NC0020567_Renewal Application_20180730

UI
ROY COOPER NORTH CAROLINA
GovernorEnvironmental Quality
NICH EL S. REGAN
Secreta
LI DDA CULPEPPER
Interim Director
August 21, 2018
Nicole Johnston, Director Executive
Yadkin Valley Sewer Authority
PO Box 828
Elkin, NC 28621
Subject: Permit Renewal
Application No. NC0020567
Yadkin Valley Sewer Authority WWTP
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 31, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sii}nccerely,
1011‘6-
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
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North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

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EXECUTIVE DIRECTOR * CHAIRMAN
Nicole Johnston J.L.Lowe,Jr.
SECRETARY
VICE-CHAIRMAN
Rheajean Benge
IONFSVi iF ,, Wayne Moore
TREASURER ° ;ti
Pr BOARD OF DIRECTORS
Wayne Moore '11 p
ADMINISTRATIVE ASSISTANT Qt Aute Anitaan Benge
Darnell
Susan White Woody Faulk
July 30, 2018
D�pEN�pvVR
REpE1VE 1 2018
NC DEQ/DWR/NPDES 30-
1617 Mail Service Center Wer atRessecton
Raleigh,NC 27699-1617 pet0"%ng
Re: Yadkin Valley Sewer Authority WWTP
NPDES Permit No. NC0020567
Dear Sirs,
Enclosed for your review is an NPDES Permit renewal package for the Yadkin Valley Sewer
Authority Wastewater treatment plant. The application was amended to include the results of
the Priority Pollutant Analysis. Our existing permit expires on January 31, 2019. We are
requesting the Division to renew our NPDES Permit. There are no changes at our facility since
the issuance of the last permit on November 1, 2009.
If you have any questions concerning the information provided, please feel free to give me a
call.
Sincerely,
Yadkin Valley Sewer Authority
71___"-e.-6,--&--90-A-0,04,---1
.
Nicole Johnston
Executive Director
Cc: Hal Transou
Gary Stainback
500 NC Hwy 268 W — Elkin,NC 28621
Phone: [phone] — www.yvsa.org — Fax: [phone]

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
FORM
2A PDES FORM 2A APPLICATION OVERVIEW
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow>_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(Sills)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. average an Discharges of 25,000 gallons per day or more of process wastewater to the treatment works(with certain
9
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)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC 0020567 Renewal Yadkin Pee Dee
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 Yadkin Valley Sewer Authority
Mailing Address 211 Marion Road
Elkin,NC 28621
Contact Person Nicole Johnston
Title Sewer Authority Executive Director
Telephone Number ( 336 )835-9823
Facility Address 211 Marion Road
(not P.O.Box) Elkin,NC 28621
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name Yadkin Valley Sewer Authority
Mailing Address 500 NC Hwy 268 West
Elkin,NC 28621
Contact Person Nicole Johnston
Title Sewer Authority Executive Director
Telephone Number [phone]
Is the applicant the owner or operator(or both)of the treatment works?
® owner 0 operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
0 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 NC0020567 Other
UIC Other
RCRA Other W00007349
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
Elkin 4106 Sanitary Municipal
Ronda 413 Sanitary Municipal
Jonesville 2247 Sanitary Municipal
Total population served 6766
NPDES FORM 2A Additional Information

a a
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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 12'"month of"this year"occurring no more than three months prior to this application submittal.
a. Design flow rate 1.8 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 0.770 1.109 0.844
c. Maximum daily flow rate 1.167 0.686 0.965
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.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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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 (
For each treatment works that receives this discharge,provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number (
If known,provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8.through A.8.d above(e.g.,underground percolation,well injection): ❑ Yes ® No
If yes,provide the following for.each disposal method:
Description of method(including location and size of site(s)if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
NPDES FORM 2A Additional Information

a I
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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 Elkin 27621
(City or town,if applicable) (Zip Code)
Surly North Carolina
(County) (State)
36°14'1151 80049'55
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Average daily flow rate 0.686(2017 data) mgd
f. Does this outfall have either an intermittent or a periodic discharge? 0 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? 0 Yes ® No
A.10. Description of Receiving Waters.
a. Name of receiving water Yadkin River
b. Name of watershed(if known) None
United States Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin(if known):Yadkin Pee Dee
United States Geological Survey 8-digit hydrologic cataloging unit code(if known):
d. Critical low flow of receiving stream(if applicable)
acute NA cfs chronic NA cfs
e. Total hardness of receiving stream at critical low flow(if applicable): NA mg/I of CaCO3
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary ® Secondary
❑ Advanced 0 Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal 97
Design SS removal 96 %
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 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 2017 Data
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units Number of Samples
pH(Minimum) 6.5 s.u.
pH(Maximum) 6.8 s.u.
Flow Rate 1.109 MGD 0.686 MGD 287
Temperature(Winter) 21.5 C 16.4 C 126
Temperature(Summer) 25.1 C 21.6 C 127
*For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD MLIMDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5 5.7 Mg/I 3.5 Mg/I 155 5210B 2 mg/I
DEMAND(Report one) CBOD5
FECAL COLIFORM 46.6 #/100mI 10.6 #/100M155 9222D 1.0/CFU100m1
TOTAL SUSPENDED SOLIDS(TSS) 9.7 Mg/I 5.5 Mg/I 155 2540D ' 1 mg/I
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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>_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.
Not Available 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 1/4 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 redundancy 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. SEEE ATTACHMENT II
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? 0 Yes 0 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: SUEZ
Mailing Address: PO Box 1279
Clemmons, NC 27012
Telephone Number: [phone]
Responsibilities of Contractor: Operation and Maintenance Management of 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.
001
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
❑ Yes O No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
N/A
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 / / 04/18/2017
-End Construction 10 / 01 / 2018
-Begin Discharge / / / /
-Attain Operational Level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly: NCDEQ Authorization to Construct 020567A03
New 58'diameter clarifier;various rehabilitation and replacements
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 Based on 2017 Data
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT
Number of METHOD ML/MDL
Conc. Units Conc. Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 1.3 Mg/I 0.41 Mg/I 53 4500D 0.1 mg/I
CHLORINE(TOTAL 22.3 Mg/I 10.3 Mg/I 156 2540F 10 mg/I
RESIDUAL,TRC)
DISSOLVED OXYGEN 4.1 Mg/I 3.1 Mg/I 253 4500 OG 5.0 mg/I
TOTAL KJELDAHL 3.41 Mg/I 2.07 Mg/I 52 Sm4500WORGC 1 mg/I
NITROGEN(TKN)
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS(Total) 0.84 Mg/I 0.38 Mg/I 52 4500BE 0.01 mg/I
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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020657 Renewal Yadkin Pee Dee
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:
El Basic Application Information packet Supplemental Application Information packet:
El Part D(Expanded Effluent Testing Data)
® Part E(Toxicity Testing: Biomonitoring Data)
El Part F(Industrial User Discharges and RCRA/CERCLA Wastes)
0 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 Nicole Johnston,Sewer Authority Executive Director
Signature
Telephone number [phone]
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
NPDES FORM 2A Additional Information

e i
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC00202567 Renewal Yadkin Pee Dee
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 SEE ATTACHMENT III (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL METHOD ML/MDL
Conc. Units Mass Units Conc. Units Mass Units of
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)
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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
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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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
1,1,1-
TRICHLOROETHANE
1,1,2-
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-DICHLOROPH ENOL
2,4-DIMETHYLPHENOL
4,6-DIN ITRO-O-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
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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
PHENYL ETHER
BUTYL BENZYL
PHTHALATE
2-CHLORO-
NAPHTHALENE
-CHLORO-
NAPHTHALENE
4-CHLORPHENYL
PHENYL ETHER
CHRYSENE
DI-N-BUTYL PHTHALATE
DI-N-OCTYL PHTHALATE
DIBENZO(A,H)
ANTHRACENE
1,2-DICHLOROBENZENE
1,3-DICHLOROBENZENE
1,4-DICHLOROBENZENE
3,3-DICHLORO-
BENZIDINE
DIETHYL PHTHALATE
DIMETHYL PHTHALATE
2,4-DINITROTOLUENE
2,6-DINITROTOLUENE
1,2-DIPHENYL-
HYDRAZINE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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-NITROSODI-
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 writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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. NO RESULTS,WILL SEND AMENDED APPLICATION WHEN RESULTS ARE RECEIVED
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
® chronic 0 acute SEE ATTACHMENT IV
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
NPDES FORM 2A Additional Information

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
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)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival in 100%
effluent
LCso
95%C.I.
Control percent survival
Other(describe)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
Chronic:
NOEC
0 0 0
Ci25
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:
E.4. 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.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
YVSA, NC0020567 Renewal Yadkin Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
® Yes ❑ No
F.2. Number of Significant Industrial Users(Sills)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. 0
SIGNIFICANT INDUSTRIAL USER INFORMATION:
information for each SIU. If more than one SIU discharges to the treatment works,copyquestions F.3 through F.8 and
Supply the following9 9
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: Vitro Automotive Glass(Pittsburgh Glass Works,LLC)
Mailing Address: 300 Paw Drive
Elkin,NC 28621
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Fabrication of Automotive Glass
F.5. 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): Windshields,side windows,back windows,sun roofs
Raw material(s): Purchased flat glass
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.
130,000 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.
5000 gpd ( x continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes 0 No
b. Categorical pretreatment standards 0 Yes ® No
If subject to categorical pretreatment standards,which category and subcategory?
40 CFR Part 433.15
NPDES FORM 2A Additional Information

ATTACHMENT I
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'>-..r.
Latitude:36°1451" VI's?
Longitude:80°4955" N COO 2 0 5 6 7 i Facility
Quad# Cl5NE I Location
Receiving Stream: Yadkin River
Stream Class:C Y ad k i n Valley Sewer
Subbasin:30702
Auth WWTP
North SCALE 1 :24000

ATTACHMENT II
Plant Schematic

FLOW SCHEMATIC FOR Y\/SA WWTP
I SECONDARY
CLARIFIER
v111 4 r-- INFLUENT t
BAR INFLUENT
DIGESTER SCREEN
r ,
SECONDARY
k CLARIFIER
RAS GRIT
REMOVAL
YSLUDGE SLUDGE
_ SECONDARY HOLDING HOLDING
CLARIFIER
CHLORINE
CONTACT/ \,
DECHLORAINATION
.__/
BLOWER
/ > ___
NEW
Cl2 LAB/OFFICE ��
OLD
STORAGE LAB/OFFICE \
AERATION
BASIN
EFFLUENT
(A(//
/ - / - /\_.
AERATION
SLUDGE SLUDGE SLUDGE ,
SLUDGE BASIN
DRYING DRYING DRYING
LOADING BED BED BED

ATTACHMENT III
Priority Pollutant Analyses

-Annual Monitoring and Pollutant Scn 7
Permit No. NC0020567 Month March
Outfall 001 Year 2.9-1-1.
zo 15
Facility Name Yadkin Valley Sewer Authority WWTP ORC Hal Transou
Date of sampling 03/04/15 Phone [phone]
Analytical Laboratory Environmental Testing Solutions
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Ammonia (as N) Composite 4500NH3D 0.01 15.28 mg/1 1
Dissolved oxygen Composite 360.1 0 3.1 mg/1 1
Nitrate/Nitrite Composite 353.2 0.1 0.40 mg/l 1
Total Kjeldahl nitrogen Composite 351.2 1.5 18.6 mg/I 1
Total Phosphorus Composite 365.4 0.05 0.16 mg/1 1
Total dissolved solids Composite SM2540C 10 209 mg/1 1
Hardness Composite 2340 C 1 36 mg/1 1
Chlorine (total residual, TRC) Grab 4500c1g 0.012 <10.0 mg/1 1
Oil and grease Grab 1664 A 5 <5 mg/1 1
Metals (total recoverable), cyanide and total phenols
Antimony Composite 200.8 0.003 <0.003 mg/1 1
Arsenic Composite SM3113B 0.005 <0.005 mg/1 1
Beryllium Composite 200.7 0.001 <0.001 mg/I 1
Cadmium Composite SM3113B 0.001 <0.001 mg/1 1
Chromium Composite 200.7 0.005 <0.005 mg/1 1
Copper Composite 200.7 0.01 <0.010 mg/1 1
Lead Composite SM3113B 0.005 <0.005 mg/1 1
Mercury Composite 245.1 <0.0002 <0.0002 mg/I 1
Nickel Composite 200.7 0.01 <0.010 mg/I 1
Selenium Composite SM3113B 0.01 <0.01 mg/1 1
Silver Composite 200.7 0.005 <0.005 mg/1 1
Thallium Composite 200.8 0.001 <0.001 mg/1 1
Zinc Composite SM3113B 0.01 0.029 mg/1 1
Cyanide Grab 4500CNE 0.005 <0.005 mg/1 1
Total phenolic compounds Grab SM510A&B 0.005 <0.005 mg/1 1
Volatile organic compounds
Acrolein Grab 624 100 <100 ug/1 1
Acrylonitrile Grab 624 50 <50 ug/1 1
Benzene Grab 624 5 <5 ug/1 1
Bromoform Grab 624 5 <5 ug/1 1 '
Carbon tetrachloride Grab 624 5 <5 ug/1 1
Chlorobenzene Grab 624 5 <5 ug/1 1
Chlorodibromomethane Grab 624 5 <5 ug/1 1
Chloroethane Grab 624 10 <10 ug/1 1
2-chloroethylvinyl ether Grab 624 5 <5 ug/1 1
Chloroform Grab 624 5 <5 ug/1 1
Dichlorobromomethane Grab 624 5 <5 ug/1 1
1,1-dichloroethane Grab 624 5 <5 ug/1 1
1,2-dichloroethane Grab 624 5 <5 ug/1 1
Trans-1,2-dichloroethylene Grab 624 5 <5 ug/1 1
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. NC0020567 Month March
Outfall 001 Year 2-6-1-F 2015-
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Volatile organic compounds (Cont.)
1,1-dichloroethylene Grab 624 5 <5 ug/1 1
1,2-dichloropropane Grab 624 5 <5 ug/1 1
1,3-dichloropropylene Grab 624 5 <5 ug/1 1
Ethylbenzene Grab 624 5 <5 ug/1 1
Methyl bromide Grab 624 10 <10 ug/1 1
Methyl chloride Grab 624 10 <10 ug/1 1
Methylene chloride Grab 624 10 <10 ug/1 1
1,1,2,2-tetrachloroethane Grab 624 5 <5 ug/1 1
Tetrachloroethylene Grab 624 5 <5 ug/1 1
Toluene Grab 624 5 <5 ug/1 1
1,1,1-trichloroethane Grab 624 5 <5 ug/1 1
1,1,2-trichloroethane Grab 624 5 <5 ug/1 1
Trichloroethylene Grab 624 5 <5 ug/1 1
Vinyl chloride Grab 624 10 <10 ug/1 1
Acid-extractable compounds
P-chloro-m-creso Grab 625 5 <5 ug/1 1
2-chlorophenol Grab 625 10 <10 ug/1 1
2,4-dichlorophenol Grab 625 10 <10 ug/1 1
2,4-dimethylphenol Grab 625 10 <10 ug/I 1
4,6-dinitro-o-cresol Grab 625 10 <10 ug/1 1
2,4-dinitrophenol Grab 625 50 <50 ug/1 1
2-nitrophenol Grab 625 10 <10 ug/1 1
4-nitrophenol Grab 625 50 <50 ug/1 1
Pentachlorophenol Grab 625 50 <50 ug/1 1
Phenol Grab 625 10 <10 ug/1 1 1
2,4,6-trichlorophenol Grab 625 10 <10 ug/1 1
Base-neutral compounds
Acenaphthene Grab 625 10 <10 ug/1 1
Acenaphthylene Grab 625 10 <10 ug/1 1
Anthracene Grab 625 10 <10 ug/1 1
Benzidine Grab 625 100 <100 ug/1 1
Benzo(a)anthracene Grab 625 10 <10 ug/1 1
Benzo(a)pyrene Grab 625 10 <10 ug/1 1
3,4 benzofluoranthene Grab 625 10 <10 ug/1 1
Benzo(ghi)perylene Grab 625 10 <10 ug/1 1
Benzo(k)fluoranthene Grab 625 10 <10 ug/1 1
Bis (2-chloroethoxy) methane Grab 625 10 <10 ug/1 1
Bis (2-chloroethyl) ether Grab 625 10 <10 ug/1 1
Bis (2-chloroisopropyl) ether Grab 625 10 <10 ug/1 1
Bis (2-ethylhexyl) phthalate Grab 625 20 <20 ug/1 1
4-bromophenyl phenyl ether Grab 625 10 <10 ug/1 1
Butyl benzyl phthalate Grab 625 10 <10 ug/l 1
2-chloronaphthalene Grab 625 10 <10 ug/1 1
Form - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant Sca.i
Permit No. NC0020567 Month March
Outfall 001 Year '291} ',015
4-chlorophenyl phenyl ether Grab 625 10 <10 ug/1 1
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Base-neutral compounds (cont.)
Chrysene Grab 625 10 <10 ug/1 1
Di-n-butyl phthalate Grab 625 10 <10 ug/1 1
Di-n-octyl phthalate Grab 625 10 <10 ug/1 1
Dibenzo(a,h)anthracene Grab 625 10 <10 ug/1 1
1,2-dichlorobenzene Grab 625 10 <10 ug/1 1
1,3-dichlorobenzene Grab 625 10 <10 ug/1 1
1,4-dichlorobenzene Grab 625 10 <10 ug/1 1
3,3-dichlorobenzidine Grab 625 10 <10 ug/1 1
Diethyl phthalate Grab 625 10 <10 ug/1 1
Dimethyl phthalate Grab 625 10 <10 ug/1 1
2,4-dinitrotoluene Grab 625 10 <10 ug/1 1
2,6-dinitrotoluene Grab 625 10 <10 ug/1 1
1,2-diphenylhydrazine Grab 625 10 <10 ug/1 1
Fluoranthene Grab 625 10 <10 ug/1 1
Fluorene Grab 625 10 <10 ug/1 1
Hexachlorobenzene Grab 625 10 <10 ug/1 1
Hexachlorobutadiene Grab 625 10 <10 ug/1 1
Hexachlorocyclo-pentadiene Grab 625 10 <10 ug/1 1
Hexachloroethane Grab 625 10 <10 ug/1 1
Indeno(1,2,3-cd)pyrene Grab 625 10 <10 ug/1 1
Isophorone Grab 625 10 <10 ug/1 1
Naphthalene Grab 625 10 <10 ug/1 1
Nitrobenzene Grab 625 10 <10 ug/1 1
N-nitrosodi-n-propylamine Grab 625 10 <10 ug/1 1
N-nitrosodimethylamine Grab 625 10 <10 ug/1 1
N-nitrosodiphenylamine Grab 625 10 <10 ug/1 1
Phenanthrene Grab 625 10 <10 ug/1 1
Pyrene Grab 625 10 <10 ug/1 1
1,2,4,-trichlorobenzene Grab 625 10 <10 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.
Gary S..inbac -__
A . o . -d Repre- f Tve name
#f -1
....A..,.... .r..,_,
gnat e
Form - DMR- PPA-1 Page 3

Imwt migI1 flu he" 1QIDCfll&e
41
4, .:*. zrtakin/ Watt? Ill; Si71a
.. - Waatawater In: _,,
'e i9 ot:'r 1'.a!' DRIVE PHONE ,252) 756-620e)
GREENVILLE, N.C.27835-7085 FAX[phone]
ID#: 972
UNITED WATER (YVSA WWTP-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 03/04/15
CLENMONS ,NC 27012 DATE REPORTED : 04/30/15
REVIEWED ://----
Effluentnt Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/I 15.28 03/05/15 AKS 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/I 18.62 03/09/15 KDB 351.2 R2-93
Nitrate-Nitrite as N, mg/1 0.40 03/06/15 AKS 353.2 R2-93
Total Phosphorus as P, mg/I 0.16 03/09/15 RND 365.4-74
Oil & Grease (HEM), mg/I <5.0 03/06/15 SEJ 1664B
Phenol, ug/1 <5 03/09/15 SEJ 420.1-78
Total Cyanide, mg/1 <0.005 03/13/15 SEJ 4500CNE-99
Total Hardness, mg/1 36 03/10/15 TRB 2340C-97
Total Dissolved Residue, mg/I 209 03/09/15 LW 2540C-97
Antimony, ug/1 <3.0 03/17/15 LFJ EPA200.8
Arsenic, ug/1 <5.0 03/17/15 MTM 3113B-04
Beryllium, ug/1 <1.0 03/10/15 LFJ EPA200.7
Cadmium, ug/l <1.0 03/13/15 MTM 3113B-04
Copper, ug/1 <10 03/10/15 LFJ EPA200.7
Total Chromium, ug/1 <5.0 03/10/15 LFJ EPA200.7
Lead, ug/1 <5.0 03/10/15 MTM 3113B-04
Nickel, ug/1 <10 03/10/15 LFJ EPA200.7
Selenium, ug/1 <10 03/18/15 MTM 3113B-04
Silver, ug/1 <5.0 03/10/15 LFJ EPA200.7
Thallium, ug/1 <1.0 03/17/15 LFJ EPA200.8
Zinc, ug/I 29 03/17/15 JMN 3111B-99

IEWkilC finEl IL DTIC' -Q ° CReIR&
IDrirktnu Water T , 377:.5
Weat.ey?atex 20: 10
PO BOX 70085. 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C.27835-7085 FAX [phone]
CLIENT: UNITED WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: MAO
CLEMMONS, NC 27012 DATE COLLECTED: 03/04/15
//----- DATE ANALYZED: 03/07/15
DATE REPORTED: 04/30/15
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
Effluent
PARAMETERS, ug/1
1. Chloromethane <10.00
2. Vinyl Chloride <10.00
3. Bromomethane <10.00
4. Chloroethane <10.00
5. Trichlorofluoromethane <5.00
6. 1,1-Dichloroethane <5.00
7. Methylene Chloride <10.00
8. trans-1,2-Dichloroethene <5.00
9. 1,1-Dichloroethene <5.00
10. Chloroform <5.00
11. 1,1,1-Trichloroethane <5.00
12. Carbon Tetrachloride <5.00
I 13. Benzene <5.00
14. 1,2-Dichloroethane <5.00
15. Trichloroethene <5.00
16. 1,2-Dichloropropane <5.00
17. Bromodichloromethane <5.00
18. 2-Chloroethylvinyl Ether <5.00
19. cis-1,3-Dichloropropene <5.00
20. Toluene <5.00
21. trans-1,3-Dichloropropenc <5.00
22. 1,1,2-Trichloroethane <5.00
23. Tetrachloroethene <5.00
24. Dibromochloromethane <5.00
25. Chlorobenzene <5.00
26. Ethylbenzene <5.00
27. Bromoform <5.00
28. 1,1,2,2-Tetrachloroethane <5.00
29. 1,3-Dichlorobenzene <5.00
30. 1,4-Dichlorobenzene <5.00
31. 1,2-Dichlorobenzene <5.00
32. Acrolein <100.00
33. Acrylonitrile <50.00

EDIIMINEEDOI1 Flo RIOT lir0oQa'Rgd.
:Sstk3.,g 34nCnr _t). 3T?:5
Wno«cawa'.er ID. :1U
;,* ay b 1i4 it it a I - V
GREENVILLE, N.C.27835-7085 a> _ 7t,"1'
CLIENT: UNITED WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: CHS
CLEMMONS, NC 27012 DATE COLLECTED: 03/04/15 Page: 1
DATE EXTRACTED: 03/05/15
DATE ANALYZED: 03/06/15
.0iREVIEWED BY: DATE REPORTED: 04/30/15
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ugh
1. N-Nitrosodimethylamine <10.00
2. Phenol <10.00
3. Bis(2-Chloroethyl) Ether <10.00
4. 2-Chlorophenol <10.00
5. 1,3-Dichlorobenzene <10.00
6. 1,4-Dichlorobenzene <10.00
7. 1,2-Dichlorobenzene <10.00
8. Bis(2-Chloroisopropyl) Ether <10.00
9. Hexachloroethane <10.00
10. N-Nitrosodi-N-Propylamine <10.00
11. Nitrobenzene <10.00
12. Isophorone <10.00
13. 2-Nitrophenol <10.00
14. 2,4-Dimethylphenol <10.00
15. Bis(2-Chloroethoxy) Methane <10.00
16. 2,4-Dichlorophenol <10.00
17. 1,2,4-Trichlorobenzene <10.00
18. Naphthalene <10.00
19. Hexachlorobutadiene <10.00
20. 4-Chloro-3-Methylphenol <20.00
21. Hexachlorocyclopentadiene <10.00
22. 2,4,6-Trichlorophenol <10.00
23. 2-Chloronaphthalene <10.00
24. Acenaphthylene <10.00
25. Dimethylphthalate <10.00
26. 2,6-Dinitrotoulene <10.00
27. Acenaphthene <10.00
28. 2,4-Dinitrophenol <50.00
29. 4-Nitrophenol <50.00
30. 2,4-Dinitrotoluene <10.00
31. Fluorene <10.00
32. Diethylphthalate <10.00
33. 4-Chlorophenyl Phenyl Ether <10.00
34. 4,6-Dinitro-2-Methylphenol <50.00
35. N-Nitrosodiphenylamine <10.00
36. 4-Bromophenyl Phenyl Ether <10.00
37. Hexachlorobenzene <10.00
38. Pentachlorophenol <50.00
39. Phenanthrene <10.00
40. Anthracene <10.00
41. Di-N-Butylphthalate <10.00
42. Fluoranthene <10.00
43. Benzidine <100.00
44. Pyrene <10.00
45. Butylbenzylphthlate <10.00
46. Benzo[alanthracene <10.00
47. 3,3-Dichlorobenzadine <10.00
48. Chrysene <10.00

BIDATOI[1 CHER `do I]hC JP o Ermggd
'TWAodaser TZ: 2:0
IV. PHONE (252
�� P©. BOX 7085, 114 OAKMQNT DRIVE � ) 756-6208
GREENVILLE, N.C. 27835-7085 FAX [phone]
CLIENT: UNITED WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: CHS
CLEMMONS, NC 27012 DATE COLLECTED: 03/04/15 Page: 2
DATE EXTRACTED: 03/05/15
DATE ANALYZED: 03/06/15
REVIEWED BY: "4-- DATE REPORTED: 04/30/15
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ug/1
49. Bis(2-Ethylhexyl)phthalate <20.00
50. Di-N-Octylphthalate <10.00
51. Benzo[b]flnoranthene <10.00
52. Benzo[k]fluoranthene <10.00
53. Benzoja]pyrene <10.00
54. Indeno(1,2,3-C,d)pyrene <10.00
55. Dibenzo[a,h]anthracene <10.00
56. Benzo[g,h,i]perylene <10.00
57. 1,2-Diphenylhydrazine <10.00

Environment 1,Inc. CHAIN OF CUSTODY RECORD .
P.O.Box 7085, 114 Oakmont Dr.
Greenville,NC 2785& Page 1 of 2
environment linc.com DISINFECTION ,4 CHLORINE NEUTRALIZED AT COLLECTION
Phone[phone]•Fax[phone] CHLORINE t . _
CLIENT: 972 Week: 13 / n
Liuv 4,)N4249-\2,11 1 2 ( `�.-'C1- 42 PH CHECK(LAB)
UNITED WATER(YVSA WWTP-PP) LI NONE PPPP GGP P PP GGG G G CONTAINER TYPE,PIG
NADINE BLACKWELL _ _
P.O.BOX 1279
CLEMMONS NC 27012 ❑ CCCCCCDC A A A A A E E CHEMICAL PRESERVATION
cmoA-NONE D-NAOH
EF
[phone] z J Y ¢ c. y _
- ui Z w g ;; y B-HNO3 E-HCL
p DO w z o .3 u d cc
rte- c~> = Z a tr I----- C-H SO F-ZINC ACETATE, �H
U Q J •Oal
O 'O C 4 b ° 7 b 7 I-1 2 4
COLLECTION y a e A . A A , a G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME oc2 o a ac E-' Z EF O e• U x E--' W e d W t.i2 a
ffi-ii -11
Effluent 3 (1/13 08& .e/p„_t_ `i' 15 ^ ate. >� av Ivz yY ''V II fie,'. BM b lk
CLASSIFICATION:
4 '�C _ _ _ WASTEWATER(NPDES)
' - - _ _ ' ❑ DRINKING WATER
. _ _ _ - - - ❑ DWQIGW
jSOLID WASTE SECTION
CHAIN OF CUSTODY(SEAL)MAINTAIh'ED
- _ - - - __ - - - - - DURIN JPMENT/DELIVER` �-
�xJ N
SAMPLES COLLECTED BY:
. _ _ . _ _ (Please Print).441__r['3Soc.,_
SAMPLES RECEIVED IN LAB AT 0 'l0 °C
U U1 HEQi Y(SIG.)(SAMPLER) D /TIME RECEIVED BY(SIG.) DATE/TIME COMMENTS:
C .lort�3- 31a/sl(o:4. _ 14 ClrR Gil 3 Y-ix-I /.%.f.(RELINQUISHED BY(SIG.) DATE/TIME R VED BY(S ) DATE/TIME
Pi-- cl,CC:,d 1y-1s13=3., ' i . Iglfs. I 3Lw
/RELINQUISHED BY(SIG) DATE/TIME RECEIVED B .) DATEJTIME
1 I _
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for
FORM#5 Grab sample in the blocks above for each parameter requested. No 7 Q A 9 A Z

Environment 1,Inc. CHAIN OF CUSTODY RECORD -
P.O.Box 7085, 114 Oakmont Dr.
Page 2 of 2
Greenville,NC 27858,
environment 1 inc.com DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION
Phone[phone]•Fax[phone]
HLORINE _ _ _ _
CLIENT: 972 Week: 13 pH CHECK(LAB)
UNITED WATER(YVSA WWTP-PP) [ J NONE G CONTAINER TYPE,PIG
NADINE BLACKWELL - _ _ _ ,
P.O.BOX 1279
CLEMMONS NC 27012 II E CHEMICAL PRESERVATION
mo _ A-NONE D-NAOH
E� I-
[phone] z 2 9 "' N
Z od 1:1B-HNO3 E-HCL
rc 0 0 n o z E C-H2SO4 F-ZINC ACETATE, 1{-I
COLLECTION _,¢ w
Q a n_ o o A < G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME o ow Q Ate..
Effluent 341)S gap 4.►oaS1 4 15 l,': CLASSIFICATION:
�- _ — . . • _ _
WASTEWATER(NPDES)
ij DRINKING WATER
_ ❑ DWQ'GW
SOLID WASTE SECTION
, _ _ .
CHAIN OF CUSTODY(SEAL)MAINTAINED
- - - - . - - , DURINS#(FMENT/DELIVER`,
Y N
SAMPLES COLLECTED BY:
. _ (Please Print) tAt_7nKA41Soa
vSAMPLES RECEIVED IN LAB AT 0'6 °C
R LIN UISHED BY AG)(SAMPLER) DATE/TIME -RECEIVED BY(SIG.) DAME COMMENTS:
,.-es-ozo. 3)4)111 to:1 VII- Q i e--J 3.1—t s-1 Ig,--cco
RELINQUISHED BY(SIG.) DATE/TIME ED BY( I 3 DATE/TIME
4 - cc: mel s-I-r s-I -, �y/0r I- i-e(1)
RELINQUISHED BY(SIG.) DATE/TIME RECEIVED B .) DATE/TIME
L _
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a'G"for
FORM#5 Grab sample in the blocks above for each parameter requested. No 9 0 A . A 9

Annual Monitoring and Pollutant Scan
Permit No. NC20567 Month_„June
Outfall 001 Year_2016
Facility Name YVSA WWTP ORC Hal Transou
Date of sampling 6/8/2016 Phone [phone]
Analytical Laboratory Environment One
Parameter Sample Analytical Quantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Ammonia(as N) CO610 Composite 4500NH3D 0.01 0.09 mg/1
Chlorine (total residual, TRC) 50060 Grab 4500c1g 0.012 13 mg/1
Dissolved Oxygen 00300 Grab 360.1 0 2.9 mg/1
Nitrite plus Nitrate Total(as N) 00630 Composite 353.2 0.1 3.86 mg/1
Total Kjeldahl Nitrogen 00625 Composite 251.2 1.5 1.28 mg/1
Oil and Grease 00556 Grab 1664A 5 <5 mg/1
Total Phosphorus C0665 Composite 365.4 0.05 0.17 mg/1
Total Dissolved Solids 70295 Composite SM2540C 10 178 mg/1
Hardness 00900 Composite 2340C 1 83 mg/1
Metals(total recoverable), cyanide and total phenols
Antimony 01097 Composite 200.8 0.003 <0.003 mg/1
Arsenic 01002 Composite SM3113B 0.005 <0.005 mg/1
Beryllium 01012 Composite 200.7 0.001 <0.001 mg/1
Cadmium 01027 Composite SM3113B 0.001 <0.001 mg/1
Chromium 01034 Composite 200.7 0.005 <0.005 mg/1
Copper 01042 Composite 200.7 0.01 0.010 mg/1
Lead 01051 Composite SM3113B 0.005 <0.005 mg/1
Mercury(Method 1631E) COMER Composite 1631E 1 0.0069 ug/1
Nickel 01067 Composite 200.7 0.01 <0.010 mg/1
Selenium 01147 Composite SM3113B 0.01 <0.01 mg/1
Silver 01077 Composite 200.7 0.005 <0.005 mg/1
Thallium 01059 Composite 200.8 0.001 <0.001 mg/1
Zinc 01092 Composite SM3113B 0.01 0.026 mg/1
Cyanide 00720 Grab 4500CNE 0.005 <0.005 mg/1
Total phenolic compounds _ 32730 Grab SMS 10A8&B 0.005 <0.005 mg/1
Volatile organic compounds
Acrolein 34210 Grab 624 100 <100 ug/1
Acrylonitrile 34215 Grab 624 50 <50 ug/1
Benzene 34030 Grab 624 5 <5 ug/1
Bromoform 32104 Grab 624 5 <5 ug/1
Carbon Tetrachloride 32102 Grab 624 5 <5 ug/1
Chlorobenzene 34301 Grab 624 5 <5 ug/1
Chlorodibromomethane 34306 Grab 624 5 <5 ug/1
Chloroethane 85811 Grab 624 10 <10 ug/1
2-chloroethyl vinyl ether 34576 Grab 624 5 <5 ug/1
Chloroform 32106 Grab 624 5 6.6 ug/1
Dichlorobromomethane 32101 Grab 624 5 <5 ug/1
1,1-dichloroethane 34496 Grab 624 5 <5 ug/1
1,2-dichloroethane 32103 Grab 624 5 <5 ug/1
Trans-1,2-dichloroethylene 34546 Grab 624 5
<5 ug/1
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. NC20567 Month June
Outfall 001 Year 2016
Parameter Sample Analytical Quantitation Sample Units of
Parameter Code Type Method Level Result Measurement
1,1-dichloroethylene 34501 Grab 624 5 <5 ug/1
1,2-dichloropropane 34541 Grab 624 5 <5 ug/1
1,3-dichloropropylene 77163 Grab 624 5 <5 ug/1
Ethylbenzene 34371 Grab 624 5 <5 ug/1
Methyl Bromide 34413 Grab 624 10 <10 ug/1
Methyl Chloride 34418 Grab 624 10 <10 ug/1
Methylene Chloride 34423 Grab 624 10 <10 ug/1
1,1,2,2-tetrachloroethane 81549 Grab 624 5 <5 ug/1
Tetrachloroethylene 34475 Grab 624 5 <5 ug/1
Toluene 34010 Grab 624 5 <5 ug/1
1,1,1-trichloroethane 34506 Grab 624 5 <5 ug/1
1,1,2-trichloroethane 34511 Grab 624 5 <5 ug/1
Trichloroethylene 39180 Grab 624 5 <5 ug/1
Vinyl Chloride 39175 Grab 624 10 <10 ug/1
Acid-extractable compounds
P-chloro-m-creso 34452 Grab 625 5 <5 ug/1
2-chlorophenol 34586 Grab 625 10 <10 ug/1
2,4-dichlorophenol 34601 , Grab 625 10 <10 ug/1
2,4-dimethylphenol 34606 Grab 625 10 <10 ug/l
4,6-dinitro-o-cresol 34657 Grab 625 10 <10 ug/l
2,4-dinitrophenol 34616 Grab 625 50 <50 ug/1
2-nitrophenol 34591 Grab 625 10 <10 ug/1
4-nitrophenol 34646 Grab 625 50 <50 ug/1
Pentachlorophenol 39032 Grab 625 50
<50 ug/1
Phenol 34694 Grab 625 10 <10 ug/1
2,4,6-trichlorophenol 34621 Grab 625 10 <10 ug/1
1
Base-neutral compounds
Acenaphthene 34205 Grab 625 10 <10 ug/1
Acenaphthylene 34200 Grab 625 10 <10 ug/1
Anthracene CO220 Grab 625 10 <10 ug/1
Benzidine 39120 Grab 625 100 <100 ug/1
Benzo(a)anthracene 34526 Grab 625 10 <10 ug/1
Benzo(a)pyrene 34247 Grab 625 10 <10 ug/1
3,4 benzofluoranthene 34230 Grab 625 10 <10 ug/1
Benzo(ghi)perylene 34521 Grab 625 10 <10 ug/1
Benzo(k)fluoranthene 34242 Grab 625 10 <10 ug/1
Bis (2-chloroethoxy) methane 34278 Grab 625 10 <10 ug/1
Bis (2-chloroethyl) ether 34273 Grab 625 10 <10 ug/1
Bis (2-chloroisopropyl) ether 34283 Grab 625 10 <10 ug/1
Bis (2-ethylhexyl) phthalate 39100 Grab 625 20 <20 ug/1
4-bromophenyl phenyl ether 34636 Grab 625 10 <10 ug/1
Butyl benzyl phthalate 34292 Grab 625 10 <10 ug/1
2-chloronaphthalene 34581 Grab 625 10 <10 ug/1
4-chlorophenyl phenyl ether 34641 Grab 625 10 <10 ug/1
Chrysene 34320 Grab 625 10 <10 ug/1
Form - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant Scan
Permit No. NC20567 Month_June
Outfall 001 Year 2016
Parameter Sample Analytical Quantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Di-n-butyl phthalate 39110 Grab 625 10 <10 ug/1
Di-n-octyl phthalate 34596 Grab 625 10 <10 ug/1
Dibenzo(a,h)anthracene 34556 Grab 625 10 <10 ug/1
1,2-dichlorobenzene 34536 Grab 625 10 <10 ug/1
1,3-dichlorobenzene 34566 Grab 625 10 <10 ug/1
1,4-dichlorobenzene 34571 Grab 625 10 <10 ug/1
3,3-dichlorobenzidine 34631 Grab 625 10 <10 ug/1
Diethyl phthalate 34336 Grab 625 10 <10 ug/1
Dimethyl phthalate 34341 Grab 625 10 <10 ug/1
2,4-dinitrotoluene 34611 Grab 625 10 <10 ug/1
2,6-dinitrotoluene C0626 Grab 625 10 <10 ug/1
1,2-diphenylhydrazine 34346 Grab 625 10 <10 ug/1
Fluoranthene C0376 Grab 625 10 <10 ug/1
Fluorene 34381 Grab 625 10 <10 ug/1
Hexachlorobenzene C0700 Grab 625 10 <10 ug/1
Hexachlorobutadiene 39702 Grab 625 10 <10 ug/1
Hexachlorocyclo-pentadiene 34386 Grab 625 10 <10 ug/1
Hexachloroethane 34396 Grab 625 10 <10 ug/1
Indeno(1,2,3-cd)pyrene 34403 Grab 625 10 <10 ug/1
Isophorone 34408 Grab 625 10 <10 ug/1
Naphthalene 34696 Grab 625 10 <10 ug/1
Nitrobenzene 34447 Grab 625 10 <10 ug/1
N-nitrosodi-n-propylamine 34428 Grab 625 10 <10 ug/1
N-nitrosodimethylamine 34438 Grab 625 10 <10 ug/1
N-nitrosodiphenylamine 34433 Grab 625 10 <10 ug/1
Phenanthrene 34461 Grab 625 10 <10 ug/1
Pyrene 34469 Grab 625 10 <10 ug/1
1,2,4,-trichlorobenzene 34551 Grab 625 10 <10 ug/1
"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 managed the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
Authorized Representative name
Signature
8 — 3v— I(0
Date
Form - DMR- PPA-1 Page 3

BEd°INEESEIR 1L [In p rg@i
0a nklag Water IDt 37715
Wastewater SDt 10
PO. BOX 7085, 114 OAKMONT DRI PHONE [phone]
GREENVILLE,N.C. 27835-7085 FAX[phone]
ID#: 972
SUEZ WATER (YVSA WWTP-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 06/08/16
CLEMONS ,NC 27012 DATE REPORTED : 07/19/16
REVIEWED BY:
‘0,------
Effluent Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/I 0.09 06/I4/16 MF 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 1.28 06/14/16 RAJ 351.2 R2-93
Nitrate-Nitrite as N, mg/I 3.86 06/10/16 MF 353.2 R2-93
Total Phosphorus as P, mg/I 0.17 06/16/16 RAJ 365.4-74
Oil & Grease (HEM), mg/1 <5 06/09/16 SEJ 1664B
Phenol, ug/1 <5 06/15/16 SEJ 420.1-78
Total Cyanide, mg/I <0.005 06/09/16 SEJ 4500CNE-99
Total Hardness, mg/I 83 06/13/16 SDB 2340C-97
Total Dissolved Residue, mg/I 178 06/09/16 MCS 2540C-97
Antimony, ug/l <3.0 06/24/16 LFJ EPA200.8
Arsenic, ug/1 <5.0 06/22/16 MTM 3113B-04
Beryllium, ug/l <1.0 06/10/16 LFJ EPA200.7
Cadmium, ug/l <1.0 06/24/16 MTM 3113B-04
Total Chromium, ug/1 <5.0 06/10/16 LFJ EPA200.7
Copper, ug/1 10 06/10/16 LFJ EPA200.7
Lead, ug/1 <5.0 06/21/16 MTM 3113B-04
Nickel, ug/l <10 06/10/16 LFJ EPA200.7
Selenium, ug/l <10 06/23/16 MTM 3113B-04
Silver, ug/1 <5.0 06/10/16 LFJ EPA200.7
Thallium, ug/l <1.0 06/24/16 LFJ EPA200.8
Zinc, ug/l 26 06/10/16 LFJ EPA200.7
rtit

EEiwa[MER&jETCH rpcire@o
Drinking. Water IDI 37715
` "'a •_ -„ -
Wastewater IDs 20
P.O. BOX 7085, 114 0'KMO • 'IVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: MAO
CLEMMONS, NC 27012 DATE COLLECTED: 06/08/16
DATE ANALYZED: 06/17/16
DATE REPORTED: 07/19/16
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
Effluent
PARAMETERS, ughl
1. Chloromethane <10.00
2. Vinyl Chloride <10.00
3. Bromomethane <10.00
4. Chloroethane <10.00
5. Trichlorofluoromethane <5.00
6. 1,1-Dichloroethane <5.00
7. Methylene Chloride <10.00
8. trans-1,2-Dichloroethene <5.00
9. 1,1-Dichloroethene <5.00
10. Chloroform 6.60
11. 1,1,1-Trichloroethane <5.00
12. Carbon Tetrachloride <5.00
13. Benzene <5.00
14. 1,2-Dichloroethane <5.00
15. Trichloroethene <5.00
16. 1,2-Dichloropropane <5.00
17. Bromodichloromethane <5.00
18. 2-Chloroethylvinyl Ether <5.00
19. cis-1,3-Dichloropropene <5.00
20. Toluene <5.00
21. trans-1,3-Dichloropropene <5.00
22. 1,1,2-Trichloroethane <5.00
23. Tetrachloroethene <5.00
24. Dibromochloromethane <5.00
25. Chlorobenzene <5.00
26. Ethylbenzene <5.00
27. Bromoform <5.00
28. 1,1,2,2-Tetrachloroethane <5.00
29. 1,3-Dichlorobenzene <5.00
30. 1,4-Dichlorobenzene <5.00
31. 1,2-Dichlorobenzene <5.00
32. Acrolein <100.00
33. Acrylonitrile <50.00

EridArgEnza 10 l]E© .pcAimiN
Drinking Water IDs 37715
Waatevacer IL)c 10
P.O. BOX 7085. 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 06/08/16 Page: 1
DATE EXTRACTED: 06/08/16
DATE ANALYZED: 07/12/16
REVIEWED BY: DATE REPORTED: 07/19/16
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ug/1
1. N-Nitrosodimethylamine <10.00
2. Phenol <10.00
3. Bis(2-Chloroethyl) Ether <10.00
4. 2-Chlorophenol <10.00
5. 1,3-Dichlorobenzene <10.00
6. 1,4-Dichlorobenzene <10.00
7. 1,2-Dichlorobenzene <10.00
8. Bis(2-Chloroisopropyl) Ether <10.00
9. Hexachloroethane <10.00
10. N-Nitrosodi-N-Propylamine <10.00
11. Nitrobenzene <10.00
12. Isophorone <10.00
13. 2-Nitrophenol <10.00
14. 2,4-Dimethylphenol <10.00
15. Bis(2-Chloroethoxy) Methane <10.00
16. 2,4-Dichlorophenol <10.00
17. 1,2,4-Trichlorobenzene <10.00
18. Naphthalene <10.00
19. Hexachlorobutadiene <10.00
20. 4-Chloro-3-Methylphenol <20.00
21. Hexachlorocyclopentadiene <10.00
22. 2,4,6-Trichlorophenol <10.00
23. 2-Chloronaphthalene <10.00
24. Acenaphthylene <10.00
25. Dimethylphthalate <10.00
26. 2,6-Dinitrotoulene <10.00
27. Acenaphthene <10.00
1 28. 2,4-Dinitrophenol <50.00
29. 4-Nitrophenol <50.00
30. 2,4-Dinitrotoluene <10.00
31. Fluorene <10.00
32. Diethylphthalate <10.00
33. 4-Chlorophenyl Phenyl Ether <10.00
34. 4,6-Dinitro-2-Methylphenol <50.00
35. N-Nitrosodiphenylamine <10.00
36. 4-Bromophenyi Phenyl Ether <10.00
37. Hexachlorobenzene <10.00
38. Pentachlorophenol <50.00
39. Phenanthrene <10.00
40. Anthracene <10.00
41. Di-N-Butylphthalate <10.00
42. Fluoranthene <10.00
43. Benzidine <100.00
44. Pyrene <10.00
45. Butylbenzylphthlate <10.00
46. Benzo[a]anthracene <10.00
47. 3,3-Dichlorobenzadine <10.00
48. Chrysene <10.00

�. . .
Drinking Mato[ MD. 37715
MaaCOwaC6Y ID: 30
P.O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX[phone]
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 06/08/16 Page: 2
DATE EXTRACTED: 06/08/16
DATE ANALYZED: 07/12/16
REVIEWED BY: DATE REPORTED: 07/19/16
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ughl
49. Bis(2-Ethyihexyl)phthalate <20.00
50. Di-N-Octylphthalate <10.00
51. Benzo[b)flnoranthene <10.00
52. Benzo[k]fluoranthene <10.00
53. Benzo[a]pyrene <10.00
54. Indeno(1,2,3-C,d)pyrene <10.00
55. Dibenzo[a,hlanthracene <10.00
56. Benzo[g,h,i]perylene <10.00
57. 1,2-Diphenylhydrazine <10.00
NOTE: EPA METHOD 625: Surrogate recovery exceeded control limit. Confirmed by duplicate analysis.

Environment 1,Inc. CHAIN OF CUSTODY RECORD
P.O.Box70?.=: '-14 Oakmont Dr. Page 1 of 2
Greenville,NC 27858 +
environment 1 inc.com DISINFECTION
Phone[phone]•Fax[phone] ��/ CHLORINE NEUTRALIZED AT COLLECTION
U CHLORINE • - -
CLIENT: 972 Week:27 [ .42,�� / ^�L � 4,1- 4424
pH CHECK(LAB)
SUEZ WATER(YVSA WWTP-PP) NONE PPPPGGPPPPGGG G G CONTAINER TYPE,PIG
NADINE BLACKWELL
P.O.BOX 1279
CLEMONS NC 27012 ❑ C C C C C C D C A A A A A E E CHEMICAL PRESERVATION
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' ❑ DRINKING WATER
- ❑ DWO/GW
rj SOLID WASTE SECTION
CHAIN OF CUSTODY(SEAL)MAINTAINED
f DURING SHIPMENT/DELIVERY
CD N
_ _ SAMPLES COLLECTED BY:
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SAMPLES RECEIVED IN LAB AT 6,e °C
0 SH D B 'G.)(SAMPLER) 1D,� TF,(f1ME RECEIV Y(SIG.) IDATFITIME COMMENTS:
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RELINQUI BY(SIG.) DATE/TIME, vRE ED Y( G.} '� 1/1D TF/T1ME
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RELINQUISHED BY(SIG.) DATE/TIME CE (SIG.) DATEfiME�.
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PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for N o 320951
FORM#5 Grab sample in the blocks above for each parameter requested.

..-- anvil,�t 1,Inc. CHAIN OF CUSTODY RECORD
P.O.`;3i.,. :-14 Oakmont Dr.
Greenville,NC 27858 Page 2 of 2
environmentlinc.com DISINFECTION CHLORINE NEUTRALIZEDATCOLLECTION
Phone[phone]•Fax[phone]
CHLORINE _ _
CLIENT: 972 Week:27 pH CHECK(LAB)
jUV
SUEZ WATER(YVSA WWTP-PP) jNONE G CONTAINER TYPE,P/G
W
NADINE BLACKELL T
P.O.BOX 1279
CLEMMONS NC 27012 ❑ E CHEMICAL PRESERVATION
o � A-NONE D-NADH
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[phone] "'w y co N
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COULCTION ?_:4 w
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G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME 2 o WQ
Effluent ../r/KoT5 'a/p 03- 14 ''" CLASSIFICATION:
LJWASTEWATER(NPDES)
' ❑ DRINKING WATER
DWO/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY(SEAL)MAINTAINED
• DURING IPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print) rt"TK--fl-1.SSulr
SAMPLES RECEIVED IN LAB AT©• 6 °C
REI !SHED BY(1IG.)(SAMPLER) DATEI11ME RECEI Y(SIG.) j pATEITIME COMMENTS:
REUNOUI BY(SIG.) ATE/fIME RE '•Bvs It) , :001/ TE/iT, ....- . / 49
ME
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REUNQUISHED BY(SIG.) DATE/TIME RECEI IBY SIG. �ATEmME
1 1
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for N° 3 2 0 9 5 0
FORM#5 Grab sample in the blocks above for each parameter requested.

Annual Monitoring and Pollutant Scan
' Permit No. NC20567 Month September
Outfall 001 Year 2017
Facility Name YVSA WWTP ORC Hal Transou
Date of sampling 9/13/2017 Phone [phone]
Analytical Laboratory Environment One
Parameter Sample Analytical Quantitation Sample Units of
Parameter Code Type Method Level Result Measurement
Ammonia (as N) C0610 Composite 4500NH3D 0.01 0.12 mg/1
Chlorine (total residual, TRC) 50060 Grab 4500c1g 0.012 33 mg/1
Dissolved Oxygen 00300 Grab 360.1 0 1.4 mg/1
Nitrite plus Nitrate Total (as N) 00630 Composite 353.2 0.1 5.67 mg/1
Total Kjeldahl Nitrogen 00625 Composite 251.2 1.5 4.64 mg/1
Oil and Grease 00556 Grab 1664A 5 <5 mg/1
Total Phosphorus C0665 Composite 365.4 0.05 1.77 mg/1
Total Dissolved Solids 70295 Composite SM2540C 10 240 mg/1
Hardness 00900 Composite 2340C 1 40 mg/1
/Metals (total recoverable), cyanide and total.phenols
Antimony 01097 Composite 200.8 0.003 <0.003 mg/1
Arsenic 01002 Composite SM3113B 0.005 <0.005 mg/1
Beryllium 01012 Composite 200.7 0.001 <0.001 mg/1
Cadmium 01027 Composite SM3113B 0.001 <0.001 mg/1
Chromium 01034 Composite 200.7 0.005 <0.005 mg/1
Copper 01042 Composite 200.7 0.01 0.014 mg/1
Lead 01051 Composite SM3113B 0.005 <0.005 mg/1
Mercury (Method 1631E) COMER Composite 1631E 1 0.0071 ug/1
Nickel 01067 Composite 200.7 0.01 <0.010 mg/1
Selenium 01147 Composite SM3113B 0.01 <0.01 mg/1
Silver 01077 Composite 200.7 0.005 <0.005 mg/1
Thallium 01059 Composite 200.8 0.001 <0.001 mg/1
Zinc 01092 Composite SM3113B 0.01 0.050 mg/1
Cyanide 00720 Grab 4500CNE 0.005 <0.005 mg/1
Total phenolic compounds 32730 Grab SM510A&B 0.005 <0.005 mg/1
Volatile organic compounds
Acrolein 34210 Grab 624 100 <100 ug/1
Acrylonitrile 34215 Grab 624 50 <50 ug/1
Benzene 34030 Grab 624 5 <5 ug/1
Bromoform 32104 Grab 624 5 <5 ug/1
Carbon Tetrachloride 32102 Grab 624 5 <5 ug/1
Chlorobenzene 34301 Grab 624 5 <5 ug/1
Chlorodibromomethane 34306 Grab 624 5 <5 ug/1
Chloroethane 85811 Grab 624 10 <10 ug/1
2-chloroethyl vinyl ether 34576 Grab 624 5 <5 ug/1
Chloroform 32106 Grab 624 5 6.66 ug/1
Dichlorobromomethane 32101 Grab 624 5 <5 ug/1
1,1-dichloroethane 34496 Grab 624 5 <5 ug/1
1,2-dichloroethane 32103 Grab 624 5 <5 ug/1
Trans-1,2-dichloroethylene _ 34546 Grab 624 5 <5 ug/1
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
' Permit No. NC20567 Month September
Outfall 001 Year 2017
Parameter . Sample Analytical Quantitation Sample . Units of
Parrameter, Code Type Method Level i Result Measurement
1,1-dichloroethylene 34501 Grab 624 5 <5 ug/1
1,2-dichloropropane 34541 Grab 624 5 <5 ug/1
1,3-dichloropropylene 77163 Grab 624 5 <5 ug/1
Ethylbenzene 34371 Grab 624 5 <5 ug/1
Methyl Bromide 34413 Grab 624 10 <10 ug/1
Methyl Chloride 34418 Grab 624 10 <10 ug/1
Methylene Chloride 34423 Grab 624 10 <10 ug/1
1,1,2,2-tetrachloroethane 81549 Grab 624 5 <5 ug/1
Tetrachloroethylene 34475 Grab 624 5 <5 ug/1
Toluene 34010 Grab 624 5 <5 ug/1
1,1,1-trichloroethane 34506 Grab 624 5 <5 ug/1
1,1,2-trichloroethane 34511 Grab 624 5 <5 ug/1
Trichloroethylene 39180 Grab 624 5 <5 ug/1
Vinyl Chloride 39175 Grab 624 10 <10 ug/1
Tr! ,a f.` .., 9P, ,.47 M,„.-4„,..,*..'xt`' 4t f L r, --V1`4:.2-,:,.1":4".,a ,, ,".c,W
5" rg ". � fitr
' " "'
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1 P-chloro-m-creso 34452 Grab 625 5 <5 ug/1
2-chlorophenol 34586 Grab 625 10 <10 ug/1
2,4-dichlorophenol 34601 Grab 625 10 <10 ug/1
2,4-dimethylphenol 34606 Grab 625 10 <10 ug/1
4,6-dinitro-o-cresol 34657 Grab 625 10 <10 ug/1
2,4-dinitrophenol 34616 Grab 625 50 <50 ug/1
2-nitrophenol 34591 Grab 625 10 <10 ug/1
4-nitrophenol 34646 Grab 625 50 <50 ug/1
Pentachlorophenol 39032 Grab 625 50 <50 ug/1
Phenol 34694 Grab 625 10 <10 ug/1
2,4,6-trichlorophenol 34621 Grab 625 10 <10 ug/1
... , .,... - ''r , 3.,�' t.,.. r ±r. 'f' x x �'Si• h z -,'C
Acenaphthene 34205 Grab 625 10 <10 ug/1
Acenaphthylene 34200 Grab 625 10 <10 ug/1
Anthracene CO220 Grab 625 10 <10 ug/1
Benzidine 39120 Grab 625 100 <100 ug/1
Benzo(a)anthracene 34526 Grab 625 10 <10 ug/1
Benzo(a)pyrene 34247 Grab 625 10 <10 ug/1
3,4 benzofluoranthene 34230 Grab 625 10 <10 ug/1
Benzo(ghi)perylene 34521 Grab 625 10 <10 ug/1
Benzo(k)fluoranthene 34242 Grab 625 10 <10 ug/1
Bis (2-chloroethoxy) methane 34278 Grab 625 10 <10 ug/1
Bis (2-chloroethyl) ether 34273 Grab 625 10 <10 ug/1
Bis (2-chloroisopropyl) ether 34283 Grab 625 10 <10 ug/1
Bis (2-ethylhexyl) phthalate 39100 Grab 625 20 <20 ug/1
4-bromophenyl phenyl ether 34636 Grab 625 10 <10 ug/1
Butyl benzyl phthalate 34292 Grab 625 10 <10 ug/1
2-chloronaphthalene 34581 Grab 625 10 <10 ug/1
4-chlorophenyl hen 1 ether 34641 Grab 625 10 <10 ug/1
Chrysene 34320 Grab 625 10 <10 ug/1
Form - DMR- PPA-1 Page 2

rtnnuaimonitoring aria rouutant scan
Permit No. NC20567 Month September
Outfall 001 Year 2017
Parameter Sample Analytical guantitation Sample .,
Parameter .1k' Code "_ e e ent
*Fyp `"Method .Level Result �
Di-n-butyl phthalate 39110 Grab 625 10 <10 ug/1
Di-n-octyl phthalate 34596 Grab 625 10 <10 ug/1
Dibenzo(a,h)anthracene 34556 Grab 625 10 <10 ug/1
1,2-dichlorobenzene 34536 Grab 625 10 <10 ug/1
1,3-dichlorobenzene 34566 Grab 625 10 <10 ug/1
1,4-dichlorobenzene 34571 Grab 625 10 <10 ug/1
3,3-dichlorobenzidine 34631 Grab 625 10 <10 ug/1
Diethyl phthalate 34336 Grab 625 10 <10 ug/1
Dimethyl phthalate 34341 Grab 625 10 <10 ug/1
2,4-dinitrotoluene 34611 Grab 625 10 <10 ug/1
2,6-dinitrotoluene C0626 Grab 625 10 <10 ug/1
1,2-diphenylhydrazine 34346 Grab 625 10 <10 ug/1
Fluoranthene C0376 Grab 625 10 <10 ug/1
Fluorene 34381 Grab 625 10 <10 ug/1
Hexachlorobenzene C0700 Grab 625 10 <10 ug/1
Hexachlorobutadiene 39702 Grab 625 10 <10 ug/1
Hexachlorocyclo-pentadiene 34386 Grab 625 10 <10 ug/1
Hexachloroethane 34396 Grab 625 10 <10 ug/1
Indeno(1,2,3-cd)pyrene 34403 Grab 625 10 <10 ug/1
Isophorone 34408 Grab 625 10 <10 ug/1
Naphthalene 34696 Grab 625 10 <10 ug/1
Nitrobenzene 34447 Grab 625 10 <10 ug/1
N-nitrosodi-n-propylamine 34428 Grab 625 10 <10 ug/1
N-nitrosodimethylamine 34438 Grab 625 10 <10 ug/1
N-nitrosodiphenylamine 34433 Grab 625 10 <10 ug/1
Phenanthrene 34461 Grab 625 10 <10 ug/1
Pyrene 34469 Grab 625 10 <10 ug/1
1,2,4,-trichlorobenzene 34551 Grab 625 10 <10 ug/1
"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 managed the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant
penalties for submitting false information,including the possibility of fines and impriso -. or knowing violations."
A o ' d R:S�- - alive
name
ili''gna 7/c /
7
Date
Form - DMR- PPA-1 Page 3

. o
lEeT©ftragiln ill] EIN@NyomNd
,, . ._. ,
Drinking Water ID: 37715
Wastewater ID: 10
P.O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
ID#: 972
SUEZ WATER (YVSA WWTP-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 09/13/17
CLEMMONS ,NC 27012 DATE REPORTED : 10/12/17
REVIEWED BY: j
Effluent Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/1 0.12 09/22/17 TJB 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 4.64 10/02/17 TJB 351.2 R2-93
Nitrate-Nitrite as N, mg/I 5.67 09/20/17 MF 353.2 R2-93
Total Phosphorus as P, mg/I 1.77 10/02/17 MF 365.4-74
Oil & Grease (HEM), mg/1 <5 09/15/17 SEJ 1664B
Phenol, ug/1 <5 10/02/17 SEJ 420.1-78
Total Cyanide, mg/1 <0.005 09/15/17 SET 4500CNE-11
Total Hardness, mg/1 40 09/18/17 BNC 2340C-11
Total Dissolved Residue, mg/I 240 09/14/17 KMR 2540C-11
Antimony, ug/1 <3.0 09/19/17 LFJ EPA200.8
Arsenic, ug/l <5.0 09/20/17 MTM 3113B-04
Beryllium, ug/1 <1.0 09/20/17 LFJ EPA200.7
Cadmium, ug/1 <1.0 09/22/17 MTM 3113B-04
Total Chromium, ug/l <5.0 09/20/17 LFJ EPA200.7
Copper, ug/1 14 09/20/17 LFJ EPA200.7
Lead, ug/I <5.0 09/25/17 MTM 3113B-04
Nickel, ug/1 <10 09/20/17 LFJ EPA200.7
Selenium, ug/I <10 09/21/17 MTM 3113B-04
Silver, ug/1 <5.0 09/20/17 LFJ EPA200.7
Thallium, ug/I <1.0 09/19/17 LFJ EPA200.8
Zinc, ug/l 50 09/20/17 LFJ EPA200.7

BEWITCR NEIR _o ElrourpcmiNe,
Drinking Water ID: 37715
Wastewater ID: 10
P.O. BOX 7085, 114 OAKMONT
GREENVILLE, N . 27835-7085 r AA
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: MAO
CLEMMONS, NC 27012 DATE COLLECTED: 09/13/17
DATE ANALYZED: 09/19/17
DATE REPORTED: 10/12/17
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
Effluent
PARAMETERS, ug/1
1. Chloromethane <10.00
2. Vinyl Chloride <10.00
3. Bromomethane <10.00
4. Chloroethane <10.00
5. Trichlorofluoromethane <5.00
6. 1,1-Dichloroethane <5.00
7. Methylene Chloride <10.00
8. trans-1,2-Dichloroethene <5.00
9. 1,1-Dichloroethene <5.00
10. Chloroform 6.66
11. 1,1,1-Trichloroethane <5.00
12. Carbon Tetrachloride <5.00
13. Benzene <5.00
14. 1,2-Dichloroethane <5.00
15. Trichloroethene <5.00
16. 1,2-Dichloropropane <5.00
17. Bromodichloromethane <5.00
18. 2-Chloroethylvinyl Ether <5.00
19. cis-1,3-Dichloropropene <5.00
20. Toluene <5.00
21. trans-1,3-Dichloropropene <5.00
22. 1,1,2-Trichloroethane <5.00
23. Tetrachloroethene <5.00
24. Dibromochloromethane <5.00
25. Chlorobenzene <5.00
26. Ethylbenzene <5.00
27. Bromoform <5.00
28. 1,1,2,2-Tetrachloroethane <5.00
29. 1,3-Dichlorobenzene <5.00
30. 1,4-Dichlorobenzene <5.00
31. 1,2-Dichlorobenzene <5.00
32. Acrolein <100.00
33. Acrylonitrile <50.00

a
EFINk©REgga king3P(OrAk
PO. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE. N . 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 09/13/17 Page: 1
DATE EXTRACTED: 09/20/17
DATE ANALYZED: 09/21/17
REVIEWED BY: DATE REPORTED: 10/12/17
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ughl
1. N-Nitrosodimethylamine <10.00
2. Phenol <10.00
3. Bis(2-Chloroethyl) Ether <10.00
4. 2-Chlorophenol <10.00
5. 1,3-Dichlorobenzene <10.00
6. 1,4-Dichlorobenzene <10.00
7. 1,2-Dichlorobenzene <10.00
8. Bis(2-Chloro-l-methylethyl) Ether <10.00
9. Hexachloroethane <10.00
10. N-Nitrosodi-N-Propylamine <10.00
11. Nitrobenzene <10.00
12. Isophorone <10.00
13. 2-Nitrophenol <10.00
14. 2,4-Dimethylphenol <10.00
15. Bis(2-Chloroethoxy) Methane <10.00
16. 2,4-Dichlorophenol <10.00
17. 1,2,4-Trichlorobenzene <10.00
18. Naphthalene <10.00
19. Hexachlorobutadiene <10.00
20. 4-Chloro-3-Methylphenol <20.00
21. Hexachlorocyclopentadiene <10.00
22. 2,4,6-Trichlorophenol <10.00
23. 2-Chloronaphthalene <10.00
24. Acenaphthylene <10.00
25. Dimethylphthalate <10.00
26. 2,6-Dinitrotoulene <10.00
27. Acenaphthene <10.00
28. 2,4-Dinitrophenol <50.00
29. 4-Nitrophenol <50.00
30. 2,4-Dinitrotoluene <10.00
31. Fluorene <10.00
32. Diethylphthalate <10.00
33. 4-Chlorophenyl Phenyl Ether <10.00
34. 4,6-Dinitro-2-Methylphenol <50.00
35. N-Nitrosodiphenylamine <10.00
36. 4-Bromophenyl Phenyl Ether <10.00
37. Hexachlorobenzene <10.00
38. Pentachlorophenol <50.00
39. Phenanthrene <10.00
40. Anthracene <10.00
41. Di-N-Butylphthalate <10.00
42. Fluoranthene <10.00
43. Benzidine <100.00
44. Pyrene <10.00
45. Butylbenzylphthlate <10.00
46. Benzo[a]anthracene <10.00
47. 3,3-Dichlorobenzadine <10.00
48. Chrysene <10.00

ENEMIEHOM Flo ['Mal o6rr i c
>.A. s.- ni�,c+ : .ate.,„,- .�.�:.=;.,., - e,. �., .,5a•x - Drinking Water ID: 37715
Wastewater ID: 10
rs
P.O. BOX 7085, 114 OAK(vI,:r ;, ,; _
GREENVILLE, N.C. 27835-7085 f=AX (252) 756-0c
CLIENT: SUEZ WATER (YVSA WWTP-PP) CLIENT ID: 972
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 09/13/17 Page: 2
DATE EXTRACTED: 09/20/17
DATE ANALYZED: 09/21/17
REVIEWED BY: DATE REPORTED: 10/12/17
SEMIVOLATILE ORGANICS
EPA METHOD 625
Effluent
PARAMETERS, ughl
49. Bis(2-Ethylhexyl)phthalate <20.00
50. Di-N-Octylphthalate <10.00
51. Benzo[b]fluoranthene <10.00
52. Benzo[k]fluoranthene <10.00
53. Benzo[a]pyrene <10.00
54. Indeno(1,2,3-C,d)pyrene <10.00
55. Dibenzo[a,h]anthracene <10.00
56. Benzo[g,h,i]perylene <10.00
57. 1,2-Diphenylhydrazine <10.00

Environment 1,Inc. CHAIN OF CUSTODY RECORD
P.O.Box 7085, 114 Oakmont Dr. Page____of__ __
Greenville,NC 27858
environment
756-6I208•Fax[phone] DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION
Phone[phone]A
CHLORINE _
CLIENT: 972 Week: 41 ` i 7 `Z V� L pH CHECK(LAB)
NONE CONTAINER TYPE,PIG
SUEZ WATER(YVSA WWTP-PP) P P P P G G P P P P G (; G C f
NADINE BLACKWELL
P.O. BOX 1279 CHEMICALPRESERVATION
CLEMMONS NC 27012 C . C CCC CD C A A A A A E E
o A-NONE D-NAOH
w W C B- E-HCL
(" 766-0270 z J ui z w c°. a � _ ^' ry Q '" cn HNO3
O
3 0 w ~z ro d u w C-H2SO4 F-ZINC ACETATE/NADH
COLLECTION ¢ w J o 'a .a �
Q a o U- A A A G NATHIOSULFATE
SAMPLE LOCATION DATE TIME o a °" a3 a A a N N a a N
e
EfThientn
O
C
CLASSIFICATION:
- ❑ WASTEWATER(NPDES)
DRINKING WATER
DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY(SEAL)MAINTAINED
-- -- DURIN —MENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print) -7P'A J xa.
SAMPLES RECEIVED IN LAB AT °C
�Q(
ARE IN(J91G( 9/ 4c
SH ESIG.)(SAMPLER) D IME RECEIVE Y(SIG.) D TEITIME — COMMENTS:
G ` / c 7, k' s� -T1 - ' 9/3/71/d2-
RELINQUISHED BY(SIG.) DATE/TIME3� RECEIVED SIG.) DATE/TIME
5r,SIr) 3 �31�T X37
R LINQUISHED BY(SIG.) DATE/TIME RECEIVED B (SI DATE/TIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C for composite sample or a"G"for NO 3 3 7151
FORM#5 Grab sample in the blocks above for each parameter requested.

ATTACHMENT IV
Toxicity Test Results

PO Box 7565
Asheville,NC 28802
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: December 22,2014
Facility: United Water Hydro Management NPDES 4: NC-0020567 Pipe 4: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testin: :olu'ons, • c. Comments:
Signature of Operator in Responsible Charge: is7,.
Signature of Laboratory Supervisor: 11,01111/ Project 10282
' Samples: 141203.06,141205.05
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 12-03-14 12-10-14 1346 0803
Sample Information Sample 1 Sample 2 Control
Collection start date: 12-01-14 12-03-14 Test Information ' start Renewal 1 Renewal Stan Renewal 1 Renewal 2
Grab: Treatment: 0.87% 0.87% 0.87% . Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.10 7.13 7.42 7.05 7.15 7.34
Alkalinity(mg/L CaCO3): 30 Final pH(SU): 7.10 7.41 7.16 7.14 7.35 7.14
Hardness(mg/L.CaCO3): 40 Initial DO(mg/L): 7.7 7.7 8.0 7.7 7.7 7.8
Conductivity(pmhos/cm): 309 313 152,151,158 Final DO(mg/L): 7.9 7.9 7.8 7.9 8.0 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): i 24.7 25.0 25.0 24.8 25.1 25.0
Sample Temp.at Receipt(°C): 1.0 1.3 Final Temp.(°C): 24.8 25.2 24.8 24.9 24.9 24.8
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 I I 12 Mean Chronic Test Results
'
Number of Young Produced 33 31 29 31 29 31 28 28 31 29 32 30 30 2 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
,Control Reproduction CV: 5.3
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean _Control 0 of 12
Number of Young Produced 30 32 32 30 31 33 29 30 32 33 33 30 31.3 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -3.6 Significant?: No
otlo Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduct,on Overall Method: Homoscedastic
Effluent Percentage- Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.921
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.243
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced .
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
• 41 Asheville,NC 28802
Phone: [phone]
Fax: [phone]
1 Environmental Testing Solutions,Inc
Effluent Aquatic Toxicity
Form-Phase II Chronic Ceriodaphnia dubia Date: September 19,2014
Report
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testin: of tion i. • Comments:
Signature of Operator in Responsible Charge: //,4 /"
Signature of Laboratory Supervisor: 2: Project: 10076
Samples: 140903.07,140905.06
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Starttime: End time:
Raleigh,NC 27699-1621 I 09-03-14 I 09-10-14 I 1317 I 0729
Sample Information Sample t Sample 2 Control
Collection start date: 09-01-14 09-03-14 Alai Test Information Start Renewal I Renewal2 Start Renewal I Renewal2
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h VW Initial pH(SU): 7.03 7.64 7.66 7.26 7.59 7.66
Alkalinity(mg/L CaCO3): 34 Final pH(SU): 7.68 7.65 7.42 7.65 7.66 7.42
Hardness(mg/L CaCO3): 38 Initial DO(mg/L): 7.8 7.8 8.0 7.8 7.7 7.7
Conductivity(µmhos/cm): 457 422 152,157 154 Final DO(mg/L): 8.0 7.9 8.1 7.9 7.7 7.6
Total residual chlorine(mg/L): <0.10 <0.10 It Initial Temp.(°C): 24.7 25.2 , 25.1 24.8 24.9 25.0
Sample Temp.at Receipt(°C): 2.1 0.6 Final Temp.(°C): 24.8 25.0 24.9 24.9 24.8 25.0
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced l 31 132 l 29 128 128 129 131 130 131 l 27 30 128 I 29.5 I Final Control Mortality(%): 0.0
(Adult Survival: (L)ive,(D)ead I L L L L L L L L L I L L L %Control with 3rd Broods: 100
Control Reproduction CV: 5.3
48 Hour Mortality
Effluent Percentage 0.87% of
12
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 men Control: 0
IIIIIIIIIIIII 1 of 12
'Number of Young Produced 31 27 30 29 29 31 30 30 31 32 31 29 30.0 IWC: 0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L v-11.7`na Significant?:
No
Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
>0.87%
0.87%
Number of Young Produced
Reproduction NOEC:
(Adult Survival: (L)ive,(D)ead I l Reproduction LOEC:
I I o finduction
Overall Method: Homoscedastic
Normal Distribution: Yes
Effluent Percentage
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 MeanMethod: Shapiro-Wilk's
I I I I I I I I I I I I (
I Statistic: 0.970Number of Young Produced
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
v.Reclucton Equal Variances: Yes
Method: F-Test
Effluent Percentage
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 men Statistic: 1.350
Number of Young Produced I
I
' I HI
1 I I I l I
Critical Value: 5.320
INon-Parametric Analysis(if applicable)
Adult Survival: (L)ive,(D)ead %Reduction
Method:
Effluent Percentage' I Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Man 0.87% .
Number of Young Produced
(Adult I I I I
Survival: (L)ive,(D)ead ( Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
Asheville,NC 28802
Phone: [phone]
>� Y
Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: June 20,2014
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi Q ution Q. ' Comments:
Signature of Operator in Responsible Charge: '/ IS '
Signature of Laboratory Supervisor: "�� Project: 9869
Samples: 140604.09,140606.09
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service CenterStart date: End date: Start time: End time:
Raleigh,NC 27699-1621 I 06-04-14 I 06-11-14 I 1440 l 0809
Sample Information Sample 1 Sample 2 Control
Collection start date: 06-02-14 06-04-14 Test Information Sun Renewal 1 Renewal 2 Start Renewal 1 Renewal
Grab: _ Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h _ ___ Initial pH(SU): 7.58 7.67 7.70 7.99 7.61 7.55
Alkalinity(mg/L CaCO3): 32,32,33 Final pH(SU): 7.78 7.68 7.67 7.77 7.63 7.69
Hardness(mg/L CaCO3): _ ,.. 40,44,40 Initial DO(mg/L): 8.0 8.0 8.0 8.2 7.6 7.6
Conductivity(µmhos/cm): 312 322 tss,150 158 Final DO(mg/L):
8.1 7.9 7.9 7.8 7.6 7.5
Total residual chlorine(mg/L): <0.10 <0 10 Initial Temp.(°C): 25.3 24.7 25.0 24.9 24.8 24.8
Sample Temp.at Receipt(°C): 0.7 0.8 [ --.. Final Temp.(°C): 25.1 25.2 24.8 24.9 24.8 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 32 29 28 29 29 31 31 30 29 29 28 30 Final Control Mortality(%): 0.0
29.6
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 4.2
48 Hour Mortality
Effluent Percentage 0.87%
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 33 31 28 29 31 31 37 32 28 28 27 29 30.3 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -2.5 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Men. Reproduction Analyses
Number of Young Produced
Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead
Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.916
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction Yes
Equal Variances:
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 5.123
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev.11/95

PO Box 7565
Asheville,NC 28802
Phone: [phone]
} Fax: [phone]
. . Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: March 21,2014
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe 4: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi _ 'oluti•9, it /� Comments:
Signature of Operator in Responsible Charge: //i40 i v i:',/Signature of Laboratory Supervisor: Project: 9665
ir Samples: 140305.11,140307.10
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 03-05-14 03-12-14 1441 0841
Sample Information Sample 1 Sample 2 Control
Collection start date: 03-03-14 03-05-14 L.. • 1 Test Information Stan Renewal 1 Renewal Stan Renewal I Renewal
a f
Grab: __ _ ___ Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h _- . ,
24-h Initial pH(SU): 7.21 7.57 7.49 7.27 7.60 7.80
_ _:.-
Alkalinity(mg/L CaCO3): _
33 Final pH(SU): 7.44 7.49 7.35 7.65 7.78 7.52
Hardness(mg/L CaCO3): L 1 41 Initial DO(mg/L): 8.4 8.4 82 7.6 8.1 7.6
Conductivity(µmhos/cm): 324 332 153,156,161 Final DO(mg/L): 8.5 8.2 8.1 8.3 8.2 8.2
Total residual chlorine(mg/L): <0.10
<0.10 Initial Temp.(°C): 24.6 24.8 25.3 24.7 24.9 24.8
Sample Temp.at Receipt C): 0.5 0.7 Final Temp.(°C): 25.1 25.0 25.0 24.9 24.8 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 30 27 31 30 31 28 32 29 27 31 28 29 29A Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 5.7
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 29 28 27 29 30 29 31 29 31 30 28 32 29.4 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L 0.0 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
%Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
II
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.934
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.341
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

Y � . : PO Box 7565
1/..-1,-PPN-.Afg,.:'(.1+.e 41I/ ) Asheville,NC 28802
Phoge: [phone]
-__; ----:-1 L__1_....}- Fax: [phone]
, Environmental Testing Solutions,Inc.
w'
'/ Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: December 28,2015
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi,• So .dot. t'. • Comments:
Signature of Operator in Responsible Charge: KA,. 4 it.} ..c.'
Signature of Laboratory Supervisor: =I. .1.;Will r Project: 11094
Samples: 151209.07,151211.08
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1623 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1623 12-09-15 12-16-15 1428 0850
Sample Information Sample 1 Sample 2 Control
Collection start date 12-07-15 12-09-15 Test Information Start Renewal I Renewal 2 sun Renewal l Renewal 2
Grab. . Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.82 7.58 7.70 7.87 7.71 7.74
Alkalinity(mg/L CaCO3): 34,33,33 Final pH(SU): 7.76 7.79 7.69 7.67 7.72 7.59
Hardness(mg/L CaCO3): 40,40,40 Initial DO(mg/L): 8.4 8.2 8.2 7.8 7.7 7.7
Conductivity(µmhos/cm): 294 302 n0.152.154 Final DO(mg/L): 7.7 7.8 8.1 7.9 7.8 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 25.0 25.1 24.9 24.7 24.9
Sample Temp.at Receipt(°C): 0.4 0.9 Final Temp.(°C): 24.9 25.1 24.8 24.8 24.9 25.1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 25 25 26 28 26 31 27 28 25 27 28 29 271 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 6.8
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 32 28 26 31 27 32 31 26 29 t 28 30 28 29.0 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -7.1 Significant?: No
Red1CDon Final Mortality Significant at: No cont.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 vic,. Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mcan Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.954
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
Reduction Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.409
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 \lc. 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
Reduction
11
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWO ( )AT-3 orm 8/91 Rev. 11/95

PO Box 7565
Asheville,NC 28802
, 4, TS-- Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: September 25,2015
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
• Elkin WWTP
Laboratory Performing Test: Environmental Testin: of so. , Comments:
Signature of Operator in Responsible Charge: /^ ri'
-tfz Pro ect: 10874
Signature of Laboratory Supervisor: i
IIP Samples: 150902.07,150904.06
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1623 Mail Service Center Start date: End date: Start time: . End time:
Raleigh,NC 27699-1623 09-02-15 09-09-15 1216 0800
Sample Information Sample 1 Sample 2 Control
Collection start date: 08-31-15 09-02-15 Test Information scan Renewal I Renewal2 Start Renewal I Renewal
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.33 7.08 7.13 7.29 7.18 7.47
Alkalinity(mg/L CaCO3): 31 Final pH(SU): 7.06 7.17 7.01 7.15 7.44 7.24
Hardness(mg/L CaCO3): 40 Initial DO(mg/L): 7.9 8.0 8.0 7.8 7.9 8.0
Conductivity(µmhos/cm): 357 342 167,154,150 Final DO(mg/L): 7.9 8.1 7.8 8.0 7.9 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 25.2 24.8 24.9 24.9 25.0
Sample Temp.at Receipt(°C): 1.0 1.1 Final Temp.(°C): 24.8 25.0 25.1 25.1 25.2 24.7
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Maan Chronic Test Results
Number of Young Produced 29 27 28 29 27 28 31 29 28 31 27 26 283 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 5.5
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Meaa Control: 0 of 12
Number of Young Produced 33 29 28 31 34 31 31 31 31 29 33 33 31.2 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -10.0 Significant?: No
CtlOn Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead _ Reproduction NOEC: 0.87%
%Reduction
Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.951
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.413
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method: .
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEL: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box /N)
Asheville,NC 28802
G Phone: [phone] '
Fax: [phone]
. Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form -Phase II Chronic Ceriodaphnia dubia Date: June 26,2015
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testin: .olu'ins, i, Comments:
Signature of Operator in Responsible Charge: ��/f/ ? • ,. ��
if Signature of Laboratory Supervisor: 0 �r Project: 10697
/ ` Samples: 150610.06,150612.06
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1623 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 06-10-15 06-17-15 1411 0728
Sample Information Sample 1 Sample 2 Control
Collection start date: 06-08-15 06-10-15 Test Information start Renewal I Renewal 2 Start Renewal I Renewal
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.63 7.67 7.75 7.72 7.74 7.78
Alkalinity(mg/L CaCO3): 32 Final pH(SU): 7.70 7.75 7.72 7.67 7.76 7.68
Hardness(mg/L CaCO3): 40 Initial DO(mg/L): 8.1 8.0 8.0 7.7 8.0 7.8
Conductivity(pmhos/cm): 370 333 152,152,146 Final DO(mg//L): 7.7 7.9 7.7 7.7 7.7 7.5
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.8 24.8 24.9 24.8 24.7 24.9
Sample Temp.at Receipt(°C): 1.2 0.8 Final Temp.(°C): 25.1 25.0 25.1 24.9 24.9 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 30 28 27 28 29 29 28 27 30 29 27 28283 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 3.8
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 30 28 28 30 27 29 28 31 28 31 29 31 29.2 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -2.9 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Rr4rrson Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.918
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
Reduction Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.711
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
•
1 a Asheville,NC 28802
4 Phone: [phone]
.
�;,. Fax: [phone]
_ Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form -Phase H Chronic Ceriodaphnia dubia Date: March 16,2015
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi -_So tions,'-1 Comments:
Signature of Operator in Responsible Charge: �,..i i/lia�
Signature of Laboratory Supervisor: yKir� i Project: 10477
Samples: 150304.04,150306.03
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 03-04-15 03-11-15 1317 0813
Sample Information Sample 1 Sample 2 Control
Collection start date: 03-02-15 03-04-15 Test Information start Renewal 1 Renewal 2 start Renewal 1 Renewal
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.60 7.64 7.80 7.58 7.80 7.81
Alkalinity(mg/L CaCO3): 33 Final pH(SU): 7.61 7.81 7.66 7.65 7.83 7.58
Hardness(mg/L CaCO3): 40 Initial DO(mg/L): 7.7 7.7 7.9 7.7 7.7 7.8
Conductivity(gmhos/cm): 401 424 152,149,152 Final DO(mg/L): 7.9 7.9 7.9 7.9 7.9 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.9 25.2 25.0 24.8 24.9 24.8
Sample Temp.at Receipt(°C): 0.7 0.5 Final Temp.(°C): 24.9 25.2 24.9 24.9 25.1 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Chronic Test Results
Number of Young Produced 30 31 29 29 29 31 28 27 28 30 29 28
29.1 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L , L L L %Control with 3rd Broods: 100
Control Reproduction CV: 4.3
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 31 30 28 29 33 32 33 32 33 32 30 33 31.3 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -7.7 Significant?: No
%Reduction Final Mortality Significant at: No cone.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
%Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.939
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Redaction Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Maar Statistic: 1.931
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
, i.OV--;'4'.'' ' c x 1 Asheville,NC 28802
..,..
- Phone: [phone]
Fax: [phone]
., Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: January 03,2017
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Test So iti,oz, Comments:
Signature of Operator in Responsible Charge: e ~
Signature of Laboratory Supervisor: ,,,,���d Project: 11975
41/ Samples: 161207.09,161209.04
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 12-07-16 12-14-16 1255 0743
Sample Information sample 1 Sample 2 (on'))1
Collection start date: 12-05-16 12-07-16 Test Information Stan Renewal I Renewal2 Start Renewal I Renewal
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: '4-h 24-h Initial pH(SU): 7.34 7.39 7.52 7.22 7.52 7.54
Alkalinity(mg/L CaCO3): 31,31 Final pH(SU): 7.47 7.58 7.27 7.45 7.61 7.24
Hardness(mg/L CaCO3): ., r - 40,40,42 Initial DO(mg/L): 7.8 8.0 8.0 7.8 7.8 7.9
Conductivity(µmhos/cm): 335 317 155.15S,165 Final DO(mg/L): 7.9 8.0 7.9 7.9 7.8 7.9
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.CC): 25.2 2.9 24.7 24.7 24.6 24.7_
Sample Temp.at Receipt(°C): 1.6 0.9 Final Temp.(°C): 24.9 25.0 25.2 25.0 24.9 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Chronic Test Results
Number of Young Produced 30 30 28 29 31 29 32 29 32 27 29 29 Final Control Mortality(%): 0.0
29.6
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 5.1
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Control: 0 of 12
Number of Young Produced 27 32 26 28 32 30 31 31 28 32 30 34 30.1 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -1.7 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 I I 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC. >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
x.R dactioa Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms I 2 3 4 5 6 7 8 9 10 1 l 12 Moan Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.981
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
Reduction Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 2.525
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
Reduction
Overall Analysis:
Result: PASS LOEC: '0 87% NOEC: 0.87% ChV: >0.87%
DWQ form A T-3(8/91)Rev. 11/95

y:',,:,;',: a,.;$,, PO Box 7565
Asheville,NC 28802
Phone: [phone]
Fax: [phone]
,, Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: September 23,2016
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
•t':'.' Laboratory Performing Test: Environmental Testin: :of ions U . Comments:
yr'
Signature of Operator in Responsible Charge: / ,,;
Signature of Laboratory Supervisor: I Project: 11724
cyySamples: 160907.03,160909.03
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 09-07-16 09-14-16 1200 0817
Sample Information Sample 1 Sample 2 Control
Collection start date: 09-05-16 09-07-16 17.i Test Information Stan Renewal I Renewal Scan Renewal l Renewal
Grab: . 1111 Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h m, 11111 Initial pH(SU): 7.40 7.45 7.60 7.52 7.49 7.53
Alkalinity(mg/L CaCO1): __ 34 Final pH(SU): 7.68 7.72 7.64 7.72 7.73 7.58
Hardness(mg/L CaCO3): __ 40 Initial DO(mg/L): 7.7 7.9 8.0 7.9 7.8 7.9
Conductivity(µmhos/cm): 308 301 161.160,159 Final DC)(mg/L): 8.0 8.0 7.9 7.9 8.0 7.9
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.9 24.7 24.7 24.8 24.7 24.8
Sample Temp.at Receipt(°C): 1.2 3.5Final Temp.(°C): 25.0 25.1 25.0 24.9 25.0 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 32 27 26 30 28 31 33 29 30 27 28 29 292 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 7.3
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: o of 12
Number of Young Produced 26 26 28 26 25 30 26 27 30 31 29 28 27.7 1wC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L 5.1 Significant?: No
Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms I 2 3 4 5 6 8 9 10 11 12 Ieaa Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.954
Adult Survival: (L)ive,(D)ead Critical Value: 1
Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms I 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 1.164
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
L,Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 _ 4 5 6 - 8 9 l 0 l I 12 Tae 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
Overall Analysis:
Result: PASS LOEC: >0•87% NOEC: 0.87% ChV: >0.870,
DWQ form AT-3(8/91)Rev. 11/95

' PO Box 7565
Asheville,NC 28802
• - Phone: [phone]
0Fax: [phone]
1 ,, 1 Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase LI Chronic Ceriodaphnia dubia Date: June 24,2016
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Te .olu'edz. or Comments:
Signature of Operator in Responsible Charge: /,, ,:>S
./ . -
Signature of Laboratory Supervisor: fefirf° Project: 11512
IP
OF Samples: 160608.08,160610.08
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 06-08-16 06-15-16 1505 0755
Sample Information Sample 1 Sample 2 Control
Collection start date: 06-06-16 06-08-16 Test Information start Renewal I Renewal 2 start Renewal I Renewal
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h ,.4:,,. ,,, Initial p1-1(SU): 7.59 7.71 7.72 7.67 7.72 7.76
Alkalinity(mg/L CaCO3): 30,30,33 Final pH(SU): 7.74 7.76 7.64 7.72 7.74 7.63
Hardness(mg/L CaCO3): 38,36,40 Initial DO(mg/L): 7.9 7.9 8.0 7.9 7.8 7.8
Conductivity(µmhos/cm): 246 280 s,.i 49.155 Final DO(mg/L): 7.9 8.1 8.0 7.9 7.9 7.9
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 25.1 25.3 24.7 24.7 24.8
Sample Temp.at Receipt(°C): 0.5 0.4 Final Temp.(°C): 24.7 25.1 25.1 24.9 25.1 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 25 30 26 25 29 27 27 27 33 29 27 26 27.6 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 8.4
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 M'.. Control: 0 of 12
Number of Young Produced 27 24 28 27 25 29 26 30 27 30 27 26 27.2 IwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L _ L L L L L L L L L 1.5 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 I 3 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 0 0) 11 12 ,.4.,„ Method: Shapiro-Willes
Number of Young Produced Statistic: 0.947
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
' %Reduction Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 0 10 I I 12 vIca„ Statistic: 1.564
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction
Method:
11
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWO form AT-3(8/91)Rev. 11/95
i

PO Box 7565
/ 40)
Asheville,NC 28802
I T
415 14 .
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent AquaticToxicity Report Re ort Fo
rm-Phase H Chronic Ceriodaphnia dubia Date: March 25,2016
Facility: United Water Hydro Management NPDES#: NC-0020567 Pipe 4: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testing . ut'; s, lar Comments:
Signature of Operator in Responsible Charge: ,,
Signature of Laboratory Supervisor: A. Project: 11265
jot,
' Samples: 160302.09,160304.09
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 03-02-16 03-09-16 1120 0654
Sample Information Sample 1 Sample 2 Control
Collection start date: 02-29-16 03-02-16 Test Information s as Renewal I Renewal 2 Start Renewal I Renewal 2
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 2d-h 2_4-h MP Initial pH(SU): 7.19 7.33 7.39 7.31 7.39 7.32
Alkalinity(mg/L CaCO3): 32 Final pH(SU): 7.45 7.44 7.31 7.42 7.34 7.40
Hardness(mg/I.CaCO3): a.
43 Initial DO(mg/L): 8.2 8.1 8.1 7.8 7.8 7.7
Conductivity(µmhos/cm): 240 318 157,155,150 Final DO(mg/L): 8.1 8.0 7.8 7.9 7.7 . 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.7 24.9 25.0 24.8 24.8 24.9
Sample Temp.at Receipt(°C): 1.6 0.3 Final Temp.(°C): 25.2 25.2 25.2 25.1 24.9 24.7 1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 28 28 30 28 31 28 28 30 27 28 29 27 28.5 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 4.4
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 32 27 33 30 32 29 34 31 31 30 29 34 31.0 IWC: a of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -8.8 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 H) 11 12 N.km Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
x"°"'°° Overall Method:
Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms I 2 3 4 5 6 7 8 9 10 11 12 vv,�n Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.963
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 8 9 10 11 12 vIavn Statistic: 2.941
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead ,
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

u
•,- " ' ' T PO Box 7565
A
Asheville,NC 28802
Phone: [phone]
1 a Fax: [phone]
/,45 Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: January 02,2018
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi l utio lip. Comments:
Signature of Operator in Responsible Charge: ..,. ,Ali • •
Signature of Laboratory Supervisor: ,,, „,„,"56Project: 12904
_ wir Samples: 171206.09,171208.08
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 12-06-17 12-13-17 1426 0833
Sample Information Sample 1 Sample 2 Control
Collection start date 12-04-17 12-06-17 Test Information start Renewal 1 Renewal 2 start Renewal 1 Renewal2
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: '.y-h 24-h Mir Initial pH(SU): 7.62 7.79 7.84 7.63 7.93 7.76
Alkalinity(mg/L CaCO3): WO 34,33 Final pH(SU): 7.79 7.84 7.84 7.81 7.86 7.75
Hardness(mg/L CaCO3): ® 38,38 Initial DO(mg/L): 7.7 7.8 8.1 7.8 7.7 7.6
Conductivity(iamhos/cm): 347 337 t55,146•t52 Final DO(mg/L): 7.9 8.0 8.3 7.9 7.8 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.0 24.7 24.7 24.9 24.8 24.7
Sample Temp.at Receipt(°C): 0.3 0.7 Final Temp.(°C): 25.1 25.0 24.8 25.0 25.0 25.1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 26 26 28 29 32 31 28 28 27 26 31 29
28.4 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 7.3
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mcna Control: o of 12
Number of Young Produced 29 32 32 32 30 29 36 29 26 26 33 31 30.4 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -7.0 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 1 1 12 mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mcan Method: Shapiro-WiLk's
Number of Young Produced Statistic: 0.974
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction YesEqual Variances:
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 i<tn Statistic: 1.938
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms I 2 3 4 5 6 7 8 9 10 11 12 me,., 0.87% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
�r it
J Asheville,NC 28802
t" Phone:
r [phone]
.: �� >� Fax: [phone]
T . : E-mail: [e-mail]
' bEnvironmentalTesting Solutions,Inc. Date: January 02,2018
... Effluent Aquatic Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test
Facility: Elkin WWTP NPDES#: NC-0020567 Pipe#: 001 County: Surry
Laboratory Performing Test: Environmental Testin• :•• ons,i $ ` Comments:
Signature of Operator in Responsible Charge: ,` / • ,4 '
Signature of Laboratory Supervisor:
/ �r'Nle . Project: 12883
Samples: 171205.02,171207.02,171209.02
\Lail Original To: North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 12-05-17 12-12-17 1040 0943
Replicate number
1 2 3 4 Test Organisms
Control Surviving number of larvae 10 10 10 10 Survival(%) 100.0 Supplier:
Organisms Original number of larvae 10 10 10 10 Average wt(mg) 0.669 f In-house Culture
Weight/original(mg/larvae) 0.644 0.632 0.711 0.690 Average wt/ 0.669
surviving(mg) Begin hatch: 12-04-17 1625
%Effluent Surviving number of larvae 10 10 10 10 End hatch: 12-05-17 0610
0.2175% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.737 0.646 0.792 0.675 Average wt(mg) 0.713
%Effluent Surviving number of larvae 10 10 10 10 .
0.435% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.655 0.655 0.687 0.640 Average wt(mg) 0.659
%Effluent Surviving number of larvae 10 10 10 10
0.87% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.679 0.672 0.644 0.762 Average wt(mg) 0.689
%Effluent Surviving number of larvae 10 10 10 10
1.74% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.647 0.690 0.562 0.663 Average wt(mg) 0.641
%Effluent Surviving number of larvae 10 9 10 10
3.48% Original number of larvae 10 10 10 10 Survival(%) 97.5
Weight/original(mg/larvae) 0.693 0.645 0.690 0.830 Average wt(mg) 0.715
Water Quality Data
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Initial I Final Initial 1 Final Initial I Final Initial I Final Initial I Final Initial 1 Final Initial I Final
Control
pH(SU): 7.84 7.57 7.63 7.68 7.76 7.59 7.93 7.52 7.37 7.51 7.84 7.68 7.76 7.72
DO(mg/L): 7.7 7.8 7.8 7.7 7.8 7.4 7.7 7.3 7.5 7.0 7.8 7.6 7.6 7.4
Temp.(°C): 24.8 24.2 24.7 24.2 24.8 _ 24.2 _ 24.6 24.2 24.7 _ 24.4 24.8 24.4 24.6 24.2
High Concentration
pH(SU): 7.70 7.57 7.66 7.58 7.75 7.51 7.92 7.47 7.80 7.43 7.94 7.63 7.86 7.73
DO(mg/L): 8.1 7.7 8.1 7.7 8.1 7.3 8.0 7.3 8.0 7.1 , 8.0 7.6 _ 8.1 7.6
Temp.(°C): 24.8 24.4 24.9 24.4 25.0 24.3 24.7 24.6 24.9 24.2 24.9 24.3 24.7 24.5
Sample Information ipmji Sample 2 111=131 Conn Analyses Survival Growth
Collection start date: 12-03-17 12-05-17 12-07-17 AMP Normal: Yes Yes
Grab: . . air Hom.Var. Yes Yes
Composite duration: 24-h 24-h 24-h NOEC: 3.48% 3.48%
Alkalinity(mg/L CaCO3): 50 46 56 33-34 LOEC: >3.48% >3.48%
Hardness(mg/L CaCO3): 30 32 30 38-38 ChV: >3.48% >3.48%
Conductivity(µmhos/cm): 352 346 353 146-155 Method: Visual Insp. Dunnetfs
Total residual chlorine(mg/L): <0.10 <0.10 <0.10
Sample Temp.at Receipt(°C): 3.0 03 1.2 Survival Growth
%Effluent Critical Calculated Critical Calculated
0.2175% 2.410 -1.114
0.435% 2.410 0.258
0.87% 2.410 -0.515
1.74% 2.410 0.741
Overall Analysis: 3.48% . 2.410 -1.166
Result: PASS LOEC: >3.48% NOEC: 3.48% ChV: >3.48%
DWQ form AT-5(8/03)

ITE TS ') PO Box 7565
Asheville,NC 28802
Phone: [phone]
Fax: [phone]
;, Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: September 27,2017
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Tes' g S,luti IR. . Comments:
•
Signature of Operator in Responsible Charge: /, ,�,f,. ,; .,Signature of Laboratory Supervisor: "WI.;
Project: 12693
Samples: 170913.04,170915.04
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 09-13-17 09-20-17 1334 0740
Sample Information Sample I Sample 2 Control
Collection start date: 09-11-17 09-13-17 ® Test Information Start Renewal l Renewal2 Start Renewal I Renewal2
Grab: IMF" Treatment: 0 87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-hj Initial pH(SU): 7.20 7.18 7.35 7.33 7.48 7.22
Alkalinity(mg/L CaCO3): 33,32 Final pH(SU): 7.41 7.35 7.18 7.34 7.38 7.05
Hardness(mg/I,CaCO3): tel_ 36,40 Initial DO(mg/L): 7.7 8.0 8.0 7.8 7.9 7.8
Conductivity(µmhos/cm): 384 329 15t,148,149 Final DO(mg/L): 7.9 8.2 8.1 8.0 8.1 7.7
Total residual chlorine(mg/L): 0.10 <0 10 3 Initial Temp.(°C): 24.8 24.7 24.9 24.6 24.8 24.8
Sample Temp.at Receipt(°C): 0.5 1 0 1.116111 Final Temp.(°C): 25.0 24.9 24.8 25.0 25.0 25.1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Chronic Test Results
Number of Young Produced 27 26 29 28 29 31 30 29 30 28 32 29 29 0 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 5.7
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Control: 0 of 12
Number of Young Produced 25 30 26 28 28 31 27 26 31 29 29 27 28.1 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L 3.2 Significant?: No
i Reduction Final Mortality Significant at: No conc
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 1 1 12 Mcm, Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87°/
°c6O" Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 _ 4 5 6 7 8 9 10 1 1 12 mean Method: Sbapiro-wakes
Number of Young Produced Statistic: 0.955
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mcm, Statistic: 1.431
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction
Method.
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms I 2 3 1 5 b 8 9 10 1 1 12_ y1,6 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
"6 Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev.11/95

PO Box 7565
Asheville,NC 28802
,' I i Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form - Phase 11 Chronic Ceriodaphizia dnbia Date: June 29,2017
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi __Sol ions ) Comments:
Signature of Operator in Responsible Charge: j* 4 .
Signature of Laboratory Supervisor: Attii Project: 12480
VI
Samples: 170614.08,140616.03
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 06-14-17 06-21-17 1140 0722
Sample Information Sample 1 Sample 2 Control
Collection start date: 06-12-17 06-14-1' Test Information Stan Rcnewal I Renewal2 Stan Renewal L Renewal2
,
Grab: -__ Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: =-I-11 _'4-h Initial pH(SU): 7.66 7.61 7.75 7.78 7.63 7.61
Alkalinity(mg/L CaCO3): 33 Final pH(SU): 7.64 7.74 7.72 7.72 7.69 7.61
Hardness(mg/L CaCO3): 39 Initial DO(mg/L): 8.0 7.7 7.8 7.9 7.7 7.8
Conductivity(µmhos/cm): 339 352 UI,L46,131 Final DO(mg/L): 8.0 7.8 7.8 7.6 7.8 7.5
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.7 24.7 24.9 24.7 24.7 24.7
Sample Temp.at Receipt(°C): 0.8 0.8 _A- Final Temp.(°C): 25.2 24.9 24.9 25.0 24.6 24.8
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 mean Chronic Test Results
Number of Young Produced 29 29 28 29, 28 31 27 30 28 27 28- 29 28.6 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 4.1
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 32 37 33 32 31 32 36 31 33 31 34 30 32.7 [WC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L _ L L -14.3 Significant?: No
Reduction
Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms I 2 3 I 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC >0.87%
Adult Survival: (L)ive,(D)ead , Reproduction NOEC: 0.87%
%Reduelion Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms I 2 3 4 5 6 7 8 9 10 11 12 mean Method: Shapiro-Will's
Number of Young Produced Statistic: 0.916
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms I 2 3 5 6 8 9 10 I I I 2 \!can Statistic: 3.263
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
ad,-non
Method: .
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 ' 3 4 5 6 7 8 9 10 I I 1 2 v[,.,,, 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)eacl
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87°'%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
i;
Asheville,NC 28802
Phone: [phone]
__,_, � -,staito Fax: [phone]
Environmental Testing Solutions,Inc.
., Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: March 27,2017
Facility: SUEZ NPDES#: NC-0020567 Pipe#: 001 County: Surry
W
Elkin WTP
Laboratory Performing Test: Environmental Testi :, olu'i ns, Comments:
Signature of Operator in Responsible Charge: /F. i„.15,,
Signature of Laboratory Supervisor: 4'v+ �. Project: 12199
Samples: 170308.08,170310.08
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 03-08-17 03-15-17 1238 0746
Sample Information Sample 1 Sample 2 Control
Collection start date: 03-06-17 03-08-17 Test Information Start Renewal 1 Renewal 2 Start Renewal l Renewal 2
r
Grab: Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: l-h 21-h Initial pH(SU): 7.23 7.04 7.34 7.20 7.38 7.49
Alkalinity(mg/L CaCO3): 35,33,32 Final pH(SU): 7.38 7.37 7.32 7.41 7.40 7.32
Hardness(mg/L CaCO3): 40,38,40 Initial DO(mg/L): 7.9 7.8 7.9 7.8 8.0 8.0
Conductivity(mhos/cm): 361 375 [56.1St.154 Final DO(mg/L): 7.8 7.9 7.9 7.9 8.0 8.1
Total residual chlorine(mg/L): <0.10 <0.101
Initial Temp.(°C): 25.1 25.0 24.8 24.9 24.8 24.7
Sample Temp.at Receipt(°C): 1.0 0.5 I Final Temp.(°C): 24.8 25.0 25.1 24.8 25.1 24.8 -
Organism Nttmber
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 29' 29 28 27 29 29 27 27 28 27 29 27 28 0 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L LL L L L L L L %Control with 3rd Broods: 100
Control Reproduction CV: 3.4
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control 0 of 1'
Number of Young Produced 30 29 27 26 30 29 30 27 29 28 27 26 28.2 IWC. 0 of 12
Adult Survival: (L)ive,(D)ead L L L LL L L L L LL L -0.6 Significant?: No
%Reduction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.905
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reduction
Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 2.567
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
Reduction
Method:
Effluent Percentage Effluent% Rank Suns Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Teen 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
'Z.Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95

r
PO i(lle,NBoxC 28802
Phone:Ashev828)350-93647565
= ,-. • F • -
Fax: [phone]
Y l _ « E-mail: [e-mail]
) Environmental Testing Solutions,Inc. Date: March 19,2018
Effluent Aquatic Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test
Facility: ElkinWWTP NPDES#: NC-0020567 Pipe#: 001 County: Surry
Laboratory Performing Test: Environmental Testi• t tie ub, . Comments:
Signature of Operator in Responsible Charge: //, -1,7 i
Signature of Laboratory Supervisor: .,,/hr!�4:11 - Project: 13121
Mi 0 Samples: 180306.04,180308.04,180310.03
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service CenterStart date: End date: Start time: End time:
Raleigh,NC 27699-1621 103-06-18 03-13-18 1100 1000 l
Replicate number
1 2 3 4 Test Organisms
Control Surviving number of larvae 10 10 10 10 Survival(%) 100.0 Sup lier:
Organisms Original number of larvae 10 10 10 10 Average wt(mg) 0.777 In-house Culture
Weight/original(mg/larvae) 0.804 0.780 0.746 0.778 Average wt/ 0.777
surviving(mg) Begin hatch: 03-05-18 1540
%Effluent Surviving number of larvae 10 10 10 10 End hatch: 03-06-18 0605
0.2175% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.836 0.800 0.842 0.794 Average wt(mg) 0.818
%Effluent Surviving number of larvae 10 10 10 10
0.435% Ori final number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.731 0.797 0.792 0.702 Average wt(mg) 0.756
%Effluent Surviving number of larvae 10 10 10 10
0.87% Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.739 0.818 0.685 0.649 Average wt(mg) 0.723
%Effluent Surviving number of larvae 10 10 10 10
EMI Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.815 0.797 0.811 0.728 Average wt(mg) 0.788
Effluent Surviving number of larvae 10 10 10 10
Erra Original number of larvae 10 10 10 10 Survival(%) 100.0
Weight/original(mg/larvae) 0.722 0.831 0.766 0.698 Average wt(mg) 0.754
Water Quality Data
Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Initial I Final Initial I Final Initial I Final Initial I Final Initial I Final Initial I Final Initial I Final
Control
pH(SU): 7.75 7.67 7.78 7.54 7.77 7.28 7.90 7.37 7.83 7.32 7.83 7.61 7.79 7.71
DO(mg/L): 7.9 7.8 7.8 7.5 7.9 7.2 7.9 7.4 7.9 6.9 7.7 7.6 7.9 7.4
Temp.(°C): 24.7 24.5 24.8 24.3 24.7 24.2 24.7 24.7 24.7 24.5 24.6 24.5 24.7 24.3
High Concentration
pH(SU): 7.64 7.60 7.75 7.46 7.62 7.26 7.84 7.30 7.66 7.30 7.79 7.57 7.80 7.66
DO(mg/L): 7.6 7.6 8.1 7.1 7.8 6.0 8.1 7.5 7.7 6.4 7.9 7.6 8.1 7.4
Temp.CC): 24.8 24.6 25.0 24.4 24.8 24.4 24.6 24.8 24.8 24.6 24.5 24.4 24.8 24.3
Sample Information Sample l Sample 2 Sample 3 Control Analyses Survival Growth
Collection start date: 03-04-18 03-06-18 03-08-18 Normal: Yes Yes
Grab: . . Horn.Var. Yes Yes
Composite duration: 24-h 24-h 24-h NOEC: 3.48% 3.48%
Alkalinity(mg/L CaCO3): 50 54 54 32-34 • LOEC: >3.48% >3.48%
Hardness(mg/L CaCO3): 36 30 30 38-40 ChV: >3.48% >3.48%
Conductivity(µmhos/cm): 332 353 349 147-153 Method: Visual Insp. Dunnetrs
Total residual chlorine(mg/L): <0.10 <0.10 <0.10
Sample Temp.at Receipt CC): 1.9 1.1 0.8 Survival Growth
%Effluent Critical Calculated Critical Calculated
0.2175% . 2.410 -1.209
0.435% . ' I IO 0.634 I
0.87% __41 O 1.600
1.74% . ',i10 -0.317
Overall Analysis: 3.48% : I.I) 0.671
Result: PASS LOEC: >3.48% NOEC: 3.48% ChV: >3.48%
DWQ form AT-5(8/03)

PO Box 7565 11
' Mr' ill; / ; Asheville,NC 28802
Phone: [phone]
Fax: [phone]
., Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: March 23,2018
Facility: SUEZ NPDES#: NC-0020567 Pipe 4: 001 County: Surry
Elkin WWTP
Laboratory Performing Test: Environmental Testi,• slut'WA; Comments:
Signature of Operator in Responsible Charge: ,,,, ,r ,..-
Signature of Laboratory Supervisor: . it Project. 13143
Samples: 180307.05,180309.05
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 03-07-18 03-14-18 1319 0810
Sample Information Sample 1 Sample 2 Control
Collection start date: 03-05-18 03-07-18 MEE Test Information Start Renewal I Renewal 2 Start Renewal I Renewal 2
Grab. Mal Treatment: 0.87% 0.87% 0.87% Control Control Control
Composite duration: 24-h 24-h c_. , z- Initial pH(SU): 7.70 7.87 7.77 7.78 7.90 7.79
Alkalinity(mg/L CaCO3): E:%_
'' '- 32 32,34 Final pH(SU): 7.83 7.75 7.87 7.73 7.67 7.81
Hardness(mg/L CaCO3): k'kT 38 40 40 Initial DO(mg/L): 8.0 8.0 8.0 7.8 7.9 7.9
Conductivity(µmhos/cm): 342 348 149.150.149 Final DO(mg/L): 7.9 8.0 8.2 7.6 7.5 7.7
Total residual chlorine(mg/L): <0 10 <0.10 Initial Temp.(CC): 24.7 24.7 24.8 25.0 24.7 24.9
Sample Temp.at Receipt CC): 0.8 0.9 ;(^i'.*:- Final Temp.CC): 25.2 25.1 24.8 25.0 25.1 24.7
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Number of Young Produced 29 26 27 30 29 33 27 28 31 27 30 32 29.1 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L n/Control with 3rd Broods: 100
Control Reproduction CV: 7.5
Effluent Percentage 0.87% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12
Number of Young Produced 33 32 31 33 35 27 35 37 33 29 27 32 32.0 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -10.0 Significant?: No
%Redaction Final Mortality Significant at: No conc.
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >0.87%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 0.87%
%Reduction Overall Method: Homoscedastic
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.973
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Reducon Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Statistic: 2.003
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method:
Effluent Percentage Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 0.87%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
'5,Reduction
Overall Analysis:
Result: PASS LOEC: >0.87% NOEC: 0.87% ChV: >0.87%
DWQ form AT-3(8/91)Rev. 11/95