 <10.0 ug/1 1 Form - DMR- PPA -1 Page 2 Annual Monitoring and Pollutant Scan ,Permit No. NCO025721 Month April ,• Outfall 001 Year 2016 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Number of samples Base -neutral compounds (cont.) Chrysene Grab EPA 625 10 <10.0 ug/l 1 Di -n -butyl phthalate Grab EPA 625 10 <10.0 ug/l 1 Di-n-octyl phthalate Grab EPA 625 10 <10.0 ug/1 1 Dibenzo(a,h)anthracene Grab EPA 625 10 <10.0 ug/1 1 1,2 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 1,3 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 1,4 -dichlorobenzene Grab EPA 625 10 <10.0 ug/l 1 3,3-dichlorobenzidine Grab EPA 625 50 <50.0 ug/1 1 Diethyl phthalate Grab EPA 625 10 <10.0. ug/1 1 Dimethyl phthalate Grab EPA 625 10 <10.0 ug/l 1 2,4-dinitrotoluene Grab EPA 625 10 <10.0 ug/1 1 2,6-dinitrotoluene Grab EPA 625 10 <10.0 ug/1 1 1,2-diphenylhydrazine Grab EPA 625 10 <10.0 ug/1 1 Fluoranthene Grab EPA 625 10 <1.0.0 ug/1 1 Fluorene Grab EPA 625 10 <10.0 ug/l 1 Hexachlorobenzene Grab EPA 625 1.0 <10.0 ug/1 1 Hexachlorobutadiene Grab EPA 625 10 <10.0 ug/1 1 Hexachlorocyclo-pentadiene Grab EPA 625 50 <50.0 ug/1 1 Hexachloroethane Grab EPA 625 10 <10.0 u9/1 1 Indeno(1,2;3-cd)pyrene Grab EPA, 625 10 <10.0 ug/1 1 Isophorone Grab EPA 625: 10 <10.0 ug/1 1 Naphthalene Grab EPA 625 10 <10.0 ug/1 1 Nitrobenzene Grab EPA 625 10 <10.0 ug/1 1 N-nitrosodi-n-propylamine Grab EPA 625 10 <10.0 ug/1 1 N-nitrosodimethylamine Grab EPA 625 10 <10.0 ug/1 1 N-nitrosodiphenylamine Grab EPA 625 10 <1.0.0 ug/1 1 Phenanthrene Grab EPA 625 10 <10.0 ug/1 1 Pyrene Grab EPA 625 10 <10.0 ug/1 1 1,2,4,-trichlorobenzene Grab EPA 625 10 <10.0 ug/1 1 I certify under penalty of law that this document and all attachments were prepared under my direction and supervision in accordance with a system to design to assure that qualified perdonnel properly gather and evaluat the information submitted. Based on my inquiry of the person or persons that manage the system, or those persons directly responsibel for gathering the information, the information submitted is , to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for, submitting false information, including the possibility of fines and imprisonment for knowing violations. Julia M. Meacham, Mayor Authorized Representative name Signature Date Form - DMR- PPA -1 Page 3