NC0050661_Permit Issuance_20041029

NPDES DOCUWENT SCANNING COVER SHEET
NPDES
Permit:
NC0050661
Macclesfield WWTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Owner Name Change
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
October 29, 2004
Thies dooumeat to printed coax reussse paper — ignore airy
content on the reizerssse wide

0
WATF,Q Michael F. Easley
G Governor
7 NCDENR William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Y Alan W. Klimek, P.E., Director
Division of Water Quality
October 29, 2004
Mr. Mike Keel, Mayor
Town of Macclesfield
771 S. Fountain Rd.
Macclesfield, North Carolina 27852
Subject: Issuance of NPDES Permit N00050661
Macclesfield WWTP
Edgecombe County
Dear Mr. Keel:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on August 18, 2004:
This permit includes a TRC limit that will take effect on Tune 1, 2006. If you wish to install dechlorination
equipment, the Division has promulgated a simplified approval process for such projects. Guidance for approval of
dechlorination projects is attached.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of
this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North
Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be
required. If you have any questions concerning this permit, please contact Sergei Chernikov at telephone number
[phone], extension 594.
cc: NPDES Unit
Raleigh Regional Office / Water Quality Section
N. C. Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us
Sincerely,
ORIGINAL SIGNED BY
M Alan WCK tlimek, P.E.
Phone: [phone]
fax: [phone]
DENR Customer Service Center. 1 800 623-7748

Permit NC0050661
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Macclesfield
is hereby authorized to discharge wastewater from a facility located at the
Macclesfield WWTP
NCSR 1109
Macclesfield
Edgecombe County
to receiving waters designated as an unnamed tributary to Bynum Mill Creek in the
Tar -Pamlico River Basin
in accordance'' with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective December 1, 2004.
This permit and authorization to discharge shall expire at midnight on September 30, 2009.
Signed this day October 29, 2004.
ORIGINAL SIGNED BY
Mark McIntire
Alan Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0050661
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under
the permit conditions, requirements, terms, and provisions included herein.
The Town of Macclesfield is hereby authorized to:
1. Continue to operate an existing 0.175 MGD wastewater treatment facility with
the following components:
• Bar screen
• Parshall flume
• Influent flow meter
• Grit removal
• Oxidation ditch
• Aerobic digester
• Clarifier
• Tertiary filters
• Chlorine contact chamber
• Effluent flow meter
• Post -aeration
• Four drying beds
This facility is located at the Macclesfield WVVTP south of Macclesfield on NCSR
1109 in Edgecombe County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Bynum Mill Creek, classified C-NSW waters in
the Tar -Pamlico River Basin.

Latitude: 35°44'42'
Longitude: 77°40'00'
Quad # E28NW
Receiving Stream:
UT Bynum Mill Creek
Stream Class: C-NSW
Subbasin: 30303
NC0050661
Town of Macclesfield
ww TP
SCALE 1:24000

Permit NC0050661
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on December 1, 2004 and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample Location'
Flow
0.175 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C) 2
(April 1 - October 31)
6.0 mg/L
9.0 mg/L
Weekly
Composite
Influent & Effluent
BOD, 5-day (20°C) 2
(November 1 - March 31)
8.0 mg/L
12.0 mg/L
Weekly
Composite
Influent & Effluent
Total Suspended Solids2
30.0 mg/L
45.0 mg/L
Weekly
Composite
Influent & Effluent
NH3 as N
(April 1 - October 31)
2.0 mg/L
6.0 mg/L
Weekly
Composite
Effluent
NH3 as N
(November 1 - March 31)
3.0 mg/L
9.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen3
Weekly
Grab
Effluent,
Upstream & Downstream
Fecal Coliform
(geometric mean)
200 / 100 mL
400 / 100 mL
Weekly
Grab
Effluent
Total Residual Chlorine4
17 pg/L
2/Week
Grab
Effluent
Temperature (°C)
Daily
Grab
Effluent
Temperature (°C)
Weekly
Grab
Upstream & Downstream
Total Nitrogen
(NO2+NO3+TKN)
2/Month
Composite
Effluent
Total Phosphorus
2/Month
Composite
Effluent
pH
> 6.0 and < 9.0 standard units
Daily
Grab
Effluent
Footnotes:
1. Upstream = at least 100 feet upstream from the outfall. Downstream = at least 300 feet
downstream from the outfall.
2. The monthly average effluent BOD5 and Total Suspended Residue concentrations shall not
exceed 15% of the respective influent value (85% removal).
3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
4. The total residual chlorine limit takes effect June 1, 2006. This time period is allowed in order for
the facility to budget and design/construct dechlorination and/or alternative disinfection
systems.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2.) NUTRIENT REDUCTION REQUIREMENT
The Tar -Pamlico Nutrient Sensitive Waters (NSW) Implementation Strategy requires a total reduction
in nutrients (total phosphorus and total nitrogen) within the Tar -Pamlico River basin.
If requirements other than those listed in this permit are adopted as part of a future revision to the
NSW strategy, the Division reserves the right to reopen this permit and include those requirements.
If requirements other than those listed in this permit are adopted to prevent localized adverse
impacts to water quality, the Division reserves the right to reopen this permit and include those
requirements.

imap://[e-mail]:143/f...
Subject: Macclesfield WWTP draft permit
From: Barry Herzberg <[e-mail]>
Date: Tue, 14 Sep 2004 14:12:16 -0400
To: "Chernikov, Sergei" <[e-mail]>
Sergei:
I have reviewed the draft permit for the Macclesfield WWTP and have no comments.
Please advise of their response to your request for missing information in parts A.12
and B.6.
Thanks.
Barry
1 of 1 9/14/2004 2:31 PM

PUBLIC NOTICE, at the above addCe44
or :ail 1s argl- n
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and other sup rting
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used . to determine
conditions present in
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tim ted. This dis-
charge may affect fu-
tire , allocations in
this portion of the
Tar Pamlico River
Basin.
August 20, 2004
THE
DAILY
SOUTHERNER
P.O. BOX 1 1 99 • TARBORO. NORTH CAROLINA
[phone]
NORTH CAROLINA
EDGECOMBE COUNTY.
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public
of said County and State, duly commis-
sioned, qualified, and authorized by law to
administer oaths, personally appeared
•haA.•••••••• ••
who being first duly sworn, deposes and
says: that be is Publisher, engaged in the
publication of a a newspaper known as The
Daily Southerner, published, issued, and en-
tered as second class mail in the Town of
Tarboro in said County and State; that be is
authorized to make this affidavit and sworn
statement that the notice or other legal ad-
vertisement, a true copy of which is attached
hereto, was published in The Daily
Southerner on the following dates:
A
Q0, zog
and that the said newspaper in which such
notice, paper, document, or legal advertise-
ment was published, was, at ibe time of each
and every such publication, a newspaper
meeting all of the requirements and qualifica-
tions of Section 1-597 of the General
Statutes of North Carolina and was a quali-
fied newspaper within the meaning of
Section 1-597 of the General Statutes of
North Carolina.
64,a,
(Signetblre of person making affidavit)
Sworn to and subscribed before me this
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Notary Ptfblic
My commission expires:..(-J."1. r.d -�

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy)
Date: 06/24/2004 County: Edgecombe
To: NPDES Discharge Permitting Unit Permitee: Town of Macclesfield-
Attn. NPDES Reviewer: Application/ Permit N .('NC0050661
Staff Report Prepared Jerry Rimmer
Project Name: Macclesfield WWTP Renewal
SOC Priority Project? (YIN) N If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 04/08/2004
..-._...... ... ..�..`.......u...,.v�.....,
1 1 II
J U L 2 3 2004
DEHR - WATER QUALITY
POINT SOURCE BRANCH
b. Person contacted and telephone number: Phillip Wainwright/252-82774823
c. Site visit conducted by: Kirk Stafford --- - • �---
d. Inspection Report Attached: ® Yes or ❑ No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
® Yes or ❑ No. If No, please either indicate that it is correct on the current application or the
existing permit or provide the details. If none can be supplied, please explain:
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing)
(If there is more than one discharge pipe, put the others on the last page of this form.)
a. Location OK on Application ❑,
OK on Existing Permit ®, or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ®, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Application D.
OK on Existing Permit ®, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often
inaccurate) OK on Existing Permit ®, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ®, or provide Receiving Stream or affected waters:
a. Stream Classification: UT of Bynum Mill Creek —C;NSW
b. River Basin and Sub basin No.: Tar -Pamlico Stream Index-28-83-4
c. Describe receiving stream features and downstream uses:
For NEW FACILITIES Proceed to Section C, Evaluation and Recommendations
(For renewals or modifications continue to section B)

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
B. DESCRIPTION OF FACILITIES AND WASTE(S) (renewals and modifications only)
1 Describe the existing treatment facility: 0.175MGD WWTP with Bar screen, Parschall Flume,
Influent Flow Meter, Grit removal, Oxidation ditch (Not dual), Clarifier, tertiary filters, Chlorine
Contact tank, Effluent flow meter, Post aeration, four (4) sludge drying beds and one aerobic
digester.
2. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No.
Operator in Charge: Phillip Wainwright Certificate # WW-2 #10767 (Available in BIMS or
Certification Website)
Back- Operator in Charge: Phil Webb Certificate # WW-3 #12729
3. Does the facility have operational or compliance problems? Please comment: Occasional fecal
coliform violations.
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)): NOV for fecal weekly June 2001, February 2002- Fecal weekly,
August 2002-Fecal weekly, February 2003 low pH and fecal weekly. Also, April 2004 Fecal
weekly Enforcement penalty.
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratorium 0? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? 0 Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP 0 (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatered to a cake? Dewatered on drying beds
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ® Non If yes, where? Bertie County Landfill.
Other?
Adequate Digester Capacity? Yes ® No ❑ Sludge Storage Capacity? Yes ® No ❑
Please comment on current operational practices: Digest and dry sludge for landfill. Is adequate for
small system.
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? 0 Yes or ® No. If yes, please explain:
C. EVALUATION AND RECOMMENDATIONS
] . Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
FORM: NPDES-RRO 06/03, 9/03 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Spray Irrigation: Not feasible
Connect to Regional Sewer System: Not currently feasible
Subsurface: Not feasible
Other Disposal Options: NA
2. Provide any additional narrative regarding your review of the application: System operates mostly
within limits. The system has an oxidation ditch and not dual ditches. Also need to add four
drying beds and one aerobic digester to permit. Back-up Generator is being sized and will be
purchased soon.
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Additional Information
Reason
Add four drying beds and aerobic digester if more
info is needed to add to permit.
System has oxidation ditch is not dual and it
has four drying beds and one aerobic
digester.
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition:
Recommended Removal
Reason
NONE
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit, when issued. Make sure that you provide a reason for each special condition:
Recommended Addition
Reason
NONE 11
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review and approval of required additional information by NPDES permitting
office; ® Issue; ❑ Deny. If deny, please state reasons:
Reminder:attach inspection report if Yes was checked for 2 d.
7. Signature of report preparer:
Signature of QS regional supervisor:
Date:
42,
FORM: NPDES-RRO 06/03, 9/03 3

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
5-046 /
Facility Name
/frt4,,/e, j %1 w,...4.?'
Reviewer
M M
Basin/Sub-basin
Ql O; o ;
Receiving Stream
U T' lb 4 A E,,e,, /tif, 2/( 6-tee
Stream Classification in permit
G _ NS
Stream Classification in BIMS
Is the stream impaired (listed on 303(d))?
No
Is stream monitoring required?
(fes
Do they need NH3 limit(s)?
y[s ,4
Do they need TRC limit(s)?
t,/es �;1
C J
Do they have whole -effluent toxicity testing?
No
Are there special conditions?
(es
Any obvious compliance concerns?
Ne
Existing Expiration Date
[lO
Proposed Expiration Date
0 9
Miscellaneous Comments:
'vea(H
AE Need
/ky —N l ti; .
— d,, 7.e c
l4, p /ace sc.�GA 4 A
If expedited, is this a simpler permit or a more difficult one?

MEMORANDUM
July 13, 2004
To: NPDES Unit
Roger Thorpe, Washington Regional Office
Ken Schuster, Raleigh Regional Office
Vanessa Manuel
From: Teresa Rodriguez
Subject: Tar -Pamlico River Basin Permits
Meetings,were held with the Raleigh and Washington Regional Offices to discuss
facilitieswith multiple enforcement cases in the Tar -Pamlico River Basin. The following
actions were suggested to be incorporated at permit renewal time:
NC0025054 Oxford — They are under SOC for construction of new plant, did UI work.
Selenium tissues were addressed through pre-treatment.
Recommended action: No action recommended.
NC0029131 Kittrell Job Center — A consultant contacted the RRO regarding plans for
improving the system. They were told to submit an EAA but it has not been received.
The treatment system included a pulper to shred paper products like plates and cups. This
was affecting the treatment system causing a milky looking discharge. The RRO told
them to dicontinuethe use of the pulper.
Recommended action: include a Wastewater Management Plan, evaluate connection to
Henderson and include a requirement in the permit for visual observation of color.
NC0035521 Henderson Head Start Center- Discharge was eliminated.
NC0043109 Wilton Elementary School - Discharge was eliminated.
it
NC0047279 Heritage Meadows — Had TRC problems, installed a dechlorination system
but the tank is corroded.
Recommended Action: Require an optimization plan for dechlorination.
NC0048631 Long Creek Court — Has shown improvement, they hired a new ORC and
cleaned their collection system.
Recommended Action: Require a communications program, urge them to talk to Kittrell
Job Center to combine and connect to regional system.
NC0058009 Lauren Hills Health Care - Discharge was eliminated.

NC0037885 Southern Nash Jr. High School - Discharge was eliminated.
NC0050415 Phillips Middle School — They have plans to connect to Nash Co. but don't
have funding yet.
Recommended action: No action recommended.
NC0020435 Pinetops — An SOC is underway for I/I work.
Recommended action: include a Wastewater Management Plan and a Biosolids
Management Plan. The WWM plan should address the entire treatment system.
NC0050661 Macclesfield
Recommended Action: include a Wastewater Management Plan and a Biosolids
Management Plan.
NC0020834 Warrenton — They hired a new ORC and are operating better. Need more
digester capacity.
Recommended Action: include Biosolids Management Plan, include evaluation of
sludge disposal options.
NC0037231 Bear Grass Elementary School — Recently installed a sand filter, they have
been in compliance for the past 12 months except one month.
Recommended action: No action recommended.
NC0021521 Aurora — Had problems with fecal coliform and pH, fecal could have been
rain, pH from wetland system.
Recommended action: No action recommended.
NC0026492 Belhaven — Fecal problems may have been caused by the UV system, which
has been fixed.
Recommended action: No action recommended.
NC0036919 Pantego — Town bought WWTP from school, is being used as a community
building.
Recommended action: Require them to justify the need for a permit, look at connection
to Belhaven.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
T,L Do c Macc to ���e.lc6 1JC_no5otQ(oI
FORM
2A
NPDES
rZ e AL
NPDES FORM 2A APPLICATION OVERVIEW
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.:...._ .... ;
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
[1 V1 UT11
11
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters cifAt�.1e iln ed'tatps and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): 1 .1
1. Has a design flow rate greater than or equal to 1 mgd, _ . ____I
2. Is required to have a pretreatment program (or has one in place), or ; . ;; , I•;: ;; •
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 I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
ToLL)rs f Maccl d ns G t 5 otQ(p l
PERMIT ACTION REQUESTED:
---R e,1/43 e ua A L
RIVER BASIN: ''
TA I�
o esP, e_I
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name -TaL>u o'r MoLCCI�S : e-1ci
Mailing Address f. 0 . --/Dpt.F 185
M�t O-cf;. I e.sP. _(d . c. 3.'1 es a..
,
Contact Person ram- t i K e K E E L
Title %tQYOR
Telephone Number ( SO) 13 3,1 - 4aa 5
Facility Address '-11 1 5 . VouAJ+a A ki ' c # l
(not P.O. Box) MQCc_le. c, e . icy LV , C . a-185 ,
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address_ .
Contact Person
Title
Telephone Number ( )
Is the applicantlithe owner or operator (or both) of the treatment works?
®'owner 0 operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
0 facility Er -applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES IV C'-4)OSO(o(p I PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership
Name r Population Served Type of Collection System
Tou �utis o rMncc (est',r_Id <-15 9J Sci.t.1'►-F c R1 Sf? week,.
the name and population of each
(municipal, private, etc.).
Ownership
—17.&s or Anrif-,-le s4.e..l
Total population served 445 a-_,
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 2 of 22

FACILITY NAME AND PERMIT NUMBER:
"7-6w0 0P c.l d W C- Codo GAP 1
PERMIT ACTION REQUESTED:
exsewRL.
RIVER BASIN:
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes t i io
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 'FINo
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12th month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate . 115 mgd
b. Annual average daily flow rate
c. Maximum lily flow rate
. Two Years Atto
Last Year This Year
.O(6,'7
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
Separate sanitary sewer ) Cc)
0 Combined storm and sanitary sewer
A.S. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? *IEVicis ❑ No
If yes, list haw many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent 1
ii. Discharges of untreated or partially treated effluent
Comb ned 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
it
If yes, provide the following for each surface impoundment:
Location:
Annual averaige daily volume discharge to surface impoundment(s) mgd
Is discharge ; 0 continuous or 0 intermittent?
II
c. Does the treatment works land -apply treated wastewater? El Yes No
I
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site:
Is land application 0 continuous or
mgd
❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
0 Yes No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 3 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
oL NI p4 MGcde s'le.(d ?JC c 50& b
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).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number i )
For each treatment works that receives this discharcte, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number ( )
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.B. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes
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?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 4 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
1 ou.)N of Mt ,cs..1eq c..(d 1J C. CaSo (o(Q1
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number
b. Location
-Tro (Atom o4 M 4 c.c e_t d. c�,'t 85
(City or town, if applicable)
6dge.c .be_
(Zip Code)
L C,
(County (State)
(Latitude) (Longitude)
c. Distance from shore (if applicable) ft.
d. Depth belowsurface (if applicable) ft.
e. Average daily flow rate mgd
f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes 0 No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge: mgd
Months in which discharge occurs:
g. Is outfall equ
A.10. Description of Re
pped with a diffuser?
iving Waters.
a. Name of receiving water
b. Name of watershed (if known)
❑ Yes ❑ No
R.'I
United States Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin (if known): 10......
United State$ Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute cfs chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 5 of 22

FACILITY NAME AND PERMIT NUMBER:
`lJ01.,.›u
PERMIT ACTION REQUESTED:
x)e_u.>AL
RIVER BASIN:
`rw....
c Moocde-S-4.t_td ticoo5lobco(
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
« Primary ❑ Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal
Design SS removal %
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:
Cf•hlor; r.1e_.
If disinfection is by chlorination is dechlorination used for this outfall? ,❑, YNo Yes E
es
Does the treatment plant have post aeration? Lys Y es 0 No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows In this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at (east three samples and must be no more than four and one-half years apart.
Outfall number: I
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
Value
Units
Value
Units
Number of Samples
pH (Minimum)
(i'
s.u.
j
pH (Maximum)
IR
s.u.
%/�G
Flow Rate
. 115 Mg�
Temperature (Winter)
J
Temperature (Summer)
• For pH please report a minimum and a maximum daily value
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
DEMAND (Report one)
BOD5
CBOD5
FECAL COLIFORM
TOTAL SUSPENDED SOLIDS (TSS)
END OF PART A.
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 6 of 22

II
FACILITY NAME AND PERMIT NUMBER:
-rota_) hi o c Mo.cr..1 est; e, tC t`3C.. c 5c)4.471
PERMIT ACTION REQUESTED:
"Re,i E w A t—
RIVER BASIN:
-ra.tk_.
41 7ifvim. _ z. L L t n t' .� ' - 1 .sy _
• ' ate.. r.,n C ._ -.T >e.. L � +$, � . J l t.
..�. ..s�.:...... .. -...;... � ..,. • _...���. a.� �-iL..,'Y. ..l�..7.�... ...���. _. Y"'). a-�:. ... «......... _... .. . r.�.Tin^�.7i .«.�:%Me�w'S.....-n-.. ..+ .. A..-..
. c. y -
�
_. ....-.... - f• w,x+.•r.TF'F12::
II
.. �4.
. . eL�, "� 4.. � 1Pro
_ h
- t� ,r.��' ry• -r ---
ra' ..� r L .-^.. __.._
:.-,1-...-,..,
_ ���:.'
� Zf.2�/�:/�]�s� ti. �Yw�. OR
ilJl icl�\ ORZ ; ` ��
.1+ � � '�--F'
Yri
::-` -� ,._. -t'.r �.•. '�S;
fw.w-
f -.�I ��.z'...L.c..N � .. .I'R'y y-
r,LAGt' 1 J;:eiI r#Si-
T^y-?.. _...�«��Y�c.pU�L`.�a�:Z A,.y�r� _,,
L'Ili "'! .tE�G F #• zV
Gnu.. YrMG=; - " ..'•i.`: it . z F '_ ; r r l.f_.
C *i.:
T�r''-.-: �.�;. x.,.
F"7 c:.sa,. cb.v �..b...G,.ak
a r .' 7,' -'�'-- - -p�' T
..- rC ink irS
�
S",r t}S. G L' ...a-.Y .- L�F.i.L...'.-..CS
�
..•v < �'�Y�
All applicants with a design
..1 -�L"'-�'s�k�'Fi+':�r"�."fti.+"J.r^-.._._... w... ..a�-"..... a�.... .x:. ...v J. .-..I M.s..^-4:.,7`?w+sm�:.,..-. ...-... :r :sG N'•+_"�L ��.-4-.-...'&`
flow rate a 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration.
Estimate the average number of gallons per
gpd
day that flow into the treatment works from inflow and/or infiltration.
infiltration.
S t.t.)eR. ?t ro; ec I-- +e be_,
Briefly explain any steps underway or planned to minimize inflow and
s'ig r ..,Qic..C.S. me.lt.I-1- c :C•u Li_ 1--S,LR.Ni
c.AMy1 ft* t LL 't kl a►c4 . -t r 0J a L+ c yl..rt- LA. -- 11 LL )d e.R CAL +ALi-tb/..1,
,I
B.2. Topographic Map.
map must show the
area.) I'
a. The area surrounding
b. The major pipe
treated waste liter
c. Each well where
d. Wells, springs,bther
works, and 2) li
e. Any areas where
f. If the treatment�lworks
or special pipe,
B.3. Process Flow Dia
backup power sour
chlorination and d
rates between treatment
B.4. Operation/Maintenance
Are any operational
contractor?
If yes, list the name.
pages if necessary),
Name:
Mailing Address:
Telephone Number:l
Responsibilities of
B.5. Scheduled improvements
uncompleted plans
treatment works ha
for each. (If none,
a. List the outfall
Attach to this application a topographic map of the
outline of the facility and the following information.
the treatment plant, including all unit processes.
or other structures through which wastewater enters
is discharged from the treatment plant. Include
wastewater from the treatment plant is injected
surface water bodies, and drinking water wells
ted in public record or otherwise known to the applicant.
the sewage sludge produced by the treatment works
receives waste that Is classified as hazardous
show on the map where the hazardous waste enters
am or Schematic. Provide a diagram showing
es or redunancy In the system. Also provide a water
chlorination). The water balance must show daily
units. Include a brief narrative description of
Performed by Contractor(s).
or maintenance aspects (related te-wastewater treatment
area extending at least one mile beyond facility property boundaries. This
(You may submit more than one map if one map does not show the entire
the treatment works and the pipes or other structures through which
outfalls from bypass piping, if applicable.
underground.
that are: 1) within Y. mile of the property boundaries of the treatment
is stored, treated, or disposed.
under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
the treatment works and where it is treated, stored, and/or disposed.
the processes of the treatment plant, including all bypass piping -and all •
balance showing all treatment units, including disinfection (e.g.,
average flow rates at influent and discharge points and approximate daily flow
the diagram.
•
and effluent quality) of the treatment works the responsibility of a
contractor and describe the contractor's responsibilities (attach additional
• Yes ILA°
address, telephone number, and status of each
f 1
Contractor:
and Schedules of Implementation. Provide information on any uncompleted implementation schedule or..
or improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
several different implementation schedules or is planning several improvements, submit separate responses to question B.5
go to question B.6.)
number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation
schedule are required by local, State, or Federal agencies.
■ Yes ■ No
1 l
EPA Form 3510-2A (Rev. 1-99)l Replaces EPA forms 7550-6 & 7550-22.
Page 7 of 22

FACILITY NAME AND PERMIT NUMBER:
10r.L.)h, o-F moss je.wc',e- Id Licoos ofe k, 1
PERMIT ACTION REQUESTED:
. --KeII..it�u_)R,L
RIVER BASIN:
Tout_
c. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable .
d. Provide dates imposed
applicable. For improvements
applicable. Indicate
Implementation Stage
- Begin Construction
- End Construction
•
- Begin Discharge
- Attain Operational
e. Have appropriate
Describe briefly:
by any compliance schedule
planned independently
dates as accurately as possible.
Level
permits/clearances conceming
or any actual dates of completion for the implementation steps listed
of local, State, or Federal agencies, indicate planned or actual completion
Schedule Actual Completion
MM/DD/YYYY MM/DD/YYYY
below, as
dates, as
Yes 0 No
/ / / /
/ / / /
/ / / /
/ / / /
other Federal/State requirements been obtained? 0
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD
Applicants that discharge to waters of the US must
effluent testing required by the permitting authority
on combine sewer overflows in this section. All information
using 40 CFR Part 136 methods. In addition, this data
QA/QC requirements for standard methods for analytes
based on at least three pollutant scans and must be
Outfall Number:
ONLY).
provide effluent testing data for the following parameters. Provide
for each outfall through which effluent is discharged. Do not include
the indicated
information
conducted
other appropriate
data must be
reported must be based on data collected through analysis
must comply with QA/QC requirements of 40 CFR Part 136 and
not addressed by 40 CFR Part 136. At a minimum effluent testing
no more than four and on -half years old.
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
CHLORINE (TOTAL
RESIDUAL, TRC)
DISSOLVED OXYGEN
TOTAL KJELDAHL
NITROGEN (TKN)
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS (Total)
TOTAL DISSOLVED SOLIDS
(TDS)
OTHER
REFER TO THE APPLICATION
OVERVIEW
OF FORM
END OF PART B.
(PAGE 1) TO DETERMINE WHICH OTHER PARTS
2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
-o w A..S cD C MQ th 9c. e.._I a N o05 o b (o I
PERMITRMACTION REQUESTED:
1 `e. N p.wA L..
RIVER BASIN:
—1-0.,.iL,
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
Pj Basic Application Information packet Supplemental Application Information packet:
• ❑ Part D (Expanded Effluent Testing Data)
0 Part E (Toxicity Testing: Biomonitoring Data)
❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments
designed to assure that qualified personnel properly gather and evaluate
manage the system or those persons directly responsible for gathering
accurate, and complete. I am aware that there ar ignificant penalties
for knowing violations.
Name and official title
were prepared under my direction or supervision in accordance with a system
the information submitted. Based on my inquiry of the person or persons who
the information, the information is, to the best of my knowledge and belief, true,
for submit . g false information, including the possibility of fine and imprisonment
M i ke K E E L Mc<�'o FZ
Signature
,
Telephone number (a,5a1 $c7.'I —
Date signed 5 - a I. c -
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER:
--r-C)WAJ 0C A-(c..ccleC\e,lii ►3C-oo5ob(4,l
PERMIT ACTION REQUESTED:
ket,JeU)AL
RIVER BASIN:
T°
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant .
scans and must be no more than four and one-half years old.
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUM DL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE,
PHENOLS,
AND HARDNESS.
ANTIMONY
ARSENIC
BERYLLIUM
CADMIUM
CHROMIUM
COPPER
LEAD
MERCURY
NICKEL
SELENIUM
SILVER
THALLIUM
ZINC
CYANIDE
TOTAL PHENOLIC
COMPOUNDS
HARDNESS (as CaCO3)
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550.22.
Page 10 of 22

FACILITY NAME AND PERMIT NUMBER:
IOU) 0 eS , M,CLCC ltScie..t d . R.)C. ao5oco G. 1
PERMIT ACTION REQUESTED:
. e'k)e w AI— . , .
RIVER BASIN:
CU ..
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
- '-• •? 7 .RF
-,-- _
r•._{�. .. ..r_ �•h.17,
.�.. G:+' ''�,l-Y` '!k-.[.,.s,�'P' � '-;i'•9
r .. Xt i *
� ILf�ANfi '�"
'' � rat "' ',
-.
'-. __ ,
_ } wl .�._e•e h ! . ..t, t ..�'
...`--. .f-ii!•__
""a .t_.�+ s�.T 14'�''✓hh-_. i j'
sZ �. z az'r _ .-�:..iS•s:i,�—'.'tir.^z:
MUIMU DAI LSCI E;• ,
�»..�r _..o a.L."...,... Y...-.�`bri �.-i��^wl;:-S:t
L _ _ ji... _.. "c•%!.. _ _-..r,'t—•i w_ —WO ...�,e!.r.• _'��. .c` • i.
AV GE: t� E$ 4i '
;•'� :�'wr- -c..•_a .•....�....1-.�. �,'3.+•.N-r-'c-• _�e•4'C-mF"�'x.
'� A.,,�
r
^t � L"-.-,
P�� s�� .. �•+.?
7..r_ , r` r °'
ETH
Tom'_"...-_- rF .." •-•
�-'�.'.�-are R✓i4�T{.r...
--•, t
.`k _L`..,... '---. , . f,S
T (..jell �...�°
fi4�_� -
r= -� -=
+- •+-• 1�F.
"eft
;.,. 6.'h,•;F
a
t�
- ,«...a L) `,--
"ra
L�
.t
_
nos
. AfF :}.
4 i.a til
L
��.
i12 -:-F. },.i".'
rrik�
s S xsa
.1 �.r _
=
��
��ra�
^L :+r«a a
[
- y�•.
-- ...,x. k
x s r�"
t
y�
ry„
}�• �
ota., r •.- x,,•T
T J
i A`n#c
- } +
��r1�•L�t �
U
�n�ts
•! '- 1 .
�_ i._.!": ��
�
Mass
•r' .: �
�TYr-S.L
,Si
t U_n is t
•= 1 •n
� Z
J'U4ia...-a
_
'r..Q .t
i� e�.'..^•S'
i..a �5'.+3••
}' =,+. -
". _.
`S '� •
1
.�� ' i
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. +
. +��
�` ��'
�_" Y- i••.:J
M 3' 1�
�w i.L _j•.at_.:��.1_
VOLATILE ORGANIC COMPOUNDS
ACROLEtN
ACRYLONITRILE
BENZENE
BROMOFORM
CARBON
TETRACHLORIDE
CHLOROBENZENE
CHLORODtBROMO-
METHANE
•
CHLOROETHANE I
2-CHLOROETHYLVINYL
ETHER
CHLOROFORM
•
DICHLOROBROMO- 'I
METHANE
'
1.1-DICHLOROETHANE
1,2-DICHLOROETHANE
TRANS-1,2-DICHLORO-
ETHYLENE
1,1-DICHLORO- '
ETHYLENE
1,2-DICHLOROPROPANE
1,3-DICHLORO-
PROPYLENE
ETHYLBENZENE
1
METHYL BROMIDE
METHYL CHLORIDE
METHYLENE CHLORIDE
1,1,2,2-TETRA-
CHLOROETHANE
TETRACHLORO-
ETHYLENE
TOLUENE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 11 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
—T—ca.R..
—1-00uN e)c 1MacLles\rend ASGcc) & (o4,1
ek..)e..AuA.L
Outfall number: (Complete once for each outfall discharging effluent 10 waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
ANALYTICAL
METHOD
MLIMDL
1,1,1-
TRICHLOROETHANE
1,1,2-
TRICHLOROETHANE
TRICHLOROETHYLENE
VINYL CHLORIDE
Use this space (or a separate
sheet) to
provide information
on
other vola
de organic
compounds
requested
by the permit
writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
2-CHLOROPHENOL
2,4-DICHLOROPHENOL
2,4-DIMETHYLPHENOL
4,6-DIN ITRO-O-CRESOL
2,4-DINITROPHENOL
2-NITROPHENOL
4-NITROPHENOL
PENTACHLOROPHENOL
PHENOL
2,4,6-
TRICHLOROPHENOL
Use this space (or a separate
sheet) to
provide information
on
other acid
extractable
compounds
requested
by the permit
writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
ACENAPHTHYLENE
ANTHRACENE
BENZIDINE
BENZO(A)ANTHRACENE
BENZO(A)PYRENE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550.22.
Page 12 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
'Rem e 4.w/I L.
RIVER BASIN:
7— ), « ititots_leS P. el d tifc-- co'So ce(4.1
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
-:-.: '
— - - NT Ii
,,:;::,-;:,:_lw: _.;:k:,_.,- -;" 7 1 . - ,
401AX-----Tilt 0148: Oki , ,
1,"' '....--..:',717:---igiii01#4..410: 104GtPOLLU:
.._,
- rr..-
E--,,,,,,,
-r,-z.1
l:Ttib
;:-T-7-a1±,--,T: -.,..1;.1',..
--,-,---,;W-J,
. 41., _
c-:Aital-i.;;,
-so-;!?f,'....'
,-,
- iii-t
,_ I ., •
. : .,„.',.,.
-ili- ::
-....,.:a.:07-Li
;-' ' ;
.f.::.-:.'-',..-: '
Jttai-k-,
-..:.:71-1.:.',.
-----' •-:!::;t-k-t-
I —'
.---- — '
. UfriiiOr
' - ):-'-'1=2,-7--7,4-J--.--.'-8)
trt-----TIV---,..IS
_. . ' -
.t...:.4.:fi:- ..-, 1.:,-;-#--.:§h-'2,-'--,--.-
3,4 BENZO-
FLUORANTHENE
BENZO(GHI)PERYLENE
BENZO(K)
FLUORANTHENE
BIS (2-CHLOROETHOXY)
METHANE
BIS (2-CHLOROETHYL)-
ETHER
BIS (2-CHLOROISO-
PROPYL) ETHER
BIS (2-ETHYLHEXYL)
PHTHALATE
4-BROMOPHENYL
PHENYL ETHER ,I
•
BUTYL BENZYL i I
PHTHALATE
,
2-CHLORO- .1
NAPHTHALENE 1
.
.
4-CHLORPHENYL
PHENYL ETHER
•
CHRYSENE
-
DI-N-BUTYL PHTHALATE .
.
.
-
DI-N-OCTYL PHTHALATE
DIBENZO(A,H)
ANTHRACENE
1,2-DICHLOROBENZENE
1
1,3-DICHLOROBENZENE
1,4-DICHLOROBENZENE 1
1
3,3-DICHLORO-
BENZIDINE
DIETHYL PHTHALATE
DIMETHYL PHTHALATE
2,4-DINITROTOLUENE
2,6-DINITROTOLUENE
1,2-DIPHENYL-
HYDRAZINE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 13 of 22

FACILITY NAME AND PERMIT NUMBER:
`ram of M ccie5F. e.-1 ci. tJ C- cci5o(a c0 I
PERMIT ACTION REQUESTED:
1J G u> p L.
RIVER BASIN:
Tca.-,
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
ANALYTICAL
METHOD
MLJMDL
FLUORANTHENE
FLUORENE
HEXACHLOROBENZENE
HEXACHLORO-
BUTADIENE
HEXACHLOROCYCLO-
PENTADIENE
HEXACHLOROETHANE
INDENO(1,2,3-CD)
PYRENE
ISOPHORONE
NAPHTHALENE
NITROBENZENE
N-NITROSODI-N-
PROPYLAMINE
N-NITROSODI-
METHYLAMINE
N-NITROSODI-
PHENYLAMINE
PHENANTHRENE
PYRENE
1,2,4-
TRICHLOROBENZENE
Use this space (or a separate
sheet) to
provide information
on
other base
-neutral compounds
requested
by
the permi
writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99) Replaces EPA forms 7550-6 & 7550-22.
Page 14 of 22

FACILITY NAME AND PERMIT NUMBER:
TO u CS Maccl sge_ld 1`) c. Ca:60(0,1/44
PERMIT ACTION REQUESTED:
i lJe L. R.t.. •
RIVER BASIN:
-rm./L. . ,
•
-.� . ti,.
3ttiF..�:. i .•....
11. ,a
JIif •3{{.`{r•.. ' • fK :•' i .nf. x- •
,.i"c^
-. f' l•...i. -..4r Y..�.
S • . ,--�,
�;
'atLY.t i..Rs,zl3=.�� �ts�
•
ifY
it
{'
•?, y,..�%i.'. it
c'1
�.uY�f.'r e,
�-5K
.irs:s;_z�:�-i
— : ter � :.,
�t�Ae _ � '� � `�
„ Sjj! s
,
- ,, , _:� =:T,:a
, ��.:- � . � ' :. � �.�.�..�
�xr. s_s•.z i r } at-f:
z ' . 2 '=--� � ==`' ,: w :.
�- .,� ^ .��-•;
� f # � �.
5 s 3. 4.? c i
$.. :t; .i..
u
��/�� Dot
.b �,I,_
:a.�...-x: , r�A �,.
' ,, — , .,_ 'T` . _. 7
rf'�it
s _ .`�•' �:.-,: ��i7.:�c
POTWs meeting one or more
facility's discharge points:)
required to have one under
• At a minimum, these
species), or the results
show no appreciable
information on combined
using 40 CFR Part
requirements for
• In addition, submit
conducted during
toxicity reduction
• If you have already
requested in question
If test summaries)
If no biomonitoring data is
complete.
_ .. ._
�3.� — ' ::�.�:a ....+•+�.= .. - �:� _.�-X.-}.r ..d: ,_ .7J:3ti-x...�4 :]>`+-x _'`--.-::
of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
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
40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
from four tests performed at least annually in the four and one-half years prior to the application, provided the results
toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
sewer overflows in this section. All information reported must be based on data collected through analysis conducted
136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
standard methods for analytes not addressed by 40 CFR Part 136.
the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
'evaluation, if one was conducted.
submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
E.4 for previously submitted information. If EPA methods were not used, report the reasons for using altemate methods.
are available that contain all of the information requested below, they may be submitted in place of Part E.
required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
E.1. Required Tests.
Indicate the number
0 chronic
E.2. Individual Test Data.
column per test (where
of whole effluent
0 acute
Complete the
each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half nears. Allow one
constitutes a test). Copy this page
Test number.
if
more than three tests are being reported.
Test number:
Test number.
II
a. Test information.
Test Species & test method number
Age at Initiation of test
-
Outfall number
Dates sample collected
Date test started
•
Duration
b. Give toxicity test methods followed.
Manual title
Edition number and year of publication
il
Page number(s)
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
.
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 15 of 22

FACILITY NAME AND PERMIT NUMBER:
177ua 0 c.f. .044.c-c.10.59.e.1 d • tic Sow 1
PERMIT ACTION REQUESTED:
• F eiJ e-wa L.:. - . ...
RIVER
BASIN:
- Tc*fi
Test number: Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
i. Type of dilution water. If salt water, specify "naturar or type of artificial sea salts or brine used. •
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.. _
.
J
+3l- e -t, 'ry' '-' t�;`-
oa,n•4.,yx'`'
a
it. ., — `t— ;--v-e.. - t i 4._ i x
ix k , iyyix tr;Nk
N �'3C:.-+..•..tt*if4i�ws. c"Y..i .-.'.:: i�1.0
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
LC50
95% C.I.
%
Control percent survival
%
`Ye
cyo
Other (describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 16 of 22

FACILITY NAME AND PERMIT NUMBER:
I (A)...1 CD MacnJp5e ejc6
NC. co ota(o1
PERMIT ACTION REQUESTED:
f�' GIJ6u-DAL
RIVER
BASIN:
Tit.IZ,
Chronic:
NOEC
%
IC25
%
%
Control percent survival
%
To
cyo
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DD/YYYY)?
/
/
/ !
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes ❑ No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:•
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Face 17 el 22

FACILITY NAME AND PERMIT NUMBER:
b.—. 0.. Q of- Macr.lc,sFrt_jci t`1Goo5ocp(01
PERMIT ACTION REQUESTED:
tZ6►J(: uvAL.
RIVER BASIN:
-rQ.2.
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,
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (ClUs). Provide the number
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs.
or other remedial wastes must
of each of the following types of
questions F.3 through F.8 and
b. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
to the treatment works, copy
Supply the following information for each SIU. If more than one SIU discharges
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:
Mailing Address:
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
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):
Raw material(s):
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into
day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
the collection system in gallons per
discharged into the collection system
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits 0 Yes ❑ No
b. Categorical pretreatment standards ❑ Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
TowtJ o Ma-cc.Ie 5C e 1 d WJ G od Solo co !
PERMIT ACTION REQUESTED:
-Re x.J C i.1.) R L
RIVER BASIN:
-T'Q.#L
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) al the treatment works in the past three years?
❑ Yes ❑ No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ❑ No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck 0 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.) 0 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:
• IZE J e: wqL.
RIVER BASIN:
1 any
` --, w e c Mot.cc le..s- . e.Id. kW- 0060 (0(‘)I
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system, complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines, both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
c. Locations of in -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore (if applicable) ft.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this
❑ Rainfall ❑ CSO pollutant concentrations
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events (❑ actual or ❑ approx.)
CSO?
0 CSO frequency
b. Give the average duration per CSO event.
hours (0 actual or (2 approx.)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 20 of 22

FACILITY NAME AND PERMIT NUMBER:
1 CAww- c Mr cr i ss, 0-I d 1J C. c 5c c 1
PERMIT ACTION REQUESTED:
—R. e+) c= t&) A L.
RIVER BASIN:
-7-60:1-___
G.5.
G.6.
c. Give the average volume per CSO event.
million gallons (❑ actual or 0 approx.)
year
d. Give the minimum rainfall that caused a CSO event in the last
Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin:
(it known):
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known):
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 22

ion -he i//1e/- Cdviu Cfu/n