NC0021211_Renewal Modification_20201125

Titg of 6raiyult
P. 0. Drawer 357
201 South Main Street
Graham, North Carolina 27253
Tel: [phone]/Fax: [phone]
November 13, 2020
Mr. Michael Montebello RECEIVED
N.C. Department of Environmental Quality
Division of Water Resources NOV 2 5 2020
Water Quality Permitting - NPDES �1PDES
1617 Mail Service Center N �� �DW
Raleigh, North Carolina 27699-1617
Re: City of Graham
Graham WWTP
NPDES Permit Renewal
Permit No. N0021211
Dear Mr. Montebello:
Enclosed is the permit renewal package for the NPDES Permit for the Graham Wastewater
Treatment Plant (WWTP) for the City of Graham, North Carolina. The permit renewal
package includes the completed NPDES Permit Application (Form 2A), with all required
supplements provided as attachments as well as the major modification application fee of
$1,030.
Please let us know if you have any questions or comments on this renewal package.
Respectfully,
Ton[a A. Mann
Utilities Director
1

CITY OF
-F� RAH A
NORTH CAROLINA
Graham WWTP Major Modification
NPDES Permit Application- EPA Form 2A
City
of G NC
Graham WWTP
Improvement
November, 2020
City of Graham, North Carolina

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
Form U.S.Environmental Protection Agency
2A ` 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
City of Graham
Mailing address(street or P.O.box)
P.O.Drawer 357
City or town State ZIP code
0 Graham NC 27253
Contact name(first and last) Title Phone number Email address
c
Tonya A.Mann Utilities Director [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
ro 1204 East Gilbreath Street
u
City or town State ZIP code
Graham NC 27253
1.2 Is this application for a facility that has yet to commence discharge? RECEIVED
ElYes 4 See instructions on data submission ❑✓ No
requirements for new dischargers. NOV 2 5 2020
1.3 Is applicant different from entity listed under Item 1.1 above? NCDEQIDWRINPDES
El Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Applicant address(street or P.O. box)
0
City or town State ZIP code
Contact name(first and last) Title Phone number Email address
•
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
El Owner ❑ Operator 0 Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
El Facility ❑ Applicant 0 Facility and applicant
(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.)
Existing Environmental Permits
✓❑ NPDES(discharges to surface 0 RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
;= NC0021211 WQCS00065 NA
0 0 PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
w Stormwater,NCS000408 NA NA
a)
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
w 404)
NA NA Non Discharge WQ0003824
EPA Form 3510-2A(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type Ownership Status
Served Served (indicate percentage)
a City of Graham 15,969 no %separate sanitary sewer El Own ❑ Maintain
a) 0 %combined storm and sanitary sewer ❑ Own ❑ Maintain
d _ ❑ Unknown El Own ❑ Maintain
co NA %separate sanitary sewer 0 Own El Maintain
o NA NA NA %combined storm and sanitary sewer 0 Own ❑ Maintain
0 ❑ Unknown 0 Own ❑ Maintain
0-
O NA NA NA %separate sanitary sewer 0 Own ❑ Maintain
c NA %combined storm and sanitary sewer 0 Own ❑ Maintain
`o ❑ Unknown ❑ Own ❑ Maintain
E NA %separate sanitary sewer ❑ Own ❑ Maintain
co NA NA NA %combined storm and sanitary sewer 0 Own ❑ Maintain
c ❑ Unknown ❑ Own ❑ Maintain
0 Total 15,969
a' Population
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of o 0
sewer line(in miles) 100 /o NA /o
C
1.8 Is the treatment works located in Indian Country?
o ❑ Yes 0 No
U
v 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes 0 No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
3.5 mgd
To
y Annual Avera a Flow Rates Actual
a2 Two Years Ago Last Year This Year
a
= 0 2018,2.13 mgd 2019,2.10 mgd Up to July,1.95 mgd
L a: Maximum Daily Flow Rates(Actual)
o Two Years Ago Last Year This Year
2018,8.54 mgd 2019,6.11 mgd Up to July,6.32 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
a a Combined Sewer Constructed
P. Treated Effluent Untreated Effluent Bypasses Emergency
- ver Oflows Overflows
V --
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
110000761890 NC0021211 City of Graham 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 0 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
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd 0 Intermittent
❑ Continuous
gpd 0 Intermittent
1.14 Is wastewater applied to land?
❑ Yes ❑r No4SKIPtoItem1.16.
0 1.15 Provide the land application site and discharge data requested below.
y Land Application Site and Discharge Data
Continuous or
8 Location Size Average Daily Volume Intermittent
Applied (check one)
N acresgpd 0 Continuous
o 0 Intermittent
acres d 0 Continuous
o gp ❑ Intermittent
acres d ❑ Continuous
gp 0 Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes ❑✓ 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 E No 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
110000761890 NC0021211 City of Graham 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
Contact name(first and last) Title
0
Phone number Email address
NPDES number of receiving facility(if any) 0 None Average daily flow rate mgd
0_
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
have outlets to waters of the United States(e.g., underground percolation,underground injection)?
❑ 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
cn
° acresgpd 0 Continuous
0 Intermittent
0 Continuous
acres gpd ❑ Intermittent
acresgpd ❑ Continuous
❑ 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.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
a a ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section
j 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 E 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
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
110000761890 NC0021211 City of Graham OMB No.2040-0004
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
c 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?
El Yes ❑ No 4 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.
388,000 gpd
= Indicate the steps the facility is taking to minimize inflow and infiltration.
The City of Graham follows the provisions of its Collection System Permit to minimize inflow and infiltration.
0
0
4-
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
v specific requirements.)
01 Lr
0
0 ElYes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
o2 (See instructions for specific requirements.)
0,
FL co
ElYes El No
2.5 Are improvements to the facility scheduled?
El Yes El No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1 Expansion of the WWTP from a capacity of 3.5 mgd to 5.0 mgd. Refer to figure 4 for more details.
E
c 2.
E
"E)
3.
d
co
4.
-0
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
0 Improvement Construction Construction Discharge p
(from above) (list outfall (MM/DDIYYYY) (MM/DDIYYYY) (MM/DD/YYYY) (MM/DD/LevYYYY)
number )
a 1• 1 08/01/2022 02/01/2025 02/01/2025 02/01/2025
0 2.
co
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
El Yes El No El None required or applicable
Explanation:
Environmental document currently under review,submitted November 2020.Finding of no significant impacts
anticipated spring 2021.
EPA Form 3510-2A(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
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 Outfall Number
State NC
County Alamance
o City or town Graham
0
° Distance from shore NA ft• ft. ft.
a.
Depth below surface NA ft. ft. ft.
Average daily flow rate mgd mgd mgd
Latitude 36° 02' 44"
Longitude 79° 22' 06"
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes r❑ No 4 SKIP to Item 3.4.
r, 3.3 If so,provide the following information for each applicable outfall.
y Outfall Number Outfall Number Outfall Number
0
Number of times per year
discharge occurs
a Average duration of each
discharge(specify units)
To
Average flow of each
discharge mgtl mgd mgd
Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑r No 4 SKIP to Item 3.6.
C.) 3.5 Briefly describe the diffuser type at each applicable outfall.
c
Outfall Number Outfall Number Outfall Number
—
d
ui 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
E Yes ❑ No -SKIP 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
110000761890 NC0021211 City of Graham OMB No.2040-0004
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number °o1 Outfall Number Outfall Number
Receiving water name Haw River
Name of watershed,river,
=o or stream system Cape Fear
Q U.S.Soil Conservation
N Service 14-digit watershed NA
o code
L
R Name of state
g management/river basin Cape Fear
a)
U.S.Geological Survey
U 8-digit hydrologic 03030002
cc cataloging unit code
Critical low flow(acute) 34 cfs cfs cfs
Critical low flow(chronic) 85 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 001 Outfall Number 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 ❑ Advanced
0 Other(specify) 0 Other(specify) ❑ Other(specify)
0
a Design Removal Rates by NA
0 Outfall
N
w
o BOD5 or CBOD5 96
d
g
CID TSS 95 % % %
H
0 Not applicable 0 Not applicable 0 Not applicable
Phosphorus 98.5 %
oh oh
0 Not applicable 0 Not applicable 0 Not applicable
Nitrogen 97 % % %
Other(specify) ® Not applicable 0 Not applicable 0 Not applicable
%
EPA Form 3510-2A(RevisedPage 7
3-19) 9

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham 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.
Chlorination utilizing liquid bleach(12%sodium hypochlorite).
o Outfall Number 001 Outfall Number Outfall Number
.2- Disinfection type Chlorination
43
d
0
Seasons used All
a
Dechlorination used? ❑ Not applicable ❑ Not applicable
pp ❑ Not applicable
0 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?
0 Yes El 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?
O 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 Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge 18
water
Number of tests of receiving
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
co
❑✓ Yes ❑ No 4 SKIP to Item 3.16.
0 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?
❑� Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
CO
package?
❑✓ Yes El 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
❑ applicable. ❑ No 4 SKIP to Section 4.
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
110000761890 NC0021211 City of Graham 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?
E 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?
0 Yes ❑ No 4 Provide results in Table E and SKIP to
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/DD/YYYY)
Second Species: 12/16/2016, All passing results.Primary species ceriodaphnia.Second species fathead
cu
03/23/2017, 06/28/2018, minnow.
cu
09/19/2019
"2 Primary Species Quarterly
as 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-9 SKIP to Item 3.26.
w 3.23 Describe the cause(s)of the toxicity:
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?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permittin• authorit .
SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.21(j)(6)and(7))
4.1 Does the POTW receive discharges from Sills or NSCIUs?
❑✓ Yes ❑ No 4 SKIP to Item 4.7.
4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW.
Number of Sills Number of NSCIUs
5 3
4.3 Does the POTW have an approved pretreatment program?
N
❑� Yes ❑ No
g 4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
cp 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?
0 Yes ❑ No-4 SKIP to Item 4.6.
0
Tts 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7.
City of Graham Pretreatment Annual Report for 2019 02/27/2020
c
— 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
110000761890 NC0021211 City of Graham 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?
❑ Yes 0 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
d ❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
0
N ❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
ti
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 El 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. El 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 El No
SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8))
5.1 Does the treatment works have a combined sewer system?
❑ Yes 0 No 4SKIP to Section 6.
13
5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
a ElYes ElNo
cc
5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
U ❑ Yes El No
EPA Form 3510-2A(Revised 3-19) Page 10

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham 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
0
Q- State and ZIP code
0
co
o County
al
o Latitude 11
0
co Longitude "
U
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 ❑ No 0 Yes ❑ No 0 Yes 0 No
a,
c
7i) CSO flow volume El Yes 0 No ❑ Yes 0 No 0 Yes El No
o CSO pollutant
0
concentrations 0 Yes El No 0 Yes 0 No El Yes 0 No
co
c.' Receiving water quality ❑ Yes 0 No 0 Yes El No ❑ Yes 0 No
CSO frequency ❑ Yes El No 0 Yes ❑ No 0 Yes 0 No
Number of storm events 0 Yes ❑ No ❑ Yes ❑No El Yes 0 No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
L
co
N>- umber of CSO events in
N the past year events events events
co
a
Average duration per hours hours hours
d event 0 Actual or❑ Estimated 0 Actual or❑ Estimated 0 Actual or 0 Estimated
>
cu
o Average volume per event million gallons million gallons million gallons
oo 0 Actual or 0 Estimated 0 Actual or❑ Estimated 0 Actual or 0 Estimated
Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall
a CSO event in last year 0 Actual or 0 Estimated 0 Actual or 0 Estimated 0 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
110000761890 NC0021211 City of Graham 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 CSO Outfall Number
Receiving water name
Name of watershed/
stream system
U.S. Soil Conservation ❑ Unknown 0 Unknown ❑Unknown
Service 14-digit
watershed code
'5 (if known)
Name of state
management/river basin
U.S.Geological Survey ❑Unknown ❑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 files
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 ❑✓ w/variance request(s) ❑✓ w/additional attachments
Information for All Applicants
❑ Section 2:Additional ✓❑ w/topographic map ✓❑ wl process flow diagram
Information w/additional attachments
✓❑ wl Table A ✓❑ w/Table D
❑ Section 3: Information on ✓❑ wl Table B ❑✓ w/Table E
Effluent Discharges
✓❑ wl Table C ❑✓ w/additional attachments
Section 4: Industrial ❑✓ w/SIU and NSCIU attachments ❑ wl Table F
0 Discharges and Hazardous
o Wastes ✓❑ wl additional attachments
zcs
' Section 5: Combined Sewer ❑ wl CSO map ❑ wl additional attachments
❑ Overflows
a ❑ wl CSO system diagram
ID Section 6: Checklist and ❑ w/attachments
Certification Statement
:re 6.2 Certification Statement
/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 type first and last name) Official title
Tonya Mann Utilities Director
Signature Date signed
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000761890 NC0021211 City of Graham 001 0MB No.2040-0004
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of
Value Units Value Units Methods (include units)
Samples
Biochemical oxygen demand
o ML
o BOD5 or❑CBOD5 17.9 Mg/I 6.9 Mg/I 104 5210 B-2011 2 o MDL
resort one
o ML
Fecal coliform 2419.6 #/100m1 30.8 #/100m1 106 IDEXX Colilert 18(MPN) 1 o MDL
Design flow rate 6.3 MGD 1.9 MGD 366
pH(minimum) 6.9 SU
pH (maximum) 7.4 SU
Temperature(winter) 21 Celsius 13.8 Celsius 101
Temperature(summer) 26 Celsius 22 Celsius 150
El ML
Total suspended solids(TSS) 20.8 Mg/I 6.7 Mg/I 102 2540 D-2011 2.5 o 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
110000761890 NC0021211 City of Graham 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 Analytical ML or MDL
Value Units Value Units Number of Method' (include units)
Samples
o ML
Ammonia(as N) 14.8 Mg/I 2.9 Mg/I 106 4500 NH3 D-2011 0.10 0 MDL
Chlorine ❑ML
(total residual,TRC)2 <20 ug/I <20 ug/I 263 4500 CI G-2011 20 p MDL
0 ML
Dissolved oxygen 4.8 Mg/I 1.0 Mg/I 361 4500 0 G-2011 0.10 2 MDL
0 ML
Nitrate/nitrite 17.7 Mg/I 1.4 Mg/I 51 EPA 353.2 0.10 ID MDL
0 ML
Kjeldahl nitrogen 12.5 Mg/I 3.9 Mg/I 52 EPA 351.1 0.20 I]MDL
•
0 ML
Oil and grease <5 Mg/I <5 Mg/I 3 EPA 1664A 5.00 E3 MDL
0 ML
Phosphorus 3.3 Mg/I 0.4 Mg/I 105 4500 P E-2011 0.10 0 MDL
0 ML
Total dissolved solids 1320 Mg/I 898.4 Mg/I 5 SM 2540 10.0 E MDL
' 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
110000761890 NC0021211 City of Graham 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
Metals,Cyanide,and Total Phenols
o ML
Hardness(as CaCO3) 68.0 Mg/I 62.7 Mg/I 3 SM 234C 0.662 E MDL
Antimony,total recoverable <0.025 Mg/I <0.025 Mg/I 3 EPA 200.8 0.025 E MDL
0 ML
Arsenic,total recoverable <0.01 Mg/I <0.01 Mg/I 3 EPA 200.8 0.010 E MDL
0 ML
Beryllium,total recoverable <0.005 Mg/I <0.005 Mg/I 3 EPA 200.8 0.005 E MDL
0 ML
Cadmium,total recoverable <0.002 Mg/I <0.002 Mg/I 3 EPA 200.8 0.002 MDL
0 ML
Chromium,total recoverable <0.005 Mg/I <0.005 Mg/I 3 EPA 200.8 0.005 E MDL
ML
Copper,total recoverable 0.018 Mg/I 0.010 Mg/I 3 EPA 200.8 0.002 2 MDL
0 ML
Lead,total recoverable <0.01 Mg/I <0.01 Mg/I 3 EPA 200.8 0.010LI MDL
0 ML
Mercury,total recoverable 7.51 ng/I 3.47 ng/I 5 EPA 1631 1.000 E MDL
0 ML
Nickel,total recoverable <0.01 Mg/I <0.01 Mg/I 3 EPA 200.8 0.010 0 MDL
Selenium,total recoverable <0.01 Mg/I <0.01 Mg/I 3 EPA 200.8 0.010 E MDL
0 ML
Silver,total recoverable <0.005 Mg/I <0.005 Mg/I 3 EPA 200.8 0.005 E MDL
0 ML
Thallium,total recoverable <0.02 Mg/I <0.02 Mg/I 3 EPA 200.8 0.020 E MDL
0 ML
Zinc,total recoverable 0.079 Mg/I 0.072 Mg/I 3 EPA 2008 0.010 MDL
0 ML
Cyanide <0.005 Mg/I <0.005 Mg/I 3 EPA 335.4 0.005 E MDL
0 ML
Total phenolic compounds 0.047 Mg/I .0.26 Mg/I 3 EPA 420.1 0.010 E MDL
Volatile Organic Compounds
o ML
Acrolein <50 µg/I <50 µg/I 3 EPA 624.1 0.050 E MDL
0 ML
Acrylonitrile <10 µg/I <10 µg/I 3 EPA 624.1 0.010 E MDL
Benzene <1.0 µg/I <1.0 µg/1 3 EPA 624.1 0.001 ❑ML
E MDL
0 ML
Bromoform <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 E 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
110000761890 NC0021211 City of Graham 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 Method' (include units)
Samples
Carbon tetrachloride <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O MDL
Chlorobenzene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
MDL
Chlorodibromomethane 4.83 µg/I 3.54 µg/I 3 EPA 624.1 0.001 ❑ML
®MDL
Chloroethane <5.0 µg/I <5.0 µg/I 3 EPA 624.1 0.005 0 ML
O MDL
2-chloroethylvinyl ether <5.0 µg/I <5.0 µg/I 3 EPA 624.1 0.005 0 ML
O MDL
Chloroform 7.23 µg/I 4.46 µg/I 3 EPA 624.1 0.001 0 ML
O MDL
O
Dichlorobromomethane 7.99 µg/I 4.81 µg/I 3 EPA 624.1 0.001 ML
O MDL
1,1-dichloroethane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 0 ML
O MDL
_ 1,2-dichloroethane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O MDL
trans-1,2-dichloroethylene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O MDL
0 ML
1,1-dichloroethylene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 MDL
1,2-dichloropropane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 O MDL
1,3-dichloropropylene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 EI ML
O MDL
Ethylbenzene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
2 MDL
0 ML
Methyl bromide <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.005 O MDL
Methyl chloride <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.005 ❑ML
2 MDL
0 ML
Methylene chloride <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 O MDL
1,1,2,2-tetrachloroethane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O MDL
Tetrachloroethylene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
0 MDL
Toluene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 0 ML
O MDL
1,1,1-trichloroethane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O MDL
1,1,2-trichloroethane <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
O 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
110000761890 NC0021211 City of Graham 001 0MB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
Trichloroethylene <1.0 µg/I <1.0 µg/I 3 EPA 624.1 0.001 ❑ML
0 MDL
ML
Vinyl chloride <5.0 µg/I <5.0 µg/I 3 EPA 624.1 0.005 0 MDL
Acid-Extractable Compounds
0 ML
p-chloro-m-cresol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 E MDL
2-chlorophenol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
2,4-dichlorophenol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ML
E MDL
El
2,4-dimethylphenol <10 µg/I <10 µg/I 3 EPA 625.1 0.050 ML
E MDL
4,6-dinitro-o-cresol <50 µg/I <50 µg/I 3 EPA 625.1 0.050 0 ML
E MDL
2,4-dinitrophenol <50 µg/I <50 µg/I 3 EPA 625.1 0.050 ❑ML
0 MDL
2-nitrophenol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
E MDL
4-nitrophenol <50 µg/I <50 µg/I 3 EPA 625.1 0.050 ❑ML
E MDL
Pentachlorophenol <50 µg/I <50 µg/I 3 EPA 625.1 0.050 0 ML
E MDL
Phenol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
2,4,6-trichlorophenol <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Base-Neutral Compounds
Acenaphthene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 E MDL
•
Acenaphthylene <i0 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Anthracene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Benzidine <50 µg/I <50 µg/I 3 EPA 625.1 0.050 ❑ML
E MDL
Benzo(a)anthracene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
0 ML
Benzo(a)pyrene <io µg/I <10 µg/I 3 EPA 625.1 0.010 E MDL
3,4-benzofluoranthene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ML
0 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
110000761890 NC0021211 City of Graham 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
Benzo(ghi)perylene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
0 MDL
Benzo(k)fluoranthene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
0 MDL
Bis(2-chloroethoxy)methane <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
Bis(2-chloroethyl)ether <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
MDL
Bis(2-chloroisopropyl)ether <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
Bis(2-ethylhexyl)phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
CI MDL
0 ML
4-bromophenyi phenyl ether <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 MDL
Butyl benzyl phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
2-chloronaphthalene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
4-chlorophenyl phenyl ether <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
Chrysene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
di-n-butyl phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
di-n-octyl phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
Dibenzo(a,h)anthracene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
0 MDL
1,2-dichlorobenzene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
1,3-dichlorobenzene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
0 MDL
1,4-dichlorobenzene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
0 MDL
3,3-dichlorobenzidine <10 µg/I <10 µg/I 3 EPA 625.1 0.010 O ML
O MDL
Diethyl phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.050 ❑ML
O MDL
Dimethyl phthalate <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
2,4-dinitrotoluene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
O MDL
2,6-dinitrotoluene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
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
110000761890 NC0021211 City of Graham 001 OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
1,2-diphenylhydrazine <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Fluoranthene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Fluorene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
E MDL
Hexachlorobenzene <10 µg/I <10 mil 3 EPA 625.1 0.010 0 ML
CI MDL
Hexachlorobutadiene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
❑MDL
Hexachlorocyclo-pentadiene <50 µg/I <50 µg/I 3 EPA 625.1 0.050 0 ML
E MDL
Hexachloroethane <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
0 MDL
Indeno(1,2,3-cd)pyrene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Isophorone <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Naphthalene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
Nitrobenzene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 E ML
E MDL
N-nitrosodi-n-propylamine <10 µg/I <10 µg/I 3 EPA 625.1 0.010 0 ML
®MDL
N-nitrosodimethylamine <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
0 ML
N-nitrosodiphenylamine <10 µg/I <10 µg/I 3 EPA 625.1 0.010 E MDL
Phenanthrene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E MDL
0 ML
Pyrene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 E MDL
1,2,4-trichlorobenzene <10 µg/I <10 µg/I 3 EPA 625.1 0.010 ❑ML
E 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

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Maximum Daily Discharge Average Daily Dischar e
Pollutant Analytical ML or MDL
(list) Value Units Value Units Number of Method1 (include units)
Samples
ElNo additional sampling is required by NPDES permitting authority.
❑ML
❑MDL
❑ML
❑MDL
❑ML
0 MDL
❑ML
0 MDL
0 ML
0 MDL
0 ML
❑MDL
❑ML
❑MDL
❑ML
0 MDL
❑ML
0 MDL
❑ML
0 MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
0 ML
0 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.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results.
Test Information
Test Number Test Number Test Number
Test species
Age at initiation of test
Outfall number
Date sample collected
Date test started
Duration
Toxicity Test Methods
Test method number
Manual title
Edition number and year of publication
Page number(s)
Sample Type
Check one: E Grab ❑ Grab ❑ Grab
❑ 24-hour composite ❑ 24-hour composite ❑ 24-hour composite
Sample Location
Check one: ❑ Before Disinfection ❑ Before Disinfection ❑ Before disinfection
❑ After Disinfection ❑ After Disinfection ❑ After disinfection
❑ After Dechlorination ❑ After Dechlorination ❑ After dechlorination
Point in Treatment Process
Describe the point in the treatment process
at which the sample was collected for each
test.
Toxicity Type
Indicate for each test whether the test was ❑ Acute ❑ Acute ❑ Acute
performed to asses acute or chronic toxicity,
or both.(Check one response.) ❑ Chronic ❑ Chronic ❑ Chronic
❑ Both ❑ Both ❑ Both
EPA Form 3510-2A(Revised 3-19) Page 25

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000761890 NC0021211
Cityof Graham OMB No.2040-0004
TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results.
11111111111111.1 Test Number Test Number Test Number
Test Type
Indicate the type of test performed.(Check one ❑ Static ❑ Static ❑ Static
response.)
❑ Static-renewal ❑ Static-renewal ❑ Static-renewal
❑ Flow-through ❑ Flow-through ❑ Flow-through
Source of Dilution Water
Indicate the source of dilution water.(Check ❑ Laboratory water ❑ Laboratory water ❑ Laboratory water
one response.)
❑ Receiving water 0 Receiving water 0 Receiving water
If laboratory water,specify type.
If receiving water,specify source.
Type of Dilution Water
Indicate the type of dilution water. If salt ❑ Fresh water 0 Fresh water 0 Fresh water
water,specify"natural"or type of artificial
sea salts or brine used. ElSalt water(specify) 0 Salt water(specify) ElSalt water(specify)
Percentage Effluent Used
Specify the percentage effluent used for all
concentrations in the test series.
Parameters Tested
Check the parameters tested. ❑ pH 0 Ammonia ❑ pH 0 Ammonia ❑ pH ❑ Ammonia
❑ Salinity ❑ Dissolved oxygen 0 Salinity ❑ Dissolved oxygen 0 Salinity 0 Dissolved oxygen
❑ Temperature ❑ Temperature ❑ Temperature
Acute Test Results
Percent survival in 100%effluent %
LCso
95%confidence interval
Control percent survival % % %
EPA Form 3510-2A(Revised 3-19) Page 26

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Number Test Number Test Number
Acute Test Results Continued
Other(describe)
Chronic Test Results
NOEC
I C25
Control percent survival %
Other(describe)
Quality Control/Quality Assurance
Is reference toxicant data available? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
Was reference toxicant test within
acceptable bounds? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes El No
What date was reference toxicant test run
(MM/DDIYYYY)?
Other(describe)
EPA Form 3510-2A(Revised 3-19) Page 27

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three SIUs.Copy the table to report information for additional Sills.
SIU 1 SIU 2 SIU 3
Name of SIU
Cintas Corporation Luxfer Gas Cylinders Novaflex Hose Corp.
Mailing address(street or P.O.box) 610 Woody Drive 235 Riverbend Rd. 449 Trollingwood Road
City,state,and ZIP code Graham, NC 27253 Graham,NC 27253 Haw River,NC 27258
Description of all industrial processes that affect Industrial Laundry Gas Cylinders,Aluminum Forming Rubber Manufacturing
or contribute to the discharge.
List the principal products and raw materials that Product: Cleaning Uniforms Product: Gas Cylinders Product: Rubber and Plastic
affect or contribute to the SIU's discharge. Raw Material: Bleach,Sulfuric Acid, Raw Material: Metals,Caustic,Lubricants Hose/Assembled and Coupled Hose
Detergent,Clay Solution,Ferric,Caustic, and Powder Paint Raw Material: Natural and Synthetic
Surfactants Rubber and Additives,Thermoplastic
Resins
Indicate the average daily volume of wastewater
discharged by the SIU.* 57,000 gpd 43,300 gpd 9,820 gpd
How much of the average daily volume is
attributable to process flow?+ 52,000 gpd 36,000 gpd 6,000 gpd
How much of the average daily volume is
attributable to non-process flow?+ 2,500 gpd 2,10o gpd 3,400 gpd
Is the SIU subject to local limits? 1
ElYes El No El Yes El No El Yes El No
Is the SIU subject to categorical standards?
El Yes El No El Yes El No El Yes ❑ No
*
Source of data from The City of Graham's Pretreatment Annual Report for January 1, 2019 (Appendix D).
+ Source of data from the most recent pretreatment application (2016).
EPA Form 3510-2A(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three Sills.Copy the table to report information for additional Sills.
SIU 1 SIU 2 SIU 3
Under what categories and subcategories is the NA 40 CFR Part 467.36-Subpart C 40 CFR 428-Subpart F
SIU subject? Rubber Manufacturing
Has the POTW experienced problems(e.g.,
upsets, pass-through interferences)in the past 4.5 ❑ Yes 0 No ❑ Yes 0 No ❑ Yes E No
years that are attributable to the SIU?
If yes,describe. NA NA NA
EPA Form 3510-2A(Revised 3-19) Page 30

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211
Cityof Graham OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three Sills.Copy the table to report information for additional SIUs.
SIU 4 SIU 5 SIU
Name of SIU Prescient Company Inc. Stericycle Inc.
Mailing address(street or P.O.box) 2125 Senator Ralph Scott Parkway 1168 Porter Ave.
City,state,and ZIP code Mebane,NC 27302 Haw River,NC 27258
Description of all industrial processes that affect Metal Finisher Medical Waste
or contribute to the discharge.
List the principal products and raw materials that Product: Light Gauge Steel Frames,Trusses, Product: Ash From Medical Waste
affect or contribute to the SIU's discharge. Building Columns and Beams Incineration
Raw Material: Dubois GF Phos.427, Dubois Raw Material: Muriatic Acid,Ferric
Depress-Max, Dubois Secure Seal,Powder Chloride,Caustic Soda,Ammonia,Nitric
Paint Acid
Indicate the average daily volume of wastewater
discharged by the SIU.* 1,10o gpd 14,600 gpd gpd
How much of the average daily volume is
attributable to process flow?+ 1,soo gpd 23,000 gpd gpd
How much of the average daily volume is
attributable to non-process flow?+ 1,050 gpd 1,615 gpd gpd
Is the SIU subject to local limits?
❑r Yes ❑ No CI Yes ❑ No ❑ Yes ❑ No
Is the SIU subject to categorical standards?
CI Yes El No ❑ Yes CI No ❑ Yes ❑ No
*
Source of data from The City of Graham's Pretreatment Annual Report for January 1, 2019 (Appendix D).
+ Source of data from the most recent pretreatment application (2016).
EPA Form 3510-2A(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000761890 NC0021211 City of Graham OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three Sills.Copy the table to report information for additional Sills.
SIU 4 SIU 5 SIU
Under what categories and subcategories is the 40 CFR 433.17- Metal Finishing NA
SIU subject?
Has the POTW experienced problems(e.g.,
upsets, pass-through interferences)in the past 4.5 ❑ Yes 0 No ❑ Yes 0 No ❑ Yes ❑ No
years that are attributable to the SIU?
If yes,describe. NA NA
EPA Form 3510-2A(Revised 3-19) Page 30

Appendix A: Figures

� At
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_i
t • io I- I 1- 41 , * li. 11 . *41* ' -" It
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36°02'44" 79° 22'06"
g �µ sr
It* to
* Jr ,
F
4
Legend
# i
• NPDES Discharge Location Influent Gravity Main
1
oi� nght 2013 National Geographic Society,i-cubed
.,.._.".,,� Effluent Pipeline I GWVI/TP Boundary Area
SCALE I-, I Figure 1
0 250 500
GRAHAM GWWTP Boundary Area with
Feet L Influent Effluent Graham Pipeline
1 inch = 500 feet Wastewater e
City of GrahamTreatm, NorthntPlant CarolinaExpansion

Screen and Grit Removal Aeration Basins Final Settling Tanks Sand Filtration Disinfection Facility
IChloriratian/Dec lorin=1or;
1.95MGD ' 2.4 39MGD q/ il, 11.95MGD 1 9:\ GDr
0
=4
°'' 0
0
2.15 MGD
1_o5NSGD 1.95MGD I.9:MGD
r isi
Influent Pump Station Primary Settling Tanks RAS/WAS Pump Station Post-Aeration
—, —\ lOriginal Secondary Clarifiers;
� 11
`� 1 9:MGD 1.95 MGD ,W
rnmio
t.
0 MGD 1.95 MGD
Land Application Sludge Truck Loading Station Sludge Storage Aerobic Digesters Haw River
111,6, . °6 *.
* >,,,,„ A
, :.: :,,.,,
Blue =Liquid Train
Red=Solid Train
Figure 2: GWWTP Process Flow Diagram

Aeration Basins
Maintenance
. ,, Building
' a ,, ci Primary Settling Tanks
FST 1 and 2 Return
Activated Sludge - 7
Pump Station „ „` ," --'=- - ..'> .-,..-
,s.
ina ett ing an s , die
{ w
1
& �7.
•
i - Digester#3
FST 3 and4 Return v ,,�, F--- _ ' , -
!
Activated Sludge e-` • , Main Office&lab
Pump Station w 4 i
-- _ II
.,- — Chlorination&
Influent Pump Station and Sludge Sludge Thickening HoldingTank De-chlorination
Screening/Grit Facility Storage Basin
Sand Filter
rt
-lYV_ e
t*
f
F. : t
_ „, ._
'
1 /
. :: f Final
Ma Aerator
Truck Filling Lime Digester High Rate Filter ,__, _ „,
Station Stabilization 1&2 (Out of Service) ; ', ,
Tank , ,
Figure 3: Existing GWWTP Facility Layout

5-Stage BNR Prop.. Modifications/Upgrades
Process Liquid Train
InPuent pumping and No upgrades necessary
_ - prefiminarr treatment
'" ,^ • Equalization maybe implemented based on the Ci s
" ^- E4uatization ,vet weather operational strategy ry
•]'•' _ jt• . ,t AB irk
Carbon "r Sputter Box Primary Settling Tanks v Out of sere
Facility '
• Add 1 25 MG of volume
�i • Convert to four(4)5-stage BNR tanks
Blower '� Aeration Basins • Remove surface aerators-Install blowers and fine
Facility Eiectrtcal bubble diffusers
Mp, s B s • RAS piping modifications
l r Chemical Facifities • New supplemental carbon facility
,,,•,y• • No modifications to existing PACI facility
• New MISS distribution box for SC 3 and 4
1.5 MG Sludge - •- 12111211 Re-aeration Final Settling Tanks • Install smallRAS pumps 1
Storage • Parallel effluent tine
Parsttal Flume • New Parshal florae
Parallel 24 " Eflbenl Filers •• New effluent raters
FST Line till
Chlorine Contact • NrN chlorine contact tanks
• Modify existing chlorine and sodium bisufite storage
AE Digester ®,,Y ACT Tanks facility for additional capacity
e
dtr f
Blowers -et• ` e ,, • Instal now re-aeration faulty(cascade aeration or
. '- ^ 1 .1 Re-Aeration fine bubble diffusers)
2.5 MG AE ✓ • New effluent One from re-aeration to effluent manhole
v
x� S" I
Digestion ea �+i i / Solid.Train
1 Y e W Fad tY .3CJ Effluent / - Aerobic Digestion • Add 2.6 MG of aerobic.digestion volume wdh fine
Line bubble diffusers and blowers
• Convert existing aerobic<F aster to sludge storage for
jil Rehab/Modify Facility . Sludge Storage a sludge storage vobmeoflSMG
• Install new moans system in Platte'No 3
Figure 4: GWWTP Proposed Expansion to 5 MGD.

Appendix B: Second Species/WET Test Reports for
2016-2019

Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date:12/16/2016
1 Facility: City of Graham NPDES:NC0021211 Pipe#_ 001 County: Alamance
Labors ory: Meritech,Inc. / Comments
x ( / /
Signature of Operator in Resp)onsib e�Charge
x fe /v% ?;
�._� �f .
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Water Sciences Section
Aquatic Toxicology Branch
Division of Water Quality
1623 Mail Service Center
Raleigh,NC 27699-1623
Test Initiation Date/Time 12/6/2016 2.40 PM Avg WVSurv.Control 0.780 Test Organisms
Eff. Repl. 1 2 3 4 1 Cultured In-House
Control Surviving# 10 9 10 10 %Survival 97.5 1% Outside Supplier
Original# 10 10 10 10
WVoriginal(mg) 0.864 0.732 0.791 0.653 Avg Wt(mg) 0.760 Hatch Date: 12/5/16
3.5 Surviving# 10 10 10 10 %Survival 100.0 Hatch Time' 3 00PM CT
Original# 10 10 10 10
Wt/original(mg) 0.684 0.796 0.757 0.723 Avg Wt(mg) 0.740
7 Surviving# 9 9 10 10 %Survival 95.0
Original# 10 10 10 10
WVoriginal(mg) 0.719 0.780 0.784 0.793 Avg Wt(mg) 0.769
14 Surviving# 10 8 10 10 %Survival 95.0
Original# 10 10 10 10
Wt/original(mg) 0.711 0.705 0.761 0.882 Avg Wt(mg) 0.765
21 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.837 0.772 0.875 0.829 Avg Wt(mg) 0.828
28 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.802 0.885 0.821 0.809 Avg Wt(mg) 0.829
Water Quality Data Day
Control 0 1 2 3 4 5 6
pH(SU)Init/Fin 8.07 / 7.79 8.15 / 7.60 8.13 / 8.08 8.21 / 8.04 8 16 / 8.08 8 14 / 7.85 8.13 / 7.75
DO(mg/L) InitFin 7.66 / 6.75 7.91 7 5.90 7.92 / 7.49 7.92 / 7.89 8.06 / 7.75 8.02 / 7.08 7.86 / 6.22
Temp(C)Init/Fin 24.5 / 25.2 25.5 / 24.9 24.9 I 25.3 25.4 / 25.9 25.7 / 24.8 25.3 / 25.5 24.9 / 25.1
High Concentration 0 1 2 3 4 5 6
pH(SU)Ina/Fin 7.80 I 7.77 7.82 I 7.45 7.83 / 8.00 7.95 / 8 16 8.09 / 8.15 8.05 / 7.81 7.90 / 7.63
DO(mg/L) Init/Fin 7.94 I 6.83 7.91 / 5.17 7.83 / 7.57 8.07 I 7.95 8.11 / 7.55 7.98 / 7.10 7.92 / 5.93
Temp(C)InitFin 24.8 / 25.3 25 9 / 25.5 25.7 I 24.9 25.1 / 25.4 25.5 / 24.3 25.2 / 25.7 24.6 / 25.0
Sample 1 2 3 Survival Growth Overall Result
Collection Start Date 12/5/2016 12/7/2016 12/8/2016 Normal 1'I Fl ChV >28
Grab Horn.Var. f F)
Composite(Duration) 24.00 24.00 24.00 NOEC 28 28
Hardness(mg/L) 56.00 56.00 64.00 LOEC >28 >28
Alkalinity(mg/L) 63.00 62.00 59.50 ChV >28 >28
Conductivity(umhos/cm) 2220 1781 1839 Method Steel's Dunnett's
Chlorine(mg/L) <0.1 <0.1 <0.1
Temp.at Receipt(°C) 2.2 1.8 0.6 Stats Survival Growth
Conc. Critical Calculated Critical Calculated
Dilution H2O Batch# 1098 1099 1100 1101 1102 3.5 10 20 2.41 0,4734
' Hardness(mg/L) 44 48 46 42 44 7 10 16 2.41 -0.2130
Alkalinity(mg/L) 51 59 59 50 58 14 10 17.5 2.41 -0.1124
Conductivity(umhos/cm) 192 207 200 189 _ 211 21 10 20 2.41 -1.6154
28 10 20 2.41 -1.6391
DWQ Form AT-5(1/04)

Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date:3/23/2017
Facility: Graham WWTP NPDES#NC00 21211 Pipe#: 001 County: Alamance
Laboratory: Meritech, Inc. Comments'
x c.... ate,. .'i, iC
Signature of Operator in Responsible Charge
x -
Signature of Laboratory Supervisor �---
MAIL ORIGINAL TO: Water Sciences Section
Aquatic Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh,N.C.27699-1621
Test Initiation Date/Time 3/14/2017 4:31 PM Avg Wt/Surv.Control 0.693 Test Organisms
% Eff. Repl. 1 2 3 4 f- Cultured In-House
Control Surviving# 10 9 9 9 %Survival 92.5 F Outside Supplier
Original# 10 10 10 10
Wt/original(mg) 0.797 0.540 0.626 0.611 Avg Wt(mg)[ 0.644 Hatch Date: 3/13/17
3.5 Surviving# 10 10 10 9 %Survival 97.5 Hatch Time: 3:00 pm CT
Original# 10 10 10 10
WUoriginal(mg) 0.604 0.625 0.657 0.623 Avg Wt(mg) 0.627
7 Surviving# 10 9 10 10 %Survival 97.5
Original# 10 10 10 10
WUoriginal(mg) 0.657 0.669 0.672 0.691 Avg Wt(mg) 0.672
14 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.983 0.731 0.959 0.663 Avg Wt(mg) 0.834
21 Surviving# 9 10 9 10 %Survival 95.0
Original# 10 10 10 10
^
WUoriginal(mg) 0.652 0.660 0.684 0.757 Avg Wt(mg) 0.688
28 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
WUoriginal(mg) 0.712 0.790 0.759 0.802 Avg Wt(mg) 0.766
Water Quality Data Day
Control 0 1 2 3 4 5 6
pH(SU)IniUFin 8.13 / 8.00 8.17 / 7.85 8.17 / 7.98 8.22 / 8.12 8.23 / 7.93 8.18 / 7.96 8.17 / 7.57
DO(mg/L) Init/Fin 8.00 / 7.33 7.83 / 6.95 7.87 / 7.23 7.66 / 7.57 7.77 / 7.25 8.03 / 7.30 7.78 / 6.46
Temp(C)Init/Fin 24.4 / 25.1 24.0 / 24.8 25.1 / 25.6 24.6 / 25.9 24.6 / 24.6 24.7 / 24.2 25.8 / 25.4
High Concentration 0 1 2 3 4 5 6
pH(SU)IniUFin 7.81 / 7.95 7.99 / 7.84 7.79 / 7.88 7.96 / 7.91 8.00 / 7.77 7.88 / 7.92 7.95 / 7.53
DO(mg/L) IniUFin 8.13 ; 7.40 7.86 / 6.98 7.97 / 7.22 7.74 / 7.51 7.78 / 7.07 7.76 / 7.32 7.73 / 6.03
Temp(C)Init/Fin 24.9 / 25.1 24.6 / 24.6 25.2 / 24.7 25.0 / 25.9 25.0 / 24.7 24.9 / 25.3 25.5 / 25.8
Sample 1 2 3 Survival Growth Overall Result
Collection Start Date 3/13.'2017 3/15/2017 3/16/2017 Normal YES irI ChV >28
Grab Horn.Var. IC"] NO
Composite(Duration) 24.2 23.9 25.1 NOEC 28 28
Hardness(mg/L) 60 60 62 LOEC >28 >28
Alkalinity(mg/L) 48 37 38 ChV >28 >28
Conductivity(umhos/cm) 1549 1592 1647 Method Steel's Steers
Chlorine(mg/L) <0.1 <0.1 <0.1 .
Temp.at Receipt(°C) 1.8 0.7 0.9 Stats Survival Growth
Conc. Critical Calculated Critical Calculated
Dilution H2O Batch# 1135 1136 1137 1138 3.5 10 22 10 18.0
Hardness(mg/L) 42 44 42 46 7 10 22 10 22.0
Alkalinity(mg/L) 60 54 53 511 14 10 24 10 24.0
Conductivity(umhos/cm) 217 213 220 211 21 10 20 10 22.0
28 10 24 10 23.0
DWQ Form AT-5(1/04)

Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date:6/28/2018
Facility: Graham WWTP NPDES#NC00 21211 Pipe#: 001 County: Alamance
Laboratory: Meritech, Inc.. Comments!
x Z? 7 /�
Signature-of4Respansible Charge
Signature of Laboratory Supervisor
MAIL ORIGINAL TO: Water Sciences Section
Aquatic"hoxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh,N.C.27699-1621
Test Initiation Date/Time 6/19/2018 2:30 PM Avg Wt/Surv. Control 0.769 Test Organisms
Eff. Repl. 1 2 3 4 Cultured In-House
Control Surviving# 10 10 10 10 %Survival 100.0 Outside Supplier
Original# 10 10 10 10
Wt/original(mg) 0.840 0.782 0.762 0.690 Avg Wt(mg) 0.769 Hatch Date: 6/18/18
3.5 Surviving# 10 10 10 10 %Survival 100.0 Hatch Time: 3:00 pm CT
Original# 10 10 10 10
WUoriginal(mg) 0.754 0.789 0.618 0.726 Avg Wt(mg) 0.722
7 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.822 0.800 0.843 0.754 Avg Wt(mg) 0.805
14 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.843 0.766 0.702 0.795 Avg Wt(mg) 0.777
21 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.879 0.881 0.816 0.920 Avg Wt(mg) 0.874
28 Surviving# 10 9 10 10 %Survival 97.5
Original# 10 10 10 10
Wt/original(mg) 0.851 0.784 0.905 0.893 Avg Wt(mg) 0.858
Water Quality Data Day
Control 0 1 2 3 4 5 6
pH(SU)Init/Fin 8.19 / 7.94 8.19 / 7.94 8.18 / 7.85 8.17 / 8.24 8.25 / 8.19 8.28 / 7.87 8.23 / 7.82
DO(mg/L) Init/Fin 7.66 / 7.37 7.87 / 7.27 7.89 / 6.87 7.74 / 7.87 8.02 / 8.04 8.11 / 6.92 7.74 / 7.10
Temp(C)Init/Fin 25.7 / 24.4 24.8 / 25.6 24.7 / 25.3 24.7 / 25.9 24.9 / 24.1 24.1 / 25.5 24.3 / 25.0
High Concentration 0 1 2 3 4 5 6
pH(SU)Init/Fin 7.84 / 7.85 7.91 / 7.83 7.92 / 7.81 7.91 / 8.04 8.20 / 8.15 8.14 / 7.84 8.00 / 7.96
DO(mg/L) !nit/Fin 7.73 / 7.40 7.81 / 7.16 8.00 / 6.78 7.74 / 7.75 7.79 / 8.00 8.15 / 7.05 7.87 / 7.47
Temp(C)IniUFin 25.3 / 24.9 24.9 / 25.0 24.9 / 25.5 24.9 / 25.3 24.7 / 25.0 24.9 / 24.5 24.7 / 25.0
Sample 1 2 3 Survival Growth Overall Result
Collection Start Date 6/18/2018 6/20/2018 6/21/2018 Normal rI FI ChV >28
Grab Hom.Var. ri F
Composite(Duration) 24.3 24.1 23.9 NOEC 28 28
Hardness(mg/L) 64 62 70 LOEC >28 >28
Alkalinity(mg/L) 44 52 51 ChV >28 >28
Conductivity(umhos/cm) 1791 1803 1822 Method Steel's Dunnett's
Chlorine(mg/L) <0.1 <0.1 <0.1
Temp. at Receipt(°C) 1.6 1.6 1.4 Stats Survival Growth
Conc. Critical Calculated Critical Calculated
Dilution H2O Batch# 1281 1282 1283 1284 3.5 10 18 2.41 _ 1.1734
Hardness(mg/L) 42 42 46 42 7 10 18 2.41 -0.9099
Alkalinity(mg/L) 50 52 53 53 14 10 18 2.41 -0.2008
Conductivity(umhos/cm) 196 194 200 206 21 10 18 2.41 -2.6481
28 10 16 2.41 -2.2528

Effluent Toxicity Report Form-Chronic Fathead Minnow Multi-Concentration Test Date:9/19/2019
Facility. Graham WWTP NPDES#NCO() 21211 Pipe#: 001 County: Alamance
Laboratory: Meritech, lnc. { Comments'
x: ,_-/ILC'C4',. / /li,/'
Signature of Operator in Responsible Charge
Signature of Laboratory Supervisor
MAIL ORIGIN.A1.TO: Water Sciences Section
Aquatic'Toxicology Branch
Division of Water Resources
1621 Mail Service Center
Raleigh,N.C.27699-1621
Test Initiation Date/Time 9/10/2019 4:49 PM Avg WUSurv.Control 0.539 Test Organisms
%Eff. Rep!. 1 2 3 4 C" Cultured In-House
Control Surviving# 10 10 10 10 %Survival 100.0 17 Outside Supplier
Original# 10 10 10 10
WUoriginal(mg) 0.491 0.462 0.610 0.591 Avg Wt(mg) 0.539 Hatch Date: 9/9/19
3.5 Surviving# 10 10 10 10 %Survival 100.0 Hatch Time: 3:00 pm CT
Original# 10 10 10 10
Wt/original(mg) 0.571 0.588 0.543 0.574 Avg Wt(mg) 0.569
7 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.494 0.528 0.569 0.665 Avg Wt(mg) 0.564
14 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
WUoriginal(mg) 0.646 0.500 0.515 0.633 Avg Wt(mg) 0.574
21 Surviving# 9 10 10 10 %Survival 97.5
Original# 10 10 10 10
Wt/original(mg) 0.518 0.548 0.527 0.597 Avg Wt(mg) 0.548
28 Surviving# 10 10 10 10 %Survival 100.0
Original# 10 10 10 10
Wt/original(mg) 0.504 0.594 0.443 0.572 Avg Wt(mg) 0.528
Water Quality Data Day
Control 0 1 2 3 4 5 6
pH(SU)Init/Fin 7.74 / 7.65 7.89 / 7.60 7.72 I 7.67 7.89 / 7.85 7.95 i 7.94 7.91 / 7.65 7.93 / 7.64
DO(mg/L) Init/Fin 7.86 / 7.75 7.80 / 6.89 7.53 / 7.25 7.72 / 7.88 7.97 / 7.83 7.83 / 7.36 7.75 / 6.96
Temp(C)!nit/Fin 24.7 / 24.5 24.6 / 24.5 24.5 I 24.5 24.1 / 24.3 24.1 / 24.4 24.8 / 24.3 24.5 / 24.4
High Concentration 0 1 2 3 4 5 6
pH(SU)Init./Fin 7.84 / 7.93 7.94 / 7.72 7.80 17.85 7.95 / 8.05 8.14 / 8.08 8.11 / 7.86 7.96 / 7.76
DO(mg/L) Init/Fin 7.94 / 7.69 7.87 / 6.76 7.67 17.16 7.74 / 7.85 8.05 / 7.67 7.93 / 7.37 7.74 / 6.80
. Temp(C)InitFin 24.8 / 24.3 24.3 / 24.3 24.8 / 24.9 24.2 / 24.8 24.8 / 24.1 24.3 / 24.4 25.0 / 24.3
Sample 1 2 3 Survival Growth Overall Result
Collection Start Date 9/9/2019 9/11/2019 9/12/2019 Normal ri Ft ChV >28
Grab Hom.Var. 1-1 Fi
Composite(Duration) 24.1 23.8 24.1 NOEC 28 28
Hardness(mg/L) 68 76 80 LOEC >28 >28
Alkalinity(mg/L) 122 135 133 ChV >28 >28
Conductivity(umhoslcm) 2300 2940 2670 Method Steel's Dunnet's
Chlorine(mg/L) <0.1 <0.1 <0.1
Temp.at Receipt(`C) 2.5 2.0 1.2 Stats Survival Growth
Conc. Critical Calculated Critical Calculated
Dilution H2O Batch# 1436 1437 1438 3.5 10 18 2.41 -0.6971
Hardness(mglL) 50 48 46 7 10 18 2.41 -0.5828
Alkalinity(mglL) 34 32 30 14 10 18 2.41 -0.7999
Conductivity(umhos/cm) 171 164 170 21 10 16 2.41 -0.2057
28 10 18 2.41 0.2343

Appendix C: Effluent Toxicity Reports from 2019-2020

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/12/19
Facility: CITY OF GRAHAM WWTP NPDES#: NC0021211 Pipe#: 001 County: ALAMANCE
Laboratory r�rmiGt: MERITECH LABS, INC.
.__/_ //�1//// Comments:
x
Signature� oft Oper for in Responsible Charge
X " .r77 6-a ._..._
Signature of Laboratory Supervisor * PASSED: -15.58% Reduction *
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -2.908
Tabular t = 2 .508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -15.58
% Mortality Avg.Reprod.
# Young Produced 20 24 15 15 22 18 22 18 18 17 23 19
0. 00 19.25
Control Control
Adult (L) ive (D) ead L L L L L L L L L L L L
0.00 22.25
Treatment 2 Treatment 2
Effluent %: 14%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
15.525% PASS FAIL
# Young Produced 21 21 24 21 19 21 22 26 21 24 23 24 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D) ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 12/04/19
Control 8.12 8.03 7.95 7.92 8.02 7.93 Collection (Start) Date
Sample 1: 12/02/19 Sample 2: 12/04/19
Treatment 2 8.01 8.02 7.86 8 .07 7. 98 8.04 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.4 hrs L A A
r d r d r d U M M
1 t t t Sample 2 X 23 . 1 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 45
Control 7.86 7.59 7.60 7.42 7.65 7.48
Spec. Cond. (pmhos) 160 1130 1642
Treatment 2 7.87 7.56 7.64 7.47 7.66 7.52
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt (°C) 2.4 2 .8
(Mortality expressed as %, combining replicates)
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % Mortality
a %
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit
% -- % Spearman Karber _ Other - High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 03/12/20
Facility: CITY OF GRAHAM WWTP NPDES#: NC0021211 Pipe#: 001 County: ALAMANCE
Laboratory Performing T t: MERITECH LABS, INC.
X IW �v, . ����ii�� Comments
-
Si(/Ignat6"ar_e of Operat in Rponsible Charge _
Signature of Laboratory Supervisor * PASSED: -3 .14% Reduction *
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -0.949
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -3 .14
% Mortality Avg.Reprod.
# Young Produced 22 20 18 24 20 22 24 23 23 20 21 18
0.00 21.25
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 21.92
Treatment 2 Treatment 2
Effluent %: 14%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
9.856% PASS FAIL
# Young Produced 23 23 22 22 21 23 22 21 20 22 24 20 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 03/04/20
Control 8.15 7.66 7.85 7.59 7.67 7.80 Collection (Start) Date
Sample 1: 03/02/20 Sample 2: 03/04/20
Treatment 2 7.84 7.90 7.88 7.92 7.84 8.02 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.0 hrs L A A
r d r d r d U M M
t t t Sample 2 X 23 .6 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 42
Control 7.87 7.51 7.80 7.58 7.98 7.42
Spec. Cond. (pmhos) 134 1314 1331
Treatment 2 7.98 7.53 7.75 7.88 8 .02 7.37
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 3 .0 2.7
(Mortality expressed as %, combining replicates) I
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit _
% -- % Spearman Karber - Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4 .41)

/,/ Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 06/16/20
Facility: CITY OF GRAHAM WWTP NPDES#: NC0021211 Pipe#: 001 County: ALAMANCE
Laboratory Performin Testf MERITECH LABS, INC.
j` r,c� Comments:
X _! eY- / (n"�'6
Signa�/o��f /O�per }or in Responsible Charge
X �0�/ r4:c�
Signature of Laboratory Supervisor * PASSED: 0.83% Reduction *
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.202
Tabular t = 2 .508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = 0.83
% Mortality Avg.Reprod.
# Young Produced 21 16 20 20 21 24 21 20 18 22 21 18
0. 00 20. 17
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 20.00
Treatment 2 Treatment 2
Effluent %: 14%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
10.322% PASS FAIL
# Young Produced 20 21 18 22 19 22 19 19 19 20 24 17 % control orgs X
producing 3rd
brood Check One
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 06/10/20
Control 7.76 8 .12 8.10 8.21 8. 07 8.22 Collection (Start) Date
Sample 1: 06/08/20 Sample 2: 06/10/20
Treatment 2 8.08 8.13 8.10 8.16 7.99 8.22 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 23 .6 hrs L A A
✓ d r d r d U M M
t t t Sample 2 X 24.3 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 44
Control 8.08 7.69 8 .01 7.77 8 .12 7.45
Spec. Cond. (pmhos) 149 1311 1605
Treatment 2 8.04 7.77 7.93 7.64 7.91 7.63
Chlorine(mg/1) <0.1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt (°C) 2.0 1.7
(Mortality expressed as %, combining replicates) 1
Note: Please
% % % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit _
% -- % Spearman Karber _ Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 09/23/20
Facility: CITY OF GRAHAM WWTP NPDES#: NC0021211 Pipe#: 001 County: ALAMANCE
Laboratory Performing Test: MERITECH LABS, INC.
�1 /<� Comments:
X L 12t% .� t • /' \ .
Signatu e of�per or �� Responsible Charge
Signature of Laboratory Supervisor * PASSED: -3 .28% Reduction *
Work Order: Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = -1.263
Tabular t = 2 .508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -3 .28
% Mortality Avg.Reprod.
# Young Produced 22 23 23 22 20 22 23 25 23 26 22 23 -
0.00 22 .83
Control Control
Adult (L) ive (D) ead LLLLLLLLLLLL
0.00 23 .58
Treatment 2 Treatment 2
Effluent %: 14%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.690% PASS FAIL
# Young Produced 22 22 23 26 25 23 23 25 22 24 23 25 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
1 pH Test Start Date: 09/16/20
Control 7.99 8 .06 7.95 8 .20 8.14 8.01 Collection (Start) Date
Sample 1: 09/14/20 Sample 2: 09/16/20
Treatment 2 8 .00 8 .15 8 .09 8 .04 8 . 02 8 .14 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X 24.1 hrs L A A
r d r d r d - U M M
t t t Sample 2 X 23 .8 hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 44
Control 8.07 7.88 8.21 7.68 7. 92 7.38
Spec. Cond. (pmhos) 144 1921 1790
Treatment 2 7.97 7.90 8.21 7.66 7. 90 7.24
Chlorine(mg/1) <0 .1 <0.1
LC50/Acute Toxicity Test Sample temp. at receipt (°C) 1.8 1.0
(Mortality expressed as %, combining replicates) 1
Note: Please
% % % % % % % % % Concentration Complete This
Section Also
% % % % % % % % % % Mortality
start/end start/end
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average _ Probit
% -- % Spearman Karber Other _ High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4 .41)

Appendix D: Pretreatment Annual Report 2019 with
S I U Information

CZitg ti ObraIamt
P. 0, Drawer 357
201 South Main Street
Graham, North Carolina 27253
Tel: [phone]/Fax: [phone]
February 27, 2020
Ms. Vivien Zhong
NC Division of Water Resources
PERCS Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: 2019 PAR for City of Graham
Dear Ms. Zhong,
Please find attached the City of Graham's Pretreatment Annual Report for the January 1, 2019 through
December 31, 2019 reporting period.
Should you need further information or if you have any questions regarding the report, please contact
me at 336-570-6721 or [e-mail].
Sincerely,
14.1414.
Shelby S. Smith
Pretreatment Coordinator
City of Graham

Narrative - 2019
City of Graham
General Information
General Program Information:
• Allocation Table, Long Term Monitoring Plan, Sewer Use Ordinance,
Headworks Analysis,Enforcement Response Plan, Industrial Waste
Survey and Permits are up to date. As required by the last approved
HWA on 10/3/18, City of Graham will submit an updated allocation table
with updated POTW average flow to reflect new TP loading by
September 1, 2020. City of Graham has also made some detection level
updates and added detection level language to our LIMP and it was
approved on February 13, 2020. As discussed with the PERCS office and
mentioned in our PAR Narrative for 2018,we began monitoring total
nitrogen in 2019 as specified in our LIMP for all sites specified with the
exception of plant effluent which has already been being monitored per
the NPDES permit.
• The detection level language change to our LTMP that was mentioned
above, was to address some issues already mentioned in the 2018 PAR
Narrative with the commercial lab which analyzes our metals and the
problems they are having getting the lower detection limits due to the
nature of the samples and interferences which cause major, expensive
issues with the equipment resulting in malfunctioning of that equipment
and need to revert different methods (200.7)with higher detection levels.
Our approach to handle this situation at this time is to always request the
lowest detection limits but with the understanding that the nature/matrix
of the samples, specifically industrial samples, may be unobtainable and
other methods with higher detection limits may be necessary.
Documentation, which will remain with the sampling results, will always
be required explaining these situations
• The ERP for City of Graham was updated to reflect the Dental Amalgam
Rule. This background work for the change was in process in 2019,but
the actual updated ERP was submitted to DWR on February 7,2020 and
approved on February 14, 2020.
• No SIUs were in Significant Noncompliance in 2019.
• Data on the Division's Pretreatment Program Information Database has
two corrections that need to be made. These corrections are date updates
that did occur until after we received the Program Info. sheet, but I just
wanted to mention. First,the Date Received by DWR for the LTMP is
January 3, 2020 and Date Approved is February 13, 2020. Secondly,the
ERP Date Received by DWR is February 7, 2020 and Date Approved is
February 14, 2020.
General Permit Information:
• SIU Permits for Cintas Corporation, Luxfer Gas Cylinders,Novaflex
Hose, Inc. and Stericycle, Inc. are now in their fourth year of the five year
permit cycle. There were no permit modifications for these industries
during 2019.
• SIU Permit for Prescient Company,Inc. is in their third year of the five
year permit cycle. Prescient Company did not have any permit
modifications during 2019.

SIU Information
1. Cintas Corporation - Permit No. 0007 (Industrial Laundry)
610 Woody Drive, Graham, N.C. 27253
Cintas Corporation had the following activities during the Jan.1- Jun. 30, 2019 reporting
period:
• Cintas Corporation had no violations this reporting period to report.
• Cintas Corporation was monitored for 624 compounds, not listed on the
IDSF forms. We found no problems with the results which are on file and
available if needed.
• Cintas Corporation was inspected on June 19, 2019
• Orders and Schedule Information: None
• A to C and Construction Information: None
Cintas Corporation had the following activities during the Jul.1- Dec.31, 2019 reporting
period:
• Cintas Corporation had one TSS violation this reporting period for which
a Notice of Non-Compliance was issued. The Notice of Non-Compliance
required 2 additional resamples. These resamples were taken by Cintas
Corporation for the parameter and the resamples were both within their
permit limits. They were not in SNC for TSS.
• Cintas Corporation was monitored for 624 compounds, not listed on the
IDSF forms. We found no problems with the results which are on file and
available if needed.
• Orders and Schedule: None
• A to C and Construction Information: None.
2. Luxfer Gas Cylinders Permit No. 2001 (Gas Cylinders) 40CFR 467.36
(Aluminum Forming)
235 Riverbend Rd., Graham, N.C. 27253
Luxfer had the following activities during the Jan.1-Jun. 30, 2019 reporting period:
• Luxfer had no violations this reporting period to report.
• Luxfer was monitored for TTO compounds under 40 CFR 467. 36. The
results were all less than detect, therefore, well under the 0.424 mg/L
permit limit.
• Orders and Schedule Information: None
• A to C and Construction Information: None
Luxfer had the following activities during the Jul. 1- Dec. 31, 2019 reporting period:
• Luxfer had no violations this reporting period to report.
2

• Luxfer was monitored for TTO compounds under 40 CFR 467. 36. Due to
a high level or organic acids, esters and other non-target compounds
present in the sample the laboratory was unable to achieve lower detection
limits for semi-volatile organic analysis. This sample required a x10
dilution. All values were not detected.
• Luxfer was inspected on October 3, 2019.
• Orders and Schedule Information: None
• A to C and Construction Information: None
3. Novaflex Hose Corp. Permit No. 1001 40 CFR 428 (Rubber Manufacturing)
449 Trollingwood Road, Haw River, N.C. 27258
Novaflex had the following activities during the Jan. 1- Jun. 30, 2019 reporting period:
• Novaflex had had one pH violation this reporting period for which a Notice of
Non-Compliance was issued. A resample was taken by Novaflex for the
parameter and the resample was within their permit limits. They were not in SNC
for pH.
• Orders and Schedule Information: None
• A to C and Construction Information:None
NovaFlex had the following activities during the July 1- Dec. 31, 2019 reporting period:
• NovaFlex had no violations this reporting period to report.
• Novaflex was inspected on October 31, 2019.
• Orders and Schedule Information: None
• A to C and Construction Information: None
4. Prescient Company, inc. Permit No. 3001 40 CFR 433.17 (Metal Finisher)
2125 Senator Ralph Scott Parkway, Mebane, NC 27302
Prescient Company, Inc. had the following activities during the Jan. 1- Jun. 30, 2019
reporting period:
• Prescient Company, Inc. had one BOD violation this reporting period for which a
Notice of Non-Compliance was issued. The Notice of Non-Compliance required
2 additional resamples. Two resamples was taken by Prescient for the parameter
and the resamples were both within their permit limits. They were not in SNC for
BOD.
• Orders and Schedule Information: None
• A to C and Construction Information: None
• Total Toxic Organics Certification Statement received 6/10/19.
Prescient Company, Inc. had the following activities during the July 1-Dec. 31, 2019
reporting period:
3

• Prescient Company, Inc. had no violations this reporting period to report.
• Prescient Company, Inc. was inspected on October 9, 2019.
• Orders and Schedule Information: None
• A to C and Construction Information: None
• Total Toxic Organics Certification Statement received 12/2/19.
5. Stericycle, Inc. Permit No. 0030 (Medical Waste)
1168 Porter Ave., Haw River,N.C.27258
Due to the extremely high levels of matrix interferences present in the Stericycle samples
during samplings events during 2019,the commercial lab which was used for metals was
unable to reach the lower detection limits that are stated in the City of Graham LTMP.
The commercial lab did provide documentation as to the cause of this. This
documentation is kept with the sample results and is available for review if needed.
Stericycle had the following activities during the Jan. 1- Jun. 30,2019 reporting period:
• Stericycle, Inc. had no violations this reporting period to report.
• Orders and Schedules Information:None
• A to C and Construction Information: None
Stericycle had the following activities during the July 1-Dec. 31, 2019 reporting period:
• Stericycle had no violations this reporting period to report.
• Stericycle was inspected on September 12, 2019.
• Orders and Schedule Information: None
• A to C Information:None
4

Pretreatment Program Info Database printed on: 12/20/2019
for Program Name Graham I irmit.'41' %
WWTP Name City of Graham
Stream Information IWC at 7010 13.74
Program Approval Date 08/05/1983 7010 Flow cfs/mgd 34 / 21.96
1010 Flow cfs/mgd 27.96 / 18.07
Pretreatment Status Full WS-V/NSW
Stream Classification
Region WSRO Basin Number CPF02 I
County Alamance Receiving Stream Name HAW RIVER
NPDES Number NC0021211
NPDES Effective Date Last PAR Rec 02/18/2019 PAR Due Date 03/01/2020 mercury
07/01/2013 Current Fiscal 1631
NPDES Expire Date 05/31/2016 09/06/2018 required
Year PCI Done
POTW is Primary WTP TRUE Last Audit on 09/12/2019 Audit Year Next23/24 yes
W
Design Flow mgd 3.5000 %Design mgd is SIU permitted 7.57 Permitted SIU flow(mgd)[Pt_SIU) .265
WWTP SIU's 5 Program Sills I5
WWTP CIU's 3 Program CIUs 3 HWA LTMP IWS SUO ERP
date Inactive Date Next Due 09/01/2023 04/02/2023 02 jo 7) ..o2O
Date Received by DWR 08/30/2018 05/27/2018 03/29/2018 09/07/2011 12/15/2011
Date Approved 10/03/2018 10/04/2018 04/04/2018 09/14/2011 01/23/2012-
Adopt Date Required 61,Jf3J2o20 ();/... J )) Zo 2.4.)
Date Adopted 11/01/2011
Info in this Box from Pt_Contacts i
Date Date Date
PT_Pro Attended Attended Attended
Formal Name g.prime Phonel ext Fax HWA Wksp IUP Wksp PAR Wksp
Ms.Shelby Smith IPrirn II336-570-6721 I 1336-513-5502 II 1123/2018 ' 5/24/2016 101/29/20191
[e-mail] Pretreatment Coordinator PO Box 357 27253
Tonya Mann I 11(336)570-6721 J I 11/23/2018 I I 1/29/2019 I
[e-mail] Utilities Director PO Box 357 27253
J
Pretreatment Related NOVs from DWQ DWR Central Office Contact Vivien Zhong
DWR Regional Contact Jim Gonsiewski
s A\:,c-
Al'°i\-
-

Chapter 9, PAR Guidance
Pretreatment Performance Summary (PPS)
1. Pretreatment Town Name: City of Graham
2. "Primary"NPDES Number NCO() 21211
or Non_Discharge Permit# if applicable=>
3. PAR Begin Date, please enter 01/01/yyyy 3.=> 1/1/2019
4. PAR End Date, please enter 12/3 1/yyyy 4.=> 12/31/2019
5. Total number of SIUs, includes CIUs 5.=> 5
6. Number of CIUs 6._> 3
7. Number of SIUs with no IUP, or with an expired IUP 7.=> 0
8. Number of SIUs not inspected by POTW 8._> 0
9. Number of SIUs not sampled by POTW 9.=> 0
10. Number of SIUs in SNC due to IUP Limit violations 10.=> 0
11. Number of SIUs in SNC due to Reporting violations 11._> 0
12. Number of Ms in SNC due to violation of a Compliance Schedule,CO,AO or similar 12._> 0
13. Number of CIUs in SNC 13.=> 0
14. Number of SIUs included in Public Notice 14.=> 0
15 Total number of SIUs on a compliance schedule, CO,AO or similar 15.=> 0
16. Number of NOVs,NNCs or similar assesed to SIUs 16.=> 3
17. Number of Civil Penalties assessed to SIUs 17.=> 0
18. Number of Criminal Penalties assessed to SIUs 18.=> 0
19. Total Amount of Civil Penalties Collected 19._> $ 0
20. Number of IUs from which penalties collected 20.=> 0
Foot Notes: AO Administrative Order IUP Industrial User Pretreatment Permit POTW Publicly Owned Treatment Works
CIU Categorical Industrial User NNC Notice of Non-Compliance SIU Significant Industrial User
CO Consent Order NOV Notice of Violation SNC Significant Non-Compliance
IU Industrial User PAR Pretreatment Annual Report
revised 1/2018: PAR PPS 2018

Pretreatment Annual Report (PAR) PAR covers this calendar year=> 2019
Significant Non-Compliance Report (SNCR) Control Authority=Program=Town Name => City of Graham
WWTP = Wastewater Treatment Plant,use separate form for each WWTP. WWTP Name => Graham WWTP
SIU= Significant Industrial User NPDES # => NC0021211
SNC = Significant Non-Compliance
A SNCR Form must be submitted with every PAR, please write "None" if you had No SIUs in SNC during calendar year
SNC ? (Yes /No )
IUP Pipe Industry Name Parameter for each 6-month period.
# # or "Reporting" Jan. - June July-Dec.
"NONE"
Attach a copy of the Division's "SIUs in SNC Historical Report" for your POTW's SIUs behind this page .
Is the database correct ? Notify the Division of any errors ! Database indicates SNC history for previous years.
EVERY SNC MUST be explained in the Narrative, How was, is, or will it be resolved?
REPEAT SNCs are serious matters that MUST be explained in the Narrative.
Form name: PAR,SNCR,200I
Date Revised: 1/4/2001

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Graham Name Cintas Corporation
WWTP Name=> Graham WWTP IUP# 0007
Use separate forms for each industry/pipe NPDES#=> NC002121 1 Pipe# 01
Enter BDL values as < (value) Ist 6 months,dates=> 1/1/2019 to 6/30/19
2nd 6 months, dates=> 7/1/2019 to 12/31/19
Flow. m6d BOD TSS Ammonia
1st 6 months lnd 6 months 1st 6 months 2nd 6 months 1st 6 months Jlnd 6 months 1st 6 months lnd 6 months
Total #of samples=> 3 6 2 2 2 4 1 1
* Maximum (mg/I)_> 0.0713 0.0779 540 258 65 375 1.2 5.9
* or Maximum (lb/d)_>
'or 6 mos.Using V2 BDL Average(mg/I)_> 0.057 0.072 354 240 65 173 I.? 5.9
* or Average Loading(lb/d)=>
% violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
'Arsenic Cadmium Chromium COD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 I 1 1 I
* Maximum (mg/I)_> 0.003 0.002 0.0039 0.00066 0.007 0.005 826 1510
* or Maximum (lb/d)_>
'or 6 may.Using l„BDL Average(mg/1)_> 0.003 0.002 0.0039 0.00066 0.007 0.005 826 1510
* or Average Loading(lb/d)_>
violations, (chronic SNC is>=66%)_> NA NA 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)_> NA NA 0 0 0 0 NA NA
Comer Cyanide LeadMercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months I st 6 months 2nd 6 months I st 6 months 2nd 6 months
Total#of samples=> I 1 1 1 1 1 3 3
* Maximum (mg/1)_> 0.129 0.047 0.014 <0.005 0.021 0.016 <0.0002 <0.0002
* or Maximum (1b/d)_>
'or 6 mos.Using V2 BDL Average(mg/1)_> 0.129 0.047 0.014 0.0025 0.021 0.016 0.0001 0.0001.
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these 1UP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month.Qtr.or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PACRotif}9fslhi Rediaiidedy'iftaQtertatsi,ctRArlB,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of --

Pretreatment Annual Report (PAR) Industry Name Cintas Corporation
Industrial Data Summary Form (IDSF) IUP# 0007
Use separate forms for each industry/pipe Pipe# 01
Nickel Selenium 'Silver Zinc
1st 6 months 2nd 6 months 1st 6 months lnd 6 months 1st 6 months lnd 6 months 1st 6 months 1nd 6 months
Total#of samples=> I 1 I 1 1 1 1 1
* Maximum (mg/1)_> 0.013 0.021 0.002 <0.002 <0.0005 <0.0005 0.392 0.491
* or Maximum (lb/d)_>
•or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.013 0.021 0.002 0.0010 0.00025 0.00025 0.392 0.491
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>= 66%)_> 0 0 NA NA NA NA 0 0
%TRC violations,(SNC is>=33 %)=> 0 0 NA NA NA NA 0 0
pH Temperature NO2 +NO3 Total Nitrogen
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months l st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 1 1 1 I
* Maximum=> 9.33 7.4 30.6 30.8 0.2 <0.10 17.7 9.67
* or Minimum=>
'orb mos Using 1,2 BDL Average (mg/I)_> 30 28 0.2 0.05 17.7 10
*
%violations, (chronic SNC is>=66%)=> 0 0 0 0 NA NA NA NA
%TRC violations,(SNC is>=33 %)=> N/A 0 0 NA NA NA NA
IT. Phosphorus Total Molybdenum TKN FOG
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> 0.477 1.18 0.044 0.019 I7.5 9.67 18 8
* or Maximum (lb/d)=>
`or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.477 1.18 0.044 0.019 17.5 9.7 18 8
* or Average Loading(lb/d)=>
% violations, (chronic SNC is>=66%)_> 0 0 NA NA 0 0 0 0
TRC violations, (SNC is>=33 %)=> 0 0 NA NA 0 0 0 0
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Ave period could be month.Qtr,or 6-month&if BDL. I/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PFTorlfpf ha Redisiatedgiha¢ten is ciRAl3B,pages 12. 13. 14 Blank 1DSF Form,Copy and use in your PAR Number each set for each 1UP pipe-Page — of --

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Graham Name Luxfer Gas Cylinders
Use separate forms for each industry/pipe WWTP Name=> Graham WWTP IUP# 2001
Enter BDL values as < (value) NPDES#=> NC0021211 Pipe# 01
1st 6 months, dates=> 1/1/2019 to 6/30/2019
2nd 6 months, dates=> 7/1/2019 to 12/31/2019
Flow, med BOD jTSS Ammonia
1st 6 months 2nd 6 months 1st 6 months 2nd b months 1st 6 months 2nd 6 months 1st 6 months 2nd b months '
Total#of samples=> 2 2 2 2 2 2 1 1
* Maximum (mg/1)=> 0.0615 0.0386 10.5 16.7 3 17.8 0.4 0.4
* or Maximum (Ib/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.0443 0.0382 5.44 11.3 2.8 10.9 0.4 0.4
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)_> Q 0 0 0 0 0 0 NA NA
%violations,(chronic SNC is>=66%)_> T
%TRC violations, (SNC is>=33 %)_>
Arsenic 'Cadmium Chromium COD
1st 6 months '2nd 6 months 1st 6 months 2nd 6 months 1st 6 months nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)=> <0.002 <0.002 <0.00015 <0.00015 <0.002 <0.002 19 34
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.001 0.001 0.000075 0.000075 0.001 0.001 19 34
* or Average Loading(lb/d)—>
%violations, (chronic SNC is>=66%)_> ,, NA NA 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)_> .o NA NA 0 0 0 0 NA NA
%violations,(chronic SNC is>=66%)_> 0 0
%TRC violations, (SNC is>=33 %)_> i 0 0
Copper Cyanide Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
Maximum (mg/1)=> 0.007 0.006 <0.005 <0.005 <0.0005 <0.0005 <0.0002 <0.0002
* or Maximum (1b/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/I)_> 0.007 0.006 0.0025 0.0025 0.00025 0.00025 0.0001 0.0001
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)_> c 0 0 0 0 0 0 NA NA
%violations,(chronic SNC is>=66%)_> 0 0
%TRC violations, (SNC is>=33 %)_> 0 0
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr.or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
/
Chapter: PAR Guidance File name: PPRorIipS etiisiteCisiittedfriha¢ si tag> qct B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page 1 of `d

Pretreatment Annual Report (PAR) Industry Name Luxfer Gas Cylinders
Industrial Data Summary Form (IDSF) lup# 2001
Use separate forms for each industry/pipe pipe# 01
Nickel - `Selenium Silver Zinc
1st b months 2nd 6 months Ist 6 months 2nd b months )1st b months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> 0.0015 0.0011 <0.001 <0.002 <0.0005 <0.0005 0.016 0.02
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/I)_> 0.0015 0.0011 0.0005 0.001 0.00025 0.00025 0.016 0.02
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> ,, 0 0 NA NA NA _ NA 0 0
%TRC violations,(SNC is>=33 %)_> 0 0 0 NA NA NA NA 0 0
%violations, (chronic SNC is>=66%)_> T 0 0
TRC violations,(SNC is>=33 %)_> i 0 0
pH Temperature°C NO2 & NO3 'Total Nitrogen
1st 6 months -2nd b months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months
Total#of samples=> 2 2 2 2 1 1 1 1
* Maximum => 8.19 8.77 20.2 26 0.45 1.89 1.98 2.31
* or Minimum=>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 17.8 24.4 0.45 1.89 1.98 2.31
*
%violations, (chronic SNC is>=66%)_> 0 0 0 0 NA NA NA NA
%TRC violations,(SNC is>=33 %)_> o N/A 0 0 NA NA NA NA
%violations, (chronic SNC is>=66%)_> N/A
%TRC violations, (SNC is>=33 %)=> N/A
T.Phosphorus Total Molybdenum TKN FOG
1st 6 months 2nd 6 months 1st 6 months -2nd 6 months 161st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)=> 0.538 3.39 <0.002 <0.002 1.53 1.89 <5 <5
* or Maximum (lb/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.538 3.39 0.001 0.001 1.53 1.89 2.5 2.5
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> ,, NA NA NA NA 0 0 0 0
%TRC violations, (SNC is>=33 %)_> n NA NA NA NA 0 0 0 0
%violations, (chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_> i
BDL=>Below Detection Limit mg/l=>milligrams per liter
* POTW must enter at least one of these CUP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Ave period could be month.4tr,or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
/
Chapter: PAR Guidance File name: P. PorlIpSdhmsi3e�ialeclett#tafttartatsl�eti64B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each 1UP pipe-Page "" of �'-'

Pretreatment Annual Report (PAR)
Industry Name Litxfer Gas Cylinders
Industrial Data Summary Form (IDSF) IUP# 2001
Use separate forms for each industry/pipe Pipe# of
Enter BDL values as < (value)
Ip-Chloro-m cresol ' 2-chlorophenol 2,4 dinitrotoluene 1,2 Diphenylhdrazine
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 12nd 6 months
Total #of samples=> 1 1 1 1 I 1 1 1
* Maximum (mail)_> <0.01 <0.10 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.005 0.05 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>= 66%)_> 0 0 0 0 0 0 0 0
%TRC violations.(SNC is>=33 %)_> 0 0 0 0 I 0 0 0 0
I ethyblenzene fluoranthene isophorone napthalene
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total #of samples=> 1 I 1 1 1 1 1 1
Maximum (mg/l)_> <0.001 <0.001 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
or Maximum (lb/d)=> _
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.0005 0.0005 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations.(SNC is>_33 %)_> 0 0 0 0 0 0 0 0
N-nitrosodi phenyl amine phenol benzo(a)pyrene Benzo(g,h,i)perylene
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> I 1 l 1 I 1 1 1
* Maximum (mg/I)_> <0.01 <0.10 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.005 0.05 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations.(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
BDL=>Below Detection Limit mail=>milligrams per liter
• POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance and=>million gallons per day
Avg period could be month.Qtr.or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PARotirpSifiezirsileGnidedEhafttratiktstc1WB,pages 12. 13. 14 Blank 1DSF Form.Copy and use in your PAR Number each set for each IUP pipe-Page - of `-

Pretreatment Annual Report (PAR)
Form (IDSF) Industry Name Luxfer Gas Cylinders
Industrial Data Summary IUP# 2001
Use separate forms for each industry/pipe Pipe# 01
Enter BDL values as < (value)
fluorene phenanthrene dibenzo(a,h)anthracene indeno(1,2,3-c,d)pyrene I
1st 6 months I2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mgil)_> <0.01 <0.10 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.005 0.05 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)_> 1
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
pyrene tetrachlorocthylene I toulene trichloroethylene 1,1,1
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months "2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> <0.01 <0.10 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001
* or Maximum (lb/d)=>
*or 6 mos.Using 1/2 BDL Average (mg/1)_> 0.005 0.05 0.0005 0.0005 0.0005 0.0005 0.0005 0.0005
,. Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations, (SNC is>=33 %)_> 0 0 0 0 .1 0 0 0 0
endosulfansulfate 1,1,2 bis(2ethyl hexyl)phthalate diethylphthalate 3.4 benzofluouranthene
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months I2nd 6 months 1st 6 months -2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> <0.001 <0.001 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/I)=> 0.0005 0.0005 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
BDL=>Below Detection Limit mgll=>milligrams per liter
• POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows. Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL.1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
t
Chapter: PAR Guidance File name: PF¢'ort(l3&ffiels deNCiiiiidedatiha¢tent tshelli IB,pages 12. 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page I of '

Pretreatment Annual Report (PAR)
Industry Name 'Alder Gas Cylinders
Industrial Data Summary Form (IDSF) JUP# 2001
Use separate forms for each industry/pipe Pipe# 01
Enter BDL values as < (value)
1 benzo(k)fluoranthene chrysene acenaphthylene anthrancene
I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
Maximum (mg/1)_> <0.01 <0.10 <0.01 <0.10 <0.01 <0.10 <0.01 <0.10
or Maximum (lb/d)_>
*or 6 mos. Using 1/2 BDL Average(mg/1)_> 0.005 0.05 0.005 0.05 0.005 0.05 0.005 0.05
* or Average Loading(lb/d)=> —
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations.(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
di-n-butyl phthalate edrin ' endrin aldehyde PCB1242
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> l 1 1 I 1 1 I l
* Maximum (mg/1)_> <0.01 <0.10 <0.001 <0.001 <0.001 <0.001 <0.005 <0.005
* or Maximum OM)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.005 0.05 0.0005 0.0005 0.0005 0.0005 0.0025 0.0025
* or Average Loading(Ib/d)=>
%violations, (chronic SNCis>=66%)_> 0 0 0 0 0 0 0 0
TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
IPCB 1254 PCB 1221 PCB 1232 PCB 1248 '
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months l2nd 6 months
Total#of samples=> 1 I I 1 1 I 1 1
,r Maximum (mg/I)=> <0.005 <0.005 <0.005 <0.005 <0.005 <0.005 <0.005 l <0.005
* or Maximum (lb/d)_>
'tor 6 mos.Using 1/2 BDL Average(mg/1)_> 0.0025 0.0025 0.0025 ( 0.0025 0.0025 0.0025 0.0025 0.0025
* or Average Loading(lb!d)_>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 0 0
%TRC violations.(SNC is>=33 %)_> 0 0 0 0 0 0 0 0
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these [UP=>industrial User Permit lb/d=>pounds per day
four rows. Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month.Qtr.or 6-month&if BDL. 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: Pr Porlfgdhrssi!Ze�Ciaiaded:ffehaAtert9,2s'ectRAt1B,pages 12, 13. 14 Blank IDSF Form,Copy and use in your PAR Number each set for each 1UP pipe-Page J of CT.

Pretreatment Annual Report (PAR) Industry Name Luxfer Gas Cylinders
Industrial Data Summary Form (IDSF) IUP# 2001
Use separate forms for each industry/pipe Pipe# 01
Enter F3DL values as < (value)
PCB 1260 PCB 1016 acenaphthene
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total #of samples=> 1 1 1 1 1
Maximum (mg/I)_> <0.005 <0.005 <0.005 <0.005 <0.01 <0.10
k or Maximum (lb,/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/I)_> 0.0025 0.0025 0.0025 0.0025 0.005 0.05
or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0
%TRC violations, (SNC is>=33 %)_> 0 0 0 0 0 0
1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total #of samples=>
* Maximum (mg/I)_> 1
* or Maximum (1b/d)_>
*or 6 mos. Using 1/2 BD1 Average(mg/I)=>
Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_>
%TRC violations, (SNC is>=33 %)_>
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months 1 st 6 months 2nd 6 months
Total#of samples=>
Maximum (mg/1)=>
or Maximum (lb/d)_>
*or 6 mos. Using 1/2 BDI Average(mg/I)_>
* or Average Loading(lb/d)_>
%violations, (chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33%)_>
BDL=>Below Detection Limit mg/1=>milligrams per liter
" POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL. 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: Pt rTTfiMeciFiZeNegiiniedLha{tterd t cil B.pages 12, 13. 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page L^ of IC

Pretreatment Annual Report (PAR) Control Authority Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Graham Name Novaflex Hose, Inc.
WWTP Name=> Graham WWTP IUP# 1001
Use separate forms for each industry/pipe NPDES#_> NC002121 I Pipe# 02
Enter BDL values as < (value) 1st 6 months, dates=> 1/1/2019 to 6/30/2019
2nd 6 months, dates=> 7/1/2019 to 12/31/2019
Flow, mgd JBOD TSS Ammonia
I st 6 months 2nd 6 months 1st 6 months 2nd b months 1st b months -2nd 6 months 1st 6 months Lnd 6 months
Total#of samples=> 2 2 2 2 2 2 1 1
* Maximum (mg/1)_> 0.01483 0.01477 111 102 26 31 1.1 1.4
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.00982 0.00957 82.8 61 21.5 20 1.1 1.4
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)—> 0 0 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
Arsenic Cadmium _ChromiumL COD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months '2na 6 months_
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> 0.010 <0.002 <0.00015 <0.00015 0.003 <0.002 220 85
* or Maximum (lb/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.010 0.001 0.000075 0.000075 0.003 0.001 220 85
* or Average Loading(lb/d)_> I
%violations, (chronic SNC is>=66%)_> NA NA 0 0 0 _ 0 NA NA
%TRC violations,(SNC is>=33 %)_> NA NA 0 0 0 0 NA NA
Copper Cyanide Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 I 1 1 1 1
* Maximum (mg/1)_> 0.130 0.101 <0.005 <0.005 0.0024 0.0010 <0.0002 <0.0002
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.130 0.101 0.0025 0.0025 0.0024 0.0010 0.0001 0.0001
* or Average Loading(Ib/d)=>
%violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
BDL=>Below Detection Limit mg//1=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter. PAR Guidance File name: PfBortEpSi tmiisReN ieirdEtl talittgtajshct& B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of 2.

Pretreatment Annual Report (PAR) Industry Name Novaflex Hose, Inc.
Industrial Data Summary Form (IDSF) IUP# 1001
Use separate forms for each industry/pipe Pipe# 02
Nickel Selenium Silver Zinc
1st 6 months 2nd 6 months l st 6 months Ind 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/l)_> 0.0055 0.0019 0.015 <0.002 <0.0005 <0.0005 0.291 0.125
* or Maximum (Ib/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.0055 0.0019 0.015 0.001 0.00025 0.00025 0.291 0.125
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0 0 NA NA NA NA 0 0
%TRC violations,(SNC is>=33 %)=> 0 0 NA NA NA NA 0 0
pH 'Temperature'C NO2 & NO3 Total Nitrogen
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months -2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 3 2 2 2 1 1 1 1
* Maximum=> 10.98 7.32 18.1 29.1 <0.10 <0.10 9.69 4.43
* or Minimum=>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 16.7 29 0.05 0.05 9.69 4.43
*
%violations,(chronic SNC is>=66%)_> 0 0 0 0 NA NA NA NA
%TRC violations, (SNC is>=33 %)_> N/A 0 0 NA NA NA NA
T. Phosphorus Total Movbdenum TKN FOG
1st 6 months 2nd 6 months 1st 6 months nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 I 1 1 1 1 1 1
* Maximum (mg/I)=> 36.2 0.234 0.004 <0.002 9.69 4.43 67 <5
* or Maximum (lb/d)_>
*or 6 mos.Using 12 BDL Average(mg/1)_> 36.2 0.234 0.004 0.0010 9.69 4.43 67 2.5
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> NA NA NA NA 0 0 0 0
%TRC violations, (SNC is>=33 %)=> NA NA NA NA 0 0 0 0
BDL=>Below Detection Limit mg/I=>milligrams per liter •
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mod=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, l2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PAPortfkilhecisReCtaidrddlhafttcgtit AzetRih413,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Graham Name Prescient Company, Inc.
WWTP Name=> Graham WWTP IUP# 3001
Use separate forms for each industry/pipe NPDES#=> NC002121 1 Pipe# 01
Enter BDL values as < (value) 1st 6 months,dates=> 1/1/2019 to 6/30/2019
2nd 6 months, dates=> 7/1/2019 to 12/31/2019
I Flow, mad BOD TSS Ammonia
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 4 2 4 2 2 2 1 1
* Maximum (mg/1)_> 0.0015 0.0044 729 40.8 28 19.0 <0.1 0.5
* or Maximum (lb/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/1)_> 0.0011 0.0030 252 32.5 24.5 15.5 0.05 0.5
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
'Arsenic Cadmium Chromium -CUU
I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months '2nd 6 months
Total#of samples=> 1 I 1 I 1 1 I 1
* Maximum (mg/1)_> <0.002 <0.002 <0.00015 <0.00015 <0.002 <0.002 250 117
* or Maximum (Ib/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/I)=> 0.001 0.001 0.000075 0.000075 0.001 0.001 250 117
or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> NA NA 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)_> NA NA 0 0 0 0 NA NA
Conner Cyanide Lead Mercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months "2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/1)_> 0.091 0.154 <0.005 <0.005 <0.0005 <0.0005 <0.0002 <0.0002
* or Maximum (Ib/d)_>
*or 6 mos.Using 1/2 BDL Average(mg/I)_> 0.091 0.154 0.0025 0.0025 0.00025 0.00025 0.0001 0.0001
* or Average Loading(Ib/d)_>
violations, (chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
TRC violations, (SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these [UP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, I/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
J
Chapter: PAR Guidance File name: PARodtPfhsdazdeNGaiided&thaQtmat e,ctRAr1B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page 1 of —f

Pretreatment Annual Report (PAR) Industry Name Prescient Company, Inc.
Industrial Data Summary Form (IDSF) IUP# 3001
Use separate forms for each industry/pipe Pipe# 01
Nickel !Selenium Silver Zinc
1st b months 2nd 6 months 1st 6 months 2nd 6 months 1st b months 12nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg/I)=> 0.012 0.0068 <0.001 <0.002 <0.0005 <0.0005 0.292 0.I24
* or Maximum (lb/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.012 0.0068 0.0005 0.001 0.00025 0.00025 0.292 0.124
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)_> 0 0 NA NA 0 0 0 0
TRC violations, (SNC is>=33 %)_> 0 0 NA NA 0 0 0 0
pH Temperature° C 'Fluoride NO2&NO3
1st b months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 134 127 2 2 1 1 1 1
* Maximum=> 7.6 7.8 22.2 29.8 3.4 1.50 <0.10 0.11
* or Minimum=>
*or 6 mos.Using 1/2 BDL Average(mg/I)_> 21.6 29.4 3.4 1.50 0.05 0.11
*
%violations, (chronic SNC is>=66%)_> 0 0 NA NA NA NA
%TRC violations, (SNC is>=33 %)=> N/A 0 0 NA NA NA NA
T. Phosphorus Total Molybdenum TKN FOG
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> I I 1 1 1 1 1 1
* Maximum (mg/I)_> 28.3 9.85 0.006 0.003 4.86 5.89 <5 <5
* or Maximum (Ib/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/I)=> 28.3 9.85 0.006 0.003 4.86 5.89 2.5 2.5
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> NA NA NA NA 0 0 0 0
%TRC violations,(SNC is>=33 %)_> NA NA NA NA 0 0 0 0
BDL=>Below Detection Limit mg/I=>millierams per liter
* POTW must enter at least one of these 1UP=>Industrial User Permit lb/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month.Qtr,or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: P, TI1giihedsReCtaiided afitcgat lecIRIMB,pages 12. 13. 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of -v'

Pretreatment Annual Report (PAR) Industry Name Prescient Company, Inc.
Industrial Data Summary Form (IDSF) IUP# 3001
Use separate forms for each industry/pipe Pipe# 0I
Enter BDL values as < (value)
Total Nitrogen
1st 6 months 2nd 6 months /1st 6 months 2nd 6 months 1st 6 months 2nd 6 months l st 6 months -2nd 6 months
Total#of samples=> 1 1
* Maximum (mg/1)_> 4.86 6.00
* or Maximum (Ib/d)=>
*or 6 mos. Using 1/2 BDL Average(mg/1)_> 4.86 6.00
* or Average Loading(Ib/d)=>
%violations, (chronic SNC is>=66%)_> NA NA
%TRC violations,(SNC is>=33 %)_> NA NA
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months '1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/1)_>
* or Maximum (lb/d)_>
* or Average(mg/1)=>
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)_>
I I
1st 6 months [2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=>
* Maximum (mg/I)_>
* or Maximum (Ib/d)=>
* or Average(mg/I)_>
* or Average Loading(lb./d)_>
violations,(chronic SNC is>=66%)_>
%TRC violations,(SNC is>=33 %)_>
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month.Qtr.or 6-month&if BDL, 1/2BDL.or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PARorffpfdhairFweNatiided atttez(3tsigclidl#B,pages 12,13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page 3 of

Pretreatment Annual Report (PAR) Control Authority, Industry
Industrial Data Summary Form (IDSF) Town Name=> City of Graham Name Stericycle, Inc.
Use separate forms for each industry/pipe WWTP Name=> Graham WWTP IUP# 0030
Enter BDL values as < (value) NPDES #=> NC002121 1 Pipe# 01
1st 6 months, dates=> 1/1/2019 to 6/30/2019
2nd 6 months, dates=> 7/1/2019 to 12/31/2019
Flow. mad BOD TSS Ammonia
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months Ind 6 months 1st 6 months 2nd 6 months
Total#of samples=> 7 7 2 2 2 2 1 1
* Maximum (mg/1)_> 0.0190 0.0218 6.6 10.5 38 16 88.4 67.8
* or Maximum (Ib/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/I)=> 0.0146 0.0153 3.3 9.9 22.8 14.9 88.4 67.8
* or Average Loading(lb/d)=>
violations,(chronic SNC is>=66%)_> 0 0 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)_> 0 0 0 0 0 0 NA NA
'Arsenic Cadmium l Chromium COD
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total #of samples=> I 1 1 1 1 1 1 1
* Maximum (mg/1)=> <0.100 <0.004 <0.020 0.00095 <0.050 <0.004 379 724
* or Maximum (lb/d)=>
*or 6 mos.Using l/2 BDL Average(mg/1)=> 0.05 0.002 0.010 0.00095 0.025 0.002 379 724
* or Average Loading(lb/d)_>
%violations,(chronic SNC is>=66%)=> NA NA 0 0 0 0 NA NA
%TRC violations, (SNC is>=33 %)=> NA NA 0 0 0 0 NA NA
Copper Cyanide LeadMercury
1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total # of samples=> 1 I 1 1 1 1 6 6
* Maximum (mg/1)_> 0.052 0.040 <0.005 <0.005 <0.100 0.0035 0.0023 <0.0002
* or Maximum (lb/d)_>
*or6 mos.Using 1/2 BDL Average(mg/1)=> 0.052 0.040 0.0025 0.0025 0.05 0.0035 0.0003 0.0001
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>= 66%)_> 0 0 0 0 0 0 NA NA
%TRC violations,(SNC is>=33 %)=> 0 0 0 0 0 0 NA NA
BDL=>Below Detection Limit mg/1=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month.Qtr.or 6-month&if BDL. l/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: PFQtodig3hatsiteCtaiidediGhaptc tatskct8Rr1B,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page 1 of -

Pretreatment Annual Report (PAR) Industry Name Stericycle, Inc.
Industrial Data Summary Form (IDSF) IUP# 0030
Use separate forms for each industry/pipe Pipe# 01
Nickel Selenium 'Silver > "Zinc
1st 6 months 'Lnd 6 months ' 1st 6 months 2nd 6 months 1st 6 months Lnd b months 1st 6 months Lnd 6 months
Total#of samples=> 1 1 1 1 1 1 1 1
* Maximum (mg./1)=> <0.100 0.015 <0.100 0.006 <0.050 <0.0025 0.62 0.065
* or Maximum (Ib/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.05 0.015 0.05 0.006 0.025 0.00125 0.62 0.065
* or Average Loading(lb/d)=>
%violations, (chronic SNC is>=66%)_> 0 0 NA NA NA NA 0 0
%TRC violations, (SNC is>=33 %)_> 0 0 NA NA NA NA 0 0
pH Temperature°C NO2&NO3 Total Nitrogen
1st 6 months 2nd 6 months I st 6 months 2nd 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total#of samples=> 2 2 2 2 1 1 1 I
* Maximum=> 9.08 5.3 21.6 39.1 1.27 1.13 102 82.4
* or Minimum=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 20.1 35.1 1.27 1.13 102 82.4
*
%violations,(chronic SNC is>=66%)_> 0 0 0 0 NA NA NA NA
%TRC violations,(SNC is>=33 %)_> N/A 0 0 NA NA NA NA
T. Phosphorus Total Molybdenum TKN FOG
1st 6 months 2nd 6 months 1st 6 months Ind 6 months 1st 6 months 2nd 6 months 1st 6 months 2nd 6 months
Total #of samples=> 1 1 1 I 1 I 1 1
* Maximum (mg/1)_> 0.418 0.381 0.063 0.054 101 81.3 <5 <5
* or Maximum (1b/d)=>
*or 6 mos.Using 1/2 BDL Average(mg/1)=> 0.418 0.381 0.063 0.054 101 81.3 2.5 2.5
* or Average Loading(lb/d)=>
%violations,(chronic SNC is>=66%)_> NA NA NA NA 0 0 0 0
%TRC violations, (SNC is>=33 %)_> NA NA NA NA 0 0 0 0
BDL=>Below Detection Limit mg/I=>milligrams per liter
* POTW must enter at least one of these IUP=>Industrial User Permit Ib/d=>pounds per day
four rows, Please indicate how averages were calculated SNC=>Significant Non-Compliance mgd=>million gallons per day
Avg period could be month,Qtr,or 6-month&if BDL, 1/2BDL,or zero values used. TRC=>Technical Review Criteria WWTP=>wastewater treatment plant
Chapter: PAR Guidance File name: P1Vudfl3Slhm4sidediaicdcdEihalrtettBds etBA1413,pages 12, 13, 14 Blank IDSF Form,Copy and use in your PAR Number each set for each IUP pipe-Page of

Workbook Name : HWAATDesign (February 2008) (4)- revised with TP update for July 1 2018 - June 3CP2OsP8Maiiiilsiiiitilm
Page 1 of 5
Name: AT
Allocation Table Spreadsheet Instructions:
Headworks last approved: 10/03/18 1)Applicable Values should be entered in the Heavy Bordered cells. Rest of worksheet is protected,password is
Allocation Table updated: 10/24/18 2)Formulas are discussed in the Comprehensive Guidance,Chapter 6,Section C.
Permits last modified: 10/24/18 3)HWA and AT worksheets in this workbook are linked. Pollutant Names,MAHI.s,Basis,and Uncontrollable load
in this AT worksheet are automatically entered from the HWA spreadsheet. This includes pollutant names in
columns AT through BK.
POTw=> Graham
NPDES , NC0021211
FLOW BOD TSS
Industry Type Renewal Modification Date Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe of Effective Effective Permit Conc. Load Conc. Load
Count (please listulphubdicly) number number Industry Date Date Expires MGD gal/day mg/1 lbs/day mg/1 lbs/day
1 Cintas Corp. 0007 0001 >25,000 06/13/17 06/30/21 0.1100 110,000 1000.00 917.40 250.00 229.35
2 LuxferGas Cylinders 2001 0001 467 07/01/16 06/30/21 0.0800 80,000 400.00 266.88 250.00 166.80
3 Novaflex I001 0002 428 07/01/16 06/30/21 0.0350 35,000'. 400.00 116.76 250.00 72.98
4 Prescient 3001 0001 433 10/24/18 05/01/22 0.0100 10,000 300.00 25.02 250.00 20.85
w
5 Stericycle 0030 0001 >25,000 07/01/16 06/30/21 0.0300 30,000` 400.00 100.08 250.00 62.55
6
7
8 I
9
10
Column Totals=> 0.2650 265,000 1426 553
Basis=> NPDES NPDES Design
MAHL from HWA(lbs/day)=> NPDES Permitted Flow=> 3.5000 10� 4343 10946
Uncontrollable Loading(lbs/day)_> 1.5999 4123 4617
Total Allowable for Industry(MAIL)(lbs/day)-> 1.9001 6211 6330
Total Permitted to Industry(lbs/day)_> 0.2650 1426 553
MAIL left abs/day)_> 1.6351 4784 5777
Percent Allow.Ind.(MAIL)still available(%)=> _ 86.1% 77.0% 91.3%
Percent MAHL still available(%)_> 46.7% 46.3% 52.8%
5 Percent MAHL(lbs/day)=> 0.1750 517 547
HWA.AT
Revised:November 2005

Workbook Name : HWAATDesign (February 2008) (4)- revised with TP update for July 1 2018 - June 3( Oe1 W sh
Name: AT Page 2 of 5
Allocation Table
Headworks last approved: 10/03/18
Allocation Table updated: 10/24/18
Permits last modified: 10/24/18
Pony,-, Graham
NPDEs > NC0021211 TKN for
Ammonia Arsenic Cadmium Chromium Copper Cyanide
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Cone. Load Conc. Load Conc. Load Conc. Load
Count (pleur last alphaattid}9 number number mg/I Ibs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/I lbs/day
1 Cintas Corp. 0007 0001 100.00 91.74 0.0500 0.0459 0.7500 0.6881 0.5000 0.45871 0.1500 0.1376
2 LuxferGas Cylinders 2001 0001 100.00` 66.72 i 0.0500 0.0334 0.0920 0.0614 0.5000 0.3336 0.0490 0.0327
3 Novaflex 100I 0002 100.00 29.19 0.0500 0.0146 0.7500 0.2189 0.5000 0.1460 0.1500 0.0438
4 Prescient 3001 0001 100.00 8.34 0.0700 0.0058 0.7500 0.0626 0.5000 0.0417 0.3000 0.0250
5 Stericycle 0030 0001 200.00, 50.04 0.0500 0.0125 0.7500 0.1877 0.5000 0.1251 0.1500 0.0375
6
7
8
9 .�
10
Column Totals-> 246 0.0000 0.1122 1.2186 1.1051 0.2766
Sludge
AS/Nit/TF Ceiling AS/NitfTF Sludge AS/Nit/TF
Basis=> Design inhibition HASL inhibition Ceiling inhibition
MAHL from HWA(Ibs/day)_> 875.70r 1.4984 0.2976 6.9284 4.3775 2.0526
Uncontrollable Loading(lbs/day)_> 394.96 0.1668 0.0147 0.0974 0.6031 0.0334
Total Allowable for Industry(MAIL)(lbs/day)=> 480.74 1.3316 0.2829 6.8310 3.7744 2.0192
Total Permitted to Industry(lbs/day)_> 246.03 0.0000 0.1122 1.2186 1.1051 0.2766
MAIL left(lbs/day)_> 234.71 1.3316 0.1707 5.6125 2.6694 1.7426
Percent Allow.Ind.(MAIL)still available(%)=> 48.8% 100.0% 60.3% 82.2% 70.7% 86.3%
Percent MAHL still available(%)=> 26.8% 88.9% 57.4% 81.0% 61.0% 84.9%
5 Percent MAHL(lbs/day)=> 43.79. 0.0749 0.0149 0.3464' 0.2189 0.1026
HWA.AT
Revised:November 2005

i
2
Workbook Name : HWAATDesign (February 2008) (4)- revised with TP update for July 1 2018 - June 30°2,9,W Fsii
Page 3 of 5
Name: AT
Allocation Table
Headworks last approved: 10/03/18
Allocation Table updated: 10/24/18
Permits last modified: 10/24/18•
POTW=> Graham
NPDES ' NC0021211
Lead Mercury Molybdenum Nickel Selenium Silver
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc_ Load Conc. Load Conc. Load
Count , (pl¢sc list alpbabeuay) number number mg/l lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
I Cintas Corp. 0007 0001 0.2000 0.I835 0.00020 0.00018 0.2000 0.1835
2 LuxferGas Cylinders 2001 0001 , 0.1500 0.1001 0.2000 0.1334
3 Novaflex 1001 0002 0.2000 0.0584 0.2000 0.0584
4 Prescient 3001 0001 0.2000 0.0167 0.2000i 0.0167 0.0500 0.0042
5 Stericycle 0030 0001 0.1500 0.0375 0.4000 0.1001
i-
6 r
7
9
10 ► r
Column Totals=> 0.3962, 0.000183, 0.0000 0.4921 0.0000 0.0042
Cumul.
Sludge Sludge Sludge Sludge Sludge Stream
Basis=> Ceiling Loading Ceiling Ceiling Ceiling Std
MAHL from HWA(lbs/day)_> 1.0689 0.043643 0.1764 0.7762 0.1552 0.0476
Uncontrollable Loading(lbs/day)=> 0.2135 0.001601 0.0734 0.0907 0.1388 0.0334
Total Allowable for Industry(MAIL)(lbs/day)_> 0.8554 0.042042 0.1030 0.6855 0.0165 0.0142
Total Permitted to Industry(lbs/day)_> 0.3962 0.000183 0.0000 0.4921 0.0000 0.0042
MAIL left(lbs/day)=> 0.4593 0.041858 0.1030 0.1935 0.0165 0.0100
Percent Allow.Ind.(MAIL)still available(%)=> 53.7% 99.6% 100.0% 28.2% 100.0% 70.6%
Percent MAHL still available(%)=> 43.0% 95.9% 58.4% 24.9% 10.6% 21.1%
5 Percent MAHL(lbs/day)_> 0.0534 0.002182 0.0088 0.0388 0.0078 0.0024
HWA.AT
Revised:November 2005

Workbook Name : HWAATDesign (February 2008) (4)- revised with TP update for July 1 2018 - June 361949FiN Psi
Name: AT Page 4 of 5
Allocation Table
Headworks last approved: 10/03/18
Allocation Table updated: 10/24/18
Permits last modified: 10/24/18
POTw=> Graham
NPnesS> NC0021211
Zinc Total Nitrogen Total Phos. 0 d e
Industry Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load Conc. Load
Count 1 (picue list yphabeticly) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day
I Cintas Corp. 0007 0001 1.5000 1.3761 10.00 9.17
2 LuxferGas Cylinders 2001 0001 0.2610 0 741
3 Novaflex 1001 0002 1.5000 0.4379
4 Prescient 3001 0001 0.7500 0.0626
5 Stericycle 0030 0001 1.5000 0.3753 •
6
R , ,
7
8
9
Column Totals=> 2.4259 f 0.00 9.17 0.0000 0.0000 0.0000
Sludge
Basis=> Ceiling NPDES
MARL from HWA(lbs/day)_> 9.8342 208.41
Uncontrollable Loading(lbs/day)=> 2.7260 92.26
Total Allowable for Industry(MAIL)(lbs/day)=> 7.1082 116.15
Total Permitted to Industry(lbs/day)=> 2.4259 0.00 9.17 0.0000 0.0000 0.0000
MAIL left(lbs/day)=> 4.6822 106.97
Percent Allow.Ind.(MAIL)still available(%)=> 65.9% ####### 92.1 % ####### ####### ##�#####
Percent MAHL still available(%)=> 47.6% ####### 51.3% ####### ####### #######
5 Percent MAHL(lbs/day)=> 0.4917 10.4203
HWA.AT
Revised:November 2005

Workbook Name : HWAATDesign (February 2008) (4)- revised with TP update for July 1 2018 - June 3o20 9 Psii m
Page 5 of 5
Name: AT
Allocation Table
Headworks last approved: 10/03/18
Allocation Table updated: 10/24/18
Permits last modified:, 10/24/18
Porw=> Graham
NPDESt�> NC0021211
f g h [
Industry Permit Limits Permit Limits Permit Limits Permit Limits
IUP INDUSTRY NAMES Permit Pipe Conc. Load Conc. Load Conc. Load Conc. Load
Count (plc i nalphab„a,) number number mg/1 lbs/day mg/1 lbs/day mg/1 lbs/day mg I lbs/day
1 Cintas Corp. 0007 0001
2 LuxferGas Cylinders 2001 0001
3 Novaflex 1001 0002
4 Prescient 3001 0001
5 Stericycle 0030 0001
6
7
3
9
to —�
Column Totals=> 0.0000 0.0000 0.0000 0.0000
Basis=>
MAHL from HWA(lbs/day)=>
Uncontrollable Loading(lbs/day)_>
Total Allowable for Industry(MAIL)(lbs/day)=>
Total Permitted to Industry(lbs/day)=> 0.0000 0.0000 0.0000 0.0000
MAIL left(lbs/day)_>
Percent Allow.Ind.(MAIL)still available(%)_> ####### ####### ####### #######
Percent MAUL still available(%)_> ####### ####### ####### #######
5 Percent MAHL(lbs/day)_>
HWA.AT
Revised:November 2005

Titg of ( rallant
P. 0 Drawer 357
201 South Main Street
Graham, North Carolina 27253
Tel: [phone]/Fax: [phone]
February 27, 2020
PUBLIC NOTICE OF INDUSTRIES IN NON-COMPLIANCE WITH PRETREATMENT STANDARDS FOR
JANUARY 1, 2019—DECEMBER 31, 2019:
THERE ARE NO PUBLIC NOTICES FOR THIS TIME PERIOD DUE TO THE FACT THAT THERE WERE NO
INDUSTRIES IN SIGNIFICANT NON-COMPLIANCE FOR THE JANUARY 1, 2019 THROUGH DECEMBER 31,
2019 REPORTING PERIOD.
Respectfully Submitted,
1 '
Shelby S. Smith
City of Graham

Appendix E: Effluent Parameter Data for Table C from
2017-2019.

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
i
Revised Date: 3/30/2017
Contact: Cris Routh Report Date: 3/28/2017
Client: Graham,City of NPDES #: NC0021211
P.O.Drawer 357 P.O.#: Credit Card
Graham, NC 27253 Date Sample Rcvd: 3/16/2017
Meritech Work Order# 03161724 Sample: Plant Effluent Composite 3/15-16/17
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 956 mg/L 3/16/17 10.0 mg/L SM 2540C
Ammonia,Nitrogen <0.1 mg/L 3/20/17 0.1 mg/L EPA 350.1
TKN 1.63 tng/L 3/22/17 0.20 mg/L EPA 351.1
Nitrate/Nitrite,Nitrogen 13.60 mg/L 3/17/17 0.10 mg/L EPA 353.2
Nitrogen,total 15.23 mg/L 3/22/17 0.20 mg/L EPA 353.2
Antimony,total <0.025 mg/L 3/21/17 0.025 mg/L EPA 200.7
Arsenic,total <0.010 mg/L 3/21/17 0.010 mg/L EPA 200.7
Beryllium,total <0.005 mg/L 3/21/17 0.005 mg/L EPA 200.7
Cadmium,total <0.002 mg/L 3/21/17 0.002 mg/L EPA 200.7
Chromium,total <0.005 mg/L 3/21/17 0.010 mg/L EPA 200.7
Copper,total 0.018 mg/L 3/21/17 0.002 mg/L EPA 200.7
Lead,total <0.010 mg/L 3/21/17 0.010 mg/L EPA 200.7
Nickel,total <0.010 mg/L 3/21/17 0.010 mg/L EPA 200.7
Phosphorus,total 0.738 mg/L 3/21/17 0.020 mg/L EPA 200.7
Selenium,total <0.010 mg/L 3/21/17 0.010 mg/L EPA 200.7
Silver,total <0.005 mg/L 3/21/17 0.005 mg/L EPA 200.7
Thallium,total <0.020 mg/L 3/21/17 0.020 mg/L EPA 200.7
Zinc,total 0.079 mg/L 3/21/17 0.010 mg/L EPA 200.7
Hardness (titration) 64 mg/L 3/23/17 1 mg/L SM 2340C
Meritech Work Order# 03161725 Sample: Plant Effluent Grab 3/16/17
Parameters Result Analysis Date Reporting Limit Method
Cyanide,total <0.005 mg/L 3/22/17 0.005 mg/L EPA 335.4
Oil&Grease (HEM) <5 mg/L 3/20/17 5 mg/L EPA 1664A
Phenols,total 0.021 mg/L 3/17/17 0.010 mg/L EPA 420.1
EPA 624 - Attached 3/27/17 - 624
EPA 625 Attached 3/25/17 - 625
I hereby certify that I have reviewed and approve these data. G. lint--
Laboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
Laboratory Certification#165
Client: City of Graham WWTP Meritech ID#: 03161725
Project: 624 Analysis: 03/27/17
Client Sample ID: Plt.Effluent Analyst: VWV
Sample Collection: 03/16/17 Dilution Factor: 1
Report Date: 03/28/17
EPA 624 VOLATILE ORGANICS
Parameter Result
Benzene < 1.00 ug/L
Dichlorobromomethane 5.44 ug/L
Bromoform < 1.00 ug/L
Methyl Bromide <5.00 ug/L
Carbon Tetrachloride < 1.00 ug/L
Chlorobenzene < 1.00 ug/L
Chloroethane <5.00 ug/L
2-Chloroethyl vinyl ether <5.00 ug/L
Chloroform 5.14 uglL
Methyl Chloride <5.00 ug/L
Chlorodibromomethane 4.78 ug/L
1,2-Dibromoethane <1.00 ug/L
1,1-Dichloroethane <1.00 ug/L
1,2-Dichloroethane < 1.00 ug/L
1,4-Dichlorobenzene < 1.00 ug/L
1,2-Dichlorobenzene < 1.00 ug/L
1,3-Dichlorobenzene < 1.00 ug/L
1,I-Dichloroethyiene < 1,00 ug/L
trans-1,2-Dichloroethylene < 1.00 ug/L
1,2-Dichloropropane < 1.00 ug/L
cis-1,3-Dichloropropylene < 1.00 ug/L
trans-1,3-Dichloropropylene < 1.00 ug/L
Ethyl benzene < 1.00 uglL
Methylene chloride < 1.00 ug/L
1,1,2,2-Tetrachloroethane <1.00 ug/L
Tetrachloroethylene <1.00 ug/L
Toluene < 1.00 ug/L
1,I,1-Trichloroethane < 1.00 ug/L
1,1,2-Trichloroethane < 1.00 ug/L
Trichloroethylene < 1.00 ug/L
Trichlorofluoromethane <5.00 ug/L
Vinyl chloride <5.00 ug/L
Additional Compounds
Acrolein <50.0 ug/L
Acrylonitrile <10.0 ug/L
I hereby certify that I have reviewed and approve these data. 4
. ear..4
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

. . ,
MERITECH, INC.
a Environmental Laboratories
' •
Laboratory Certificate#165
Client: City of Graham WWTP Meritech ID#: 03161725
Project: 625 Analysis: 03/25/17
Client Sample ID: Plt.Effluent Extraction: 03/20/17
Sample Collection: 03/16/17 Analyst: PM
Dilution Factor: 1
EPA 625 SEMIVOLATILE ORGANICS
Parameter Result Parameter Result
Acenaphthene <10 ug/L Fluoranthene <10 ug/L
Acenaphthylene <10 ug/L Fluorene <10 ug/L
Anthracene <10 ug/L Hexachlorobenzene <10 ug/L
Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L
Benzo(a)anthracene <10 ug/L Hexachlorocyclopentadiene <50 ug/L
Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L
Benzo(b)fluoranthene <10 ug/L Indeno(1,2,3-cd)pyrene <10 ug/L
Benzo(k)fluoranthene <10 ug/L Isophorone <10 ug/L
Benzo(g,h,i)peiylene <10 ug/L 2-Methylnaphthalene <10 ug/L
Benzyl butyl phthalate <10 ug/L Naphthalene <10 ug/L
Bis(2-chloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L
Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L
Bis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylamine <10 ug/L
Bis(2-ethyIhexyl)phthalate <10 ug/L N-Nitrosodiphenylamine <10 ug/L
4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L
2-Chloronaphthalene <10 ug/L Pyrene <10 ug/L
4-Chlorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L
Chrysene <10 ug/L
Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L
1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L
1,3-Dichlorobenzene <10 ug/L 2,4-Dichlorophenol <10 ug/L
1,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenol <10 ug/L
3,3'-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L
Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L
Dimethyl phthalate <10 ug/L 2-Nitrophenol <10 ug/L
Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L
2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L
2,6-Dinitrotoluene <10 ug/L Phenol <10 uglL
Di-n-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L
1,2-Diphenylhydrazine <10 ug/L
I hereby certify that I have reviewed and approve these data. b_ &,..77
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

5-9-2016 Chain of Custody Record (COC) NPDES#: JUCoo'3-I Z.1 I
Client: C.A.-11
Of G( J\O' w iittriP Phone: 336 -570 - ld -721
M E RITECH, INC. Address: ?• O . £ra e. - 357 Fax: g -5f3-s5o 2
ors ENVIRONMENTAL LABORATORIES 6-ecxi1Go-\) N" C., aj.as3 Email: G`dLL4-,6 C.:4).cir a...�^^
r;~. 642 Tamco Rd. Phone: [phone] Project: nn__,n, � 0
,w� •' Reidsville NC 27320 Fax [phone] P.O.#: QPtCt: e-(41-4
4,` Email: [e-mail] Cr)5 4orc*'., Turn Around Time*
@ Attention:
How would you like your report sent? *RUSH work needs prior approval.
WWW.111eCl$I?ChiabS.cc�rn t ` sd{10 Ys) - s 24-48Hrs
Circle all that apply:( Email (preferred) Fax, Mail i -;;
Person T ki g Sam le(Sign/Print): )e)
Sampling Dates &Times , : rcf- AAd Gk^,s Sl,el1xi Lab Use Only
Sample Location and/or ID # Start End Comp? #of On Ice' e pH OK?
Date Time Date Time Grab? Cont. Test(s) Required / N7 CI OK?
V. E L - 3/I.sll- o 9 oo 3/,e Jo as- C H T. P6.55. )~-b s -ro N: .(NQzt ) 1
N o 31 TKN' N H3iq , Havd n4 , ---•--
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Temperature Upon Receipt:
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Method of ***Dechlorination(<0.5 ppm)of Ammonia,Cyanide,Phenol and TKN samples must be done in the field prior to preservation.*** I,
Comments: Compositor#
Shipment:
UPS Jug#
L Fed Ex Are these results for regulatory purposes? Yes No • Report results in: mg/L mg/kg ug/L I.,.,
R i cashed D te: Tire• Rec by D e: Ti
and Delivery -1 i io�J� ri3 z p (Q/I✓1't,L._. v r //z7t "7 " Z_d
Other Relinq h d bye ��_ j ((iDI�: Time: Received by: t Date: Time:
_ • -4 Relinquis ed by: Date: Time: R wed Lit 3 J lc !at, Tpn1 I

Meritech, Inc.
, Environmental Laboratory
Laboratory Certification No. 165
4
s
Contact: Cris Routh Report Date: 7/9/2018
Client: Graham,City of NPDES#: NC0021211
P.O. Drawer 357 P.O. #: Credit Card
Graham,NC 27253 Date Sample Rcvd: 6/19/2018
Meritech Work Order# 06191828 Sample: Plant Effluent Composite 6/18-19/18
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 1040 mg/L 6/19/18 10.0 mg/L SM 2540C
Ammonia, Nitrogen <0.1 mg/L 6/25/18 0.1 mg/L EPA 350.1
TKN 0.20 mg/L 6/26/18 0.20 mg/L EPA 351.1
Nitrate/Nitrite,Nitrogen 20.3 mg/L 6/20/18 0.10 mg/L EPA 353.2
Nitrogen,total 20.50 mg/L 6/26/18 0.20 mg/L EPA 353.2
Antimony,total <0.025 mg/L 6/25/18 0.025 mg/L EPA 200.7
Arsenic,total <0.010 mg/L 6/25/18 0.010 mg/L EPA 200.7
Beryllium,total <0.005 mg/L 6/25/18 0.005 mg/L EPA 200.7
Cadmium,total <0.002 mg/L 6/25/18 0.002 mg/L EPA 200.7
Chromium,total <0.005 mg/L 6/25/18 0.010 mg/L EPA 200.7
Copper,total 0.011 mg/L 6/25/18 0.002 mg/L EPA 200.7
Lead,total <0.010 mg/L 6/25/18 0.010 mg/L EPA 200.7
Nickel,total <0.010 mg/L 6/25/18 0.010 mg/L EPA 200.7
Phosphorus, total 0.337 mg/L 6/25/18 0.020 mg/L EPA 200.7
Selenium,total <0.010 mg/L 6/25/18 0.010 mg/L EPA 200.7
Silver,total <0.005 mg/L 6/25/18 0.005 mg/L EPA 200.7
Thallium,total <0.020 mg/L 6/25/18 0.005 mg/L EPA 200.7
Zinc,total 0.060 mg/L 6/25/18 0.010 mg/L EPA 200.7
Hardness (titration) 56 mg/L 6/21/18 1 mg/L SM 2340C
Meritech Work Order# 06191829 Sample: Plant Effluent Grab 6/19/18
Parameters Result Analysis Date Reporting Limit Method
Cyanide,total <0.005 mg/L 6/20/18 0.005 mg/L EPA 335.4
Oil&Grease (HEM) <5 mg/L 6/25/18 5 mg/L EPA 1664B
Phenols,total 0.047 mg/L 6/25/18 0.010 mg/L EPA 420.1
EPA 624+Acrolein+Acrylinitrile Attached 7/2/18 - - 624
EPA 625 BNA Attached 7/5/18 - - 625
I hereby certify that I have reviewed and approve these data.
aboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

• MERITECH INC.
_ = Environmental Laboratories
Laboratory Certification#165
•
Client: City of Graham WWTP Meritech ID#: 06191829
Project: Plant Effluent Analysis: 07/02/18
Client Sample ID: Plt.Effluent Analyst: VWV
Sample Collection: 06/19/18 Dilution Factor: 1
Report Date: 07/05/18
EPA 624.1 VOLATILE ORGANICS
Parameter Result
Benzene < 1.00 ug/L
Dichlorobromomethane 7.99 ug/L
Bromoform < 1.00 ug/L
Methyl Bromide <5.00 ug/L
Carbon Tetrachloride < 1.00 ug/L
Chlorobenzene < 1.00 ug/L
Chloroethane <5.00 ug/L
2-Chloroethyl vinyl ether <5.00 ug/L
Chloroform 7.23 ug/L
Methyl Chloride <5.00 ug/L
Chlorodibromomethane 4.83 ug/L
1,2-Dibromoethane < 1.00 ug/L
1,1-Dichloroethane < 1.00 ug/L
1,2-Dichloroethane < 1.00 ug/L
I,4-Dichlorobenzene < 1.00 ug/L
1,2-Dichlorobenzene < 1.00 ug/L
1,3-Dichlorobenzene < 1.00 ug/L
1,1-Dichloroethylene < 1.00 ug/L
trans-1,2-Dichloroethylene < 1.00 ug/L
1,2-Dichloropropane < 1.00 ug/L
cis-1,3-Dichloropropylene < 1.00 ug/L
trans-1,3-Dichloropropylene <1.00 ug/L
Ethyl benzene < 1.00 ug/L
Methylene chloride < 1.00 ug/L
1,1,2,2-Tetrachloroethane < 1.00 ug/L
Tetrachloroethylene < 1.00 ug/L
Toluene < 1.00 ug/L
1,1,1-Trichloroethane < 1.00 ug/L
1,1,2-Trichloroethane <1.00 ug/L
Trichloroethylene < 1.00 ug/L
Trichlorofluoromethane <5.00 ug/L
Vinyl chloride <5.00 ug/L
Additional Compounds
Acrolein <50.0 ug/L
Aciylonitrile <10.0 ug/L
I hereby certify that I have reviewed and approve these data.
Labor}atoryy Rep sentative
642 Talmo Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

MERITECH, INC.
-= Environmental Laboratories
Laboratory Certificate#165
Client: City of Graham WWTP Merited)ID#: 06191829
Project: 625 Analysis: 07/05/18
Client Sample ID: Plt. Effluent Extraction: 06/25/18
Sample Collection: 06/19/18 Analyst: PM
Dilution Factor: 1
EPA 625.1 SEMIVOLATILE ORGANICS
Parameter Result Parameter Result
Acenaphthene <10 ug/L Fluoranthene <10 ug/L
Acenaphthylene <10 ug/L Fluorene <10 ug/L
Anthracene <10 ug/L Hexachlorobenzene <10 ug/L
Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L
Benzo(a)anthracene <10 ug/L Hexachlorocyclopentadiene <50 ug/L
Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L
Benzo(b)fluoranthene <10 ug/L Indeno(1,2,3-cd)pyrene <10 ug/L
Benzo(h)fluoranthene <10 ug/L Isophorone <10 ug/L
Benzo(g,h,i)perylene <10 ug/L 2-Methylnaphthalene <10 ug/L
Benzyi butyl phthalate <10 ug/L Naphthalene <10 ug/L
Bis(2-chloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L
Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L
Bis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylamine <10 ug/L
Bis(2-ethylhexyl)phthalate <10 ug/L N-Nitrosodiphenylamine <10 ug/L
4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L
2-Chloronaphthalene <10 ug/L Pyrene <10 ug/L
4-Chlorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L
Chrysene <10 ug/L
Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L
1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L
1,3-Dichlorobenzene <10 ug/L 2,4-Dichlorophenol <10 ug/L
1,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenol <10 ug/L
3,3'-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L
Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L
Dimethyl phthalate <10 ug/L 2-Nitrophenol <10 ug/L
Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L
2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L
2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L
Di-n-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L
1,2-Diphenylhydrazine <10 ug/L
I hereby certify that I have reviewed and approve these data. (/, ,-- w (/,,,.1-
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

.-9.2016 Chain of Custody Record (COC) NPDES#: ki C0021 L l I
Client: �a 0 f i G "\c VJ-1.S►-,p Phone: ,-- i, -J� 90 - 4,7 2 I
E ITCM Address: P. . A 1` 367 Fax: 33 C:s -J). —530 2—
v,,,, ;, ENVIRONMENTAL LABORATORIES G kci ,.j N'G a-7 )1/453 Email: OC:4rP art.e.,2",
642 Tamco Rd. Phone: [phone] Project:
K>> '"' Reidsville NC 27320 Fax: [phone] P.O.#: ..Mct Caid Email:[e-mail] Attention: Cr o� P Turn Around Time*
*RUSH work needs prior approval.
How would you like your report sent?
V1!\NW.merltechlabs.C®rl std(10 .. s 24-48Hrs
Circle all that apply: Emai (preferred), Fax Mail
Sampling Dates &Times Persq�n Taking Sa ple(Si �/ rint):
lv1t �` r. -1 ' , 1.i 1�.hS Ste` Lab Use Only
Sample Location and/or ID# Start End Comp? #of On Ice? Yes pH OK?
Date Time Date Time Grab? Cont. Test(s) Required 4 / No Cl OK?
Fi4, -f-Fcve - 6/ia1,a !° 50 'j9)18 IIoS Cr 3 -T P .. , 'TD5 ;To 10,4 ,„Lu02+ -
No5 ,TKN) } NH3N ) Hcif-d ., ( 1,
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f cad 2.,a-rttir460..e.-Co^-,.?oc.n$Q 4 Sc==
c„ .L.L _, _ ` `-r".4.---p p Temperature Upon Receipt:
c�i ' 0.Ju5a }�1 cam'Cf1U+e4�C: G
Method of ***Dechlorination(<0.5 ppm)of Ammonia,Cyanide,Phenol and TKN samples must be done in the field prior to preservation.*** 3'
Comments: Compositor#
Shipment:
UPS Jug#
Fed Ex Are these results for regulatory purposes? Yes No Report results in: mg/L 4�Fmg/k
g ug/L
Re' q ish y: te: Tien Received b ate: Time:
zHii
ndDelivery - l—j F ',©� j�( \ ��" 6// /i / €9.5-
Relinquished at / Time: i eceiv by: Date: Time:
Other / --- 67t JI 8 /31 s
v Relinquished by: / Date: Time: Receiv by Lab: Date: Time: ,

Permit No. NC002.121 i
,A (9.) EFFLUENT POLLUTANT SCAN
The Permittee shall perform a total of three (3) Effluent Pollutant Scans for all parameters listed below.
One scan must be performed in each of the following years: 2012, 2013, and 2014. Analytical methods
shall be in accordance with 40 CFR Part 136 and shall be sufficiently sensitive to determine whether
parameters are present in concentrations greater than applicable standards and criteria. Samples should
be collected with one quarterly toxicity test each year, and must represent seasonal variation [i.e., do not
sample in the same quarter every year]. Unless otherwise indicated, metals shall be analyzed as "total
recoverable."
Ammonia(as N) Trans-1,2-d ichloroethylene Bis(2-chloroethyl)ether
Chlorine(total residual,TRC) 1,1-dichloroethylene 13is(2-chioroisopropyl)ether
Dissolved oxygen 1,2-dichloropropane Bis(2-ethylhexyl)phthalate
Nitrate/Nitrite 1,3-dichloropropylene 4-bromophenyl phenyl ether
Kjeldahl nitrogen Ethylbenzene Butyl benzyl phthalate
Oil and grease Methyl bromide 2-chloronaphthalene
Phosphorus Methyl chloride 4-chlorophenyl phenyl ether
Total dissolved solids Methylene chloride Chrysene
Hardness 1,1,2,2-tetrachloroethane Di-n-butyl phthalate
Antimony Tetraachloroethylene Di-n-octyl phthalate
Arsenic Toluene Dibenzo(a,h)anthracene
Beryllium 1,1,1-trichloroethane 1,2-dichlorobenzene
Cadmium 1,1,2-trichloroethane 1,3-dichlorobenzene
Chromium Trichloroethylene I,4-dichlorobenzene
Copper Vinyl chloride 3,3-dichlorobenzidine
Lead Acid-extractable compounds: Diethyl phthalate
Mercury(EPA Method 1631 E) P-chloro-m-cresol Dimethyl phthalate
Nickel 2-chlorophenol 2,4-dinitrotoluene
Selenium 2,4-dichlorophenol 2,6-dinitrotoluene
Silver 2,4-dimethylphenol 1,2-diphenylhydrazine
Thallium 4,6-dinitro-o-cresol Fluoranthene
Zinc 2,4-dinitroplienol Fluorene
•
Cyanide 2-nitrophenol Hexachlorobenzene
Total phenolic compounds 4-nitrophenol Hexachlorobutadiene
Volatile organic compounds: Pentachlorophenol Hexachlorocyclo-pentadiene
Acrolein Phenol liexachloroethane
Acrylonitrile 2,4,6-trichlorophenol Indeno(1,2,3-cd)pyrene
Benzene Base-neutral compounds: Isophorone
Bromofonn Acenaphthene Naphthalene
Carbon tetrachloride Acenaphthytene Nitrobenzene
Chlorobenzene - Anthracene s N-nitrosodi-n-propylamine
Chlorodibromomethane Benzidine N-nitrosodimethylamine
Chloroethane 13enzo(a)anthracene N-nitrosodiphenylamine -
2-chloroethylvinyl ether Benzo(a)pyrene Phenanthrene
Chloroform 3,4 benzofluoranthene Pyrene
Dich lorobromomethane Benzo(ghi)perylene I,2,4-trichlorobenzene
1,1-dichloroethane Benzo(k)fluoranthene
1,2-d ichloroethane Bis(2-chloroethoxy)methane
Reporting. Test results shall be reported on DWQ Form-A MR-PPA1 (or in a form approved by the
Director)by December 31st of each designated sampling year. The report shall be submitted to the
following address:NC DENR/DWQ/Central Files,1617 Mail Service Center,Raleigh,North
Carolina 27699-1617.
Page 110

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Cris Routh Report Date: 9/25/2019
Client: Graham,City of NPDES#: NC0021211
P.O.Drawer 357 P.O.#: Credit Card
Graham,NC 27253 Date Sample Rcvd: 9/10/2019
Meritech Work Order# 091019119 Sample: Effluent Composite 9/9-10/19
Parameters Result Analysis Date Reporting Limit Method
rotal Dissolved Solids 1320 mg/L 9/11/19 10.0 mg/L SM 2540C
9mmonia,Nitrogen 0.7 mg/L 9/16/19 0.1 mg/L EPA 350.1
TKN 1.97 mg/L 9/17/19 0.20 mg/L EPA 351.1
Nitrate/Nitrite,Nitrogen 0.22 mg/L 9/13/19 0.10 mg/L EPA 353.2
Nitrogen,total 2.19 mg/L 9/17/19 0.20 mg/L EPA 353.2
4ntimony,total 0.0043 mg/L 9/12/19 0.0005 mg/L EPA 200.8
4rsenic,total <0.002 mg/L 9/12/19 0.002 mg/L EPA 200.8
3eryllium,total <0.0005 mg/L 9/12/19 0.0005 mg/L EPA 200.8
;admium,total <0.00015 mg/L 9/12/19 0.00015 mg/L EPA 200.8
;hromium,total <0.002 mg/L 9/12/19 0.002 mg/L EPA 200.8
topper,total <0.002 mg/L 9/12/19 0.002 mg/L EPA 200.8
„ead,total 0.0019 mg/L 9/12/19 0.0005 mg/L EPA 200.8
Molybdenum,total 0.009 mg/L 9/12/19 0.002 mg/L EPA 200.8
Nickel, total 0.0039 mg/L 9/12/19 0.0005 mg/L EPA 200.8
?hosphorus,total 0.270 mg/L 9/13/19 0.020 mg/L EPA 200.7
selenium,total <0.001 mg/L 9/12/19 0.001 mg/L EPA 200.8
;liver,total <0.0005 mg/L 9/12/19 0.0005 mg/L EPA 200.8
Challium,total <0.0005 mg/L 9/12/19 0.0005 mg/L EPA 200.8
!inc,total 0.078 mg/L 9/12/19 0.005 mg/L EPA 200.8
lardness (titration) 68 mg/L 9/12/19 1 mg/L SM 2340C
Meritech Work Order# 091019120 Sample: Effluent Grab 9/10/19
'arameters Result Analysis Date Reporting Limit Method
:yanide,total <0.005 mg/L 9/17/19 0.005 mg/L EPA 335.4
)il&Grease (HEM) <5 mg/L 9/16/19 5 mg/L EPA 1664B
'henols,total <0.010 mg/L 9/20/19 0.010 mg/L EPA 420.1
sPA 624.1 Attached 9/12/19 - - 624.1
PA 625,1 Attached 9/19/19 - - 625.1
hereby certify that I have reviewed and approve these data. AQ iV ,bk.irWri 1
Laboratory Representative
642 Talmo Road,Reidsville,North Carolina 27320
te1 [phone] fax.[phone]

MERI TECH INC.
Environmental Laboratories
Laboratory Certification#165
Client: City of Graham WWTP Meritech ID#: 091019120
Project: 624.1 Analysis: 09/12/19
Client Sample ID: Plt.Effluent Analyst: VWV
Sample Collection: 09/10/19 Dilution Factor: 1
Report Date: 09/16/19
EPA 624.1 VOLATILE ORGANICS
Parameter Result
Benzene < 1.00 ug/L
Dichlorobromomethane < 1.00 ug/L
Bromoform < 1.00 ug/L
Methyl Bromide <5.00 ug/L
Carbon Tetrachloride < 1.00 ug/L
Chlorobenzene < 1.00 ug/L
Chloroethane <5.00 ug/L
2-Chloroethyl vinyl ether <5.00 ug/L
Chloroform < 1,00 ug/L
Methyl Chloride <5.00 ug/L
Chlorodibromomethane < 1.00 ug/L
1,2-Dibromoethane < 1.00 ug/L
1,1-Dichloroethane < 1.00 ug/L
1,2-Dichloroethane < 1.00 ug/L
1,4-Dichlorobenzene < 1.00 ug/L
1,2-Dichlorobenzene < 1.00 ug/L
1,3-Dichlorobenzene < 1.00 ug/L
1,1-Dichloroethylene < 1.00 ug/L
trans-1,2-Dichloroethylene < 1.00 ug/L
1,2-Dichloropropane < 1.00 ug/L
cis-1,3-Dichloropropylene < 1.00 ug/L
trans-1,3-Dichloropropylene < 1.00 ug/L
Ethyl benzene < 1.00 ug/L
Methylene chloride < 1.00 ug/L
1,1,2,2-Tetrachloroethane < 1.00 ug/L
Tetrachloroethylene < 1.00 ug/L
Toluene < 1.00 ug/L
1,1,1-Trichloroethane < 1.00 ug/L
1,1,2-Trichloroethane < 1.00 ug/L
Trichloroethylene < 1.00 ug/L
Trichlorofluoromethane <5.00 ug/L
Vinyl chloride <5.00 ug/L
Additional Compounds
Acrolein <50.0 ug/L
Acrylonitrile <10.0 ug/L
I hereby certify that I have reviewed and approve these data.
Lab ratory Repre tative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

MERITECH, INC.
,„: -
.. ,..
Environmental Laboratories
Laboratory Certificate#165
Client: City of Graham Meritech ID#: 091019120
Project: 625.1 Analysis: 09/19/19
Client Sample ID: Pit.Effluent Extraction: 09/16/19
Sample Collection: 09/10/19 Analyst: PM
Report Date: 09/23/19 Dilution Factor: 1
EPA 625.1 SEMIVOLATILE ORGANICS
Parameter Result Parameter Result ,
Acenaphthene <10 ug/L Fluoranthene <10 ug/L
Acenaphthylene <10 ug/L Fluorene <10 ug/L
Anthracene <10 ug/L Hexachlorobenzene <10 ug/L
Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L
Benzo(a)anthracene <10 ug/L Hexachlorocyclopentadiene <50 ug/L
Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L
Benzo(b)fluoranthene <10 ug/L Indeno(1,2,3-cd)pyrene <10 ug/L
Benzo(k)fluoranthene <10 ug/L Isophorone <10 ug/L
Benzo(g,h,i)perylene <10 ug/L 2-Methylnaphthalene <10 ug/L
Benzyl butyl phthalate <10 ug/L Naphthalene <10 ug/L
Bis(2-chloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L
Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L
Bis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylamine <10 ug/L
Bis(2-ethylhexyl)phthalate <10 ug/L N-Nitrosodiphenylamine <10 ug/L
4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L
2-Chloronaphthalene <10 ug/L Pyrene <10 ug/L
4-Chiorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L
Chrysene <10 ug/L
Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L
1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L
1,3-Dichlorobenzene <10 ug/L 2,4-Dichlorophenol <10 ug/L
1,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenol <10 ug/L
3,3'-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L
Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L
Dimethyl phthalate <10 ug/L 2-Nitrophenol <10 ug/L
Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L
2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L
2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L
Di-n-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L
1,2-Diphenylhydrazine <10 ug/L
,
I hereby certify that I have reviewed and approve these data. /4,,._iv,(4,
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

819;,6 Chain of Custody Record (COC) NPDES#: 0-,002.12.J 1
C. Client: C74f &o to , I1, Phone:33C "5-70 -�6,72 I
r::: M BIOTECH IN
1 Address: . ; 1- 337 Fax: �.- 3 t�30 L
ENVIRONMENTAL LABORATORIES (-11-t-cjoG NC a72.33 Email: CPO\ ('"cl c¢C7'
pf c> aA &:AA
E; 642 Tamco Rd. Phone: [phone] Project:
rr }} _ ` �
rP ' Reidsville NC 27320 Fax [phone] P.0.#: ae -. C'�S'
, q, !�- Turn Around Time*
Email: [e-mail] Attention: Cr:5 ,.h� ._.
*RUSH work needs prior approval,
How would you like your report sent? Charges Aooly
www.meritechlabs.com Circle all that a PP y•I �tmail (preferred), Fax, Mail S ld(10 d 3-5 Da s 24-48 Hrs
ti
Person Taking Sample(Si n/Print):
Sampling Dates &Times
61-,,, 5 5 ,1 . Lab Use Only
Sample Location and/or ID# Start End com #of On ice? pH OK?
Date Time Date Time Grab I Cont. Yes Required Yes / No CI OK?
-, E. i 91 o )9 O90'2) 9 icA99 No-4 C. I T. PINos ,lei - " \I
P -. vr,vkex' 1116-_�1039 )011 �:014C I _opt. c4c-t 7-jc
V \ -, u,, 9 3 c# , i, , 9 l°))9 Gl`iot:4 _ - i 1,4-,1 N) : .(Nei 110-7(N 1 W3 _
V. -PF`,,+P 111 '1 .0903 9 foie r.1ge cyf C 1 i-
1
P)A. E-F-R.LA&(\-t 119119 O90 9kM oci k 0- I ► e- ( t s_ a
(A @ . a.. 71. -in.
9
No .) 4 M' 900. Ae * }
P I � ueAt 9 J 10 19 173s .---- G #7 C4.4.0i,f id , O 4-C . T - U4 s i
ca-Ue 4 pr2cio Temperature Upon
�r r i Receipt: '"\
Method of *** Dechlorination(<0.5 ppm)of Ammonia, Cyanide,Phenol and TKN samples must be done in the field prior to preservation.*** °
Shipment: fl Comments: t c`Civri C C \ a 1 Compositor#
UPS Jug#
Fed Ex Are these results for regulatory purposes? Yes No ❑: _ Report results in: mg/L I mg/kg
d [ ug/L
Relinggi e -y: 9_iDetf 11 Time)J bRecel b Y fQ0 -Q,yland Delivery 9/irate-if, TIn 0
Other Relinquishe y pi
C tit I Time: f7Q� Rec ived by: Date: Time:
Relinquished - 'Date' Time:( Received by Lab: iF- i�,,
( -- 4 Y :
'4Ver ty, Time

Permit No. NC002 LI1
,A (9.) EFFLUENT POLLUTANT SCAN
The Permittee shall perform a total of three (3) Effluent Pollutant Scans for aD parameters listed below.
One scan must be performed in eadi of the following years: 2012, 2013, and 2014. Analytical methods
shall be in accordance with 40 CFR Part and
thanshall
be Iicablehstandards sensitive
and erifieriaetermine whether
5�Samples should
parameters are present in concentrations greaterapplicable
be collected with one quarterly toxicity test each
otherwise u�dicated,si petals shall be analyzed asent seasonal variation [i.e., L�total
sample in the same quarter every year]. Un �
recoverable."
Ammonia(as N) + Trans-I,2-dichloroethylene Bis(2-chloroethyl)ether
Chlorine(total residual,TRC) 1,1-di chloroethylene 13is(2-chlorolsopropyl)ether
I Ihex
Dissolved oxygen 1,2-dicltloropropane 13is(2-eth Y Y)phthalate
l,3-dichloropropylene 4-bromophenyl phenyl ether
Nitr:tteMitr•ita I
KJoldahl nitrogen Ethylbenzene Butyl bent I Y phthalate
Oil and grease
Methyl bromide 2-chloronaphthalene
Methyl chloride 4-chlorophenyl phenyl ether
Phosphorus setle
Total dissolved solids Methylene chloride Chr ys
liminess 1,1,2,2-tetrachloroethane Di-n-butyl phthalate
Tetrachloroethylene Di-n-octyl phthalate
Antimony Di benzo(a,h)anthr1tcene
Arsenic Toluene
Beryllium I,1,1-trichloroethane 1,2-dichlorobenzene
f,1,2-trichloroethane 1,3-dichlorobenzene
Cadmium oct C hronuum Tricltloroethylene I,4-dichlorobenzene
Vinyl chloride 3,3-dichlorobenzidine
Loppet phthalate
I
Lead Acid-extractable compounds: Dieth Y p
(EPAP-chloro-m-cresol Dinlethyl phthalate
Mercury Method 1631B)
Nickel 2-chlorophenol 2,4-d initrotoluene
Selenium 2,4-dichlorophenol 2,6-dinitrotoluene
Silver
2,4-dimethylphenol 1,2-diphenylhydrazine
'lltallium 4,6-dinitro-o-cresol P luoranthene
• 2,4-dinitrol�llenol l?luorene
CyanideZinc 2-nitrophenol llexachlorobenzene
Total phenolic compounds 4-nitrophenol Hexachlorobutadiene
Pentachioro henol Hexachlorocyclo-pentadiene
Volatile manic�ontpncmrls: I llexaehloroetbane
Acrolein Phenol
Acrylonitrile 2,4,6-trichlorophenol l ndeno(I,2,3-cd)pyrene
Benzene Base-,neutral compouI ids: I sophorone
13ro111ofonu Acenaphthene Naphthalene
Carbon tetrachloride Acenaphihylene Nitrobenzene
Chlorobenzene • Antlu•acene s N-nitrosodi-n-propylanline
Chlorodibromomethane Benzidine N-nitrosodimethylamine
Chlo•oethane l3enzo(a)anthnlcene N-nitrosodiphenylamine
2-chloroethyl vinyl ether I3enzo(a)pyrene Phenanthrene
Chloroform 3,4 benzofluoranthene Pyrene
Dichlorobromomethane Benzo(ghi)pe►ylene 1,2,4-trichlorobenzene
1,1-c1 ichloroethane Benzo(k)fluoranthene
12-dichloroethane Bis(2-chloroethoxy)methane
Reporting. Test results shall be reported on DWQ Form-A MR-PPA1. (or in a form approved by the
Director)by December 315t of each designated sampling year. The report shall be submitted to the
following address:NC DENR/DWQ/Central Files,1617 Mail Service Center,Raleigh,North
Carolina 27699-1617.
1
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