NC0025909_Renewal (Application)_20200128

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ROY COOPER -- V"
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MIC IAEL S.REGAN .'r ."
Secretary z2a. r^
LINDA CULPEPPER NORTH CARaLIr4A
Director Environmental Quality
January 29, 2020
Town of Rutherfordton
Attn: Doug Barrick,Town Manager
129 N Main St
Rutherfordton, NC 28139
Subject: Permit Renewal
Application No. NC0025909
Rutherfordton WWTP
Rutherford County
Dear Applicant:
The Water Quality Permitting Section acknowledges the January 22, 2020 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.
Sincerely,
,,,(0.01/6
Wren The ford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
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January 28, 202020 11I20
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Mr. Jay Zimmerman
NC DENR/DWQ/NPDES _t.;
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Town of Rutherfordton WWTP
NPDES Permit No. NC0025909
Dear Mr. Jay Zimmerman,
Enclosed for your review is the NPDES Permit renewal package for the Rutherfordton
Wastewater treatment plant. Our existing permit expires on July 31, 2020. We are requesting the
Division to renew our NPDES Permit.
If you have any questions concerning the information provided, please feel free to give me a call.
Sincere
Town of Rutherfordton
Doug Barrick
Town Manager
Cc: Phillip Reynolds
Gary Stainback
Town of Rutherfordton
129 N. Main St. Rutherfordton, NC 28139 828-287-3520 www.rutherfordton.net
"Service Forged at the Highest Standard"

ATTACHMENT I
TOPOGRAPHIC MAP

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NC0025909 Facility
8-digit HUC:03050105 Location
Subbasin:030802 Rutherfordton W TP
Stream Index: 9-26-(0.5) 1
Receiving Stream: Cleghom Creek Latitude: 35°20'28"
Stream Class:C Longitude: 81°57'38" North Not to Scale
I

ATTACHMENT II
PROCESS FLOW SCHEMATIC

Rutherfordton Wastewater Treatment Plant
-- -, �Gleghorn
------____,- Creek
Effluent
to Stream
i
Chlorine
7- Clarifier Contact
Aeration 0.475 mg Chamber
Basin
1.0 MG /
Equalization Aeration
Basin Basin
Aeration Sludge,
/.4—Well
Basin . -
1.0MG ., .
\ / .. .
�� .
,;' Clarifier Sludge
0.475 mg Digester
Volume
441,645 Gal.
Influent Bar Grit
Screen Removall

ATTACHMENT III
PRIORITY POLLUTANT ANALYSIS
SAMPLE RESULTS

A*inual Monitoring and Pollutant Scan
Permit No. NC0025909 Month January
Outfall 001 Year 2017
Facility Name Rutherfordton WWTP ORC Phillip Reynolds
Date of sampling 01/10/17 Phone [phone]
Analytical Laboratory Environment One
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Ammonia (as N) Composite 350.1 0.02 0.25 mg/1 1
Dissolved oxygen Composite 360.1 0 9.8 mg/1 1
Nitrate/Nitrite Composite 353.2 0.02 17.40 mg/1 1
Total Kjeldahl nitrogen Composite 351.2 0.25 1.4 mg/1 1
Total Phosphorus Composite 365.4 0.05 2.03 mg/1 1
Total dissolved solids Composite 2540C 10 327 mg/1 1
Hardness Composite 2340C N/A 49 mg/1 1
Chlorine (total residual, TRC) Grab 4500c1g 0.012 16 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 3113B 0.005 <0.005 mg/1 1
Beryllium Composite 200.7 0.001 <0.001 mg/1 1
Cadmium Composite 3113B 0.001 <0.001 mg/1 1
Chromium Composite 200.7 0.005 <0.005 m
p g/1 1
Copper Composite 200.7 0.01 0.01 mg/1 1
Lead Composite 3113B 0.005 <0.005 mg/1 1
Mercury Composite 1631E <0.000001 <0.000001 mg/1 1
Nickel Composite 200.7 0.01 <0.010 mg/1 1
Selenium Composite 3113B 0.01 <0.010 mg/1 1
Silver Composite 200.7 0.01 <0.005 mg/1 1
Thallium Composite 200.8 0.001 <0.001 mg/1 1
Zinc Composite 3111B 0.01 0.061 mg/1 1
Cyanide Grab 4500 CNE 0.005 <0.005 mg/1 1
Total phenolic compounds Grab 420.1-78 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 8.3 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

I
-tnual Monitoring and Pollutant Scan
Permit No. NC0025909 Month January
Outfall 001 Year 2017
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 5 <5 ug/1 1
Methylene chloride Grab 624 5 <5 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 10 <10 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/1 1
4,6-dinitro-o-cresol Grab 625 50 <50 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 10 <10 ug/1 1
Pentachlorophenol Grab 625 50 <50 ug/1 1
Phenol Grab 625 10 <10 ug/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 ugh 1 1
Butyl benzyl phthalate Grab 625 10 <10 ug/1 1
2-chloronaphthalene Grab 625 10 <10 ug/1 1
Form - DMR- PPA-1 Page 2

A rinual Monitoring and Pollutant Scan 11
Permit No. NC0025909 Month January 1
Outfall 001 Year 2017
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 ugh 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 20 <20 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,-tichlorobenzene 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
infoi ination 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 ba _
Aut' • :d Reptive name
/i,A /r '
jratu e_
Form - DMR- PPA-1 Page 3

ETWOQaDiEffidgER : © il'ag
P.O. BOX 7085, 114 OA MONT DRIVE PHONE[phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
ID#: 964
SUEZ WATER (RUTHERFORDTON-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 01/10/17
CLEMMONS ,NC 27012 DATE REPORTED : 02/03/17
REVIEWED BY:
,,,,/,/---
Effluent Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/I 0.25 01/11/17 MF 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 1.37 01/12/17 AKS 351.2 R2-93
Nitrate-Nitrite as N, mg/I 17.40 01/11/17 RAJ 353.2 R2-93
Total Phosphorus as P, mg/I 2.03 01/12/17 RAJ 365.4-74
Oil & Grease (HEM), mg/1 <5 01/11/17 SEJ 1664B
Phenol, ug/1 <5 01/12/17 SEJ 420.1-78
Total Cyanide, mg/I <0.005 01/17/17 SEJ 4500CNE-99
Total Hardness, mg/I 49 01/17/17 KKM 2340C-97
Total Dissolved Residue, mg/1 327 01/12/17 KMH 2540C-97
Antimony, ug/1 <3.0 01/26/17 LFJ EPA200.8
Arsenic, ug/I <5.0 01/20/17 MTM 3113B-04
Beryllium, ug/l <1.0 01/20/17 LFJ EPA200.7
Cadmium, ug/l <1.0 01/19/17 MTM 3113B-04
Total Chromium, ug/1 <5.0 01/20/17 LFJ EPA200.7
Copper, ug/1 10 01/20/17 LFJ EPA200.7
Lead, ug/1 <5 01/18/17 MTM 3113B-04
Nickel, ug/1 <10 01/20/17 LFJ EPA200.7
Selenium, ug/I <10 01/27/17 MTM 3113B-04
Silver, ug/1 <5.0 01/20/17 LFJ EPA200.7
Thallium, ug/l <1.0 01/26/17 LFJ EPA200.8
Zinc, ug/1 61 01/20/17 LFJ EPA200.7
FEB o 1 20%

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")r'nkLttq War.v>r XDs. 3i-
Wastewater Ir..: IO
PO BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085 FAX (252) 751_0a 33
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: MAO
CLEMMONS, NC 27012 DATE COLLECTED: 01/10/17
DATE ANALYZED: 01/13/17
DATE REPORTED: 02/03/17
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624
Effluent
PARAMETERS, ugh'
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 8.30
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

ErffiWIll@REA L� �o JE©Gu i©JIUd
yr f7);--0 '.
P.O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 01/10/17 Page: 1
DATE EXTRACTED: 01/13/17
DATE ANALYZED: 01/17/17
REVIEWED BY: is DATE REPORTED: 02/03/17
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. Aceraphthene <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

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ur lime
Drinking Water ID: .37-2
.. .. - Wastewater
.. ,. ::. ....,... .- .. .. .,.:. ... .,._. _ I_.. .10
P.O. BOX 7085, 114 OAKMONT DRIVE FHONL 25f 7:36 6208
GREENVILLE, N.C. 27835-7085 FAX (252) 756-O 32..
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 01/10/17 Page: 2
DATE EXTRACTED: 01/13/17
DATE ANALYZED: 01/17/17
REVIEWED BY: /"'^ DATE REPORTED: 02/03/17
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

knnual Monitoring and Pollutant Sc
Permit No. NC0025909 Month April
Outfall 001 Year 2018
Facility Name Rutherfordton WWTP ORC Phillip Reynolds
Date of sampling 04/2/18 Phone [phone]
Analytical Laboratory Environment One
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Ammonia (as N) Composite 350.1 0.02 0.11 mg/1 1
Dissolved oxygen Composite 360.1 0 8.5 mg/1 1
Nitrate/Nitrite Composite 353.2 0.02 2.16 mg/1 1
Total Kjeldahl nitrogen Composite 351.2 0.25 1.6 mg/1 1
Total Phosphorus Composite 365.4 0.05 1.63 mg/1 1
Total dissolved solids Composite 2540C 10 202 mg/1 1
Hardness Composite 2340C N/A 40 mg/1 1
Chlorine (total residual, TRC) Grab 4500c1g 0.012 0.012 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 3113B 0.005 <0.005 mg/1 1
Beryllium Composite 200.7 0.001 <0.001 mg/1 1
Cadmium Composite 3113B 0.001 <0.001 mg/1 1
Chromium Composite 200.7 0.005 <0.005 mg/1 1
Copper Composite 200.7 0.01 <.010 mg/1 1
Lead Composite 3113B 0.005 <0.005 mg/1 1
Mercury Composite 1631E <0.000001 * mg/1 1
Nickel Composite 200.7 0.01 <0.010 mg/1 1
Selenium Composite 3113B 0.01 <0.010 mg/1 1
Silver Composite 200.7 0.01 <0.005 mg/1 1
Thallium Composite 200.8 0.001 <0.001 mg/1 1
Zinc Composite 3111B 0.01 0.072 mg/1 1
Cyanide Grab 4500 CNE 0.005 <0.005 mg/1 1
Total phenolic compounds Grab 420.1-78 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
Bromofoi rii 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 10 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

Xnnual Monitoring and Pollutant Sc
Permit No. NC0025909 Month April
Outfall 001 Year 2018
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 5 <5 ug/1 1
Methylene chloride Grab 624 5 <5 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 10 <10 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/1 1
4,6-dinitro-o-cresol Grab 625 50 <50 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 10 <10 ug/1 1
Pentachlorophenol Grab 625 50 <50 ug/1 1
Phenol Grab 625 10 <10 ug/1 1
2,4,6-trichlorophenol I 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-chioroethoxy) 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/1 1
2-chloronaphthalene Grab 625 10 <10 ug/1 1
Foi iu - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant SC? Z
Permit No. NC0025909 Month April
Outfall 001 Year 2018
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
Dimethylphthalate Grab 625 10 <10 u g/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 20 <20 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
*Collected in May 2018
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
infot unation 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 - at ba allillp
Au oriz • Rep , tive name
Atel
S fnatur
1
Form - DMR- PPA-1 Page 3

EDIWni CE g J� 2C� 'J J o10T12 r
Drinking Water ID. 377150
Wastewater ID. 10
PG. BOX 7Q85, i 14 OAi4MONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
ID#: 964
SUEZ WATER (RUTHERFORDTON-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 04/02/18
CLEMMONS ,NC 27012 DATE REPORTED : 05/08/18
REVIEWED BY: /
Effluent Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/I 0.11 04/16/18 MY 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/I 1.55 04/10/18 CLO 351.2 R2-93
Nitrate-Nitrite as N, mg/1 2.16 04/10/18 DTL 353.2 R2-93
Total Phosphorus as P, mg/I 1.63 04/10/18 MF 365.4-74
Oil & Grease (REM), mg/1 <5 04/04/18 SEJ 1664B
Phenol, ug/I. <5 04/10/18 SEJ 420.1-78
Total Cyanide, mg/I <0.005 04/06/18 SEJ 4500CNE-11
Total Hardness, mg/I 40 04/09/18 H1v1M 2340C-11
Total Dissolved Residue, mg/I 202 04/03/18 JMT 2540C-11
Antimony, ug/1 <3.0 05/07/18 LFJ EPA200.8
Arsenic, ug/I <5.0 04/05/18 MTM 3113B-10
Beryllium, ug/1 <1.0 04/13/18 LFJ EPA200.7
Cadmium, ug/1 <1.0 04/10/18 MTM 3113B-10
Total Chromium, ug/1 <5.0 04/06/18 LFJ EPA200.7
Copper, ug/1 <10 04/06/18 LFJ EPA200.7
Lead, ug/I <5.0 04/09/18 MTM 3113B-10
Nickel, ug/1 <10 04/06/18 LFJ EPA200.7
Selenium, ug/1 <10 04/06/18 MTM 3113B-10
Silver, ug/1 <5.0 04/06/18 LFJ EPA200.7
Thallium, ug/1 <1.0 05/07/18 LFJ EPA200.8
Zinc, ug/1 72 04/06/18 LFJ EPA200.7

EIEWOUREgin_ gG,,,tp®QER
•
P.0. BOX 7085, '114 OAKIVIONT DRIVE
GREENVILLE. N.C. 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 04/02/18
DATE ANALYZED: 04/04/18
DATE REPORTED: 05/08/18
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624.1
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 10.00
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

1
_LI_W[ [11:1 Fit " p g� @Tf -P( lT
)rinking Water ID: 37715
Waatewater ID: 10
P.O, BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
1 CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 04/02/18 Page: 1
DATE EXTRACTED: 04/05/18
DATE ANALYZED: 04/06/18
REVIEWED BY: DATE REPORTED: 05/08/18
SEMIVOLATILE ORGANICS
EPA METHOD 625.1
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-Chloro-l-methylethyl) Ether <10.00
9. Hexachloroethane <10.00
10. N-Nitroso-Di-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-Dinitrotoluene <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-Dichlorobenzidine <10.00
48. Chrysene <10.00

Drinking Water ID: 37715
Wastewater ID: 10
-. ;. uk:Dri 7085, i in DAKMON DRIVE. PHONE [phone]
GREENV!LLE, N.C. 27835-7085 FAX [phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 04/02/18 Page: 2
DATE EXTRACTED: 04/05/18
DATE ANALYZED: 04/06/18
REVIEWED BY: DATE REPORTED: 05/08/18
SEMIVOLATILE ORGANICS
EPA METHOD 625.1
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,hlanthracene <10.00
56. Benzo[g,h,i]perylene <10.00
57. 1,2-Diphenylhydrazine <10.00

1
Annual Monitoring and Pollutant Scan
Permit No. NC0025909 Month July
Outfall 001 Year 2019
Facility Name Rutherfordton WWTP ORC Philip Reynolds
Date of sampling 07/8/19 Phone [phone]
Analytical Laboratory Environment One
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Ammonia(as N) Composite 350.1 0.02 0.18 mg/1 1
Dissolved oxygen Composite 360.1 0 6.7 mg/1 1
Nitrate/Nitrite Composite 353.2 0.02 8.80 mg/1 1
Total Kjeldahl nitrogen Composite 351.2 0.25 1.7 mg/1 1
Total Phosphorus Composite 365.4 0.05 3.77 mg/1 1
Total dissolved solids Composite 2540C 10 206 mg/1 I
Hardness Composite 2340C N/A 31 mg/I 1
Chlorine (total residual, TRC) Grab 4500c1g 0.012 16 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 3113B 0.005 <0.005 mg/I 1
Beryllium Composite 200.7 0.001 <0.001 mg/1 1
Cadmium Composite 3113B 0.001 <0.001 mg/I 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 3113B 0.005 <0.005 mg/1 1
Mercury Composite 1631E <0.000001 <0.000001 mg/1 1
Nickel Composite 200.7 0.01 <0.010 mg/1 1
Selenium Composite 3113B 0.01 <0.010 m
P g/1 1
Silver Composite 200.7 0.01 <0.005 mg/1 1
Thallium Composite 200.8 0.001 <0.001 mg/1 1
Zinc Composite 3111B 0.01 0.067 mg/1 1
Cyanide Grab 4500 CNE 0.005 <0.005 mg/1 1
Total phenolic compounds Grab 420.1-78 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 ugh 1 1
2-chloroethylvinyl ether Grab 624 5 <5 ug/1 1
Chloroform Grab 624 5 13.5 ug/1 1
Dichlorobromomethane Grab 624 5 <5 ug/1 1
1,1-dichloroethane Grab 624 5 <5 ug/l 1
1,2-dichloroethane Grab 624 5 <5 ug/1 1
Trans-1,2-dichloroethyiene Grab 624 5 <5 ug/1 1
Form - DMR- PPA-1 Page 1

1
Annual Monitoring and Pollutant Scan
Permit No. NC0025909 Month July
Outfall 001 Year 2019
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 I
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
Y ug/1 1
Methyl chloride Grab 624 5 <5 ug/1 1
Methylene chloride Grab 624 5 <5 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 10 <10 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/1 1
4,6-dinitro-o-cresol Grab 625 50 <50 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 10 <10 ug/1 1
Pentachlorophenol Grab 625 50 <50 ug/1 1
Phenol Grab 625 10 <10 ug/1 1
2,4,6-trichlorophenol Grab 625 10 <10 ug/1 1
Base-neutral compounds
Acenaphthene Grab 625 10 <10 ug/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 I
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 ugh 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/1 1
2-chloronaphthalene Grab 625 10 <10 ug/1 1
4-chlorophenyl phenyl ether Grab 625 10 <10 ug/1 1
Form - DMR- PPA-1 Page 2

,
Annual Monitoring and Pollutant Scan
Permit No. NC0025909 Month July
Outfall 001 Year 2019
Sample Analytical Quantitation Sample Units of Number of
Parameter Type Method Level Result Measurement samples
Base-neutral compounds (cont.)
Chrysene Grab 625 10 <10 ugh 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/I 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 I
N-nitrosodi-n-propylamine Grab 625 20 <20 ug/1 1
N-nitrosodirnethylamine 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
1 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 ..' b:allillk
Au orize, R-75;17 ve name
Si_'rat re
Form - DMR- PPA-1 Page 3

��1�1000�OC��I I-o - OOUOTa OC
� t
n ,z
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE. N.C. 27858 FAX [phone]
ID#: 964
SUEZ WATER (RUTHERFORDTON-PP)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 07/08/19
CLEMONS ,NC 27012 DATE REPORTED : 07/30/19
7 .
REVIEWED BY:
Effluent Analysis Method
PARAMETERS Date Analyst Code
Ammonia Nitrogen as N, mg/I 0.18 07/09/19 KPG 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 1.73 07/11/19 AKS 351.2 R2-93
Nitrate-Nitrite as N, mg/I 8.80 07/10/19 BLD 353.2 R2-93
Total Phosphorus as P, mg/I 3.77 07/11/19 TLH 365.4-74
Oil & Grease (HEM), mg/I <5 07/10/19 SEJ 1664B
Phenol, ug/I d <5 07/23/19 SEJ 420.1-78
Total Cyanide, mg/1 <0.005 07/09/19 SEJ 4500CNE-11
Total Hardness, mg/I 31 07/15/19 JMS 2340C-11
Total Dissolved Residue, mg/I 206 07/09/19 MAR 2540C-11
Antimony, ug/1 <3 U7/18/19 LFJ EPA200.8
Arsenic, ug/I <5.0 07/10/19 MTM 311313-10
Beryllium, ug/I <1.0 07/11/19 LFJ EPA200.7
Cadmium, ug/1 <1.0 07/12/19 MTM 3113B-10
Total Chromium, ug/1 <5.0 07/11/19 LFJ EPA200.7
Copper, ug/1 <10 07/11/19 LFJ EPA200.7
Lead, ug/1 <5.0 07/15/19 MTM 3113B-10
Nickel, ug/I <10 07/11/19 LFJ EPA200.7
Selenium, ug/I <10 0741/19 MTM 3113B-10
Silver, ug/I <5.0 07/11/19 LFJ EPA200.7
Thallium, ug/I <1 07/18/19 LFJ EPA200.8
Zinc, ug/I 67 07/11/19 LFJ EPA200.7
All QC requirements were not mat. d Duplicate data not within established limits.

1
_ u
.. - Drinkinq Wator ID: 3771,5
Wantowntur :b. .0
114 OAKMONT DRIVE PHONE ‘2.. .) 756-6208
GREENVILLE, N.C. 27858 FAX [phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 07/08/19
DATE ANALYZED: 07/10/19
DATE REPORTED: 07/30/19
REVIEWED BY:
VOLATILE ORGANICS
EPA METHOD 624.1
Effluent
PARAMETERS, ugh!
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 13.50
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 1
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

r
� dd[TORECPI�t 0T7O.i LC I
n+ * t
114 OAKMONT DRIVE PHONE[phone]
GREENVILLE, N.C. 27858 FAX[phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 07/08/19 Page: 1
DATE EXTRACTED: 07/10/19
DATE ANALYZED: 07/I1/19
REVIEWED BY: __, DATE REPORTED: 07/30/19
SEMIVOLATILE ORGANICS
EPA METHOD 625.1
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-Chloro-l-methylethyl) Ether <10.00
9. Hexachloroethane <10.00
10. N-Nitroso-Di-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-Dinitrotoluene <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. Benzora]authracene <10.00
47. 3,3-Dichlorobenzidine <10.00
48. Chrysene <10.00

a
l [IBI2 10 I J Q7®T g
... a • r,.; , we �t i mow }+*� ,� a;� -x..�•.. ,. .. �'�••
'."'C r�a�;R"4 ;''a�. i'f� ..l`-ct ..,..y7W'�'! r' .. . .. • xlb+±}�
114 OAKMON T DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
CLIENT: SUEZ WATER (RUTHERFORDTON-PP) CLIENT ID: 964
NADINE BLACKWELL
P.O. BOX 1279 ANALYST: JAP
CLEMMONS, NC 27012 DATE COLLECTED: 07/06/19 Page: 2
DATE EXTRACTED: 07/10/19
DATE ANALYZED: 07/11/19
REVIEWED BY: DATE REPORTED: 07/30/19
SEMIVOLATILE ORGANICS
EPA METHOD 625.1
Effluent
PARAMETERS, ugh
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,hlanthracene <10.00
56. Benzo[g,h,i]perylene <10.00
57. 1,2-Diphenylhydrazine <10.00

ATTACHMENT IV
TOXICITY SAMPLE RESULTS

PO Box 7565
, I
Asheville,NC 28802
Phone: [phone]
• Ts eFax: [phone]
3 Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: July 24,2015
Facility: United Water NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Te •lutit iviP , Comments:
Signature of Operator in Responsible Charge: ,d5g toe/.ter
Signature of Laboratory Supervisor: Ok
i Project: 10715
Samples: 150707.04,150709.03
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 07-08-15 07-15-15 1020 0631
Sample Infor
mation Sample I. Sample 2 Control
Collection start date: 07-06-15 07-08-15 Test Information start Renewal 1 Renewal 2 Stan Renewal I Renewal 2
Grab: NI
Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h Initial pH(SU): 7.29 7.73 7.75 7.51 7.59 7.65
Alkalinity(mg/L CaCO3): 34 Final pH(SU): 7.43 7.79 7.67 7.61 7.66 7.61
Hardness(mg/L CaCO3): 38 Initial DO(mg/L): 7.7 8.1 8.3 7.8 7.6 7.8
Conductivity(µmhos/cm): 464 514 iss,163,154 Final DO(mg/L): 7.9 8.4 7.7 7.6 7.9 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 24.8 25.0 24.8 24.8 24.9
Sample Temp.at Receipt(°C): 0.8 1.7 Final Temp.(°C): 24.8 25.0 24.8 25.1 24.7 25.1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mena Chronic Test Results
Number of Young Produced 29 32 30 29 31 31 33 28 31 31 30 28 303 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: 5.1
Effluent Percentage 45% 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 30 32 32 33 33 32 36 30 29 34 31 31.8 1WC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -5.2 Significant?: No
%Reduction Final Mortality Significant at: No concentration
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Reproduction Analyses
1 Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wines
Number of Young Produced Statistic: 0.967
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 Mao Statistic: 1.663
Number of Young Produced i 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 45% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev.11/95

' • PO Box 7565 l
Asheville,NC 28802
•eo L. Phone: [phone]
! Fax: [phone]
..) Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: October 23,2015
Facility: United Water NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testin_ of 'ons,'tI,. , Comments:
Signature of Operator in Responsible Charge: i.e.mi /i
Signature of Laboratory Supervisor: , Project 10933
dr Samples: 151006.13,151008.10
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 10-07-15 10-14-15 0941 0714
Sample Information Sample 1 Sample 2 Control
Collection start date: 10-05-15 10-07-15 Test Information start Renewal 1 Renewal Stan Renewal r Renewal
Grab: . . Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.52 7.47 7.40 7.73 7.76 7.73
Alkalinity(mg/L CaCO3): 35,35 Final pH(SU): 7.55 7.49 7.55 7.69 7.70 7.74
Hardness(mg/L CaCO3): 41,45 Initial DO(mg/L): 8.0 8.0 7.9 7.9 7.7 7.6
Conductivity(µrnhos/cm): 240 286 170,171,159 Final DO(mg/L): 8.1 7.8 7.6 8.1 7.8 7.7
dotal residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 24.8 24.9 24.7 24.9 24.8
Sample Temp.at Receipt(°C): 2.5 1.0 Final Temp.(°C): 25.0 25.2 24.8 24.9 25.1 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 32 34 34 31 31 31 30 29 29 31 28 27 30.6 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: 7.0
Effluent Percentage 45% 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 31 31 29 31 29 29 28 32 29.8 lwC: 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 concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
Effluent Percentage - Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wok's
Number of Young Produced Statistic: 0.972
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: 2.589
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 tie., 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead 1
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev.11/95

v PO Box 7565 ,
. , Asheville,NC 28802
�• I
Phone: [phone]
> =i Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form- Phase 11 Chronic Ceriodaphnia dubia Date: January 25,2016
Facility: United Water NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi utio� Comments:
Signature of Operator in Responsible Charge: �Project: 11113 I i
Signature of Laboratory Supervisor: Samples: 160105.06,160107.05
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:
h NC 27699-1621 I 01-06-16 I 01-13-16 I 0814 I 0650 I
Raletg ,
Sample Information Sample 1 Sample 2 Control
Collection start date: 01-04-16 01-06-16 Test Information start Renewal I Renewal2 Start Renewal I Renewal 2
Treatment: 45% 45% 45% Control Control Control
Grab:
Composite duration:
1-h 24-I, Initial pH(SU): 7.50 7.50 7.52 7.65 7.67 7.64 l
Alkalinity(mg/L CaCO3):
35 Final pH(SU): 7.57 7.67 7.62 7.65 7.83 7.91
Hardness(mg/L CaCO3): 40 Initial DO(mg/L): 8.1 8.1 8.0 7.7 7.7 7.7
Conductivity(µ mhos/cm): 11 I 392 157.160.155 Final DO(mg/L): 8.0 8.2 8.0 7.6 7.7 7.9
Total residual chlorine(mg/L): 0.10 <0.10 Initial Temp.(°C): 25.0 25.1 25.0 24.8 24.8 24.8
Sample Temp.at Receipt(°C): 1.1 0.9 Final Temp.(°C): 24.9 24.9 25.1 25.0 24.9 24.9 1
Organism Number
1 2 3 4 5 6 7 8 9 10 11 12 Mean Chronic Test Results
Control Organisms I 0.0
I I I I I I I I I29.2IFinal Control Mortality(%)Number of Young Produced 30 30 27 30 27 29 131 28 28 30 29 31 %Control with 3rd Broods: l00
(Adult Survival: (L)ive,(D)ead I L I L L L L L L L L L L L4 0
Control Reproduction CV:
8
48 Hour Mortality
Effluent Percentage' 45% ( I of t2
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: o'Number
of Young Produced 29 35 27 I32 131 I32 133 I31 135 I 33 I 33 I 31 I,31.8 I IwC: o of 12
Adult Survival: (L)ive,(D)ead I L I L I L L L L L L L L L L Red lion Significant?:
nal Mortality Significant at: No concentration
Effluent Percentage' I
Reproduction Analyses
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean >45%
i I I I I I I I I I Reproduction LOEC:
(Number of Young Produced 45%Reproduction NOEC:
Adult Survival: (L)ive,(D)ead I /.Reduction Overall Method: Homoscedastic T
Normal Distribution: Yes
Effluent Percentage Shapiro-W ilk's
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: 0ro-W
I I I I I I Statistic:
(Number of Young Produced Critical value: 0•884
Adult Survival: (L)ive,(D)ead I v Reduction
Equal Variances: Yes
Statistic:
Method: F-Tet
Effluent Percentage 2.6es
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 2
I I I I Critical Value: 5.320
Number of Young Produced
L
i I Non-Parametric Analysis(if applicable)
Adult Survival: (L)ive,(D)ead 'I.Reduction
Method:
Effluent% Rank Sum Critical Sum
Effluent Percentage
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 45%
Number of Young Produced(Adult Survival: I I I I I I I I I I
L (L)ive,(D)ead I I I o Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

r . PO Box 7565
o.
Asheville,NC 28802
1� Phone: [phone]
,' Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form- Phase II Chronic Ceriodaphnia dubia Date: April 22,2016
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testin. of,'ons, Comments:
Signature of Operator in Responsible Charge: //'.-a. ii�^�
Signature of Laboratory Supervisor: W�� ,f Project: 11343
- II
Samples: 160405.16,160407.19
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 04-06-16 04-13-16 1447 0755
Sample Information Sample 1 Sample 2 I Control
Collection start date: 04-04-16 04-06-16 I• Test Information start Renewal I Renewal Start Renewal I Renewal 2
Grab: j Treatment: 45% 45% 45% Control Control Control
Composite duration: 'a-ii 2441 Initial pH(SU): 7.02 6.98 7.07 7.32 7.17 7.28
Alkalinity(mg/L CaCO3): 30,34 Final pH(SU): 7.21 7.20 7.25 7.17 7.23 7.33
Hardness(mg/L CaCO3): - 38,36 Initial DO(mg/L): 7.9 8.0 7.9 7.7 7.8 7.9
Conductivity(µmhos/cm): 272 268 i59.161.157 Final DO(mg/L): 8.0 8.0 8.1 7.9 7.9 7.8
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 25.3 25.0 24.7 24.8 24.8
Sample Temp.at Receipt(°C): 0.9 0.6 Final Temp.(°C): 24.8 25.2 24.9 25.1 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 26 27 26 29 26 28 29 27 31 28 30 28 27.9 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: 5.8
Effluent Percentage 45% 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 34 36 29 32 35 36 38 34 34 36 39 37 35.0 IwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -25.4 Significant?: No
%Reduction Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 l 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.960
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 vran Statistic: 2.767
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 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
•
2• 3 Asheville,NC 28802
TC ' Phone: [phone]
r p t Fax: [phone]
1 Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: July 29,2016
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Test' :So tions • • Comments:
Signature of Operator in Responsible Charge: ',__ i -./ '
Signature of Laboratory Supervisor: AiOr ...Sr Project: 11581
- ' Samples: 160712.20,16071420
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 07-13-16 07-20-16 1318 0732
Sample Information Sample 1 Sample 2 Control
Collection start date: 07-11-16 07-13-16 Test Information Stan Renewal l Renewal 2 Stan Renewal l Renewal
Grab: Treatment: 45% 45% 45% Control Control Control
Composite duration: 4-h 24-h Initial pH(SU): 7.45 7.85 7.73 7.61 7.73 7.58
Alkalinity(mg/L CaCO3): : ,4 Final pH(SU): 7.59 7.76 7.85 7.71 7.61 7.61
Hardness(mg/L CaCO3): 44 46 Initial DO(mg/L): 8.0 7.9 8.0 7.9 7.9 7.9
Conductivity(pmhos/cm): 378 444 1ss. 156 Final DO(mg/L): 7.9 8.0 8.0 7.9 7.9 7.8
/Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 24.8 24.7 24.8 24.7 24.6
Sample Temp.at Receipt(°C): 0.3 I 0 Final Temp.(°C): 24.8 24.9 25.0 24.8 24.8 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 27 28 29 27 30 25 29 28 27 29 28 27 27.8 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead L L LLLLLLLLLL %Control with 3rd Broods: 100
Control Reproduction CV: 4.8
Hour Percentage 45% 48 H ur 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 29 29 26 31 31 27 29 28 27 33 29.1 iwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -4.5 Significant?: No
Reduction Final Mortality Significant at: No concentration
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 1 U 11 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive.(D)ead Reproduction NOEC: 45%
Reduction Overall Method: Homoscedastic T
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: 0.973
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
i 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: 2.792
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 I I l2 mean 45% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

:- .,, PO Box 7565
/ $,� a° •, Asheville,NC 28802
., a f J Phone: [phone]
." Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: October 26,2016
/ Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi a do t Comments:
Signature of Operator in Responsible Charge: /.I2 - if ,_
Signature of Laboratory Supervisor. _ _/� _
Project: 11841
IPr Samples: 161011.06,161013.05
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 10-12-16 10-19-16 1011 0643
Sample Information Sample 1 Sample 2 Control
Collection start date: 10-10-16 10-12-16 Test Information start Renewal 1 Renewal 2 Start Renewal 1 Renewal2
Grab: Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.11 7.31 7.02 7.36 7.24 7.15
Alkalinity(mg/L CaCO3): 31,31,31 Final pH(SU): 7.26 7.50 7.26 7.40 7.50 7.18
Hardness(mg/L CaCO3): 40,40,44 Initial DO(mg/L): 7.7 7.9 8.0 8.0 7.9 7.8
Conductivity(µmhos/cm): 323 370 154,154,149 Final DO(mg/L): 8.0 8.0 8.1 8.0 7.8 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.8 24.8 24.9 24.8 24.6 24.7
Sample Temp.at Receipt(°C): 1.3 1.0 Final Temp.(°C): 25.0 24.9 25.0 24.9 25.0 24.9
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10-N11 12 Mean Chronic Test Results
Number of Young Produced 26 25 27 24 30 25 29 27 29 28 29 29 27.3 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: 7.2
Effluent Percentage 45% 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 24 25 28 30 29 29 31 30 28 29 28 28.5 lWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L , L L L L L L L -4.3 Significant?: No
Redaction Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Redeem. Overall Method: Homoscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 I ) I l 12 Mean Method: Shapiro-Wilk's
Number of Young Produced Statistic: 0.925
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 l l 12 Mean Statistic: 1.195
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 1 2 Mean 45%
Number of Young Produced 1
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
»' I`t�` I Asheville,NC 28802
- Phone: [phone]
r ,,,,-v '',_ .,,, 5.,,,:,,,, Fax: [phone]
- Environmental Testing Solutions,Inc
r/
i" Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: January 23,2017
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi,: -. uVP _c. Comments:
Signature of Operator in Responsible Charge: /n , A.'/,
Signature of Laboratory Supervisor: _ '' Project: 12034
' Samples: 170110.14,170112.20
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQI Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 01-11-17 01-18-17 1409 0638
Sample Information Sample 1 Sample 2 Control
Collection start date: 01-09-17 01-11-17 Test Information start Renewal t RcncuaLk Stan Renewal I Renewal2
Grab: . Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-11 24-h Initial pH(SU): 7.49 7.32 7.31 7.22 7.33 7.39
Alkalinity(mg/P.CaCO3): 31,3= Final pH(SU): 7.56 7.43 7.22 7.35 7.34 6.98
Hardness(mg/L CaCO3): 40,40 Initial DO(mg/L): 7.9 7.9 8.0 7.9 7.8 7.9
Conductivity(µmhos/cm): 527 447 160.154.153 Final DO(mg/L): 8.0 7.9 7.9 7.9 7.8 7.8
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.9 25.0 24.8 24.5 24.6 24.6
Sample Temp.at Receipt(°C): 0.4 0.5 Final Temp.CC): 25.2 25.2 24.8 25.0 24.8 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 26 27 28 27 30 28 27 25 27 27 27.1 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: 4.6
Effluent Percentage 45% 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 35 35 36 35 31 33 35 30 34 35 35 32 33.8 IwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -24.9 Significant?: No
Reduction Final Mortality Significant at: No concentration
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mein Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead i Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
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: 0.945
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 1 I 12 Mean Statistic: 2.345
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 l 2 3 4 5 6 7 8 9 10 11 12 Mean 45% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
,P ,5R: •.oY-..._ r 2 2 Asheville,NC 28802
0 tAO A Phone: [phone]
r. =4 __- i <<, ,� Fax: [phone]
-
_, Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form- Phase II Chronic Ceriodaphnia dubia Date: April 28,2017
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi : of t io �� Comments:
Signature of Operator in Responsible Charge: //1 .i*'.;
Signature of Laboratory Supervisor: V �'�"~"�� Project: 12304
Air-4.
Samples: 170411.06,170413.05
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 tune:
Raleigh,NC 27699-1621 04-12-17 04-19-17 1238 0714
Sample Information Sample I Sample 2 Control
Collection start date: 04-10-17 04-12-17 Test Information start Renewal Renewal Start Renewal Reneevat2
Grab: Treatment: 45% 45% 45% Control Control Control
Composite duration: 2 I-h 24-11 Initial pH(SU): 6.85 7.03 7.07 7.49 7.24 7.06
Alkalinity(mg/L CaCO3): 30 Final pH(SU): 7.02 7.16 7.17 7.31 7.11 7.08
Hardness(mg/L CaCO3): 40 Initial DO(mg/L): 8.0 8.0 7.8 7.8 7.8 7.8
Conductivity(µmhos/cm): 328 364 156.151,t56 Final DO(mg/L): 7.9 7.9 7.8 7.8 7.8 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 25.2 25.0 24.7 24.8 24.8
Sample Temp.at Receipt(°C): 05 0.7 Final Temp.(°C): 24.8 25.2 25.2 25.0 24.9 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 27 30 29 27 29 28 28 28 27 27 27 26 27.8 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 I
Control Reproduction CV: 4.1
Effluent Percentage 45% 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 35 37 33 31 32 34 34 29 28 33 33 33 32.7 iwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -17.7 Significant?: No
%Reduction Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
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: 0.945
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: 4.678
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 Stun
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead,
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

,w r,
ry _� € ,o,
1 PO Box 7565
I _ '40 Asheville,NC 28802
Phone: [phone]
j L _ • Fax: [phone]
Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: July 24,2017
Facility: SUEZ NPDES#: NC.0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi t' ut'o. Inc. Comments:
Signature of Operator in Responsible Charge: /. , Y.
Signature of Laboratory Supervisor: �' • Project: 12515
Samples: 170711.22,170713.14
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 07-12-17 07-19-17 1342 0741
Sample Information Sample I Sample 2 control
Collection start date: 07-10-17 07-12-17 Test Information start Renewal 1 Renewal 2 Stan Renewal 1 Renewal 2
Grab: Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.45 7.46 7.45 7.67 7.69 7.74
Alkalinity(mg/L CaCO3): 33,33 Final pH(SU): 7.51 7.51 7.41 7.77 7.81 7.52
Hardness(mg/L CaCO3): 40,40 Initial DO(mg/L): 7.8 7.9 8.0 7.9 . 7.9 7.9
Conductivity(µlmhos/cm): 477 408 159,156,156 Final DO(mg/L): 7.8 8.1 7.6 7.7 8.0 7.6
)
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 24.8 24.8 24.7 24.9 24.8 24.6
Sample Temp.at Receipt(°C): 1.2 2.1 Final Temp.(°C): 25.2 25.1 25.0 24.9 25.0 24.8
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 M°an Chronic Test Results
Number of Young Produced 29 26 27 28 29 27 28 33 28 32 27 28 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: 7.3
Effluent Percentage 45% 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 30 29 29 30 28 29 30 29 28 27 30 28.8 Iwc: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -1.2 Significant?: No
Reduction Final Mortality Significant at: No concentration
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 I l 12 Mc.. Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
1z`du<oo Overall Method: Homoscedasric T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 I 5 6 7 8 9 II) l 1 12 been Method: Shapiro-mks
Number of Young Produced Statistic: 0.911
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 I0 1 I 12 Mean Statistic: 3.439
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 _ 1 5 6 - 8 9 10 l l 12 mean 45% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
3 Sl . `
o,„ Asheville,NC 28802
'� Phone: [phone]
,?t,- _• -ate -:I - Fax: [phone]
%
: •' "'III i
Environmental Testing Solutions,Inc.
,y
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: October 20,2017
E- Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Test'•_ `slut' I c. Comments:
Signature of Operator in Responsible Charge: /. J�✓(�
Signature of Laboratory Supervisor: Project: 12736
ir Samples: 171003.15,171005.17
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 10-04-17 10-11-17 1535 0658
Sample Information Sample 1 Sample 2 Control
Collection start date: 10-02-17 10-04-17 Test Information start Renewal I Renewal 2 Stan Renewal 1 Renewal
Grab: , - Treatment. 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h ,,a.Jasak_ Initial pH(SU): 7.01 7.28 7.16 7.23 7.28 7.10
Alkalinity(mg/L CaCO3): 35,35 Final pH(SU): 7.14 7.25 7.18 7.29 7.24 7.03
Hardness(mg/L CaCO3): ' 40,38 Initial DO(mg/L): 8.2 8.1 8.2 7.8 8.0 8.0
Conductivity(µmhos/cm): 409 420 152,159,161 Final DO(mg/L): 8.0 8.0 8.1 7.9 7.8 7.8
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 24.8 24.8 24.8 24.7 24.8
Sample Temp.at Receipt(°C): 0.5 1.1 Final Temp.(°C): 25.0 25.2 25.0 25.1 24.7 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 34 28 31 29 29 29 29 29 29 29 31 31 29.8 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 45% 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 30 31 34 29 30 27 31 32 33 29 32 30.7 IwC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -2.8 Significant?: No
Reduction Final Mortality Significant at: No concentration
Effluent Percentage
Treatment 3 Organisms I. 2 3 4 5 6 7 8 9 10 II 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%'Reduction Overall Method: Homoscedectic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 I I 12 Moan Method: Shapiro-wak's
Number of Young Produced Statistic: 0.929
Adult Survival: (L)ive,(D)ead Critical Value: 0.884
%Rcdu°non Equal Variances: Yes
Effluent Percentage Method: F-Test
Treatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 1 1 12 Mean Statistic: 1.371
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 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

- ' ii
, � PO Box 7565
s r4 •r
s# ) Asheville,NC 28802
Phone: [phone]
.r+
tA ' .r .
_� Fax: [phone]
i
tx Environmental Testing Solutions,Inc. ll
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: January 26,2018
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Test' luti s, Comments:
Signature of Operator in Responsible Charge:
Signature of Laboratory Supervisor: Project: 12958
Samples: 180109.12,180111.19
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:
I Raleigh,NC 27699-1621 01-10-18 01-17-18 1409 0729
Sample Information Sample 1 Sample 2 Control
Collection start date: 01-08-18 01-10-18 ® Test Information Start Renewal I Renewal 2 Stan Renewal I Renewal 2
Grab: • Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h PM Initial pH(SU): 7.51 7.60 7.81 7.61 7.69 7.87
Alkalinity(mg/L CaCO3): 35,34 Final pH(SU): 7.58 7.88 7.81 7.61 7.81 7.77
Hardness(mg/L CaCO3): 42,40 Initial DO(mg/L): 7.8 8.0 8.2 7.8 7.7 7.8
Conductivity(µmhos/cm): 262 267 tsz,t51,tso Final DO(mg/L): 8.0 8.3 8.3 8.0 8.0 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.CC): 25.1 25.2 24.8 24.7 24.7 24.8 1
Sample Temp.at Receipt(°C): 1.1 0.8 Final Temp.(°C): 24.9 25.0 24.9 25.0 24.9 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 27 28 27 26 28 31 28 28 30 30 28 28 28.3 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: 5.0
Effluent Percentage 45% 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 33 30 30 32 33 31 37 35 34 32 37 33.1 Iwc: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -17.1 Significant?: No
Reaucuon Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
Reduction Overall Method: Homoscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-ales
Number of Young Produced
(Adult Survival: (L)ive,(D)ead Statistic: 0.934
Critical Value: 0.884
Reduction Equal Variances: Yes
Effluent Percentage, Method: F-Test
Treatment 5 Organisms 1 2 3 1 5 6 7 8 9 10 11 12 Mean Statistic: 2.738
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 3 () 8 9 10 11 12 Mean 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

,r ; PO Box 7565
e Asheville,NC 28802
R T
;y °+;,w - Phone: [phone]
, -4 ' . Fax: [phone]
.,yd Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: April 20,2018
/I/.:
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testini ution Comments:
Signature of Operator in Responsible Charge: y ,,,,T.,
Signature of Laboratory Supervisor: Project: 13211
Samples: 180403.23,180405.21
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 04-04-18 04-11-18 1338 0643
Sample Information Sample 1 Sample 2 Control
Collection start date: 04-02-18 04-04-18 Test Information start Renewal I Renewal 2 Start Renewal I Renewal 2
Grab: . Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-11 23 75-h Initial pH(SU): 7.62 7.58 7.67 7.77 7.76 7.79
Alkalinity(mg/L CaCO3): _,33 Final pH(SU): 7.66 7.75 7.72 7.72 7.77 7.66
Hardness(mg/L CaCO3): P.-t0 Initial DO(mg/L): 8.0 8.0 8.0 7.7 7.7 7.8
Conductivity(µmhos/cm): 271 273 t,n.,s i;: Final DO(mg/L): 7.8 8.1 7.5 7.9 7.6 7.5
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 24.7 24.9 24.8 24.8 24.7
Sample Temp.at Receipt(°C): 1.3 0 3 Final Temp.(°C): 25.0 24.9 25.2 25.1 25.0 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 32 29 30 32 31 29 30 28 28 31 27 29.7 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: 5.4
Effluent Percentage 45% 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 30 28 31 35 31 34 31 34 29. 29 31.0 IWC: 0 of 12
I Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -4.5 Significant?: No
%Reduction Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Hottroscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Moen 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 I l 12 y1,., Statistic: 2.163
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 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%,Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
Asheville,NC 28802
i
Phone: [phone]
.n • -", i' '`' ''' € Fax: [phone]
* lir Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form - Phase II Chronic Ceriodaphnia dabia Date: October 22,2018
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 Count}: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testin. •of io t zAtE Comments:
Signature of Operator in Responsible Charge: /-_ /,ir.-!.
Signature of Laboratory Supervisor: a _ # Project: 13612
IP O Samples: 181002.06,181004.05 i
Mail Original To:North Carolina Department of Environment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center I Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 10-03-18 I 10-10-18 1211 I 0634
Sample Information Sample 1 Sample 2 Control
Collection start date: 10-01-18 10-03-18 Test Information start Renewal I Renewal Start Renewal t Renewal
Grab: Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.30 7.21 7.19 7.34 7.25 7.22
Alkalinity(mg/L CaCO3):
'" 30,30 Final pH(SU): 7.25 7.30 7.39 7.26 7.34 7.44
Hardness(mg/L CaCO3): 40,40 Initial DO(mg/L): 8.1 8.1 8.0 7.6 7.6 7.7
Conductivity(µmhos/cm): 367 383 i50.E55.I50 Final DO(mg/L): 8.0 8.3 8.5 7.6 7.8 7.7
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.2 24.8 25.1 24.6 24.6 24.7
Sample Temp.at Receipt CC): 1.5 1.5 Final Temp.CC): 25.0 25.1 25.0 25.0 25.1 25.2
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 30 25 25 27 30 28 26 26 24 27 27 Final Control Mortality(%): 0.0
26.8
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: 7.0
Effluent Percentage 45% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mann Control: 0 of 12
Number of Young Produced 34 32 31 30 31 29 34 34 33 35 32 31 32.2 Iwc: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -20.2 Significant?: No
%Reduetion Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic T
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Meat Method: Shapiro-wdk'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 7 8 9 10 11 12 Mean Statistic: 1.015
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction Method:
Effluent% Rank Sum Critical Sum
Effluent Percentage
Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
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: January 25,2019
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Test's:. lution Inc. Comments: I
Signature of Operator in Responsible Charge: .4 ...,`,,
Signature of Laboratory Supervisor: - ildn Project: 13876
Samples: 190108.19,190110.20
Mail Original To:North Carolina Department of Environment and Natural Resources 1
DWQ/Environmental Sciences Branch
1621 Mail Service Center Start date: End date: Start time: End time:
Raleigh,NC 27699-1621 01-09-19 01-16-19 1431 0659
Sample Information Sample 1 Sample 2 Control
Collection start date: 01-07-19 01-09-19 Test Information Start Renewal I Renewal2 Start Renewal I Renewal 2
Grab: . . Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.72 7.71 7.75 7.80 7.79 7.81
Alkalinity(mg/L CaCO3): 33,32 Final pH(SU): 7.75 7.81 7.71 7.74 7.84 7.74
Hardness(mg/L CaCO3): 34,34 Initial DO(mg/L): 8.0 8.0 8.1 7.8 8.0 8.1
Conductivity(µmhos/cm): 195 223 its i52 iso Final DO(mg/L): 8.1 8.1 8.2 8.0 8.0 8.1
I Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.(°C): 25.1 24.8 24.9 24.8 24.8 24.7
Sample Temp.at Receipt(°C): 1.0 0.3 , , Final Temp.(°C): 25.0 25.1 24.8 25.1 25.0 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 28 35 30 30 32 31 29 30 34 31 30 33 31.1 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: 6.6
Effluent Percentage 45% 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 30 30 37 31 38 29 33 35 30 31 31 32.1 IWC: o of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -3.2 Significant?: No
Reduction Final Mortality Significant at: No concentration
Effluent Percentage-
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mcan Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction
Overall Method: Wilcoxon Two
Effluent Percentage Normal Distribution: No _
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Method: Shapiro-Wilks
Number of Young Produced Statistic: 0.882
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: 2.108
Number of Young Produced Critical Value: 5.320
Adult Survival: (L)ive,(D)ead Non-Parametric Analysis(if applicable)
%Reduction
Method: Wilcoxon Two Sample
Effluent Percentage ' Effluent% Rank Sum Critical Sum
Treatment 6 Organisms 1 2 3 -1 5 6 7 8 9 10 11 12 Mean 45% 161.5 109.0
Number of Young Produced
It
Adult Survival: (L)ive,(D)ead i i 'r
%Reduction i
Overall Analysis: i
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

PO Box 7565
�, ' Asheville,NC 28802
r -r" „ 3<..�a. Phone: [phone]
ii
2p it Fax: [phone]
s
.i,;r Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: April 29,2019
Facility: SUEZ NPDES#: NC-0025909 Pipe#: 001 County: Rutherford
Rutherfordton WWTP
Laboratory Performing Test: Environmental Test i. o do gia '. Comments:
Signature of Operator in Responsible Charge: .,,r,40_ , / ,-
Signature of Laboratory Supervisor: �ofl/ Project: 14149
Samples: 190409.08,190411.04
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 04-10-19 04-17-19 1309 0630
Sample Information sample 1 Sample 2 Control
Collection start date: 04-08-19 04-10-19 _ Test Information scan Renewal 1 Renewal 2 Scan Renewal 1 Renewal 2
Grab: . . Treatment: 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): 7.66 7.42 7.78 7.69 7.61 7.62
Alkalinity(mg/L CaCO3): 33 Final pH(SU): 7.71 7.85 7.72 7.68 7.85 7.63
Hardness(mg/L CaCO3): 34 Initial DO(mg/L): 7.7 8.0 8.0 8.0 7.9 7.8
Conductivity(µmhos/cm): 265 255 158.163.I s- Final DO(mg/L): 7.8 8.2 8.1 8.1 7.9 7.9
inwir
Total residual chlorine(mg/L): <0.10
<0.10 Initial Temp.(°C): 24.9 24.8 25.1 24.9 24.7 24.8
Sample Temp.at Receipt(°C): 0.6 1.1 Final Temp.(°C): 25.2 25.2 25.1 25.0 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 27 29 30 27 26 27 30 26 28 31 30 30 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: 6.3
Effluent Percentage 45% 48 Hour Mortality 1
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 35 32 35 32 31 36 35 34 37 31 30 33.1 IWC: 0 of 12
Adult Survival: (L)ive,(D)ead L L L L L L L L L L L L -16.4 Significant?: No
%Reduction Final Mortality Significant at: No concentration
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: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%Reduction Overall Method: Homoscedastic t
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: 0.947
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 9 10 11 12 Mean Statistic: 2.883
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 II 12 Mean 45% .
Number of Young Produced
Adult Survival: (L)ive,(D)ead
Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

•ww111111
PO Box 7565
Asheville,NC 28802
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions,Inc. hnia dubia Date: July 29,2019
Aquatic Toxicity Report Form-Phase II Chronic CeriodapRutherford
Effluent Pipe#: 001 County:��
NPDES#: NC•002 _ p
Facility: SUEZ
Rutherfordton WWTP Comments:
Signature of Operator in Responsible Charge: /
.
Laboratory Performing Test: Environmental Testin: �,• 'utio!L.,c.
' '
Signature of Laboratory Supervisor: Project: 14318
� � Samples; 190709.07,190711.24
No tr
Mail Original To:North Carolina Department of Environment and Natural ResourcesStart date. End date: Start time: End 0745 time:
�l
D
MEM
1621
Mail Environmentaleicea Sciences Branch 07-10-19a 0n-17-19
Raleigh, Cer 76 Center
NC 27699-1621
Sample I Sample 2 Control m ��®
Sample Information ® Test Information ®®
07-08-19 07-10-19 Control Co® Co®
Collection start date: �� Treatment:
Grab: ®_ Initial pH(sU): ��11131 7.50 ��
Composite duration: 1- I Final pH(SU): M® �®
L 8.0 �� 8.0
Hardnessinity(mg/L aCOs): , ,,, Initial DO(mg/L): ®®
8.0 8.0 ®�
itY(p hOslci: ® Final DO(mglL): ®® �
® I60.I55.l64
Conductivity(µmorine(): MOS Initial Temp.CC): ®�� 25.0
immts
<0.10 <0.10 _
Total residual chlorine(mB2): ®® Final Temp.(°C): 25 0 25.0
Sample Temp.at Receipt(°C):
Organism Number Man Chronic Test Results
3 4 5 6 9 10 11 12
Control Organisms Final Mortality(%): 0.0
1 2 1 1 ®m®gim�©® Final
Controlnl with 3rdtBroods: 0.0
Number of Your:Produced ®®mmm 8.0
Control Reproduction Broods:
Adult Survival: (L ive, Dead©©©n�©©©©© 48 Hour Mortality
7 8 9 10 11 12 Meer
Control: 0 m®
Effluent Percentage 1 2 ced mm®®®® 29 ®®®® En 0
191111111111
Treatment 2 Or anisms ® Significant?: 111112.111
Numbe L)ive,veu Dead©©©©©©©©©©©© f Rcducuou FinalMortality Significant at: No concentration
Adult Survival:
TreatmentEffl
a ne3 Organisms
4 5 6 7 8 9 10 I I 12 Man
Reproduction Analyse®
1 2 3 ������ ReproductionLOEC:
3 Organisms � Reproduction NOEC:
1111211111
Number of rvYour:Produced ■■■■■
111111111111111111111111111.11111111111111111
■■ %m1enO" Overall Method:
Adult Survival: ive,(D)ead■ Normal Distribution: 11110111
Method: 0.944
Treatment 4
Effluent Percentage 3 4 5 6 ��91���
1r Lanisms 2 Statistic: 0.884
Number of Y oun_Produce 1111111111111111111111111111111111111111
���������� R
Adult Survival: (L)ive,(D)ead111111111111111111111111111111111111111111
��
MOM
� 1 n 1 l 12 :Mean Statistic: 5.320
Effluent Percentage 1 2 3 ced :::: 8■:■■■= Critical Value:
Treatment 5 0 anisms ■■■ Non-Parametric Analysis(�applicable)
Number of Young ive,u Dead��■■■■■■■ %Redu°uon
Method:
Adult Survival: (LEffluent% `$p1° a
10 11 12 Mean ®a-
NIENI
Effluent Percentage 1 2 3 4 5 6 7 ::■■■_ -
Nrmber of 6 Or anisms --
Number of Your_Produced �■:::::■■■■� o R- =-
Adult Survival: L)ive, Dead■� ---
Overall Analysis: >45°�° NOEC: 45% ChV: >45%
Result: PASS LOEC:

1
;.i PO Box 7565
Asheville,NC 28802
) Phone: [phone]
i Fax: [phone]
A Environmental Testing Solutions,Inc.
Effluent Aquatic Toxicity Report Form-Phase II Chronic Ceriodaphnia dubia Date: October 25,2019
Facility: SUEZ NPDES#: NC- 0025909 Pipe#: 001 County: Rutherford "
Rutherfordton WWTP
Laboratory Performing Test: Environmental Testi - o 1 do iv c. Comments:
Signature of Operator in Responsible Charge: .' �.___I.___-
Signature of Laboratory Supervisor: (� , Project: 14559
Samples: 191008.15,191010.31
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 10-09-19 10-16-19 1323 0842
Sample Information Sample I Sample 2 Control
Collection start date: 10-07-19 10-09-19 Test Information i start Renewal I Renewal2 Start Renewal I Renewal2
Grab: . Treatment: 1 45% 45% 45% Control Control Control
Composite duration: 24-h 24-h Initial pH(SU): , 7.64 7.61 7.72 7.89 7.86 7.89
Alkalinity(mg/L CaCO3): -
62,o0,59 Final pH(SU): 1 7.72 7.78 7.79 7.81 7.96 7.96
Hardness(mg/L CaCO3): 90,94,88 Initial DO(mg/L): 8.1 8.2 7.9 7.8 7.8 7.9
Conductivity(µmhos/cm): 335 351 ,,, 307.320 Final DO(mg/L): 8.2 8.2 7.9 7.9 7.8 7.9
Total residual chlorine(mg/L): <0.10 <0.10 Initial Temp.CC): , 25.0 24.9 24.9 24.9 24.9 24.7
Sample Temp.at Receipt(°C): 1.7 0.1 Final Temp.(°C): 24.9 25.2 25.0 24.9 25.0 25.1
Organism Number
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Moan Chronic Test Results 1
Number of Young Produced 31 28 28 29 27 27 28 29 27 26 30 28 28.2 Final Control Mortality(%): 0.0
Adult Survival: (L)ive,(D)ead LLL L LLLLLLLL %Control with 3rd Broods: 100
Control Reproduction CV: 5.0
Effluent Percentage 45% 48 Hour Mortality
Treatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Mean Control: 0 of 12 i
Number of Young Produced 36 34 35 36 31 32 32 39 38 35 36 39 353 IwC: 0 of1
12
Adult Survival: (L)ive,(D)ead , L L L L L L L L L L L L -25.1 significant?: No
%Reduction Final Mortality Significant at: No concentration I
•
Effluent Percentage
Treatment 3 Organisms 1 2 3 4 5 6 7 8 9 19 1 I 12 Mean Reproduction Analyses
Number of Young Produced Reproduction LOEC: >45%
Adult Survival: (L)ive,(D)ead Reproduction NOEC: 45%
%R`d1Cton Overall Method: Homoscedastic t
Effluent Percentage Normal Distribution: Yes
Treatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 1 1 12 Mean Method: Shapiro-Willis
Number of Young Produced Statistic: 0.96t
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: 3.612
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 45%
Number of Young Produced
Adult Survival: (L)ive,(D)ead
%Reduction
Overall Analysis:
Result: PASS LOEC: >45% NOEC: 45% ChV: >45%
DWQ form AT-3(8/91)Rev. 11/95

ATTACHMENT V
SLUDGE REMOVAL DESCRIPTION

Please note the sludge is land applied through the land application permit WQ32855.

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC0025909 Renewal Broad River
FORM
2A NPDES 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 B.6.
C. Certification. All applicants must complete Part C(Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D(Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E(Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users(SIUs)or receives RCRA or CERCLA wastes must complete Part F(Industrial User Discharges
and RCRA/CERCLA Wastes). Sills are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations(CFR)403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works(with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G(Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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 Rutherfordton wwTP
Mailing Address PO Box 1925
Rutherfordton,NC 28139
Contact Person Douq Barrick
Title Town Manager
Telephone Number ( 828 ) 287-3520
Facility Address 1021 S.Main Street
(not P.O. Box) Rutherfordton, NC 28139
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name Town of Rutherfordton
Mailing Address 129 N.Main Street
Rutherfordton, NC 28139
Contact Person Douq Barrick
Title Town Manager
Telephone Number ( 828 ) 287-3520
Is the applicant the owner or operator(or both)of the treatment works?
Elowner 0 operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
❑ facility ® applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state-issued permits).
NPDES NC25909 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and,if known,provide information on the type of collection system(combined vs.separate)and its ownership(municipal,private,etc.).
Name Population Served Type of Collection System Ownership
Rutherfordton 4031 Sanitary Rutherfordton
Total population served 4031
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from(and eventually flows
through)Indian Country?
❑ Yes ® No
A.6. Flow. Indicate the design flow rate of the treatment plant(i.e.,the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12th month of"this year"occurring no more than three months prior to this application submittal.
a. Design flow rate 3.0 mgd
2017 Two Years Ago 2018 Last Year 2019 This Year
b. Annual average daily flow rate 0.494 0.606 0.589
c. Maximum daily flow rate 0.614 0.888 0.878
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 26 %
❑ 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
it. 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? 0 Yes ® No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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 El intermittent?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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 Rutherfordton 28139
(City or town,if applicable) (Zip Code)
Rutherford NC
(County) (State)
35°20'32 81°57'22
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Average daily flow rate 0.589 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 Cleghorn Creek
b. Name of watershed(if known) NA
United States Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin(if known):Broad River
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 cfs
e. Total hardness of receiving stream at critical low flow(if applicable): NA mg/I of CaCO3
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
A.l 1. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary ® Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBODS removal 0.91 %
Design SS removal 0.85 %
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:
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
MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units Number of Samples
pH(Minimum) 6.66 s.u.pH
H(Maximum) 7.1 s.u. / A
Flow Rate 0.878 MGD 0.589 MGD 365
Temperature(Winter) 19.4 C 14.7 C 120
Temperature(Summer) 23.3 C 22 C 140
For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5 5.1 MG/L 2.1 MG/L 104 SM5210B 2.0 MG/L
DEMAND(Report one) CBOD5
FECAL COLIFORM 6000 #/100ML 8.62 #/100ML 104 SM9222D 1.0 CFU/100ML
TOTAL SUSPENDED SOLIDS(TSS) 4 MG/L 1 MG/L 104 SM2540D 1.0 MG/L
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
Pa e 6 of 22 EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. g

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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
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 Y.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. SEE 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? ® Yes ❑ No
If yes,list the name,address,telephone number,and status of each contractor and describe the contractor's responsibilities(attach additional
pages if necessary).
Name: 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.
NA
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
❑ Yes ❑ No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
NA
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below,as
applicable. For improvements planned independently of local,State,or Federal agencies,indicate planned or actual completion dates,as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
-Begin Construction / / / /
-End Construction / / _ / /
-Begin Discharge / / / /
-Attain Operational Level / / / /
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? 0 Yes 0 No
Describe briefly:
B.6. EFFLUENT TESTING DATA(GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on-half years old.
Outfall Number: 001
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS 1
AMMONIA(as N) 0.73 Mg/I 0.34 Mg/I 104 350.1 0.02 mg/I
CHLORINE(TOTAL 25.9 Mg/I 18.8 Mg/I 252 SM2540 F 2 UG/L
RESIDUAL,TRC)
DISSOLVED OXYGEN 9.56 Mg/I 7.88 Mg/I 252 SM45000E 0 mg/I
TOTAL KJELDAHL 2.93 Mg/I 1.75 Mg/I 5 351.2 0.25 mg/I
NITROGEN(TKN)
NITRATE PLUS NITRITE 12.3 Mg/I 5.66 Mg/I 5 353.2 0.02 mg/I
NITROGEN
OIL and GREASE <5.0 Mg/1 <5.0 Mg/I 1 1664A 5.0 mg/I
PHOSPHORUS(Total) 3.76 Mg/I 2.48 Mg/I 5 365.4 0.05 mg/I
TOTAL DISSOLVED SOLIDS 206 Mg/I 206 Mg/I 1 160.1 10 mg/I
(TDS)
OTHER
i
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A,as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement,applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
❑ Basic Application Information packet Supplemental Application Information packet:
• Part D(Expanded Effluent Testing Data)
® Part E(Toxicity Testing: Biomonitoring Data)
® Part F(Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G(Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information,the information is,to the best of my knowledge and belief,true,
accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment
for knowing violations.
Name and official title Doug Barrick
Signature OLD
Telephone number [phone]
Date signed I/I t,/20t0
Upon request of the permitting authority,you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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 MUMDL
Conc. Units Mass Units Conc. Units Mass Units of METHOD
Samples
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY
ARSENIC
BERYLLIUM
CADMIUM
CHROMIUM
COPPER
LEAD
MERCURY
NICKEL
SELENIUM
SILVER
THALLIUM
ZINC
CYANIDE
TOTAL PHENOLIC
COMPOUNDS
HARDNESS(as CaCO3)
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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-DIC HLOROPROPANE
1,3-DICHLORO-
PROPYLENE
ETHYLBENZENE
METHYL BROMIDE
METHYL CHLORIDE
METHYLENE CHLORIDE
1,1,2,2-TETRA-
CHLOROETHANE
TETRACHLORO-
ETHYLENE
TOLUENE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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
I _
2-CHLOROPHENOL
2,4-DICHLOROPHENOL
2,4-DIMETHYLPHENOL
4,6-DINITRO-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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 12 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
Outfall number: _ (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE
POLLUTANT Number ANALYTICAL MLJMDL
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
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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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-NITROSODI-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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1)POTWs with a design flow rate greater than or equal to 1.0 mgd;2)POTWs with a pretreatment program(or those that are
required to have one under 40 CFR Part 403);or 3)POTWs required by the permitting authority to submit data for these parameters.
• At a minimum,these results must include quarterly testing for a 12-month period within the past 1 year using multiple species(minimum of two
species),or the results from four tests performed at least annually in the four and one-half years prior to the application,provided the results
show no appreciable toxicity,and testing for acute and/or chronic toxicity,depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition,submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity,provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation,if one was conducted.
• If you have already submitted any of the information requested in Part E,you need not submit it again. Rather,provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used,report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below,they may be submitted in place of Part E.
If no biomonitoring data is required,do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
Ei 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
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
Chronic:
NOEC oho oio
ICzs % % %
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)
NA
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 17 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
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(SIUs)and Categorical Industrial Users(CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical Sills. 1
b. Number of ClUs. 1
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Aallied Die Casting A
Mailing Address: 401 Aallied Drive
Rutherfordton,NC 28139
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Aluminum alloy ingots are purchased,received and melted in furnaces.The molten aluminum is transferred using transfer ladles into small holding
furnaces at each dies cast machine.The molten aluminum solidifies in the dies and is then removed.The finished casting cab be shipped as is or
proceed to secondary finishing process as wheelbrating,deburring and polishing.
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): Casting products using aluminum alloys
Raw material(s): Hydraulic fluids,die release lubricants,floor and die casting machine cleaning chemicals
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.
0.007 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.
gpd ( 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 ® Yes 0 No
If subject to categorical pretreatment standards,which category and subcategory?
40CFR 433
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Rutherfordton, NC25909 Renewal Broad River
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes ® No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes 0 No(go to F.12) NA
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
❑ Truck 0 Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) 0 No NA
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No NA
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent,describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system,complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs(e.g.,beaches,drinking water supplies,shellfish beds,sensitive aquatic ecosystems,and
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram,either in the map provided in G.1 or on a separate drawing,of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines,both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
c. Locations of in-line and off-line storage structures.
d. Locations of flow-regulating devices.
e. Locations of pump stations.
CSO OUTFACES:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town,if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations 0 CSO frequency
❑ CSO flow volume 0 Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events (0 actual or 0 approx.)
b. Give the average duration per CSO event.
hours (0 actual or 0 approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
c. Give the average volume per CSO event.
million gallons(❑actual or❑ approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.5. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code(if known):
c. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code(if known):
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO(e.g.,permanent or intermittent beach closings,permanent or
intermittent shell fish bed closings,fish kills,fish advisories,other recreational loss,or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 21 of 22