NC0060259_Renewal (Application)_20210506

JM Sm4
t
ROY COOPER ,
Governor I t
DIONNE DELLI-GATTI
.,, ,,,.
Secretory �v121a"^`"�.�`
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
May 11, 2021
T3T Willow Oaks, LLC.
Attn: Michael Brown
1150 Hungry Neck Blvd Ste C359
Mt Pleasant, SC 29464
Subject: Permit Renewal
Application No. NC0060259
Willow Oak MHP WWTP
Rockingham County
Dear Applicant:
The Water Quality Permitting Section acknowledges the May 6, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
iraviogesAW,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Paul Smith, ORC
ec: WQPS Laserfiche File w/application
D_E Q NWorthinsto CarolinanSalem Depaonalrtment
Of fice of Environmenta450WestHanesl QualityMill R Division uite of Water Resources
Regiad.S 300 Winston-Salem.North Carolina 27105
/`" 336 776.9800

NPDES Permit Number Facility Name Modified Application Form 2A
/VC. oo 0,Z` `11 bA o k AA ttP Modified March 2021
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
NPDES the instructions may result in denial of the application.)
SECTION 1. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and (9))
1.1 Facility name W /�
r � l O t� OA \S W k, .) f T'
Mailing address(street or P.O. box)
1150 H-uv.grr ,r.ee_k Blvd. 5-ft_. C 359
City or town State ZIP code
€ Contact name(first and last) Title Phone number Email address
c Mia•ael 3ro boy 201-3322 v1-12o1 3322. /n; ke_ # rub;/d. c
w Location address(street, route number,or other specific identifier) 154 Same as mailing address
r
tri
u_
City or town State ZIP code
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission igilNo E C E I VE D
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above? 6 2021
Yes ❑ No 4 SKIP to Item 1.4.
Applicant name NCDEQ/DWR/NPDES
Paul 5 tv-,'. .A-N
Applicant address(street or P.O. box)
o
Poec,x 2b9
cCity or,town State ZIP code
12�t65 d r Itt?#& NC. 27 32 3
Contact name(first nd last) Title Phone number Email address
.tk 3 M -1 , OK C_-. 336 93 2 f 3`17 3")i c i t sa J 1-1•. . r. 3--
< 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner [c Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
K Facility ❑ Applicant ❑ Facility and applicant i
(they are one and the same)
1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
Enumber for each.)
E Existing Environmental Permits
a R J NPDES(discharges to surface 0 RCRA(hazardous waste) El UIC(underground injection
water) control)
g /NGoo602tiC _
o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
c
w
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
to
w 404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
/Y c 00602.5C1 lid r II DO 0 k j Mtip Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
/c %separate sanitary sewer afi Own 0 Maintain
2. 2-0 %combined storm and sanitary sewer 0 Own 0 Maintain
d 0 Unknown 0 Own ❑ Maintain
o %separate sanitary sewer 0 Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
CZ
0 Unknown 0 Own 0 Maintain
a %separate sanitary sewer 0 Own 0 Maintain
c %combined storm and sanitary sewer El Own 0 Maintain
fa 0 Unknown 0 Own 0 Maintain
O %separate sanitary sewer 0 Own 0 Maintain
> %combined storm and sanitary sewer 0 Own 0 Maintain
cn
0 0 Unknown ❑ Own 0 Maintain
Total
°' Population 2 2 0
6
o ! Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of o 0
_ sewer line(in miles) / 00 /o /o
� 1.8 Is the treatment works located in Indian Country?
c
U ❑ Yes , No
R 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
c ❑ Yes 51. No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
mgd
w Annual Average Flow Rates(Actual)
lii Two Years Ago Last Year This Year
c _o 0. 005 mgd 0, 009 mgd 0, 0 // mgd
Maximum Daily Flow Rates(Actual)
o Two Years Ago I Last Year This Year
0 , 0 / O mgd 0. 0/ 2, mgd 0 , 0 / 2. mgd
u, 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina b t se.
o Total Number of Effluent Discharge Points by Type
0.
Combined Sewer Constructed
Treated Effluent Untreated Effluent Bypasses Emergency
s ..0 Overflows Overflows
o II
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
/V C 00 0259
259 (A)
; 031,4
IJt JC 1,3/ n Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina !�
1.12 Does the POTW discharge wastewater to basins, ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes No4SKIPtoltem1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface (check one)
Impoundment
0 Continuous
gpd 0 Intermittent
0 Continuous
gpd ❑ Intermittent
0 Continuous
gpd 0 Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data _
Continuous or
Average Daily Volume
Location Size A Iled Intermittent
l pp (check one)
2 0 Continuous
acres gpd 0 Intermittent
acres d 0 Continuous
gp 0 Intermittent
gpd 0 Continuous
acres
c 0 Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
❑ Yes No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck, pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ! No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O. box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
N C- 0060239 w . I 1 h1 Oa k s m N-P Modified March 2021
1.20 In the table below,indicate the name,address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
-0 Facility name Mailing address(street or P.O. box)
City or town State ZIP code
0
Contact name(first and last) Title
0
Phone number Email address
0 NPDES number of receiving facility(if any) ❑ None Average dailyflow rate mgd
0 9 9
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
d not have outlets to waters of the State of North Carolina(e.g., underground percolation, underground injection)?
F.' ❑ Yes I. No 4 SKIP to Item 1.23.
L
o1.22 Provide information in the table below on these other disposal methods.
0Information on Other Disposal Methods
o Disposal Annual Average
Location of Size of Continuous or Intermittent
-0 Method Daily Discharge
c Disposal Site Disposal Site (check one)
Description _ Volume
m acres gpd ❑ Continuous
1 - - - -
o Intermittent
o
acres gpd 0 Continuous
1
❑ Intermittent
acres gpd ❑ Continuous
0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
0 Y Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
11,
c ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section
Section 301(h)) 302(b)(2))
gl Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
R! Yes ❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
Contractor name 5 m t i-t
.� (company name) _,.,dv5-11-r i c 5
o Mailing address P d aox 2 6 9
c (street or P.O.box)
o City,state, and ZIP ?Q. 5�; 2, IV L
co
code 27323
c Contact name(first and
c i last) PO )I 5M'4 'fk,-s
Phone number 33 b 5 3 2 g 3 4 7
Email address 5' 'i " 'A 60,S i c'.t.e._
01so4.04L . ne+
Operational and ylr re 1 C-t.
maintenance M� AA-et .� 5
responsibilities of or
contractor 4 e, r ai-rJ C 3
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NL 00602 5 LA-) 11bw . M e 1 Modified March 2021
SECTION 2.ADDITIONAL INFORMATION (40 CFR 122.21(j)(1)and (2)) r7�
o i Outfalls to Waters of the State of North Carolina
LI 1 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ❑ Yes K. No 4 SKIP to Section 3.
= 2.2 Provide the treatment works'current average daily volume of inflow i Average Daily Volume of Inflow and Infiltration
and infiltration. gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
CO
0
12 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
as m specific requirements.)
0
o ❑ Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
o (u (See instructions for specific requirements.)
,
.co
n ❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
= Briefly list and describe the scheduled improvements.
0
is
=
"EL
2.
0
N 3.
d
5
a>
n 4.
as 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected i Attainment of
d Scheduled BeginBegin
End Be in
> Outfalls Operational
2 Improvement Construction Construction Discharge
(from above) (list outfall Level
(MM/DD/YYYY) (MM/DD/YYYY) (MMIDD/YYYY)
cu
number) (MM/DD/YYYYL
cu
1.
d
o 2.
co
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
AIC_ 006o2.5 .i I �\c�uj ociAs 4 r1(� Modified March2021
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the followinginformation for each outfall. (Attach additional sheets ifyou have more than three
outfalls.)
I Outfall Number O 0) Outfall Number Outfall Number
State "(C.
wCounty R oc.,k'.n �4 qn
2 City or town
0 Distance from shore 3 ft. ft. ft.
D.
0 Depth below surface 2— ft. ft. ft.
Ca 1
Average daily flow rate 0,0/0 mgd mgd mgd
Latitude ° " N or ° " Nor ° " Nor
Longitude "" N or .
" N or ' "
CO
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
CO ❑ Yes B] No 4 SKIP to Item 3.4.
i N
3.3 If so, provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
0
Number of times per year
0 discharge occurs
a Average duration of each
o discharge(specify units)
oAverage flow of each mgd mgd mgd
m discharge
in Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ,J No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser t eat each applicable outfall.
n
-------- -- -----
h- Outfall Number - Outfall Number Outfall Number
N
0
vi 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
1.2 a one or more discharge points?
w M, Yes ❑ No +SKIP to Section 6.
Page 6
i

NPDES Permit Number Facility Name Modified Application Form 2A
"/C 00602$^ , f y I I b Oq k3M Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number Outfall Number Outfall Number
Receiving water name L;441 L 1 rotbIeS �
LcG el<
Name of watershed, river, iN 0,W R i ire r
0 or stream system
Q U.S. Soil Conservation
d Service 14-digit watershed
o code
R Name of state (met_ reel r
3 management/river basin KAM(' d^5 ,^
U.S. Geological Survey
4) 8-digit hydrologic
ce cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number 001 Outfall Number Outfall Number
Highest Level of jilt Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
O Secondary 0 Secondary 0 Secondary
❑ Advanced 0 Advanced ❑ Advanced
❑ Other(specify) 0 Other(specify) 0 Other(specify)
c
0
c Design Removal Rates by
u Outfall
w
d
o BOD5 or CBOD5 % % %
c
d
u TSS % % %
El Not applicable 0 Not applicable 0 Not applicable
Phosphorus % % ok
sNot applicable 0 Not applicable 0 Not applicable
Nitrogen % % ok
Other(specify) Not applicable 0 Not applicable 0 Not applicable
% % %
Page 7

NPDES Permit Number Facility Name Modified Application Form 2A
nee,00 60 2.5 c, w . I I J1,3 clt.)5 M It P Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below. G�1 - a b It{-5 t- ec.1,NI esri f .ej-;w•
elble�-5
o -
Outfall Number OCR Outfall Number Outfall Number
o
fl" Disinfection type
( la cf5
Seasons used /T,1 I l yea r..
Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable
$a Yes ❑ Yes ❑ Yes
❑ No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
ra Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ,gj No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge
water
aNumber of tests of receiving
water
w _
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
tga Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
❑ Yes p� No additional sampling required by NPDES
t�' permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
./c 00 !U 2,5
L 9 ,�b I I c�C4AS Al Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
1-3 Yes itpNo 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
c
c
o _
m3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
o toxicity?
0 Yes ❑ No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
d �
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes 0 No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
Not applicable because previously submitted
❑ Yes ❑ information to the NPDES 'ermittin• authorit .
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
AfC CO 60 2 5 c� W " �� Modified March 2021
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1 Column 2
[AlSection 1: Basic Application
� Information for All Applicants El variance request(s) El w/additional attachments
❑ Section 2:Additional ❑ w/topographic map ❑ w/process flow diagram
Information ❑ w/additional attachments
El w/Table A ❑ w/Table D
Section 3: Information on w/Table B El Effluent Effluent Discharges w/additional attachments
CD
❑ w/Table C
is
Section 4: Not Applicable
0
ca
Section 5: Not Applicable
Section 6:Checklist and
❑ Certification Statement ❑ w/attachments
t/7
Y 6.2 Certification Statement
U
Q1
v I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information,the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last ame) Official title
1 S M ORC.
Signature Date signed
PC),/ -12_ Lt' 2 9 . 2 1
Page 10

I NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
/VC 0060239 W I r J ui c3gic 5 M O C) I Modified March 2021
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical I ML or MDL
Pollutant ' i Number of , I
Value Units Value Units Samples Method (include units)
Biochemical oxygen demand Jr. 2)p 3
ML
❑BOD5 or❑CBODs O 4 0 iRr.MDL
resort one (� �9 �-• 5 ��. 2 der n�on�� Zo 1� 2• "y
Fecal coliform ° AA p/✓�/GO y 0 /s/I PA/�lve) MIMI ❑ML
(p • le J r+ - $
,MDL
Design flow rate 0,0 Z 0 /v) 6 D D.O l0 M G o vJ e e k iJ ? i-,
pH (minimum) 0
pH(maximum) 7. 6 5 U . s
Temperature(winter) / C. /0 C.
Temperature(summer) z L{ Mil a 2 L w ere,lc ly
(TSS) 3 1 S y apex'r 5,t1 2
2 DI lD 2.5wy/L R MDL
‘,.,-
Total suspended solids TSS O w` �L nno�
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
/VC /6 o 2 r, tJ,l I o k5 K'H P COI Modified March 2021
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge I Average Daily Discharge
--I— — Analytical ML or MDL
Pollutant Number of Methods (include
Value Units Value Units Samples
units)
ML
Ammonia(as N) 3 AnnI L /0 vv13 IL. 2ecr&tome ,t J32,'fy9 0,l reyl�. ❑MDL
Chlorine L / U Lek LIS°J i ❑ML
(total residual,TRC)2 v 05 C7 9 �L z PW CI C. • 2011 led MDL
Dissolved oxygensox, D ❑ML
tj (j -to t) /�J vy/L.gi MDL
Nitrate/nitrite !15 v /L �, ✓`^y I L q. A.cf 1.3t pA 35 u' z o'er ❑MDL
yQ Z• ,.,, 1_ K
Kjeldahl nitrogen 5 .n,n IL 5 /L- quac+cr 1J LRcP3S ' 12;
93 0, 5 L O MDL
0 ML
Oil and grease 0 MDL
Phosphorus 1111 Z ,M i` q Jar-tq-1.j . (VA Z6o !49 c� 0 L lit MDL
Total dissolved solids ❑ML
I 0 MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 12

Pace Analytical Services,LLC
® 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.com [phone]
I
ANALYTICAL RESULTS
Project: WILLOW OAK EFF(1/13)
Pace Project No.: 92516436
Sample: EFFLUENT Lab ID: 92516436001 Collected: 01/13/21 15:20 Received: 01/13/21 16:25 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2011
Pace Analytical Services-Eden
Total Suspended Solids 18.1 mg/L 6.9 1 01/14/21 14:21
5210E BOD,5 day EDN Analytical Method:SM 5210E-2011 Preparation Method:SM 5210B-2011
Pace Analytical Services-Eden
BOD,5 day 19.9 mg/L 2.0 1 01/14/21 11:35 01/19/21 10:04
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms ND MPN/100mL 1.0 1 01/13/21 17:05 01/14/21 12:48
350.1 Ammonia Analytical Method: EPA 350.1 Rev 2.0 1993 1
Pace Analytical Services-Asheville
Nitrogen,Ammonia 14.7 mg/L 0.30 3 01/19/21 14:42 7664-41-7
351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Kjeldahl,Total 4.5 mg/L 0.50 1 01/18/21 17:51 01/19/21 02:32 7727-37-9
353.2 Nitrogen,NO2/NO3 pres. Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 0.16 mg/L 0.040 1 01/18/21 14:56
365.1 Phosphorus,Total Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Phosphorus 2.2 mg/L 0.050 1 01/21/21 16:19 01/22/21 04:21 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/22/2021 02:23 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 13

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
ace Analytical Eden,NC 27288
www.paceiabs.com [phone]
ANALYTICAL RESULTS
Project: WILLOW OAK NORTH 12/29
Pace Project No.: 92514029
Sample: EFF Lab ID: 92514029001 Collected: 12/29/20 13:05 Received: 12/29/20 14:00 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services-Eden
Total Suspended Solids 5.9 mg/L 2.7 1 12/30/20 08:41
350.1 Ammonia EDN Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 15.8 mg/L 0.50 5 01/06/21 18:04 7664-41-7
5210E BOD,5 day EDN Analytical Method: SM 5210B-2011 Preparation Method: SM 5210B-2011
Pace Analytical Services-Eden
BOD, 5 day 4.5 mg/L 2.0 1 12/29/20 17:12 01/03/21 12:25 R6
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 16.0 MPN/100mL 1.0 1 12/29/20 15:47 12/30/20 10:50
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/07/2021 05:10 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 10

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical® Eden,NC 27288
www.pacolabs.com [phone]
ANALYTICAL RESULTS
Project: WILLOW OAK Effluent 3/10
Pace Project No.: 92526934
Sample: Effluent Lab ID: 92526934001 Collected: 03/10/21 14:35 Received: 03/10/21 16:55 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services-Eden
Total Suspended Solids 2.5 mg/L 2.5 1 03/12/21 15:13
350.1 Ammonia EDN Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 12.2 mg/L 0.20 2 03/12/21 12:49 7664-41-7
5210E BOD,5 day EDN Analytical Method:SM 5210B-2011 Preparation Method:SM 5210B-2011
Pace Analytical Services-Eden
BOD,5 day 4.3 mg/L 2.0 1 03/11/21 16:26 03/16/21 15:08 R6
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 22.6 MPN/100mL 1.0 1 03/10/21 17:05 03/11/21 11:09
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:03/18/2021 04:01 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 10

Facility Name: Willow Oaks Month/Year c ccv I 2.01.0
Permit#: NC0060259
County : Rockingham
— pH SM 4500 H+B-2011 Total Residual Chlorine SM 4500 CI E-2011
pH pH Buffer CI Daily Time CL Chlorine TRC Signature I
Sample Result Check Check daily Sample Result
Analysis value Standard Check Analysis ug/L
Date in-situ ug/L Standard Time
Time Analyzed
1 So 7� lJ /a
2 SO 7o0 /.5 /O �(� 15oa 0, 6
3 i730 ©,25
el-5 6', 2- 5
4
5
6
7 i515 tf, 5
8
i530 0.2. 5
9 . /3 0.5 7, Li 7,0/3°3 So 7o0 13 /8 G G t. 00 of .5-
10 50 7vo I ZZ G iji5 °"�
/5fS o-s
11
12
13
14 � [CaO c3,5
15 /q3O 0. 5
16 50 700 ; /CM a <6 lii 36 o;
17 ,50 00 11-J y 0 C6 IN 30 0 ; 5
r -7
18 i i /WS 0-.5 -1
119 1
20
v/ , 5
21 .5o 700 . 8 1Z 4 k' g3c�v 6, 5
22 50 700 I '1`15 <6 lis
23 1SIS 6,5
24 1 /Li4S o . 2.7
25
26
L_
27
28 ! Sv r 7 0cD ' 1356 <6. t 54 S 0. -7 5
t3,0 /300 C9i .S
-, 29 . Biz To �,oSO 700 )3 2 14
130 Ili 4-S 0,..5
I
31 I f 5 33 6 `J
i l

Facility Name: Willow Oaks Month/Year DZ..c_crvs,be,,r 2� Q
Permit#: NC00 02 9
6 5
County : Rockingham
Temperature SM 2550 B 2010 Dissolved Oxygen SM 4500 0 G-2011
Effluent Effluent Temp Temp DO DO DO DO Signature
Meter Flow Collected/ Celsius Adjusted Calibration Reading Sample
Reading MGD Analyzed Air Time mg/L Analysis
Date Calibration Time
1
2 0,0/0 / 502 y e
3 0 �
4
5
6
7
8
9 0(0/0 1325
10
11
12
13
14
15
16 0 ,0/0 ) 143L 3
17
18
19
20
21
22 v,op 1 `-1 3
23
24
25
26
27
28 {
i 1
29 C7 o f Cj l 3 0 1-1
30 I I
31