NC0086584_Fact Sheet_20210423

Fact Sheet
NPDES Permit No. NCOO86584
Permit Writer/Email Contact: Derek Denard / [e-mail]
Date: 23Apr2021
Division/Branch: NC Division of Water Resources/Water Quality Permitting Section
Compliance & Expediated Permitting Branch
Fact Sheet Template: Version 28Mar2019
Permitting Action:
❑X Renewal
❑ Renewal with Expansion
❑ New Discharge
❑ Modification (Fact Sheet should be tailored to mod request)
See Permit Application Attachment A
Complete applicable sections below. If not applicable, enter NA.
1. Basic Facility Information
Facility Information
Applicant/Facility Name:
Town of Belhaven / Belhaven WTP
Applicant Address:
PO Box 220, Belhaven, NC 27810-0220
Facility Address:
662 Harbinger St. Ext., Belhaven, NC 27810
Permitted Flow:
Not limited
Facility Type/Waste:
Water Treatment Plant — membrane technology - nanofiltration
Facility Class:
Grade I Physical Chemical WPCS
Treatment Units:
NA
Pretreatment Program (Y/N)
No
County:
Beaufort
Region
Washington
Briefly describe the proposed permitting action and facility background: The Town of Belhaven
requested renewal of permit NC0086584 for their WTP in Beaufort County. This treatment plant is a
membrane technology that utilizes nanofiltration of groundwater. The water source water consists of 3
wells. The membrane water treatment system has a 75% recovery rate in which 25% is converted to the
waste stream. Concentrated wastewater is pumped to a field ditch (channel) that flows —1.5 miles to
Pantego Creek. No treatment is applied to the wastewater. The frequency of discharge is intermittent,
discharging seven (7) days per week with a duration of 4 to 6 hours. The plant design potable flow rate is
Page 1 of 9

0.500 MGD with design reject flow of 0.22 MGD. The maximum, monthly average flow from Feb2020
to Ju12020 (4 Y2 years) is 0.0720 MGD [see Attachment B].
Chemical usage consists of:
• KL2000 (oil & grease, organics, particulates and bio foulants) cleaning use [see Attachment C -
MSDS] — Borates,Tetrasodium Salts; Decahydrates
• Vitec 5100 (scale inhibitor) pre -membrane [see Attachment D - MSDS] — Organo-phosphorous
compounds
• Citric Acid Anhydrous (hardness, scale and metal oxide) cleaning use.
2. Receivinz Waterbodv Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s):
Outfall 001 / UT to Pantego Creek
Stream Segment:
29-34-34-(2)
Stream Classification:
SC; NSW
Drainage Area (mi2):
Tidal
Summer 7Q10 (cfs)
Tidal
Winter 7Q10 (cfs):
Tidal
30Q2 (cfs):
Tidal
Average Flow (cfs):
Tidal
IWC (% effluent):
Tidal
303(d) listed/parameter:
Yes/Chlorophyll a, Copper, [See Attachment E]
Subject to TMDL/parameter:
Yes/Tar River TMDL/Nitrogen, Phosphorus
Basin/Sub-basin/HUC:
Tar -Pamlico / 03-03-07 / 030201040305
USGS Topo Quad:
Pantego
Page 2 of 9

3. Effluent Data Summary
Effluent data for Outfall 001 is summarized below for the period of Jan2016 through Jul2020.
Table. Effluent Data Summary Outfall 001 (Compete table below or insert Excel Pivot Table.)
Parameters
LIMITS
UMax Min Average Count MDL PQL MA DM UoM
pmhos/cm
10 2, 10 ug/I
mgd
ug/I
0.04, 3.18 mg/I
varies mg/I
mg/I
Not < 6.8 nor > 8.5 s.u. su
mg/I
mg/I
mg/I
1 ntu
10 10, 20 ug/I
Conductivity 3270 2090 2506.85 54
Copper, Total (as Cu) 10 10 10.00 17
Flow, in conduit or thru treatment plant 0.36 0.01 0.04 1618
Iron, Total (as Fe) 2788 1481 2274.72 18
Nitrogen, Ammonia Total (as N) - Concentration 3.69 0.04 2.77 54
Nitrogen, Total - Concentration 4.71 2.89 3.64 18
Oxygen, Dissolved (DO) 15.31 2.28 7.67 54
pH 7.34 6.9 54
Phosphorus, Total (as P) - Concentration 2.33 0.027 0.81 19
Salinity 1.71 1.07 1.28 54
Solids, Total Dissolved 2540 19.5 1928.92 54
Turbidity 19 1 4.93 54
Zinc, Total (as Zn) 11 10 10.06 18
MDL = method detection limit; PQL = practical quantitation limit; MA = monthly average limit; DM = daily maximum limit;
UoM = unit of measurement
4. Instream Data Summary
Instream monitoring may be required in certain situations, for example: 1) to verify model predictions
when model results for instream DO are within 1 mg/1 of instream standard at full permitted flow; 2) to
verify model predictions for outfall diffuser; 3) to provide data for future TMDL; 4) based on other
instream concerns. Instream monitoring may be conducted by the Permittee, and there are also
Monitoring Coalitions established in several basins that conduct instream sampling for the Permittee (in
which case instream monitoring is waived in the permit as long as coalition membership is maintained).
If applicable, summarize any instream data and what instream monitoring will be proposed for this
permit action: NA.
Is this facility a member of a Monitoring Coalition with waived instream monitoring (Y/N): NA.
Name of Monitoring Coalition: NA.
5. Compliance Summary
Summarize the compliance record with permit effluent limits (past 5 years): There was one NOD for a
November 2018 frequency violation for Total Copper. [See Attachment F_NC0086584_Monitoring
Report Violations _Jan2016_Jan2021_lp]
Summarize the compliance record with aquatic toxicity test limits and any second species test results (past
5 years): No failures in the past two years. See Attachment G WET Testing Summary 12-2020 HQ 8.
Summarize the results from the most recent compliance inspection: No issues noted in the last inspection.
See Attachment H NC0086584_Inspection_20200707_5p.
Page 3 of 9

6. Water Quality -Based Effluent Limitations (WQBELs)
Dilution and Mixing Zones
In accordance with 15A NCAC 2B.0206, the following streamflows are used for dilution considerations
for development of WQBELs: 1Q10 streamflow (acute Aquatic Life); 7Q10 streamflow (chronic Aquatic
Life; non -carcinogen HH); 30Q2 streamflow (aesthetics); annual average flow (carcinogen, HH).
If applicable, describe any other dilution factors considered (e.g., based on CORMIX model results): NA.
If applicable, describe any mixing zones established in accordance with 15A NCAC 2B. 0204(b): NA.
Oxygen -Consuming Waste Limitations
Limitations for oxygen -consuming waste (e.g., BOD) are generally based on water quality modeling to
ensure protection of the instream dissolved oxygen (DO) water quality standard. Secondary TBEL limits
(e.g., BOD= 30 mg/1 for Municipals) may be appropriate if deemed more stringent based on dilution and
model results.
If permit limits are more stringent than TBELs, describe how limits were developed: NA.
Ammonia and Total Residual Chlorine Limitations
Limitations for ammonia are based on protection of aquatic life utilizing an ammonia chronic criterion of
1.0 mg/1 (summer) and 1.8 mg/1 (winter). Acute ammonia limits are derived from chronic criteria,
utilizing a multiplication factor of 3 for Municipals and a multiplication factor of 5 for Non -Municipals.
Limitations for Total Residual Chlorine (TRC) are based on the NC water quality standard for protection
of aquatic life (17 ug/1) and capped at 28 ug/1 (acute impacts). Due to analytical issues, all TRC values
reported below 50 ug/1 are considered compliant with their permit limit.
Describe any proposed changes to ammonia and/or TRC limits for this permit renewal: No changes.
Reasonable Potential Analysis (RPA) for Toxicants
If applicable, conduct RPA analysis and complete information below.
The need for toxicant limits is based upon a demonstration of reasonable potential to exceed water quality
standards, a statistical evaluation that is conducted during every permit renewal utilizing the most recent
effluent data for each outfall. The RPA is conducted in accordance with 40 CFR 122.44 (d) (i). The NC
RPA procedure utilizes the following: 1) 95% Confidence Level/95% Probability; 2) assumption of zero
background; 3) use of Y2 detection limit for "less than" values; and 4) streamflows used for dilution
consideration based on 15A NCAC 2B.0206. Effective April 6, 2016, NC began implementation of
dissolved metals criteria in the RPA process in accordance with guidance titled NPDES Implementation of
Instream Dissolved Metals Standards, dated June 10, 2016.
A reasonable potential analysis was conducted on effluent toxicant data collected between Month 20xx
and Month 20xx. Pollutants of concern included toxicants with positive detections and associated water
Page 4 of 9

quality standards/criteria. Based on this analysis, the following permitting actions are proposed for this
permit:
• Monitoring for Total Copper has been reduced to quarterly because no detection was reported.
The method detection limit reported for Copper was < 10 µg/L. To evaluated compliance with the
water quality standards for Copper, the acute value of 5.80 µg/L and the chronic value of 3.70
µg/L, a practical quantitation limit (PQL) that is less than 3.70 µg/L is required. A PQL such as 2
µg/L would be preferred instead of 10 µg/L. According to the 2018 NC 303(d) list, Pantego
Creek is impaired for Copper and Chlorophyll a.
• Total Zinc data did not show reasonable potential to exceed water quality standards. Therefore,
monitoring for Zinc has been removed.
If applicable, attach a spreadsheet of the RPA results [See Attachment I_NC0086584 RPA 2020_4p] as
well as a copy of the Dissolved Metals Implementation Fact Sheet for freshwater/saltwater [See
Attachment J Fact Sheet Memo SW - Final 6-24-20163p] to this Fact Sheet. Include a printout of the
RPA Dissolved to Total Metal Calculator sheet if this is a Municipality with a Pretreatment Program.
Toxicity Testing Limitations
Permit limits and monitoring requirements for Whole Effluent Toxicity (WET) have been established in
accordance with Division guidance (per WET Memo, 8/2/1999). Per WET guidance, all NPDES permits
issued to Major facilities or any facility discharging "complex" wastewater (contains anything other than
domestic waste) will contain appropriate WET limits and monitoring requirements, with several
exceptions. The State has received prior EPA approval to use an Alternative WET Test Procedure in
NPDES permits, using single concentration screening tests, with multiple dilution follow-up upon a test
failure.
Describe proposed toxicity test requirement: Acute Toxicity Monitoring P/F (Mysidopsis bahia) @ 90%,
during the months of January, April, July, and October. See Section A. (2).
Mercury Statewide TMDL Evaluation
There is a statewide TMDL for mercury approved by EPA in 2012. The TMDL target was to comply with
EPA's mercury fish tissue criteria (0.3 mg/kg) for human health protection. The TMDL established a
wasteload allocation for point sources of 37 kg/year (81 lb/year) and is applicable to municipals and
industrial facilities with known mercury discharges. Given the small contribution of mercury from point
sources (-2% of total load), the TMDL emphasizes mercury minimization plans (MMPs) for point source
control. Municipal facilities > 2 MGD and discharging quantifiable levels of mercury (>1 ng/1) will
receive an MMP requirement. Industrials are evaluated on a case -by -case basis, depending on if mercury
is a pollutant of concern. Effluent limits may also be added if annual average effluent concentrations
exceed the WQBEL value (based on the NC WQS of 12 ng/1) and/or if any individual value exceeds a
TBEL value of 47 ng/1.
Describe proposed permit actions based on mercury evaluation: NA.
Page 5 of 9

Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs/Nutrient Management Strategies and their implementation
within this permit: NA.
Other WQBEL Considerations
If applicable, describe any other parameters of concern evaluated for WQBELs: NA.
If applicable, describe any special actions (HQW or ORW) this receiving stream and classification shall
comply with in order to protect the designated waterbody NA.
If applicable, describe any compliance schedules proposed for this permit renewal in accordance with
15A NCAC 2H.0107(c) (2) (B), 40CFR 122.47, and EPA May 2007 Memo: NA.
If applicable, describe any water quality standards variances proposed in accordance with NCGS 143-
215.3(e) and 15A NCAC 2B. 0226 for this permit renewal: NA.
7. Technology -Based Effluent Limitations (TBELs)
In accordance with the current WTP permitting strategy, no TBELs are required for membrane
technology WTPs. See Attachment K WTP Strategy revised October 2009 5 (Table 2.1).
8. Antidegradation Review (New/Expanding Discharge):
The objective of an antidegradation review is to ensure that a new or increased pollutant loading will not
degrade water quality. Permitting actions for new or expanding discharges require an antidegradation
review in accordance with 15A NCAC 2B.0201. Each applicant for a new/expanding NPDES permit
must document an effort to consider non -discharge alternatives per 15A NCAC 2H.0105( c)(2). In all
cases, existing instream water uses and the level of water quality necessary to protect the existing use is
maintained and protected.
If applicable, describe the results of the antidegradation review, including the Engineering Alternatives
Analysis (EAA) and any water quality modeling results: NA.
9. Antibacksliding Review:
Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40 CFR 122.44(1) prohibit
backsliding of effluent limitations in NPDES permits. These provisions require effluent limitations in a
reissued permit to be as stringent as those in the previous permit, with some exceptions where limitations
may be relaxed (e.g., based on new information, increases in production may warrant less stringent TBEL
limits, or WQBELs may be less stringent based on updated RPA or dilution).
Are any effluent limitations less stringent than previous permit (YES/NO): NO
If YES, confirm that antibacksliding provisions are not violated: NA.
Page 6 of 9

10. Monitoring Requirements
Monitoring frequencies for NPDES permitting are established in accordance with the following
regulations and guidance: 1) State Regulation for Surface Water Monitoring, 15A NCAC 2B.0500; 2)
NPDES Guidance, Monitoring Frequency for Toxic Substances (7/15/2010 Memo); 3) NPDES Guidance,
Reduced Monitoring Frequencies for Facilities with Superior Compliance (10/22/2012 Memo); 4) Best
Professional Judgement (BPJ). Per US EPA (Interim Guidance, 1996), monitoring requirements are not
considered effluent limitations under Section 402(o) of the Clean Water Act, and therefore anti -
backsliding prohibitions would not be triggered by reductions in monitoring frequencies.
For instream monitoring, refer to Section 4.
11. Electronic Reporting Requirements
The US EPA NPDES Electronic Reporting Rule was finalized on December 21, 2015. Effective
December 21, 2016, NPDES regulated facilities are required to submit Discharge Monitoring Reports
(DMRs) electronically. Effective December 21, 2020, NPDES regulated facilities will be required to
submit additional NPDES reports electronically. This permit contains the requirements for electronic
reporting, consistent with Federal requirements.
12. Summary of Proposed Permitting Actions:
A. Table. Current Permit Conditions and Proposed Changes — Outfall 001
See Attachment K WTP Strategy revised October 2009 5 (Table 2.1).
Parameter
Current Permit
Proposed
Change
Basis for Condition/Change
Flow (mgd)
Monitor & Report
No change
15A NCAC 2B .0505
Salinity (ppth)
Monitor & Report
No change
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (16)
Conductivity (umhos/cm)
Monitor & Report
No change
WTP Strategy
pH (su)
6.8 - 8.5 SU
No change
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (12)
Dissolved Oxygen (mg/1)
Monitor & Report
No change
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (5)
Total Dissolved Solids (mg/1)
Monitor & Report
No change
WTP Strategy
Turbidity (ntu)
Monitor & Report
No change
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (19)
Total Copper (µg/1)
Monitor & Report
No change
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (9)
Page 7 of 9

Total Zinc (µg/1)
Monitor & Report
Remove
monitoring
based on RPA
WQBEL. State WQ standard, 15A
NCAC 02B .0220 (9)
Total Iron (1.tg/1)
Monitor & Report
No change
WTP Strategy
Ammonia Nitrogen (mg/1)
Monitor & Report
No change
WQBEL. Based on protection of
State WQ criteria. 15A NCAC
2B.0200
Total Nitrogen (TN) (mg/1)
Monitor & Report
No change
WQBEL. Required individual
TN/TP nutrient limits per 2015
Tar -Pamlico permitting strategy,
and to comply with NC chl-a
WQS. 15A NCAC 2B.0200
Total Phosphorus (TP) (mg/1)
Monitor & Report
No change
WQBEL. Required individual
TN/TP nutrient limits per 2015
Tar -Pamlico permitting strategy,
and to comply with NC chl-a
WQS. 15A NCAC 2B.0200
Whole Effluent Toxicity
Monitor & Report
No change
WQBEL. No toxics in toxic
amounts. 15A NCAC 2B.0200
and 15A NCAC 2B.0500
MGD — Million gallons per day, MA - Monthly Average, WA — Weekly Average, DM — Daily Max
1. Monitoring for Total Copper has been reduced to quarterly because no detection was reported.
The method detection limit reported for Copper was < 10 µg/L. To evaluated compliance with the
water quality standards for Copper, the acute value of 5.80 µg/L and the chronic value of 3.70
µg/L, a practical quantitation limit (PQL) that is less than 3.70 µg/L is required. A PQL such as 2
µg/L would be preferred instead of 10 µg/L. Please note that permit Part II, Section D.4. requires
the following:
To meet the intent of the monitoring required by this permit, all test procedures must
produce minimum detection and reporting levels that are below the permit discharge
requirements and all data generated must be reported down to the minimum detection or
lower reporting level of the procedure. If no approved methods are determined capable of
achieving minimum detection and reporting levels below permit discharge requirements,
then the most sensitive (method with the lowest possible detection and reporting level)
approved method must be used.
According to the 2018 NC 303(d) list, Pantego Creek is impaired for Copper and Chlorophyll a.
[See Attachment E.]
2. Total Zinc data did not show reasonable potential to exceed water quality standards. Therefore,
monitoring for Zinc has been removed.
3. The permit map was updated.
Page 8 of 9

13. Public Notice Schedule:
Permit to Public Notice: 09/02/2020 [See Attachment L_Affidavit of Publication -The Washington Daily
News 202009021p]
Per 15A NCAC 2H .0109 & .0111, The Division will receive comments for a period of 30 days following
the publication date of the public notice. Any request for a public hearing shall be submitted to the
Director within the 30 days comment period indicating the interest of the party filing such request and the
reasons why a hearing is warranted.
14. Fact Sheet Addendum (if applicable):
Were there any changes made since the Draft Permit was public noticed (Yes/No): No.
If Yes, list changes and their basis below: NA.
15. Fact Sheet Attachments (list in order of reference):
A. NC0086584 Renewal (Application)_20190411_6p
B. NC0086584 DMR FLOW DATA Feb2016 Ju12020_2p
C. MSDS_KL_2000MCC2_3p
D. MSDSVitec 510010p
E. 2018-NC-303-d--List-Final 157
F. NC0086584 Monitoring Report Violations _Jan2016_Jan2021_lp
G. WET Testing Summary 12-2020 HQ 8
H. NC0086584_Inspection _20200707_5p
I. NC0086584 RPA 2020 4p
J. Fact Sheet Memo SW - Final 6-24-20163p
K. WTP Strategy revised October 2009 5
L. Affidavit of Publication -The Washington Daily News _20200902_lp
M. Aquatic Tox Branch Comments 20200827_2p
N. Regional Office Comments _20200827_3p
O. Email Draft NPDES Permit NC0086584 20200828
P. Permittee Comments 202009141p
Q. Peer Review _20200918_lp
R. R Electronic Transmittal Receipt_ Stephen Hall 20210418_2p
Page 9 of 9

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
April 23, 2019
Stephen Hall, Director Public Works
Town of Belhaven
PO Box 220
Belhaven, NC 27810-0220
Subject: Permit Renewal
Application No. NC0086584
Belhaven WTP
Beaufort County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 11, 2019 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Sincerely, (61391
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 1943 Washington Square Mali 1 Washington, North Ca ro€ina 27339
252-843-9481

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number
NC0086584
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Town of Belhaven
Belhaven Water Treatment Facility
PO BOX 220
Belhaven
RECEIVE0/DENR/DWR
NC, 27810
AlH 112019
[phone]
[phone]
Water Re ources
Permitting Scction
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 662 Harbinger St. Ext.
City
State / Zip Code
County
Belhaven
NC, 27810
Beaufort
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
4. Ownership Status:
Federal ❑
Stephen Albert Hall
PO BOX 220
Belhaven
NC, 27810
[phone]
[phone]
State ❑
Private ❑ Public
Page 1 of 3 '• Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
® Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
0
6. Description of source water(s) (ie. groundwater, surface water)
Ground Water
7.Describe the treatment process(es) for the raw water:
Concentrated (waste) Discharge is pumped to a field ditch and flows approx. 1.5 miles to
Pantego Creek receiving waters. No Treatment is applied to the wastewater.
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Water is pumped via 3 wells to the facility where it is pumped through the membrane
system. There is a 75% recovery rate where 25% is converted to waste and
discharged to a field ditch. No treatment is applied to the waste discharge.
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge:
Continuous ❑ Intermittent ED
If intermittent:
Days per week discharge occurs: 7 Duration: 4 to 6 hours
11. Plant design potable flowrate 0.500 MGD
Backwash or reject flow 0.22 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Pantego Creek
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate
Yes No x
Page 2 of 3 Version 5/2012

Signature of Applicant Date
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Iron sulfate / ferrous sulfate
Fluoride Yes No x
Ammonia nitrogen / Chloramines
Yes No x
Yes No x
Zinc -orthophosphate or sweetwater CP1236 Yes No x
List any other additives below:
KL 2000 ( oil and grease, organics, particulates and bio foulants) cleaning use
Vitec 5100 (scale inhibitor) pre -membrane
Citric Acid Anhydrous ( hardness, scale and metal oxide) cleaning use
Sulfuric Acid @ 93% H2So4 ( sulfide conversion) pre -membrane
14. Is this facility located on Indian country? (check one)
Yes ❑
No
15. Additional Information:
• Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
• Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
• New applicants are highly encouraged to contact a permit coordinator with the
NCDENR Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes D No
• Analyses of source water collected
• Engineering Alternative Analysis
✓ Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Stephen Albert Hall ORC Water Treatment Facility
Printed name of Person Signing Title
al.hil— 4-4( //e3A ,
North Carolina General Statute 143-215.6 (b)(2) provides that Any person who knowingly makes any false statement representation, or certification in any application,
record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that
Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by
imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5
years, or both, for a similar offense.)
Page 3 of 3 Version 5/2012

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Row Labels Average of Value
Flow, in conduit or thru treatment plant 0.0363
2016 0.0400
2 0.0407
3 0.0385
4 0.0382
5 0.0385
6 0.0403
7 0.0404
8 0.0720
9 0.0333
10 0.0344
11 0.0323
12 0.0312
2017 0.0334
1 0.0324
2 0.0301
3 0.0289
4 0.0318
5 0.0324
6 0.0336
7 0.0317
8 0.0402
9 0.0400
10 0.0361
11 0.0338
12 0.0335
2018 0.0357
1 0.0556
2 0.0328
3 0.0316
4 0.0338
5 0.0341
6 0.0390
7 0.0339
8 0.0355
9 0.0329
10 0.0332
11 0.0337
12 0.0322
2019 0.0357
1 0.0319
2 0.0305
3 0.0318
4 0.0318
5 0.0371
6 0.0381
7 0.0411
8 0.0398
9 0.0365
10 0.0369
11 0.0370
12 0.0353
2020 0.0372
1 0.0353

2 0.0347
3 0.0344
4 0.0355
5 0.0389
6 0.0402
7 0.0412
maximum, monthly average 0.0720

Material Safety Data Sheet
May be used to comply with
OSHA's Hazard Communication Standard.
29 CFR 1910.1200. Standard must be
consulted for specific requirements.
U.S. Department of Labor
Occupation Safety and Health Administration
(Non -Mandatory Form)
Form Approved
OMB No. 1218-0072
IDENTITY (As Used on Label and List)
KL 2000
Powder Membrane Cleaner
Note: Blank spaces are not permitted. If any item is not applicable or no
information is available, the space must be marked to indicate that.
Section I
Manufacturer's Name
King Lee Technologies
Emergency Telephone Number
1-800-424-9300 (Chemtrec)
Address (Number, Street, City, State and ZIP Code)
8949 Kenamar Drive Bldg. 107
Telephone Number for Information
[phone]
San Diego, CA 92121
Date Prepared
April 12, 2011
Signature of Preparer (Optional)
Section II - Hazardous Ingredients/Identity Information
Other Limits
Hazardous Components (Specific Chemical Identity: Common Name(s)) OSHA PEL ACGIH TLV
Recommended % (optional)
This product is a proprietary formulation of generally available chemical ingredients.
Complying with 29 CFR 1910.1200 (d), each ingredient in this formulation has been reviewed with the "Guide
to Occupational Exposure Values - 1995" published by ACGIH. Only the following ingredients have listed occupational
exposure values:
OSHA-PEL
Borates, Tetrasodium Salts 10 mg/M3
Decahydrate (CAS 1303-96-4)
ACGIH-TLV NIOSH-RELs
5mg/M3 5mg/M3
Section III - Physical/Chemical Characteristics Powder (NA=Not Applicable)
Boiling Point
NA
Specific Gravity (H20=1)
NA
Vapor Pressure (mm Hg.)
NA
Melting Point
>100°C
Vapor Density (AIR= 1)
NA
Evaporation Rate
(Butyl Acetate= 1)
NA
Solubility in Water
Completely Soluble
Appearance and Odor
Colorless to slightly tan powder with slight odor
Section IV - Fire and Explosion Hazard Data
Flash Point (Method Used)
Not Flammable
(Flammable Limits)
Not Flammable
LEL
NA
LEL
NA
Extinguishing Media
No Restrictions
Special Fire Fighting Procedures
Persons exposed to products of combustion should wear
self-contained breathing apparatus and full protective equipment.
Unusual Fire and Explosion Hazards
None known.

KL 2000
April 12, 2011
Section V - Reactivity Data
Stability
Unstable
Conditions to Avoid
Avoid moisture, heat and direct sun.
Stable
X
ncompatibility (Materials to Avoi
Acids (produces carbon dioxide gas).
Hazardous Decomposition or Byproducts
No known hazardous products.
Hazardous
Polymerization
May Occur
Conditions to Avoid
NA
Will Not Occur
X
Section VI - Health Hazard Data
Route(s) of Entry: Inhalation?
Skin?
Ingestion?
Health Hazards (Acute and Chronic) Eye Contact: May cause burns.
Skin Contact: Prolonged contact may cause irritation.
Inhalation: May cause irritation of airways.
Ingestion: May cause gastrointestinal irritation
Carcinogenicity:
NTP? IARC Monographs? OSHA Regulated?
NO NO NO
Signs and Symptoms of Exposure
Irritation and burning of eyes, skin, or respiratory tract.
Medical Conditions
Generally Aggravated by Exposure Asthma, Exposed wounds.
Emergency and First Aid Procedures
Eyes and skin - flush eyes with excess water for at least 15 minutes. Wash from skin with soap and water.
Inhaled - Remove subject to fresh air. Ingestion- rinse mouth and throat. Drink water or milk.
In all cases, call or see a physician.
Section VII - Precautions for Safe Handling and Use
Steps to Be Taken in Case Material is Released or Spilled
Sweep up spilled material. Flush ground or surfaces with water.
Waste Disposal Method
Follow normal chemical waste disposal procedure either as a powder
or dissolved in water and dispose as liquid.
Precautions to Be Taken in Handling and Storing
Store in cool dry location away from sunlight
Other Precautions
Avoid dust and contact. Wear protective equipment if possible.
Section VIII - Control Measures
Respiratory Protection (Specific Type)
Use NIOSH approved respirator if conditions warrant.
Ventilation Local Exhaust Special
Use in well ventilated areas.
Mechanical (General)
Other
Protective Gloves
Water impenetrable gloves that can be washed
Eye Protection
Chemical safety goggles recommendable
Other Protective Clothing or Equipment
Work overalls would prevent contamination of street clothes.
Work/Hygienic Practices
Wash gloves and hands before touching anything else.
Page 2

KL 2000 April 12, 2011
Section IX - Transportation Information
DOT Hazardous Classification -
Not considered hazardous by the U.S. Deparinient of Transportation (DOT)
TDG Canadian Transpotation -
Not considered hazardous under Transportation of Dangerous Goods (TDG)
International Transportation -
Products has no UN number, and is not regulated under international rail, road, water or air transport regulations.
Section X - Ecological Information
This powder cleaner is water soluble to give a mildly alkaline non -toxic solution.
Section XI - Regulatory Information
This product is certified under ANSI -NSF Standard 60 for the production of drinking water with reverse
osmosis membranes as off-line cleaner. Ratings under Hazardous Materials Identification System (H.M.I.S.):
Health=2; F=O; R=0; P=0.
Section XII - Other Information
None.
Page 3

GMEI
Avista Vitec© 5100
TECH N 0 L O G I ES SAFETY DATA SHEET
1.4
1.5
1. Company and Product Identification
Identification — Product Name:
Other means of identification
Synonym:
Recommended Use Of The Chemical
and Restrictions On Use:
Name, Address, And Telephone Number Of
The Manufacturer, Or Other Responsible Party:
Competent Person email address
24 Hour Emergency No.:
191SF. % DRINKING WATER TREATMENT ADDITIVES CLASSIFIED BY NSF
INTERNATIONAL TO ANSI/NSF 60 AS STANDARD DRINKING WATER
TREATMENT CHEMICAL FOR USE IN REVERSE OSMOSIS SYSTEMS AT A
MAXIMUM LEVEL OF 13 mg/I.
Vitec° 5100
Organo-phosphorous compounds
Mixture, none
Reverse osmosis membrane antiscalant
Use only as directed on the label.
AVISTA TECHNOLOGIES
140 Bosstick. Street
San Marcos, CA 92069
[phone]
[e-mail]
1-800-424-9300 (United States)
1-202-483-7616 (International. Collect)
2. HAZARDS IDENTIFICATION
EMERGENCY OVERVIEW: This product is amber to light yellow water -based solution with a light disinfectant odor. This
product may irritate contaminated tissue. This product is neither reactive nor flammable.
Physical Hazards Summary
Potential Health Hazards Summary
Potential Ecological Effects. Summary
2.1 Classification Of Product
None
Skin corrosion/irritation, Category 3
H315 Causes skin irritation
H319 Causes serious eye imitation
None
Skin, eye irritant
U.S. OSHA classification
Skin corrosion/irritation, Category 3
Classification as per EC 1272/2008 H315 Causes skin imitation
(CLP/GHS) H319 Causes serious eye irritation
WHMIIS classification D2B - Poisonous andinfectious material - Other effects — Toxic
VITEC© 5100 PUBLIC GHS SDS
PAGE 1OF11

Hazardous Materials Information
System (HMIS) Rating
2.2 Label Elements OSHA/GHS
PysYcal I�uzard R
Protective Equipment
General Warnings P101 If medical advice is needed, have product container or label at hand..
P102 Keep out of reach of children.
P103 Read label before use.
Signal Word WARNING!
Hazard statements H315 Causes skin irritation
H 319 Causes serious eye irritation
H335 May cause respiratory irritation
Precautionary statements P271 Use only outdoors or in a well -ventilated area.
P281 Use personal protective equipment as required.
P312 IF SWALLOWED: Call a .POISON CENTER or doctor/physician if
P302/P352 you feel unwell.
P261 Avoid breathingdust/ fume/ gas/ mist/ vapours/ spray.
P305 + P351 P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for
+ P338 several minutes. Remove contact lenses, if present and easy to .do.
Continue. rinsing.
Hazard pictograms
2.3 Unclassified Hazards None
2.4 Ingredients with unknown acute None
toxicity
3. COMPOSITION and INFORMATION ON INGREDIENTS
Chemical name
CAS#
EINECS #
% w/w
US OSHA
GIIS/EU CLP
WIIMIS
Deflocculant & Sequestrant
Proprietary
Proprietary
10-20
Corrosive
Skin corrosion/irritation,
Category 3
H319 Causes serious eye.
irritation
P305 +P351 +P338 IF
IN EYES: Rinse
cautiously with water for
several minutes: Remove
contact lenses, if present
and easy to do. Continue
rinsing.
Keep out of reach of
E, corrosive
VIMEC° 5100 PUBLIC GHS SDS
PAGE 2OF11

children.
Keep away from food,
drink and animal feeding
stuffs.
Avoid contact with skin.
Avoid contact with eyes.
In case of contact with
eyes, rinse immediately
with plenty of water and
seek medical advice.
Wear suitable protective
clothing. If swallowed,
seek medical advice
immediately and show
this container or label
Phosphonic acid derivative
Proprietary
Proprietary
5-15
Corrosive
Skin corrosion/uritation,
Category 3
H319 Causes serious eye
irritation
P305 +P351 +P3381F
IN EYES: Rinse
cautiously with water for
several minutes. Remove
contact lenses, if present.
and easy to do. Continue
rinsing.
Keep out of reach of
children.
Keep away from food,
drink and animal feeding
stuffs.
Avoid contact with skin.
Avoid contact with eyes.
In case of contact with
eyes, rinse immediately
E, corrosive
with plenty of water and
seek medical advice.
Wear suitable protective
clothing. If swallowed,
seek medical advice
immediately and show
this container or label
Because of pH adjustment, product is not corrosive, but is a skin/eye irritant
NE = Not Established. C = Ceiling Limit See Section 16 for Definitions of Terms Used.
VITEC° 5100 PUBLIC GHS SDS
PAGE3OF11

4. FIRST -AID MEASURES.
4.1 Description of Necessary Measures
Skin exposure: If this product contaminates the skin, immediately begin decontamination with
running water. Remove exposed or contaminated clothing, taking care not to
contaminate eyes. Victim should seek immediate medical attention if any
adverse exposure symptoms develop.
Eye. exposure: If this product enters the eyes, open victim's eyes while under gently running
water. Use sufficient force to open eyelids. Have victim "roll" eyes. Minimum
flushing is for 15 minutes., Victim must seek medical attention.
Inhalation: If vapors, mists, or sprays of this product are inhaled, remove victim to fresh air.
If necessary, use artificial respiration to support vital functions. Remove or
cover gross contamination to avoid exposure to rescuers.
Ingestion: If this product is swallowed, CALL PHYSICIAN OR POISON CONTROL
CENTER FOR MOST CURRENT INFORMATION. DO NOT INDUCE
VOMITING. Have victim rinse mouth with water, if conscious. Never induce
vomiting or give a diluent (e.g., water) to someone who is unconscious, having
convulsions, or unable to swallow. If contaminated individual is convulsing,
maintain an open airway and obtain immediate medical attention.
4.2 Most Important Symptoms/Effects: Immediate: Inhalation exposure may cause coughing or sneezing. Symptoms
of skin and eye contact may include redness and irritation. Ingestion may cause
stomach pains, cramps, and gastritis.
Delayed: Prolonged or repeated skin overexposure to this product may cause
dermatitis (dry, red skin). Symptoms may include tingling, redness, and visible.
injury.
4.3 Indication Of Immediate Medical TARGET ORGANS: Acute: Skin, eyes. Chronic: Skin.
Attention And Special Treatment Needed,
If Necessary:
Victims of chemical exposure must be taken for medical attention if any adverse effects occur. .Rescuers should be taken for medical
attention if necessary. Take a copy of label and MSDS to physician or health professional with victim.
5. FIRE -FIGHTING MEASURES
Flammable properties Non-flammable aqueous solution
OTHER.
See Section 16 for
definitions of ratings
Flash Point. °C (°F): Not applicable..
Autoignition Temperature °C (°F): Not applicable.
Flammable Limits (in air by volume, %):
Upper: Not applicable:
Lower. Not applicable.
VITEC© 5100 PUBLIC GHS SDS
PAGE4OF11

5.1 Suitable And Unsuitable Extinguishing This material will not contribute to the intensity of a fire. Use. extinguishing
Media: material suitable to the surrounding fire.
Water spray YES Carbon dioxide YES
Foam YES Dry chemical YES
Halon YES Other YES
5.2 Specific Hazards Arising From Chemical: When involved in a fire, this material may decompose and produce irritating
fumes and toxic gases (e.g., carbon monoxide, carbon dioxide, and phosphorous
oxides).
Explosion Sensitivity to Mechanical Impact: Not sensitive.
Explosion Sensitivity to Static Discharge: Not sensitive.
5.3 Special Protective Equipment And Incipient fire responders should wear eye protection. Structural firefighters must
Precautions For Fire -Fighters: wear Self -Contained Breathing Apparatus and full protective equipment. Move
containers from fire area if it can be done without risk to personnel. If possible,
prevent runoff water from entering storm drains, bodies of water, or other
environmentally sensitive areas.
6. ACCIDENTAL RELEASE MEASURES
6.1 Personal Precautions Uncontrolled releases should be responded to by trained personnel using pre -
planned procedures. Proper protective equipment should be used. In case of a
spill, clear the affected area and protect people.
Protective equipment For small releases (< 5 gallons), clean up spilled liquid wearing gloves, goggles,
faceshield, and suitable body protection. The minimum. Personal Protective.
Equipment recommended for response to non -incidental releases (more than 5
gallons) should be Level B: triple -gloves (neoprene gloves and nitrile gloves
over latex gloves), chemical resistant suit and boots, hard hat, and Self
Contained Breathing, Apparatus.
Emergency procedures Monitoring must indicate that exposure levels are below those provided in
Section 3 (Composition and Information on Ingredients) and that oxygen levels
are above 19.5% before anyone is permitted in the area without Self -Contained
Breathing Apparatus.
6.2 Methods and Materials for Containment and Soak up or wet vacuum spilled liquid. Neutralize residue with sodium
Cleaning Up bicarbonate or other neutralizing agent for dilute acids. Decontaminate the area
thoroughly. Test area with litmus paper to ensure neutralization. Place all spill
residues in a suitable container. Dispose of in accordance with applicable U.S
Federal, State, or local procedures, or appropriate local standards (see Section
13, Disposal Considerations).
7.1 Precautions for Safe Handling
7.2 Conditions For Safe Storage
7. HANDLING and STORAGE
All employees who handle this material should be trained to handle it safely. Open containers
carefully on a stable surface. Empty containers may contain residual liquid; therefore,
empty containers should be handled with care.
As with all chemicals, avoid getting this product ON YOU or. IN YOU. Wash thoroughly
after handling this product. Do not eat or drink while handling this material. Avoid
generating mists and sprays of this product. Remove contaminated clothing immediately.
During equipment maintenance follow practices indicated in Section 6 (Accidental Release
Measures) to decontaminate equipment or clean-up small spills. Make certain that application
equipment is locked and tagged -out safely if necessary. Collect all rinsates and dispose of
according to applicable U.S. Federal, State, or local procedures or appropriate local standards.
Store containers in a cool, dry location, away from direct sunlight, sources of intense heat, or
where freezing is possible. Store away from incompatible materials. Material should be
stored in secondary containers, or in a diked area, as appropriate. Storage and use areas
should be covered with impervious materials. Keep container tightly closed when not in use.
If appropriate, post warning signs in storage and use areas. Inspect all incoming containers
before storage, to ensure containers are properly labeled and not damaged.
Incompatibilities Strong bases, strong oxidizers, very strong acids, water reactive materials.
VITEC° 5100 PUBLIC GHS SDS PAGE 5 OF 11

8. EXPOSURE CONTROLS - PERSONAL PROTECTION
8.1 Control Parameters
CHEMICAL NAME
CAS #
% w/w
EXPOSURE L1M1TS'IN AIR
ACGIH-TLV
OSHA-PEL
NIOSH
IDLH
mg/m3
OTHER
mg/m3
TWA
mg/m3
STEL
maim'
TWA
mg/m3
STEL
mg/m3
De uestrant lant &
Sequestr
Proprietary
10-20
NE
NE
NE
NE
NE
NE
Phosphonic acid derivative
Proprietary
5-15
NE
NE
NE
NE
N'E
NE
Water and other components which are present in
less than 1 percent concentration (0.1%
concentration for potential carcinogens,
reproductive toxins, respiratory tract sensitizers
and mutagens).
Balance
None of the other components contribute significant additional hazards at the concentration present in
this product. All pertinenthazard information has been provided in this document, per the requirements
of the Federal Occupational Safety and Health Administration Standard (29 CFR 1910.1200), U.S.. State
equivalent Standards and Canadian Workplace Hazardous Materials Identification System Standards
(CPR 4).
8.2 Appropriate Engineering Controls.
8.3 Personal Protective Equipment
Respiratory protection:
Eye protection:
Hand protection:
Body protection:
Use with adequate ventilation to ensure exposure levels are maintained below
the limits provided in this Section or as low as reasonably achievable: Ensure
eyewash/safety shower stations are available near areas where this product is
used.
None needed under normal conditions of use. Use NIOSH approvedrespirators
if ventilation is inadequate to control mists or. vapor. If respiratory protection is
needed, use only protection authorized in the U.S. Federal OSHA Standard (29
CFR 1910.134), applicable U.S. State regulations, or the applicable local
standards. Oxygen levels below 19.5% are considered IDLH by OSHA. In such
atmospheres, use of a full -face piece pressure/demand SCBA or a full -face
piece, supplied air respirator with auxiliary self-contained air supply is required
under OSHA's Respiratory Protection Standard (1910.134-1998).
Use approved safety goggles or safety glasses, as described in OSHA 29 CFR
1910.133. Splash goggles with a faceshield may be needed if splash hazards
exist.
Wear chemical impervious gloves (e.g., Neoprene or Nitrile).
If needed, use body protection appropriate for task (e.g., Tyvek suit, rubber
apron) to protect from splashes and sprays.
9. PHYSICAL and CHEMICAL PROPERTIES
Appearance
Odor
Melting Point °C
Initial Boiling Point °C
Flammability
Vapor Density (air =1)
Solubility (in water)
Viscosity
Decomposition Temperature
How To Detect This Substance
(Warning Properties):
This product is a clear, amber liquid with a lightdisinfectant odor.
Light disinfectant odor
Similar to water
100
Non-flarnmable
Similar to water
Soluble
Similar to water
Odor Threshold
pH (2% solution)
Boiling Point Range °C
Evaporation. Rate (water =1)
Vapor Pressure'mm. Hg @ 20°C:
Relative density (water =1)
Oil -Water Partition Coefficient. N/A
N/A
5.0 — 6.5
N/A
Similar to water
18
1.10 ± 0.05'
N/A
The color and odor may act as warning properties associated with this product.
VITEC© 5100 PUBLIC GHS SDS
PAGE 6 OF 11

10. STABILITY and. REACTIVITY
10.1 Reactivity Not considered reactive.
10.2 Chemical Stability Stable
10.3 Possibility of hazardous reactions Hazardous polymerization will not occur.
10.4 Conditions to avoid Avoid mixing with incompatible materials.
10.5 Incompatible Materials Strong bases, strong oxidizers, very strong acids, water reactive materials.
10.6 Hazardous Decomposition Products Thermal decomposition of this product may generate carbon monoxide, carbon
dioxide, and phosphorus oxides.
11. TOXICOLOGICAL INFORMATION
11.1
Information on Toxicological Effects
Toxicity data for
hazardous ingredients
Oral I Dso mpg
Dermal
LD50 mg/kg
Inhalation
.LD50 mg/kg
Deflocculant & Sequestrant
LD50 (Oral -Rat) 2100 mg/kg
LD 0 (Skin -Rabbit) > 6310 mg/kg
LD50 (Oral -Quail) > 2510 mg/kg
LD5o (Oral -Duck) > 2510 mg/kg
TDLo (Oral -Rat) 1302 mg/kg/31 days -
intermittent: Kidney, Urethra, Bladder. other
changes in urine composition; Nutritional and
Gross Metabolic: weight loss or decreased weight
gain, changes its sodium.
Standard Draize Test (Skin-
Rabbit) 500 mg/24 hours
Standard Draize Test (Eye-
Rabbit) 100 mg: Moderate
N/A
Phosphonic acid derivative
N/A
N/A
N/A.
Potential routes of exposure
Inhalation, skin contact, eye contact
Potential effects of acute over -exposure
Inhalation exposure may cause tingling, coughing, sneezing, and difficulty breathing. Symptomsof skin and
eye contact may include redness and irritation. Ingestion may cause stomachpains, cramps, and gastritis.
Potential effects of chronic over -exposure
Prolonged or repeated skin overexposure to this product may cause dermatitis (dry, red skin). Symptoms may
include tingling, redness, and visible injury.
Symptoms of over -exposure
Immediate: Inhalation exposure may cause tingling, coughing, sneezing, and difficulty breathing. Symptoms
of skin and eye contact may include redness and irritation. Ingestion may cause stomachpains, cramps, and
gastritis.
Delayed: Prolonged or repeated skin overexposure to this product may cause dermatitis (dry, red skin).
Symptoms may include tingling, redness, and visible injury.
Conditions aggravated by over -exposure
Preexisting dermatitis, other skin conditions, and respiratory conditions may be aggravated by exposures to this
product
Recommendations to physicians:
Treat symptoms and eliminate exposure.
Irritation
YES This product can be irritating to contaminated tissue.
Sensitization
NO
Carcinogenicity
NTP
IARC
US OSHA
CAL OSHA
67/548 EEC
Annex 1
NO
NO
NO
NO
NO
Mutagenicity
NO
Reproductive toxicity
NO
Biological Exposure Index
N/A
Other potential health effects
Currently, there are no Biological Exposure Indices (BEls) for any component of this product.
VITEC© 5100 PUBLIC GHS SDS
PAGE7OF11

12. ECOLOGICAL INFORMATION
ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION
12.1
Ecotoxicity
NOEC, ppm
IC25i ppm (Inhibition Concentration)
Vitec© 5100
Aquatic
Ceriodaphnia dubia 25
Pirnephales promelas >1000
49.0
>1000
Terrestrial
N/A
N/A
12.2
Persistence and Degradability
The components of this product decompose in soil and water.
12.3
Bioaccumulative Potential
The components of this product are not expected to bioaccumulate.
12.4
Mobility in Soil
Moderately mobile.
12.5
Other Adverse Ecological Effects
This product may be harmful to aquaticlife
aquatic environment.
if large volumes of it are released into an
13. DISPOSAL CONSIDERATIONS
Preparing Wastes of this Product for Waste disposal must be in accordance with appropriate U.S. Federal, State, and local
regulations or with local regulations. This product, if unaltered by the handling, may
be disposed of by treatment at a permitted facility or as advised by your local waste
regulatory authority.
Disposal of Contaminated Packaging Cleaned containers can be recycled or disposed of as non -contaminated waste, if
authorized by your local authorities. Dispose of containers as required by local
regulations.
U.S. EPA Waste Number Not applicable.
Disposal
14. TRANSPORT INFORMATION
THIS MATERIAL IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF
TRANSPORTATION.
14.1 UN Number Not applicable
14.2 UN Proper Shipping Name Notapplicable
14.3 Transport. Hazard Class(es) Not applicable
Transport label(s) required Not applicable
14.4 Packing Group Not, applicable
14.5 Marine Pollutant Not applicable
NA Emergency Response Guide Not applicable
Number (2008)
14.6 Transport in Bulk. (Annex II of Not applicable
MARPOL73/78 and IBC Code)
14.7 Special Transport Precautions Not applicable
National Motor Freight #70
Classification
International Air Transport Association
UN Number
UN Proper Shipping Name
Transport Hazard Class(es)
Transport label(s) required
Packing Group
IATA Emergency Response Code
Excepted Quantity
Not applicable
Not applicable
Not applicable.
Not applicable
Not applicable
Not applicable
Not applicable
VITEC® 5100 PUBLIC GHS SDS PAGE 8 OF 11

Packaging Instructions Not applicable
International Maritime Organization
UN Number Not applicable
UN Proper Shipping Name Not applicable
Transport Hazard Class(es) Not applicable
Transport label(s) required. Not applicable
Packing Group Not applicable
Marine Pollutant Not applicable
NA Emergency Response Guide Not applicable
Number (2008)
Transport in Bulk (Annex II of Not applicable
MARPOL 73/78 and IBC Code)
15. SAFETY, HEALTH and ENVIRONMENTAL REGULATIONS
SPECIFIC FOR THE PRODUCT
PROGRAM
Deflocculant & Sequestrant
Phosphoric acid derivative
Clean Air Act
Hazardous Air
Pollutants
NO
NO
Safe Drinking Water
Act
NO
NO
EPA Priority Pollutant
NO
NO
RCRA F, K, P, U or
D-lists
NO
NO
SARA 302 RQ
NO
NO
SARA 302 TPQ
NO
NO
SARA 313 LISTED
NO
NO
SARA CHEMICAL CATEGORIES
SARA 311/312 ACUTE.
YES
YES
SARA 311/312
CHRONIC
NO
NO
SARA 311/312 FIRE
NO
NO
SARA 3.11/312
PRESSURE
NO
NO
SARA 311/312
REACTIVITY
NO
NO
EPA EXTREMELY
HAZARDOUS
SUBSTANCE
NO
NO
.. n. -.14 0.. _. �9 i47� t-Zl '�,
'.
Sii�
.. ,
,/,;7, " i `z' .Y `�
pa a4�"",/��
This roduct does not contain an chemical listed on the California Safe Drinking Water Act list (Proposition 65)
PEL NO
NO
PSM NO
NO
DHS CFATS NO
//i� gym.`
NO
��
✓�v
O%' \tom/G
F z. ��,e�p///y
NO
��F
NO
_..... . , .., . _ .
...,
�„
;ate , n rf
ayr
DEA Controlled.
Substances
NO
NO
gg `� Y 'fig &F q a i.. A 1� �,sa'� ., /" .:
0. � aR 53��� �.:�ro
'"�;
,A ' / .'. a��:i,G $// gad
��` iif�'//\. ��� . .�,.j��3
/;;
IT.
.BB��k..,,
WHMIS
E, D2B
E, D2B
DSL
YES
YES
VITEC° 5100 PUBLIC GHS SDS
PAGE 9 OF 11

NDSL
N/A
N/A
REACH Pre -registered
List.
YES
YES
TSCA
YES
YES
European Inventory of
Existing Commercial
Chemical Substances
(EINECS)
YES
YES
EU No -Longer
Polymers List (NLP)
NO
NO
EEC Classification
Packaging, and Labeling
of Dangerous
Substances(Annex 1)
Skin corrosion/irritation, Category 3
Skin corrosion/irritation, Category
3
Philippines
YES
YES
Japan
YES
YES
Australia
YES
YES
Korea
YES
YES
China
YES
YES
New Zealand Inventory
of Chemicals
YES
YES
16 OTHER INFORMATION
16.1 Original Preparation Updated April 06, 2009, Revised 04-01-1.1,16 Apr 2012
16.2 Revision History 11 June 2013 Reformatted to GHS Requirements
16.3 Prepared by ADVANCED CHEMICAL SAFETY, Inc.
PO Box 152329
San Diego, CA 92195
(858)-874-5577
16.4 Date of Printing April 28, 2015
VITEe 5100 PUBLIC GHS SDS PAGE 10 OF 11

DEFINITIONS OF TERMS
16.5
A large number of abbreviations and acronyms appear on a MSDS. Some of these which are commonly used include the following:
Section 2
GHS: Global Harmonization System
OSHA: U.S. Occupational Safety and Health Administration.
CLP: Classification and. Packaging
WHMIS: Workplace Hazardous Materials Information System
STOT: Specific Target Organ Toxicity
Section 3
CAS #: Chemical Abstract Service index number
EINECS #: European Chemical Substances Information System index number
Section 5
NFPA: Nation Fire Protection Association
Health Hazard: 0 (material that on exposure under fire conditions would offer no hazard beyond that of ordinary combustible
materials); 1 (materials that on exposure under fire conditions could cause irritation or minor residual injury); 2 (materials that
on intense or continued exposure under fire conditions could cause temporary .incapacitation or possible residual injury); 3
(materials that can on short exposure could cause serious temporary or residual injury); 4 (materials that under very short
exposure could cause death or major residualinjury). Flammability Hazard
Reactivity Hazard: Refer to definitions for "Hazardous Materials Identification System".
Flash Point Minimum temperature at which a liquid gives off sufficient vapors to form an ignitable mixture with air.
Autoignition Temperature: The minimum temperature requiredto initiate combustion in air with no other source of ignition.
LEL: The lowest percent of vapor in air, by volume, that will explode or ignite in the presenceof an ignition source. UEL: The
highest percent of vapor in air, by volume, that will explode or ignite in the presence of an ignition source.
Section 8
ACGIH - American Conference of Governmental Industrial Hygienists, a professional association which establishes exposure
limits.
TLV - Threshold Limit Value - an airborne concentration of a substance which represents conditions under which it is generally
believed that nearly all workers may be repeatedly exposed without adverse effect The duration must be considered, including
the 8-hour Time Weighted. Average (TWA), the 15-minute Short Term' Exposure Limit, and the instantaneous Ceiling Level
(C). Skin absorption effects must also be considered
PEL - Permissible Exposure Limit - This exposure value means exactly the same as a TLV, except that it is enforceable by
OSHA. The OSHA Permissible Exposure Limits are based in the 1989 PELs and the June, 1993 Air Contaminants Rule
(Federal Reaister: 58: 35338-35351 and 58: 40191). Both the current PELs and the vacated PELs are indicated. The phrase,
"Vacated 1989 PEL," is placed next to the PEL which was vacated by Court Order.
IDLH - Immediately Dangerous to Life and Health - This level represents a concentration from which one can escape within
30-minutes without suffering escape -preventing or permanent injury. The DFG - MAK is the Republic of Germany's
Maximum Exposure Level, similar to the U.S. PEL. NIOSH is the National Institute of Occupational Safety and Health, which
is the research ann of the U.S. Occupational Safety and Health Administration (OSHA). NIOSH issues exposure guidelines
called Recommended Exposure Levels (RELs). When no exposure guidelines are established, an entry of NE (Not
Established) is made for reference.
Section 11
LDso : Lethal Dose (solids & liquids) which kills 50% of the exposed animals;
LCso : Lethal Concentration (gases) which kills 50% of the exposed animals;
ppm: Concentration expressed in parts of material per million parts of air or water,
mg/m3 : Concentration expressed in weight of substance per volume of air;
mg/kg: Quantity of material, by weight, administered to a test subject, based on their body weight in kg
IARC -the International Agency for Research on Cancer,
NTP - the National Toxicology Program,
RTECS - the Registry of Toxic. Effects of Chemical Substances,
OSHA and CAL/OSHA.
IARC and NTP rate chemicals on a scale of decreasing potential to cause human cancer with rankings from 1 to 4. Subrankings
(2A, 2B, etc.) are also used.
TDLo,the lowest dose to cause a symptom and
TCLo the lowest concentration to cause a symptom;
TDo, LDLo, and LDo, or TC, TCo, LCLo, and LCo, the lowest dose (or concentration) to cause lethal or toxic effects.
BEI - Biological Exposure Indices, represent the levels of determinants which are most likely to be observed in specimens
collected from a healthy worker who has been exposed to chemicals to the same extent as a worker with inhalation exposure to
the TLV.
Section 12
LC50: The lowest concentration in water which kills 50% of the test subjects.
ECso: The Effect Concentration in water at which 50% of the test species if affected.
Section 13
US EPA Hazardous Waste Codes refer to 40 CFR 261.20
Section 14
DOT: US Department of Transportation
IATA: International Air Transport Association
IMO: International Maritime Organization.
MARPOL: International Convention for the Prevention of Pollution From Ships, 1973 as modified by the Protocol of 1978
IBC Code : Merchant Shipping Code
Section 15
RCRA: US Resource Conservation and Recovery Act
SARA: US Superfund Amendments and Reauthorization Act
PSM: US OSHA Process Safety. Management
CFATS: US Department of Homeland Security Chemical Facility Anti -terrorism Standard
DSL: Canadian Domestic Substances List
NDSL: Canadian Non -Domestic Substances List
REACH: European Registration, Evaluation, Authorization and Restriction of Chemicals list.
TSCA: US Toxic Substances Control Act
VITEC° 5100 PUBLIC GI -IS SDS
PAGE 11 OF 11

2018 NC Category 5 Assessments "303(d) List" Final
Tar -Pamlico River Basin
Pamlico Subbasin
03020104
D_E
29-34-34-(2)
Pantego Creek
From U.S. Hwy. 264 at Pantego to Pungo River
Classification
SC;NSW
Length or Area
952
Units
S Acres
Previous AU Number
Assessment Criteria Status Reason for Rating
Parameter of Interest
1
Category
29-34-35
Exceeding Criteria
Exceeding Criteria
> 10% and >90 conf
Pungo Creek
> 10% and >90 conf
Chlorophyll a (40 µg/I, AL, NC)
Copper (3 µg/I, AL, SW)
5
5
From source to Pungo River
Classification
SC;NSW
Length or Area
1,702
Units
S Acres
Previous AU Number
Assessment Criteria Status Amon for Rating
Parameter of Interest
Category
Exceeding Criteria
Exceeding Criteria
29-34-(5)
Pungo River
> 10% and >90 conf
Chlorophyll a (40 µg/I, AL, NC)
pH (6.8 su, AL, SW)
5
5
From Shallop Creek to U.S. Hwy. 264 at Leechville
Classification
SC;NSW
Length or Area
253
Units
S Acres
Previous AU Number
Assessment Criteria Status Reason for Rating
Parameter of Interest
Category
Exceeding Criteria
> 10% and >90 conf
Copper (3 µg/I, AL, SW)
5
29-34-40-3
Raffing Creek
From source to Slade Creek
Classification
SA;HQW,NSW
Length or Area
5
Units
S Acres
Previous AU Number
Assessment Criteria Status Reason for Rating
Parameter of Interest
Category
Exceeding Criteria
SH PRO
Shellfish Growing Area Status (Fecal, SH, SA)
5
6/3/2019 2018 NC Category 5 Assessments "303(d) List" Approved by EPA May 22,2019
Page 157 of 262

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 03/10/21 Page 1 of 1
Permit: NC0086584 MRs Betweel 1 - 2016 and 1 - 2021
Facility Name: % Param Name%
Major Minor: %
Region:
County: %
Violation Category:%
Subbasin:%
Program Category:
Violation Action: %
PERMIT: NC0086584
FACILITY: Town of Belhaven - Belhaven WTP
COUNTY: Beaufort
REGION: Washington
Monitoring Violation
MONITORING OUTFACE
REPORT
LOCATION
PARAMETER
VIOLATION
UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
11-2018 001
12-2018 001
01-2019 001
02-2019 001
Effluent
Effluent
Effluent
Effluent
Copper, Total (as Cu)
Copper, Total (as Cu)
Copper, Total (as Cu)
Copper, Total (as Cu)
11/30/18 Monthly
12/31/18 Monthly
01/31/19 Monthly
02/28/19 Monthly
ug/I
ug/I
ug/I
ug/I
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Proceed to NOD
No Action, BPJ
No Action, BPJ
No Action, BPJ

Whole Effluent Toxicity Testing and Self Monitoring Summary
Belhaven (RO) WTP NC0086584/001 County: Beaufort Region: WARO Basin: TAR07 Jan Apr Jul Oct
Mysd24PF Begin: 1/1/2015 Acu Mysid24hrPF Mo NonComp: 7Q10: 0.0 PF: 0.22 IWC: 100 Freq: Q
SOC JOC:
l
2017 Fail
2018 Fail
2019 Fail
2020 Pass
2021 Pass
F M
A
Fail
Fail
Pass
Pass
M l
l A 5 0 N D
Fail - - Fail -
Fail - - Fail -
Pass - - Pass -
Pass - - Pass -
• . • •
t : 9 II li i i 1 ; II 1 O.
0 I I 0 0
0 . I0 I0 . 0 0
•
• I • 0 0 • • • • 0 0 •
I I • I I I I I I I I I
NO
P s 9 11 li i % 1 i f 1 •.
IP ! 9 I q t % 41 i I f O.
• 0 I •• I 0 •• 0 I •• •• 1
• 0 0 •• 0 0 •• 0 0 •• •• ••
• 0 0 • 0 0 • 0 0 • • •
Legend: P= Fathead minnow (Pimphales promelas), H=No Flow (facility is active), s = Split test between Certified Labs
Page 8 of 114

ROY COOPER
Governor
MICHAEL 5. REGAN
Secretory
S. DANIEL SMITH
Director
Tim M Johnson
Town of Belhaven
PO Box 220
Belhaven, NC 27810
NORTH CAROLINA
Environmental Quality
July 09, 2020
SUBJECT: Compliance Inspection Report
Belhaven WTP
NPDES WW Permit No. NC0086584
Beaufort County
Dear Mr. Johnson:
The North Carolina Division of Water Resources conducted an inspection of the Belhaven WTP on
7/07/2020. This inspection was conducted to verify that the facility is operating in compliance with the
conditions and limitations specified in NPDES WW Permit No, NC0086584. The findings and comments
noted during this inspection are provided in the enclosed copy of the inspection report entitled
"Compliance Inspection Report".
There were no significant issues or findings noted during the inspection and therefore, a response to this
inspection report is not required. The facility was found to be compliant with NPDES permit #NC0086584.
If you should have any questions, please do not hesitate to contact Paul Mays with the Water Quality
Regional Operations Section in the Washington Regional Office at 252-948-3940 or via email at
[e-mail].
Sincerely,
pea Autis
Paul Mays, Environmental Specialist 1
Water Quality Regional Operations Section
Washington Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: Laserfiche
.,DE--,� lion^ Z; -e 7=yar1.. ^t �t E.r mgrta Q4a t'; 1 D v�so^. a4 . tar Ra=ai•xs
�'asr r�tar Red.. 3 Hce 1 _4- �. as^ rats^ 5:,:.e re A's 1 iM1'3s. ate-. N- t 4s ara Z?Srs5
:'t:;......'a 2- 45 1

United States Environmental Protection Agency
E PA Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yrlmo/day Inspection
1 Ll 2 I5 1 3 I NC0086584 111 121 20/07/07
Type
181 r. I
IIIIIIIIIII
Inspector Fac Type
19 I s I 201 1
.117
21111111 IIIII1I11II IIIIIII1IIIIII
166
inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
671 I 70I 1 71 I I 72 I N I 731751
1 1"I
I I I I I I l80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Belhaven WTP
N Of US Hwy 264
Belhaven NC 27810
Entry Time/Date
11:40AM 20/07/07
Permit Effective Date
15/01/01
Exit Time/Date
12:10PM 20/07/07
Permit Expiration Date
19/11/30
Name(s) of Onsite Representative(s)fitles(s)/Phone and Fax Number(s)
Ill
Stephen Albert Hall/ORC/252-943-3055/
Other Facility Data
Name, Address of Responsible Officiaritle/Phone and Fax Number
Tim M Johnson,PO Box 220 Belhaven NC 2781011252-493-3055/ Contacted
No
Section C: Areas Evaluated During inspection (Check only those areas evaluated)
Permit Operations & Maintenar 1111Records/Reports Self -Monitoring Progran
Facility Site Review Pretreatment Effluent/Receiving Wale Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Paul M Mays DWRIWARO WQ/252-948-3940/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

T
3I
NPDES yrlmold ay
N C0086584 111 121 20/07/07
117
Inspection Type
18[ I
(Cont.)
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On 07/07/2020 Paul Mays from the Washington Regional Office with the Division of Water Resources
conducted a compliance evaluation of Belhaven WTP. Orc Steven Hall was present and incredibly
helpful during the Inspection. The grounds of the facility and the facility itself was well maintained.
NPDES permit #NC0086584 expired 11/30/2020. An application has been sent in as required by the
permit and the new permit is currently in the review process.
March 2020 DMR was evaluated against corresponding lab data with no discrepancies or violations
found. All required documents for the inspection were present with no issues found. All records and
data were neatly kept in binders and maintained over 5 years.
Belhaven WTP is using Environment 1, Inc as their contract lab.
The receiving stream looked good and no issues were found with the effluent pipe.
The facility was found to be compliant with NPDES permit #NC0086584
Page# 2

Permit: NC0086584 Owner - Facility; Belhaven WTP
Inspection Date: 07/07/2020
Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Yes No NA NE
• ❑ ❑ ❑
O 0110
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 1100E
application?
Is the facility as described in the permit? • ❑ ❑ ❑
# Are there any special conditions for the permit? • ❑ ❑ ❑
Is access to the plant site restricted to the general public? MODE
Is the inspector granted access to all areas for inspection? MODE]
Comment: NPDES permit #NC0086584 expired 11/30/2020. An application has been sent in as
required by the permit and the new permit is currently in the review process.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 11000
Is all required information readily available, complete and current? E ❑ ❑ ❑
Are all records maintained for 3 years (lab. reg. required 5 years)? ▪ ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? • ❑ ❑ ❑
Is the chain -of -custody complete? •❑ ❑ ❑
Dates, times and location of sampling •
Name of individual performing the sampling •
Results of analysis and calibration •
Dates of analysis •
Name of person performing analyses •
Transported COCs •
Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ •❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operatc ❑ 0 1 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? • DEE
Is the backup operator certified at one grade less or greater than the facility classification' • ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? M01110
Page# 3

Permit: NC0086584
Owner - Facility: Belhaven WTP
Inspection Date: 07/07/2020 Inspection Type: Compliance Evaluation
Record Keeping
Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ • ❑
Comment: March 2020 DMR was evaluated against corresponding lab data with no discrepancies or
violations found. All required documents for the inspection were present with no issues
found. All records and data were neatly kept in binders and maintained over 5 years.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ▪ ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? • ❑ ❑ ❑
# Is the facility using a contract lab? • ❑ ❑ ❑
# Is proper temperature set for sample storage (kept at Tess than or equal to 6.0 degrees III❑ El ❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑
Incubator (BOD) set to 20.0 degrees Celsius +1- 1.0 degrees? ❑ ❑ III ❑
Comment: Belhaven WTP is using Environment 1, Inc as their contract lab.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Yes No NA NE
• ❑ ❑ ❑
▪ ❑ ❑ ❑
❑ ❑ • ❑
Comment: The receiving stream looked good and no issues were found with the effluent pipe.
Effluent Samplinq
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
Comment:
Yes No NA NE
❑ ❑ • ❑
• ❑ ❑ ❑
▪ ❑ ❑ ❑
❑ ❑ • ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
Page# 4

Facility Name
WWTP/WTP Class
NPDES Permit
Outfall
Flow, Qw (MGD)
Receiving Stream
Stream Class
7Q10s (cfs)
7Q1Ow (cfs)
30Q2 (cfs)
QA (cfs)
1Q10s (cfs)
Data Source(s)
Table 1. Project Information
❑ CHECK IF HQW OR ORW WQS
Town of Belhaven WTP
Grade I Physcial Chemical WPCS
NC0086584
UT to Pantego Creek
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
DMR Data Feb2016 to JuI2020
Saltwater streams are tidal resulting in all IWC % = 100%.
If an approved model is conducted then a chronic dilution
factor is determined and can be applied to a discharge to
calculate its IWC % . If a stream is classified as a SA or
ORW then its is also classified as a HQW. The appropriate
IWC % must be defined to properly calculate WQS-based
limits.
Saltwater RPA 95% Probablitv/95% Confidence
MAXIMUM DATA POINTS = 58
' REQUIRED DATA ENTRY
Table 2. Parameters of Concern
Par01
Par02
Par03
Par04
Par05
Par06
Par07
Par08
Par09
Par10
Par11
Par12
Par13
Par14
Par15
Par16
Par17
Par18
Par19
Par20
Par21
Par22
Name
WQS
Type Chronic Modifier Acute PQL Units
Arsenic
Aquatic Life
C
36
SW
69
ug/L
Arsenic
Human Health
C
10
HH
ug/L
Cadmium
Aquatic Life
NC
8.9
SW
40.2
ug/L
♦ Total Phenolic Compounds
Aquatic Life
NC
300
A
10
ug/L
Chromium VI
Aquatic Life
NC
50.4
SW
1107.8
ug/L
Chromium, Total
Aquatic Life
NC
N/A
SW
N/A
ug/L
Copper
Aquatic Life
NC
3.7
SW
5.8
ug/L
Cyanide
Aquatic Life
NC
1
SW
1
10
ug/L
Lead
Aquatic Life
NC
8.5
SW
220.8
ug/L
Mercury
Aquatic Life
NC
25
SW
0.5
ng/L
Molybdenum
Human Health
NC
2.0
HH
mg/L
Nickel
Aquatic Life
NC
8.3
SW
74.7
ug/L
Selenium
Aquatic Life
NC
71
SW
ug/L
Silver
Aquatic Life
NC
0.1
SW
2.2
ug/L
Zinc
Aquatic Life
NC
85.6
SW
95.1
ug/L
NOTE: The aquatic life chronic and acute WQS for several metals are calculated based on EPA conversi
see "Diss. SW stds. As TM" for more details and summary of calculated WQS..
NC0086584 RPA 2020,input
8/23/2020

REASONABLE POTENTIAL ANALYSIS - DATA
Copper
Date Data BDL=1/2DL Results
1 3/7/2019 < 10 5 Std Dev. 0.0000
2 4/2/2019 < 10 5 Mean 5.0000
3 5/7/2019 < 10 5 C.V. 0.0000
4 6/4/2019 < 10 5 n 17
5 7/2/2019 < 10 5
6 8/6/2019 < 10 5 Mult Factor = 1.0000
7 9/3/2019 < 10 5 Max. Value 5.00 ug/L
8 10/1/2019 < 10 5 Max. Pred Cw 0 DETECTS ug/L
9 11/5/2019 < 10 5
10 12/3/2019 < 10 5
11 1/7/2020 < 10 5
12 2/4/2020 < 10 5
13 3/3/2020 < 10 5
14 4/2/2020 < 10 5
15 5/5/2020 < 10 5
16 6/2/2020 < 10 5
17 7/2/2020 < 10 5
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Values" then "COPY"
. Maximum data
points = 58
Zinc
Date Data BDL=1/2DL Results
1 4/5/2016 < 10 5 Std Dev. 1.4142
2 7/12/2016 < 10 5 Mean 5.3333
3 10/25/2016 < 10 5 C.V. 0.2652
4 1/12/2017 < 10 5 n 18
5 4/4/2017 < 10 5
6 7/18/2017 < 10 5 Mult Factor = 1.1800
7 10/3/2017 < 10 5 Max. Value 11.0 ug/L
8 1/9/2018 < 10 5 Max. Pred Cw 13.0 ug/L
9 4/10/2018 < 10 5
10 7/10/2018 < 10 5
11 10/2/2018 < 10 5
12 1/8/2019 < 10 5
13 4/2/2019 < 10 5
14 7/2/2019 < 10 5
15 10/1/2019 11 11
16 1/7/2020 < 10 5
17 4/2/2020 < 10 5
18 7/2/2020 < 10 5
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Values" then "COPY"
. Maxim um data
points = 58
NC0086584 RPA 2020,data
Date}

Town of Belhaven WTP
NC0086584
Qw (MGD) =
1Q10S (cfs) =
7Q1OS (cfs) =
7Q1OW (cfs) =
30Q2 (cfs) =
Avg. Stream Flow, QA (cfs) =
Receiving Stream:
0.0720
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
Tidal, IWC = 100%
UT to Pantego Creek
Saltwater RPA 95% Probablity/95% Confidence
MAXIMUM DATA POINTS = 58
WWTP/WTP Class: Grade I Physcial Chemical WPCS
1WC% @ 1Q10S = 100
IWC% @ 7Q1OS = 100
IWC% @ 7Q1OW = 100
IWC% @ 30Q2 = 100
IWC% @ QA = 100
Stream Class: SC; Sw
Outfall 001
Qw = 0.0720322580645161 MGD
Copper
NC
3.7
SW(7Q10s)
5.8
ug/L
17
0
NO DETECTS
Acute: 5.80
_ _ _ _ _ _ _ _ _ _ _ _ _Quarterly
Chronic: 3.70
Max MDL = 10
No detects, Max MDL > Allowable Cw - apply
Monitoring _ _ _ _ _ _ _
No detects, Max MDL > Allowable Cw - apply
Quarterly Monitoring
Zinc
NC
85.6
SW(7Q10s)
95.1
ug/L
18
1
12.98
Acute: 95.1
_ _ _ _ _ _ _ _ _ _-
Chronic: 85.6
No value > Allowable Cw
No RPA, Predicted Max < 50% of Allowable Cw
No Monitoring required _ _ _ _ _
No RPA, Predicted Max < 50% of Allowable Cw
- No Monitoring required
Page 3 of 4
NC0086584 RPA 2020,rpa
8/23/2020

Saltwater - Total Recoverable Metal Standards for Aquatic Life Protection
The NC 2007-2015 Water Quality Standard (WQS) Triennial Review was approved by the NC Environmental Management Commission (EMC) on November 13, 2014. The US
EPA subsequently approved the WQS revisions on April 6, 2016, with some exceptions.
Table 1. NC 2007-2015 Triennial Review Dissolved Metals Water Quality Standards converted to Total Recoverable Metals For Aquatic Life Protection
1
Parameter
Acute SW, ug/1
(Dissolved)
Chronic SW, ug/1
(Dissolved)
EPA Conversion FactorsZfor
Dissolved Metals
Acute SW, ug/1
Chronic SW, ug/1
Saltwater CMC
(Acute)
Saltwater CCC
(chronic)
(Total Metal)
(Total Metal)
Arsenic
69
36
1
1
69
36
Cadmium
40
8.8
0.994
0.994
40.2
8.9
Chromium VI
1100
50
0.993
0.993
1107.8
50.4
Copper
4.8
3.1
0.83
0.83
5.8
3.7
Lead
210
8.1
0.951
0.951
220.8
8.5
Nickel
74
8.2
0.99
0.99
74.7
8.3
Silver
1.9
0.1
0.85
—
2.2
Zinc
90
81
0.946
0.946
95.1
85.6
Table 1 Notes:
1. SW= Saltwater
2. EPA Conversion Factors from US EPA website, National Recommended Water Quality Criteria - Aquatic Life Criteria Table;
https://www. epa. gov/wqc/national-recom mended-water-quality-criteria-aquatic-life-criteria-table#a
The dissolved numeric standard for each metal of concern is divided by the EPA conversion factor to obtain a Total Recoverable Metal at ambient conditions. This method presumes that the metal is
dissolved to the same extent as it was during EPA's criteria development for metals.

Permit No. NC0086584
NPDES Implementation of Instream Dissolved Metals Standards — Saltwater Standards
The NC 2007-2015 Water Quality Standard (WQS) Triennial Review was approved by the NC
Environmental Management Commission (EMC) on November 13, 2014. The US EPA subsequently
approved the WQS revisions on April 6, 2016, with some exceptions. Therefore, metals limits in draft
permits out to public notice after April 6, 2016 must be calculated to protect the new standards - as
approved.
Table 1. NC Dissolved Metals Water Quality Standards/Aquatic Life Protection
Parameter
Acute FW, µg/1
(Dissolved)
Chronic FW, µg/1
(Dissolved)
Acute SW, µg/1
(Dissolved)
Chronic SW, µg/1
(Dissolved)
Arsenic
340
150
69
36
Beryllium
65
6.5
---
---
Cadmium
Calculation
Calculation
40
8.8
Chromium III
Calculation
Calculation
---
---
Chromium VI
16
11
1100
50
Copper
Calculation
Calculation
4.8
3.1
Lead
Calculation
Calculation
210
8.1
Nickel
Calculation
Calculation
74
8.2
Silver
Calculation
0.06
1.9
0.1
Zinc
Calculation
Calculation
90
81
Table 1 Notes:
1. FW= Freshwater, SW= Saltwater
2. Calculation = Hardness dependent standard
3. Only the aquatic life standards listed above are expressed in dissolved form. Aquatic life
standards for Mercury and selenium are still expressed as Total Recoverable Metals due to
bioaccumulative concerns (as are all human health standards for all metals). It is still necessary
to evaluate total recoverable aquatic life and human health standards listed in 15A NCAC
2B.0200 (e.g., arsenic at 10 µg/1 for human health protection; cyanide at 5 µg/L and fluoride at
1.8 mg/L for aquatic life protection).
General Information on the Reasonable Potential Analysis (RPA)
The RPA process itself did not change as the result of the new metals standards. However, application of
the dissolved metal standards requires additional consideration in order to establish the numeric standard
for each metal of concern of each individual discharge. Note that none of the saltwater standards are
hardness -dependent.
Metals limits must be expressed as `total recoverable' metals in accordance with 40 CFR 122.45(c). The
discharge -specific standards must be converted to the equivalent total values for use in the RPA
calculations. We will generally rely on conversion factors determined by EPA (more on that below), but it
is also possible to consider case -specific translators developed in accordance with established
methodology.
RPA Permitting Guidance — Discharges to Saltwater (Tidal waters)
The RPA is designed to predict the maximum likely effluent concentrations for each metal of concern,
based on recent effluent data, and calculate the allowable effluent concentrations, based on applicable
standards and the stream dilution. For discharges to saltwater, no allowance for dilution is given unless a
dilution study, such as a CORMIX model, is performed.
If the maximum predicted value is greater than the maximum allowed value (chronic or acute), the
discharge has reasonable potential to exceed the standard, which warrants a permit limit in most cases. If
monitoring for a particular pollutant indicates that the pollutant is not present (i.e. consistently below
detection level), then the Division may remove the monitoring requirement in the reissued permit.
Page 1 of 3

Permit No. NC0086584
1. To perform a RPA using the saltwater dissolved metal standards, the Permit Writer compiles the
following information:
• Permitted flow
• Receiving stream classification
• Instream Wastewater Concentration, if a dilution model has been performed
2. The RPA spreadsheet converts the dissolved numeric standard (SW standards listed in Table 1.)
for each metal of concern to a total recoverable metal, using the EPA conversion factors
published in the June, 1996 EPA Translator Guidance Document. This method presumes that the
metal is dissolved to the same extent as it was during EPA's criteria development for metals.
Conversion Factors for Dissolved Metals
Metal
Saltwater CMC
(Acute)
Saltwater CCC
(chronic)
Arsenic 1.000
Cadmium 0.994
Chromium VI 0.993
Copper 0.83
Lead 0.951
Mercury 0.85
Nickel 0.990
Selenium 0.998
Silver 0.85
Zinc 0.946
1.000
0.994
0.993
0.83
0.951
0.85
0.990
0.998
—
0.946
From: US EPA website, National Recommended Water Quality
Criteria - Aquatic Life Criteria Table
https://www.epa.gov/wgc/national-recommended-water-
quality-criteria-aquatic-life-criteria-table#a
3. The dissolved numeric standard for each metal of concern is divided by the EPA conversion
factor (or site -specific translator) to obtain a Total Recoverable Metal at ambient conditions.
4. If a dilution study was performed on the receiving stream and an Instream Wastewater
Concentration (IWC) determined the RPA spreadsheet uses a mass balance equation to determine
the total allowable concentration (permit limits) for each pollutant using the following equation:
Ca = (s7Q10 + Qw) (Cwqs) — (s7Q10) (Cb)
Qw
Where: Ca = allowable effluent concentration (µg/L or mg/L)
Cwqs = NC Water Quality Standard or federal criteria (µg/L or mg/L)
Cb = background concentration: assume zero for all toxicants except NH3* (µg/L or mg/L)
Qw = permitted effluent flow (cfs, match 7Q10 units)
s7Q10 = summer, critical low flow (cfs)
* Discussions are on -going with EPA on how best to address background concentrations
Assuming no background concentration, this equation can be reduced to:
Ca = (s7Q10 + Qw) (Cwqs) or Ca = Cwqs
Qw
IWC
Page 2 of 3

Permit No. NC0086584
Where: IWC = Qw
Qw + s7Q10
or 1
D
and D = modelled dilution factor (unitless)
If no dilution study has been performed Ca, the allowable effluent concentration, is equal to the
Total Recoverable Metal determined at ambient conditions (ie. the dissolved numeric standard
divided by the EPA conversion factor (or site -specific translator) for the metal of concern). See
item # 3 above.
5. The permit writer enters the most recent 2-3 years of effluent data for each pollutant of concern.
Data entered must have been taken within four and one-half years prior to the date of the permit
application (40 CFR 122.21). The RPA spreadsheet estimates the 95th percentile upper
concentration of each pollutant. The Predicted Max concentrations are compared to the Total
allowable concentrations to determine if a permit limit is necessary. If the predicted max exceeds
the acute or chronic Total allowable concentrations, the discharge is considered to show
reasonable potential to violate the water quality standard, and a permit limit (Total allowable
concentration) is included in the permit in accordance with the U.S. EPA Technical Support
Document for Water Quality -Based Toxics Control published in 1991.
6. When appropriate, permit writers develop facility specific compliance schedules in accordance
with the EPA Headquarters Memo dated May 10, 2007 from James Hanlon to Alexis Strauss on
40 CFR 122.47 Compliance Schedule Requirements.
7. The Total Chromium NC WQS was removed and replaced with a hexavalent chromium standard.
As a cost savings measure, total chromium data results may be used as a conservative surrogate in
cases where there are no analytical results based on chromium VI. In these cases, the projected
maximum concentration (95th %) for total chromium will be compared against the water quality
standard chromium VI.
Page 3 of 3

Table 2.1: MonitoringRe uirements for Membrane WTPs
The monitoring requirements included below identify various pollutants of concern including conventional parameters,
nutrients, and toxicants. A brief rationale for the inclusion of these contaminants can be found in Appendix A. Other
toxicants were not included because they were either not detected or rarely detected in the effluent data surveyed. However,
if a pollutant specific problem is detected in the receiving stream, effluent, or source water then a monitoring requirement may
be added for that parameter, Likewise, if data indicate that a pollutant is not present in the facility's discharge, that parameter
may be dropped from the requirements. Limits should be added if the facility shows reasonable potential to exceed water
quality standards for toxicants. New facilities should monitor for pollutants of concerns regardless of whether or not there is a
ureter quality standard. Monitoring requirements can be re-evaluated during subsequent renewals.
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
IVeekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Locationl
Flow2
Continuous
Recording
E
Temperature3
See Table 5J
Grab
E,U,D
Dissolved Oxygen3
See Table 5.1
Grab
E,U,D
Salinity
See Table 5.1
Grab
E,U,D
Conductivity
See Table 5.1
Grab
E,U„D
pH
Freshwater:
Saltwater:
6.0 - 9.0
6.8 - 8.5 s.u.
s.u.
See Table 5.1
Grab
E,U,D
Total Residual Chlorine'
Freshwater:
Saltwater:
17-28 (ig/L
13 ug/L
See Table 5.1
Grab
E
Total Dissolved Solids
See Table 5.1
Grab
Turbidity5
See Table 5.1
Grab
E
Total Arsenic
Limit based on potential
Monthly
Grab
E
Total Copper
Lirnit based on potential
Monthly
Grab
E
Total Chloride
Limit based on potential
Monthly
Grab
E
Total Iron
Limit based on potential
Monthly
Grab
E
Total Fluoride
Limit based on potential
Monthly
Grab
E
Total Zinc
Limit based on potential
Monthly
Grab
E
Ammonia Nitrogen
Limit based on potential
Monthly
Grab
E
Total Nitrogen (TN)6
Quarterly
Grab
E
Total Phosphorus (TP)b
Quarterly
Grab
E
Whole Effluent Toxicity
Monitoring'
Quarterly
Grab
E
Notes to permit writers:
1. Sampling locations: E= Effluent, U= Upstream of discharge location, D= Downstream of discharge location.
2. Continuous monitoring is required for facilities discharging > 50,000 gpd. Instantaneous measurement or estimates are
allowed if the permitted flow is less than 50,000 gpd. Duration of discharge should be noted in log books.
3. The facility may petition to have DO and temperature monitoring removed from the permit after monitoring for 1 permit
cycle.
4. Footnote for permit: Limit and monitor only if the facility adds chlorine or chlorine derivatives to water that is eventually
discharged. The Division shall consider all effluent TRC values reported below 50 ug/l to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified
laboratory (including field certified), even if these values fall below 50 ug/l.
5. If the receiving stream is impaired for turbidity a daily maximum limit should be given. See Appendix A for limit and
footnote.
6. Facilities under 0.05 MGD should only monitor for nutrients if discharging into a NSW,
7. See Table 5.2 for WET Test Requirements and Appendix B for monitoring language.
_3_

Affidavit of Publication
STATE OF NORTH CAROLINA
COUNTY OF BEAUFORT
Ann Potter, being duly sworn, on oath says she
is and during all times herein stated has been an
employee of Washington Newsmedia, Inc. publisher
and printer of the The Washington Daily News (the
"Newspaper"), has full knowledge of the facts herein
stated as follows:
1. The Newspaper printed the copy of the matter
attached hereto (the "Notice") was copied from the
columns of the Newspaper and was printed and
published in the English language on the following
days and dates:
09/02/20
2. The sum charged by the Newspaper for said
publication is the actual lowest classified rate paid
by commercial customer for an advertisement of
similar size and frequency in the same newspaper
in which the Notice was published.
3. There are no agreements between the News-
paper, publisher, manager or printer and the officer
or attorney charged with the duty of placing the at-
tached legal advertising notice whereby any advan-
tage, gain or profit accrued to said officer or attorney
SIGNED:.
Ann Potter, Employee
Subscribed and sworn to before me this
2nd Day of September, 2020
Amy M. Whitaker, Notary Public
Beaufort County, NC
My commission expires 08-25-2023
Account # WNL00006744WNL/LOC
Ad # 1101532
NCDENR
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
Public Notice
North Carolina
Environmental Management
Commission/NPDES
Unit 1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
NC0086584 Town of Belhaven
The North Carolina Environ-
mental Management Com-
mission proposes to issue a
NPDES wastewater discharge
permit to the person(s) listed
below. Written comments re-
garding the proposed permit will
be accepted until 30 days after
the publish date of this notice.
The Director of the NC Division
of Water Resources (DWR) may
hold a public hearing should
there be a significant degree
of public interest. Please mail
comments andtor information
requests to DWR at the above
address. Interested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC to
review information on file. Ad-
ditional information on NPDES
permits and this notice may be
found on our website: httoal
deo.nc.00vlaboutldivisions/
water-resources/water-resourc-
es-permits/wastewater-branch/
nodes-wastewater/oublic-notic-
pl,or by calling [phone].
The Town of Belhaven request-
ed renewal of NPDES permit
NC0086584 for its WTP/Beau-
fort County. Facility discharges
to an unnamed tributary to Pan-
tego Creek/Tar-Pamlico River
Basin.

3/11/2021 Mail - Denard, Derek - Outlook
RE: Draft NPDES Permit NCO086584 -Town of Belhaven WTP - Grade I Physical Chemical
WPCS
Moore, Cindy <[e-mail]>
Thu 8/27/2020 8:06 AM
To: Denard, Derek <[e-mail]>
I am good with this
Cindy
From: Denard, Derek
Sent: Thursday, August 27, 2020 3:04 AM
To: [e-mail]
Cc: Tankard, Robert <[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
Subject: Draft NPDES Permit NC0086584 -Town of Belhaven WTP - Grade I Physical Chemical WPCS
Please find the attached draft permit NC0O86584 for the Town of Belhaven WTP.
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, the Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees and
other partners and will allow us to more effectively process and track documents. We are writing to ask
you for your approval of the transmittal of documents related to your permitting and related activities
with the Division in an electronic format. Documents will be emailed to the appropriate contact
person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open
and view the document(s) and have saved/printed a copy for your records.
If you have any questions, please feel free to contact me.
Sincerely,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
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3/11/2021 Mail - Denard, Derek - Outlook
North Carolina Public Records Law and may be disclosed to third parties.
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3/11/2021 Mail - Denard, Derek - Outlook
Re: Belhaven WTP #NC0086584
Denard, Derek <[e-mail]>
Thu 8/27/2020 4:57 PM
To: Mays, Paul M <[e-mail]>
Cc: Tankard, Robert <[e-mail]>; Bullock, Robert <[e-mail]>
Paul,
The expiration date should have been November 30, 2024.
I will have to start over with a new map. Sure it is easy if you have ArcGIS desktop. I do not have access
to the previous permit writer's ArcGIS files either. I have a way to do it using my GIS Online account
working remotely from home.
Thanks for your review and comments.
Derek
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Mays, Paul M <[e-mail]>
Sent: Thursday, August 27, 2020 4:18 PM
To: Denard, Derek <[e-mail]>
Cc: Tankard, Robert <[e-mail]>; Bullock, Robert <[e-mail]>
Subject: Belhaven WTP #NC0086584
Mr. Denard,
After reviewing the draft permit two small issues came to light. The first is the expiration date for the permit is
incorrect (Nov 30th 2019). The second issue is the placement of outfall 001 symbology on the last page. I have
provided a better estimate based on field observations during inspections completed by myself and Mr. Bullock of
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/2

3/11/2021 Mail - Denard, Derek - Outlook
the facility. Please see the attached document (Bellhaven Outfall.PNG). The blue dots (roughly drawn) on the
attachment is approximately where the Outfall 001 is. In short, outfall 001 is further to the northeast by a
hundred or so feet. It seems the map was derived via ArcGis. This would be a simple matter of using the drawing
tool to derive a new point, editing the GPS coordinates of two layers or a few other simple methods.
Let me know if you need anything else and I appreciate your time,
Paul M. Mays
Paul M. Mays
Environmental Specialist 1— Water Quality Regional Operations
Department of Environmental Quality— Division of Water Resources
252-948-3940 direct
252-946-6481 office
[e-mail]
943 Washington Square Mall
Washington, NC 27889
C APC1 INA
Mpu6nen1 of E,v. euntnt I �6ual�."
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
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Q
l 1
;CT6 -{
4 5
1
i f \
.4
a''* _ - •
• Style 1;5,oaa �'�,
♦
-
_ { i
•
—
- __ ;- tom ,'
4utfall
e # f
\ ��
;�'� -, - Belhaven * . +�'•-• f, ='. ��Yx - �
l r r a it.... ti r .: *.
1ti r 264
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� r Iars 99 Gum Ps � t . :r►,} , -
4'` .
• ! Apo
--" -. Gopyr;ght2G13'haiiona' o€jraphic Saciety,i-"cubed
I ... _ . _ -r'-• :.5g�...ir a .'l'
Town Belhaven
of
\
+ * mm� p� gym#
Belhaven WTP
jit** SIMIftgi
Tim
NPaES Permit NC0086584
�nit*y
ki
ReceivingStream: UT to Pante o Creek Stream Class; SC; NSW
Stream Segment: 29-34-34-(2) Sub -Basin #: 03-03-07rt
River Basin: Tar -Pamlico HUC: 0302010403
County: Beaufort
SCALE
1:24,000
Facility Location
scale not shown
USGS quad: ?an4ega
35.55722°,-76.62889°

3/12/2021 Mail - Denard, Derek - Outlook
Fw: Draft NPDES Permit NC0O86584 -Town of Belhaven WTP - Grade I Physical
Chemical WPCS
Denard, Derek <[e-mail]>
Fri 8/28/2020 11:22 AM
To: [e-mail] <[e-mail]>
1 attachments (2 MB)
NC0086584 Draft 2020.pdf;
Please find the attached draft permit NC0O86584 for the Town of Belhaven WTP.
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, the Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees and
other partners and will allow us to more effectively process and track documents. We are writing to ask
you for your approval of the transmittal of documents related to your permitting and related activities
with the Division in an electronic format. Documents will be emailed to the appropriate contact
person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open
and view the document(s) and have saved/printed a copy for your records.
If you have any questions, please feel free to contact me.
Sincerely,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/1

3/12/2021 Mail - Denard, Derek - Outlook
Undeliverable: Draft NPDES Permit NC0086584 -Town of Belhaven WTP - Grade
Physical Chemical WPCS
Microsoft Outlook
<MicrosoftExchange329e71 [e-mail]>
Fri 8/28/2020 3:10 AM
To: [e-mail] <[e-mail]>
1 attachments (2 MB)
Draft NPDES Permit NC0086584 -Town of Belhaven WTP - Grade I Physical Chemical WPCS;
Delivery has failed to these recipients or groups:
[e-mail] ([e-mail])
Your message couldn't be delivered. Despite repeated attempts to deliver your message,
querying the Domain Name System (DNS) for the recipient's domain location information failed.
For more information and tips to fix this issue see this article: https://go.microsoft.com/fwlink/?
Linkld=389361.
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Generating server: SA9PRO9MB5231.namprd09.prod.outlook.com
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8/28/2020 6:59:39 AM - Server at belhavennc.us (0.0.0.0) returned '450 4.4.312 DNS query failed
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From: "Denard, Derek" <[e-mail]>
To: "[e-mail]" <[e-mail]>
CC: "Tankard, Robert" <[e-mail]>, "Moore, Cindy"
<[e-mail]>, "Kinney, Maureen" <[e-mail]>
Subject: Draft NPDES Permit NC0086584 -Town of Belhaven WTP - Grade I Physical
Chemical WPCS
Thread -Topic: Draft NPDES Permit NC0086584 -Town of Belhaven WTP - Grade I
Physical Chemical WPCS
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3/12/2021 Mail - Denard, Derek - Outlook
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3/12/2021 Mail - Denard, Derek - Outlook
Draft NPDES Permit NC0O86584 -Town of Belhaven WTP - Grade I Physical Chemical
WPCS
Denard, Derek <[e-mail]>
Thu 8/27/2020 3:03 AM
To: [e-mail] <[e-mail]>
Cc: Tankard, Robert <[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
1 attachments (2 MB)
NC0086584 Draft 2020.pdf;
Please find the attached draft permit NC0O86584 for the Town of Belhaven WTP.
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, the Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees and
other partners and will allow us to more effectively process and track documents. We are writing to ask
you for your approval of the transmittal of documents related to your permitting and related activities
with the Division in an electronic format. Documents will be emailed to the appropriate contact
person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open
and view the document(s) and have saved/printed a copy for your records.
If you have any questions, please feel free to contact me.
Sincerely,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/1

3/11/2021 Mail - Denard, Derek - Outlook
Re: [External] Draft NPDES Permit NC0086584
Denard, Derek <[e-mail]>
Tue 9/15/2020 3:38 PM
To: [e-mail] <[e-mail]>
Steven.
It should have been "January, April, July, and October". I used a template and missed this detail.
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: [e-mail] <[e-mail]>
Sent: Monday, September 14, 2020 7:50 AM
To: Denard, Derek <[e-mail]>
Subject: [External] Draft NPDES Permit NC0086584
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment
to report.spam@ nc.gov
Mr. Denard
I need to clarify the months of the Acute Toxicity Monitoring because on page three it has months
January, April, July, and October then on page four it is showing months February, May, August, and November.
I would prefer months January, April, July, and October
Steve Hall
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/1

2/6/2021 Mail - Denard, Derek - Outlook
RE: Peer Review for NCO086584 Belmont WTP
Phillips, Emily <[e-mail]>
Fri 9/18/2020 12:00 PM
To: Denard, Derek <[e-mail]>
Looks good, from what I can tell. Have a good weekend!
Emily
From: Denard, Derek <[e-mail]>
Sent: Wednesday, September 16, 2020 3:50 PM
To: Phillips, Emily <[e-mail]>
Subject: Peer Review for NC0086584 Belmont WTP
ENC0086584 Town of Belhaven - Belhaven WTP
Thanks,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/1

4/23/2021 Mail - Denard, Derek - Outlook
[External] RE: Issuance of NPDES Permit NC0086584 - Town of Behaven WTP
water <[e-mail]>
Sun 4/18/2021 6:37 PM
To: Denard, Derek <[e-mail]>
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment
to Report Spam.
I received the email with the permit attached. I will print the document. The State should reduce my
next annual permit fee to reflect the passed on cost to me and the savings to the State. Stephen Hall
Sent from my U.S. Cellular® Smartphone
Original message
From: "Denard, Derek" <[e-mail]>
Date: 4/16/21 1:17 PM (GMT-05:00)
To: [e-mail], [e-mail], [e-mail]
Cc: "Tankard, Robert" <[e-mail]>, "Mays, Paul M" <[e-mail]>,
"Moore, Cindy" <[e-mail]>, "Thomas, Zachary T" <[e-mail]>,
"Weaver, Charles" <[e-mail]>
Subject: Issuance of NPDES Permit NC0086584 - Town of Behaven WTP
Dear Mr. Hall:
In order to provide more convenience, control, and security to our permittees and assist them in processing their
transactions, The Division of Water Resources is currently transitioning towards electronic correspondence. This
will hopefully provide more efficient service to our permittees and other partners and will allow us to more
effectively process and track documents. We are writing to ask you for your approval of the transmittal of
documents related to your permitting and related activities with the Division in an electronic format. Documents
will be emailed to the appropriate contact person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an electronic manner
is acceptable to you.
Please respond to this email confirming that you received the attached document(s), were able to open and view
the document(s) and have saved/printed a copy for your records.
If you have any questions, please feel free to contact me.
Sinclerey,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 1/2

4/23/2021 Mail - Denard, Derek - Outlook
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/AAMkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56121 cjmNA... 2/2