NC0046302_Regional Office Historical File Pre 2016

4�
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor
Secretary
August 13, 2015
Michael M. Brandt, Town Manager
Town of Mayodan Water Treatment Plant
210 West Main Street
Mayodan, NC 27027
Subject: Compliance Evaluation Inspection
NPDES Permit NCO046302
Mayodan Water Treatment Plant
Rockingham County
Dear Mr. Amos:
Mr. Lon Snider of the Winston-Salem Regional Office of the North Carolina Division of Water Resources
(DWR) conducted a compliance evaluation inspection of the Mayodan Water Treatment Plant (WTP) on
August 12, 2015. The assistance and cooperation of Michael Amos (ORC) & Michael Sears were greatly
appreciated. Inspection findings are summarized below and an inspection report is attached for your
records.
The facility is located at 500 East Roach Street in Mayodan, Rockingham County, North Carolina. Treated
wastewater is discharged from the plant to an unnamed tributary of the Mayo River, which is currently
classified as Class WS-IV (Water Supply) CA (Critical Area) waters in the Roanoke River Basin. The
wastewater treatment system consists of two lagoons used to settle solids from filter backwash and
sedimentation basin washout. Due to very effective lagoon management practices, more efficient
chemicals for filter washing, and decreased load demands, the facility has not had a discharge in some time.
Site Review
The facility was very clean and well secured. The treatment system was inspected and found to be well -
maintained and operational. Vegetation and animal control around the lagoons are excellent. One lagoon
was de -watered to dry up at the time of inspection. Records are kept in the ORC's office. No discrepancies
from the permit were noted. There was no flow at the time of inspection.
Back-up power is provided by a Cummings diesel generator that is automatically tested once per week. The
generator is triggered automatically in the case of power failure and has the capacity to power the entire
system. A portable generator unit is also available for testing pumps at the stream.
Documentation Review
Visitation and operation and maintenance (O&M) logs were reviewed and found to be complete and
current. The O&M logs are kept both in a notebook and in an indexed card file, and are very thorough.
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncwateraualitv.ore
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

Mr. Brandt
Town of Mayodan
Page 2 of 2
Due to there not being any flow for the past 8 months there was no lab data to compare since the previous
inspection. All required non -field testing for the facility is conducted by Pace Analytical Laboratories. Mr.
Amos is certified to perform field lab testing through the DWR's Laboratory Certification Branch.
We appreciate your efforts to effectively operate and maintain this treatment system. No additional
response to this letter is required. If you have questions regarding the inspection or this letter, please do
not hesitate to contact Mr. Lon Snider or me at [phone].
Sincerely,
Sherri V. Knight, P.E.
Assistant Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Report
CC: Central Files w/attachment
WSRO/SWP w/attachment
Michael Amos, ORC w/attachment
Town of Mayodan
210 West Main Street
Mayodan, NC 27027

F
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I N00046302 111 12 15/08/12 17 18 I C I 19 I C I 201 I
211111 I I I I I I II la I I I I I I I I I I I I I I I I I I I I I II I I I I I 166
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ------- -- Reserved-----------
74 751 I I I I I I I80
67 70I 1 71 LI I 72 I N I 731 1 l
lJ LJ I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:20AM 15/08/12
13/02/01
Mayodan WTP
Exit Time/Date
Permit Expiration Date
500 E Roach St
Mayodan NC 27027
10:00AM 15/08/12
17/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Michael R Amos/ORC/336-427-3339/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael R Amos,210 W Main St Mayodan NC
No
270272019/ORC/336-427-3339/3364277592
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program E Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Lon Snider WSRO WQ//336-776-9701/
J
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
ii
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES
yr/mo/day
31 NCO046302 I11 12 15/08/12 17
Inspection Type
18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

F
Permit: NCO046302 Owner -Facility: Mayodan VVrP
Inspection Date: 08/12/2015 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
❑
application?
Is the facility as described in the permit?
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
M
❑
❑
❑
Is all required information readily available, complete and current?
M
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
M
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
Is the chain -of -custody complete?
❑
❑
M
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
M
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
M
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
M
❑
❑
❑
Page# 3

Permit: NCO046302 Owner -Facility: Mayodan wTP
Inspection Date: 08/12/2015 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑
Comment: Due to switching out between lagoons they currently do not have a discharge
Lagoons
Yes No NA NE
Type of lagoons?
Facultative
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
Series
# Is a re -circulation line present?
❑
❑
0
❑
Is lagoon free of excessive floating materials?
0
❑
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑0
❑
Are dike slopes clear of woody vegetation?
❑
❑
❑
Are weeds controlled around the edge of the lagoon?
0
❑
❑
❑
Are dikes free of seepage?
❑
❑
❑
Are dikes free of erosion?
❑
❑
❑
Are dikes free of burrowing animals?
❑
❑
❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
❑
0
❑
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
0
❑
Is the lagoon surface free of weeds?
0
❑
❑
❑
Is the lagoon free of short circuiting?
M
❑
❑
❑
Comment:
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
❑
❑
M
❑
# Is the facility using a contract lab?
❑
❑
0
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
0
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
0
❑
Comment: No Flow during the last 8 months.
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting? ❑ ❑ M ❑
Page# 4

Permit: NCO046302 Owner - Facility: Mayodan WfP
Inspection Date: 08/12/2015 Inspection Type: Compliance Evaluation
Flow Measurement - Effluent Yes No NA NE
Is flow meter calibrated annually? ❑ ❑ 0 ❑
Is the flow meter operational? ❑ ❑ 0 ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ M ❑
Comment: No Flow
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
N
❑
❑
❑
Is proper volume collected?
0
❑
❑
❑
Is the tubing clean?
❑
❑
0
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
0
❑
representative)?
Comment: No flow the last 8 months.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? M ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment:
Page# 5

;
'AT
A4
.�� .
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John E. Skvarla, III
Governor Director Secretary
3 April 2013
Mr. Michael R. Amos
Town of Mayodan Water Treatment Plant
210 West Main Street
Mayodan, NC 27027
Subject: Compliance Evaluation Inspection
NPDES Permit NCO046302
Mayodan Water Treatment Plant
Rockingham County
Dear Mr. Amos:
Ms. Aana Taylor -Smith of the Winston-Salem Regional Office of the North Carolina Division of Water Quality
(DWQ) conducted a compliance evaluation inspection of the Mayodan Water Treatment Plant (WTP) on 3 April
2013. Your assistance and cooperation were greatly appreciated. Inspection findings are summarized below and
an inspection report is attached for your records.
The facility is located at 500 East Roach Street in Mayodan, Rockingham County, North Carolina. Treated
wastewater is discharged from the plant to an unnamed tributary of the Mayo River, which is currently classified
as Class WS-IV (Water Supply) CA (Critical Area) waters in the Roanoke River Basin. The wastewater treatment
system consists of two lagoons used to settle solids from filter backwash and sedimentation basin washout. Due
to very effective lagoon management practices, more efficient chemicals for filter washing, and decreased load
demands, the facility has reduced its wastewater discharge to little more than a trickle.
Site Review
The facility was very clean and well secured. The treatment system was inspected and found to be well -
maintained and operational. Vegetation and animal control around the lagoons are excellent. One lagoon was
de -watered and being serviced at the time of inspection. Records are kept in the ORC's office. No discrepancies
from the permit were noted.
The outfall was also inspected, where only a trickle of effluent was observed. The effluent and receiving waters
appeared clear and free of solids and foam. The discharge point was accessible. It was noted during the
inspection that upstream and downstream sampling are no longer required as per the new permit effective
February 1, 2013.
Back-up power is provided by a Cummings diesel generator that is automatically tested once per week. The
generator is triggered automatically in the case of power failure and has the capacity to power the entire
system. A portable generator unit is also available for testing pumps at the stream.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer V ` "

Mayodan Water Treatment Plant
04/03/2013
Page 2 of 2
Documentation Review
Visitation and operation and maintenance (0&M) logs were reviewed and found to be complete and current.
The 0&M logs are kept both in a notebook and in an indexed card file, and are very thorough.
Ms. Taylor -Smith evaluated laboratory data during the inspection. Comparison of available lab reports and field
monitoring data with discharge monitoring reports (DMRs) showed no concerns or errors. Chain of custody
records were available and complete. All required non -field testing for the facility is conducted by Pace
Analytical Laboratories. Toxicity testing was performed by Pace Analytical for the first time in March 2013, as
required by the new permit. Mr. Amos is certified to perform field lab testing through the DWQ's Laboratory
Certification Branch.
We appreciate your efforts to effectively operate and maintain this treatment system. No additional response to
this letter is required. If you have questions regarding the inspection or this letter, please do not hesitate to
contact Ms. Taylor -Smith or me at [phone].
Sincerely,
-6� W "'e�
Ar/W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Attachments:
1. BIMS Inspection Report
CC: Central Files w/attachment
WSRO/SWP w/attachment
Michael M. Brandt, AICP, Town Manager w/attachment
Town of Mayodan
210 West Main Street
Mayodan, NC 27027

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 1 5 I 31 NCO046302 111 121 13/04/03 117 18I C I 19I S I 20
L� lJ 1= L=
Remarks
211_1_11 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I Jill I I I6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA - - -- -
671 169 70 LI 711__.! 72 UN 73I I W 174 751 I I I I I 11 80
'—+
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Mayodan WTP
08:45 AM 13/04/03
13/02/01
Exit Time/Date
Permit Expiration Date
500 E Roach St
Mayodan NC 27027
09:45 AM 13/04/03
17/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Michael R Amos/ORC/336-427-3339/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael R Amos,210 W Main St Mayodan NC 270272019/ORC/336-427-3339/3364277592 No
Section C: Areas Evaluated During Inspection Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Aana Taylor -Smith WSRO WQ//336-771-5000/
avlw*z v5n�- -)
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
, 1013
U
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO046302 I11 12I 13/04/03 117 18i _'
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to attached inspection letter.
Page # 2

PPPV
Permit: NCO046302
Inspection Date: 04/03/2013
Owner - Facility: Mayodan WTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ n ■
Judge, and other that are applicable?
Comment: Maintenance at this plant is excellent.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n
Is the facility as described in the permit? ■ n n n
# Are there any special conditions for the permit? n ■ n ❑
Is access to the plant site restricted to the general public? ■ n n n
Is the inspector granted access to all areas for inspection? ■ n ❑ n
Comment:
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
■
n
n n
Is all required information readily available, complete and current?
■
n
n n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n n
Are analytical results consistent with data reported on DMRs?
■
n
n n
Is the chain -of -custody complete?
■
n
n n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n ❑
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■ n
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified operator on each shift?
❑
n
■ n
Is the ORC visitation log available and current?
■
n
n n
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n n
Is a copy of the current NPDES permit available on site?
■
n
n n
Page # 3

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 04/03/2013 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ In ■ ❑
Comment: Back -Up ORC: Mike Sears, Grade I.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment: Upstream and downstream sampling are no longer required as per the new
permit (in effect February 1, 2013).
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting? ❑ ■ ❑ ❑
Is flow meter calibrated annually? ❑ ❑ ■ ❑
Is the flow meter operational? ❑ ❑ ■ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ■ ❑
Comment: Flow is measured manually. Flow is very minimal, with several weeks of
"no discharge" or "trace" recorded in recent DMRs. Use of new chemical requires less
filter washing, which reduces flow when combined with recent shut -down of several
industries.
Lagoons
Yes No NA NE
Type of lagoons?
Facultative
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
series
# Is a re -circulation line present?
■ Q 00
Is lagoon free of excessive floating materials?
■ ❑ ❑ ❑
# Are baffles between ponds or effluent baffles adjustable?
■ ❑ ❑ ❑
Are dike slopes clear of woody vegetation?
■ ❑ ❑ ❑
Are weeds controlled around the edge of the lagoon?
■ ❑ ❑ ❑
Are dikes free of seepage?
■ ❑ ❑ ❑
Are dikes free of erosion?
■ ❑ ❑ ❑
Are dikes free of burrowing animals?
■ ❑ ❑ ❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
■ ❑ n n
# If excessive algae is present, has barley straw been used to help control the growth?
❑ ❑ ■ ❑
Page # 4

PPV
Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 04/03/2013 Inspection Type: Compliance Evaluation
Lagoons Yes No NA NE
Is the lagoon surface free of weeds? ■ ❑ ❑ ❑
Is the lagoon free of short circuiting? ■ ❑ n ❑
Comment: One lagoon was de -watered and being serviced at time of inspection.
Lagoons are very well -maintained.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ■ ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? ■ n n n
# Is the facility using a contract lab? ■ ❑ ❑ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? ■ ❑ ❑ ❑
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ ■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? ❑ ❑ ❑ ■
Comment: Contract lab: Pace Analytical. Contract lab also performed first required
toxicity test in March 2013.
Page # 5

PPV
COMPLIANCE EVALUATION INSPECTION
Facility:NPDES:
Permit Effective Dates: 2- I I 13 to 5 / 'Z D 1`-1
Inspection Date: q / 8 Z13 Inspection Time: CA4S dam pm
PERMIT
2complete copy of current NPDES permit -
—T -tnx-tsshn� n
SELF -MONITORING PROGRAM
✓ DMRs (Dates: to )
p3 / Zov2, 06 %2DiZ
LABORATORY
Lab Data (per DMR dates)
✓Laboratories used for analysis U :NA9 I I 0i /a
Chain of Custody forms (per DMR dates)
Influent and/or effluent samplers Mi k=e firnoS
✓Field Parameter certification #
FLOW MEASUREMENT
Flow meter calibration records U6gp_7fi; a-&ID42kya:W.J,.
V Flow charts-UL-44LtacL rdo� (
SLUDGE HANDLING DISPOSAL
✓Sludge / Residuals hauling records MCC-jiil_�► �r�CX��II°K - 1 �fi rf.Ur�rn�f
OPERATION & MAINTENANCE
V ORC current certification -ar4de i
Back Up certification__ Mlke_ `C{� d o� 1

PPV
Process control data (includes field parameters tested and equipment calibrations)
Generator inspection/ under load checks g,rtiyi(�n�
6k,n 41 i(-W kl k �n_ .ruff 0 r -t C=VIl-- ID A 14�
RECORDS & REPORTS
Wastewater Annual Report (fiscal or calendar year — if applicable) N
Daily Operator's log / ORC visitation log
Maintenance log /AYd ��yp Pl In t (sIL t-Do .
FACILITY SITE REVIEW
�✓ Plant visual inspection of treatment units 2 1 A i 1,UJx,11A4rkeA
EFFLUENT/RECEIVING WATERS
Stream accessible for inspection (at effluent discharge pipe)
--+fS+�
x vV iL

AZ4
NCDENR
North Carolina Department of Environment and Natura
Division of Water Resources
Water Quality Regional Operations Section
Pat McCrory Thomas A. Reeder
Governor Director
November 21, 2013
Michael Brandt
Town of Mayodan
210 W Main St
Mayodan, NC 27027
Subject: NOTICE OF VIOLATION (NOV-2013-LV-0685)
NPDES Permit No. NCO021873
Mayodan WWTP
Rockingham County
Dear Mr. Brandt:
Resources
John E. Skvarla, III
Secretary
A review of Mayodan WWTP's monitoring report for August 2013 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
08/31/13
400 #/100ml
1,915.45
Weekly
Broth,44.5C
#/100ml
Geometric Mean
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Lon Snider at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Central Files - S WP
WSRO
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
NRtlil'ally

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: MtcJA,A Permit/Pipe No.: ICAO 2,1K 71 Month/Year g
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit LimitfTyl2e DMR Value % Over Limit
Q��i�,1 �a •4� ME�i'' �tCt I IS 37A
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Nv� -
Completed by: c fl �`� Date: I 113
Regional Water Quality `��C'� O
Supervisor Signoff: Date:
VIA'

EFFLUENT 'JC ! rl) l a
j
NPDES PERMIT NO. NCO021873 DISCHARGE N 001 MONTH Aug YEAR 2013
FACILITY NAME Mayodan WWTP CLASS III COUNTY Rockingham
OPERATOR IN RESPONSIBLE CHARGE (ORC) Jamie Whitten GRADE IV PHONE[phone]
CERTIFIED LABORATORIES (1) Environement One (2)
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Jamie Whitten
OCT
Mail ORIGINAL and ONE COPY to:Rb
ATTN: CENTRAL FILES �t
DIVISION OF WATER QUALITY SEP 3 0 Z013
1617 MAIL SERVICE CENTER X
RALEIGH, NC 27626 CENTRAL FILE ATURE OF OPEATOR IN RESPONSIBLE CHARGE) DATE
DM ISOG BY THIS SIGNATURE I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
50050 -
00010
00400
50060
00310
00610
00530
31616
00300
'00600
00665
00625
00.095
D
A
T
E
Oper
Arrival
Time
Oper
Time
On
Site
ORC
On
Site
;FLOW
Temp'
pH
Resd
CL
BOD5
20 C
NH3
TSS
FECAL
COLI
(geo
mean)
D.O.
Total
Nitrogen
Total
. P
Rainfall
TKN
Cppd
Eff _X�
Inf _
Daily
Rate
Hrs
Hrs
Y/N
MGD
C
SU
UG/L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
Inches
MG/L
umhos/cm
1
700
8.0
N
0.885
3.1
2
700
8.0
N
0.734
3
1,000
3.0
N
0.695
4
1,600
4.0
N
0.673
5
700
8.0
N
0.673
26.0
6.6
<10.0
<2.0
0.18
3.2
1.0
6.8
5.94
2.57
1.38
424.0
6
. 700
8.0
Y
0.618
26.0
6.7,
<10.0
1.0
6.8
398.0
7
700
8.0
Y
. 0.770
26.0
6.6
<10.0
<2.0
0.20
4.0
1.0
6.7
374.0
8
700
8.0
Y
0.770
9
700
8.0
Y
0.655
10
1,000
4.0
Y
0.843
11
900
3.0
Y
0.843
12
700
1 8.6
Y
1 0.843
26.0
1 6.6
<10.0
1 4.1
0.14
1 4.1
20.1
1 6.9
1
404.0
13
700
8.0
Y
0.764
26.0
6.6
<10.0
6.7
0.75
388.0
14
700
8.0
Y
0.630
27.0
6.7
<10.0
3.8
0.14
4.7
2,690.0
6.8
417.0
15
700
8.0
Y
0.709
<1.0
16
700
8.0
N
0.678
17
1;000
4.0
Y
1.295
18
900
3.0
Y
1.295
19
700
8.0
Y
1.295
26.0
6.6
<10.0
6.8
2.00
339.0
20
700
8.0
Y
1.188
26.0
6.8
<10.0
3.7
7.53
4.3
<1.0
6.8
.395.0
21
700
8.0
Y
0.958
26.0
6.7
<10.0
<2.0
0.09
3.6
<1.0
6.6
368.0
22
700
8.0
N
0.895
1.0
23
700
8.0
Y
0.963
24
900
4.0
Y
0.661
25
1,400
3.0
Y
0.661
26
700
8.0
Y
0.661
<2.0
0.07
3.1
1,200.0
27
700
8.0
Y
- 0.707
26.0
6.5
<10.0
. <2.0
0.22
<2.5
2,420.0
6.8
390.0
28
700
8.0
Y
0.747
26.0
6.6
<10.0
2,420.0
6.8
388.0
29
700
8.0
Y
0.760
26.0
6.7
<10.0
6.9
412.0
30
700
8.0
N
0.742
26.0
6.6
<10.0
6.7
396.0
31
1,000
1 3.0
N
0.733
AVERAGE
0.818
26.1
0.0
2.1
1.07
3.5
14.4
6.8
5.94
2.57
1.38
1.38
391.8
MAXIMUM
1.295
27.0
6.8
<%0
4.1
7.53
4.7
2,690.0
6.9
5.94
2.57
2.00 `
1.38
424.0
MINIMUM
0.618
26.0
6.5
<10.0
<2.0
0.07
<2.5
<1.0
6.6
5.94
2.57
0.75
1.38
339.0
Comp(C)/Grab (G)
G
G
G
C
C
C
G
G
C
C
C
C
G
Monthly Limit
2.5
1 30.00
30.00
200.00
RtU
*Please see attached for Conductivity Samples on Aug 5, 7, 12, 14, 20, and 21, 2013.
DEM Form MR-1 (01/00)
OCT 2013
Winston-Salem
�_. Regional Office _°

A�
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
MICHAEL R AMOS
ORC
TOWN OF MAYODAN.
210 MAIN STREET
MAYODAN NC 27027
Dear Mr. Amos:
Division of Water Quality
Charles Wakild, P.E.
Director
January 25, 2012
Dee Freeman
Secretary
N.C.Deot. of ENR
FEB 14 2012
Winston-Salem
Subject: Receipt of permit renewal application
NPDES Permit NCO046302
Mayodan WIT
Rockingham County
The NPDES Unit received your permit renewal application on November 15, 2011. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact Bob Sledge at
[phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] NorthCarolina
Internet: www.ncwaterquality.org -� 1��f�N� //_ y
An Equal Opportunity \ Affirmative Action Employer N �/ u' j`�J/,J

PIV
Beverly Eaves Perdue
Governor
5289
Mr. William Mike Sears
Town of Mayodan WTP
210 W. Main St.
Mayodan, NC 27027-
ffLV-VYWA
1*1A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
December 23, 2009
SUBJECT: Wastewater/Groundwater Laboratory Certification Renewal
FIELD PARAMETERS ONLY
Dear Mr. Sears:
A. —
Dee Freeman
Secretary
RECEIVED
N.-. Dept of E N R
DEC 3 0 2009
Winston-Salem
Regional Office
The Department of Environment and Natural Resources, in accordance with the provisions of NC GS 143-215-
.3 (a) (10), 15 NCAC 2H .0800, is pleased to renew certification for your laboratory to perform specified
environmental analyses required by EMC monitoring and reporting regulations 15 NCAC 2B .0500, 2H .0900 and
2L .0100, .0200, .0300, and 2N .0100 through .0800.
Enclosed for your use is a certificate describing the requirements and limits of your certification. Please review
this certificate to insure that your laboratory is certified for all parameters required to properly meet your
certification needs.
Please contact us at 919-733-3908 if you have questions or need additional information.
Sincerely,
Pat Donnelly
Certification Branch Manager
Laboratory Section
Enclosure
cc: Ramon Cook
Dana Satterwhite
Winston - Salem Regional Office
DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch
1623 Mail Service Center, Raleigh, North Carolina 27699-1623
Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445
Phone: [phone] FAX: [phone]
Internet: www,dwglab.org
NorthCarofina
Naturally
An Equal Opportunity 1 Affirmative Action Employer Customer Service: 1-877-623-6748 www.ncwaterquality.org

STATE OF NORTH CAROLINA DEPARTMENT OF THE
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
LABORATORY CERTIFICATION PROGRAM
In accordance with the provisions ofN.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
TOWN OF MAYODAN WTP
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DWQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This certificate shall be valid until December 311,, 2010
Certificate N 5289
Pat Donnelly —

Attachment I
North Carolina Wastewater/Groundwater Laboratory Certification
Certified Parameters Listing
Lab Name: Town of Mayodan WTP Certificate Number: 5289
Address: 210 W. Main St. Effective Date: 01/01/2010
Mayodan, NC 27027- Expiration Date: 12/31/2010
Date of Last Amendment:
The above named laboratory, having duly met the requirements of 15A NCAC 214.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANICS
RESIDUAL CHLORINE
Std Method 4500 CI G
pH
Std Method 4500 H B
RESIDUE SETTLEABLE
Std Method 2540F
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are
subject to civil penalties and/or decertification for infractions as set forth in 15A NCAC 2H.0807.

4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor
Town of Mayodan
Attn: Debra E. Caldwell,
210 West Main Street
Mayodan, NC 27027
Town Manager
Director
11 February 2011
Subject: Compliance Evaluation Inspection
NPDES Permit NCO046302
Mayodan Water Treatment Plant
Rockingham County
Dear Ms. Cardwell:
Dee Freeman
Secretary
Mr. Mike Thomas of the Winston-Salem Regional Office of the North Carolina Division of Water
Quality conducted a compliance evaluation inspection of the Mayodan Water Treatment Plant (WTP)
on 9 February 2011. The assistance and cooperation of Mr. Mike Sears and Mr. Mike Amos was
greatly appreciated. Inspection findings are summarized below.
The WTP is located at 500 E. Roach Street, In Mayodan, Rockingham County, North Carolina.
Wastewater produced at the facility is currently discharged into an unnamed tributary of the Mayo
River via outfall number 001, this section is currently classified as Class WS-IV (waters supply), CA
(critical area) waters in the Roanoke River Basin. The wastewater treatment system consists of two
lagoons used to settle solids in filter backwash and sedimentation basin washout. Due to very
effective lagoon management practices and reduction in load demands, the facility has reduced its
wastewater discharge to little more than a trickle.
Site Review
The facility was clean and well secured. The treatment system was inspected and found to be
operational. No discrepancies from the permit were noted. The outfall was also inspected and there
was very little discharge at the time of inspection. The discharge point appeared free of pollutant
indicators and was in very good condition. Access to the discharge point was well maintained.
Documentation Review
Mr. Thomas evaluated laboratory data during the inspection. Comparison of available lab reports
and field monitoring data with discharge monitoring reports (DMR) showed no concerns or errors.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NoAhCarolina
Internet www.ncwaterquality.org �atura!!r�
An Equal Opportunity 1 Affirmative Action Employer

Town of Mayodan
Compliance Evaluation Inspection NPDES0046302
2/11/201 I
Page 2
Chain of custody records were available and complete. The visitation and operation/maintenance logs
were reviewed and found to be complete and current.
We appreciate your efforts to effectively operate and maintain this treatment system. No
additional response to this letter is required. If you have questions regarding the inspection or this
letter, please do not hesitate to contact Mr. Thomas or me at [phone].
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection
Winston-Salem Region
Attachments:
1. BIMS Inspection Report
Cc: WSRO — SWP w/ atch
Central Files w/ atch
NPDES West Unit

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO046302 111 121 11/02/09 117 181 Cl 19I SI 201 I
I-
Remarks
211111 111111111111 11111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------- ----Reserved------
67I 169 701 I 71 I I 72 I N I 73IW I 174 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Mayodan WTP
09:00 AM 11/02/09
07/11/01
Exit Time/Date
Permit Expiration Date
500 E Roach St
Mayodan NC 27027
10:00 AM 11/02/09
12/05/31
Name(s) of Onsite Representative(s)/ritles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Michael R Amos,21,0 W Main St Mayodan NC Contacted
27027/ORC/336-427-3339/3364277592 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael S Thomas WSRO WQ///
Z/y�.
/l
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO046302 I11 12I 11/02/09 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO046302
Inspection Date: 02/09/2011
Owner - Facility: Mayodan WTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ El 0
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n Cl ■ n
Judge, and other that are applicable?
Comment:
Permit
Yes No NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n Cl ■
n
Is the facility as described in the permit?
■ n n
n
# Are there any special conditions for the permit?
n ❑ ■
n
Is access to the plant site restricted to the general public?
■ n n
n
Is the inspector granted access to all areas for inspection?
■ Cl n
n
Comment:
Record Keeping
Yes No NA
NE
Are records kept and maintained as required by the permit?
■ n n
n
Is all required information readily available, complete and current?
■ n Q
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ n n
n
Are analytical results consistent with data reported on DMRs?
■ n n
Cl
Is the chain -of -custody complete?
■ ❑ n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■ Cl n
n
Has the facility submitted its annual compliance report to users and DWQ?
■ Cl Cl
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n n ■
n
Is the ORC visitation log available and current?
■ n n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■ n n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■ n Q
❑
Is a copy of the current NPDES permit available on site?
■ n n
n
Page # 3

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 02/09/2011 Inspection Type: Compliance Evaluation
Record Keeping
Yes No NA
NE
Facility has copy of previous year's Annual Report on file for review?
■ n n n
Comment:
Flow Measurement - Influent
Yes No NA
NE
# Is flow meter used for reporting?
n ■ n
n
Is flow meter calibrated annually?
n n ■
n
Is the flow meter operational?
n n ■
n
(If units are separated) Does the chart recorder match the flow meter?
n n ■
n
Comment: The facility uses the backwash pumps to estimate flow.
Lagoons
Yes No NA
NE
Type of lagoons?
Facultative
# Number of lagoons in operation at time of visit?
2
Are lagoons operated in?
Series
# Is a re -circulation line present?
■ n n
n
Is lagoon free of excessive floating materials?
■ n n
n
# Are baffles between ponds or effluent baffles adjustable?
■ n n
n
Are dike slopes clear of woody vegetation?
■ ❑ n
n
Are weeds controlled around the edge of the lagoon?
■ n n
n
Are dikes free of seepage?
■ n n
Cl
Are dikes free of erosion?
■ n n
n
Are dikes free of burrowing animals?
■ ❑ Q
n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
■ n n
n
# If excessive algae is present, has barley straw been used to help control the growth?
n Cl ■
n
Is the lagoon surface free of weeds?
■ n n
n
Is the lagoon free of short circuiting?
■ n n
n
Comment:
Laboratory
Yes No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■ n
n
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■ ❑
n
n
# Is the facility using a contract lab?
■ n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n n
n
■
Page # 4

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 02/09/2011 Inspection Type: Compliance Evaluation
Laboratory Yes
No
NA
NE
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑
C1
M
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? n
n
Comment:
Upstream / Downstream Sampling Yes
No
NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■
n
n
n
Comment:
Page # 5

United States Environmental Protection Agency
FormApproved.
EPA Washington, D.C. 20460
OMB
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 N00046302 111 121 11/02/09 117 18I CI 19I SI 20III
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------Reserved------
67I 169 70 LI 711 I 721 NJ 73I I 174 751 I I I I I I 180
LJJ
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 11/02/09
07/11/01
Mayodan WTP
Exit Time/Date
Permit Expiration Date
500 E Roach St
Mayodan NC 27027
10:00 AM 11/02/09
12/05/31
Name(s) of Onsite Representative(s)lfitles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Michael R Amos,210 W Main St Mayodan NC Contacted
27027/ORC/336-427-3339/3364277592 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael S Thomas WSRO WQ///
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3I NCO046302 I11 12I 11/02/09 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
�� Bch r'� Ktx� . i� �-�
4 1
�-f VIL
Page # 2

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 02/09/2011 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes No NA NE
X n n n
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n 0-Mn
Judge, and other that are applicable?
Comment:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n n-gj n
Is the facility as described in the permit?
)d1n n n
# Are there any special conditions for the permit?
n n % n
Is access to the plant site restricted to the general public?
A n n n
Is the inspector granted access to all areas for inspection?
qX n n n
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
,.,(
�n ❑ n
Is all required information readily available, complete and current?
i$_n n n
Are all records maintained for 3 years (lab. reg. required 5 years)?
n n
Are analytical results consistent with data reported on DMRs? n n n
Is the chain -of -custody complete? n n n
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters? n n n
Has the facility submitted its annual compliance report to users and DWQ? �-n n n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n n % n
Is the ORC visitation log available and current? Ix n n n
Is the ORC certified at grade equal to or higher than the facility classification? ( n n n
Is the backup operator certified at one grade less or greater than the facility classification? `4 n n n
Is a copy of the current NPDES permit available on site? � n n
Page # 3

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 02/09/2011 Inspection Type: Compliance Evaluation
Record Keeping
Yes No NA
00
NE
n
Facility has copy of previous year's Annual Report on file for review?
Comment:
Flow Measurement - Influent
Yes No NA
NE
n V n
n
# Is flow meter used for reporting?
Is flow meter calibrated annually?
n n
n
Is the flow meter operational?
n n
n
(If units are separated) Does the chart recorder match the flow meter?
n In TA
n
Comment: dip t�ppot.J Berl uSIC
Lagoons
Yes No NA
NE
Type of lagoons?
2-
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
n n
n
Is lagoon free of excessive floating materials?
I n n
n
# Are baffles between ponds or effluent baffles adjustable?
"� In n
n
Are dike slopes clear of woody vegetation?
n
t — n
n
Are weeds controlled around the edge of the lagoon?
-P( n n
n
Are dikes free of seepage?
n n
n
r n n
n
Are dikes free of erosion?
Are dikes free of burrowing animals?
n
n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
4),0 n
n
# If excessive algae is present, has barley straw been used to help control the growth?
n ❑ n
Is the lagoon surface free of weeds?
`/ n n
n
Is the lagoon free of short circuiting?
1�--n n
n
Comment:
Laboratory YX
ess No NA NE
Are field parameters performed by certified personnel or laboratory? n n n
Are all other parameters(excluding field parameters) performed by a certified lab? n n n
# Is the facility using a contract lab? n n n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? n n n
Pagel # 4

Permit: NCO046302
Inspection Date: 02/09/2011
Owner - Facility: Mayodan WTP
Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? 0 ❑ K O
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ 4Z
Comment:
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ❑ ❑ ❑
Comment:
Page # 5

A",)
TOWN OF MAYODAN OFFICE OF THE TOWN MANAGER
210 W. MAIN STREET • MAYODAN, N.C. 27027 • [phone]
FAX [phone]
[e-mail]
RECEIVED
N.C. Dept. of ENR
March 5, 2009 MAR 0 9 2009
Winston-Salem
Mr. Steve Tedder Regional Office
Water Quality Regional Supervisor
N. C. Department of Environment and Natural Resources
Division of Water Quality
585 Waughtown Street
Winston-Salem, North Carolina 27107
RE: Compliance Evaluation Inspection
Town of Mayodan
Water Treatment Plant
NPDES Permit NCO046302
Dear Mr. Tedder:
I am writing in response to your recent compliance evaluation inspection of the Mayodan
Water Treatment Plant on January 13, 2009. I have reviewed your letter of February 12, 2009,
with our Water Plant Superintendent Mike Sears and would like to offer the following
comments:
• Paragraph 4 - We are discussing the possibility and costs associated with diverting this
discharge directly to the town's wastewater collection system with our engineer.
• Paragraph 6 - Mr. Sears assures me that he and his staff understand the sampling
requirements referenced in this paragraph and will perform the sampling correctly in the
future.
• Paragraph 7 - Please consider this a letter of authorization for Mike Amos, Operator in
Responsible Charge, and Mike Sears, Backup Operator in Responsible Charge, to sign
the reverse side of the DMRs for monthly submission. I will also provide Mr. Amos and
Mr. Sears a copy of this letter allowing them to sign the DMRs for the Town of Mayodan
in accordance with Part II, Section B, Paragraph 11.
Thank you and your office for the assistance you provide the Town of Mayodan. If you
have any questions or need additional information, please do not hesitate to contact me.
Sincerely,
Debra E. Cardwell
Town Manager
Cc: Mr. Mike Sears
Mr. Mike Amos

FV ���
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
12 February 2009
Town of Mayodan
Attn: Debra E. Cardwell, Town Manager
210 West Main Street
Mayodan, NC 27027
SUBJECT: Compliance Evaluation Inspection
NPDES Permit NCO046302
Mayodan Water Treatment Plant
Town of Mayodan
Rockingham County
Dear Ms. Cardwell:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office (WSRO) of the NC Division of Water
Quality (DWQ or Division) conducted a compliance evaluation inspection (CEI) of the Town of
Mayodan's water treatment plant (WTP) on 13 January 2009. The -assistance and cooperation
during the inspection, of Mr. Michael Amos, Operator in Responsible Charge (ORC), as well as
Mr. Michael Sears, backup ORC (BORC), was greatly appreciated. Inspection findings are
summarized below and an inspection report is attached for your records.
2. The facility is located at 500 Each Roach Street, in Mayodan, Rockingham County, North
Carolina. Wastewater produced at the facility is currently discharged to the Mayo River via outfall
001, this section of which is currently classified as Class WS-IV (water supply), CA (critical area)
waters in the Roanoke River basin. The wastewater treatment system consists of two lagoons
used to settle solids in filter backwash water and sedimentation basin washout.
SITE REVIEW
3. The entire facility was clean and well maintained. Both lagoons are currently in use and have
recently been cleaned out. Vegetation and animal control around the lagoons is outstanding.
4. The outfall was visited and the receiving waters were free of pollutant indicators and in good
condition. The right-of-way to the outfall was also well maintained. Mr. Amos spoke about
diverting the discharge directly to the town's wastewater collection system, effectively eliminating
the discharge and NCO046302 NPDES permit. This is highly encouraged by DWQ, as it does
eliminate the discharge and permit. The town should strongly consider doing so, as there is a
collection system manhole within very close proximity of the discharge. You are only reminded to
ensure all necessary permits are attained before doing so. More information on this is available
from our office.
DOCUMENTATION REVIEW
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
NorthCarolina
Aatura!!r,

Town of Madison
Attn: Mr. Michael O. Morrison, Director of Public Utilities Dan River Steam Station
NPDES Permit NCO085626
11 February 2009
Page2 of 2
5. Operator visitation logs, as well as operation and maintenance logs for the facility, were reviewed
and found to meet requirements. Documentation was complete and current.
6. Discharge monitoring reports (DMR) were reviewed and compared with laboratory reports. No
mistakes or transcription errors were noted. All lab data, including chains of custody, were
complete and current. Pace Analytical Laboratories performs the Total Suspended Solids (TSS)
test required by the permit. Mr. Amos and Mr. Sears perform all other field parameters in the
WTP's in-house lab. The facility has a current field lab certification from DWQ as well as all the
necessary equipment to perform the field lab tests. The only discrepancy noted, with regard to
the lab tests, is that some TSS samples, which are required twice per month, are pulled less than
ten days apart; please note that twice per month sampling is defined in Part II of the permit as
"Samples are collected twice per month with at least ten calendar days between sampling
events." Mr. Boone spoke with Mr. Amos and Mr. Sears about this and they now understand the
requirement and stated that they will ensure compliance in the future.
7. Mr. Amos currently signs the reverse side of the DMRs for monthly submission but does not have
a signature delegation letter from the town authorizing him to do so. Please ensure Mr. Amos is
provided such a letter to allow him to sign the DMRs in accordance with Part II, Section B,
Paragraph 11. Alternatively, a principal executive officer ranking elected official of the town must
sign the reverse side of the DMRs.
8. Please reply to this letter in writing within 30 days of receiving it. Your reply should include a
corrective action with implementation schedule for the deficiencies noted above in paragraphs.4
and 6 through 7. You are reminded that the Division may assess civil penalties not to exceed
$25,000 per day for violations of NC General Statute 143-215.1 and the NCO046302 NPDES
permit.
9. Thank you for your attention to these matters. If you have any questions regarding the inspection
or this letter, please contact Mr. Boone or me at [phone].
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
BIMS Inspection Checklist
CC: Central Files w/ atchs
NPDES West Unit w/ atchs
WSRO/SWP Files w/ atchs
Michael Amos
709 Roach Street
Mayodan, NC 27027-2019

P7
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 UN 2 L5 31 NCO046302 111 121 09/01/13 117 18UC 19' SI 20I II
IuJ Uu
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA —------------------------- Reserved ----------------------
671 169 70IU 71 U 72 LI 73I I 174 751 I I I I I I 180
�— W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Mayodan WTP
01:00 PM 09/01/13
07/11/01
Exit Time/Date
Permit Expiration Date
500 E Roach St
Mayodan NC 27027
02:30 PM 09/01/13
12/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Michael R Amos//336-427-3339 /
Michael R Amos/ORC/336-427-3339/
Name, Address of Responsible Official/Title/Phone and Fax Number
Michael R Amos,210 W Main St Mayodan NC Contacted
27027/ORC/336-427-3339/3364277592 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
Signature o Managemen A Reviewer Agency/Office/Phone and Fax Numbers Date
W ,— a or
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES
yr/mo/day
31 N00046302 1
11 12) 09/01/13 1
17
Inspection Type
181 _ I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to attached inspection summary letter.
Page # 2

Pr
Permit: NCO046302 Owner -Facility: Mayodan WTP
Inspection Date: 01/13/2009 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ ❑ ■ ❑
Is the facility as described in the permit? ■ ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ ■ ❑ ❑
Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: Please refer to attached inspection summary letter.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: Please refer to attached inspection summary letter. APR not required. ORC
currently signs reverse side of DMRs with no delegation letter from the town allowing
him to do so.
Laboratory
Page # 3

Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 01113/2009 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ■ ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? ■ ❑ ❑ ❑
# Is the facility using a contract lab?
■
❑
❑ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑
❑
❑ ■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
■ ❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
■ ❑
Comment: Please refer to attached inspection summary letter. Use Pace Labs for
non -field parameters (TSS).
Effluent Sampling
Yes
No
NA NE
Is composite sampling flow proportional?
❑
❑
■ ❑
Is sample collected below all treatment units?
■
❑
❑ ❑
Is proper volume collected?
■
❑
❑ ❑
Is the tubing clean?
❑
❑
■ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑
❑
❑ ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ❑ ■ ❑ ❑
Comment: Some TSS samples (2/month) pulled less than 10 days apart. Please refer
to attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ ❑ ❑
Comment: Please refer to attached inspection summary letter.
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
N
Parallel
'IN
Page # 4

Pr
Permit: NCO046302 Owner - Facility: Mayodan WTP
Inspection Date: 01/13/2009 Inspection Type: Compliance Evaluation
Lagoons Yes No NA NE
Are dikes free of erosion? ■ ❑ ❑ ❑
Are dikes free of burrowing animals?
■
❑
❑ ❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
■
❑
❑ ❑
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
■ ❑
Is the lagoon surface free of weeds?
■
❑
❑ ❑
Is the lagoon free of short circuiting?
■
❑
❑ ❑
Comment: Please refer to attached inspection summary letter.
Flow Measurement - Effluent
Yes
No
NA NE
# Is flow meter used for reporting?
❑
❑
■ ❑
Is flow meter calibrated annually?
❑
❑
■ ❑
Is the flow meter operational?
Q
❑
■ ❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
■ ❑
Comment: Flow measured with bucket/stopwatch. Please refer to attached inspection
summary letter.
Effluent Pipe
Yes:
No
NA NE
Is right of way to the outfall properly maintained?
❑
❑ ❑
Are the receiving water free of foam other than trace amounts and other debris?
■
❑
❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment: Please refer to attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment: Please refer to attached inspection summary letter.
Page # 5

PJA
V4 Wke- C g �4�
H J­ka t,> e, �69 C
INDIVIDUAL NPDES WASTEWATER DISCHARGE PERMIT PRE -INSPECTION CHECKLIST
........ ..... ....... ............
....... ..... -
All information/documentation listed below must be available to the DWQ inspector at the scheduled inspection.
.......... ................. ... ...
..
............
..............
............
..............
.... ..........
.
...........
.. . ............
.........
1
Discharge Monitoring Reports
Dates:
Through:
2
Lab Data, field and non -field
Dates:
Through:
3
Chain of Custody Forms
Dates:
Through:
4
Copies of current field lab certifications and lab certification v"
5
If outside lab is used to conduct non -field parameters, lab's name and certification number.
6
Complete copy of the NPDES permit
.7
Status of SOC or moratorium issuance and ongoing related issues if applicable)
8
ORC and BORC current certifications
Wastewater annual report if applicable)
10
Daily Operator's Log/ORC Visitation Log
l
Plant operations/maintenance to
12
Process control data, which includes field parameters tested, and equipment calibrations
13
Flow meter calibration records
14
Flow Charts P 1,+
15
Influent and effluent sam lers
16
Generator inspection and test run records (may ask to run generator under load)
177
Spill response plan with current emergency contacts
Sludge/residuals hauling records
,18
;19
Visual inspection of plant and treatment units
20
Stream must be accessible for inspection at discharqe eoint
..... . . . . . ... . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......
Call
with Questions:
Ron Boone
NC Department of Environment and Natural Resources
Division of Water Quality
Winston-Salem Regional Office
,[phone]
1 Fax: [phone]
0 12

PV
Regional Field Inspectors Check List for Field Parameters
Name of site to be Inspected. 0,, J7}' Date: ili���-'�
Field certification # (if applicable): Inspector:
NPDES M �`� Region:
I. Circle the parameter or parameters performed at this site.
Residual Chlorine, Settleable Solids, pH, DO, Conductivity, Temperature
II. Instrumentation:
A. Does the facility have the equipment necessary to analyze field parameters as circled above?
1. A pH meter Yes No
2. A Residual Chlorine meter Yes No
3. DO meter
Yes
No
4. A Cone for settleable solids
Yes
No
5. A thermometer or meter that measures temperature.
Yes
No
6. Conductivity meter
Yes
No
III. Calibration/Analysis:
1. Is the pH meter calibrated with 2 buffers and
checked with a third buffer each day of use? Yes No
2. For Total Residual Chlorine, is a check standard
analyzed each day of use? Yes No
3. Is the air calibration of the DO meter performed
each day of use? Yes No
4. For Settleable Solids, is 1 liter of sample
settled for 1 hour? Yes No
5. Is the temperature measuring device calibrated
annually against a certified thermometer? Yes No
6. For Conductivity, is a calibration standard
analyzed each day of use? Yes No

PFDocum
e
1. Is the dat
2. Is the sam
3. Is the sam
4. Is the ana
5. Did the a
6. Is record
7. For Settle
1 hour tim
8. For Tern
the measu
Comments:
ntation:
e and time that the sample was collected documented?
Yes
No
ple site documented?
Yes
No
ple collector documented?
Yes
No
lysis date and time documented?
Yes
No
nalyst sign the documentation?
Yes
No
of calibration documented?
Yes
No
able Solids, is sample volume and
e settling time documented?
Yes
No
Please submit a copy of this completed form to the Laboratory Certification Program.
DWQ Lab Certification
Chemistry Lab
Courier # 52-01-01
FIELD INSPECTOR CHECKLIST REV. 04/23/2002

MONITORING REPORT(MR) VIOLATIONS for:
Permit: nc0046302 MRs Between: 1-2008 and 12-2008 Region: %
Facility Name: % Param Name: % County: %
Major Minor: %
Violation Category: %
Subbasin: %
ReportDate: 01/13/09 Page: 1 of 1
Program Category:
Violation Action: %
PERMIT: FACILITY: COUNTY: REGION:
11
MONITORING OUTFALL / VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
12/31/69

�QF W ATF9P Michael F. Easley, Governor
\Q G William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
>
Coleen H. Sullins, Director
Division of Water Quality
December 19, 2008 RECEIVED j
N.C. Deot. of ENR
5289
JAN 0 g 2009
Winston-Salem
Mr. William Mike Sears Regional Office
Town of Mayodan WTP
210 W. Main St.
Mayodan, NC 27027-
SUBJECT: Wastewater/Groundwater Laboratory Certification Renewal
FIELD PARAMETERS ONLY
Dear: Mr. Sears
The Department of Environment and Natural Resources, in accordance with the provisions of NC GS 143-215-
.3 (a) (10), 15 NCAC 2H .0800, is pleased to renew certification for your laboratory to perform specified
environmental analyses required by EMC monitoring and reporting regulations 15 NCAC 2B .0500, 2H .0900 and
2L .0100, .0200, .0300, and 2N .0100 through .0800.
Enclosed for your use is a certificate describing the requirements and limits of your certification. Please review
this certificate to insure that your laboratory is certified for all parameters required to properly meet your
certification needs.
Please contact us at 919-733-3908 if you have questions or need additional information.
Sincerely,
/V--/— 42 W
Pat Donnelly
Certification Branch Manager
Laboratory Section
Enclosure
cc: Ramon L. Cook
Dana Satterwhite
Winston-Salem Regional Office
ne Carolina
Naturally
Laboratory Section 1623 Mail Service Center; Raleigh, NC 27699-1623 Phone [phone]
Location: 4405 Reedy Creek Road; Raleigh, NC 27607 FAX [phone]
Internet: www.dwglab.or_g Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA DEPARTMENT OF THE
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
LABORATORY CERTIFICATION PROGRAM
In accordance with the provisions of N.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
Field Parameter Only
0
TOWN OF MAYODAN WTP
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DWQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This certificate shall be valid until December 31, 2009
Certificate No. 5289 fDon-nelly4--
Pa
\I

Attachment
North Carolina Wastewater/Groundwater Laboratory Certification
Lab Name:
Address:
Town of Mayodan WTP
210 W. Main St.
Mayodan, NC 27027-
Certified Parameters Listing
FIELD PARAMETERS ONLY
Certificate Number:
Effective Date:
Expiration Date:
Date of Last Amendment:
5289
01 /01 /2009
12/31 /2009
The above named laboratory, having duly met the requirements of 15A NCAC 21-1.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANICS
RESIDUAL CHLORINE
Sid Method 4500 Cl G
pH
Sid Method 4500 H B
RESIDUE SETTLEABLE
Sid Method 254OF
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are
subject to civil penalties and/or decertification for infractions as set forth in 15A NCAC 21-1.0807.