HomeMy WebLinkAboutNC0026565_Renewal (Application)_20151023 North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
October 26, 2015
Morganne Kirkman, Town Clerk
Town of Ramseur WWTP
PO Box 545
Ramseur,NC 27316
Subject: Acknowledgement of Permit Renewal
Application No.NCO026565
Town of Ramseur WWTP
Randolph County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on October
23, 2015. A member of the NPDES Unit will review your application. They 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
Wren Thedford at 919-807-6304 or wren.thedford@ncdenr.gov.
Sincerely,
W re v
Wren Thedford
Wastewater Branch
cc: Central Files
Winston Salem Regional Office, Water Quality Regional Operations Section
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604
Phone:919-807-63001 Fax:919-807-6492/Customer Service:1-877-623-6748
Internet::www.ncwater.ora
An Equal OpportunitylAffirmabve Action Employer
Town of Ramseur
P. O. Box 545
Ramseur, NC 27316
336-824-4111
October 31, 2015 RECEIVED/DENR/DWR
OCT 2 3 2015
Water Quality
Mr. Charles H. Weaver, Jr. Permitting section
NC DENR/Water Quality/Point Source Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
Re: Town of Ramseur WWTP
NPDES Permit No. NC00 54
s
Dear Ms. Stephens, au5Q
Enclosed for your review is the NPDES Permit renewal package for the Ramseur Wastewater
treatment plant. Our existing permit expires on April 30, 2016. We are requesting the Division
to renew our NPDES Permit.
If you have any questions concerning the information provided,please feel free to give me a call.
Sincerely,
Town
yoof�Ramseur
Ilf -4—C, ViLk4*1AUj
Morganne Kirman
Town Clerk
Cc: Terry LeWallen
Gary Stainback
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur, NCO026565 Renewal Cape Fear
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ORM
PPLICATIO,N `OVERVI;EN11 +.
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APPLICATION OVERVIEW
rand
m 2A has been developed in a modular format and consists of a"Basic Application Information" packet
a"Supplemental Application Information" packet. The Basic Application Information packet is divided
two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
al 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
7treatmentworks
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.
_. • 1 11..__Discharges and aCFLAXERCLA wastes. A treatment works that accepts process wastewater from any
F. Industrial VAGI vla�a lurg�u.�.......�.--
significant industrial users(SI Us)or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRAICERCLA 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:
Ramseur WWTP, NCO026565 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.1. Facility Information.
Facility Name Town of Ramseur WWTP
Mailing Address PO Box 545
Ramseur,NC 27316
Contact Person Moroanne Kirkman
Title Town Clerk
Telephone Number ( 336 )824-8530
Facility Address 4735 Roundleaf Road
(not P.O.Box) Ramseur NC 27316
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name Town of Ramseur
Mailing Address PO Box 545
Ramseur,NC 27316
Contact Person Moroanne Kirkman
Title Town Clerk
Telephone Number 1 336 ) 824-8530
Is the applicant the owner or operator(or both)of the treatment works?
® owner ❑ operator
Indicate whether corresoondence regardma this nermit shmild hg directed to tho farility nr the nnn1irant,
❑ 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 NCO026565 PSD
UIC Other W00010528
RCRA Other
A.4. Collection System Information.'Provide Information on municipalities and areas served by the facility. Provide the name and population of each
entity and,if known,provide information on the type of collection system(combined vs.separate)and its ownership(municipal,private,etc).
Name Population Served Type of Collection System Ownership
Town of Ramseur 1704 Sanitary Town of Ramseur
Total population served
EPA Form 3510-2A(Rev. 1-99). Replaces EPA fortes 7550-6 8 7550-22. Page 2 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
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.6. Flow. Indicate the design flow rate of the treatment plant(i.e.,the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years Each year's data must be based on a 12-month time period
with the 12th month of'Yhis year"occurring no more than three months prior to this application submittal.
a. Design flow rate 0.480 mgd 2013 2014 2015
Two Years Ago Last Year This Year
b. Annual average daily flow rate 0.231 0.196 0.185
C. Maximum daily flow rate 0.336 0.278 0.269
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 %
❑ Combined stone and sanitary sewer
A.8. 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 1
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 ® 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&7550-22. Page 3 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 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).
NA
If transport is by a party other than the applicant,provide-
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number 1 1
For each treatment works that receives this discharge,provide the following:
Name NA
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(includina location and size of site(sl if annlinahle)-
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:
Ramseur WWTP, NCO026565 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 BOD5 removal or Design CBOD5 removal 9867 %
Design SS removal 9915
Design P removal NA %
Design N removal NA %
Other
C. What type of disinfection is used for the effluent from this outfall? If disinfection vanes by season,please describe:
Chlorination
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.
Outfall number: 001 based on Jul 14—Jul 15
PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
Value Units Value Units Number of Samples
pH(Minimum) 6.7 s.u.
pH(Maximum) 7.4 S.U.
Flow Rate 0.269 MGD 0.181 MGD 365
Temperature(Winter) 18.6 °C 13.8 °C 64
Temperature(Summer) 24.4 a 21.0 °C 109
`For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
POLLUTANT DISCHARGE ANALYTICAL
Conc. Units Conc. Units Number of
METHOD MUMDL
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5 7.0 Mg/1 2.7 Mg/1 52 EPA405.1 2.0
DEMAND(Report one) CBOD5
FECAL COLIFORM 8.5 #/100 ml 1.2 #/100m 52 SM9222D 1.0
TOTAL SUSPENDED SOLIDS(TSS) 7,8 Mg/1 1.4 M /I 52 EPA160.2 1.0
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 7 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP,NCO026565 Renewal Cape Fear
WASTEWATER DISCHARGES:lf 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 Ramseur 27316
(City or town,If applicable) (Zip Code)
Randolph North Carolina
(County) (State)
35°43'07" 79°39'07"
(Latitude) (Longitude)
C. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Average daily flow rate 0.185 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: 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 Deep River
b. Name of watershed(if known)
United States Soil Conservation Service 14-digit watershed code(if known):
C. Name of State ManagementtRiver Basin(ff known): Cape Fear
United States Geological Survey 8-digit hydrologic cataloging unit code(if known)-
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:
Ramseur WWTP, NCO026565 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 mgd must answer questions B.1 through B.6. 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
NA gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration
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.) SEE ATTACHMENT I
a. The area surrounding the treatment plant,including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant Include outfalls from bypass piping,if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells,springs,other surface water bodies,and drinking water wells that are. 1)within'A mile of the property boundaries of the treatment
works,and 2)listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored,treated,or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act(RCRA)by truck,rail,
or special pipe,show on the map where the hazardous waste enters the treatment works and where it is treated,stored,and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant,including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units,including disinfection(e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram. SEE ATTACHMENT 11
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 contractor's responsibilities(attach additional
pages if necessary).
Name: United Water
Mailing Address. PO Box 1279
Clemmons, NC 27012
Telephone Number. ( 336 ) 766-0270
Responsibilities of Contractor. Operation and Maintenance of the Ramseur WWTP
B.5. 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.
NA
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 8 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
C. If the answer to B 5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
NA
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.
rieflyB.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 ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 3.32 Mg/I 1.69 Mg/1 45 350.1 0.02
CHLORINE(TOTAL
RESIDUAL,TRC) <15.0 Ug/I <15 Ug/1 261 SM450OG 10.0 ug/1
DISSOLVED OXYGEN 6.2 Mg/I 5.9 Mg/I 261 4500 G 0.1
TOTAL KJELDAHL
NITROGEN(TKN) ingii 2 4ii ivigfi 4 35i.2 0.25
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS(Total) 4.94 Mg/I 3.05 Mg/I 4 365.4 0.05
TOTAL DISSOLVED SOLIDS
(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&7550-22. Page 9 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WVVTP, NCO026565 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 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:
❑ Part D(Expanded Effluent Testing Data) None due to no SIU's
® Part E(Toxicity Testing: Biomonitoring Data) Regular Toxicity Data Due to no
SIU
❑ Part F(Industrial User Discharges and RCRA/CERCLA 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 Morganne Kirkman,Town Clerk
Signature
Telephone number 1 336 )824-8530
Date signed )0 -/15
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 10 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
SUPPLEMENTAL APPLICATION INFORMATION
PART 1D. 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 SEE ATTACHMENT III(Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Ma Number ANALYTICAL ML/MDL
Conc. Units Mass Units Conc. Units ss Units of METHOD
Samples
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY
ARSENIC
BERYLLIUM
CADMIUM
CHROMIUM
COPPER
LEAD
MERCURY
NICKEL
SELENIUM
SILVER
THALLIUM
ZINC
CYANIDE
TOTAL PHENOLIC
COMPOUNDS
HARDNESS(as CaCO3)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 11 of 22
a
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL MUMDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
ACRYLONITRILE
BENZENE
BROMOFORM
CARBON
TETRACHLORIDE
CHLOROBENZENE
CHLORODIBROMO-
METHANE
CHLOROETHANE
2-CHLOROETHYLVINYL
ETHER
CHLOROFORM
DICHLOROBROMO-
METHANE
1,1-DICHLOROETHANE
1,2-DICHLOROETHANE
TRANS-I,2-DICHLORO-
ETHYLENE
1,1-DICHLORO-
ETHYLENE
1,2-DICHLOROPROPANE
1,3-DICHLORO-
PROPYLENE
ETHYLBENZENE
METHYL BROMIDE
METHYL CHLORIDE
METHYLENE CHLORIDE
1,1,2,2-TETRA-
CHLOROETHANE
TETRACHLORO-
ETHYLENE
TOLUENE
EPA Form 3510-2A(Rev.1-99) Replaces EPA forms 7550-6&7550-22. Page 12 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
Outfall number: (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 Cone. Units Mass Units of METHOD
Samples
TRICHLOROETHANE
TRICHLOROETHANE TRICHLOROETHANE
TRICHLOROETHYLENE
VINYL CHLORIDE
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
2-CHLOROPHENOL
2,4-DICHLOROPHENOL
2,4-DIMETHYLPHENOL
4,6-DINITRO-0-CRESOL
2,4-DINITROPHENOL
2-NITROPHENOL
4-NITROPHENOL
PENTACHLOROPHENOL
PHENOL
2,4,6-
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
ACENAPHTHYLENE
ANTHRACENE
BENZIDINE
BENZO(A)ANTHRACENE
BENZO(A)PYRENE
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:
Ramseur WWTP, NCO026565 Renewal Cape Fear
Outfall number (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
3,4 BENZO-
FLUORANTHENE
BENZO(GHI)PERYLENE
BENZO(K)
FLUORANTHENE
BIS(2-CHLOROETHOXY)
METHANE
BIS(2-CHLOROETHYL)-
ETHER
BIS(2-CHLOROISO-
PROPYL)ETHER
BIS(2-ETHYLHEXYL)
PHTHALATE
4-BROMOPHENYL
PHENYLETHER
BUTYLBENZYL
PHTHALATE
2-CHLORO-
NAPHTHALENE
4-CHLORPHENYL
PHENYLETHER
CHRYSENE
DI-N-BUTYL PHTHALATE
DI-N-OCTYL PHTHALATE
DIBENZO(A,H)
ANTHRACENE
I,2-DlC;HLOR0BENLENE
1,3-DICHLOROBENZENE
1,4-DICHLOROBENZENE
3,3-DICHLORO-
BENZIDINE
DIETHYL PHTHALATE
DIMETHYL PHTHALATE
2,4-DINITROTOLUENE
2,6-DINITROTOLUENE
1,2-DIPHENYL-
HYDRAZINE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 22
J
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
Outfall number (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
FLUORANTHENE
FLUORENE
HEXACHLOROBENZENE
HEXACHLORO-
BUTADIENE
HEXACHLOROCYCLO-
PENTADIENE
HEXACHLOROETHANE
INDENO(1,2,3-CD)
PYRENE
ISOPHORONE
NAPHTHALENE
NITROBENZENE
N-N ITROSOD I-N-
PROPYLAMINE
N-N ITROSO D I-
METHYLAMINE
N-NITROSODI-
PHENYLAMINE
PHENANTHRENE
PYRENE
1,2,4-
TRICHLOROBENZENE
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 wnter
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 15 of 22 I
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 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-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 E 4 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 of whole effluent toxicity tests conducted in the past four and one-half years.
® chronic ❑ acute SEE ATTACHMENT 111
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number: Test number:
a. Test information.
Test Species&test method number
Age at initiation of test
Outfall number
Dates sample collected
Date test started
Duration
b Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s)used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite
Grab
d Indicate where the sample was taken in relation to disinfection (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 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
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal
Flow-through
h. Source of dilution water. If laboratory water,specify type,if receiving water,specify source.
Laboratory water
Receiving water
i. Type of dilution water. If salt water,specify"natural'or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series
k. Parameters measured during the test. (State whether parameter meets test method specifications)
nN
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100% % oda
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 17 of 22
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Ramseur WWTP, NCO026565 Renewal Cape Fear
Chronic
NOEC % % %
IC25 % % %
Control percent survival % % %
Other(describe)
m Quality Control/Quality Assurance
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run(MM/DD/YYYY)?
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ® 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- / /NA (MM/DD/YYYY)
Summary of results: (see instructions)
'END OF PARTE.
;REFER TO THE APPLICATION OVERVIEW [PACE 1) TO DETERMINE WHICH OTHER PARTC
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2ARev.1-99. Replaces EPA forms 7550-6&7550-22.
( ) ' Page 18 of 22
ATTACHMENT I
Topographic Map
4M t
\ fUS Hwy64Iq
TOW
M•
t �
Hwy 22
• �, - ;1r t • , ,
Deep River ,
i. - I � ti •
fir
fir fit
, a o
Outfall 001 f
(flows south) M.
Approximated t�
Property Boundary
AW r
Town of Ramseur WWTP Facility
Location
State Grid/Ouad: E 20 NW/Ramseur,NC Permitted Flow: 0.480 MGD not to scale
Latitude: 35°43'07"N Longitude: 790 39'07"W
Receiving Stream: Deep River Sub-Basin: 03-06-09 NPDES Permit No. NCO026565
Drainage Basin: Cape Fear River Basin Stream Class: C North Randolph Count
ATTACHMENT II
Plant Schematic
TOWN OF RAMSEUR WWTP
Sample site Sample site
002 Ma ole Return Sludge Line 006
X
Influ nt ----- -- ��
c
O
O
0) 0
co
Splitter Return Sludge o D
Box Sludg Holding U) `;
P Ps Tank rnQ
-a c
m
X Sample site ~
Sample site 004
0iJ3 Lime
Storage
X Bin
Aeration Basin
Clarifier Manhole
Splitter X >
Box l
Sample site
005
Q
C
O Manhole
C
C .0
O J
(L C
u
O N
C Q i
cn j X r a�
a � UD
Sam le site
0 1 >
X
Sample sit
007
I
ATTACHMENT III
Toxicity Data
°•-'F,
Ea, n- .4;, jyent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/24 11
RAMSEUR NPDES#: N00026565 Pipe#: 001 County: RAND L
"ility:
( Performi Te t: TR TEST NC.
>aporatory Comments:
X Signature of e a e(Y-MV IL C arge
v-�
X * PASSED: -12.7956 Reduction
Signature o La or ory uperysor
Work Order: 1102-01686 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = -1.064
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -12 .79
'Trea
Mortality Avg.Reprod.
# Young Produced 18 6 2113 20 26 27 27 22 22 30 26 8 33 21.50
Control Control
Adult (L)ive (D)ead L D L L L L L L L L L L 0.00 24.25
tment 2 Treatment 2
Effluent %: 6%
control
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 031.389%CV PASS FAIL
## Young Produced 14 30 26 25 21 35 24 31 26 20 19 20 producing 3rcontrol ds X
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 90.9%
1st sample 1st sample 2nd sample Test StComplete art te This For
Either Test
PH
Control 7.67 7.74 7.92 7.93 7.87 7.89 Collection (Start) Date
Sample 1: 03/14/11 Sample 2: 03/16/11 IdTreatment 2 7.77 7.75 7-86 7 .87 7.84 7.84 Sample Type/Duration 1st s s s Grab Comp. Duration D
t e t e t e S a n a n a n Sample 1 X 23.5 hrs L M d r d r d �Y� m p
t t t Sample 2 X �Y. •� - - -
ist sample ist sample 2nd sample Hardness(mg/1) 42 ........
D.O.
Control �76
99 7.34 7.51 7 .23 7.05 6.94 Spec. Cond. (µmhos) 220 398.0 387 .0
Treatment 2 0 7.41 7.01 6 .78 6.74 7.07 Chlorine(mg/1) .."N.. <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ........ 1.0 0 .7
(Mortality expressed as %, combining replicates) Note: Please
% % Concentration Complete This
% % Section Also
Ei a % % Mortality
end
start
start/end /
LC50 = % Method of Determination jControl
95% Confi ence Limits Moving Average Probit _ h
% __ % Spearman Karber - Other gE- onc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
A i
k i
effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/23/11
�gacility: RAMSEUR NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Per i g Te EST, INC.
Comments:
X
Signature e a espo e Charge
X 414-
Signature o La o ry Supe sor * PASSED: -5.841 Reduction
Work Order: 1105-01439 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -1.221
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -5.84
Mortality Avg.Reprod.
# Young Produced 23 27 21 19 22 23 25 25 24 20 24 21
0.00 22.83
Control Control
Adult (L) ive (D)ead L L L IL L IL L L L L L L
0.00 24.17
Treatment 2 Treatment 2
Effluent °s: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
10.200% PASS FAIL
# Young Produced 19 25 25124126123 30 24 20 27 22 25 % control orgs ECheck
producing 3rd
brood One
Adult (L) ive (D)ead L L L JL L L L L L IL L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 06/15/11
Control 7.87 7.69 7.77 7.90 7 .81 7 .81 Collection (Start) Date
Sample 1: 06/13/11 Sample 2: 06/15/11
Treatment 2 7.83 7 .80 7.81 7.75 7.81 7.79 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.5 hrs L A A
r d _r d r d U M M
t t t Sample 2 1 X 24.5 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 43 ........
Control 7 .25 7 .04 6.98 7 .41 7.39 6.70
Spec. Cond. (µmhos) 176 519 520
Treatment 2 7.47 7.01 7.43 7.18 7.33 6.74
Chlorine(mg/1) ........ <0.1 <0-1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ........ 1.0 2.6
(Mortality expressed as %, combining replicates)
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % - °s % % Mortality
start/end start/end
LC50 = - Method of Determination Control
95% Confidence Limits Moving Average _ Probit
-- % Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4 .41)
Ar AV
effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/22/11
; Facility: RAMSEUR NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
Laboratory P jrmng st: R TEST, INC.
Comments:
X
Sig r r i7l Re ponsib e Charge
X
SignAtur(P-o-r Laboratory Supervisor * PASSED: 1.27% Reduction
Work Order: 1108-01505 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.176
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 1.27
% Mortality Avg.Reprod.
# Young Produced 23 30 27 24 29122128 25 28 31 26 21
0.00 26.17
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L
0.00 25.83
Treatment 2 Treatment 2
Effluent %: 6.0°s
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
12.285% PASS FAIL
# Young Produced 24 25 29 19128112 30 27 28 33 24 3196 control orgs X
171
producing 3rd
brood Check One
Adult (L)ive (D)ead TLL L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 09/14/11
Control 7.58 7.89 7.80 7.79 7.61 7.56 Collection (Start) Date
Sample 1: 09/12/11 Sample 2: 09/14/11
Treatment 2 7.58 7.80 7.93 7.74 7.78 7.38 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 .5 hrs L A A
r d r d r d U
t t t Sample 2 1 X 24 .5 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 40 ........ ........
Control 7 .28 7.22 7.23 6.97 7.57 7.08
Spec. Cond. (µmhos) 151 559.0 558.0
Treatment 2 7 .39 7.05 7.43 6.96 7.93 7.01
Chlorine(mg/1) ........ <0 .1 10.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ........ 4.0 1.4
(Mortality expressed as %, combining replicates)
Note: Please
% % % % % % % % % Concentration Complete This
Section Also
- % - % % 1 % °s % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit _
% -- % Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) : ^�
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/15/11
Facility: RAMSEUR NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Perfo ' g st: TRIT INC. Comments: b
X _1
Signat of O r i ponsi e Charge
X
Signature of La oratory Supervisor * PASSED: -6.15% Reduction
Work Order 1111-01477 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = -1.004
Tabular t = 2.518
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -6.15
Mortality Avg.Reprod.
# Young Produced 21 19 22 23 12 25 22 23 21 23 23 26 0.00 21.67
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L 0.00 23.00
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control%CV PASS FAIL
# Young Produced 21[25 26 24 25 25 26 20 22 M 21 18 % control orgsXproducing 3rdbrood Check One
Adult (L) ive (D)ead L L L L L L L L L L L 91.7.
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 12/07/11
Control 7.61 7.64 7 .46 7.69 7.73 7.80 Collection (Start) Date
Sample 1: 12/05/11 Sample 2: 12/07/11
Treatment 2 7.54 7.62 7.65 7.63 7.65 7.66 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.5 hrs U M M
r d r d
t t t u Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 41 :::.,..,.
.
Control 7.76 �76
64 7 .65 7 .53 7.89 7.65 Spec. Cond. (µmhos) 111 366.0 382.0
Treatment 2 7.94 8 7 .48 7.38 7.48 7.36 Chlorine(mg/1) 10.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 4 .0 4.0
(Mortality expressed as %, combining replicates) ;lore• Please
- Concentration Complete This
Section Also
% % % - °s % °s °s % °s Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Con idence Limits Moving Average Probit
-- Is Spearman Karber _ Other High
11 Conc.
PH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
• t j ,
cent Toxicity Report Form/- Chronic Pass/Fail and Acute LC50 Date: 03/20/12
ility: RAMSEUR NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Per rm.ng Tes EST, INC. Comments:
X
LX-'Si�gnature
�of
r r n Responsib e Charge
* PASSED: -6.18% Reduction
Laboratory Supervisor
Work Order 1202-01396 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = -0. 947
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
% Reduction = -6.18
% Mortality Avg.Reprod.
# Young Produced 17 27 24 23 24 21 19 16 25 28 27 24 0.00 22.92
Control Control
Adult (L)ive (D}ead L L L L L L L L L L L L 0.00 24.33
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 C17t100P PASS FAIL
# Young Produced 21 24 24 23 19 30 24 24 28 20 28 27 producing 3rdcontrol s X
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 83.3%
1st sample 1st sample 2nd sample Complete This For Either Test
Test Start Date: 03/07/12
PH
Control 7.78 7. 96 8.12 8.14 7.98 8.10 Samplecollection
1 n03/05/12 Datele2: 03/07/12
2nd
Treatment 2 7 .64 7.94 7.67 8.20 7.82 7.99 Sample Type/Durationlst P/F
s s s Grab Comp. Duration D
I S S
a n a n a n Sample 1 X 24.5 hrs L A A
U M M
r d r d d Sample 2 X 24.2 hrs T P P
1st sample 1st sample 2nd sample ........
Hardness(mg/1) 29
D.O. .
Control 7.95 7.78 E8.M17
8.20 8.03 Spec. Cond. (µmhos) 127 375.0 346.0
Treatment 2 8.14 7.80 7.88 7 .74 Chlorine(mg/1) <0.1 <0.1
Sample temp.lat receipt(OC) 1.5 2.0
..........
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates) Note: Please
% % % % % Concentration Complete This
% % % Section Also
° °
Mortality
start/end start/end
LC50 = Method of Determination PHigh
ntrol
-E
95% CoFf dTe Limits Moving Average _ Probit _% __ % Spearman Karber Other
PH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
`1uent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/14/12
8cility: RAMSEUR NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
Laboratory Per ormi Tes ANALYTICAL Comments:
X
Signatureto at n Response e Charge
X
Signature of L o ory Supervisor PASSED: 4.1426 Reduction
Work Order: 1205-01885 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = 1.003
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 4.14
Mortality Avg.Reprod.
# Young Produced 24 24 22 25 22 27 T2426 24 21 27 24 0.00 24.17
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L 0.00 23.17
Treatment 2 Treatment 2
Effluent 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
7.858% PASS FAIL
# Young Produced 17 24 25 25 25 28 25 23 23 21 t2022 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L 10016
lst sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 06/06/12
Control 8.07 8 .05 8.28 7.94 7.71 7.50 Collection (Start) Date
Sample 1: 06/04/12 Sample 2: 06/06/12
Treatment 2 8.00 8.03 8.34 7.81 7.76 8.35 Sample Type/Duration 2nd
1st P/F
S s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 .5 hrs LM M
r d r d r d
t t t Sample 2 X 24 hrs T P P
est sample 1st ,-mnle 2nd sample
r Hardness(mg/1) 43 :::: .:::
D.O.
Control 8.13 7 .63 7.96 7.51 8.05 7 .99 Spec. Cond. (jcmhos) 216 342.0 391.0
Treatment 2 7.70 7 .56 7.99 7.79 7.94 7.67 Chlorine(mg/1) ........ <0.1 10.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ........ 2 .3 2.6
(Mortality expressed as combining replicates) Note: Please
Concentration Complete This
Section Also
Mortality
° start/end start/end
LC50 = % Method of Determination Control
95% Confi ence Limits Moving Average Probit _ High
% -- °s Spearman Karber _ Other _
Conc.
PH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4 .41)
.effluent Toxicity Report Form - Chronic Pass/
Fail and Acute LC50 Date: 09/20/12
Facility: RAMSEUR
NPDES# : NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Performi st: P CE YTICAL FComments:
X
Sign to o a i onsi. e C arge
X SSED: -12 .05% Reduction
Sign ture o La oratory Supervisor
Environmental Sciences Branch
fork Order: 92130970 MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
forth Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = -2 .540
Tabular t = 2 .508
-"ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 ].1 12 Reduction = -12.05
Mortality Avg.Reprod.
## Young Produced 18 22 17 18 19 16 15 18 22 21 16 22 0.00 16.67
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L 0.00 20.92
Treatment 2 Treatment 2
Effluent %: 6% PASS FAIL
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control13 .578%
control orgEl
E�
## Young Produced 19 19 21 21 19 23 21 23 24 21 19 21 producing 3rds Check One
brood
Adult (L) ive (D)ead L L L L L L L L L L L L
100%
lst sample 1st sample 2nd sample Complete This For Either Test
Test Start Date: 09/12/12
pH
Control 7 .57 7.46 7 .44 7 .51
E
287 43 Collection (Start)
09/10/12 Date Sample 2 : 09/12/12 2ndTreatment 2 7 .67 7 .57 7 . 50 7 .60 53 7.63 Sample Type/Duration 1st P/F
s
s s Grab Comp. Duration D S S
t e t e t e 24.5 hrs L A A
a n a n (Sample 1 X M M
a n U
r d r a t .. Sample 2 x 24 hrs i" p
t t
1st sam le 1st sample 2nd sample .,. ,, ,
p Hardness(mg/1) 48
D.O.
Control R83
7 .80 ff8s .36 8.61 B . U8 Spec. Cond. (umhos) 274 564 565
Treatment 2 7 . 98 .22 8'24 7 '65 Chlorine(mg/1) <0 .1 <0 .1
Sample temp. at receipt (°C) ........
LC50/Acute Toxicity Test 5.0 1.7
(Mortality expressed as 1, combining replicates) Note: Please
% % % % Concentration Complete This
Section Also
% % % Mortality start/end
start/end
Method of Determination Control
-E
LC50 = moving Average Probit —
95% Con i ence Limits g — High
% Spearman Karber — Other Conc.
pg D.O.
Organism Tested: Ceriodaphnia dubia
Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4 .41)
. iC sY=`mow' 4
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/20/12
Facility: RAMSEUR NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Perform' g est: AC ALYTICAL Comments:
X
Sig a ure o e at p o n s i e C arge
X * PASSED: 3 .11°s Reduction
Sig atu e o La oratory Supervisor
Work Order: 9214-1403 Environmental Sciences Branch
MAIL ORIGINAL TO: Div.
of Water Quality
N.C.
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = 0.816
Tabular t = 2.508
3 4 5 6 7 8 9 10 11 12 % Reduction = 3 .11
CONTROL ORGANISMS 1 2 --
Mortality Avg.Reprod.
# Young Produced 29 30 27 25 25 26 20 29 27 29 29 26 0 .00 26.83
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L 0.00 26.00
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 C10t278%CV PASS FAIL
% control X
# Young Produced 23 23 24 30 28 26 26 26 26 28 24 28 producing 3rd
s
brood Check One
Adult (L) ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
Test Start Date: 12/12/12
pH
Control 8. 05. 8 .11 7 .95 8.03 8.11 8 .27 Sample t1: 12/10/12 Date
2: 12/12/12
2nd
Treatment 2 7. 97 7 .96 8 .02 8.16 7.97 8 .16 Sample Type/Duration 1st P/F
s s s Grab Comp. Duration D I S S
t e t e t e
a n a n U M M
a n Sample 1 X 24 hrs L A A
r d r d - d
t t t Sample 21
X 1 24 hrs i T P r
1st sample ist sample 2nd sample Hardness(mg/1) 47 ••••••••
D.O.
Control 7 .50 7 .45 7 .61 7.46 7.49 7 .21 Spec. Cond. (pmhos) 151 556 566
Treatment 2 8.26 7 .76 7 .95 7.88 7.64 7 .44 <0.1 C0 .1
Chlorine(mg/1) ....
LC50/Acute Toxicity Test
Sample temp. at receipt(OC) 0.8 4 .0
(Mortality expressed as %, combining replicates) Note: Please
% Concentration Complete This
9. % o Section Also
°s % % % % % % % Mortality
start/end start/end
LC50 =
% Method of Determination Control
95% Con i ence Limits Moving Average _ Probit _ High
% __ % Spearman Karber - Other
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/67) rev. 11/95 (DUBIA ver. 4 .41)
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/21/13
Facility: RAMSEUR WWTP NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
Laboratory Perf i g Tes P ANALYTICAL
Comments:
X 1-7
S gna re e at n esponsible Charge
X
Si nat re Laboratory Supervisor * PASSED: -4 .25% Reduction
Work Order: 9215-0801 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -1.130
Tabular t = 2.508
CONTROL ORGANISMS 1, 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -4.25
Mortality Avg.Reprod.
# Young Produced 31 29 32 32 33 28 T2627 32 28 24 31 0.00 29.42
Control Control
Adult (L) ive (D)ead L L L L L L L IL L IL IL L 0.00 30.67
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control65% CV PASS FAIL
# Young Produced ff2934 36 33 31 30 30 2728 29 control producing 3rdsbroodAdult (L) ive (D)eadL L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 03/13/13
Control 7 .67 7.62 7.93 7 .72 7.64 7.86 Collection (Start) Date
Sample 1: 03/11/13 Sample 2: 03/13/13 2nd
Treatment 2 7 .82 7.68 7.62 7.74 7.73 7.93 Sample Type/Duration 1st P/F
S s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs U M M
r d r d r d Semple 2 x 24 hrs T P P
1st sample 1st sample 2nd sample u..r��
D.O. Hardness(mg/1) 42 :""'
Control 7 .51 7.36 7.42 7.18 6.19 7.45 Spec. Cond. (}cmhos) 175 481 525
Treatment 2 7 .26 7.09 7.30 7.25 8.03 7.65 Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 0.8 1.2
(Mortality expressed as combining replicates) Note: Please
Concentration Complete This
Section Also
°s % % Mortality
start/end start/end
LC50 = % Method of Determination jControl
95% Con i ence Limits Moving Average Probit _ i h
Spearman Karber _ Other gonc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
Effluent Toxicity Report Form _ Chronic Pass/Fail and Acute LC50 Date: 06/26/13
Facility: RAMSEUR WWTP NPDES#: NCO02656S Pipe#: 001 County: RANDOLPH
Laboratory Pe o g Tes E YTICAL
Comments:
X
Signature 0 r Response le Charge
X
SignatKire ot Laboratory Supervisor * PASSED: 2.06% Reduction
Work Order: 92161887 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 2.06
Mortality Avg.Reprod.
# Young ProduE(D)ead
127 33 27 27 28 33 29 32 26 24 24 30 0.00 28.33
Control Control
Adult (L) ive L L L L L L L L L L L 8.33 27.75
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
CV PASS FAIL
# Young Produced 26 33 11 28 28 31 22 31 33 30 33 27 pEl
roducing 3rd
s X
brood Check One
Adult (L) ive (D)ead L L D L L L L L L L L L 1009v
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 06/19/13
Control 7.79 7.81 7.63 7.72 7.69 7.94 Collection (Start) Date
Sample 1: 06/17/13 Sample 2: 06/19/13 2nd
Treatment 2 7.58 7 .75 7.70 7 .67 7.71 7.88 Sample Type/Duration 1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
r d r d r d U M M
t t t Sample 2 X 24 hrs T P P
lst sample 1st sample 2nd sample •..
D.O. Hardness(mg/1) 40 ;�����^ :••':•"
Control 7.63 7 .57 7.47 7 .01 7.00 6.98 Spec. Cond. (µmhos) 155 1794 1826
Treatment 2 7.55 7.38 8.05 7.44 7.04 6.89 Chlorinel.mg/1) <0.1 <0.1
........
OREM
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 2.4 1.0
(Mortality expressed as %, combining replicates) Note: Please
% a Concentration Complete This
Section Also
% % % % % 1 % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Con i ence Limits Moving Average Probit _ High
% Spearman Karber _ Other EEConc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
IwiZ sera - -� ,J
�fyuent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/26/13
.facility: RAM
NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
Laboratory Pst: C ALYTICAL
7Comments:Sig to e %upo=n e C arge
X C
Sign ure of La orat Supervisor * PASSED: -1.03% Reduction
Work Order: 92172364 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -0.349
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 °s Reduction = -1.03
% Mortality Avg.Reprod.
# Young Produced 21127127 22 25 24 26 25 25 26 23 21
0 .00 24.33
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L
0.00 24.58
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
8.82096 PASS FAIL
# Young Produced 22 24 25 26 24 25 25 23 26 26 24 25 % control orgs X
producing 3rd
ne
Adult (L)ive (D)ead L L L L L L L L L L LLL
brood 100°s Check O
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 09/18/13
Control 7.60 7 .61 7.79 7.59 7.69 7.63 Collection (Start) Date
Sample 1: 09/16/13 Sample 2: 09/18/13
Treatment 2 7 .48 7 .91 7.80 7.92 7.90 7.75 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. - Hardness(mg/1) 40 ........ ........
Control 7 .43 7.26 7.54 7 .31 7.31 7 .27
Spec. Cond. (µmhos) 110 360.0 360.0
Treatment 2 7 .22 7.12 7.20 7.02 7.74 7 .32
Chlorine(mg/1) ,,,,,,, <0.1 <0-1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ........ 1.3 0.8
(Mortality expressed as %, combining replicates) Note: Please
% % % % % % % % % Concentration Complete This
Section Also
% % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Con i ence Limits Moving Average Probit _
-- % Spearman Karber _ Other High
Conc. IF]
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
affluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/12/13
Facility:
RAMSEUR WWTP NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Performin st:
ALYTICAL Comments:
X
Sign tur o era o f s onsi e C arge
X 4 * PASSED: 6.91% Reduction
Signa ure o La oratory Supervisor
m^ Environmental Sciences Branch
Work Order: 92181579 MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = 1.930
Tabular t = 2 .508
% Reduction = 6.91
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 _
Mortality Avg.Reprod.
# Young Produced 28 30 26 33 30 33 33 29 38 32 33 31 0.00 31.33
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L 0.00 29.17
Treatment 2 Treatment 2
Effluent %: 6% Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5' 6 7 8 9 10 11 12 9 845% PASS FAIL
X
# Young Produced 26 31 27 30 31 33 31 26 29 30 26 30 producing 3rcontrol d
Check One
brood
Adult (L) ive (D)ead L L L L L L L L L L L L
100%
Complete This For Either Test
1st sample 1st sample 2nd sample Test Start Date: 12/04/13
pH
ate
Control ROEOKO
Sampletl n12/02/13 DSample 2: 12/04/13 2nd
lst P/F
Treatment 2 Sample Type/Duration Mx -2
D
S s
s Ite t e t e L A A
aa n Sample 1UM M
a n rdP
m Pr d r u t ttSample 2 • ••
1st sample 1st sample 2nd sample Hardness(mg/1) 42 •••
D.O.
Control ROM99
Spec. Cond. (µmhos) 142 2019 188Treatment 2 Chlorine(mg/1) ... <0 .1 <0.1
at recei t(°C) 1.0 0 .4
LC50/Acute Toxicity Test
Sample temp. P ••••••..
combining replicates) Note: Please
(Mortality expressed as Complete This
Concentration Section Also
° °
%
° °
% % ° - Mortality
% % start/end start/end
%
LC50 = % Method of Determination—
Control
Moving Average Probit High
95% Con i ence Limits g Other Conc.
__ ° Spearman Karber _
pH D.O.
FOrganism Tested: Ceriodaphnia dubia
Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
gffluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/19/14
pac' lity: RAMSEUR WWTP NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
k Laboratory Performin e t: P ALYTICAL
Comments:
X
Sign�W"�
e o it es onsi e Charge
X
Signature o Laboratory Supervisor * PASSED: -15.92% Reduction
Work Order: 9219-2768 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -15.92
96 Mortality Avg.Reprod.
# Young Produced 25 27126119 30 30 27 26 25 30 27 22 26.17
0.00
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L 30.33
0.00
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 12.499% PASS FAIL
# Young Produced 20 32 33 33 34 31 26 25 30 33 33 32 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D)ead LL
L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 03/12/14
Control 7.29 7.47 7.50 7.47 7.50 7.46 Collection (Start) Date
Sample 1: 03/10/14 Sample 2: 03/12/14 2nd
Treatment 2 7.32 7.44 7.32 7.37 7.37 7.42 Sample Type/Duration 1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.5 hrs L
r d r d r d , v U M M o M
t t t Sample 2 X
1st sample 1st sample 2nd sample , .
D.O. Hardness(mg/1) 42 ;::::��� :
Control 7.64 7.68 7 .47 7.51 7.38 7.65 Spec. Cond. (µmhos) 130 1435 1554
Treatment 2 7.53 7.57 7.24 7.49 7.49 7.33 Chlorine(mg/1.) <0 .1 <0.1
LC50 Acute Toxicity Test Sample temp. at receipt(°C) ........ 1.0 0.5
(Mortality expressed as %, combining replicates) Note: Please
Concentration Complete This
Section Also
% % % % % % % Mortality
0
start/end start end
LC50 F6 Method of Determination EE]Control
E 1
95% Con i ence Limits Moving Average Probit _ Hi h
Spearman Karber _ Other g
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
affluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/12/14
,acility: RAMSEUR WWTP NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Perfo ng est PA �ALYTICAL
Comments:
X
Sig to o p to e ponsi e C arge
X GC;
Signature of Laboratory Supervisor * PASSED: 3 .44% Reduction
Work Order: 9220-3714 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.748
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 3 .44
% Mortality Avg.Reprod.
# Young Produced 23 33 30 33 28 25 30 23 32 35 29 28
0.00 29.08
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 28.08
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
13.474% PASS FAIL
# Young Produced 26 27 26 27 31 25 27 32 30 27 32 27 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 06/04/14
Control 7.65 7.61 7.57 7.48 7.57 7.71 Collection (Start) Date
Sample 1: 06/02/14 Sample 2: 06/04/14
Treatment 2 7 .79 7.62 7.58 7.39 7.57 7.57 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t Sample 2 1 X 1 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 38 ........ ........
Control 8.26 7.63 7.38 7.24 8.31 7.60
Spec. Cond. (µmhos) 142 1396 1462
Treatment 2 8.16 7.45 7.51 7.17 8.09 7.72
Chlorine(mg/1) ........ <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ,....... 0. 8 1.0
(Mortality expressed as %, combining replicates)
Note: Please
% % % % - % % % Concentration Complete This
Section Also
% - % % - Is % % Mortality
start/end start/end
LC50 = Method of Determination Control
95% Con -iJence Limits Moving Average _ Probit _
-- % Spearman Karber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
V, cent Toxicity Report Form - Chronic Pass/Fail and Acute LCm9 Date: 09/10/14
jiity: RAMSEUR WWTP NPDES#: NCO026565 Pipe.: 001 County: RANDOLPH
poratory Perfo n Tes ACE ANALYTICAL
Comments:
X
Signat re _2y-Oj&e, elponsible Charge
X
Signa re of La ratory Supervisor * PASSED: 3.26% Reduction
Work Order: 9221-5572 Environmental Sciences Branch
MAIL ORIGINAL TO: Div, of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t =
Tabular t =
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 3.26
% Mortality Avg.Reprod.
# Young Produced 19 25 22 23 23 22 25 25 21 24 21 26
0.00 23.00
Control Control
Adult (L)ive (D) ead L L L L L L L L L L L L
8.33 22.25
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
9.08296 PASS FAIL
# Young Produced 25 26 3 22 27 23 24 23 23 25 21 25 % control orgs X
producing 3rd
brood ICheck One
Adult (L)ive (D)ead L L D L IL IL IL L L IL L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 09/03/14
Control 7.49 7.70 7.69 7 .65 7.64 7 .71 Collection (Start) Date
Sample 1: 09/01/14 Sample 2: 09/03/14
Treatment 2 7.53 7.75 7.67 7.83 7.67 7 .69 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 39 ::::::::. ::::::::.
Control 8.17 7 .77 7.7417 .!6J1 7.60 7.72
gpar_ rnnr7 . (pmhos) 144 2187 12073
Treatment 2 8.08 7 .66 7 .65 7 .58 7.43 7 .48
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ..... 1.4 0.6
(Mortality expressed as %, combining replicates)
[!ot
e: Please
% % % % % - % % Concentration omplete Thisection Also
% % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% __ % Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
I /
ifluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/17/14
,,•acili.ty: RAMSEUR WWTP NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Perfor n TesITECH LABS, INC.
Comments
X
Signature o O t r esponsi e Charge
X
Signature of Laborafory S rvisor * PASSED: 6.63% Reduction
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 2.003
Tabular t = 2 .508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 6.63
% Mortality Avg.Reprod.
# Young Produced 26127130 27 30 29 31 27 33 27 32 28
0.00 28.92
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 27.00
Treatment 2 Treatment 2
Effluent %: 69.
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
7.866% PASS FAIL
# Young Produced 29 30 27 27 27126127 24 31 27 27 22 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 12/10/14
Control 8.12 8.14 8.06 8.04 8.07 7.98 Collection (Start) Date
Sample 1: 12/08/14 Sample 2: 10/10/14
Treatment 2 8.04 8.19 8 .09 8 .05 8.05 7.92 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 hrs L A A
r d r d r d U M M
t t t S arnp.1 e 2 X 24 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 44 ........ ........
Control 8.00 7.80 8.05 7.92 7.63 8 .21
Spec. Cond. (pmhos) 165 2020 2090
Treatment 2 7.73 7.70 8 .11 7.98 7.87 8 .25
Chlorine(mg/1) ,,,,,.,. <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt (°C) ........ 0.4 0.5
(Mortality expressed as %, combining replicates)
Note: Please
6 % % % % Concentration Complete This
Section Also
% % % % % % % Is % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Con i ence Limits Moving Average _ Probit _
% -- % Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
„ :•i`luent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/28/15
acility: RAMSEUR WWTP NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
Laboratory Per rmi g Te t: TECH LABS, INC. Comments: *** CORRECTED COPY ***
X - Sample Two Collection Start
Signature esponsi e C arge
-��/�: Date Corrected.
Signature o L ora ory Supervisor
* PASSED: 6.63% Reduction
Environmental Sciences Branch
Work Order: MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test Calculated t = 2.003
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
Reduction = 6.63
Mortality Avg.Reprod.
## Young Produced 26 27 30 27 30 29 31 27 33 27 32 28 0.00 28.92
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L 0.00 27.00
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 C7n866 % C PASS FAIL
## Young Produced 29 30 27 27 27 26 27 24 31 27 27 22 control orgs X
producing 3rd
brood Check One
Adult (L) ive (D)ead L L L L L L L L L L L L
100%
1st sample 1st sample 2nd sample Complete This For Either Test
Test Start Date: 12/10/14
pH Control 8 .128.14 on
7.98 Collection (Start) DateSample 1: 12/08/14 Sample 2: 12/10/142nd
Treatment 2 8.04 8 .19 8 .05 7.92 Sample Type/Duration 1st P/F
s s s Grab Comp. Duration D S S
t e t e t e
X 24 hrs L A P'
a n a n Sample 1 U M M
a dr d r d X 24 hrs m P P
t t t Sample 2
1st sample 1st sample 2nd sample Hardness(mg/1) 44 .......
D.O.
Control 8 .00 7.80 8 .05 7.92 M
Spec. Cond. (�os) 165 2020 2090
'Treatment 2 7.73 7.70 8 .11 7.9Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test
Sample temp. at receipt(OC) 0.4 0.5
(Mortality expressed as %, combining replicates) Note: Please
% % % Concentration Complete This
Section Also
% % % Mortality
start/end start/end
LC50 = %
Method of Determination Control
95% Con i ence Limits Moving Average _ Probit _ High
% __ % Spearman Karber _ Other Conc.
pH D.O.
Forganism Tested: Ceriodaphnia dubia Duration(hrs) : II
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
I
'ent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/18/15
�jity: RAMSEUR WWTP NPDES#: NC0026565 Pipe#: 001 County: RANDOLPH
,poratory Perform' gg st:) R CAH LABS, INC.
Comments:
FX
Si at �e o o e ponsi e Charge
X �' ' r
Signature of Laboratory Supervisor * PASSED: -11.40% Reduction
Water Sciences Section - Aquatic
Work order: Toxicology Branch
MAIL ORIGINAL T0:
Division of Water Resources
1623 Mail Service Center
North Carolina Ceriodaphnia Raleigh,N.C. 27699-1623 -621
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -2.940
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 % Reduction = -11.40
%
# Young Produced 29 20 26 24 25 28 26 28 2622 29 24 Mortality Avg.Reprod.
0.00 25.58
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L
0.00 28.50
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
10.860% PASS FAIL
# Young Produced 26 30 30 29 32 27 31 29 28 28 26 26 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 03/11/15
Control 7.99 7.94 7.95 7.99 8.11 8 .03 Collection (Start) Date
Sample 1: 03/09/15 Sample 2: 03/11/15
Treatment 2 7.36 7.85 7.29 7.91 7.34 7 .93 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.3 hrs L A A
r d r d r d U M M
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 46 ........ ........
Control 7.95 8 .07 8 .52 7.72 7.81 8 .03
Spec. Cond. (pmhos) 190 381 399
Treatment 2 8.30 8 .22 8 .36 7.82 7.96 8.00
Chlorine(mg/1) ,,,,,,,, <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(OC) ......., 1.2 0 .4
(Mortality expressed as %, combining replicates)
Note: Please
% % % % % % % % % - Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman Karber = Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
I
r
effluent Toxicity Report Form - Chronic Pass/Fail and Acute L�50 Date: 06/18/15
acility: RAMSEUR WWTP NPDES#: NCO026565 Pipe#: 001 County: RANDOLPH
Laboratory Perfo i Tes RITECH LABS, INC. Comments:
X
Signature to i Responsi. e C arge
X PASSED: 7.64% Reduction
s�i! !
''
Sig-nature o Laboratory Supervisor *
- Water Sciences Section -Aquatic
Work Order: Toxicology Branch
MAIL ORIGINAL TO:
Division of Water Resources
1623 Mail Service Center 1621
North Carolina Ceriodaphnia Raleiah,N.C. 27699-1623
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 1.423
Tabular t = 2.518
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 7.64
% Mortality Avg.Reprod.
# Young Produced 23 28 25 27 22 27 23 24 25 26 26 24 0.00 25.00
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L 0.00 23 .09
Treatment 2 Treatment 2
Effluent %: 6%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control
PASS FAIL
# Young Produced 15 16 0 25 27 27 23 25 23 28 23 22 Producing 3rcontrol d ElX
brood Check One
Adult (L)iv
W ive (D)ead L L * L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 06/10/15
Control 8.12 8 .02 7 .94 8.13 8.01 8 .12 Collection (Start) Date
Sample 1: 06/08/15 Sample 2: 06/10/15
Treatment 2 8.02 8.18 8 .03 8.34 8 .04 8.13 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24 .0 hrs LM M
r d r d r d
t t t Sample 2 X 24.0 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (ingi i) 46 q-1
:' :::Control 7.98 7.74 8 .28 7.71 8.18 7.84 Spec. Cond. (pmhos) 180Treatment 2 7.94 7.988 .18 7.82 8.19 7.96 Chlorine(mg/1) ........ <0.1LC50/Acute Toxicity Test Sample temp. at receipt (°C) 0.4
(Mortality expressed as combining replicates) Note: Please
% % % % ConcentrationComplete This
Section Also
% % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
959. Con i ence Limits Moving Average Probit _ High
% -- % Spearman Karber _ Other Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)