NC0020591_Renewal Application_20130904

NPDE:i DOCYNENT SCANNINO COVER SHEET
NPDES Permit:
NC0020591
Statesville/Third Creek WWTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Renewal Application
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
September 4, 2013
This documeat is printed on reuse paper -Ignore any
content on the reirerse bide

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•
V. (ID. ffax 1111 • *tatesuille, North Taralina 28687
September 4, 2013
NCDENR- Division of Water Quality
Raleigh Central Office
1617 Mail Service Center
Raleigh, NC27699-1617
CC: Files
Re: Permit Renewal Application
Third Creek Wastewater Treatment Plant
NPDES Permit No: NC0020591
Dear Julie Gryzb:
Enclosed you will find the Permit Renewal Application EPA Form 2A. The City of Statesville is requesting
the permit renewal for the Third Creek WWTP under the permit NC0020591. The continued operation of
Third Creek WWTP consist of the following:
• Perforated panel style bar screens with washer and compactor.
• Two - 54" spiral screw pumps.
• Two extended aeration basins with mechanical aerators and floating mixers.
• Two secondary clarifiers.
• Chlorine disinfection.
• New de -chlorination system w/ sodium bisulfite
• Aerobic sludge digester.
• Two 2meter/2 belt filter press

•
V. (9. i8ax 1111 • *tatesuille. North Taralina 28687
The following is a brief narrative regarding the sludge management plan for the Third Creek WWTP.
• Bio-solid's generated at this plant are stabilized using an aerobic digester and dewatering using
one of the 2 meter/ 2 belt filter presses. After dewatering, the bio-solids are collected into a
dump truck and then hauled to the Fourth Creek WWTP. These residuals are then land applied
by a private contractor through an existing agreement held with the City.
Attachment (B) is the Water Balance/ Tank volumes with a brief narrative of the WWTP process
There will be more effluent sample data to follow at a later date. I will forward this data as soon as I
receive it.
Should you require more information, or if further action is required, please contact meat 704-872-9621
Sincerely,
No, M1
Scott Austin
Plant Supervisor, Third Creek WWTP

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ATTACHMENT B
THIRD CREEK WWTP BRIEF NARRATIVE/ WATER BALANCE AND TANK VOLUME
The Third Creek WWTP utilizes a conventional activated sludge process that primarily treats domestic
wastewater generated by the residential areas within the city. The raw sewage enters the WWTP via a
30" gravity main flowing through 2 of the perforated bar screens then into one of two 54" spiral screw
pumps. This is where the raw sewage is mixed with return activated sludge. From here it is pumped via
one of the two 54" spiral screw pumps into one of two aeration basins. These aeration basins have a
capacity of 2.4 MGD each. One of these basins is not in operation due to low flow, however it can be
utilized during heavy rain events as an equalization basin. From here the mixed liquor is gravity feed to
two 350,000 gallon each clarifiers. At this point the RAS is gravity feed back to the screw pumps. The
effluent from the clarifiers is gravity fed into a chlorine contact basin which has a capacity of 96,277
gallons. The final effluent is then treated with Sodium Bisulfite for de -chlorination, then out to the
outfall into Third Creek.
The average flow for this facility is 1.0 MGD

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FACILITY NAME AND PERMIT NUMBER: I PERMIT ACTION REQUESTED: I RIVER BASIN:
Third Creek VVWTP, NC 0020591 Renewal Yadkin -Pee Dee
FORM
2A [NAW.-OR 2A APPLICATION OVERV
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.B. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow >_ 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions BA through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter 1, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions &I through A.8 of this Basic Application Information Packet.
A.I. Facility Information.
Facility Name Third Creek Wastewater Treatment Plant
Mailing Address Post Office Box 1111
Statesville NC 28677
Contact Person Scolt Austin SOa.18t16_1 1,1PDRBA
Title Plant Supervisor
Telephone Number (7041872-9621
Facility Address 444 Third Creek Road
(not P.O. Box) Statesville NC 28677
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name City of Statesville
Mailing Address P.O Box 1111
Statesville NC 28687
Contact Person L.F. "Joe " Hudson Jr.
Title Director Water Resources
Telephone Number 704) 878-3438
Is the applicant the owner or operator (or both) of the treatment works?
owner X operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
facility X applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include stateissued permits).
NPDES NCO020591 PSD
UIC Other W00004040
RCRA Other NCG110113
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
City of Statesville 24,582 separate municipal
Town of Troutman 2,389 separate municipal
Total population served 26 971

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Third Creek WWTP, NC 0020591 1 Renewal I Yadkin -Pee Dee
A.B. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes X No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes X No
A.B. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12'h month of "This year' occurring no more than three months prior to this application submittal.
a. Design flow rate 4.0 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 1.2 MGD (20111 1 2 MGD (2011) 1.1 MGD (2013)
C. Maximum daily flow rate 3.0 MGD (3-6-111 3.0 MGD (3-6-111 4.D MGD (1-17-2013)
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
X Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer %
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? X Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
I. Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent
III. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
V. Other
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s)
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater?
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site:
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
X No
mgd
❑ Yes XNo
mgd
❑ Yes X No

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
NI
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number f 1
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Titre
Telephone Number f I_
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8. through A.8.d above (e.g., underground percolation, well Injection): ❑ Yes
X No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Third Creek WWfP, NC 0020591 1 Renewal I Yadkin -Pee Dee
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.acomplete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "No" to question
A.B.a, go to Part B� "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number
b. Location 444 Third Creek Rd. Statesville NC 28877
(City or town, If applicable) (Zip fie)
(County) (Stela)
350 44' 17" 800 50' 28"
(Latitude) (Lo glWa)
C. Distance from shore (if applicable) N/A fl.
d. Depth below surface (if applicable) NSA ft.
e. Average daily flow rate .1.0 MGD mgd
I. Does this outiall have either an intermittent or a periodic discharge? ❑ Yes X No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
Months in which discharge occurs:
g. Is outfall equipped with a diffuser?
A.10. Description of Receiving Waters.
❑ Yes X No
mgd
a. Name of receiving water Tmro tree
b. Name of watershed IN known) South Yadkin River
United States Soil Conservation Service 14-digit watershed code (if known):
03040102040040
C. Name of Stale Management/River Basin ('d known): Yadkin -Pee Dee
United Slates Geological Survey 8-digit hydrologic cataloging unit code (if known):
03040102
d. Critical low flow of receiving stream (If applicable)
acute cis chronic
cis
e. Total hardness of receiving stream at critical low flow (if applicable): WA
mge of CaCO3

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
Primary X Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design SODS removal or Design CBOD5 removal 85 %
Design SS removal 85 %
Design P removal
Design N removal %
Other
C. What type of disinfection Is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorination
If disinfection is by chlorination is dechlorination used for this o IWI? X Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes X No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not Include information on combined sewer overflows In this section. All Information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QAIQC requirements of
40 CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart
Outfall number. 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.0
S.U.
PH (Ma)imum)
7.3
S.U.
Flow Rate
2.2
MGD
1.1
MGD
365
Temperature Winter)
22
oC
18
oC
248
Temperature (Summer)
25
oC
24
oC
248
' For pH please report a minimum
and a maximum dailyvalue
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
DISCHARGE
POLLUTANT
ANALYTICAL
METHOD
MLIMDL
Number
Conc.
Units
CC.
Units
of Sample
s
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BOD5
14.8
m /L
9.6
mglL
248
510 B
<2.0 m /L
BIOCHEMICAL OXYGEN
DEMAND (Report one)
CBOD5
FECAL COLIFORM
500
n/100 mL/L
13.6
n/100 mIJL
248
9222 D
2
TOTAL SUSPENDED SOLIDS (rSS)
22.3
m /L
6.8
m /L
248
2540 D
.5044

END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWfP, NC 0020591
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate z 0.1 mgd must answer questions BA through B.S. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow Into the treatment works from inflow and/or infiltration.
300 gpd
Briefly explain any steps underway or planned to minimize Inflow and infiltration.
Routine maintenance and cleaning of the lines
8.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map If one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within % mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classed as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g..
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. OperetionlMaintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? Yes X No
If yes, list the name, address, telephone number, and status of each contractor and describe the wntmctors responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number.
Responsibilities of Contractor.
B.5. Scheduled Improvements and Schedules of Implementation. Provide Information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that Is covered by this implementation schedule.
001
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
X Yes 0 No

FIGURE 2-0
PROCESS FLOW SCHEMATIC NO SCALE
THIRD CREEK WWTP
N1`.
A S S O C I A T E SI
ENGINEERING• PLANN ING�FINANCEI
IW!M!71W. LAM MMMY,NC M.IB38I33 W4,

FIGURE 3-1
EXISTING
PROCESS FLOW SCHEMATIC
THIRD CREEK
WASTEWATER TREATMENT PLANT
CITY OF
STATESVILLE, NORTH CAROLINA
INFLUENT PUMP
BAR SCREENS PARSHALL STATION (3
AERATION
CLARIFIERS CHLORINE
(2) FLUME SCREW PUMPS)
BASINS (2)
(2) CONTACT BASIN
k
Z_
Y
W
RAS
-
v
�
a
w
RAS
PUMP STATIONof
Q
w
of
a
WAS
M
x
cn
0
AEROBIC
DIGESTER
DEWATERING BY
BELT FILTER PRESS
(2)
lf. / ` .11

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
C. If the answer to B.5.b Is "Yes; briefly describe, Including new maximum daily inflow rate (if applicable).
Expansion of Waste Water Treatment plant 6 MGD
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DDIYYYY MMIDDIYYYY
- Begin Construction 7/812013 7/8/2013
- End Construction 51301 015
- Begin Discharge 6/1I2015 I /
- Attain Operational Level 6/1/2015 / /
e. Have appropriate permits/clearances concerning other FederallState requirements been obtained? X Yes ❑ No
Describe briefly: Authorization To Construct A to C No. 020591A03 SRF No. CS370395-03
Approval of Plans and Specifications SRF No CS370395-03
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not Include Information
on combine sewer overflows in this section. All Information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number: 001
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
ML/MDL
Number of
METHOD
Conc.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as M
<,10
mg/L
<.10
mg/ L
3
EPA 360.1
0.1
CHLORINE (TOTAL
24
ugl L
<20
ug/L
248
SM 4600 CL-G
<20
RESIDUAL, TRC)
DISSOLVED OXYGEN
11.0
mg/L
7.8
mglL
248
SM 4500 O-G
0.3
TOTAL KJELDAHL
29.75
mg/L
10.38
mg/L
52
EPA 351.1
0.2
NITROGEN (TKN)
NITRATE PLUS NITRITE
23
mglL
9.3
mg/L
3
EPA 353.2
0.026
NITROGEN
EPA 1664A
OIL and GREASE
8.1
mg/L
2.7
mg/L
3
5
PHOSPHORUS (Totaq
9.65
mglL
3.48
mg/L
62
EPA 200.7
0.02
TOTAL DISSOLVED SOLIDS
480
mg/L
410
mglL
3
SM 2540C
9.5
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
Third Creek WWfP, NC 0020591
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is dischamed. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QAtQC requirements of 40 CFR Part 136 and
other appropriate QAIQC requirements for standard methods for analyses not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. Al a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLIMDL
ConC.
7
Units
M
Units
Conc.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
.10
mglL
1.3
Ibs
.06
mglL
.40
Ibs
3
EPA 200.7
0.0010
ARSENIC<.0010
mglL
0
Ibs
<.0010
mglL
0
Ibs
3
EPA 200.7
0.00028
BERYLLIUM
<.0010
mglL
0
Ibs
<.0010
mglL
0
Ibs
3
EPA 200.7
0.0D019
CADMIUM
<.0010
mglL
0
Ibs
<.0010
mgiL
0
Ibs
3
EPA 200.7
0.000014
CHROMIUM
.0010
mglL
.01
Ibs
.OW13
mgiL
.0007
Ibs
3
EPA 2003
0.00012
COPPER
.010
mglL
.13
Ibs
.006
mglL
.03
Ibs
3
EPA 200J
0.00052
LEAD
.0019
mglL
.03
Ibs
.0006
mglL
.004
Ibs
3
EPA 200.7
0.00012
MERCURY
4.86
ugiL
60.5
Ibs
2.08
uglL
15.6
Ibs
27
EPA1631
0.000014
NICKEL
.0074
mgiL
.07
Ibs
.005
mglL
.03
Ibs
3
EPA 2D0.7
0.00016
SELENIUM
<.0010
mglL
0
Ibs
<.0010
mglL
0
Ibs
3
EPA 200.7
0.00022
SILVER
<.0010
mglL
0
We
<.0010
mg1L
0
Ibs
3
EPA 200.70010
0.000011
THALLIUM
<.0010
mglL
0
We
<.0010
mglL
0
Ibs
3
EPA 200.7
0.000013
ZINC
.069
mglL
.079
Ibs
.052
mglL
.26
Ibs
3
EPA 200.7
0.0019
CYANIDE
.0076
mgiL
.10
Ibs
.0025
mglL
.02
the
3
EPA 335.4
0.0014
TOTAL PHENOLIC
COMPOUNDS
,072
mglL
.96
Ibs
.024
mglL
.16
Ibs
3
EPA 420.1
0.027
HARDNESS (as CaCO3)
41.0
mglL
376
Ibs
36.0
mglL
180
Ibs
3
EPA 21KIJ
0.067
Use this space (or a separate sheet) to provide Information on other metals requested by the permtt writer

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
Outfall number:.001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
MLIMDL
NuJmbearANALYTICAL
C.
Units
Mass
Unks
Cone.
Units
Mass
Units
METHOD
Sa
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
<100
ug1L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.86
ACRYLONITRILE
<100
ug/L
0
We
BRL
ug/L
0
ug/L
3
EPA 624
0.73
BENZENE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.066
BROMOFORM
<5.0
ug1L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.15
CARBON
<5.0
ug/L
0
Ibs
BRL
ugn.
0
ug/L
3
EPA624
0.088
TETRACHLORIDE
CHLOROBENZENE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0.098
CHLORODIBROMO-
5.6
ug/L
50.5
Ibs
1.83
ug/L
9.17
ug/L
3
EPA 624
0.082
METHANE
CHLOROETHANE
<100
ug/L
0
Ibs
BRL
ug/L
0
ug1L
3
EPA624
0.026
2.CHLOR0ETHYLVINYL
<10
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0."
ETHER
CHLOROFORM
9.4
ug1L
227
Ibs
7.56
ug/L
63
ug1L
3
EPA624
0.059
DICHLOROBROMO-
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.087
METHANE
1,1-DICHLOROETHANE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0.11
1,2-DICHLOROETHANE
<5.0
ug/L
0
Ibs
BRL
uglL
0
ug/L
3
EPA624
0.063
TRANS-I,2-DICHLORO-
<5.0
ug/L
0
Ibs
BRL
uglL
0
ug/L
3
EPA 624
0.093
ETHYLENE
1,1-DICHLORO-
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0.094
ETHYLENE
1,2-DICHLOROPROPANE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0.12
1,3-DICHLORO-
<5.0
ug/L
0
Ibs
BRL
ug/L
0
uglL
3
EPA624
0.066
PROPYLENE
ETHYLBENZENE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.12
METHYL BROMIDE
<5.0
ug/L
0
The
BRL
ug/L
0
ug/L
3
EPA 624
0.15
METHYL CHLORIDE
<10.0
ug/L
0
Ibs
BRL
uglL
0
ug/L
3
EPA624
0.18
METHYLENE CHLORIDE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA624
0.069
1,1,2,2-TETRA-
<5.0
uglL
0
Ibs
BRL
ug/L
0
ug1L
3
EPA624
0.10
CHLOROETHANE
TETRACHLORO-
<5.0
ug/L
0
Me
BRL
ug/L
0
ug/L
3
EPA 624
0.14
ETHYLENE
TOLUENE
<5.0
ug/L
0
Ibs
BRL
ug/L
0
ug/L
3
EPA 624
0.088

FACILITY NAME AND PERMIT NUMBER:
Third Creek WWTP, NC 0020591
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Cones
Unit
s
Mass
Units
Conc.
Unit
$
Mass
Units
Number
of
Samples
1.1.1
TRICHLOROETHANE
<6.0
uglL
0
I[is
<5.0
uglL
0
Ibs
3
EPA 624
0.12
1.
TRIOHLOROETHANE
RIC
<5.0
ug/L
0
Ibs
<5.0
ug/L
0
Ibs
3
EPA 624
0.085
TRICHLOROETHYLENE
<5.0
ugfL
0
Ibs
<5.0
ug/L
0
Ibs
3
EPA 624
0.15
VINYL CHLORIDE
<10.0
ugfL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 624
0.51
Use this space (or a separate sheet) to provide Information on other volatile organic compounds requested by the perrntt writer
ACID -EXTRACTABLE COMPOUNDS
4 CHLORO-3-
METHYLPHENOL
<10.0
uglL
0
We
<10.0
uglL
0
Ibs
3
EPA625
1.7
2-CHLOROPHENOL
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA625
1.8
Z4-DICHLOROPHENOL
<10.0
ugfL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.8
2,4-DIMETHYLPHENOL
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.6
4,8-DINITRO-0-CRESOL
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
5.4
2,4-DINFROPHENOL
<10.0
ug/L
0
Ibs
<10.0
uglL
0
the
3
EPA 625
5.8
2.NITROPHENOL
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.5
4-NITROPHENOL
<50.0
ug/L
0
We
<50.0
ug/L
0
Ibs
3
EPA 625
1.1
PENTACHLOROPHENOL
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
We
3
EPA 625
2.7
PHENOL
<10.0
uglL
0
uglL
0
Ibs
3
EPA 625
.48
2,4,6-
TRICHLOROPHENOL
<10.0
ug/L
0
Ebs<10.0
<10.0
ug/L
0
Ibs
3
EPA 626
2.0
Use this space (or a separate sheet) to provide Information on other acid -extractable compounds requested by the permit Millar
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
We
3
EPA 625
1.8
ACENAPHTHYLENE
<10.0
ug/L
0
Ibs
410.0
ug/L
0
Ibs
3
EPA 625
1.8
ANTHRACENE
<10.0
ug/L
0
We
<10.0
uglL
0
Ibs
3
EPA 626
2.6
BENZIDINE
4100.0
ug/L
0
Ibs
<100.0
ug/L
0
Ibs
3
EPA 625
11
BENZO(A)ANTHRACENE
<10.0
ug/L
0
We
<10.0
uglL
0
Ibs
3
EPA 625
2.0
BENZO(A)PYRENE
<10.0
ug/L
0
Ibs
<10.0
uglL
0
We
3
EPA 625
2.2

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
Outfall number. 001 (Complete once for each oulfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
<10.0
uglL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.7
FLUORANTHENE
RANT
BENZO(GHI)PERYLENE
<10.0
ug/L
0
lbs
<10.0
ug/L
0
Ibs
3
EPA 625
3.2
BENZO(K)
c10.0
uglL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
2.3
FLUORANTHENE
BIS (2-CHLOROETHOXY)
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
2.0
METHANE
BIS(2-CHLOROETHYL)-
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.7
ETHER
BIS (2-CHLOROISO-
<10.0
uglL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.6
PROPYL)ETHER
BIS (2-ETHYLHEXYL)
39.0
ug/L
520
Ibs
95
uglL
293
Ibs
12
EPA 625
3.2
PHTHALATE
4.BROMOPHENYL
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
1.9
PHENYLETHER
BUTYL BENZYL
<10.0
uglL
0
Ibs
<10.0
ug/L
0
The
3
EPA 625
2.0
PHTHALATE
H
<10.0
ug/L
0
The
<10.0
uglL
0
Ibs
3
EPA 625
2.0
NAPHTHALTHALENE NA
4-CHLORPHENYL
<10.0
ug/L
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
1.6
PHENYLETHER
CHRYSENE
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 626
2.2
DI-N-BUTYL PHTHALATE
<10.0
uglL
0
We
<10.0
uglL
0
Ibs
3
EPA625
2.5
DI-N-OCTYL PHTHALATE
<10.0
ug/L
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
3.2
DIBENZO(A,H)
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 626
3.2
ANTHRACENE
1,2-DICHLOROBENZENE
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
1.8
1,3-DICHLOROBENZENE
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
1.8
1,4.DICHLOROBENZENE
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
1.8
3,3.DICHLORO-
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 625
2.9
BENZIDINE
DIETHYL PHTHALATE
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
2.1
DIMETHYL PHTHALATE
<10.0
uglL
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 626
2.9
2,4-DINITROTOLUENE
<10.0
ug/L
0
Ibs
<10.0
ug/L
0
Ibs
3
EPA 626
2.6
2,6.DINI ROTOLUENE
<10.0
uglL
0
Ibs
<10.0
uglL
0
Ibs
3
EPA 625
2.2
1,2-DIPHENYL-
<10.0
uglL
0
Ibs
<10.0
ug/L
0
The
3
EPA 625
2.0
HYDRAZINE

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
Outfall number. .001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MLIMDL
Number
Conc.
Units
Mass
Units
Cone.
Units
Mass
Units
of
METHOD
Samples
FLUORANTHENE
<10.0
ug/L
0
The
BRL
ug/L
0
Ibs
3
EPA 625
2.5
FLUORENE
<10.0
ug/L
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
1.7
HEXACHLOROBENZENE
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
2.4
HEXACHLORO-
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
1.8
BUTADIENE
HEXACHLOROCYCLO-
<10.0
ug/L
0
Ibs
BRL
uglL
0
Ibs
3
EPA 625
2.0
PENTADIENE
HEXACHLOROETHANE
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 626
1.8
INDENO(1,2,3-CD)
<10.0
ugfL
0
Ibs
BRL
ug/L
0
The
3
EPA 625
2.8
PYRENE
ISOPHORONE
<10.0
ug/L
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 626
2.0
NAPHTHALENE
<10.0
uglL
0
Ibs
BRL
ugfL
0
Ibs
3
EPA 625
1.7
NITROBENZENE
<10.0
ug/L
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
1.6
N-NITROSODI-N-
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
2.8
PROPYLAMINE
N.NrrROSODI-
<10.0
ug/L
0
Ibs
BRL
ug/L
0
The
3
EPA 625
1.1
METHYLAMINE
N-NITROSODI-
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
1.9
PHENYLAMINE
PHENANTHRENE
<10.0
uglL
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
2.0
PYRENE
<10.0 i
uglL
0
Ibs
BRL
ug/L
0
We
3
EPA 625
1.4
1,2,4-
<10.0
ug/L
0
Ibs
BRL
ug/L
0
Ibs
3
EPA 625
1.8
TRICHLOROBENZENE
Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer
Use this space (or a separate sheet) to provide intonation on other pollutants (e.g., pesticides) requested by the permit writer
END OF PART D.
REFER TO T'riE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek VVVVTP, NC 0020591
Renewal
Yadkin -Pee Dee
BASIC APPLICATION INFORMATION
PARTC. CERTIFICATION
All applicants must complete the Certification Section. Refer to Instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
X Basic Application Information packet Supplemental Application Information packet:
X Part D (Expanded Effluent Testing Data)
X Part E (Toxicity, Testing: Biomonitoring Data)
X Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPI (CANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title L.F. "Joe" Hudson J Director Water
/Resources
Signature
Telephone number (704) 8778-3438
/
Date signed / ��%�✓�
Upon request of the permitting authority, you must submit any other Information necessary to assure wastewater treatment practices at the treatment
works or Identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All Information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with OA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, If one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonfloring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
15 chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. Test number. Test number.
a. Test information.
Test Species & test method number
Age at initiation of test
Outtall number
Dales sample collected
Date test started
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
Page number(s)
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination

_[_
FACILITY NAME AND PERMIT NUMBER:
W
Third Creek WTP, NC 0020591
PERMIT ACTION REQUESTED:
Renew al
RIVER BASIN:
Yadkin -Pee Dee
Test number. Test number: Test number.
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type: if receiving water, specify source.
Laboratory water
Receiving water
I. Type of dilution water. If salt water, specify "natural' or type of artificial sea sags or brine used.
Fresh water
Salt water
J. Give the percentage effluent used for all concen rations In the last series.
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia
Dissolved oxygen
I. Test Results.
Acute:
Percent survival In 100%
effluent
LCw
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)

FACILITY NAME AND PERMIT NUMBER: 7PERMIT
Third Creek WWTP, NC 0020591
ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin -Pee Dee
Chronic
NOEC
%
%
%
IC25
%
%
%
Control percent survival
%
%
%
Other (describe)
m. Quality ControVQuallty Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MMIDD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works Involved in a Toxicity Reduction Evaluation?
❑ Yes X No If yes, describe:
EA. Summary of Submitted Blomonitoring Test Information. If you have submitted biomonhoring test information, or information regarding the
cause of toxicity, within the past four and one-hatf years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
Additional TOX analysis will be submitted in January and April 2014
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 3
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: JPS Composite Materials Corp.
Mailing Address: 535 Connor St.
Statesville NC 28677
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Weaving and Finishing of fiberglass fabrics
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Manufacturing woven fiberglass
Raw material(s): Fiberglass yam polyvinyl alcohol latex solutions and saline mixtures
F.6. Flow Rate.
a. Process wastewater Flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
60,000 gpd ( continuous or X intermittent)
b. Non -process wastewater Flow rate. Indicate the average daily volume of non -process wastewater Flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
10,000 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards X❑ Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
410
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ❑ No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATIONICORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedialion Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLAIRCRAIor other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or Intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2AYOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant Industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 3
b. Number of ClUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Hi-Tec Plating, Inc. North Carolina Division
Mailing Address: 1603 Salisbury Rd
Statesville NC 28677
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Chromium plating
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s) TDC-1 traditional hard chrome electroplating
Raw materal(s): Chromic acid with fluoride catalyst sulfuric acid alkaline cleaners and blasting media.
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system In gallons per
day (gpd) and whether the discharge is continuous or Intermittent.
230 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
180 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards X❑ Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
433
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ❑ No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediatlon Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE- APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 3
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Kewaunee Scientific Corp.
Mailing Address: 2700 West Front St.
Statesville NC 28677
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Design manufacture and installation of technical and laboratory furniture
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Wood and metal cabinetry and resin counter loos
Raw malerial(s): Plywood. solid wood steel water based stains and gaints, liquid resin and powder paint
F.6. Flow Rate.
a. Process wastewater Flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
22,000 gpd ( X continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
3,240 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards X❑ Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
433
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has It in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ❑ No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLAIRCRAIor other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatmentworks receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject of, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 3
b. Number of ClUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Rental Uniform Service, Inc.
Mailing Address: P.O Box 1458
Statesville, NC 28687
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Was and dry uniforms Floor mats and towels
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIUs.
discharge.
Principal product(s): Does not produce any products at facility
Raw matedal(s): Laundry detergent, softener, bleach, starch, neutralizer, sulfuric acid, and flocculanls.
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
53,000 gpd ( continuous or X Intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
2,500 gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards ❑ Yes X❑ No
If subject to categorical pretreatment standards, which category and subcategory?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 8 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.B. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes X❑ No (go to F.12)
FA 0. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlatlon Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or Intermittent?
❑ Continuous ❑ Intermittent If Intermittent, describe discharge schedule.
END OF PART F.
REFER TO THIS APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-6 & 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 3
b. Number of CIUs. 4
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: MoCaro
Mailing Address: 2201 MoCaro Dr.
Statesville NC 28677
FA Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Dyeing and finishing of cotton and Polyester fabrics
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Cotton and Polyester fabrics
Raw material(s): Various dyes and fabric treatment
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
131,389 gpd ( X continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
2,750 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X❑ Yes ❑ No
b. Categorical pretreatment standards ❑ Yes X❑ No
If subject to categorical pretreatment standards, which category and subcategory?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forns 7550.6 8 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.B. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes X❑ No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) poor to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-5 & 7550-22. Pn90 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Third Creek WWTP, NC 0020591
Renewal
Yadkin -Pee Dee
F.8. Problems at the Treatment Works Athibutad to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, Interference) at the treatment works In the past three years?
❑ Yes X No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.B. RCRA Waste. Does the treatment works receive or has It in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe.
❑ Yes X No (go to F.12)
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) X No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRAIor other remedial waste originates (or is excepted to origniate In
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets If necessary.)
F.15. Waste Treatment
a. Is this waste healed (or will be treated) prior to entering the treatment works?
Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE. APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
I —

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
f►.J
Environmental Testing Solutions, Inc
April 26, 2014
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 9711
Dear Ms. Jones:
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received by
Environmental Testing Solutions, Inc. April 07 through April 11, 2014.
Parameter Test Procedure EPA Method
Code Number Final Result
Fathead Minnow (Pimephales promelas)
THP6C Larval Survival and Growth, EPA-821-11-02-013 ChV > 100%
Test
Note: ChV = Chronic Value. A numeric value representing the geometric mean of the highest concentration having no
detectable impairment of survival or growth and the lowest concentration that does have a detectable impairment of survival or
growth.
If this test was performed as an NPDES requirement or by Administrative Letter, please enter the ChV
value >100%on the Effluent Discharge Monitoring Form (MR-1) for the collection date
April 07, 2014 using the parameter code THP6C.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-5) by
May 31, 2014.
If you have any questions concerning these results, please feel free to contact me.
Sincerely
Jime'
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.
North Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water. 37786, Wastewater: 600
South Carolina Certificate Number: Clean Water Act 99053-001

ETS
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
E-mail: IimQetsnelab.com
OEmironmenmlTesting Soludans, Inc. Date: April 26,2014
Effluent Aquatic Toxicity Report Form - Chronic Fathead Minnow Multi -Concentration Test
Facility: Statesville Third Creek W WTP NPDES 8: NC-0020591 Pipe N: 001 County: Iredell
Laboratory Performing Tat: Environmental Testing Solutions, Inc. Comments:
Sigmmione of Operator in Responsible Charge:
Signature ofLabomtory Supervisor. Project 9711
lea: 140407.01,140409.3k 14041120
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ1 Environmemel Sciences Branch
1621 Mail Service Center 1 Staudate: 1 Fnddaatt 1 smrrime Fadtime:
Raleigh, NC 27699.1621 0wg-la o4-15-14 1130 1038
Control
Organisms
%EDiuent
9.75Y.
Effluent
193%
% EDluent
39-A
% Effluent
78-A
% Effluent
t00%
Replicate number
1 2 3 4
iSurvivuagreurbertuflarvac
10
1 10
30
1 10
O,igmd numbs flarvae
1 10
1 10
10
1 10
w ' on 'ail ae
0.733
1 0.667
1 0.640
1 0.823
[Surmimucaultrea.flarvac
1 10
1 10
1 10
1 10
j(higireim®bar oflar.
1 10
1 10
1 10
1 10
lWaiiWorigind Laslara)0.668
1 0.706
1 0.556
1 0.754
savn' rum6coflarvac
1 10
1 10
1 10
1 10
10highoud murba oflar.
1 10
1 10
1 10
1 10
weighttof ore
0.662
1 0.610
1 0.639
1 0.583
8orvivmgaunderofbwm
1 10
10
i 10
i 10
0rig6al number oflarvee
1 10
1 10
1 10
1 10
Wd on (.0arvae)
1 0.739
1 0.708
1 0.686
1 0.759
iSurvivingnuraburoflarvae
1 10
10
10
i 10
l0rip,d nuarber oflarvee
1 10
1 10
1 10
1 10
wd t/or(' d a
0.586
1 0.636
1 0.730
1 0.654
Survivmgnumberoflarvae
1 10
1 9
1 10
1 10
Orig'vml rumba oflarvao
1 10
1 10
1 10
1 10
wefghtloriginel(mglavee)
1 0.684
1 0.611
1 0.710
1 0.7711
S.."(%)
100.0
Avenge"(MO
0.716
Averegew[/
0.716
surviving (mg)
Survival (%) 100.0
Avemgem(mM 1 0.671
SWAvd (%) 100.0
Average -(mg) 0.625
Survive] (%) 100.0
Average xt(rug) 1 0.724
Survival (%) 100.0
Average -(mg) 0.664
survival (%) 97S
Averagem(mg) 1 0.694
Test Organisms
Outside U
oK Inc.
Hata date: M-07-Id
Hao-LEmc I 16WI70)Sf
Water Quality Data
Day 0 Dy 1 2 3 Da 4 S Da 6
idtiil Fir
ed
brhial Find bdael Fmil Intiai Fend luitiel I Final hided I Ford I butiel I Final
Control
PH (Sin:
DO (mg Lk
TMP. M.
High Concentration
PH (Si):
DO (MVL$
Temp. M,
733
731
7.18
722
7.35
7.07
7.26
721
7A3
7.28
7.35
72S
122
6.85
8.0
7.6
7.7
7.5
7.7
7.0
7.7
7.1
8.0
7.1
7.7
7.4
7.6
65
24.8
21.3
24.7
243
24.7
24.2
24.8
245
24.8
24.6
24.9
242
24.9
24.7
7.70
7.69
7.80
738
7.69
7.49
7.76
7.48
7.92
7.73
7.H0
7.75
7.82
7.44
7.H
7.7
79
7.6
7.9
6.7
7.5
6.6
7.8
6.8
7.7
7.6
7.8
6.4
25.0
24.4
249
24.4
1 25.0
1 24.6
1 25.0
1 245
1 252
1 24.7
1 25.0
1 24.5
24.7
24.7
Sample Information
Collection start date:
Grab:
Composite duration:
AllmlWly (mg/L CeCOr):
Had. (ing/L CaCO,):
Ceodueevity (Perhos/m0:
Toni residual chlorine (mg/L):
Sample Tamp. at Receipt (°C):
Overall Analysis:
Analyses
]tom. Va.
NOEC:
IAeC:
C6V:
Method:
teth
H
Survival
Crtowtb
Criticil
Cdarleted
Critical
Gleuiued
2.410
1.004
2410
2042
R17%
2.410
-0.174
2.110
1.161
2.410
0.494
Result: PASS LOEC: >100% NOEC: 100% ChV: >100%
DWQjmrm AT-5 (8R3)

TSO t
116 Environmental Testing Solutions, Inc,
January 27, 2014
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 9503
Dear Ms. Jones:
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received by
Environmental Testing Solutions, Inc. January 07 through January 10, 2014.
Parameter Test Procedure EPA Method
Code Number Final Result
Fathead Minnow (Pimephales promelas)
THP6C Larval Survival and Growth, EPA-821-R-02-013 ChV > 100%
Test Method 1000.0
Note: CbV a Chronic Value. A numeric value representing the geometric mean of the highest concentration having no
detectable impairment of survival or growth and the lowest concentration that does have a detectable impairment of survival or
growth.
If this test was performed as an NPDES requirement or by Administrative Letter, please enter the ChV
value >100% on the Effluent Discharge Monitoring Form (MR-1) for the collection date
January 07, 2014 using the parameter code TEP6C.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-5) by
February 28, 2014.
If you have any questions concerning these results, please feel free to contact me.
CSu'�Sincerely,
J'
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water: 377E
South Carolina Certificate Number: Clean Water Act: 99053-001
pttIS14 407-0199-01

NC Certification No. 402
SC Certification No. 99012
PRISMFull -Service Analytical R NC Drinking Water Cart No. 37735
Environmental Solutions VA Certification No. 460211
ueoanroaiE& iNa DoD ELAP: L-A-B Accredited Certificate No. L2307
ISOIIEC 17025: L-A-B Accredited Certificate No. UM
City of Statesville, NC
Brandy Johnson
P.O. Box 1111
Statesville, INC 28687
Project 3rd Creek - Fathead Minnow
Lab Submittal Date: 01/10/2014
Prism Work Order: 4020199
Case Narrative
02/11/2014
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
Fathead Minnow Toxicity analysis was' subcontracted to ETS. Laboratory report is attached with a total
page count of 14 pages.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Robbi A. Jones
PresidentlProject Manager
Data Qualifiers Key Reference:
Reviewed By Robbi A. Jones
President/Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone]

PO Box 7565
W
Asheville, NC 28802
Phone: [phone]
Q+a Fax: [phone]
ETS E-mail: [e-mail]
Environmental Tasting Sotmods, rate,
Date: lanuary27,2014
Effluent Aquatic Toxicity Report Form - Chronic Fathead Minnow Multi-Cnncant.mfin. Tpef
FUMY' Statesville Third C7ec0 NPDES O: NC 0020591 PipeO; 001-�Ctnmty: lreddl
Laboratory Performing Test: Environmental Testing Solutions lac Comments:
Signature of Operator in Responsible Cbar a:
Signal= of Laboratory Supervisor: 1Praicot 9503
Smpic 140107.04, 14010836, 1401'10.17
,.nI v11g[us 1 r o: Ivortn uarmma Department of Environment and Natural Rasources
DWQI Environmental Sciences Branch
1621 Mail Service Center sritdwe: Siddm snntlma tuatara:
Raleigh, NC 27699-1621 01-07d4 01-14-14 I215 180
Replicate number
a
Control
Organisms
% Effluent
9.76%
%EOluent
195%
%Emuent
39-A
%Emuent
7g%
%EOluent
r00%
S"A.gmmba atlervae1
10
]0
30
1 10
O.i' mamba oflavmI
10
I 10
I 10
1 10
Well""'gbnl arvae
I 0.583
0.572
1 0.547
1 0.504
Swrivmgmnnberafiarvro
1 10
1 10
1 10
110
Qi numbaofiasvae
1 10
1 10
I 10 .
]0
[Wagwarguad. ( ee1
0.634
1 0528
0.600
0.687
Survivmgnumbw°flarvee
10
10
10
1 10
On nom6eroflawe1
10
1 1p
1 10
1 10
W . eI
0527
0.360
I 0.613
1 0.548
Survivingnvmb..rIx ee
10
1 10
1 10
110
nvm6er oflavae
10
10
10
10
wtl a) iml arvee
0.5511
1 0.53(
0.498
OS91
Survivlognuruberoflavae
10
1 10
1 10
1 to
Oa vumberofimwa
I 10
1 10
1 10
1 10
Wtl 0 m )
OSOI
I 0.Uir
1 0.517
1 0.505
Srvivinenumbar°flmw°
10
I
10
i 10 i 10
Originalm.beroflwee
f0
10
1 10 110
wdgW-6 iurl
I 0368
I 0.523
1 0.553 1 0.618
Water Quality
Control
pH(Sy..
DOOnA):
Temp.17c7:
High Concentndon
pH (S10:
732
DO OnAI
83
Temp. (°O):
248
Test Organisms
Survival (%)
100.0
Outside lien.
Awrage M(mg)
0552
A velar, Iva.
AvaagaM/
0 552
wrviviug(me)
Hateb date:
01-06.14
Rod irne:
I600 Ei
Survival (%)
100.0
Awaegewt(mg)
0.612
Survival(%) ]00.0
Avcvipe (mg) 0-5
SvMvel(%) 100.0
Avenge M(mg) 0544
Survival (%) 100.0
Amelia M(mg) 0.513
Survival 0A) 100.0
AvuageM(.W) 0566
7.44
759
7.69
7.42
7.60
7A9
7.73
1.49
7.68
7.21
7.69
7A8
7.67
7.36
7.9
8.1
90'
9.0
&0
8.0
82
7.4
8.0
72
8.0
7.9
7.8
7.5
24.7
243
M.6
24.7
29b
24.6
24.7
243
243
24.7
24.8
243
24.7
243
Sample Information
Col4ation adrtdete:
ant:
Ccmposiredmnien:
Aadinity(mg/L C.0%).
Ha ln=(mg/L CeC%a
Conductivity (pmbos4m):
Tatalsnianal.blmme(u,a)
Semple Temp. a Rer 'pt (°C)
Analyses
No®a
Ha ZO:
NOEL.
LOEC:
chv:
Melba.
survival
O.awda
Yes
Ym
Y.
Yes
100%
to*
>100%
>100%
>100%
>t00%
YlilYl
Do®gti
Survival '
Gn
Ala
%Emuw
CrIDci
Ctlmdaed
Ciial
CdevlmN
9.75%
2.410
-2073
193%
2.410
-0.358
3956
2A10
0.247
78%
t00%
2.4I0
z410
1322
-oA7a
Overall Analysis:
Result: PASS LOEC: >100% NOEC:
100°/a ChV: >100%
DWQf0 mAT-5(M)
1

e
TS
Emlmnmemaruena seluaonsinc.
Chronic Whole Effluent Toxicity Test (EPA-821-R-02-013 Method 1000.0)
Species: Pintephalespronklas.
Client: Statesville Third Creek WWTP County: IredeDl
NPDES #: NC 0020591 Outfall #: 001
Project#: qS6 IWC: 39%
Pagel of5
Dilution preparation information:
Comments:
Dilution prep (%)
9.75
19.5
39
78
300
Effluent volume (mL)
97.5
195
390
780
1000
Diluentvolume(mL)
902.5
805
610
220
0
Total volume (mL)
1000
1000
1000
1000
1000
Test organism inform
Test information:
Oanisma e:
-zm.'LC
Randomizing template:
'Puf&LP-
Date and times organism's
were born between:
Incubator number and
shelf location:
Organism source:
.&My, p�.RH PQ 0i-0tn.t°4
ArtemiaCHMnumber:
CRK-1
Drying information for weight
determination:
Transfer bowl information:
pH = 1.16S S.U.
Temperature = -U1. 6 °C
Date / Time in oven:
-rA`I%A
Initial oven temperature:
• C
Average transfer volume:
1 1b1o5 t1
Date / Time out of oven:
-641i
Final oven temperature:
1-0 r-
Total time:
•L`i-Il00
Daily feeding and renewal information:
Q10
tz\S
Day
Date
Morning feeding
Afternoon feeding
Test initiation, renewal,
or termination
Sample
number used
SSW
batch used
Time
Analyst
Time
- Analyst
Time
Analyst
0
O\-(tl• 1�
q
lS is
126
M 0101. 06
01-C7 A
i
t- •rd
13 0
I \5
1 .06
l-ot-l. A
2
1-Vt-M
D400
tA00
113D
1y01.t
01-01-1q8
3
0\-t0-tq
0100
\.'Soo
1\\
1 8-Ib
ot-m-
4
OI-11. 11{JA
1LA00
Iits
lqo 110.11
1-01-lq
5
O1-12•Iq
1 It'll,
11 (0
1�}l)I to.0
Olt-O.1.1
6
0t 13.1�1
0&4S
AAAS
801
Wo110.1J 01-CA-114
7
Ot-11i•14
11
Control information:
Acceptance ositata
Summary of test endpoints:
%Mortality:
)-?•
s20%
7-day LCso
002.
Average weight per initial larvae:
0. 'L
NOEC
10p1.
Average weight per surviving larvae:
I 0 , SS 7-
2 025mglasvae
LOEC
T 100 .
ChV
710p%.
1Cu
i 1 T.
SOP AT20 - Exhibit AT20.3, revision 07-01-12

s
•
•
OETS
Environmental Testing Solutions, Inc
October 30, 2013
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 9289
Dear Ms. Jones:
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received by
Environmental Testing Solutions, Inc. October 07 through October 11, 2013.
Parameter Test Procedure
Code
EPA Method
Number Final Result
Fathead Minnow (Pintephales promelas)
TBP6C Larval Survival and Growth, EPA-821-R-02-013 ChV > 100%
Test Method 1000.0
Note: ChV = Chronic Value. A numeric value representing the geometric mean of the highest concentration having no
detectable impairment of survival or growth and the lowest concentration that does have a detectable impairment of survival or
growth.
If this test was performed as an NPDES requirement or by Administrative Letter, please enter the ChV
value >100% on the Effluent Discharge Monitoring Form (MR-1) for the collection date
October 06, 2013 using the parameter code TiHP6C.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-5) by
November 30, 2013.
If you have any questions concerning these results, please feel free to contact me.
Sincrely,
Qn,
umne�—
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.
North Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water: 37786, Wastewater: 600
South Carolina Certificate Number: Clean Water Act: 99053-001
0-A5r0% �o 31Wtf*

NC Certification No. 402 Case Narrative
SC Certification No. 99012
R I S M Full -Service Analytical 8 NC Ddnking Water Cert No. 37735 11/01/2013
Environmental Solutions VA Certification No. 460211
L BORAMRIEa iec DoD ELAP: L-A-B Accredited Certificate No. L2307
ISO/IEC 17025: L-A-B Accredited Certificate No. L2307
City of Statesville, NC Project: 3rd Creek - Fathead Minnow
Brandy Johnson
P.O. Box 1111 Lab Submittal Date: 10/11/2013
Statesville, NC 28687 Prism Work Order: 3100654
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
Fathead Minnow Toxicity analysis was subcontracted to ETS. Laboratory report is attached with a total
page count of 14 pages.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Robbi A. Jones
President/Project Manager
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Reviewed By Robbi A. Jones
President/Project Manager
Results reported to the reporting limit All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Ina
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 704I62M364 -Ton Free Number: 1.8001529-6364 - Fax: [phone]

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
E-mail: [e-mail]
omen ng a ons, nc Date: October 30, 2013
Effluent Aquatic Toxicity Report Form - Chronic Fathead Minnow Multi -Concentration Test
Facility: Statwv0le Third Creek W WTP NPDES #: NC-0020591 Pipe #: 001 County: L-edell
LaboratoryPerforming Test• Environmantal Testing Solutions, Inc. Comments:
Signature of Operator in Responsible Charge:
Signature of Laboratory Supervisor. ( / fro 4µw.fzi project 9289
S®ptex 131007.01.131009.34131011.19
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ/ Environmental Sciences Branch
1621 Mail Service Centex I scandal.: I 9adeba sterttima iDatinss
Raleigh, NC 27699-1621 1 1048-13 1 1045-13 1 1130 1 1030
Control
Organisms
% Effluent
9.7Ah
% Effluent
195%
%Effluent
39%
% Effluent
78%
% Effluent
100%
Replicate number
2 3 4
S number oflarvee
10
10
10
1 10
jocisica number of larvae
1 10
10
1 10
1 10
W ' o l (mylame)
1 0.605
1 0.615
1 0.601
I 0.591
Smviv nuruberaflesvae
1 10
1 10
1 10
10
l0dgnal n®ber otiose,
1 10
1 10
1 10
10
W ' t/o,i ' (.VhMe)
1 0.:
0.5541
0.592
0.564
Survivor nurnber aflervm
10
10
10
10
ehie,dnuoberorlmvm
10
10
10
1 10
I 0.531
I Oslo
I 0.595
I 0.556
ISurshingtocaboroflarvac
10
i 10
i 10
i 10
jorigralsounber.fl.
1 10
1 10
1 10
1 10
Wa o" (
0.622
1 0.488
1 0.568
1 0.444
Survivang number oflervw
10
10
10
IO
Ori'dmm�ber oflervae1
10
10
10
10
Wei ori' ml,%wae
0.578
1 0.530
1 0.640,1
0.573
S " nnmberofL..
10
1 10
1 10
10
Osigmalmuoberoflervae
1 10
1 10
1 10
1 10
weightrmigiml( )
1 0.608
1 0.542
1 0.503
1 0.572
Teat Organisms
survival (%) 100.0 outside Ifx
Averagewt(.W 0.603 A mtm9 Inc
Avenge w I 0.603
ser-ing (m8) Hacd, dffi - F 10-07-13
Survival (%) 100.0
Averagewt(mg) 1 0562
Survival (%) 100A
Av.VB tme) 1 0S49
survival (%) 300.0
Avenge u9 (vim 1 0.531
sarvi (%) 1 00.0
Average ad (mg) OS80
survive] (%) 100.0
Av.v od (mg) 0556
Hatch time: 1600 EI'
Water Quality Data
Daya D 1 Day2 Day D 4 Drys Day
ivifial phad Ivifid and Initial Final initialFlowwas Fiver Initial Final I Initial I Fuel
Control
pH (SU):
DO (ma/L):
Tamp.(C):
High Concentration
pH (Stn:
DO (mP/LY
Temp.(C):
7.68
734
7.70
7AO
7.52
7.36
7.53
734
7.63
7.48
7./6
7.22
7.58
7.25
8.0
7.9
9.0
7.9
8.0
8.0
7.9
8.0
8.0
8.0
8.0
7.7
7
&0
24.7
24.7
24.7
24.7
24.7
24.6
24.7
24,5
24.8
243
24.7
24.7
24.8
24.6
7.51
7.94
all
7.87
7.46
7.77
7.98
7.75
7.43
8.06
827
7,91
926
8.08
8.2
8.0
82
8.1
9.1
8.0
8.1
&1
7.9
7.9
7.9
7.8
7.7
6.0
25.0
24.6
24.9
24.6
24.9
24.7
24.9
24.3
25.1
24.6
24.7
24.5
24.9
24.5
Sample Information
Collection smm dux
Gmb:
Composite duration:
AMalimty (m8/L C-aMs):
Hardnes (MAIL CeCGs
ConducwhW (gmhos'®):
Total residual r 1crin. (Mg/L):
Sample Temp. a Receipt CC):
Analyses
Normal:
Hour. Ver.
NOEL:
LOEC:
Chv:
Method:
Overall Analysis:
Result: PASS LOEC: >100% NOEC: 100% ChV: >1000A
DWQ form AT-5 (8/03)
ChnwPo
Ya
Ya
I
100%
>100%
>100%Dunvetrs
survival
Orovv56
(}itiml
Cal�vimed
2.410
1.292
P178%
2.410
1.713
2.41
22.258
2.410
0.709
2.410
1.456

----- --- _...- ------ - -- .................. . _. .
GETS
EmlmmmenblTertlnp SelWona4c
Chronic Whole Effluent Toxicity Test (EPA-821-R-02-013 Method 1000.0)
Species: Pimephales promelas
Client: Statesville Third Creek WWTP County: Iredelll
NPDES #: NC 0020591 Clutfall #: 001
Project #: q •L &R IWC: 39%
Page 1 of 5
Dilution Preparation information:
Comments.
Dilution prop (%)
9.75
19.5
39
78
100
Effluent volume (mL)
97.5
195
390
780
1000
Diluent volume (mL)
902.5
805
610
220
0
Total volume (mL)
1000
1000
1000
1000
1000
Test organism inform
Test information.
Organism age:
l9 . S Awks OLb.
Randomizing template:
�C
Date and times organisms
were bom between:
10, (n. r-h 1660
Incubator number and
shelf location:
3
Organism source:
lafCOX a �C� Q
Anemia CHM number:
L' 1
Drying information for weight
determination:
Transfer bowl information:
pH = 'I, b S.U.
Tem erature= 14-1) °C
Date / Time in oven:
1 o- t5.1
Initial oven temperature:
140'(.
Average transfer volume:
I. 166s..
Date / Time out of oven:
to • tb• -z.
Final oven temperature:
60'(-
Total drying time:
A'PAoRS
Daily feeding and renewal information:
12-As
vwAS
Day
Date
Morning feeding
Afternoon feeding
Test initiation, renewal,
Sample
SSW
or termination
number used
batch used
Time
Analyst
Time
Analyst
Time
Anal st
0
iVu-l3
IbW
1130
I-bI0on. 0 1
09-ze•13
1
l0 u11J
o
1-bbO
131001. 01
09. 2g• 13
2
10.10•t3
1-'.)0
II
t 1 .V—
10.6LI-1S
3
l0'11•ljAl
b30
101'-s
f 100o, ,L
ID•0 • 13
M-11.13
tt' r
'
-AW
Ilo3
Ib,o11.10�
16.0L.I
5
1ala•1
to
IbA-%
I
1310%1,lot
to 08 t
6
10• 111 13
p900
1500
0&10
131b tl• I
70 �yd¢ L3
7
to -IS• °I,
l0
Control information:
Acceptance mteda
Summary of lest endpoints:
%Mortality:
1.
s20%
7-day LC,,
? 100-1.
Average weight per initial larvae:
0. b03
NOEC
too'.
Average weight per surviving larvae:
0. 6Q
0.25m a vac
LOEC
i 1 007.
ChV
> 1007.
IC25
i 1007.
SOP AT20 - Exhibit AT20.3, revision 07-01-12

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
August 30, 2013
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 9140
Dear Ms. Jones:
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received by
Environmental Testing Solutions, Inc. August 05 through August 09, 2013.
Parameter Test Procedure EPA Method
Code Number Final Result
Fathead Minnow (Pimephales promelas)
THP6C Larval Survival and Growth, EPA-821-R-02-013 ChV > 100%
Test Method 1000.0
Note: ChV = Chronic Value. A numeric value representing the geometric mean of the highest concentration having no
detectable impairment of survival or growth and the lowest concentration that does have a detectable impairment of survival or
growth.
If this test was performed as an NPDES requirement or by Administrative Letter, please enter the ChV
value >100% on the Effluent Discharge Monitoring Form (MR-1) for the collection date
August 04, 2013 using the parameter code THP6C.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-5) by
September 30, 2013.
If you have any questions concerning these results, please feel free to contact me.
�Sincerely,
nurne—
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.
Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water. 37786, Wastewater. 600
South Carolina Certificate Number: Clean Water Act: 99053-001

41 PO Box 7565
TS
Asheville,NC 28802
E'''Phone: [phone]
Fax: [phone]
E-mail: Jim(aletsnclab.com
Environmental Testing Solutions, Inc
Date: Auqu5t 30, 2013
Effluent Aquatic Toxicity Report Form - Chronic Fathead Minnow Multi -Concentration Test
Facility: Smtesville Third Creek WWTP NPDES 8: NC. 0020591 Pipe H: 001 County. Iredell
Laboratory Performing Test: Emvonmeotal Testin S om Inc. Comments:
Signature of Operator in Responsible Charge:
Signature of Laboratory Supervisor. rrg.s 9140
samples 130805.01. 130807.40.13080920
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ/ Euvironmental Scicam Branch
1621 Mail Service Center 1 Sure dm: Fad dare Sun t®a Sral r.
Raleigh, NC 27699-1621 -1 08 13 1 08-13-13 1130 1035
Control
Organisms
% Effluent
9.75%
% EB)aeot
193%
% Elfloent
39%
• Effluent
78%
% Effluent
t00%
Replicate number
1 2 3 4
Smvivmgvmnbaof]avae
1 10
1 10
110
10
' m®bun oflavae
10
10
10
10
wet V.A&al mglavae
0.685
1 0.549
10.660
0.569
gramia m®bmoflwre
1 lO
1 10
1 10
10
Ori' ronobm0flavae
1 10
1 10
1 111
10
welghvodgma (mg/lavae1
0.622
1 0.684
1 0.668
1 0.704
Smvivm aamberofhrvae
10
]0
9
10
d®bm Odgieoflervee
10
10
10
10 _
wd odgmal (m
0.636
1 0.567
1 0.508
1 0.556
Stavi' o®bun0flervm
1 10
1 10
1 10
1 10
Ori&Wn®bmoflavx
1 10
1 10
1 10
1 10
wd od '
0.556
1 0.601
1 0.594
1 0.599
sirvivmgmmrbmoflavae
1 10
1 10
1 10
1 10
Ori. mwbm flama
1 10
1 10
1 10
1 10
wa on ' .d m
0.636
1 0.611
1 0.643
1 0.683
s mmberoflavae
10
i 9
10
10
' atmbmoflar.
10
10
10
10
we; o mI
0.526
10.562
).675
1 0.638
Water Quality
Control
pH (SO):
DO(mglL):
T.T-tine
High Concentration
PR (SUT
DO(m8/L):
Teop.(°C):
Sample Information
C.Ha . aai data
Carab:m Coposmduoti.
Allalmiry (mg/1. CaCOa):
Nardnms (mg/). CaCOr):
Cond.0-W (p M d=):
Total residual chlorine (mg2}.
S®ple Temp. aRe 00CQ:
Test Organisms
Sur(%)
100.0
svival
Oa ide b,..
Avmage%t(mg)
0.616
Aquamx )oc.
Avuage wt/
0.616
$Wwvmg(rag)
Ranh dew:
0841SU
Nekb time:
1600 Er
SwviM(%)
100.0
Average an (mg)
0.670
survival ('%) 975
Avmage%<(mg) 0.567
survival (%) 100.0
AVmage%t(mg) OS88
Srrvival (%) 1000
ma AVge at into 0.643
Snr.;Ve1(%) 97.5
Average%t(mg) 0.600
].69 739
7.74
736
7.56
736
7.64
7.45
].62
7.49
7.91
7.39
7.69
7.50
e.l 8.1
8.1
7.6
79
73
8.0
7.5
8.0
SA
8.0
7.7
8.0
7-1
24.7 24.6
24.7
243
24.7
24.6
24.7
24.7
24.8
245
24.7
24.6
24.6
2A3
722
724
735
7.19
727
733
7.59
7.48
8.07
7.80
9.08
7.83
797
7.95
83
8A
8.0
7.4
8.0
7.3
8.0
7.7
82
7.8
32
8.0
B3
82
24.8
24.6
1 24.9
24.6
1 24.9
1 24.4
1 24.8
1 24.4
1 24.9
1 24.7
1 24.8
24.7
24.7
24.4
Analyses
N,-.w
Nam. Vr.
NOEL:
LOEC:
ChV:
Mmhod
Overall Analysis:
Result: PASS LOEC; >100% NOEC: 100% ChV: >100%
DWQ f0MAT-5(8iO3)
survival
Crto%th
Yo
Ym
Ym
Yea
100%
1.
>100%
>I00%
>100%
>t00%
Viral
Amoab
Survival
I OrOoah
%EfHvmt
I Craw
Calcd led
(kcal
Cad dwd
9.75%
2.410
1 -1.548
193%
2.412
'1 1
39%
2.410
0.813
78%
2.410
-0.792
100%
2.410
0.446

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Environmental Testing Solutions, Inc.
July 31, 2013
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 9098
Dear Ms. Jones:
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received
by Environmental Testing Solutions, Inc. July 10 through July 12, 2013.
Parameter Test Procedure EPA Method Final
Code Number Result
North Carolina Ceriodaphnia Chronic Effluent
TGP3B Toxicity Procedure EPA-821-R-02-013 PAss
(Ceriodaphnia Pass/Fail Toxicity Test)
If this test was performed as an NPDES requirement or by Administrative Letter, please enter a
P on the Effluent Discharge Monitoring Form (MR-1) for the collection: date July 08, 2013 using
the parameter code TGP3B.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-3) by
August 31, 2013.
If you have any questions concerning these results, please feel free to contact me.
Sincerel ,
UA
Jim er
Laboratory Director
This report should not be reproduced, except in its entirety, without the vaitten consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.
North Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water: 37786,Wastewater. 600
South Carolina Certificate Number: Clean Water Act: 99053-001

e
a
E Tt; A'57- P&
�y9 Environmental Tesnng Solutlons,lne
Effluent Aquatic Toxicity Report Form - Phase 11 Chronic Ceriodavhnia dubia
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: July 31, 2013
Facility: Prism Laboratories, Inc. NPDES N: NC-0020591 Pipe N: 001 County: Iredell
Statesville Third Creek W WTP
Laboratory Performing Test Environmental TestinSolutiooii, Inc Comments:
Signature of Operator in Responsible Chu
Signature of Laboratory Supervisor: Project 9098
Samples: 130710.18, 13071215
Mail Original To: North Carolina Department ofEnvironment and Natural Resources
DWQ/Environmental Sciences Branch
1621 Mail Service Center Stan dam: End date: Suntiaee: Ead due:
Raleigh, NC 27699-1621 07-1oa3 07-17-13 t4s0 0835
Sample Information
Collection mat date:
Crab:
Composite dtnadon:
Alkalinity (mf/L CaCO,):
Hardnes(mf/L CaC%):
Conductivity (µathos/cm):
Total residual chlorine (me/L):
Sample Temp. at Iteceipt (°C):
v,r5
IfF �'}-„✓'
Test Information
Toner or.
Initial IsH(SU):
Final pH (SU):
Initial DO (mg/L):
Final DO (.WL):
Irulial Temp. (eq:
Final Temp. (e(2):
am,Wl
Ante al
Set
R-ell
1mna12
39%
39%
.Conrol
Cannot
Control
7.51
1.59
7.71
7.61
7.72
7.66
7.61
7.53
7.72
7.76
L
U
8.1
7.6
7.8
7.8
7.9
8.0
7.8
7.8
7.9
24.8
24.8
24.8
24.8
24.7
24.8
1 24.8
25.1
24.9
24.9
Organism Number
Control Oreanisins 1 2 3 4 5 6 7 8 9 10 11 12 at®.
Number of Young Produced
131
29
29
31
29
29
29
30
28
27
30
29
g9.3
Adult Survival: Live, Dead
I L
L
L
L
L
L
L
L
L
L
L
L
Effluent Percentage 39v.
Trma,..ent7 n-.ei.,n. 1 7 1 d S A 7 R 9 In 11 17
Number of Young Produced
130
28
30
31129
34
32
33
135
132
133
130
31.4
Adult Survival: iv(D)ead
I L
L
L
L
I L
L
L
L
I L
I L
I L
I L
-7.4
Effluent Percentage=
'reatment 3 Organisms 1 2 3 4 5 6 7 8 9 lU 11 12 nl®
lumber of Young Produced
,dult Survival: (L)ive, (D)ead _
as aa�ea"
Effluent Percentage=
'restorers r anums 1 2 3 4 5 6 7 8 9 10 11 12 nsva
lumber of Young Produced
tdult Survival: (L)ive, (D)ead
AaNunn
Effluent Percentage=
'reatment 5 Or anisms 1 2 3 4 5 6 7 8 9 lU 11 12 mea
lumber of Young Produced
With Survival: (L)ive, (Djead I I
xamuem
Effluent Percentage=
'reatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 r4...
lumber of Young Produced
tdult Survival: (L)ive, (D)ead
acam..a"
Overall Analysis:
Result: PASS LOEC: >39% NOEC: 39% ChV: >39%
DWQjormAT-3 (8191) Rev. 11195
Chronic Test Results
Final Control Mortality (%):
0.0
%C®trol with3rd Broods:
100
Control Reprohlction CV:
3.9
48 Hay Morty
Control:
0
of
- 12
We:
1 0
of
12
Sigoificant7:
No
Final MortalitySignificantat:
No anncmtration
Reproduction Analyses
kepmductiaalDEC:
>39%
Reproduction NOE.C:
39%
0,..0 Method
Hmamo utit
Normal Distnbudon:
Yes
Method:
stapho-wine,
Statistic:
0.979
Critical value:
0.884
Equal variances:
Yes
Method:
F-Test
Statistic:
3.433
critical value
5.320
Non-PaumetricAnalysis (ifa liable)
Method:
Effluent %
Rank Sum
Critical sure
39-A
I

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
April 30, 2013
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 8916
Dear Ms. Jones:
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received
by Environmental Testing Solutions, Inc. April 10 through April 12, 2013.
Parameter Test Procedure EPA Method Final
Code Number
Result
North Carolina Ceriodaphnia Chronic Effluent
TGP3B Toxicity Procedure EPA-821-R-02-013 PASS
(Ceriodaphnia Pass/Fail Toxicity Test)
If this test was performed as an NPDES requirement or by Administrative Letter, please enter a
P on the Effluent Discharge Monitoring Form (MR-1) for the collection date April 08, 2013
using the parameter code TGP3B.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-3) by
May 31, 2013.
If you have any questions conceming these results, please feel free to contact me.
Sincerely,
,1—rm Lumer
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
The results in this renort relate oniv to the eamaec enh.,.:H.a r ,
Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water: 37786, Wastewater: 600
South Carolina Certificate Number: Clean Water Act: 99053-001

PO Box 7565
JETS
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
(16
Environmental Teatlnn Salutlem , Inc
Effluent Aquatic Toxicity Report Form - Phase 11 Cbronic Ceriodaphnia dubia
Date: April 30, 2013
Facility: Prism Laboratories, Inc. NPDES k: NC-0020591 Pipe N: 001
County: Iredell
Statesville Third Creek W WTP
Laboratory Performing Test Envimromtal Tiwtin iSolmions Inc.
Comments:
Signature of Operator in Responsible Charger
Signature of Laboratory Supervisor. a
Project: 8916
Sampler. 130410.12,130412.01
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQI Environmental Sciences Branch
1621 Mail Service Center
Sun date:
Pad dale_
Sun time:
Pad l®e
Raleigh, NC 27699-1621
1 w-10-13 1
04-17-13
1040
ass?
Sample Information
Ulterior sun date
Grab:
Compeeteduntion:
Alkalinity (mg/L C.COtk
Hardness (mPJL CaCOI):
Conductivity (Andros/ma):
Total residual chlorine (mgrL):
Sample Temp. at Receipt CQ:
1 04-08-13 1 04-10-13 WRINIM
674
<0.10
0.8
33
40
Test Information
Treatment
Initial pH(sq:
Fiool pH (SU):
hddd DO (mg/L):
Final DO (mg/L):
hdtiel Temp. CC):
Few Temp. CC):
Organism Number
Control Oreanisms 1 2 3 4 5 6 7 R 9 10 11 11 _-
SLn
Anexall
Anuwll3
arm
aeeerall
ammll
39a/e
39%
39%
Cmtad
Control
Cmirol
7.51
7.62
7.91
7.51
7.67
7.80
7.91
8.01
7.86
7.69
7.84
7.66
8.1
81
8.2
7.8
1.9
79
U
8.2
8.1
7.7
7.9
7.8
25.1
25.1
24.9
24.7
24.6
25.0
24.9
24.9
25.1
24.8
1 25A
1 24.8
Number of Young Produced
128
131132
1281321
32
311321311
29
30131
Adult Survival: Live, ead
L
L
L
L
L
L
L
L
L
L
L
L
30.6
Effluent Percentage 39%
Tr'.Imrnt 7 r tlm,rt me 1 1 1 d C 4, n n In 1l
Number of Young Produced
130
34
32
29
33
34
36
33
34
37
35
34
33.4
Adult Survival: ive,(D)ead
I L
L
L
L
I L
I L
I L
I L
I L
I L
I L
I L
1 -93
Effluent Percentage=
treatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 ut„
lumber of Young Produced
.dolt Survival: (L)ive, (D)ead
%aM u
Effluent Percentage=
'reatment4 Org anisma 1 2 3 4 5 6 7 8 9 10 11 12 .tom
lumber of Young Produced
Ault Survival: (L)ive, (D)ead
%ar4u<m
Effluent Percentage=
'reatment 5 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 urae
lumber of Young Produced
Ault Survival: (L)ive, (D)ead
%am e4o
Effluent Percentage=
Irestment6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12
[umber of Young Produced
Ault Survival: (L)ive, (D)ead
x am.,m
Overall Analysis:
Result: PASS LOEC: >39% NOEC: 39% ChV: >39%
DWQ formAT-3 ("I) Rev. 11195
Chronic Test Results
Final Coonnl Mortality (k}.
0.0
% Corral with 3rd Brood,
IW
Council Repmdtetioo CV:
49
48 HomMorl4Gry
Control
0 of
12
IWC1
o of
12
Sigoificmt7:
No
!Final Mortality sigd5aut at
No mocatration
Reproduction Analyses
Reptaductino LOEC
>39%
Reproduction NOEC:
39%
Overall Method:
Homouedeniet
Normal Distribution:
Yes
Method:
shrew -Willa
sut(sdc:
0.943
Critical Value.
0.884
Equal Varimas:
Yes
Method:
F-Ten
Statistic
2184
Critical Value
5.320
Non -Parametric Analysis (if applicable)
Method:
E®uent %
[tank Sum
critical Stan
39%

PC Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
ki
Environmenta l Testing Solutions, Inc.
January 28, 2013
Ms. Robbie Jones
Prism Laboratories
PO Box 240543
Charlotte, NC 28224-0543
RE: ETS PROJECT NUMBER: 8647
Dear Ms. Jones:
Enclosed are toxicity test results for samples from the Statesville Third Creek W WTP received
by Environmental Testing Solutions, Inc. January 09 through January 11, 2013.
Parameter Test Procedure EPA Method Final
Code Number Result
North Carolina Ceriodaphnia Chronic Effluent
TGP3B
7hnia Pas&Tail Toxicit
EPA-821-R-02-013 PASS
If this test was performed as an NPDES requirement or by Administrative Letter, please enter a
P on the Effluent Discharge Monitoring Form (MR-1) for the collection date January 07, 2013
using the parameter code TGP3B.
Additionally, please sign and submit the original DWQ Aquatic Toxicity Form (AT-3) by
February 28, 2013.
If you have any questions concerning these results, please feel free to contact me.
Sincerely,
Jnn ulnner
Laboratory Director
This report should not be reproduced, except in its entirety, without the written consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.
North Carolina Certificate Numbers: Biological Analyses: 37, Drinking Water. 37786, Wastewater: 600
South Carolina Certificate Number., Clean Water Act: 99053-001
Q(LISA 1010 01.

:ETS0,{�
�$ Envlmnmentarrertlna5aunbnLlnc.
Effluent Aquatic Toxicity Report Form - Phase 11 Chronic Cerindnnhnia duhin
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: January 28, 2013
Facility: Prism Laboratories, Inc. NPDES#: NC. 0020591 Pipe#: 001 County: Iredell
Statesville Third Creek W WTP
Laboratory Performing Test Environmental Testin Solutions c. Comments:
Signature of Operator in Responsible Charge:
Signature of Laboratory Supervisor: Project: 8647
Samples: 130109.13,130111.16
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ/ Environmental Sciences Branch
1621 Mail Service Center Standam: I End date: I sun time. End time
Raleigh, NC 27699-1621 01-09-13 1 01-16a3 1 1236 1 0656
Sample Information
Collection start dale:
Grab:
Composite duration:
Alkalinity (mr/L CaCO3):
Hardness (m8/L CaCO,):
Cunducdvity (prnhos/®):
Total residual chlorine(mglL):
Semple Temp. at Receipt (°C):
01-07-13
01-M13
Test Information
Treeunene
West pH (SU):
Final pH (SO):
betud DO (mg/L):
Frail DO (mz/L):
Weal Temp. (°C):
Final Temp. (°C):
24-h
143
24-h
33, 33, 34
40, 40, 40
1160 IN. 135.152
a 0.10
W.10
0.4
0.5
Organism Number
Control Orannisms 1 2 3 4 5 6 7 8 9 10 11 12 a4aa
Sun
R Ji
1-d2
saa
k-dI
R-d2
39%
39%
39%
1 Control
Camel
coo.]
7.65
7.58
7.77
7.64
7.66
7.75
7.57
7.79
7.79
7.33
7.42
7.52
&0
8.0
7.7
7.9
7.9
7.9
8.0
7.9
7.9
8.0
9.0
7.9
25.1
25.3
24.9
24.9
25.0
24.9
25.0
24.9
25.0
24.9
24.9
24.9
Number of Young Produced
131
33
136
130
1 3OT-321
31134
132
131134
30
Adult Survival: Live, Dead
L
L
L
L
L
L
L
L
L
L
L
L
32.0
Effluent Percentage 39•r.
'reatment 2 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 so -
dumber of Young Produced 133 37 37 37 31 35 36 32 37 30 34 33 343
tdult Smvival: (L)ive, (D)ead L L L L L L L L L L L L -73
xaaasr
Effluent Percentage=
'reatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 sw.
(umber of Young Produced
kdult Survival (L)ive, (D)ead
x amcus
Effluent Percentage=
Inatment40r anisms 1 2 3 4 5 6 7 8 9 10 11 12 e4m
lumber of Yawg Produced
Walt Survival: (L)ive, (D)ead
x tom,
Effluent Percentage=
Effluent Percentage=
Overall Analysis:
Result: PASS LOEC: >39% NOEC: 39% ChV: >39%
DWQ form AT-3 (8191) Rev. 11195
Chronic Test Results
Final Control Mortality (%).
0.0
%Cannot with 3rd Broods:
100
1
Control Reproduction CV:
6.0
48 Hour Morality
Control:
0
of
12
IWC:
0
of
12
Si ificenl7:
No
Final Mortality Si0fi®ttt at
No mneeotradon
Reproduction Analyses
Reproduction LOEC:
>39%
Reproduction NOEC:
39%
Overall Method:
Hamauadanict
Normal Distribution:
Yea
Method:
saapia Wwjwa
Stadsdc:
0.963
Critical Value:
0.894
Equal Variances:
Yes
Method:
F-Test
Statistic:
1.767
Critical Value:
5320
Non -Fan actrie Analysis (ifa pacable)
Method:
Effluent %
Rank Sum
Cridwl Smn
39%

P R I S M Full -Service Analytical s
Environmental Solutions
li.eU9A10RIES.I1.O.
City of Statesville, NC
Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
NC Cer06calion No. 402
SC Certification No. 99012
NC Drinking Water Cart No. 37735
VA Certification No. 460211
DOD ELAP Certification No. L2307
Project: 3rd Creek Priority Pollutant Scan
Lab Submittal Date: 04/09/2013
Prism Work Order: 3040267
Case Narrative
04/19/2013
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
?OV--
RobbiA.Jones
President/Project Manager
Data Qualifiers Key Reference
Reviewed By Robbi A. Jones
President/Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
"ll Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone]- Toil Free Number: 1.8001529.6364-Fax: [phone] Qbhf l21pd2l

r:
Ism i
Full -Service Analytical &
Environmental Solutions
x• �i •: L ESCAIAl�fiiE:S, INC,
Sample Receipt Summary
04/19/2013
Prism Work Order: 3040267
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
EFFLUENT COMPOSITE
3040267-01
Water
04/09/13
04/09/13
EFFLUENT GRAB
3040267-02
Water
04/09/13
04/09/13
Samples received in good condition at 3.4 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number:1-8001529-6364 - Fax: [phone] qb f !3102,

. � ISM
SlsG�s�...,` "��souaYc�rr:t cu:
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Full -Service Analytical &
Environmental Solutions
Project: 3rd Creek Priority Pollutant
Scan
Sample Matrix: Water
Laboratory Report
04/19/2013
Client Sample ID: EFFLUENT COMPOSITE
Prism Sample ID: 3040267-01
Prism Work Order: 3040267
Time Collected: 04/09/13 08:00
Time Submitted: 04/09/13 14:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
General Chemistry Parameters
Total Nitrogen
2.1
mg1L
1.0
0.13
5
'Total Nitrogen 4118113 15:49
CLB
ICALCI
Nitrate/Nib ite as N
1.4
mg1L
0.50
0.018
5
-SM4500-NO3 F
4115113 8:40
CLB
P3130257
Phosphorus -Total
2.2
mg1L
0.050
0.0097
1
'SM4500-P F
4115113 10:56
CLB
P3130297
Total Dissolved Solids
290
mg1L
50
9.5
1
•SM2540 C
419113 16:00
JAB
P3D0225
Total Kjeidahl Nitrogen
0.66
mg/L
0.50
0.11
1
'351.2
4118113 15:49
CLB
P3D0408
Ammonia as N
BRL
mg/L
0.10
0.027
1
'SM4500-NH3 G 4/16/13 10:00
CLB
P3D0308
Semivolatile Organic Compounds by GC/MS
1,2,4-Trichlorobenzene
BRL
ug/L
10
1.8
1
'625
4/17/13 19:04
KC
P3D0295
1,2-Dichlorobenzene
BRL
ug/L
10
1.8
1
'625
4/17/13 19:04
KC
P31)0295
1,2-Dipheny1hydrazine (as Azobenzene)
BRL
ug/L
10
2.0
1
'625
4117/13 19:04
KC
133130295
1,3-Dichlorobenzene
BRL
ug/L
10
1.8
1
'625
4117/13 19:04
KC
P3D0295
1,4-Dichlorobenzene
BRL
ug/L
10
1.8
1
'625
4117113 19:04
KC
P31)0295
1-Methylnaphthalene
BRL
ug/L
10
1.7
1
'625
4/17/13 19:04
KC
P3D0295
2,4,5-Tdchlorophenol
BRL
ug/L
10
2.9
1
'625
4/17/13 19:04
KC
P3130295
2,4,6-Tdchlorophenol
BRL
ug/L
10
2.0
1
'625
4/17/13 19:04
KC
P31)0295
2,4-Dichlorophenol
BRL
ug/L
10
1.8
1
'625
4/17/13 19:04
KC
P31)0295
2.4-Dimethylphenol
BRL
ug/L
10
1.6
1
'625
4117/13 19:04
KC
P3D0295
2,4-Dinitrophenol
BRL
ug/L
10
5.8
1
'625
4117/13 19:04
KC
P3D0295
2.4-Dinitrotoluene
BRL
ug/L
10
2.6
1
'625
4117/13 19:04
KC
P31)0295
2,6-Dinitrotoluene
BRL
ug/L
10
2.2
1
'625
4/17/13 19:04
KC
P31)0295
2-Chloronaphthalene
BRL
ug/L
10
2.0
1
'625
4/17/13 19:04
KC
P3D0295
2-Chlorophenol
BRL
ug/L
10
1.8
1
•625
4/17/13 19:04
KC
P3130295
2-Methylnaphthalene
BRL
ug/L
10
2.0
1
'625
4/17/13 19:04
KC
P3D0295
2-Methylphenol
BRL
ug/L
10
1.2
1
'625
4/17113 19:04
KC
P3D0295
2-Nitroanlgine
BRL
ug/L
10
2.1
1
'625
4/17/13 19:04
KC
P3130295
2-Nitrophenol
BRL
ug/L
10
1.5
1
'625
4/17/13 19:04
KC
P31)0295
3,3'-Dichlorobenzidine
BRL
ug/L
10
2.9
1
'625
4/17/13 19:04
KC
P3D0295
3/4-Methylphenol
BRL
ug/L
10
0.96
1
'625
4/17/13 19:04
KC
P31)0295
3-Nitroanitine
BRL
ug/L
10
2.3
1
'625
4117/13 19:04
KC
P31)0295
4,6-Dinitro-2-methylphenol
BRL
ug/L
10
5.4
1
'625
4/17/13 19:04
KC
P3D0295
4-Bromophenyl phenyl ether
BRL
ug/L
10
1.9
1
'625
4/17113 19:04
KC
P31)0295
4-Chloro-3-methylphenol
BRL
ug/L
10
1.7
1
'625
4/17/13 19:04
KC
P31)0295
4-Chloroaniline
BRL
ug/L
10
2.4
1
'625
4/17/13 19:04
KC
P31)0295
4-Chlorophenyl phenyl ether
BRL
ug/L
10
1.6
1
'625
4/17/13 19:04
KC
P31)0295
4-Nitroaniline
BRL
ug/L
10
3.2
1
'625
4/17/13 19:04
KC
P31)0295
4-Nitrophenol
BRL
ug/L
SO
1.1
1
'625
4/17/13 19:04
KC
P31)0295
Acenaphthene
BRL
ug/L
10
1.8
1
'625
4/17/13 19:04
KC
P3D0295
Acenaphthylene
BRL
ug/L
10
1.8
1
'625
4/17/13 19:04
KC
P31)0295
Aniline
BRL
ug/L
10
2.2
1
'625
4117/13 19:04
KC
P31)0295
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0543
` Phone: [phone] - Toll Free Number: 1.8001629-6364 - Fax: [phone] Qbhf ;!4,lp 21

PRISM FWIServccAnaiypcal8 Laboratory Report
6 Ennronmemm aomnona 04119/2013
City of Statesville, NC Project: 3rd Creek Priority Pollutant Client Sample ID: EFFLUENT COMPOSITE
Attn: Brandy Johnson Scan Prism Sample ID: 3040267-01
P.O. Box 1111 Prism Work Order. 3040267
Statesville, NC 28687 Sample Matrix: Water Time Collected: 04/09/13 08:00
Time Submitted: 04/09/13 14:25
Parameter
Result
Units
Report
Limit
MDL
Dilution
Factor
Method
Analysis Analyst
Date/Time
Batch
ID
Anthrecene
BRL
ug/L
10
2.6
1
-625
4/17113 19:04
KC
P300295
Benzidine
BRL
ug/L
100
11
1
'625
4/17/13 19:04
KC
P300295
Benzo(a)anthracene
BRL
ug/L
10
2.0
1
'625
4117/13 19:04
KC
P3DD295
Benzo(a)pyrene
BRL
ug/L
10
2.2
1
'625
4117/13 19:04
KC
P3D0295
8enzo(b)guoranthene
BRL
ug/L
10
1.7
1
'625
4117113 19:04
KC
P3D0295
Benza(g,h,i)perylene
BRL
ug/L
10
3.2
1
'625
4117113 19:04
KC
P3D0295
Benzo(k)Buomnthene
BRL
ug/L
10
2.3
1
'625
4117/13 19:04
KC
P3D0295
Benzoic Acid
BRL
ug1L
100
50
1
'625
4/17/13 19:04
KC
P3D0295
Benzyl alcohol
BRL
ug/L
10
1.2
1
'625
4117/13 19:04
KC
P3D0295
bis(2-Chloroethoxy)methane
BRL
ug/L
10
2.0
1
'625
4117113 19:04
KC
P300295
Bis(2-Chloroethyl)ether
BRL
ug/L
10
1.7
1
'625
4/17/13 19:04
KC
P3130295
Bis(2-chloroisopropyl)ether
BRL
ug/L
10
1.6
1
'625
4117/13 19:04
KC
P3D0295
Bis(2-Ethylhexyl)phthalate
15
ug/L
10
3.2
1
'625
4/17/13 19:04
KC
P3130295
Butyl benzyl phthalate
BRL
ug/L
10
2.0
1
'625
4117/13 19:04
KC
P3D0295
Chrysene
BRL
ug/L
10
2.2
1
'625
4/17113 19:04
KC
P3D0295
Dibenzo(a,h)anthracene
BRL
ug/L
10
3.2
1
'625
4117113 19:04
KC
P3130295
Dibenzofumn
BRL
ug/L
10
1.9
1
'625
4/17113 19:04
KC
P300295
Diethyl phthalate
BRL
ug/L
10
2.1
1
'625
4/17113 19:04
KC
P3D0295
Dimethyl phthalate
BRL
ug/L
10
2.9
1
'625
4117113 19:04
KC
P3D0295
Di-n-butyl phthalate
BRL
ug/L
10
2.5
1
'625
4/17/13 19:04
KC
P3D0295
Df-n-octyl phthalate
BRL
ug/L
10
3.2
1
'625
4117/13 19:04
KC
P3D0295
Fluoranthene
BRL
ug/L
10
2.5
1
'625
4/17/13 19:04
KC
P3D0295
Fluorene
BRL
ug/L
10
1.7
1
'625
4/17113 19:04
KC
P3D0295
Hexachlorobenzene
BRL
ug/L
10
2.4
1
'625
4117113 19:04
KC
P3D0295
Hexachlorobutediene
BRL
ug/L
10
1.8
1
'625
4117113 19:04
KC
P3D0295
Hexachlorocydopentadiens
BRL
ug/L
10
2.0
1
'625
4117113 19:04
KC
P3D0295
Hexachloroethane
BRL
ug/L
10
1.8
1
'625
4117/13 19:04
KC
P3D0295
Indeno(1,2,3-cd)pyrene
BRL
ug/L
10
2.8
1
'625
4117113 19:04
KC
P3D0295
Isophomne
BRL
ug/L
10
2.0
1
'625
4/17/13 19:04
KC
P3D0295
Naphthalene
BRL
ug/L
10
1.7
1
'625
4/17/13 19:04
KC
P3D0295
Nitrobenzene
BRL
ug/L
10
1.9
1
'625
4117/13 19:04
KC
P3D0295
N-Nitmsodimethylamine
BRL
ug/L
10
1.1
1
'625
4/17/13 19:04
KC
P3D0295
N-Nitroso-di-n-propylamine
BRL
ug/L
10
2.8
1
'625
4/17/13 19:04
KC
P3D0295
N-Nitmsodiphenylamine
BRL
ug/L
10
1.9
1
'625
4/17/13 19:04
KC
P3D0295
Pentachlorophenol
BRL
ug/L
10
2.7
1
'625
4117113 19:04
KC
P3D0295
Phenanthrene
BRL
ug/L
10
2.0
1
'625
4/17/13 19:04
KC
P300295
Phenol
BRL
ug/L
10
0.48
1
1625
4117113 19:04
KC
P3DD295
Pyrene
BRL
ug/L
10
1.4
1
'625
4/17/13 19:04
KC
P3D0295
Pyridine
BRL
ug/L
10
2.9
1
'625
4/17113 19:04
KC
P3D0295
Surrogate
Recovery
Control Limits
2,4,6-Tdbromophenol
72 %
31-144
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M -Charlotte, NC 28224-0643
Phone: [phone]- Toll Free Number: 1.8001529-6364 - Fax: [phone] -Cbhf I5!Pd2� .

P R I S 1� I Full-SaMcc Pnnlyncal &
'v I Environmental 6olutiens
Laboratory Report
04119/2013
City of Statesville, NC
Project: 3rd Creek Priority Pollutant
Client Sample ID: EFFLUENT COMPOSITE
Attn: Brandy Johnson
Scan
Prism Sample ID: 3040267-01
P.O. Box 1111
Prism Work Order: 3040267
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 04/09/13 08:00
Time Submitted: 04/09/13 14:25
Parameter
Result
Units
Report MDL
Dilution Method Analysis Analyst
Batch
Limit
Factor Date/Time
ID
2-Fluombiphenyl
68 %
49-118
2-Fluorophenal
39 %
22-84
Nitrobenzene-d5
63 %
43-123
Phenol-d5
25 %
10-63
Terphanyld14
70 %
49-151
Total Metals
Mercury
BRL ✓
mg/L
0.00020 0.000041
1 '245.1 4/15113 15:13
LTB
P300300
Total Hardness
32
mglL
0.66 0.061
1 200J 4111113 19:39
BGM
[CALCI
Antimony
0.047
mglL
0.0010 0.00012
1 -200.8 4111113 18:53
LTB
P300260
Arsenic
BRL./
mglL
0.0010 0.00045
1 '200.8 4/11/13 18:53
LTB
P3130250
Beryllium
BRL
mg/L
0.0010 0.00019
1 '200.8 4/11/13 18:53
LTB
P31)0250
Cadmium
BRL✓
mg/L
0.0010 0.000014
1 '200.8 4/11113 18:53
LTB
P3D0250
Calcium
8.7
mglL
0.10 0.021
1 '200.7 4111113 19:39
BGM
P31)0251
Chromium
BRL ✓
mg/L
0.0010 0,00012
1 '200.8 4/11/13 18:53
LTB
P300250
Copper
0.0059 /
mg/L
OA050 0.00052
1 '200.8 4111113 18:63
LTB
P31)0250
Lead
BRL ✓
mg/L
0.0010 0.00012
1 1200.8 4/11113 18:53
LTB
P3D0250
Magnesium
2.4
mglL
0.10 0.0020
1 '200.7 4111113 19:39
BGM
P3D0251
Nickel
0.0035
mg1L
0.0020 0.00016
1 '200.8 4111113 18:53
LTB
P31)0250
Selenium
BRL
mg/L
0.0010 0.00035
1 '200.8 4111/13 18:53
LTB
P3D0250
Sliver
BRL✓
mg/L
0.0010 0.000011
1 '200.8 4/11/13 18:53
LTB
P3D0250
Thallium
BRL
mg/L
0.0010 0.000013
1 '200.8 4111113 18:53
LTB
P3D0250
Zinc
0.045-/
mglL
0.0050 0.0026
1 '200.8 4111113 18:53
LTB
P3D0250
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spdngbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643
Phone: [phone]- Toll Free Number: 1-8001529-6364 - Fax: [phone] Cbhf 161pd21

PRISMr° s "°14 Laboratory Report
[. ,t' , mnl 6olutlons U4119/2013
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek Priority Pollutant
Scan
Sample Matrix: Water
Client Sample ID: EFFLUENT GRAB
Prism Sample ID: 3040267-02
Prism Work Order: 3040267
Time Collected: 04/09/13 08:00
Time Submitted: 04/09/13 14:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
General Chemistry Parameters
Cyanide
BRL ✓
mg/L
0.0050
0.0014
1
-SM4500-CN E
4/10/13 15:13
COE
P300231
Oil & Grease (HEM)
BRL
mg/L
5.0
1.4
1
'1664A
4112113 9:30
JAB
P3D0290
Phenolics
BRL
mg/L
0.050
0.027
1
'420.1
4/12/13 11:30
COE
P3D0259
Volatile Organic Compounds by GCIMS
1,11-Trichloroemane
BRL
ug/L
5.0
0.12
1
'624
4/10/13 18:42
VHL
P3D0262
1, 1,2,2-Tebachloraethane
BRL
ug/L
5.0
0.10
1
'624
4/10/13 .18:42
VHL
P300262
1,1,2-Tdchloroethane
BRL
ug/L
6.0
0.085
1
'624
4/10/13 18:42
VHL
P300262
1,1-Dichloroethane -
BRL
ug/L
5.0
0.11
1
-624
4/10113 18:42
VHL
P300262
1,1-Dichlamethylene
BRL
ug/L
5.0
0.094
1
-624
4/10113 18:42
VHL
P300262
1,2-Dichlorobenzene
BRL
ug/L
5.0
0.099
1
'624
4/10/13 18:42
VHL
P3D0262
1,2-Dichlaroelhane
BRL
ug/L
5.0
0.063
1
-624
4110/13 18:42
VHL
P300262
1,2-Dichloropropane
BRL
ug/L
5.0
0.12
1
-624
4/10/13 18:42
VHL
P3D0262
1,3-Dichlorobenzene
BRL
ug/L
5.0
0.11
1
'624
4110113 18:42
VHL
P300262
1.4-Dichlombemens
BRL
ug/L
5.0
0.11
1
'624
4110113 18:42
VHL
P3D0262
2-Chloroethyl Vinyl Ether
BRL
ug/L
10
0.44
1
'624
4/10/13 18:42
VHL
P3D0262
Acrolein
BRL
ug/L
100
0.86
1
'624
4/10/13 18:42
VHL
P3D0262
Acrylonitnle
BRL
ug/L
100
0.73
1
-624
4/10113 18:42
VHL
P3D0262
Benzene
BRL
ug/L
5.0
0.066
1
'624
4/10/13 1842
VHL
P300262
Bromodichloromethane
BRL
ug/L
5.0
0.082
1
-624
4/10/13 18:42
VHL
P3D0262
Bromoform
BRL
ug/L
5.0
0.15
1
'624
4110113 18:42
VHL
P3D0262
Bromomelhane
BRL
ug/L
10
0.19
1
-624
4110113 18:42
VHL
P3D0262
Carbon Tetrachloride
BRL
ug/L
5.0
0.088
1
-624
4110113 18:42
VHL
P3D0262
Chlorobenzene
BRL
ug/L
5.0
0.098
1
-624
4110/13 18:42
VHL
P300262
Chloroethane
BRL
ug/L
10
0.26
1
'624
4/10113 18:42
VHL
P300262
Chloroform
9A
ug/L
5.0
0.059
1
'624
4110113 18:42
VHL
P3D0262
Chloromethane
BRL
ug/L
10
0.18
1
-624
4110/13 18:42
VHL
P3D0262
cis-1,3-Dichloropmpylene
BRL
ug/L
5.0
0.20
1
'624
4/10/13 18:42
VHL
P3DD262
Dibromochlommelhane
BRL
ug/L
5.0
0.087
1
-624
4110113 18:42
VHL
P3D0262
Ethylbenzene
BRL
ug/L
5.0
0.12
1
-624
4/10/13 1842
VHL
P300262
Methylene Chloride
BRL
ug/L
5.0
0,069
1
-624
4110113 1842
VHL
P3D0262
Telrachloroelhylene
BRL
ug/L
5.0
0.14
1
'624
4110113 18:42
VHL
P3D0262
Toluene
BRL
ug/L
5.0
0.088
1
'624
4/10/13 18:42
VHL
P3DO262
tmns-1,2-Dichloroathylene
BRL
ug/L
5.0
01093
1
-624
4110/13 18:42
VHL
P300262
tans-1,3-Dichloropropylene
BRL
ug/L
5.0
0.065
1
'624
4/10/13 18:42
VHL
P3D0262
Tdchloroethylene
BRL
ug/L
5.0
0.15
1
'624
4110113 18:42
VHL
P3DD262
Trichlorofluoromethane
BRL
ug/L
10
0.018
1
-624
4/10/13 18:42
VHL
P3D0262
Vinyl chloride
BRL
ug/L
10
0.51
1
'624
4/10/13 18:42
VHL
P3D0262
Surrogate Recovery Control Limits
4-Bromofluorobenzene 99 % 74-126
Dibromofluoromethane 115 % 75-127
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone]- Toll Free Number.. 1-8001529-6364-Fax: [phone] obhf_171Pd'lj,,:

P R 1 S
M
I Envir o men al Solution s
Environmental Solutions
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
04/19/2013
Project: 3rd Creek Priority Pollutant Client Sample ID: EFFLUENT GRAB
Scan Prism Sample ID: 3040267-02
Prism Work Order: 3040267
Sample Matrix: Water Time Collected: 04/09/13 08:00
Time Submitted: 04/09/13 14:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Toluene-d8 99 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Qbhf. !8 �pcj21

Sample Extraction Data
Prep Method: 351.2
Lab Number
Batch
Initial
Final
DatoMme
3040267-01
P31)0408
25 mL
25 mL
04/18/13 15:09
Prep Method: 420.1
Lab Number
Batch
Initial
Final
Date/Time
3040267-02
P31)0259
50 mL
50 mL
04/11/13 13:15
Prep Method: SM4500-CN C
Lab Number
Batch
Initial
Final
DateMme
3040267-02
P31)0231
50 mL
50 mL
04/10/13 9:10
Prep Method: SM4500-PBS
Lab Number
Batch
Initial
Final
Date/Time
3040267-01
P31)0297
50 mL
50 mL
04/12/13 12:38
Prep Method: 62S
Lab Number
Batch
Initial
Final
Date/Time
3040267-01
P31)0295
1000 mL
1 mL
04/15/13 9:30
Prep Method: 200.7
Lab Number
Batch
Initial
Final
Date/Time
3040267-01
P3D0251
50 mL
50 mL
04/11/13 8:45
Prep Method: 200.8
Lab Number
Batch
Initial
Final
Date/Time
3040267-01
P3D0250
50 mL
50 mL
04111/13 8:45
Prep Method: 246.1
Lab Number
Batch
Initial
Final
DateMme
3040267-01
P31)0300
20 mL
30 mL
04/15/13 10:00
Prep Method: 624
Lab Number
Batch
Initial
Final
DateMme
3040267-02
P3D0262
10 mL
10 mL
04/10/13 8:14
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toil Free Number:1.8001529-6364 - Fax: [phone] ° `:Qbhf !91A

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3rd CREEK QUALIFICATION
MONTH: April2013
BOD-BLANK
DATE
SAMPLE
REASON QUALIFIED
4/1/2013
ALL
RULE #1-BLANK greater than 0.20 mg/I
4/22/2013
ALL
RULE #1-BLANK greater than 0.20 mg/I
4/24/2013
ALL
RULE #1-BLANK greater than 0.20 mg/I
BOD-STANDARAD
DATE
SAMPLE REASON QUALIFIED
BOD-INFLUENT
DATE
4/29/2013
4/30/2013
SAMPLE REASON QUALIFIED
DO depletion less than 2.0 mg/l
R3 pRule#
R3 DO depletion less than 2.0 mg/l
BOD-EFFLUENT
DATE
4/23/2013
SAMPLE REASON QUALIFIED
E3 Rule # 4-DO depletion less than 2.00 mg/l
BOD-SEED
DATE
SAMPLE REASON QUALIFIED
FECAL
DATE
4117/13
4/29/13
SAMPLE REASON QUALIFIED
ALL IDuplicates out of range
ALL Duplicates out of range

T.S.S.
DATE
SAMPLE
REASON QUALIFIED
04/29/13
ALL
Duplicates out of range.
04/30/13
ALL
Duplicates out of range
T.S.
SAMPLE
REASON QUALIFIED
DATE
OTHER PARAMETERS
SAMPLE
REASON QUALIFIED
DATE

RIcSM
art} i
City of Statesville, NC
Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
NC Certification No. 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Cad No. 37735
Environmental Solutions VA Certification No. 1287
Project: 3rd Creek Priority Pollutant Scan
Lab Submittal Date: 04/03/2012
Prism Work Order: 2040049
Case Narrative
04/12/2012
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are Flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Y
President/Project Manager
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Reviewed By
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except In its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 2405Q - Charlotte, NC 26224-0643
Phone: [phone]-Toll Free Number..1-600/52M364- Fax: [phone] F Page 1 of 10

tp � � � i V 1 I Fua-sorv�co n�atyticai �
Environmontnl Solutions
Sample Receipt Summary
04/12/2012
Prism Work Order: 2040049
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Effluent Composite
2040049-01
Water
04/03/12
04/03/12
Effluent Grab
2040049-02
Water
04/03/12
04/03/12
Samples received in good condition at 2.2 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - To11 Free Number:1-8001529-6364 - Fax: [phone]

rrw� R I S M I r:un zt..,�:P anniyuo„� x
] Laboratory Report
(tj,� Envlmnmental Solunn^s 04112/2012
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek Priority Pollutant
Scan
Sample Matrix: Water
Client Sample ID: Effluent Composite
Prism Sample ID: 2040049-01
Prism Work Order: 2040049
Time Collected: 04/03/12 08:00
Time Submitted: 04/03/12 13:30
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daternme ID
General Chemistry Parameters
Total Nitrogen
5.0
mg/L
1.0
0.13
5
'Total Nitrogen
4110112 8:69
RSL
[CALL)
Nitrate/Nitrite as N
3.4
mg/L
0.50
0.012
5
'SM4500-NO3 F
415112 9:20
CLB
P2D0029
Phosphorus -Total
3.1
mglL
0.10
0.018
2
'SM4500-P F
4110112 13:34
CLB
P2D0118
Total Dissolved Solids
480
mg1L
50
9.5
1
'SM2540 C
415112.14:00
JAB
P2D0091
Total Kjeldahl Nitrogen
1.6
mg/L
0.50
0.11
1
'351.2
4110112 8:59
RSL
P2D0104
Ammonia as N
BRL
mg/L
0.10
0.024
1
'SM4500-NH3 H
4/5112 12:07
CLB
P2D0028
Semivolatile Organic Compounds by GC/MS
1,2,4-Tdchlambenzene
BRL
ug/L
10
1.8
1
'625
4/11/12 8:38
KC
P2D0111
1,2-Dichlorobenzene
BRL
ug/L
10
1.8
1
'625
4111/12 8:38
KC
P2D0111
1,2-Diphenyihydrazine(as Azobenzene)
BRL
ug/L
10
2.0
1
'625
4111112 8:38
KC
P21)0111
1,3-Dichlorobenzene
BRL
ug/L
10
1.8
1
'625
4/11/12 8:38
KC
P2D0111
1,4-Dichlorobenzene -
BRL
ug/L
10
1.8
1
'625
4/11/12 -8:38
KC
P2D0111
2,4,5-Tdchlomphenol
BRL
ug/L
10
2.9
1
'625
4/11112 838
KC
P2D0111
2,4,6-Trichlorophenol
BRL
ug/L
10
2.0
1
'625
4/11/12 8:38
KC
P2D0111
2,4-Dichlorophanol
BRL
ug/L
10
1.8
1
'625
4/11/12 8:38
KC
P2D0111
2,4-Dimethylphenol
BRL
ug/L
10
1.6
1
'625
4111112 8:38
KC
P2D0111
2,4-Dinitrophenol
BRL
ug/L
10
5.8
1
'625
4111112 8:38
KC
P21)0111
2,4-Dinitrotoluene
BRL
ug/L
10
2.6
1
'625
4111/12 8:38
KC
P2D0111
2,6-Dinitmtoiuene
BRL
ug/L
10
2.2
1
'625
4/11112 8:38
KC
P2D0111
2-Chlomnaphthalene
BRL
ug/L
10
2.0
1
'625
4111/12 8:38
KC
P2D0111
2-Chlorophenol
BRL
ug/L
10
1.8
1
'625
4111/12 8:38
KC
P2D0111
2-Methylnaphthalene
BRL
ug/L
10
2.0
1
'625
4/11/12 8:38
KC
P2D0111
2-Methylphenol
BRL
ug/L
10
1.2
1
'625
4/11/12 8:38
KC
P2D0111
2-Niboaniline
BRL
ug/L
10
2.1
1
'625
4/11/12 8:38
KC
P21)0111
2-Nibophenol
BRL
ug/L
10
1.5
1
'625
4/11112 8:38
KC
P2D0111
3,3'-Dichlombenzidine
BRL
ug/L
10
2.9
1
'625
4111/12 8:38
KC
P2D0111
3/4-Methylphenol
BRL
ug/L
10
0.96
1
'625
4/11112 8:38
KC
P2D0111
3-Nitroaniiine
BRL
ug/L
10
2.3
1
'625
4111112 8:36
KC
P2D0111
4,6-Dinitro-2-methylphenol
BRL
ug/L
10
5.4
1
'625
4/11/12 8:38
KC
P2130111
4-Bromophenyl phenyl ether
BRL
ug/L
10
1.9
1
'625
4/11112 8:38
KC
P2D0111
4-Chloro-3-methylphenol
BRL
ug/L
10
1.7
1
'625
4/11/12 8:38
KC
P2D0111
4-Chloroaniline
BRL
ug/L
10
2.4
1
'625
4/11/12 8:38
KC
P2D0111
4-Chlorophenyl phenyl ether
BRL
ug/L
10
1.6
1
'625
4/11/12 836
KC
P2D0111
4-Nitroaniline
BRL
ug/L
10
3.2
1
'625
4111/12 8:38
KC
P2D0111
4Nhmphenol
BRL
ug/L
50
1.1
1
'625
4111112 8:38
KC
P2D0111
Acenaphthene
BRL
ug/L
10
1.8
1
'625
4/11112 8:38
KC
P2D0111
Acenaphthylene
BRL
ug/L
10
1.8
1
'625
4/11112 0:38
KC
P2D0111
Aniline
BRL
ug/L
10
2.2
1
'625
4/11/12 8:30
KC
P2D0111
Anthracene
BRL
ug/L
10
2.6
1
'625
4111/12 8:38
KC
P2D0111
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: 70N529-6364-Toll Free Number: l-8001529-6364- Fax: [phone] Page 3 of 10

Laboratory Report
P tli-fiervic0 Annlypcal &
,ga rx [. vironmuntal 6vhrtians
PRISM
04/12/2012
City of Statesville, NC Project: 3rd Creek Priority Pollutant
Client Sample ID: Effluent Composite
Attn: Brandy Johnson Scan
Prism Sample ID: 2040049-01
P.O. Box 1111
Prism Work Order: 2040049
Statesville, NC 28687 Sample Matrix: Water
Time Collected: 04/03/12 08:00
Time Submitted: 04/03/12 13:30
Parameter
Result
Units
Report
Limit
MDL
Dilution
Factor
Method
Analysis Analyst
Date/Time
Batch
ID
Benzidine
BRL
ug/L
100
11
1
'625
4/11/12
8:38
KC
P2D0111
Benzo(a)anlhracene
BRL
ug/L
10
2.0
1
'625
4/11/12
8:38
KC
P2D0111
Benzo(a)pyrene
BRL
ug/L
10
2.2
1
'625
4/11112
6:38
KC
P2D0111
Benzo(b)8uoranthene
BRL
ug/L
10
1.7
1
'625
4/11112
8:38
KC
P2D0111
Benzo(g,h,i)perylene
BRL
ug/L
10
3.2
1
'625
4/11/12
8:38
KC
P2D0111
Benzo(k)8uoranthene
BRL
ug/L
10
2.3
1
'625
4111112
8:38
KC
P2D0111
Benzoic Acid
BRL
ug/L
100
50
1
'625
4111112
8:38
KC
P2D0111
Benzyl alcohol
BRL
ug/L
10
1.2
1
'625
4/11112
8:38
KC
P2D0111
bis(2-Chloroethoxy)methane
BRL
ug/L
10
2.0
1
'625
4111/12
8:38
KC
P2D0111
Bis(2-Chlomethyl)ether
BRL
ug/L
10
1.7
1
'625
4/11/12
8:38
KC
P2D0111
Bis(2chloroisopropyl)ether
BRL
ug/L
10
1.6
1
'625
4/11112
8:38
KC
P2D0111
Bis(2-Ethylhexyl)phthalate
• 18
ug/L
10
3.2
1
'625
4111112
8:38
KC
P2D0111
Butyl beryl phthalate
BRL
ug/L
10
2.0
1
'625
4/11/12
8:38
KC
P2D0111
Chrysene
BRL
ug/L
10
2.2
1
'625
4/11112
8:38
KC
P2D0111
Dibenzo(a,h)anthracene
BRL
ug/L
10
3.2
1
'625
4111/12
8:38
KC
P200111
Diberofuran
BRL
ug/L
10
1.9
1
'625
4/11/12
8:38
KC
P2D01ll
Diethyl phthalate
BRL
ug/L
10
2.1
1
'625
4/11112
8:38
KC
P2D0111
Dimethyl phthalate
BRL
ug/L
10
2.9
1
'625
4/11/12
8:38
KC
P2D0111
Di-n-butyl phthalate
BRL
ug/L
10
2.5
1
'625
4/11112
8:38
KC
P2D0111
Di-noctyl phthalate
BRL
ug/L
10
3.2
1
'625
4111/12
8:38
KC
P200111
Fluoranthene
BRL
ug/L
10
2.5
1
'625
4/11/12
8:38
KC
P2D01II
Fluorene
BRL
ug/L
10
1.7
1
'625
4111112
8:38
KC
P2DD111
Hexachlorobenzene
BRL
ug/L
10
2.4
1
'625
4111/12
8:38
KC
P2DD111
Hexachlombutadiene
BRL
ug/L
10
1.8
1
'625
4/11/12
8:38
KC
P2D0111
Hexachlorocydopentadiene
BRL
ug/L
10
2.0
1
'625
4/11112
8:38
KC
P2D01ll
Hexachloroethane
BRL
ugf-
10
1.8
1
'625
4111112
8:38
KC
P2D0111
Indeno(1,2,3-cd)pyrene
BRL
ug/L
10
2.8
1
'625
4/11/12
8:38
KC
P2D0111
Isophorone
BRL
ug/L
10
2.0
1
'525
4111/12
8:38
KC
P2D0111
Naphthalene
BRL
ug/L
10
1.7
1
'625
4111/12
8:38
KC
P2D0111
Nitrobenzene
BRL
ug/L
10
1.9
1
'625
4111112
8:38
KC
P200111
N-Nibesodimethylamine
BRL
ug/L
10
1.1
1
'625
4111112
8:38
KC
P2D0111
N-Nitroso-cfi fpropylamine
BRL
ug/L
10
2.8
1
'625
4/11/12
8:38
KC
P2D0111
N-Nitmsodiphenylamine
BRL
ug/L
10
1.9
1
'625
4/11/12
8:38
KC
P21D0111
Pentachlorophenol
BRL
ug/L
10
2.7
1
'625
4111/12
8:38
KC
P2D0111
Phenanthrene
BRL
ug/L
10
2.0
1
'625
4111/12
8:38
KC
P2D0111
Phenol
BRL
ug/L
10
0.48
1
'625
4111112
6:38
KC
P2D0111
Pyrene
BRL
ug/L
10
1.4
1
'625
4/11112
8:38
KC
P2D0111
Pyddine
BRL
ug/L
10
2.9
1
'625
4111/12
8:38
KC
P2D0111
Surrogate
Recovery
Control Limits
2,4,6-Tribromophenal
112 %
31-144
2-Fluorobiphenyl
94 %
49-118
This report should not be reproduced, except in its en8rely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone]- Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 10

P R I S M I FW,.Sa mo Anaiyncn
uoanam ¢n,w Envimnmenlel 6ebrtbnrs
Laboratory Report
04112/2012
City of Statesville, NC
Project: 3rd Creek Priority Pollutant
Client Sample ID: Effluent Composite
Attn: Brandy Johnson
Scan
Prism Sample ID: 2040049-01
P.O. Box 1111
Prism Work Order: 2040049
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 04/03/12 08:00
Time Submitted: 04/03/12 13:30
Parameter
Result
Units
Report
MDL
Dilution Method Analysis Analyst
Batch
Limit
Factor Dale/Time
ID
2-Fluorophenol
61 %
22-84
Nibobenzened5
75 %
43-123
Phenold5
54 %
10-63
Temhenyl-d14
126 %
49-151
Total Metals
Mercury
BRL
mg/L
0.00020
0.000014
1 '245.1 4110/12 17:22
BGM
P2D0140
Total Hardness
34
m91L
0.66
0.057
1 200.7 419112 16:11
BGM
]CALC]
Antimony
0.10
mg/L
0.0010
0.00010
1 '200.8 4110112 14:12
LTB
P2D0119
.Arsenic
BRL
mg/L
0.0010
0.00028 < L% 1 '200.8 4/10112 14:12
LTB
1`2130119
Beryllium
BRL
mg/L
0.0010
0.00028
1 '200.8 4/10112 14:12
LTB
P2D0119
• Cadmium
BRL
mg/L
0.0010
0.00016
1 '200.8 4/1D/12 14:12
LTB
P2D0119
Calcium
9.7
mg1L
0.10
0.020
1 '200.7 4/9112 16:11
BGM
P2D0117
' Chromium
0.0010
mglL
0.0010
0.00013
1 '200.8 4110112 14:12
LTB
P2D0119
• Copper
0.010
mg/L
0.0050
0.00098
1 '200.8 4110112 14:12
LTB
P2D0119
•Lead
0.0019
m91L
0.0010
0.00014
1 '200.8 4/10112 14:12
LTB
P2D0119
Magnesium
2.5
mg/L
0.10
0.0018
1 '200.7 41911216:11
BGM
P2D0117
r Nickel
0.0042
mg/L
0.0020
0.00016
1 '200.8 4110112 14:12
LTB
P2D0119
•Selenium
BRL
mg/L
0.0010
0.00022
1 '200.8 4110/12 14:12
LTB
P2D0119
Silver
BRL
mg/L
0.0010
0.000077
1 '200.8 4/11/12 11:20
LTB
P21)0119
Thallium
BRL
mg/L
0.0010
0.000050
1 '200.8 4/10112 14:12
LTB
P2130119
.Zinc
0.059
mglL
0.0050
0.0019
1 '200.8 4110112 14:12
LTB
P2D0119
This report should not be reproduced. except In its entirely, without the written consent of Prism Laboratories, Inc
449 Springbrook Road - P.O. Box 2405Q -Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529.6364 - Fax: [phone]

PRISM I Snrvaennatrrlaat&
4$ t; Envimnmentol 6olutlona
Laboratory Report
04/12/2012
City of Statesville, NC Project: 3rd Creek Priority Pollutant Client Sample ID: Effluent Grab
Attn: Brandy Johnson Scan Prism Sample ID: 2040049-02
P.O. Box 1111 Prism Work Order: 2040049
Statesville, NC 28687 Sample Matrix: Water Time Collected: 04/03/12 08:00
Time Submitted: 04/03/12 13:30
Parameter Result Units Report MDL Dilution Method Analysis Analyst Balch
Limit Factor Daterrime ID
General Chemistry Parameters
Cyanide
0.0076
mglL
0.0050
0.0019
1
'SM4500.CN E
415112 14:56
CDE
P2DO073
011 8. Grease (HEM)
8.1
mUIL
5.0
0.94
1
'1664A
4110112 13:15
CDE
P2DO165
Phenolics
0.072
mglL
0.050
0.027
1
'420.1
41511217:00
CDE
P2DO076
Volatile Organic Compounds by GC/MS
1,1,1-Tdchloroethane
BRL
ug/L
5.0
0.12
1
'624
4/11112 11:46
MGB
P2DO157
1,1,2,2-Tetrachloroethane
BRL
ug/L
5.0
0.10
1
'624
4/11112 11:46
MGB
P2DO157
1,1,2-Tdchloroethane
BRL
ug/L
5.0
0.085
1
'624
4/11112 11:46
MGB
P2DO157
11-131chlomethane
BRL
ug/L
5.0
0.11
1
'624
4111/12 11:46
MGB
P2DO157
1,1-Dichlomethylene
BRL
ug/L
5.0
0.094
1
'624
4111/12 11:46
MGB
P2DO157
1,2-Dichlorobenzene
BRL
ug/L
5.0
0.099
1
'624
4/11112 11:46
MGB
P2DO157
1,2-Dichloroethane
BRL
ug/L
5.0
0.063
1
'624
4/11112 11:46
MGB
P2130157
1,2-Dichloropropane
BRL
ug/L
5.0
0.12
1
'624
4/11112 11:46
MGB
P2DO157
1,3-Dichlorobenzene
BRL
ug/L
5.D
0.11
1
'624
4/11112 11:46
MGB
P2DO157
1,4-Dichlombenzene
BRL
ug/L
5.0
0.11
1
'624
4111/12 11:46
MGB
P2DO157
2-Chloroethyl Vinyl Ether
BRL
ug/L
10
0.44
1
'624
4111112 11:46
MGB
P2DO157
Aaolein
BRL
ug/L
100
0.86
1
'624
4/11/12 11:46
MGB
P2130157
Acrylomtnle
BRL
ug/L
100
0.73
1
'624
4/11112 11:46
MGB
P2DO157
Benzene
BRL
ug/L
5.0
0.066
1
'624
4111112 11:46
MGB
P2130157
Bromodichloromethane
BRL
ug/L
5.0
0.082
1
'624
4/11112 11:46
MGB
P2DO157
Bromororm
BRL
ug/L
5.0
0.15
1
'624
4111112 11:46
MGB
P2130157
Bromomethane
BRL
ug/L
10
0.19
1
'624
4/11/12 11:46
MGB
P200157
Carbon Tetrachloride
BRL
ug/L
5.0
O.OBB
1
'624
4/11/12 11:46
MGB
P2D0157
Chlorobenzene
BRL
u9lL
5.0
0.098
1
'624
4111/12 11:46
MGB
P2DO157
Chloroethane
BRL
ug/L
10
0.26
1
'624
4111112 11:46
MGB
P2DO157
Chloroform
54
ug/L
5.0
0.059
1
'624
4111112 11:46
MGB
P2DO157
Chloromelhane
BRL
ug/L
10
0.18
1
'624
4111112 11:46
MGB
P2130157
cis-1,3-0ichloropropylene
BRL
ug/L
5.0
0.20
1
'624
4/11/12 11:46
MGB
P2DO157
Dibromochloramethane
BRL
ug/L
5.0
0.087
1
'624
4/11/12 11:46
MGB
P2DO157
Ethylbenzene
BRL
u9/L
6.0
0.12
1
'624
4/11112 11:46
MGB
P2DO157
Methylene Chloride
BRL
ug/L
5.0
0.069
1
'624
4111112 11:46
MGB
P200157
Tetrachloroethylene
BRL
ug/L
5.0
0.14
1
'624
4111/12 11:46
MGB
P2DO157
Toluene
BRL
ug/L
5.0
0.086
1
'624
4111/12 11:46
MGB
P2DO157
trans-1,2-13ichloroethylene
BRL
ug/L
5.0
0.093
1
'624
4/11/12 11:46
MGB
P2DO157
trans-11,3-Dichloropropylene
BRL
ug/L
6.0
0.065
1
'624
4/11112 11:46
MGB
P2130157
Trichloroethylene
BRL
ug/L
5.0
0.15
1
'624
411111211A6
MGB
P2DO157
Trichloro8uoromethane
BRL
ug/L
10
0.018
1
'624
4/11112 11:46
MGB
P2DO157
Vinyl chloride
BRL
ug/L
10
0.51
1
'624
4111112 11:46
MGB
P2DO157
Surrogate
Recovery
Control Limits
4-Bromolluarobenzene 114 % 74-126
P- Cheer o_ rv1- CJtslDl Dlbromo0uoromethane 96 % 75-127
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 2405Q - Charlotte, NC 23224-0543
Phone: [phone] - Toll Free Number: 1-8001529-0364 - Fax: [phone] P7177

�> Full -Service Analytical &
I
Environmental Solutions
ISM
.,ta:r...i—i . �yttaCsiTvA�a)NC �
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
04/12/2012
Project: 3rd Creek Priority Pollutant Client Sample ID: Effluent Grab
Scan Prism Sample ID: 2040049-02
Prism Work Order: 2040049
Sample Matrix: Water Time Collected: 04/03/12 08:00
Time Submitted: 04/03/12 13:30
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Toluene-d8 102 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] '. ;Page

Sample Extraction Data
Prep Method: 351.2
Lab Number
Batch
Initial
Final
DateMme
2040049-01
P2D0104
25 mL
25 mL
04/09/12 9:45
Prep Method: 420,1
Lab Number
Batch
Initial
Final
Date/Time
2040049-02
P2D0076
50 mL
50 mL
04/05/12 11:05
Prep Method: SM4500-CN C
Lab Number
Batch
Initial
Final
DatoMme
2040049-02
P2D0073
50 mL
50 mL
04/05/12 7:45
Prep Method: SM4500-PBS
Lab Number
Batch
Initial
Final
DateMme
2040049-01
P2D0118
50 ml
50 mL
04/09/12 14:12
Prep Method: 625
Lab Number
Batch
Initial
Final
Date/Time
2040049-01
P2D0111
1000 mL
1 mL
04/10/12 8:45
Prep Method: 200.7
Lab Number
Batch
Initial
Final
Datemme
2040049-01
P2D0117
50 mL
50 mL
04/09/12 8:30
Prep Method: 200.8
Lab Number
Batch
Initial
Final
DateMme
2040049-01
P2D0119
50 mL
50 mL
04/09/12 8:30
2040049-01
P2D0119
50 mL
50 mL
04/09/12 8:30
Prep Method: 245.1
Lab Number
Batch
Initial
Final
Date/Time
2040049-01
P2D0140
20 mL
30 mL
04/10/12 12:25
Prep Method: 624
Lab Number
Batch
Initial
Final
DateMme
2040049-02
P2D0157
10 mL
10 mL
04/10/12 15:05
This report should not be reproduced, except In its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte. NC 28224-0643
Phone: [phone]" - Toll Free Number 1-8001529-6364 - Fax: [phone]

WASTEWATER CHAIN OF CUSTODY
P ISM I Full -Service Analytical &
A'n Environmental $OIULI006 PAGE —OF— QUOTE I TO ENSURE PROPER 61LLING:
uuwrwroaE4 We
449 Spdngbrook Rood • P.O. Box 24VAS • Charlotte, NO 28224-0543 Project Name:
Phone: [phone] " Felt 704/525-0409 Short Hold Analysis: (Yes) (No) UST Project (Yes) (No)
Client Company Name: o'Please ATTACH any project speck reporting (GO LEVEL 1 II 111 M
ReportTo/Contact a-. Invoice To:
I provisions and/or OC Requirements
Reporting Address:
0,� 4,Lo 11 A ( A Y1 a P(nV—+Address:
Ern
EDI
Slt(
S
YES NO I'A;.
SFACE7
n�.�iFax (Yes) (No): purchase Order NoJBilling Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
a (Yes Noj Email Address
Requested Due Date O t Day O 2 Deys D 3 Days 04 Days O 5 Days
Certification: NELAC USACE_ FL
NC�
Type: PD EXC I rOther "V/orkin Days" O 6-9 Da s O StandaN LD ay. ❑ Rush Work Must Be
q �- 9 Y Pre -Approved
SC - OTHER
N/A
Location Name:
Samples receNed otter L5:00 will be processed neM business day..
-
Water Chlorinated: YES_ NO
Location P cal dd(ess�•
Turnaround 0ma is based on business days, excluding weekends and holidays.
t/ ln.••t,)
/I ,�(�f7_•�� (SEE REVERBEFOfl7EflM58CONORIONS REOARDINO SERVICES
I� ,rhlS U/
Sample Iced Upon Collection:YES
(Y,`..—("+
Y,�,p Y� 2 ICJJ
\ RENDERED BY PRISM IABORATORIES, INO. TO CLIENT)
—NO_
SAMPLE
CONTAINER TYPE
pRESERVA7NES USED
ANALYSES TO BE PERFORMED ON THE SAMPLES
P�pg
TYPE
AND SIZE (ML)
B
CLIENT SAMPLE
I.D.
NH3
ID O.
Comp
Grab
las
Glass
Other
None
Iced
HCI
NaOH
HNO3
M04
pH
BOD
TSS
Cd
Cr
Cu
Pb
Ni
Ag
Za
O&G
CN-
as N
01
2
rr
.•
Sampler's Signatu
Sampled
By (Pdnt Neme) Affiliation
pon renqu s ing, this Chain C t dy s your autho zat on
•
Mana There
or prism to procee h the ana y requests above. ny c angel must e
be ch for any than es after analyses have been Initlalixed.
submitted In within to the Prism
r ct er. will
Re tl By: afore I MillteryMoure Additional Comments:
rs y: ISIg lure
y: (bignp0Z 4 9814Site
Arnval Tmo
Y: ( SI eWr
Re tones By: e
3
FOR TRANSPORTATION TO THE lA80RATOf1Y. Group No.
CDC UNTILREC DATTHE LABORATORY-
Sale Dopulure Tnno
Fleldpiaf',E,S .
Retinqu day: (e lure
shod of Ship NOT ALL SAM RSSHOULDBETAPEDSHUTWITHCUSTODY..........
LESAR OTA 1nD AND VERIFIED AGAINST
D Pod Fx O UPS O Hen4da
Prism field s.M D Other
6
Composite Type: FLOW TIMt HANIJ (turtle one)
tart Date & Time for Composite Sampler. / / —
ID top Date & Time for Composite Sample:
a' Date &Time Composite Sample Collected: / / —
0
0 rotal Hours Composite Collected Over. —Hours. End Flow:
o Start Row:
Total:
Hrs Date & time Grab(s) Taken: / / Hire
Hire Feld pH Meter Calibrated: Yes —No
Hire Feld pH Result Analyst's Initials:
Gal / Cu Feet Feld Temp. Result: Analysts Initials:
(circle one) Sampler Interrupted: Yes_ No _ If Yes; Why?
O FUNAL

4
PRIORITY POLLUTANT
SCAN
3RD
CREEK
SAMPLE
SAMPLING DATES.& TIMES
START END
DATE TIME DATE TIME
COMP/
# OF
TESTS REQUIRED
ON
ICE
GRAB
CONTS.
EFFLUENT
�a8� t}�a, �
C
1
TDS
X �61
EFFLUENT
Ia1ia go�A `�13)�a 3WR
C
1
NH3, Ntot- (w/H2SO4)
X
EFFLUENT
C
1
Sb, As, Be, Cd, Cr, Cu, Pb, Hg, Ni, R, Se, Ag, TI, Zn,
X
/alga g�� 413�,a goon
Hardness- (w/HNO3)
EFFLUENT
y'a��r� �Q(j� L}I��.d �O�
C
2
EPA 625 BNA
X
EFFLUENT
�____ � y�$��
G
1
CYANIDE- (w/NaOH)
X oZ
EFFLUENT
G
1
OIL &GREASE- (w/HCL)
X
EFFLUENT
�- — tj�3 �ra Q�
G
1
PHENOLS- (w/H2SO4 & CuSO4)
X
EFFLUENT
� — y13��� �.�
G
1
624 + AA- (HCL)
X

NC Certification No. 402 Case Narrative
Full -Service Analytical 8 SC Certification No. 99012
M Environmental Solutions NC Drinking Water Cart No. 37735 O7/25/2!)11
I
.. L 50RATORIEe INC.
City of Statesville, NC Project: 3rd Creek Priority Pollutant Scan
Brandy Johnson
P.O. Box 1111 Lab Submittal Date: 07/1212011
Statesville, NC 28687 Prism Work Order: 1070202
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
VOAS for Method 624 contained headspace upon receipt at the laboratory.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES. INC.
President/Project Manager
Data Qualifiers Key Reference
Reviewed By
H Compound reported with possible high bias. LCS recovery above the QC limit.
SR Surrogate recovery outside the QC limits.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spdngbrook Road -P.O. Box 240543 -Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number.l-800/529-6364-Fax: [phone] Page 1 Of 9

,�RISMP I Full -Service Analytical &
i Environmental Solutions
LARCRATOME& IN -
Sample Receipt Summary
07/25/2011
Prism Work Order: 1070202
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Effluent Composite
1070202-01
Water
07/12/11
07/12/11
Effluent Grab
1070202-02
Water
07/12/11
07/12/11
Samples received in good condition at 2.4 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number. 1.8001629-6364 - Fax: [phone] Page 2 of 9

f PRISM
Full -Service Analytical 8
�' Environmental Solutions
LADORATontm ma
_
Laboratory Report
07/25/2011
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek Priority Pollutant
Scan
Sample Matrix: Water
Client Sample ID: Effluent Composite
Prism Sample ID: 1070202-01
Prism Work Order: 1070202
Time Collected: 07/12/11 08:00
Time Submitted: 07/12/11 13:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Total Nitrogen
25
mg/L
2.0
0.071
10
Total Nitrogen
7119111
9:19
RSL
[CALL]
Nitrate/Nitrite as N
23
mg/L
1.0
0.026
10
*SM4500-NO3 F
7118111 11:47
RSL
P1G0341
Phosphorus -Total
4.4
mg/L
0.060
0.016
1
*SM4500-P F
7116111
8:33
RSL
P1G0266
Total Dissolved Solids
460
mg/L
50
9.6
1
*SM2640 C
7/15/11 13:10
JAB
P1G0308
Total Kjeldahl Nitrogen
1.8
mg/L
1.0
0.045
1
*361.2
7119111
9:19
RSL
P1G0323
Ammonia as N
BRL
mg/L
0.10
0.012
1
*SM4500-NH3 H
7/15/11 12:13
RSL
PIG0284
Semivolatile Organic Compounds by GC/MS
1,2,4-Trichlorobenzene
BRL
ug/L
10
1.8
1
*625
7/19/11
6:25
KC
PIG0345
1,2-Dichlorobenzene
BRL
ug/L
10
1.8
1
*625
7/19/11
6:25
KC
P1 G0345
1,2-Diphenylhydrazine (as Azobenzene)
BRL
ug1L
10
2.0
1
*625
7/19/11
6:25
KC
P1 G0345
1,3-Dichlorobenzene
BRL
ug/L
10
1.8
1
*625
7/19111
6:25
KC
P1 G0345
1,4-Dichlorobenzene
BRL
ug/L
10
1.8
1
*625
7/19/11
6:25
KC
P1 G0345
2,4,5-Trichlorophenol
BRL
ug/L
10
2.9
1
*625
7119/11
6:25
KC
PIG0345
2,4,6-Trichlorophenol
BRL
ug/L
10
2.0
1
*625
7/19/11
6:25
KC
P1 G0345
2,4-Dichlorophenol
BRL
ug/L
10
1.8
1
*625
7/19/11
6:25
KC
P1 G0345
2,4-Dimethylphenol
BRL
ug/L
10
1.6
1
*625
7/19111
6:25
KC
PIG0345
2,4-Dinitrophenol
BRL
ug/L
10
5.8
1
*625
7/19/11
6:25
KC
PIG0345
2,4-Dinitrotoluene
BRL
ug/L
10
2.6
1
*625
7/19/11
6:25
KC
PIG0345
2,6-Dinitrotoluene
BRL
ug/L
10
2.2
1
*625
7/19/11
6:25
KC
PIG0345
2-Chloronaphthalene
BRL
ug/L
10
2.0
1
*625
7/19/11
6:25
KC
P1 G0345
2-Chlorophenol
BRL
ug/L
10
1.8
1
*625
7/19/11
6:25
KC
PIG0345
2-Methyinaphthatene
BRL
ug/L
10
2.0
1
*625
7/19111
6:25
KC
P1 G0345
2-Methylphenol
BRL
ug/L
10
1.2
1
*625
7119/11
6:25
KC
PlGO345
2-Nitroaniiine
BRL
ug/L
10
2.1
1
*625
7119/11
6:25
KC
PIG0345
2-Nitrophenol
BRL
ug/L
10
1.5
1
*625
7/19111
6:25
KC
P1 G0345
3,3'-Dichlorobenzidine
BRL
ug/L
10
2.9
1
*625
7/19/11
6:25
KC
PIG0345
3/4-Methylphenol
BRL
ug/L
10
0.96
1
*625
7119/11
6:26
KC
PIG0345
3-Nitroaniiine
BRL
ug/L
10
2.3
1
*625
7119/11
6:25
KC
PIG0345
4,6-Dinitro-2-methylphenol
BRL
ug/L
10
5.4
1
*625
7/19/11
6:25
KC
P1 G0345
4-Bromophenyl phenyl ether
BRL
ug/L
10
1.9
1
*625
7/19/11
6:25
KC
P1 G0345
4-Chloro-3-methylphenol
BRL
ug/L
10
1.7
1
*625
7/19/11
6:25
KC
PIG0345
4-Chloroaniline
BRL
ug/L
10
2.4
1
*625
7/19/11
6:25
KC
PlG0345
4-Chtorophenyl phenyl ether
BRL
ug/L
10
1.6
1
*625
7/19/11
6:25
KC
P1 G0345
4-Nitroaniiine
BRL
ug/L
10
3.2
1
*625
7/19/11
6:25
KC
P1 G0345
4-Nitrophenol
BRL
ug/L
50
1.1
1
*625
7/19/11
6:25
KC
P1 GO345
Acenaphthene
BRL
ug/L
10
1.8
1
*625
7/19111
6:25
KC
PIG0345
Acenaphthylene
BRL
ug/L
10
1.8
1
*625
7/19111
6:25
KC
P1 G0345
Aniline
BRL
ug1L
10
2.2
1
*625
7/19/11
6:25
KC
P1 G0345
Anthracene
BRL
ug/L
10
2.6
1
*625
7/19/11
6:25
KC
P1 G0345
Benzidine
BRL
ug/L
100
11
1
*625
7/19111
6:25
KC
PIG0345
Benzo(a)anthracene
BRL
ugiL
10
2.0
1
*625
7/19/11
6:26
KC
PIG0345
Benzo(a)pyrene
BRL
ug/L
10
2.2
1
*625
7/19/11
6:25
KC
P1 G0345
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone] Page 3 of 9

Imo- .R S M Full -Service Analytical 8 Laboratory Report
envtronmontol solutions 07/2512011
lnUOnn,UniCR nC
City of Statesville, NC Project: 3rd Creek Priority Pollutant Client Sample ID: Effluent Composite
Attn: Brandy Johnson Scan Prism Sample ID: 1070202-01
P.O. Box 1111 Prism Work Order: 1070202
Statesville, NC 28687 Sample Matrix: Water Time Collected: 07/12/11 08:00
Time Submitted: 07/12/11 13:00
Parameter
Result
Units
Report MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Date/Time
ID
Benzo(b)8uoranthene
BRL
ug/L
10 1.7
1
'625
7/19111
6:25
KC
PlGO345
Benzo(g,h,i)perylene
BRL
ug/L
10 3.2
1
'625
7119/11
626
KC
PIG0345
Benzo(k)ftuomnthene
BRL
ug/L
10 2.3
1
•625
7/19111
6:25
KC
PIG0345
Benzoic Acid
BRL
ug/L
100 50
1
'625
7119111
6:25
KC
PIG0345
Benzyl alcohol
BRL
ug/L
10 1.2
1
'625
7119111
6:25
KC
PlG0345
bis(2-Chloroethoxy)methane
BRL
ug/L
10 2.0
1
'625
7119111
6:25
KC
PIG0345
Bis(2-ChlOroethyl)elher
BRL
ug/L
10 1.7
1
'625
7/19111
6:25
KC
PlG0345
Bis(2-chloroisopropyoether
BRL
ug/L
10 1.6
1
'625
7119/11
6:25
KC
PlGO345
Bis12-Ethylhexyl)phthalate
23
ug/L
10 3.2
1
'625
7119111
6:26
KC
PIG0345
Butyl benzyl phthalate
BRL
uglL
10 2.0
1
'625
7119111
6:25
KC
PIG0345
Chrysene
BRL
ug/L
10 2.2
1
'625
7/19111
6:25
KC
PlGO345
Dibenzo(a,h)anthmcene
BRL
ug/L
10 3.2
1
'625
7119/11
6:25
KC
P1G0345
Dibemofuran
BRL
uglL
10 1.9
1
'625
7/19111
6:25
KC
PIG0345
Diethyl phthalate
BRL
ug/L
10 2.1
1
'625
7/19111
6:25
KC
PIG0345
Dimethyl phthalate
BRL
ug/L
10 2.9
1
'625
7/19111
6:25
KC
PIG0345
Di-n-butyl phthalate
BRL
ug/L
10 2.5
1
'625
7119/11
6:25
KC
PIG0345
Di-n-octyl phthalate
BRL
ug/L
10 3.2
1
'625
7/19111
6:25
KC
PlGO345
Fluoranthene
BRL
ug/L
10 2.5
1
'625
7119/11
6:25
KC
PlGO345
Fluorene
BRL
ug/L
10 1.7
1
'625
7/19/11
6:25
KC
PIG0345
Hexachlorobenzene
BRL
ug/L
10 24
1
'625
7/19/11
6:25
KC
P1G0345
Hexachlorobutadiene
BRL
ug/L
10 1.8
1
'625
7/19111
6:25
KC
PIG0345
Hexachlorocyclopentadiene
BRL
ugli-
10 2.0
1
'625
7119111
6:25
KC
PlG0345
Hexachlomethane
BRL
ug/L
10 1.8
1
'625
7/19111
6:25
KC
PlG0345
Indeno(1,2,3-cd)pyrene
BRL
ug/L
10 2.8
1
'625
7119111
6:26
KC
PIG0345
Isophorone
BRL
uglL
10 2.0
1
'625
7/19/11
6:25
KC
PIG0345
Naphthalene
BRL
ug/L
10 1.7
1
'625
7119111
6:25
KC
P1G0345
Nitrobenzene
BRL
ug/L
10 1.9
1
'625
7119111
6:25
KC
PIG0345
N-Nitrosodimethylamine
BRL
uglL
10 1.1
1
'625
7/19/11
6:25
KC
PlGO345
,N-Nitroso-di-n-propylamine
BRL
ug/L
10 2.8
1
'625
7119111
6:25
KC
PlG0345
N-Nibosodiphenylamine
BRL
ug1L
10 1.9
1
'625
7/19/11
6:25
KC
PlGO345
Pentachlorophenol
BRL
ug/L
10 2.7
1
'625
7/19/11
5:25
KC
PlGO345
Phenanthrene
BRL
ug/L
10 2.0
1
`625
7119/11
6:25
KC
PIG0345
Phenol
BRL
ug/L
10 0.48
1
'625
7119111
6:25
KC
PlGO345
Pyrene
BRL
ug/L
10 1.4
1
'625
7119111
6:25
KC
PIG0345
Pyridine
BRL
ug/L
10 2-9
1
'625
7119111
6:25
KC
PIG0345
Surrogate
Recovery
Control Limits
2,4,6-Tribromophenol
99 %
26-139
2-Fluorobiphenyl
91 %
41-112
2-Fluorophenol
55 %
1048
SR
Nitrobenzene-d5
78 %
34-102
Phenol-d5
38 %
10-34
SR
Terphenyl-d14
97 %
31-165
Total Metals
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte,
Phone: [phone]-Toll Free Number. l-800/529-6364-
NC 28224-0643
Fax: [phone]
Page 4 Df 9

1]R S M Laboratory Report
Full -Service Analytical %
'' Erehonmcntal Solutions 07/25/2011
City of Statesville, NC Project: 3rd Creek Priority Pollutant Client Sample ID: Effluent Composite
Attn: Brandy Johnson Scan Prism Sample ID: 1070202-01
P.O. Box 1111 Prism Work Order. 1070202
Statesville, NC 28687 Sample Matrix: Water Time Collected: 07/12/11 08:00
Time Submitted: 07/12/11 13:00
Parameter
Result
Units
Report
Limit
MOIL
Dilution
Factor
Method
Analysis Analyst
Daternme
Batch
ID
Mercury•
BRL
mg/L
0.00020
0.000014
1
'245.1
7114111 15:44
BGM
PIG0270
Total Hardness
41
mg/L
0.66
0.057
1
200.7
7114111 16:30
DWR
[CALC]
Antimony
0.020
mg/L
0.0025
0.00026
1
'200.8
7116111 3:66
DWR
PlG0292
Arsenic •
BRL
mg/L
0.0025
0.00069
1
'200.8
7/16/11 3:56
DWR
PlG0292
Beryllium
BRL
mg1L
0.0025
0.00070
1
'200.8
7116/11 3:56
DWR
PlG0292
Cadmium
BRL
mglL
0.0025
0.00040
1
'200.8
7116111 3:56
DWR
PlG0292
Calcium
12 H
mg/L
0.10
0.020
1
'200.7
7114111 16:30
DWR
PIG0260
Chromium •
BRL
mg/L
0.0025
0.00034
1
'200.8
7116111 3:56
DWR
PlG0292
Copper'
BRL
mg/L
0.012
0.0024
1
'200.8
7116/11 3:56
DWR
PIG0292
Lead '
BRL
mg/L
0.0025
0.00034
1
'200.8
7/16111 356
DWR
PlG0292
Magnesium
2.8
mall.
0.10
0.0018
1
'200.7
7M4111 16:30
DWR
PIG0260
Nickel'
0.0074
mg/L
0.0050
0.00040
1
'200.8
7116111 3:56
DWR
PIG0292
Selenium
BRL
mglL
0.0025
0.00055
1
'200.8
7/16111 3:56
DWR
PlG0292
Silver'
BRL
mg/L
0.0025
0.00019
1
'200.8
7/15111 3:56
DWR
PIG0292
Thallium
BRL
mg/L
0.0025
0.00012
1
'200.8
7/16/11 3:56
DWR
PIG0292
Zinc •
0.053
mall.
0.012
0.0046
1
'200.8
7116111 3:56
DWR
PIG0292
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number. 1.8001529-6364- Fax: [phone] Page 5 of 9

1 V f Laboratory Report
PR ! `- ^ �l Full -Service Analytical 8
J' Environmental 6aluLons 07/25/2011
-� u000a.omcs me
City of Statesville, NC Project: 3rd Creek Priority Pollutant Client Sample ID: Effluent Grab
Attn: Brandy Johnson Scan Prism Sample ID: 1070202-02
P.O. Box 1111 Prism Work Order. 1070202
Statesville, NC 28687 Sample Matrix: Water Time Collected: 07/12/11 08:00
Time Submitted: 07/12/11 13:00
Parameter
Result
Units
Report
MDL Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Daternme
ID
General Chemistry Parameters
Cyanide
BRL
mg/L
0.0060
0.0019 1
'SM4500-CN E 7/13/11 15:33
CMW
PIG0234
Oil & Grease (HEM)
BRL
mg/L
5.0
1.2 1
'1664A
7113/11 15:10
CDE
PIG0245
Phenolics
BRL
mg/L
0.050
0.012 1
'420.1
7120111 16:30
CDE
Pl G0403
Volatile Organic Compounds by GC/MS
1,1,1-Tnchlomethane
BRL
ug/L
5.0
0.12 1
'624
7/15/11 23:51
MGB
P1G0320
1,1,2,2-Tetrachloroethane
BRL
ug/L
5.0
0.10 1
'624
7115111 23:51
MGB
PIG0320
1,1,2-Trichlomethane
BRL
ug/L
5.0
0.085 1
'624
7115/11 23:51
MGB
PlG0320
1,1-Dichloroethene
BRL
ug/L
5.0
0.11 1
'624
7/15111 23:51
MGB
PIG0320
1,1-Dichloroethylene
BRL
ug/L
5.0
0.094 1
'624
7/15/11 23:51
MGB
PIG0320
1,2-Dichlombenzene
BRL
ug/L
5.0
0.099 1
'624
7/15/11 23:51
MGB
PIG0320
1,2-Dichloroethane
BRL
ug/L
5.0
0.063 1
'624
7115/11 23:51
MGB
PIG0320
1,2-Dichloropmpane
BRL
ug/L
&0
0.12 1
'624
7115111 23:51
MGB
PlG0320
1,3-Dichlorobenzene
BRL
ug/L
5.0
0.11 1
'624
7115/11 23:51
MGB
PIG032D
1,4-Dichlombenzene
BRL
ug/L
5.0
0.11 1
'624
7115/11 23:51
MGB
PlGO320
2-Chloroethyl Vinyl Ether
BRL
ug/L
10
0.44 1
'624
7115/11 23:51
MGB
Pl GO320
Acrolein
BRL
ug/L
100
0.86 1
'624
7/15/11 23:51
MGB
Pl GO320
Acrylonitrile
BRL
ug/L
100
0.73 1
'624
7/15/11 23:51
MGB
PIG0320
Benzene
BRL
ug/L
5.0
0.066 1
'624
7/15711 23:51
MGB
PlG0320
Bromodichloromethane
6.5
ug/L
6.0
0.082 1
'624
7/15111 23:61
MGB
PlG0320
Bromoform
BRL
ug/L
5.0
0.15 1
'624
7115111 23:51
MGB
PIG0320
Bromomethane
BRL
ug/L
10
0.19 1
'624
7115111 23:51
MGB
PlG0320
Carbon Tetrachloride
BRL
ug/L
5.0
0.086 1
'624
7/15111 23:61
MGB
Pl GO320
Chlorobenzene
BRL
uglL
5.0
0.098 1
'624
7/15/11 23:51
MGB
PIG0320
Chloroethane
BRL
ug/L
10
0.26 1
'624
7/15/11 23:51
MGB
PlG0320
Chloroform
7.8
ug/L
5.0
0.069 1
'624
7115111 23:61
MGB
PIG0320
Chloromelhane
BRL
ug/L
10
0.18 1
'624
7115111 23:51
MGB
PlG0320
cis-1,3-Dichloropropylene
BRL
uglL
5.0
0.20 1
'624
7/15111 23:51
MGB
PIG0320
Dibromochloromethane
BRL
ug/L
5.0
0.087 1
'624
7/15111 23:51
MGB
PIG0320
Elhylbenzene
BRL
ug/L
5.0
0.12 1
'624
7/15111 23:51
MGB
PlG0320
Methylene Chloride
BRL
ug/L
5.0
0.069 1
'624
7115111 23:51
MGB
PIG0320
Telrachloroethylene
BRL
uglL
5.0
0.14 1
'624
7115/11 23:51
MGB
PIG0320
Toluene
BRL
ug/L
5.0
0.088 1
'624
7115/11 23:51
MGB
PlG0320
trans-1,2-Dichloroethylene
BRL
ug/L
5.0
0.093 1
'624
7/15/11 23:51
MGB
PIG0320
trans-1,3-Dichloropropylene
BRL
ug/L
5.0
0.065 1
'624
7/15/11 23:51
MGB
PIG0320
Trichloroethylene
BRL
uglL
5.0
0.15 1
'624
7115/11 23:51
MGB
PIG0320
Trichloro0uoromethane
BRL
ug/L
10
0.018 1
*624
V15/11 23:51
MGB
PlG0320
Vinyl chloride
BRL
ug/L
10 -
0.51 .,1
'624
_ 7/15/11 23_51
MGB
PIG0320
Surrogate
Recovery
Control Limits
4-BromoBuombenzene
102 %
74-126
Oibmmofluoromelhane
102 %
75427
Toluene-0e
102 %
74-122
This report should not be reproduced, except in its entirety, without
the whiten consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643
9
Phone: [phone] - Toll Free
Number: l-8001529-6364-Fax: [phone]
Page
6 of

Sample Extraction Data
Prep Method: 361.2
Lab Number
Batch
Initial
Final
Date/Time
1070202-01
P1 G0323
12.5 mL
25 mL
07/18/11 8:20
Prep Method: 420.1
Lab Number
Batch
Initial
Final
DateTme
1070202-02
PIG0403
50 mL
50 mL
07119/11 13:00
Prep Method: SM4600-CN C
Lab Number
Batch
Initial
Final
DateTme
1070202-02
P1 G0234
50 mL
50 mL
07/13/11 11:50
Prep Method: SM4600-PBS
Lab Number
Batch
Initial
Final
DateTme
1070202-01
PlG0266
50 mL
50 mL
07/14/11 11:20
Prep Method: 626
Lab Number
Batch
Initial
Final
DateTme
1070202-01
P1 G0345
1000 mL
1 mL
07/18/11 9:00
Prep Method: 200.7
Lab Number
Batch
Initial
Final
DateTme
1070202-01
P1 G0260
50 mL
50 mL
07/14/11 7:45
Prep Method: 200.8
Lab Number
Batch
Initial
Final
DateTme
1070202-01
P1 G0292
20 mL
50 mL
07/15/11 7:55
Prep Method: 246.1
Lab Number
Batch
Initial
Final
DateTme
1070202-01
P1 G0270
20 mL
30 mL
07/14/11 11:00
Prep Method: 624
Lab Number
Batch
Initial
Final
Date/Time
1070202-02
P1 G0320
10 mL
10 mL
07/15/11 14:05
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 2406Q - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number. 1-8001529-6364 - Fax: [phone] Page 7 of 9

L
Y:� I;, Full -Service Analytical73 V ISM I Environmental Solutions
'IABORATORRa INO
449 Spdngbrook Road • P.O. Box 240543 • Chadotte, NC 28224-0543
Phony 704/529-6364 • Fax:704/626.D40g 4,
Client Company NamW
Report To/Contact Noe
Reporting Address:
S�Q,LP 511\IP
WASTEWATER CHAIN OF CUSTODY
PAGE— OF— QUOTE A TO INSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (No)
'Please ATTACH any project specific reporting (00 LEVEL 1 II III IV)
provisions and/or QC; Requirements
Invoice To:
Address:
Phone:.' Fax (Yes) (No): Purchase Order NoJBllling Reference
-dw
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Ema• as o)) Email Address Requested Due Date 01 Day ❑2Days 03 Days 04Days 05Days
Certification: NELAC_USACE_FL_ NC_
EDD Type: PDF/_1Excel—Other -Working Days" 06-9 Days 0 Standard 10 days 0 Rush Work M st Be
SC_ OTHER N/A
Site Location Name: Q. / Samples received after 15:00 will be processed next business day.
Water Chlorinated: YES_ NO_
Site Location P((rIRr--y�siCal Address: p \` - Turnaround time is based on business days, excluding weekends and holidays.
(SEE REGARDING 5EgVICE9
Sample Iced Upon Collection: YFS_NO_,
AS TTgENDE110BYPRISMLABORATORIESIND.TOCLIENT7
SAMPLE
CONTAINER TYPE
PRESERVATIVES USED
ANALYSES TO BE PERFORMED ON THE SAMPLES
PRISM
TYPE
AND SIZE(ML)
LAO
CUENTSAMPLE
lD NO.
Comp
Grab
lactic
Glass
Other
None
Iced
. HCI
NeOH
HNO3
M04
pH
BCD
TSS
Col
Cr
Cu
Pb
NI
Ag
Zn
O&G
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as N
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al o usto y s your out or zet on for Pr sm to proceed with [We analyses as requested above ny changes must e
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submltte in writing to the Priem Project Mane er. ThAm will ba char e r en es after analyses have been Initialized. aw MIIIwryMOure
Relinqus y: Slgnawre ace y: Btu _ //I Additional Comments: . - ,
R Ilnqulshed By: Ignawre) ce Slgnatu Date �$tte+Arr(val Tjmp
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O7071
❑ P. FleM Service ❑Other
O Fetl Ex ❑UPS Ha s
Composite Type: FLOW TI E - HAND (circle one)
Start Date & Time for Composite Sampler. / / His
toStop Date&Time for Composite Semple:/ / Hire
( Date & Time Composite Sample Collected: WE
co
O Total Hours Composite Collected Over— End Flow: Gal / Cu Feet
-e CO Start Flow: (circle one)
Total:
Date & Time Greb(s) Taken: /
Field pH Meter Calibrated: Yes _No
Feld pH Result: Analyst's Initials:
Field Temp. Result: Analyst's Initials:
Sampler Interrupted: Yes_ No _ If Yes, Why?_
Hrs
ORIGINAL

PRIORITY POLLUTANT SCAN.
3RD CREEK J'o _:� 0 Z °'J,
#OF
CONTS.
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TESTS REQUIRED
--
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ICE
TDS
-' 0 (
X
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X
Sb, As, Be, Cd, Cr, Cu, Pb, Hg, Ni, P, Se, Ag, TI, Zn,
Hardness- (w/HNO3) — 0 1
X
EPA 625 BNA
— v 1
X
CYANIDE- (w/NaOH)
r 62
X
OIL & GREASE- (w/HCL)
X
PHENOLS- (.w/H2SO4 & CuSO4)
,... p .�
X
624 + AA- (HCL)
X

WRR I S M 1 R,IPSeraice Analytical 8
��. Fulb-Snmental Analytical
&
��"` �i"ueonnroniez xr.
City of Statesville, NC
Attr: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek
Bis(2)ethylhexylphthalate
Sample Matrix: Water
Laboratory Report
06/1712011
Client Sample ID: Effluent
Prism Sample ID: 1060120-01
Prism Work Order: 1060120
Time Collected: 06/06/11 07:30
Time Submitted: 06/06/11 16:15
Parameter Result
Units Report MDL Dilution
Method Analysis Analyst
Batch
Limit Factor
Daternme
ID
Semivolatile Organic Compounds by GC/MS
Sis(2-Ethylhexyl)phthalate 27
ug/L 10 3.2 1
•625 6110/11 14:24 KC
PIF0197
Surrogate Recovery Control Limits
2-Fluorobiphenyl 76 % 41-112
Nitrobenzene-d5 66 % 34-102
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road -P.O. Box 240543 -Charlotte, INC 28224-0543
Phone: [phone]-Toll Free Number. 1-800/629.6364 - Fax: [phone] Page 3 of 5

Prep Method: 625
Lab Number Batch
1060120-01 P1F0197
Initial
1000 mL
Sample Extraction Data
Final Date/Time
1 mL 06/09/11 16:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 .�
Phone: [phone] - Toil Free Number: 1-8001629-6364 - Fax: [phone] Page 4 of 5

PRI C M I En -Service Anatys
J Envvironmental Solutioutio Solutions
!��. a00natC+tcEStr+G
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
09/29/2011
Client Sample ID: Effluent
Prism Sample ID: 1090581-01
Prism Work Order: 1090581
Time Collected: 09/23/11 08:00
Time Submitted: 09/23/11 16:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTme ID
Semivolatile Organic Compounds by GUMS
Bis(2-Ethythexyl)phthalate 1 39 ug1L 10 3.2 1 *625 9/27111 18:40 KC P110508
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 86 % 41-112
Nitrobenzene-d5 76 % 34-102
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number 1-8001529-6364 - Fax: [phone] Qbhf !4!p96

Prep Method: 626
Lab Number Batch
1090581-01 P110508
Initial
1000 mi.
Sample Extraction Data
Final DatelTime
1 mL 09/27/11 9:30
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number.1-8001529-6364 - Fax: [phone] Page =Of5

SM ( Full•Service Analytical Environmental Solutions
a INQ
.sue: uw
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
12/19/2011
Client Sample ID: Effluent
Prism Sample ID: 1120254-01
Prism Work Order. 1120254
Time Collected: 12/06/11 09:30
Time Submitted: 12/07/11 16:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateTme ID
Semivolatile Organic Compounds by GCIMS
Bis(2-Ethylhexy4phthalate BRL ug/L 10 3.2 1 *625 12/14/11 5:43 KC PIL0282
Surrogate
Recovery Control Umlts
2-Fluorobiphenyl 71 % 49-118
N trobenzene-d5 63 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
. _ -- ••_-- _ •-- nL.c.t lwl...tc

RISM
I Full -Service Analytical8 Environmental Solutions
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687
Semivolatile Organic Compounds by GWAS - Quality Control
Reporting
Analyte Result Limit Units
Batch P1L0282 - 625
Level 11 QC Report
12/19/11
Prism Work Order. 1120254
Time Submitted: 1217/2011 4:00:0013M
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P1L0282-BLK1)
Prepared: 12/12/11 Analyzed: 12/13/11
Bis(2-Ethylhexyi)phthalate
BRL
10 ug/L
Surrogate.2-Fluorobiphenyl
40.8
u92
50.00 82 49-118
Surrogate: Nitrobenzene45
34.8
ug/L
50.00 70 43-123
LCS (P1L0282-BSI)
Prepared: 12/12/11 Analyzed: 12/13/11
Bis(2-Ethylhexy1)phthalate
120
10 ug/L
100.0 120 10-158
Surrogate.2-Fluorobiphenyl
49.7
uglL
50.00 99 49-118
Surrogate. Nftrobenzene-d5
40.1
ug2
50.00 80 43-123
LCS Dup (P1L028248SDi)
Prepared: 12/12/11 Analyzed: 12/13/11
Bis(2-Ethylhexyl)phthalate
123
10 ug/L
100.0 123 10-158 2 200
Surrogate.2-Fluorvb/phenyl
46.0
ug/L
50.00 92 49-118
Surrogate: Ndrobenzene-0
39.1
u92
50.00 78 43-123
Sample Extraction Data
Prep Method: 625
Lab Number Batch Initial Final Datemme
1120254-01 P1 L0282 1000 mL 1 mL 12/13111 11:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC M24-0643

Full-Ser•Oce Anrlyllcrl 8
Am. -, NUB I S M I Environmental Solutions
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylh exy I phth a late
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
04/03/2012
Client Sample ID: Effluent
Prism Sample ID: 2030475-01
Prism Work Order: 2030475
Time Collected: 03/20/12 11:40
Time Submitted: 03/20/12 12:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Semivolatile Organic Compounds by GC/MS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 *625 3/30112 9:57 KC P2C0508
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 66 % 49-118
Nitrobenzene-d5 61 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0543
Phone: [phone] - Toil Free Number:1.8001529-6364 - Fax: [phone] `Page 3 ofTS

Full-Sorvice Analytical 3
! S M I Environmental S lutions
City of Statesville, NC Project: 3rd Creek
Aft Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687
Semivolatile Organic Compounds by GC1MS - Quality Control
Level II QC Report
4/3112
Prism Work Order: 2030475
Time Submitted: 3/20/2012 12:50:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P2CO508 - 625
Blank (KC0508-131-1<1)
Prepared: 03/27/12 Analyzed: 03/30/12
Bis(2-Ethylhexyl)phthalate
BRL
10
ug/L
Surrogate:2-Fluombiphenyl
40.8
ug/L
50.00 82 49-118
Surrogate: Nitrobenzene-d5
41.5
ug/L
50.00 83 43-123
LCS (P2C0508-BS1)
Prepared: 03/27/12 Analyzed: 03/30/12
Bis(2-Ethy[hexyl)phthalate
71.9
10
ug/L
100.0 72 10-158
Surrogate:2-Fluorobiphenyl
36.4
ug/L
50.00 73 49-118
Surrogate: Nitrobenzene-d5
42.0
ug/L
50.00 84 43-123
LCS Dup (P2C0508-BSD1)
Prepared: 03/27/12 Analyzed: 03/30/12
Bis(2-Ethy[hexyl)phthalate
70.0
10
ug/L
100.0 70 10-158 3 200
Surrogate:2-Fluorobiphenyl
36.0
ug/L
50.00 72 49-118
Surrogate: Nitrobenzene-0
35.6
ug/L
50.00 71 43-123
Matrix Spike (P2C0508-MS1)
Source: 2030475-01
Prepared: 03/27/12 Analyzed: 03/30/12
Bis(2-Ethy[hexyl)phthalate
148
20
ug/L
200.0 BRL 74 10-158
Surrogate:2-Fluorobiphenyl
69.3
ug/L
100.0 69 49-118
Surrogate: Nitrobenzene-d5
71.7
U91L
100.0 72 43-123
Matrix Spike Dup (P2C0508-MSD1)
Source: 2030475-01
Prepared: 03/27112 Analyzed: 03/30/12
Bis(2-Ethylhexyl)phthalate
128
20
ug/L
200.0 BRL 64 10-158 14 21
Surrogate.2-Fluorobiphenyl
69.3
ug/L
100.0 69 49-118
Surrogate: Nitrobenzene-d5
68.8
ug/L
100.0 69 43-123
Sample Extraction Data
Prep Method: 625
Lab Number Batch Initial Final DateMme
2030475-01 P2C0508 1000 mL 1 mL 03/27/12 10:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number:1-SOOlS29-6364 -Fax: 7oars2s-o4o9 Page 4�of 5

Q?'..w;z Full -Service Analytical K.
Environmental Solutions
P&
. I S M
' llllllP�7CRiR`3. RYC.
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
06/19/2012
Client Sample ID: Effluent
Prism Sample ID: 2060236-01
Prism Work Order: 2060236
Time Collected: 06/07/12 09:45
Time Submitted: 06/11/12 15:55
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datw7ime ID
Semivolatile Organic Compounds by GCIMS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 *625 6/13/12 20:37 KC P2F0207
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 85 % 49-118
Nitrobenzene-d5 61 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number:1-8001529-6364 - Fax: [phone]
.9 .

s Full -Service Analytical &
"' S I Y I I Environmental Solutions
LASORATWIEV INC
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687
Semivolatile Organic Compounds by GC/MS - Quality Control
Reporting
Analyte Result Limit Units
Batch P2FO207 - 625
Level II QC Report
6/19/12
Prism Work Order: 2060236
Time Submitted: 6/11/2012 3:55:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P2F0207-BLK1)
Prepared & Analyzed: 06/13/12
Bis(2-Ethylhexyl)phthalate
BRL
10 ug/L
Surrogate.,2-Fluorobiphenyl
48.3
ug/L
50.00 97
49-118
Surrogate: Nitrobenzene-d5
41.4
u92
50.00 83
43-123
LCS (P2F0207-BS1)
Prepared & Analyzed: 06/13/12
Bis(2-Ethylhexyl)phthalate
95.8
10 ug/L
100.0 96
10-158
Surrogate:2-Fluorobiphenyl
47.2
ug/L
50.00 94
49-118
Surrogate: Nitrobenzene-d5
48.1
ug/L
50.00 96
43-123
LCS Dup (P2F0207-BSD1)
Prepared & Analyzed: 06/13/12
Bis(2-Ethylhexyl)phthalate
103
10 ug/L
100.0 103
10-158 7 200
Surrogate:2-Fluorobiphenyl
49.1
ug/L
50.00 98
49-118
Surrogate: Nitrobenzene-d5
49.6
ug/L
50.00 99
43-123
Sample Extraction Data
Prep Method: 625
Lab Dumber Batch Initial Final Date/Time
2060236-01 P2F0207 1000 mL 1 mL 06/13/12 11:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
- - Phone: [phone] - Toll Free Number:1-8001629-6364 - Fax: [phone]

r
!
UI CPSu
P.
i 'Environmental Solutions
A'�s�+�.siruoa�yca:rx :�
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethy I hexy 1p hth a late
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
10/01/2012
Client Sample ID: Effluent
Prism Sample ID: 2090349-01
Prism Work Order: 2090349
Time Collected: 09/17/12 10:00
Time Submitted: 09/17/12 16:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Semivolatile Organic Compounds by GC/MS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 *625 9/28/12 0:40 KC P210440
Surrogate Recovery Control Limits
2-Fluorobiphenyl 62 % 49-118
Nitrobenzene-d5 54 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28724-CM
Phone: [phone] - Toll Free Number:1-8001529.6364 - Fax: [phone] Page 3 of 5

i
sm
Environmental Solutions
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687
Semivolatile Organic Compounds by GC/MS - Quality Control
Reporting
Analyte Result Limit Units
Batch P210440 - 625
Level II QC Report
10/1/12
Prism Work Order: 2090349
Time Submitted: 9/17/2012 4:15:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P210440-BLK1)
Prepared: 09/24/12 Analyzed: 09/27/12
Bis(2-Ethylhexyl)phthalate
BRL
10 ug/L
Surrogate:2-Fluorobiphenyl
44.7
ug/L
50.00 89 49-118
Surrogate: Nitrobenzene-d5
38.0
ug/L
50.00 76 43-123
LCS (P210440-BSI)
Prepared: 09/24/12 Analyzed: 09/27/12
Bis(2-Ethylhexyl)phthalate
103
10 ug/L
100.0 103 10-158
Surrogate:2-Fluorobiphenyl
46.9
ug/L
50.00 94 49-118
Surrogate: Nitrobenzene-d5
38.6
ug/L
50.00 77 43-123
LCS Dup (P210440-BSDI)
Prepared: 09/24/12 Analyzed: 09/27/12
Bis(2-Ethylhexyl)phthalate
112
10 ug/L
100.0 112 10-158 8 200
Surrogate.2-Fluombiphenyl
49.4
ug/L
50.00 99 49-118
Surrogate: Nitrobenzene-0
36.6
ug/L
50.00 73 43-123
Sample Extraction Data
Prep Method: 625
Lab Number Batch Initial Final DateMme
2090349-01 P210440 1000 mL 1 mL 09/24/12 14:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number:1-800/529-6364 - Fax: [phone]

%� I Full -Service Analyti: al 8
i v' i Environmental Solutions
-L'.tttriiATCgtt4 iNC.
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
12/27/2012
Project: 3rd Creek Client Sample ID: Effluent
Bis(2)ethy lhexy 1phth a late Prism Sample ID: 2120368-01
Prism Work Order: 2120368
Sample Matrix: Water Time Collected: 12/17/12 09:45
Time Submitted: 12/17/12 11:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Semivolatile Organic Compounds by GC/MS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 *625 12/20/12 6:50 KC P21_0322
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 84 % 49-118
Nitrobenzene-d5 69 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number:1-8001529-6364 - Fax: [phone] Page 3 of b

yr Full -Service Analytical &
I s V• 1 i Environments) Solutlono
tAaanArawaumc
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687
Semivolatile Organic Compounds by GCIMS - Quality Control
Reporting
Anaiyte Result Limit Units
Batch 1221-0322 - 625
Level II QC Report
12/27/12
Prism Work Order: 2120368
Time Submitted: 12/17/2012 11:15:OOAM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P2L0322-BLK1)
Prepared: 12/18/12 Analyzed: 12/19/12
Bis(2-Ethylhexyl)phthalate
BRL
10 ug/L
Surrogate:2-Fluorobiphenyl
46.5
U91L
50.00 93 49-118
Surrogate: Nitrobenzene-d5
40.9
ug/L
50.00 82 43-123
LCS (P21-0322-BSI)
Prepared: 12/18/12 Analyzed: 12/19/12
Bis(2-Ethylhexyl)phthalate
85.4
10 ug/L
100.0 85 10-158
Surrogate.2-Fluorobiphenyl
50.2
ug/L
50.00 100 49-118
Surrogate: Nitrobenzene-d5
44.7
ug/L
50.00 89 43-123
LCS Dup (P21-0322-13S131)
Prepared: 12/18/12 Analyzed: 12/19/12
Bis(2-Ethylhexyl)phthalate
87.4
10 ug/L
100.0 87 10-158 2 200
Surrogate:2-Fluorobiphenyl
50.1
ug/L
50.00 100 49-118
Surrogate: Nitrobenzene-d5
45.5
ug/L
50.00 91 43-123
Sample Extraction Data
Prep Method: 625
Lab Humber Batch Initial Final Dateiriime
2120368-01 P21-0322 1000 mL 1 mL 12/19/12 10:30
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone] "' Pa a 4' Of 'rJ
9.

ism
Full -Service Analytical !9
r Hnvlronmontal Solutions
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
03/20/2013
Client Sample ID: Effluent
Prism Sample ID: 3030263-01
Prism Work Order: 3030263
Time Collected: 03/08/13 09:40
Time Submitted: 03/11/13 15:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Semivolatile Organic Compounds by GC/MS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 *625 3112/13 20:59 KC P3CO204
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 77 % 49-118
Nitrobenzene-d5 70 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number:1-8001529-6364 - Fax: [phone] Ohf l4!pd&

S M1
rI)e-so al s,ri,uan
Env ronmememal someone
N.a�u=csWc
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek
Bis(2)ethylhexylphthalate
Semivolatile Organic Compounds by GC/MS - Quality Control
Reporting
Result Limit Units
Batch P3CO204 - 625
Level II QC Report
3/20/13
Prism Work Order: 3030263
Time Submitted: 3/11/2013 3:25:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P3CO204-BLK1)
Prepared & Analyzed: 03112/13
Bis(2-Ethylhexyl)phthalate
BRL
10 ug/L
Surrogate: 2-F/uombiphenyl
37.3
ug1L
50.00 75
49-118
Surrogate: Nitrobenzene-05
36.0
ugh
50.00 72
43-123
LCS (P3CO204-BS1)
Prepared & Analyzed: 03/12/13
Bis(2-Ethylhexyl)phthalate
89.9
10 ug/L
100.0 90
10-158
Surrogate: 2-F/uorobiphenyl
48.2
uglL
50.00 96
49-118
Surrogate: Nitrobenzene-0
44.9
ugh
50.00 90
43-123
LCS Dup (P3CO204-BSD1)
Prepared & Analyzed: 03/12/13
Bis(2-Ethylhexyl)phthalale
96.9
10 ug/L
100.0 97
10-158 a 200
Surrogate: 2-Fluorobipheny)
51.5
ugh
50.00 103
49-118
Surrogate: Nitrobenzene-0
48.7
ug/L
50.00 97
43-123
Sample Extraction Data
Prep Method: 625
Lab Number Batch Initial Final Daternme
3030263-01 P3CO204 1000 mL 1 mL 03/12/13 13:00
This report should not be reproduced, except in its entirety, without the wnden consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-OW
Phone: [phone]- Toll Free Number: 1-80015ZM364 - Fax: [phone] Cbhf!5!pd6

/1'r Y�K'!
�Ei I S M
I Full -Service Analytical 8
Environmental Solutions
�tu�oKat�wes aw.
City of Statesville, NC Project: 3rd Creek
Attn: Brandy Johnson Bis(2)ethylhexylphthalate
P.O. Box 1111
Statesville, NC 28687 Sample Matrix: Water
Laboratory Report
06/24/2013
Client Sample ID: Effluent
Prism Sample ID: 3060376-01
Prism Work Order: 3060376
Time Collected: 06/17/13 08:15
Time Submitted: 06/17/13 15:10
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateiTime ID
Semivolatile Organic Compounds by GC/MS
Bis(2-Ethylhexyl)phthalate BRL ug/L 10 3.2 1 -625 6119/13 12:16 KC P3170293
Surrogate
Recovery Control Limits
2-Fluorobiphenyl 72 % 49-118
Nitrobenzene-d5 54 % 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] Qbhf-�l4lp fi.._..

P! { !� n FWI-Sorvica AnalYtigl 6
1 1 S V' Ervirunmmnlal SOlunona
City of Statesville, NC
Attn: Brandy Johnson Project: 3rd Creek
P.O. Box 1111 Sis(2)ethylhexylphthalate
Statesville, NC 28687
Semivolatile Organic Compounds by GC/MS - quality Control
Analyte Reporting
Result Limit Units
3atch P3FO293-B2S
Bis(2-Ethylhexyl)phthalate
n-Hexadecanoic acid
Phosphoric acid, dioctadecy...
Surrogate: 2-F/uorobiphenyl
Surrogate: Nihobenzena-d5
LCS (P3F0293-BSi)
BISR-Ethylhexyl)phthalate
Surrogate: 2-FluOmbiphenyl
Surrogate: Nihobenzene-d5
LCS Dup (P3FO293-BSD1)
Bis(2-Ethylhexyl)phthalate
Surrogate: 2-171uorobiphenyl
Surrogate: Nitrobenzene-d5
BRL
23.6
13.2
42.4
40.2
94.5
41.7
48.8
98.1
41.3
50.4
Level II QC Report
6124/13
Prism Work Order: 3060376
Time Submitted: 6/17/2013 3:10:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD
Limit Notes
10 ug/L
ug/L
ug/L
ug/L
50.00
u98-
50.00
10 ug/L
100.0
ug2
50.00
ug/L
50.00
Prepared &
-
10 ug/L
100.0
ug/L
50.00
ug/L
50.00
Sample Extraction Data
Prep Method: 625
Lab Number Batch
Initial Final
Date/Time 3060376-01
P31`0293 1000 mL
1 mL 06/18/13 13:00
i
85 49.118
80 43-123
06/18/13
95 10-158
83 49-118
98 43-123
)6/18/13
98 10-158
83 49-118
101 43-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NO 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone]
4 200

Full -Service Analytical aIJVEPVlranmenal S.1.11ans P"vaaumaiea Ixc
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Parameter
Result
Laboratory Report
11/28/2011
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Prism Sample ID: 1110356-02
Project No.: 080311-01
Prism Work Order: 1110356
Sample Matrix: Water
Time Collected: 11/02/11 09:30
Time Submitted: 11/14/11 16:20
Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Tme ID
Total Metals
Mercury
2.2
ng/L
1.0
0.11 1
•1631E
11/22111 12:35
LTB
PIK0303
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbmok Road -P.O. Box 240643 -Charlotte, NC 28224-0543
Phone: [phone] • Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 4 Df 6

Full-Service
Laboratory Report
1z j '.'.", ISM
,am�_VI. � 'IABOAAroniES ism
Analytical 8
IEnvironmental Solutions
i2/19/2011
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 1120285-02
P.O. Box 1111
Project No.: 080311-05
Prism Work Order: 1120285
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 12/06/11 09:30
Time Submitted: 12/07/11 16:00
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
2.0 nglL 1.0 0.11
1 '1631 E 121141i 1 14:48 LTB P1 L0316
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number..1-8001529-6364 - Fax: [phone] Cbhf !=!pd7

MERI T ECH, INC.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
Client: Citv of Statesville 3rd Creek Date Sampled 06/10/10
(93 13ell Farm Rd. Digested 06/11/10
Statesville. NC 28625 Analysis 06/28/10
Attention Brandi Johnson
Analyst: PS
NPDESN
NC0031836
EPA 1631 Low Level Mercury Analysis
Merilech ID N
Sample ID
Result
Reporting Limit
MBLK0625A
Method Blank
< 0.5 ng/L
0.5 ng/L
M06111001
Field Blank
< 1.0 ng/L
1.0 ng/L
N106111002
Effl. 3rd Creek
2.38 ng/L
1.0 ng/L
1 hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: [e-mail]

Client:
Attention
NPDES 4
MERI TECH, INC.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
City of Statesville 3rd Creek
693 Bell Farm Rd.
Statesville. NC 28625
Brandi Johnson
NC0031836
Date Sampled 09/15/10
Digested 09/17/10
Analysis 09/24/10
Analyst: PS
EPA 1631 Low Level Mercury Analysis
Meritech ID N
.Sample ID
Result
Reportine Limit
MBLK0922E
Method Blank
<0.5 ng/L
0.5 ng/L
M09171003
Field Blank
< 1.0 ng/L
1.0 ng/L
.N109171004
Efn. 3rd Creek
4.86 ng/L
1.0 ng/L
1 hereby cerlity that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: [e-mail]

_
Laboratory Report
M
I Full -Service Analytical 8
Environmental Solutions
06/13/2011jS
ORATORIESIWQ
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 1060126-02
P.O. Box 1111
Prism Work Order: 1060126
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 06/01/11 10:00
Time Submitted: 06/06/11 16:15
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Datelrime ID
Total Metals
Mercury
3.6 ng/L 1.0 0.11
1 '1631E 619111 11:29 LTB P1F0169
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone] Page 4 of 6

s
ININ'Del"R
Ism
IEnvirFull-omen al Solution 8
Environmental Solutions
®©V,BOMTORtES nG
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
07/14/2011
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 1070127-02
Prism Work Order. 1070127
Sample Matrix: Water Time Collected: 07/06/11 09:30
Time Submitted: 07/07/11 15:20
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateTme ID
Total Metals
Mercury 2.0 ng/L 1.0 0.11 1 •1631E 7N2/11 15:41 LTB PIG0144
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number. 1.800/629-6364 - Fax: [phone]
Page 4 of 6

Laboratory Report
PRISM
Full -Service Analytical &
I
L&WMATOMES ING
Environmental Solutions
08/11/2011
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 1080189-02
P.O. Box 1111
Project No.: 071211-02
Prism Work Order: 1080189
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 08/03/11 09:30 '
Time Submitted: 08/08/11 14:40
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Daterrime ID
Total Metals
Mercury
1.7 ng/L 1.0 0.11
1 '1631E 8111M1 12.07 LT8 PlH0206
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 r
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704/S25-0409 1 Page 4 of 6

Laboratory Report
M
Full -Service Analytical 8 Environmental Solutions 09128/2011
C�RIS
R
City of Statesville, NC Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Attn: Brandy Johnson Prism Sample ID: 1090416-02
P.O. Box 1111 Project No.: 071211-03 Prism Work Order: 1090416
Statesville, NC 28687 Sample Matrix: Water Time Collected: 09/07/11 09:45
Time Submitted: 09/19111 16:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime 1D
Total Metals
Mercury 3.8 ng/L 1.0 0.11 1 '1631E 9126/11 14:34 LTB P110448
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number. 1-8001529-6364 - Fax: [phone] Cbhf VP97

Full-s
A
I �R I S M I Environmental
Analytical s
Laboratory Report
�� ;;yy,, Environmental Solutions 12/28/2010
sW9ZEE. ::. V'LADG�ATOFIES CHQ
;ity of Statesville, NC Project: 3rd Creek Low Level Mercury Client Sample ID: EFFLUENT
Attn: Brandy Johnson Prism Sample ID: 0120477-02
P.O. Box 1111 Prism Work Order. 0120477
Statesville, NC 28687 Sample Matrix: Water Time Collected: 12/15/10 09:30
Time Submitted: 12/15/10 17:05
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
Total Metals
Mercury 2.8 ng/L 1.0 0.11 1 '1631E 12/21/10 13:25 RWF POL0433
This.report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 4 of 6

P-RISM
I Fulliron ien Analytical s Environmental Solutions
! .-LAWRATORMA INC.
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Project: 3rd Creek Low Level Mercury
Project No.: 080311-04
Sample Matrix: Water
Laboratory Report
01 /09/2012
Client Sample ID: Effluent
Prism Sample ID: 2010037-02
Prism Work Order: 2010037
Time Collected: 01/03/12 13:30
Time Submitted: 01/04/12 14:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTme ID
Total Metals
Mercury BRL ng/L 1.0 0.11 1 .1631E 1/6112 15:13 LTB P2A0075
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number..1-8001529-6364 - Fax: [phone] Page 4 of 6

c
Full-Servicen &I S M I Environmental Solutions
A00PATfMIM 14C.
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
02/15/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 2020097-02
Project No.: 080311-03 Prism Work Order: 2020097
Sample Matrix: Water Time Collected: 02/01/12 09:30
Time Submitted: 02/06/12 14:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datefrime ID
Total Metals
Mercury 1.6 ng1L 1.0 0.11 1 '1631E 2113112 12:13 LTB 12260160
This report should not be reproduced, except In its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number:1-8001529.6364 - Fax: [phone]

rx 1 Full -Service Analytical
�S &
Environmental Solutions
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
03/12/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 2030085-02
Project No.: 011112-02 Prism Work Order: 2030085
Sample Matrix: Water Time Collected: 03/05/12 09:00
Time Submitted: 03/05/12 14:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
Total Metals
Mercury 1.0 n91L 1.0 0.33 1 '1631E 31811212:45 LTB 132C0101
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 24060 - Charlotte, NC 28224-0543
Phone: [phone] - ToIl Free Number: 1-8001529-6364 - Fax: 7041$25-0409 Pagg' 4 Df "

j P R I S
M
I FulliService al solutio &
r� �s. Environmental solution;,
'�' A0CMArrAM& u,r-
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
04/11/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 2040163-02
Project No.: 032112-01 Prism Work Order: 2040163
Sample Matrix: Water Time Collected: 04/04/12 09:30
Time Submitted: 04/06/12 09:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
Total Metals
Mercury 1.5 ng1L 1.0 0.33 1 *1631 E 4110112 13:13 LTB P21)0148
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number 1-8001529.6364 - Fax: [phone] Page 4 of 6

`
Full -Service
Laboratory Report
�`�.^ I S 1 Y� I
&
[nvltunmc��tr�! Solutions
al Solutions
ll nCRAIDAV& 1W.
05l22/2012
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 2050349-02
P.O. Box 1111
Project No.: 032112-01
Prism Work Order: 2050349
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 05/02/12 09:30
Time Submitted: 05/14/12 12:15
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
1.6 ng/L 1.0 0.33
1 '1631E 5/16112 12:47 LTB P2E0320
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224460
Phone: [phone] - Toll -Free Number: 1-8001529-6364- Fax: [phone] Page'

Laboratory Report
s [�
Full -Service is
1 1 r 11/ j
I
eacec:a:.mnma Luc:
Environmental Solution
al Solutions
06/15l2012
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 2060237-02
P.O. Box 1111
Project No.: 041812-01
Prism Work Order: 2060237
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 06/07/12 09:30
Time Submitted: 06/11/12 15:55
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
1.3 ng1L 1.0 0.33
1 *1631 E 6113112 12:48 LTB P2F0209
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number:1-8001529.6364 - Fax: [phone]

AMIRISM
I Putt-Se!v;ce Analytical &
Envtranmental Solutions
WiGttATEiRv:t: I:K
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
07/12/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 2070104-02
Project No.: 041812-02 Prism Work Order: 2070104
Sample Matrix: Water Time Collected: 07/02/12 09:30
Time Submitted: 07/06/12 11:30
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
Total Metals
Mercury 2.0 A ng1L 1.0 0.33 1 '1631E 7111112 13:29 LTB P2G0166
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] `Pager' 4` Qf 6

PR I S f� /� I ruilijim ico al G01UU0 F:
�=�.-- I v � it E•'�Yilvnrnentul 5oluilon:.
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
08/13/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample 1D: 2080134-02
Project No.: 051612-01 Prism Work Order: 2080134
Sample Matrix: Water Time Collected: 08/01/12 08:45
Time Submitted: 08/06/12 14:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Total Metals
Mercury 2.5 ng/L 1.0 0.33 1 '1631 E 8110/12 12:19 LTB 1321-10206
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories. Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number:1.8001629-6364 - Fax: [phone]

Laboratory Report
P�'4,'R i S M
! Pui;-Service Al:atyRcul &
M' .1�IIC1I.:TUi7 mC. IyC.
[nYit'onrru rttat S�lutiar3
09/25/2012
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 2090351-02
P.O. Box 1111
Project No.: 072512-01
Prism Work Order: 2090351
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 09/05/12 08:30
Time Submitted: 09/17/12 16:15
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
3.0 ng1L 1.0 0.33
1 '1631E 9121/12 12:38 LTB P210391
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: 70,025-0409 U Page 4 of :6

LaboratorRISMy Report
f.
( FirEl-5ervic•: Analytical d
+��rissM.s �l� V1101ATufl�Rt4:,
Ewitonmcnr:el Solutians
10/19/2012
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 2100315-02
P.O. Box 1111
Project No.: 072512-01
Prism Work Order: 2100315
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 10/03/12 09:30
Time Submitted: 10/09/1215:40
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
2.2 ng1L 1.0 0.33
1 '1631E 1011711216:48 BGM P2.10452
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] ::Page 4 of 6;

==`=
Pets.-ServiC<r AralyKi.;al E.
Labo
atory Report
Ate' 'J'I. I S
.-
Environmental Sotutiono
11/19/2012
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluen
Attn: Brandy Johnson
Prism Sample ID: 2110153
2
P.O. Box 1111
Project No.: 072512-01
Prism Work Order. 211015
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 11/06/12 13
0
Time Submitted: 11/06/12
Parameter
Result Units Report MDL
Dilution Method Analys
s Analyst Batch
Limit
Factor Dater ie
ID
Total Metals
Mercury
2.0 n91L 1.0 0.33
1 •1631E 1111611213:06
LTS P21(0329
This report should not be reproduced. except in its entirety. without the written consent of Prism Laboratories. Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number:1-8001529.6364 - Fax: [phone] age.. of.6

s Full -Services Analytical &
sm I Environmental Solutions
i
• S' 3'tLtM.rL1TQtI£f. t:JC-
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
12127/2012
Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Prism Sample ID: 2120366-02
Project No.: 072512-01 Prism Work Order: 2120366
Sample Matrix: Water Time Collected: 12/12/12 09:30
Time Submitted: 12/17/12 11:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
Total Metals
Mercury 1.9 ng/L 1.0 0.33 1 '1631E 1212111211:48 LTB P21-0333
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number:1-8001529-6364 - Fax: [phone]-a409 Q 'hf' 15!p 7:

Laboratory Report
P: R I S M
Full-Servico Analytical &
I
.-
.1 1100RATO-ArEr. 14G
Environmental Solutions
01/22/2013
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 3010275-02
P.O. Box 1111
Project No.: 072512-01
Prism Work Order: 3010275
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 01/09/13 09:30
Time Submitted: 01/10/13 13:15
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
2.2 ng/L 1.0 0.33
1 '1631E 1115113 12:20 LTS P3A0263
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1.8001629-6364 - Fax: [phone] Page' 4 Of,;6

t 9'
Full -Service Anal t�cal &
Analytical
Laboratory Report
:-��=
Environmental Solutions
02/18/2013
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 3020262-02
P.O. Box 1111
Prism Work Order: 3020262
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 02/06/13 09:30
Time Submitted: 02/11/13 13:40
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
1.2 ng1L 1.0 0.33
1 '1631 E 2/14113 12:07 LTB P3B0279
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free.Number: 1-8001529-6364 - Fax: [phone]

Laboratory Report
�"'`1
P R I
Full -Service Analytical &
V
Environmental Solutions
03/20/2013
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 3030262-02
P.O. Box 1111
Prism Work Order: 3030262
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 03/05/13 09:30
Time Submitted: 03/11/13 15:35
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
BRL ng/L 1.0 0.33
1 *1631E 3/13/13 11:28 LTB PX0230
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number:1-8001529-6364 - Fax: [phone] Qbhf: 15!p�7

i EnfAnalytical s Laboratory Report
zRIVM Environmental Solutions 04/15/2013
' ' LARQDAVINCS Syr
City of Statesville, NC Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Attn: Brandy Johnson Prism Sample ID: 3040265-02
P.O. Box 1111 Prism Work Order: 3040265
Statesville, NC 28687 Sample Matrix: Water Time Collected: 04/03/13 09:30
Time Submitted: 04/09/1314:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Total Metals
Mercury BRL ng/L 1.0 0.33 1 '1631E 4/11/13 16:22 MEH P3D0271
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 24OS43 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number 1-80016294364 - Fax: [phone] Page 4 of 6

Laboratory Report
"'PRISM
%� I Full-Scrvica Analytical & 06/0412013
p"' `,-., � \/ � Environmontnt Solutions
City of Statesville, NC Project: 3rd Creek Low Level Mercury Client Sample ID: Effluent
Attn: Brandy Johnson Prism Sample ID: 3050540-02
P.O. Box 1111 Prism Work Order: 3050540
Statesville, NC 28687 Sample Matrix: Water Time Collected: 05/09/13 09:30
Time Submitted: 05/20/13 14:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Total Metals
Mercury 1.9 ng1L 1.0 0.27 1 '1631E 613113 13:02 MEH P3F0029
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.800)529-6364 - Fax: [phone]

s�
Full
Laboratory Report
PRISM
-Service ervica nI Solutions
[�viranmentnf Solutions
I s
06/24/2013
City of Statesville, NC
Project: 3rd Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 3060377-02
P.O. Box 1111
Prism Work Order. 3060377
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 06/12/13 08:30
Time Submitted: 06/17/13 15:10
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
Total Metals
Mercury
1.5 ng1L 1.0 0.27
1 '1631E 6119113 14:45 MEH P3F0348
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Qbhf-,° 5!p�7
:

P
V/
NC Certification No. 402 Case Narrative
SC Certification No. 99012
Pw-,
Full -Service Analytical & NC Drinking Water Cert No. 37735
-,R 1 S I Environmental Solutions VA Certification No. 460211 08/29/2013
fa• i
LABORATORIES, INC. DOD ELAP: L-A-B Accredited Certificate No. L2307
ISO/IEC 17025: L-A-B Accredited Certificate No. L2307
City of Statesville, NC Project: 4th Creek Low Level Mercury
Brandy Johnson
P.O. Box 1111 Lab Submittal Date: 08/12/2013
Statesville, NC 28687 Prism Work Order: 3080267
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Robbi A. Jones
President/Project Manager
-) � �7. a-. c:
Reviewed By Robbi A. Jones
President/Project Manager
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 1 of 6

P R I S M l Full -Service Analytical
f_ Environmental Solutions
+� IADOPATOME$ MC
Sample Receipt Summary
08/29/2013
Prism Work Order: 3080267
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Blank
3080267-01
Water
08/12/13
08/12/13
Effluent
3080267-02
Water
08/12/13
08/12/13
Samples received in good condition at 16.6 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone] Page =f6

PRISM I Full -Service Analytical &
Environmental Solutions
��- LADMATORMS, INC
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Laboratory Report
08/29/2013
Project: 4th Creek Low Level Mercury Client Sample ID: Blank
Prism Sample ID: 3080267-01
Prism Work Order: 3080267
Sample Matrix: Water Time Collected: 08/12/13 09:00
Time Submitted: 08/12/13 14:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Total Metals
Mercury BRL ng/L 1.0 0.27 1 '1631E 8/28/13 15:13 MEH P31­10549
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number.1-800/529-6364 - Fax: [phone] Page 3 of 6

Laboratory Report
&RRISM I
Full -Service Analytical 8
Environmental Solutions
08/29/2013
`. LA80"TORSE& INQ
City of Statesville, NC
Project: 4th Creek Low Level Mercury
Client Sample ID: Effluent
Attn: Brandy Johnson
Prism Sample ID: 3080267-02
P.O. Box 1111
Prism Work Order: 3080267
Statesville, NC 28687
Sample Matrix: Water
Time Collected: 08/12/13 09:00
Time Submitted: 08/12/13 14:45
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor DateTme ID
Total Metals
Mercury
1.2 ng1L 1.0 0.27
1 '1631E 8128113 16:19 MEH P3140549
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number.1-8001529-6364 - Fax: [phone] Page 4 of 6

�� I� I Full -Service Analytical 8
r
r- M Environmental Solutions
u30"TORiEs CUM
City of Statesville, NC
Attn: Brandy Johnson
P.O. Box 1111
Statesville, NC 28687
Total Metals - Quality Control
Analyte
Batch P3H0549 - 1631E
Project: 4th Creek Low Level Mercury
Level II QC Report
8/29/13
Prism Work Order: 3080267
Time Submitted: 8/12/2013 2:45:00PM
Reporting Spike Source %REC RPD
Result Limit Units Level Result %REC Limits RPD Limit Notes
Blank (P31-10549-BLKI) Prepared: 08/23/13 Analyzed: 08/28/13
Mercury BRL 1.0 ng/L
LCS (P31-10549-BSI) Prepared: 08/23/13 Analyzed: 08/28/13
._----_.-._...�-------------------- ------ ----- ---- -- _______- ------------------
Mercury 4.68 1.0 ng/L 5.000 94 79-121
LCS (P3H0549-BS2) Prepared: 08/23/13 Analyzed: 08/28/13 _
Mercury 4.31 1.0 ng/L 5.000 86 79-121
Sample Extraction Data
Prep Method:1631 E
Lab Number Batch Initial Final DateMme
3080267-01 P31-10549 500 rnL 500 mL 08/23/13 15:00
3080267-02 P31.10549 500 mL 500 mL 08/23/13 15:00
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 5 of 6
I

^,A
Y Full -Service Analytical &
.kr'",�{a PRISM I Environmental Solutions
�1Iµ" i,I""iINYY: fi(b. "Goan OMM INC
449 Springbrook Road. P.O. Box 240543 • Charlotte, NO 28224-0543
Phone: [phone] • Fax: 04J525-0409
Client Company Name:
Report To/Contact NaRe:, AA
Phone:��L-',f Fax (Yes)(No):_
Em (Ve o) Email Address
EDD Type: PDF`Z Excel Other
Site Location Name: r (`
Site Locati n Physical Address•
�ki��ti
r .
^^ _
I
�17 ��
TIME
CLIENT
I
DATE
COLLECTED
SAMPLE DESCRIPTION
COLLECTED
MILITARY
HOURS
CHAIN OF CUSTODY RECORD �.
L VD/ No N/A
PAGE _ OF _ QU T TO ENSURE PROPER BILLING: Samples INTACT upon arriv —
'/'1y {� ��j�'�-'' Received ON WET ICE? .mp / (% E,
Project Name:` ` �A /(�" V pHOPER PRESERVATIVES in ma ed? `� —
Short Hold Analysis: (Yes) (NO) UST Project: (Yes) (No) Received WITHIN HOLDING TIMES?
`Please ATTACH any project specific reporting (OC LEVEL 1 II III IV) .CUSTODY SEALS INTACT?
provisions and/or OC Requirements VOLATILES rec d WIOUT HEADSPACE?
1lnvoica To: PROPER CONTAINERS used? —
Address:
Purchase Order No./Billing Reference
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
"Working Days" ❑ 6.9 Days ❑ Standard 10 days O Rush Work Must Be
Pre -Approved
Samples received after 15D0 will be processed next business day.
1 Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS A CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
MAT""' SAMPLE CONTAINER /
(SOIL, PRESERVA- %
WATER OR 'TYPE NO. SIZE TIVES
SLUDGE) SEE BELOW
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC_USACE_FL_ NC_
SC_ OTHER N/A
Water Chlorinated: YES_ NO_
Sample Iced Upon Collection: YES_ NO_
(SES REOUESTED PRISM
v / % LAB
� i �' REMARKS ID NO.
this Chain of CuBtb is your authorization for Prism to proceed with the an es as requested above. Any changes must be
.. �An Deicm P. iert Manager. There will be charges for any changes after analyses have been initialized._�T
e
MOM
1,2 -r 3 I 1 yHS-
hpment: O :ALES MP OOLERS SHOULD BE TAPED snuff wu .vv �• •^•^ - —"-- --
SAMPLESARE NOT
�ACCEPTED AND VERIFIED AGAINST CO NTIL RECEN% TTHE LABORATORY.
OURS CIHard-dkIIV..d1 rum Meld Si 001h
6: LST I GR UNDWATER: DR114KING WATER. SOLID WASTE. RCRA. CERCLA LANDFILL OTHER
❑SC❑NC ❑SC ❑NC ❑SC ❑NC ❑SC I❑NC CS C ❑❑NC ❑SC ❑❑NC ❑SC ❑❑NC pSC ❑❑NC ❑SC
❑ --.... 0 ._ ❑ —._.. -_ ❑
-AINER TYPE CODES: A = Amber C = Clear G = Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
°l` 1
Comments: $ite Arrival Time:
Site Depariwe Time:
Field Tech For:
1, Mileage: