NC0020621_Renewal (Application)_20200929

6,140,JsTA .yROY COOPER
Governor
MICHAEL S.REGAN �* ��. t
„
Secretary E,c.- ,.'''
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
September 29, 2020
Town of Boone
Attn: Ricky L. Miller, Dir. of Public Works
PO Drawer 192
Boone, NC 28607
Subject: Permit Renewal
Application No. NC0020621
Jimmy Smith WWTP
Watauga County
Dear Applicant:
The Water Quality Permitting Section acknowledges the September 20, 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,.
-- Cttek-11 a 're,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application i
North Car ^;Dep;rtr rtDfE vrorrrentelQualty I DUsonofl':eterFes_�raes
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TOWN ofBoone
( t ,1-74.4\ill, 1
North Carolina
RECEIVED
Certified Mail#7018 1830 0002 1081 3054
SEP 2 8 2020
September 15,2020 NCDEQ/DWR/NPDES
Division of Water Resources
Water Quality Permitting Section-NPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: NC0020621 NPDES Renewal Application-MMP information and request to remove
Dear Sir or Madam:
Enclosed is the Town of Boone's Jimmy Smith WWTP renewal application. In addition,the current permit
has required that the Mercury Minimization Plan(MMP)activity be reported with this application. The
Plan has been developed and is ready to be implemented on October 16,2020.
With the implementation of the Dental Amalgam Rule,the State expressed a willingness to reconsider
MMP requirements in future permits if the permittee met certain criteria: >90%dental users have installed
amalgam separators and that there has been a reduction in influent mercury concentrations. To summarize
Boone's status:
• Boone's dental users have been great partners in communicating their compliance with 86%
returning their One Time Compliance Reports prior to the deadline. We anticipate the remaining 2
dental users will have responded by October 12,2020 as well.
• Influent mercury concentration and loading data since 2017 are both trending downward.
Town of Boone respectfully requests that the MMP requirement be removed from the next permit. We can
provide more detailed support documentation if needed.
Please contact me at 828/268-6250 or by email at [e-mail],or Karen Reece at
828/268-6272 or by email at [e-mail] if you need more information.
' er ely,kyL. *44
illr
Director
of Public Works
ec: Karen Reece,Lab Supervisor/Pretreatment Coordinator
Rudy Broschinski,Plant Superintendent
Josh Eller,Deputy Director of Public Works
P.O. DRAWER 192 • BOONE,NORTH CAROLINA 28607

' EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
2A I2.EPA Application for NPDES Permit to Discharge Wastewater
NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
Jimmy Smith Wastewater Treatment Plant
Mailing address(street or P.O. box)
PO Drawer 192
City or town State ZIP code
o Boone NC 28607
g Contact name(first and last) Title Phone number Email address
c
Rudy Broschinski WWTP Superintendent [phone] See attachment 1.1
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
c 201 Casey Ln
LL City or town State ZIP code
Boone NC 28607
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission 0 No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑✓ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Town of Boone
c Applicant address(street or P.O. box)
PO Drawer 192
2
'6 City or town State ZIP code
c Boone NC 28607
co Contact name(first and last) Title Phone number Email address
n Rick Miller Public Works Director [phone] [e-mail]
a
a 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner ❑ Operator ✓❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
✓❑ Applicant Facility and applicant
❑ Facility ❑ (they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
number for each.)
E d Existing Environmental Permits
a ✓❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
To
water) control)
d
E NC0020621
2 ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
c I
w
rn
40 )
w ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 0 Other(specify)
WQ0013263, WQ0038171
EPA Form 3510-2A(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 '
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
100 %separate sanitarysewer 0 Own El Maintain
p
Boone 19562 %
ar combined storm and sanitary sewer ❑ Own El Maintain
u 0 Unknown 0 Own 0 Maintain
c 100 %separate sanitary sewer ❑ Own 0 Maintain
Appalachian 6362 %combined storm and sanitary sewer ❑ Own ❑ Maintain
a State University 0 Unknown ❑ Own ❑ Maintain
n %separate sanitary sewer 0 Own ❑ Maintain
ms c %combined storm and sanitary sewer 0 Own ❑ Maintain
E ❑ Unknown ❑ Own ❑ Maintain
a; %separate sanitary sewer ❑ Own ❑ Maintain
ro
> %combined storm and sanitary sewer 0 Own 0 Maintain
co
0 Unknown ❑ Own 0 Maintain
g Total
d Population 25924
c.) Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of o o
/o
sewer line(in miles) 10o �o
?' 1.8 Is the treatment works located in Indian Country?
o ❑ Yes El No
0
U
c 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes ✓❑ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
4.82 mgd
To
Annual Average Flow Rates(Actual)
< -13
Two Years Ago Last Year This Year
0 2.54 mgd 2.78 mgd 2.56 mgd
`lmu) Maximum Daily Flow Rates(Actual)
o Two Years Ago Last Year This Year
5.51 mgd 8.17 mgd 7.30 mgd
N 1.11 Provide the total number of effluent discharge points to waters of the United States by type.
o Total Number of Effluent Discharge Points by Type
Constructed
F-- Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
c ..0 ver Oflows Overflows
0
N_
0 1 0 0 0 0
EPA Form 3510-2A(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
Outfalls Other Than to Waters of the United States
1.12 Does the POTW discharge wastewater to basins, ponds,or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface (check one)
Impoundment _
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd 0 Intermittent
❑ Continuous
gpd 0 Intermittent
_2 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
CL Land Application Site and Discharge Data
6 Continuous or
Location Size Average Daily Volume Intermittent
Applied (check one)
acresgpd ❑ Continuous
0 Intermittent
o acres d 0 Continuous
gp ❑ Intermittent
acresgpd 0 Continuous
❑ Intermittent
7, 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes t1 No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck, pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O. box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
EPA Form 3510-2A(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
1.20 In the table below, indicate the name,address,contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name Mailing address(street or P.O. box)
City or town State ZIP code
0
c.)
Contact name(first and last) Title
0
Phone number Email address
2
0a NPDES number of receiving facility(if any) ❑ None Average daily flow rate mgd
E3 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not
8 have outlets to waters of the United States(e.g., underground percolation, underground injection)?
C 0 Yes ❑ No 4 SKIP to Item 1.23.
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o Disposal Location of Size of Annual Average Continuous or Intermittent
Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
0 Continuous
Reclaimed water Boone,NC acres 3.5 gpd ❑ Intermittent
❑ Continuous
acres gpd ❑ Intermittent
❑ Continuous
acres gpd 0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
CL) w Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation (CWA Section
cr
Section 301(h)) 302(b)(2))
❑✓ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
❑ Yes ✓❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
o Contractor name
(company name)
0 Mailing address
(street or P.O. box)
o City,state,and ZIP
code
Contact name(first and
c.) last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Form 3510-2A(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
o Outfalls to Waters of the United States
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑✓ Yes ❑ No —) SKIP to Section 3.
0 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration.
500 gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
R Collection system crews utilize smoke tests,manhole inspections and cctv
0
c I
I
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
a specific requirements.)
o g
o ❑✓ Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
3 cti (See instructions for specific requirements.)
o rn
FL o ElYes El No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑✓ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
a)
1.
E_
2.
E
0
3.
a)
U
4.
MI 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
Scheduled Begin End Begin
> Outfalls Operational
o Improvement Construction Construction Discharge
(from above) (list outfall Level
(MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
number) (MM/DD/YYYY)
1.
N 2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
El Yes ❑ No ❑ None required or applicable
Explanation:
EPA Form 3510-2A(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WTP OMB No.2040-0004
W
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number o01 Outfall Number na Outfall Number
State North Carolina
RCounty Watauga —--——_--- —-- ---
0 City or town Boone
6-
s Distance from shore na ft. ft. ft.
Depth below surface na ft. ft. ft.
Average daily flow rate 2.50 mgd mgd mgd
Latitude 36° 12' 52.9" N °
Longitude 81° 38' 41.4" W "
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes ✓❑ No 4 SKIP to Item 3.4.
cET 3.3 If so,provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
Number of times per year
o discharge occurs
Average duration of each
discharge(specify units)
Average flow of each
0 discharge mgd mgd mgd
�, Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
Q
Outfall Number Outfall Number Outfall Number
U,
-
0
vi 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
❑✓ Yes ❑ No 4SKIP to Section 6.
EPA Form 3510-2A(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No.2040-0004
110022546994 NC0020621 Jimmy Smith WTP W
3.7 Provide the receiving water and related information(if known)for each outfall. _
Outfall Number 001 Outfall Number na Outfall Number
Receiving water name South Fork of the New River
Name of watershed,river, New
0 or stream system
fl- U.S.Soil Conservation
Service 14-digit watershed 05050001020010
o code
Name of state New
management/river basin
tst
U.S.Geological Survey
8-digit hydrologic 0505001
cu
cc cataloging unit code
Critical low flow(acute) na cfs cfs cfs
Critical low flow(chronic) na cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow na CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number col Outfall Number na Outfall Number
Highest Level of 0 Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
O Secondary 0 Secondary 0 Secondary
O Advanced 0 Advanced 0 Advanced
❑ Other(specify) 0 Other(specify) 0 Other(specify)
QDesign Removal Rates by
Outfall 001 na
BOD5 or CBOD5 98
arai TSS 92 % cyo
l Not applicable 0 Not applicable 0 Not applicable
Phosphorus
l Not applicable 0 Not applicable 0 Not applicable
Nitrogen
Other(specify) m Not applicable 0 Not applicable 0 Not applicable
EPA Form 3510-2A(Revised 3-19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below.
.0
0
V
Outfall Number 001 Outfall Number na Outfall Number
0 Disinfection type uv
to
Seasons used All
Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable
❑ Yes ❑ Yes ❑ Yes
❑✓ No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
✓❑ Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑✓ Yes ❑ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number 001 Outfall Number na Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge 0 27
water
Number of tests of receiving o 0
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
ro ❑✓ Yes ❑ No 4 SKIP to Item 3.16.
3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
a ❑ Yes 4 Complete Table B, including chlorine. ✓❑ No 4 Complete Table B,omitting chlorine.
I-
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
CD
package?
❑✓ Yes ❑ No
3.16 Does one or more of the following conditions apply?
• The facility has a design flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must
sample other additional parameters(Table D),or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls(Table E).
❑✓ Yes 4 Complete Tables C, D,and E as ❑ No 4 SKIP to Section 4.
applicable.
3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
❑✓ Yes ❑ No
3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
❑✓ Yes ❑ No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A(Revised 3-19) Page 8

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
El Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
No 4 Provide results in Table E and SKIP to
❑✓ Yes ❑ Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DOPNYY)
See attachment 3.21 for dates and summaries
a>
a 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
❑ Yes ❑✓ No SKIP to Item 3.26.
a 3.23 Describe the cause(s)of the toxicity:
4
d
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
El Yes ❑ Not applicable because previously submitted
information to the NPDES •ermittin• authorit .
SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.21(j)(6)and(7))
4.1 Does the POTW receive discharges from SlUs or NSCIUs?
✓❑ Yes ❑ No 4 SKIP to Item 4.7.
d 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW.
cci Number of SIUs Number of NSCIUs
2 0
R 4.3 Does the POTW have an approved pretreatment program?
rsi
_ ❑✓ Yes ❑ No
-a
4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F:(1)a pretreatment program annual report submitted within one year of the
application or(2)a pretreatment program?
s
❑✓ Yes ❑ No SKIP to Item 4.6.
4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7.
-a Town of Boone PAR 2019,Approved 3/20/2020
4.6 Have you completed and attached Table F to this application package?
❑ Yes ❑✓ No
EPA Form 3510-2A(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
4.7 Does the POTW receive,or has it been notified that it will receive, by truck,rail,or dedicated pipe,any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
9
❑ Yes ❑✓ No 4 SKIP to Item 4.9.
4.8 If yes, provide the following information:
Annual
Hazardous Waste Waste Transport Method Amount of Units
Number (check all that apply) Waste
Received
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
0
U --
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
0
N ❑ Truck ElRail
as
❑ Dedicated pipe ❑ Other(specify)
as 4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities,
including those undertaken pursuant to CERCLA and Sections 3004(7)or 3008(h)of RCRA?
✓❑ Yes ❑ No 4 SKIP to Section 5.
17) 4.10 Does the POTW receive(or expect to receive)less than 15 kilograms per month of non-acute hazardous wastes as
specified in 40 CFR 261.30(d)and 261.33(e)?
❑✓ Yes 4 SKIP to Section 5. ❑ No
4.11 Have you reported the following information in an attachment to this application: identification and description of the
site(s)or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents;and
the extent of treatment, if any,the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8))
5.1 Does the treatment works have a combined sewer system?
cs) ❑ Yes ❑✓ No 4 SKIP to Section 6.
5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
❑ Yes ❑ No
2 5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
0
() ❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 10

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
5.4 For each CSO outfall, provide the following information. (Attach additional sheets as necessary.)
CSO Outfall Number CSO Outfall Number CSO Outfall Number
City or town
o —
a State and ZIP code
0 - -
N
o County
ra
Latitude
0
U
Longitude o
Distance from shore ft. ft. ft.
Depth below surface ft, ft. ft.
5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number CSO Outfall Number CSO Outfall Number
Rainfall 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No
a)
c
.`o CSO flow volume 0 Yes ❑ No ❑ Yes 0 No 0 Yes ❑ No
CSO pollutant ❑ Yes 0 No 0 Yes 0 No 0 Yes 0 No
o concentrations
co
Receiving water quality 0 Yes 0 No 0 Yes ❑ No 0 Yes 0 No
CSO frequency 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No
Number of storm events 0 Yes 0 No 0 Yes 0 No 0 Yes ❑ No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
} Number of CSO events in events events events
the past year
co
Average duration per hours hours hours
.Ea) event 0 Actual or❑ Estimated 0 Actual or 0 Estimated 0 Actual or ElEstimated
LLJ
o Average volume per event million gallons million gallons million gallons
u 0 Actual or 0 Estimated 0 Actual or❑ Estimated ❑Actual or 0 Estimated
Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall
a CSO event in last year El Actual or 0 Estimated 0 Actual or 0 Estimated Cl Actual or 0 Estimated
EPA Form 3510-2A(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP OMB No.2040-0004
5.7 Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number j CSO Outfall Number
Receiving water name
Name of watershed/
stream system
U.S. Soil Conservation D Unknown 0 Unknown 0 Unknown
Service 14-digit
watershed code
.> (if known)
Name of state
management/river basin
U.S. Geological Survey 0 Unknown 0 Unknown 0 Unknown
8-Digit Hydrologic Unit
Code(if known)
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam•les
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below,mark the sections of Form 2A that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1 Column 2
• Section 1: Basic Application
Information for All Applicants ❑ w/variance request(s) ❑✓ w/additional attachments
❑ Section 2:Additional ✓❑ wl topographic map ❑✓ w/process flow diagram
Information ❑ w/additional attachments
✓❑ w/Table A ❑✓ w/Table D
❑ Section 3: Information on ✓❑ w/Table B El w/Table E
Effluent Discharges
✓❑ wl Table C ❑✓ w/additional attachments
:° Section 4: Industrial ❑ w/SIU and NSCIU attachments ❑ wl Table F
en ❑✓ Discharges and Hazardous
Wastes ❑ w/additional attachments
Section 5: Combined Sewer ❑ w/CSO map ❑ w/additional attachments
❑ Overflows ❑ w/CSO system diagram
Section 6: Checklist and
ID Certification Statement El w/attachments
Y 6.2 Certification Statement
U
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 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 fine
and imprisonment for knowing violations.
Name(print or t pe fi nd last nam Official title
Ricky L.Miller ,, Public Works Director
Signature Date signed
671/17/14 7024,70
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification #110022546994 NPDES Permit: NC0020621 Facility Name: Jimmy Smith WWTP
Attachment 1.1
Email address of Facility contact: [e-mail]

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WTP 001 OMB No.2040-0004
W
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Value Units Value Units Number of Method1 (include units)
Sam 1 les
Biochemical oxygen demand
0 ML
©BOD5 or❑CBOD5 12 mg/L 1.1 mg/L 1123 SM5210B(LDO) 2mg/L ❑MDL
re.ort one
0 ML
Fecal coliform 2420 MPN 1 MPN 1121 SM9222D,Colilert18 1MPN ❑MDL
Design flow rate 8.17 MGD 2.50 MGD 1643
pH(minimum) 6.9 standard units
pH(maximum) 7.9 standard units
Temperature(winter) 20 degrees C 14 degrees C 441
Temperature(summer) 26 degrees C 21 degrees C 680
0 ML
Total suspended solids(TSS) 3.3 mg/L 1.3 mg/L 1122 5M2540D 2.5mg/L ❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 13

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge
Pollutant Number of Analytical ML or MDL
Value Units Value Units Method (include units)
Samples
0 ML
Ammonia(as N) 11.1 mg/L 0.16 mg/L 700 SM4500NH3D 0.10mg/L ❑MDL
Chlorine ❑ML
(total residual,TRC)2 na na na na na na na ❑MDL
0 ML
Dissolved oxygen 11.4 mg/L 8.2 mg/L 1121 SM45000G O.Smg/L 0 MDL
0 ML
Nitrate/nitrite 23.7 mg/L 15.7 mg/L 20 SM4500NO3E 0.05mg/L 0 MDL
ML
Kjeldahl nitrogen 5.1 mg/L 2.3 mg/L 20 Hach 10242 1mg/ ©
L 0 MDL
Oil and grease 2.5 mg/L 2.5 mg/L 3 EPA1664B 5mg/L 0 MDL
Phosphorus 5.8 mg/L 0.97 mg/L 20 SM4500PE 0.05mg/L 21❑MMDL
JO ML
Total dissolved solids 557 mg/L 534 mg/L 3 SM2540C 25mg/L ❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 15

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples
Metals,Cyanide,and Total Phenols
0 ML
Hardness(as CaCO3) 278 mg/L 135 mg/L 38 SM2340C 1mg/L ❑MDL
0 ML
Antimony,total recoverable 2.5 ug/L 2.5 ug/L 3 EPA200.7 5ug/L ❑MDL
Arsenic,total recoverable 2.5 ug/L 2.5 ug/L 21 EPA200.7 5ug/L 0 ML
❑MDL
0 ML
Beryllium,total recoverable 0.5 ug/L 0.5 ug/L 3 EPA200.7 lug/L 0 MDL
Cadmium,total recoverable 1 0 ug/L 1 ug/L 21 EPA200.7 2ug/L 0 ML
MDL
Chromium,total recoverable 2.5 ug/L 2.5 ug/L 21 EPA200.7 5u g/L 0 ML
❑MDL
Copper,total recoverable 20 ug/L 11 ug/L 45 EPA200.8 lug/L 0 ML
❑MDL
0 ML
Lead,total recoverable 2.5 ug/L 2.5 ug/L 21 EPA200.7 5ug/L 0 MDL
0 ML
Mercury,total recoverable 7.43 ng/L 1.93 ng/L 19 EPA1631 ing/L 0 MDL
0 ML
Nickel,total recoverable 2.5 ug/L 2.5 ug/L 32 EPA200.7 5ug/L 0 MDL
ML
Selenium,total recoverable 2.5 ug/L 2.5 ug/L 21 EPA200.7 5ug/L 0 MDL
Silver, total recoverable 0.5 ug/L 0.5 ug/L 30 EPA200.8 lug/L ML
0 MDL
Thallium,total recoverable 2.5 ug/L 2.5 ug/L 3 EPA200.7 5ug/L 0 ML
0 MDL
Zinc,total recoverable 130 ug/L 6.1 ug/L 45 EPA200.7 lOug/L 0 ML
0 MDL
0 ML
Cyanide 2.5 ug/L 2.5 ug/L 20 SM4500CN# 5ug/L 0 MDL
Total phenolic compounds 2.5 ug/L 2.5 ug/L 3 EPA420.1 5ug/L O ML
0 MDL
Volatile Organic Compounds
Acrolein 50 ug/L 50 ug/L 5 EPA624.1 100ug/L 0 ML
❑MDL
0 ML
Acrylonitrile 887 ug/L 217 ug/L 5 EPA624.1 100ug/L 0 MDL
IZI ML
Benzene 5 ug/L 5 ug/L 5 EPA624.1 lOug/L 0 MDL
Bromoform 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant — Analytical ML or MDL
Value Units Value Units Number of Method1 (include units)
Samples
Carbon tetrachloride 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 ML
MDL
ML
Chlorobenzene 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 MDL
ML
Chlorodibromomethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L ©MDL
0 ML
Chloroethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 MDL
ML
2-chloroethylvinyl ether 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 MDL
El ML
Chloroform 5 ug/L 5 ug/L 5 EPA624.1 loug/L ❑MDL
Dichlorobromomethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 ML
❑MDL
0 ML
1,1-dichloroethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L ❑MDL
El ML
1,2-dichloroethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L ❑MDL
0 ML
trans-1,2-dichloroethylene 5 ug/L 5 ug/L 5 EPA624.1 l0ug/L 0 MDL -
El ML
1,1-dichloroethylene 5 ug/L 5 ug/L 5 EPA624.1 l0ug/L ❑MDL
1,2-dichloropropane 5 ug/L 5 ug/L 5 EPA624.1 loug/L f0ML
MDL
1,3-dichloropropylene 5 ug/L 5 ug/L 5 EPA624.1 lOug/L D ML
❑MDL
0 ML
Ethylbenzene 5 ug/L 5 ug/L 5 EPA624.1 lOug/L 0 MDL
0 ML
Methyl bromide 5 ug/L 5 ug/L 5 EPA624.1 lOug/L 0 MDL
El ML
Methyl chloride 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 MDL
Methylene chloride 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 ML
❑MDL
0 ML
1,1,2,2-tetrachloroethane 5 ug/L 5 ug/L 5 EPA624.1 loug/L ❑MDL
Tetrachloroethylene 5 ug/L 5 ug/L 5 EPA624.1 lOug/L ❑ML
❑MDL
Toluene 5 ug/L 5 ug/L 5 EPA624.1 loug/L ❑ML
0 MDL
1,1,1-trichloroethane 5 ug/L 5 ug/L 5 EPA624.1 lOug/L ❑ML
❑MDL
0 ML
1,1,2-trichloroethane 5 ug/L 5 ug/L 5 EPA624.1 lOug/L 0 MDL
EPA Form 3510-2A(Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
-
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Methods (include units)
Samples
Trichloroethylene 5 ug/L 5 ug/L 5 EPA624.1 lOug/L 0 MDL
0 ML
Vinyl chloride 5 ug/L 5 ug/L 5 EPA624.1 loug/L 0 MDL
Acid-Extractable Compounds
0 ML
p-chloro-m-cresol 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
2-chlorophenol 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
2,4-dichlorophenol 5 ug/L 5 ug/L 11 EPA625BNA l0ug/L 0 ML
0 MDL
0 ML
2,4-dimethylphenol 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
4,6-dinitro-o-cresol 25 ug/L 25 ug/L 11 EPA625BNA 50ug/L 0 MDL
0 ML
2,4-dinitrophenol 25 ug/L 25 ug/L 11 EPA625BNA 50ug/L ❑MDL
0 ML
2-nitrophenol 5 ug/L 5 ug/L 11 EPA625BNA 50ug/L 0 MDL
0 ML
4-nitrophenol 25 ug/L 25 ug/L 11 EPA625BNA 5oug/L 0 MDL
ML
Pentachlorophenol 25 ug/L 25 ug/L 11 EPA625BNA 50ug/L 00 MDL
Phenol 5 ug/L 5 ug/L 11 EPA625BNA lou g 0/L ML
MDL
0 ML
2,4,6-trichlorophenol 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
Base-Neutral Compounds
ML
Acenaphthene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
Acenaphthylene 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 MDL
Anthracene 5 ug/L 5 ug/L 11 EPA625BNA loug/L l0 ML
MDL
Benzidine 25 ug/L 25 ug/L 11 EPA625BNA 5oug/L 0 ML 0 MDL
0 ML
Benzo(a)anthracene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
Benzo(a)pyrene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
3,4-benzofluoranthene 5 ug/L 5 ug/L 11 EPA625BNA 10ug/L 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples _
Benzo(ghi)perylene 5 ug/L 5 ug/L 11 EPA625BNA lOug/L ❑ML
❑MDL
Benzo(k)fluoranthene 5 ug/L 5 ug/L 11 EPA625BNA loug/L ❑ML
_ ❑MDL
ML
Bis(2-chloroethoxy)methane 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 0 MDL
Bis(2-chloroethyl)ether 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
Bis(2-chloroisopropyl)ether 5 ug/L 5 ug/L 11 EPA625BNA lOug/L D ML
❑MDL
0
Bis(2-ethylhexyl) phthalate 5 ug/L 5 ug/L 14 EPA625BNA lOug/L ML
0 MDL
4-bromophenyl phenyl ether 5 ug/L 5 ug/L 11 EPA625BNA loug/L ❑ML
0 MDL
0 ML
Butyl benzyl phthalate 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 MDL
2-chloronaphthalene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 ML
❑MDL
4-chlorophenyl phenyl ether 5 ug/L 5 ug/L 11 EPA625BNA lOug/L ML
0 MDL
0 ML
Chrysene 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 MDL
0 ML
di-n-butyl phthalate 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
di-n-octyl phthalate 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
Dibenzo(a,h)anthracene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 ML
❑MDL
0 ML
1,2-dichlorobenzene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
1,3-dichlorobenzene 5 ug/L 5 ug/L 11 EPA625BNA loug/L ❑O ML❑MDL
1,4-dichlorobenzene 5 ug/L 5 ug/L 11 EPA625BNA lOug/L ❑ML
0 MDL
ML
3,3-dichlorobenzidine 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 0 MDL
0 ML
Diethyl phthalate 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 MDL
Dimethyl phthalate 5 ug/L 5 ug/L 11 EPA625BNA long/L 0 ML
❑MDL
0 ML
2,4-dinitrotoluene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
2,6-dinitrotoluene 5 ug/L 5 ug/L 11 EPA625BNA lOug/L 0 MDL
EPA Form 3510-2A(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
•
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples
0 ML
1,2-diphenylhydrazine 25 ug/L 25 ug/L 11 EPA625BNA 50ug/L ❑MDL
Fluoranthene 5 ug/L 5 ug/L 11 EPA625BNA l0ug/I ML
0 MDL
0 ML
Fluorene 5 ug/L 5 ug/L 11 EPA625BNA loug/L ❑MDL
Hexachlorobenzene 5 ug/L 5 ug/L 11 EPA625BNA 10u g ❑/L f0 ML
MDL
El ML
Hexachlorobutadiene 5 ug/L 5 ug/L 11 EPA625BNA loug/L ❑MDL
0 ML
Hexachlorocyclo-pentadiene 5 ug/L 5 ug/L 11 EPA625BNA 10ug/L 0 MDL
Hexachloroethane 5 ug/L 5 ug/L 11 EPA625BNA lou g 0/L ML
MDL
0 ML
Indeno(1,2,3-cd)pyrene 5 ug/L 5 ug/L 11 EPA625BNA 10ug/L 0 MDL
0 ML
Isophorone 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
0 ML
Naphthalene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
ML
Nitrobenzene 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
ML
N-nitrosodi-n-propylamine 5 ug/L 5 ug/I 11 EPA625BNA 10ug/L 0 MDL
0 ML
N-nitrosodimethylamine 5 ug/L 5 ug/L 11 EPA625BNA 10ug/L 0 MDL
0 ML
N-nitrosodiphenylamine 5 ug/L 5 ug/L 11 EPA625BNA loug/L 0 MDL
Phenanthrene 5 ug/L 5 ug/L 11 EPA625BNA lou g/L 0 ML
MDL
0 ML
Pyrene 5 ug/L 5 ug/L 11 EPA625BNA l0ug/L 0 MDL
1,2,4-trichlorobenzene 5 ug/L 5 ug/L 11 EPA625BNA loug/L IZI❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I, Subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 21

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110022546994 NC0020621 Jimmy Smith WWTP 001 OMB No.2040-0004
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Pollutant Maximum Daily Discharge Average Daily Dischar a Analytical ML or MDL
(hst) Value Units Value Units Number of Method, (include units)
Samples
❑ No additional sampling is required by NPDES permitting authority.
❑ML
Molybdenum 6.97 ug/L 2.88 ug/L 29 EPA200.7 5ug/L ❑MDL
IZI ML
COD 57 mg/L 13 mg/L 20 EPA410.4 5mg/L ❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required
under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 23

This page intentionally left blank.

I t
EPA Identification#110022546994 NPDES Permit: NC0020621 Facility Name: Jimmy Smith VWVTP
Attachment 3.21
Test#1 Test#2 Test#3 Test#4
Date submitted to ATB 7/6/2015 10/9/2015 1/12/2016 4/20/2016
Outfall# 001 001 001 001
Dates sample collected 6/9/15,6/11/15 9/22/15,9/24/15 12/15/15,12/17/15 3/15/16,3/17/16
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002 Cd EPA 1002
Date test started 6/10/2015 9/23/2015 12/16/2015 3/16/2016
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#5 Test#6 Test#8
Date submitted to ATB 7/19/2016 10/24/2016 12/28/2016 1/9/2017
Outfall# 001 001 001 001
Dates sample collected 6/21/16,6/23/16 9/27/16,9/29/16 12/6,12/9,12/12/16 12/6/16,12/9/16
Test species and test method number Cd EPA 1002 Cd EPA 1002 .. .. Cd EPA 1002
Date test started 6/22/2016 9/28/2016 12/7/2016 12/7/2016
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#9 Test#10 Test#11 Test#12
Date submitted to ATB 4/1/2017 7/13/2017 8/23/2017 11/14/2017
Outfall# 001 001 001 001
Dates sample collected 3/28/17,3/30/17 6/13/17,6/15/17 7/18/17,7/20/17 10/3/17,10/6/17,10/9/17
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002
Date test started 3/29/2017 6/14/2017 7/19/2017 10/4/2017
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#13 Test#14 Test#15 Test#16
Date submitted to ATB 11/14/2017 2/16/2018 6/22/2018 8/3/2018
Outfall# 001 001 001 001
Dates sample collected 10/3/17,10/6/17 1/23/18,1/25/18 5/15/18,5/17/18 7/10/18,7/13/18,7/16/18
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002 .. ., ,....,
Date test started 10/4/2017 1/24/2018 5/16/2018 7/11/2018
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#17 Test#18 Test#19 Test#20
Date submitted to ATB 8/3/2018 10/30/2018 2/5/2019 5/3/2019
Outfall# 001 001 001 001
Dates sample collected 7/10/18,7/13/18 10/2/18,10/4/18 1/15/19,1/17/19 4/9/19,4/12/19,4/15/19
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002Pi) .Pi,.
Date test started 7/11/2018 10/3/2018 1/16/2019 4/10/2019
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#21 Test#22 Test#23 Test#24
Date submitted to ATB 5/3/2019 8/21/2019 11/1/2019 2/6/2020
Outfall# 001 001 001 001
Dates sample collected 4/9/19,4/12/19 7/23/19,7/25/19 10/8/19,10/10/19 1/7/20,1/10/20,1/13/20
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002 p i... :i:.,:, ..
Date test started 4/10/2019 7/24/2019 10/9/2019 1/8/2020
Duration 7 7 7 7
Chronic results Pass Pass Pass Pass
Test#25 Test#26 Test#27
Date submitted to ATB 2/6/2020 5/13/2020 7/28/2020
Outfall# 001 001 001
Dates sample collected 1/7/20,1/10/20 4/21/20,4/23/20 7/14/20,7/16/20
Test species and test method number Cd EPA 1002 Cd EPA 1002 Cd EPA 1002
Date test started 1/8/2020 4/22/2020 7/15/2020
Duration 7 7 7
Chronic results Pass Pass Pass
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