NC0086941_Fact Sheet_20210630

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Ex edited Permit Renewals
Permit Writer / Date
Brianna Young 6/30/2021
Permit Number
NC0086941
Facility Name / Facility Class
Devil's Woodyard WTP / PC-1
Basin Name / Sub -basin number
Cape Fear / 03-06-21
Receiving Stream / HUC
Horse Pen Branch / 030300070201
Stream Classification / Stream Segment
C; Swamp / 18-74-3-1
Does permit need Daily Maximum NH3
N/A
limits?
Does permit need TRC limits/language?
Already present
Does permit have toxicity testing? IWC (%) if
so
No (Greenland does not require toxicity test)
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes — upstream hardness added during
renewal
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since last permit?
No
New expiration date
5/31/2026
Comments on Draft Permit?
None
Section 1. Facility Overview:
The Devil's Woodyard WTP operates a greensand WTP designed for a potable flowrate
of 1.620 MGD and a designed wastewater discharge of 0.066 MGD (average) to 0.132
MGD (peak) MGD. The facility generates backwash with an intermittent discharge;
however, the facility is currently not discharging as wastewater is recycled back into the
plant. The Southeastern Wayne Sanitary District wishes to keep the permit in case future
discharge is needed.
Section 2. Compliance History:
• 1 NOD for a late/missing DMR — NOD was closed
• No tox results available for review as no discharge has occurred
Section 3. RPA:
An RPA could not be performed as no discharge data is available for review.
Page 1 of 7

Section 4. NCG590000 General Permit Eligibility:
• They use greensand technology, therefore they are eligible
• They have no discharge data available to evaluate limits or toxicity, therefore they
are not eligible
• They have to monitor for aluminum that the general permit does not have,
therefore they are not eligible
• Conclusion: They are not eligible for the NCG59
Section 5. Changes from previous permit to draft:
• Updated eDMR footnote in A(1) and language in A(2)
• Updated outfall map
• Added facility grade in A(1)
• Updated language on the Supplement to Permit Cover Sheet
o Updated discharge notification requirements per discussion with WaRO
o Receiving stream characteristics
o Removed reference to ATC as certification received 8/9/2016
• Added components list on Supplement to Permit Cover Sheet
• Monitoring for total iron and total manganese removed in A(1) as no water
quality standards exist and per current WTP guidance
• Added upstream hardness monitoring in A(1) per current WTP guidance
• Updated footnotes in A(1)
Section 6. Changes from draft to final:
• None
Section 7. Comments received on draft permit:
• None
Page 2 of 7

NPDES Implementation of Instream Dissolved Metals Standards - Freshwater
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, metal 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).
Table 2. Dissolved Freshwater Standards for Hardness -Dependent Metals
The Water Effects Ratio (WER) is equal to one unless determined otherwise
under 15A NCAC 02B .0211 Subparagraph (11)(d)
Metal
NC Dissolved Standard, µg/1
Cadmium, Acute
WER*{1.136672-[ln hardness](0.041838)} • e^{0.9151 [In hardness]-3.1485}
Cadmium, Acute Trout waters
WER*{1.136672-[In hardness](0.041838)} • e^{0.9151[ln hardness]-3.6236}
Cadmium, Chronic
WER*{1.101672-[ln hardness](0.041838)} • e^{0.7998[ln hardness]-4.4451}
Chromium III, Acute
WER*0.316 • e^{0.8190[ln hardness]+3.7256}
Chromium III, Chronic
WER*0.860 • e^{0.8190[ln hardness]+0.6848}
Page 3 of 7

Copper, Acute
WER*0.960 • e^{0.9422[ln hardness]-1.700}
Copper, Chronic
WER*0.960 • e^{0.8545[ln hardness]-1.702}
Lead, Acute
WER*{1.46203-[ln hardness](0.145712)} • e^{1.273[ln hardness]-1.460}
Lead, Chronic
WER*{1.46203-[ln hardness](0.145712)} • e^{1.273[ln hardness]-4.705}
Nickel, Acute
WER*0.998 • e^{0.8460[ln hardness]+2.255}
Nickel, Chronic
WER*0.997 • e^{0.8460[ln hardness]+0.0584}
Silver, Acute
WER*0.85 • e^{1.72[ln hardness]-6.59}
Silver, Chronic
Not applicable
Zinc, Acute
WER*0.978 • e^{0.8473[ln hardness]+0.884}
Zinc, Chronic
WER*0.986 • e^{0.8473[ln hardness]+0.884}
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 and hardness -dependent standards requires
additional consideration in order to establish the numeric standard for each metal of
concern of each individual discharge.
The hardness -based standards require some knowledge of the effluent and instream
(upstream) hardness and so must be calculated case -by -case for each discharge.
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 default translator values
developed for each metal (more on that below), but it is also possible to consider case -
specific translators developed in accordance with established methodology.
RPA Permitting Guidance/WQBELs for Hardness -Dependent Metals - Freshwater
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 critical low -flow values for the
receiving stream.
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.
1. To perform a RPA on the Freshwater hardness -dependent metals the Permit
Writer compiles the following information:
Page 4 of 7

• Critical low flow of the receiving stream, 7Q10 (the spreadsheet
automatically calculates the 1Q10 using the formula 1Q10 = 0.843
(s7Q10, cfs) 0.993
• Effluent hardness and upstream hardness, site -specific data is preferred
• Permitted flow
• Receiving stream classification
2. In order to establish the numeric standard for each hardness -dependent metal of
concern and for each individual discharge, the Permit Writer must first determine
what effluent and instream (upstream) hardness values to use in the equations.
The permit writer reviews DMR's, Effluent Pollutant Scans, and Toxicity Test
results for any hardness data and contacts the Permittee to see if any additional
data is available for instream hardness values, upstream of the discharge.
If no hardness data is available, the permit writer may choose to do an initial
evaluation using a default hardness of 25 mg/L (CaCO3 or (Ca + Mg)).
Minimum and maximum limits on the hardness value used for water quality
calculations are 25 mg/L and 400 mg/L, respectively.
If the use of a default hardness value results in a hardness -dependent metal
showing reasonable potential, the permit writer contacts the Permittee and
requests 5 site -specific effluent and upstream hardness samples over a period of
one week. The RPA is rerun using the new data.
The overall hardness value used in the water quality calculations is calculated as
follows:
Combined Hardness (chronic)
= (Permitted Flow, cfs *Avg. Effluent Hardness, mg/L) x (s7Q10, cfs *Avg. Upstream
Hardness, mg/L)
(Permitted Flow, cfs + s7Q10, cfs)
The Combined Hardness for acute is the same but the calculation uses the 1Q10
flow.
3. The permit writer converts the numeric standard for each metal of concern to a
total recoverable metal, using the EPA Default Partition Coefficients (DPCs) or
site -specific translators, if any have been developed using federally approved
methodology.
Page 5 of 7

EPA default partition coefficients or the "Fraction Dissolved" converts the
value for dissolved metal at laboratory conditions to total recoverable metal
at in -stream ambient conditions. This factor is calculated using the linear
partition coefficients found in The Metals Translator: Guidance for
Calculating a Total Recoverable Permit Limit from a Dissolved Criterion
(EPA 823-B-96-007, June 1996) and the equation:
Cdiss =
Ctotal
1
1 + { [Kpo] [SSUU+a)] [10-6] }
Where:
ss = in -stream suspended solids concentration [mg/1], minimum of 10 mg/L
used, and
Kpo and a = constants that express the equilibrium relationship between
dissolved and adsorbed forms of metals. A list of constants used for each
hardness -dependent metal can also be found in the RPA program under a
4. The numeric standard for each metal of concern is divided by the default partition
coefficient (or site -specific translator) to obtain a Total Recoverable Metal at
ambient conditions.
In some cases, where an EPA default partition coefficient translator does not exist
(ie. silver), 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. For more information on
conversion factors see the June, 1996 EPA Translator Guidance Document.
5. 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 s7Q10)
s7Q10 = summer low flow used to protect aquatic life from chronic toxicity
and human health through the consumption of water, fish, and shellfish from
noncarcinogens (cfs)
* Discussions are on -going with EPA on how best to address background
concentrations
Flows other than s7Q10 may be incorporated as applicable:
1 Q 10 = used in the equation to protect aquatic life from acute toxicity
Page 6 of 7

QA = used in the equation to protect human health through the
consumption of water, fish, and shellfish from carcinogens
30Q2 = used in the equation to protect aesthetic quality
6. 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.
7. 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.
8. The Total Chromium NC WQS was removed and replaced with trivalent
chromium and hexavalent chromium Water Quality Standards. 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 III or VI. In these
cases, the projected maximum concentration (95th %) for total chromium will be
compared against water quality standards for chromium III and chromium VI.
9. Effluent hardness sampling and instream hardness sampling, upstream of the
discharge, are inserted into all permits with facilities monitoring for hardness -
dependent metals to ensure the accuracy of the permit limits and to build a more
robust hardness dataset.
10. Hardness and flow values used in the Reasonable Potential Analysis for this
permit included:
Parameter
Value
Comments (Data Source)
Average Effluent Hardness
(mg/L)
[Total as, CaCO3 or (Ca+Mg)]
N/A
No discharge
Average Upstream Hardness
(mg/L)
[Total as, CaCO3 or (Ca+Mg)]
N/A
No discharge
7Q10 summer (cfs)
N/A
No discharge
1 Q 10 (cfs)
N/A
No discharge
Permitted Flow (MGD)
N/A
No discharge
Page 7 of 7

Young, Brianna A
From: Joey Threewitts <[e-mail]>
Sent: Friday, July 2, 2021 7:36 AM
To: Young, Brianna A; Steve Hamilton
Subject: RE: [External] RE: Issued NPDES Permit NC0086941
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good Morning
Yes I received and was able to open and print the permit.
Thank you
Joey Threewitts
Operations Manager
Wayne Water Districts
From: Young, Brianna A <[e-mail]>
Sent: Friday, July 2, 2021 7:27 AM
To: Joey Threewitts <[e-mail]>; Steve Hamilton <[e-mail]>
Subject: RE: [External] RE: Issued NPDES Permit NC0086941
Good morning,
Attached is the issued NPDES permit for the Devil's Woodyard WTP (NC0086941). Please respond to this email
confirming that you received the attached document, were able to open and view the document, and have
saved/printed a copy for your records.
Thank you,
Brianna Young, MS (she/her)
Environmental Specialist II
Compliance and Expedited Permitting Unit
NC DEQ/ Division of Water Resources
[e-mail] (e-mail preferred during State of Emergency)
919-707-3619 (office)
Mailing address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
1

To accommodate these staffing changes, all DEQ office locations are limiting public access to appointments only. Please check with
the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We appreciate your
patience as we continue to serve the public during this challenging time.
From: Joey Threewitts <[e-mail]>
Sent: Thursday, July 1, 2021 4:04 PM
To: Young, Brianna A <[e-mail]>; Steve Hamilton <[e-mail]>
Subject: [External] RE: Issued NPDES Permit NC0086941
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
That will be fine
Thank you
Joey Threewitts
Operations Manager
Wayne Water Districts
From: Young, Brianna A <[e-mail]>
Sent: Thursday, July 1, 2021 3:54 PM
To: Steve Hamilton <[e-mail]>
Cc: Joey Threewitts <[e-mail]>
Subject: Issued NPDES Permit NC0086941
Good afternoon,
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. If you have any questions, please feel free to contact me.
Thank you,
Brianna Young, MS (she/her)
Environmental Specialist II
Compliance and Expedited Permitting Unit
NC DEQ/ Division of Water Resources
Brianna.Young(cancdenr.gov (e-mail preferred during State of Emergency)
919-707-3619 (office)
Mailing address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
2

AFFP
Public Notice North Carolina E
Affidavit of Publication
STATE OF NC }
COUNTY OF WAYNE }
ss
David Rouse, being duly sworn, says:
That he is Network Manager of the Goldsboro News-
Argus, a daily newspaper of general circulation, printed
and published in Goldsboro, Wayne County, NC; that the
publication, a copy of which is attached hereto, was
published in the said newspaper on the following dates:
May 14, 2021
That said newspaper was regularly issued and circulated
on those dates.
SIGNED:
David Rouse, Network Manager
Subscribed to and sworn to me this 18th day of May 2021.
Jr�
Kimberly A. LanglBB&T Branch Ba
County, NC 1l�jj
KIMBERLY A LANGLEY
My commission expires: August 105 2
Nofar�2P tblic
Wayne County, NC
0---
70021562 70057176
Wren Thedford (138)
North Carolina Environmental Management Commission
1617 Mail Service Center
Raleigh, NC 27699-1617
Public Notice
North Carolina Environmental
Management Commission/NP-
DES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a NP-
DES Wastewater Permit
NC0086941 Devil's Woodyard
WTP The North Carolina Envir-
onmental 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 no-
tice, The Director of the NC Di-
vision of Water Resources
(DWR) may hold a public hear-
ing should there be a signific-
ant degree of public interest.
Please mail comments and/or
information requests to DWR at
the above address, Interested
persons may visit the DWR at
512 N. Salisbury Street,
Raleigh, NC 27604 to review in-
formation on file. Additional in-
formation on NPDES permits
and this notice may be found
on our website:
http://deq.nc.gov/abouti
divisions/water-resources/
water -resources -permits/
wastewater -branch/
npdes-wastewater/
public -notices, or by calling
[phone]. Southeastern
Wayne Sanitary District [PO
Box 1583, Goldsboro, NC
27533-1583J has requested re-
newal of permit NC0086941 for
its Devil's Woodyard WTP in
Wayne County. This permitted
facility has the potential to dis-
charge filter backwash
wastewater to an unnamed trib-
utary (UT) to Horsepen Branch
in the Cape Fear River Basin.
Currently total residual chlorine
is water quality limited. This dis-
charge may affect future alloca-
tions in this segment of the re-
ceiving stream.

NH3/TRC WLA Calculations
Facility: Devil's Woodyard WTP
PermitNo. NC0086941
Prepared By: Brianna Young
Enter Design Flow (MGD):
Enter s7Q10 (cfs):
Enter w7Q10 (cfs):
0.132
0
0
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
Upstream Bkgd (ug/I)
IWC (%)
Allowable Conc. (ug/I)
Fecal Coliform
Monthly Average Limit:
(If DF >331; Monitor)
(If DF<331; Limit)
Dilution Factor (DF)
0
0.132
0.2046
17.0
0
100.00
17
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/I)
w7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
1.00 Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N)
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
0
0.132
0.2046
1.0
0.22
100.00
1.0
0
0.132
0.2046
1.8
0.22
100.00
1.8
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 03/22/21 Page 1 of 1
Permit: nc0086941 MRs Betweei 1 - 2016 and 3 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor:
PERMIT: NC0086941
FACILITY: Southeastern Wayne Sanitary District - Devil's
Woodyard WTP
COUNTY: Wayne REGION: Washington
Reporting Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
09-2019 10/31/19 Late/Missing DMR Proceed to NOD

''�r+ STA7F o
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary«mom
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
Southeastern Wayne Sanitary District
Attn: Stephen C. Hamilton, District Manager
PO Box 1583
Goldsboro, NC 27533-1583
Subject: Permit Renewal
Application No. NC0086941
Devil's Woodyard WTP
Wayne County
Dear Applicant:
QWM
November 02, 2020
The Water Quality Permitting Section acknowledges the October 30, 2020 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://deb.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.
Sincere)
4sk\
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Caro r e Department of Env ronmanta Qua t}• I D vson of Water Fesouroes
Wash rgton Regona Offae 194911 ash ngton Square Mali I Wash rgton, North Car: 'a 27889
252-946-6481

Wayne Sani
50' I' O Box 1583
S° 6 . NC 2 7533 -1583
[phone] (Office)
[phone] (Tayy)
October 27, 2020
Ms. Wren Thedford
NC DENR / DWR / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: NPDES Permit Renewal
NPDES Permit No. NC0086941
Southeastern Wayne Sanitary District
Wayne County, NC
Dear Ms. Thedford:
RECEIVED
OCT 2020
NCDEQ/DWR/NPDES
This letter will serve as Southeastern Wayne Sanitary District's request for renewal of our NPDES
Permit NCO086941. There has been no discharge from this facility since August 2005. In lieu of
discharge, the water is being blended with raw water coming into the plant. However, the District must
maintain the ability to discharge. Please find attached the following items:
1. Completed Application Form (one original and 2 copies)
2. Map Showing Discharge Location
3. Flow Schematic
4. Residuals Management Plan
On or about October 22, 2008, this office requested to be decertified, since we were not discharging.
There is an agreement with the City of Goldsboro to analyze any samples until we are recertified, in the
event we need to resume discharging.
Should you have questions regarding our request for renewal you may contact Cecil G. Madden, Jr.,
P.E. with McDavid Associates, Inc. at [phone] or call me.
Stephen C. Hamilton
District Manager
Attachments
cc: McDavid Associates, Inc.
Our Commitment
eOur Profession
XX_GEN\D100X_MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC
ty
Tap!
Member North Carolina Rural Water Association
W:\D1

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
NC0086914
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
Southeastern Wayne Sanitary District
SEWSD WTP No. 1 or Devils Woodyard WTP
VED
Post Office Box 1583
'070
Goldsboro
North Carolina 27533
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
City
State / Zip Code
County
4820 Arrington Bridge Road
Mount Olive
North Carolina 28365
Wayne
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 ❑ State ❑
Private ❑ Public El
Page 1 of 4 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
6. Description of source water(s) (i.e. groundwater, surface water)
Groundwater
7. Describe the treatment process(es) for the raw water:
Aeration, potable water plant filtration, potassium permanganate solution to maintain the
greensand filters, chlorination, or chloramination, and fluoridation
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Backwash from the potable water filters is settled to remove solids and calcium thiosulfate
is added to remove the chlorine residual.
9. Number of separate discharge points: One
Outfall Identification number(s) 001
10. Frequency of discharge:
Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: No Discharge has occurred since August 2005; however, we
must retain the capability. Once solids are settled the water is recycled into the raw water intake
and blended with the raw water for treatment and consumption. Duration: Not Apply
11. Plant design potable flowrate 1.620 MGD
Backwash or reject flow 0.066 avg. & 0.132 peak MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Horsepen Branch, Class C-Sw, 35 deg 13' 02" N and 77 deg 57' 27" W
Page 2 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate
Iron sulfate / ferrous sulfate
Fluoride Yes X No
Ammonia nitrogen / Chloramines
Yes X No
Yes No X
Yes X No
Zinc -orthophosphate or sweetwater CP1236 Yes No X
List any other additives below:
Potassium Permanganate Solution
Carus 8100 (Blended Polyphosphate Solution)
Calcium Thiosulfate Solution
14. Is this facility located on Indian country? (check one)
Yes El 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 ❑ No
y 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.
Signature o
pplicaM Date
Page 3 of 4
Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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 4 of 4 Version 5/2012

Southeastern Wayne Sanitary District
P. O. Box 1583
Goldsboro, NC 27533
[phone]
Arrington Bridge Rd
(SR-1915)
Discharge Line (?)
Emmaus church Rd
(SR-1932)
Southeast Wayne Sanitary District
Devil's Woodyard WTP
Latitadr" 33° 13' R3" N tR, tilt Grid: F27Su' Wi31u�
LeowtodE: 77° 57' 27' W g% 030300007
Reeehul£St/Yarrr UT to ilc3tsepea Bran h Pralvw Rw' n C:ipeFcat Rpvcr
Stream claw C. SW ;4b-Bnir 03A6.21.
NPDES Prnnit NCOO$6941
Wayne County
W:\D10XX_GEN\D100X_MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

5" r7.
a
r. 1.
nf� !
6
Ip
..
i
.
��
ouzo No lin I
Imrei
ow Lai f
i i
it
I
I
(*w) Ira two rs.
..;a 20401, w++
1
I
S
I
r.
#01,J-S RN iiv
O
C
'I
Aga VAN WON 1 6.
;k;
K?
6d
'1$1ii ar a 2., .1) irr
r 4
�a
ur
{te�,
7+-'
P"Ft1
AvdItry.iM Li.-df •
7ir,
..... .Mt1Y I _
Ifni
M 4q 4ia^Aa'C
Tw'4 #rl
MirrY �' 4
foti
A` d, HL19:r rri iir rt
q�e..,4
iradliVg
t44+1as ill-ALAIG
••
_ j.
o
a
1
1
1 1 f
f
4.xe.:r.....as!
Air
t•
11
Iftill Hl$l3 *Ai
il
l ii
I14/71 lytl 4011 K-.cN
Om. PIMA Km
1
1 w 1 4
ixwr. iiajrl 1 .fdi
a
WI.1 0
4.a
fbl
tliif{.Atlti -xio
rta
tW6 WO so 2ii-Jua
',ea'
Iplr.Ef sjryj 0!� kt1-
I13A] NRM3 ttl<,A
A
.
L1Yrf .iSuiiri tI4-4N1
a
1S1'll-tlh .'41'430
0+._k_'Vi..
1,41,t 14t KS6-t.$1
a '
Y., G
g tie
0F,f
i
2
kw. 4.1roort
4.1
r•�
1
1h
14
AAA
r....ryr, i4..az.,
24
1 e !
'4
i
+ 1
I
r i
1 !
" l 11:UPl
1s
s 44
h
1
-url,aselr--40-"
r'�-mod
1 1
TTt4
+ t
i.arafo.r-
tiwc,.»s. J'
1
Aar
r
3

Residuals Management Plan
Quantity Generated
Residuals to be handled come from the backwashing of iron filters. It is anticipated that approximately
that 1 mg/1 of iron will be removed.
Annual Iron Removal =
Residuals Handling and Storage
365 days x 0.9 MGD x 8.43 x 1 mg/1
2,740 lbs.
2,740 lbs. / 140 lbs/ft3
19.6 ft3 per year
Backwash from the iron filters is distributed to two 40' by 20' waste settling tanks where the solids
precipitate out.
Depth of Residuals
Within Tanks
Adequate storage is available.
Ultimate Disposal or Reuse
- Annual Residuals / Tank Area
• 19.6ft3/(2x40'x20')
• 0.01225' deep
• 0.147" deep
Residuals do not have to be removed frequently. They are being handled under contract with Granville
Farms, Inc, Post Office Box 1396, Oxford, NC 27565.
Stephe C. Ham'lton, District Manager
Cecil G. Madden, Jr., P.E.
McDavid Associates, Inc.
[phone]
����� \ 1� I • A R 0 • /0 2
\o .�_SSIp� 9
=:a SEP - r'. =-
- • °- � g359
- C'F • •FNG I N��'.a'
//'2,, Gi l M I.pj.6\o� \\\
W :\D 10XX_GEN\D 100X_MS W\D 1005_CORRES_MSW\CGM\2020\SEW SD\REQUEST FOR RENEWAL.DOC

ICROBAC*
CERTIFICATE OF ANALYSIS
Microbac Laboratories, Inc. - Wilson Division
3809 Airport Drive NW
Wilson, NC 27696
Tel: ( 2523 237-4175
Report Date: 201 .t.0
SCOTT CARPENTER
SOIL PLUS
208 WILLIAMS ST
GREENVILLE NC 27858
SION Client Marts
A609837 Wayne County Water WC 050416
AB09837 Wayne County Water WC 050416
A0095137 Wayne County Water WC 050416
AB09837 Wayne County Water WC 050416
AB09837 Wayne County Water WC 050416
quote; 23-15-39-1
Work Orden 2016-05-04-017
Matrix: WIN
Collection Date: 2016/05/04
Sample Submission Date: 2016/05/04
Analysis Name Method
Flash Point - Liquids SW546 1010
pH (Corrosivrty) SW846 9045D
Reactive Cyanide Chapter 7/9014
Reactive Sulfide Chapter 7/9014
TCLP Full Metals Subcontract
BMA
See comments
See comments
See comments
See comments
See comments
Comments: See attached report. Sample analyzed by Microbac Laboratories, Inc. - Ohio Valley Division.
onion Division EPA Certification • NC00120 NC 'Milking Water Corrrlication $ 3770$
The Following rnethoda am ISO i7025 corIffed:
Yeast WO f jrP.w,c1 Small Plena Method MCA-027
AeroW flare Count Pour Ante Method MOD-029
Eschatichia colt Of 57317 Akcmeirti Screen Testing kiith Rowe; Test Me What MCO-0t2
Total Coaform Eschotichpacoi Enumaranon-PotrreRm TM Method FA.; 104
Outocfico of tkOodit LMonocytocrentis in Foods; FFoRed Rapid L mono Akalbod 41C13-037
Aemble, ode MUM Pr4TitenT)14 FM 103
Results Wale only le items tested
For any femlbact °oncoming our sonticse, please canted Mark Hathaway al flUati
or Robert Crookston et preskrentgailcrobac.con
Environmental • Agrochemical • rood • Pharmaceuticals
nfli
Page 1 of 1
W: \D10XX_GEN \D100X_MSW \D1005_CORRES_MSW CGM 2020 SEWSD \REQUEST FOR RENEWAL.DOC

ratory Report Number: L16060244
Jeff Taylor
Microbac Laboratories
3809 Airport Drive
Wilson, NC 27896
Please find enclosed the analytical results for the samples you submitted to Microbac
Laboratories, Review and compilation of your report was completed by Microbac's Ohio
Valley Division (OVD). If you have any questions, cornments, or require further assistance
regarding this report, please contact your service representative listed below.
Laboratory Contact.
Emily Yoak . Client Services Specialist
[phone]
ernityyoakatimicrobac.com
1certik that art test results meet & of the reourrarnents of the accrediting authority vsted beiow resuies for sot?
samples are reported on a 'dry -weigh( basis iffleess sperff,ed otherwise, Anal:141c.* resats toe water and kse5ries we
reported o n a 'as received' bases urAtiss seedbed otherv(se. A stBrament al uncertainty tor oath analysis is
avaitahte upon requesr. rhes taboraiwy repot! shag nor be reproduced, except in heft rwihout he written approve,/ of
Wacker; LatiLvaterias. the reported resume we /Voted are}y to the samples analyzed as reo3iverr
This report was certified on May 16 2016
David Vandenberg — ManaIig Director
state ei origin: IL
Accrediting Authority: En
QAPP: 1.,ticrobac ovr)
Lf 6050244 Re islorr 0 16 toter news
onrnental Protection Agency !D.:20031g
Mcrobac Laboratories • pive e b e y t)43109
158 Isrltir Drtve, Marsette, OH 457U3 1 (740) 3734071F: (740) R73-4035 •
Generated: o!16/2016 1619
WAD10XX GEN\D100X MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Lab Report #: L16050244
Lab Project ff: 2941.018
Name: Wilson NC
Lab Contact: Unity Yoak
ecer t and Ins ection
Record of Saris le Rr,
This is #re trtcord of the stdpment conditions and the tnspec1lon records for the samples received and reported as a sample de -eery
group (SDG). All of the samples wore inspected and observed to conform to our receipt polies, except as noted below.
The following discrepancies were noted:
Discrepancy
No rune en labels. W# log per information en COG. SRG
Cooler
0011.3915
Resolution
Pleat e krg pa fly information on this COC an proceed. -eny
Question
Were shipping coolers sealed?
Were custody seals intact?
AMAIN
122350150190190235
Were cooler temperatures in range or O 6?
4 Was, ice present?
5 Were COCs rece vedlintormatton canpl etelsigned and dated?
6 Were sample containers Minn and match CDC?
7 Were sampte labels intact and match COC?
8 Were the correct containers and volumes received?
9 were samples reccelvnd within EPA hold braes?
10 Alt samples were flecked tor pH and met the standard, Exceptions are noted above under di::racp
(water only)
11 Were pH ranges ac plable? (voa's excluded)
12 were VQA samples free of headspace (less than 6rnrn)?
Merctrac Laboratories • Ortia Valley Division
S arise :]rive, Martens, OH 45750 • T. (740)37344071 F: (^+40}3'ra-4ti35
vonon icrobnctorn
Parse 2
IRMO
Yes
NA
Yes
VAS
Yes
Yes
Nio
Yes
Yes
NA
NA
HA
W:\DIOXX GEN\D100X_MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Report OP L16050244
Project #: 2941.016
Project Names Wilson NC
Lab Contact: EmitErriWy Voak
t c>ktac tatnratories • Ohio Valley Rivisian
h3fiirieltA. OH 45750 • T. (74O 373-4071 F: {740)173-4535
uw anicruhac.ccun
W:\D10XX GEN\D100X MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Sample0 L1605C244-01
Crrant ID: ADO37
tix Solidest
Warkgroun W
Collect Date: 05M4t2016
Sample Tag:
Certfficate of Analysis
prePirp tviolhoci: NIA
Prep Method: SW7.34
Analytical Method: SW7.34
Analy$t: TTi
Dilution, 1
Units: elcg
Lab impala& L16091244
Pori...1 1
Protect New: URI1411.
CM1.11; riot/ rue.
Instrument: OW3ET
Prep Dale: NIA
Cal Dale:
Run Date: tiSitli6t201t1 17 45
Fite ID: LT.1635061745 06
Analyte
CAS IS
Rama
Reactivity. $0tride
Not detected at or above acipsted sample detection limit
18490•254
FL
MDL
10Ci
Sample 0:
Client ID:
Matrix:
Workgroup
Collect Date:
Sample Tag:
L16050244-01
A509831
Sotiewaste
W5557728
a5it.l4M16 09:30
PrePrep thod: NA
Prep Method' 0045D
Analytical Method: 304
Anatysie Dt.P
Dilution: 1
4..kai1: UNITS
instnirricitt: ORION.ASTAF
Prep DU r N/A
Gat Darr:
Run Date' 06kit5i7016
File ID: OR104W00162F4101
CAS #
Result Qual
Cormehrly pH
Temperanire At Determination (C)
10-29-7
7.50
14,2
RI
DOCK)
0 000
MOL
0.000
0 .000
npk L1cor41744-01
Chelit ID A B0g317
Matrix: Sulidaeste
tAtoi k group a: IA/5560316
Collect D1L 05/04,204.6 {39 30
sample Tag:
RnePrep Method: NIA
Prep Method: 1010
Analytical Method: 1010
Analyst: cPci
Dilution: 1
Units; Degrees C
Instrument PRECISION
Prep Date: NIA
Cal Date:
Run Date: °billows 09 30
File PRI&0511.16353301
Anidybe
IResull is greater than ate astsocierred rairnerkal value,
Sample 0 Ll65024401
Client ID: Ati00837
Matrix, Sad/Q.v.-lc
Woricgroup re: W6557931
Collect Date: 05/041200 0910
Sam* Tau:
PrePr Mestiod: N/A
Prep ravihod: filAr7,32
Analytical Method: SW7.33
Analyst TH
Dilution:
Instrument:
Prep Date:
Cel Dare:
Ron Dele:
Flit ID:
N.OA
02,03/21.11C, 11.31:1
0505/2016 1E1.30
00.1606061230-05
aux latexl al May16. 26,18 11215
Page 4
W : D 1 0 XX_GEN D 1 00X_M S W D 1 005_CORRE S_MSW\CGM\2020\ SEWSD\REQUEST FOR RENEWAL.DOC

DOQ"IVM N3 I' iOd 1sanU QSM3s\Ozoz\NpamsNI sa ltoD Sootthms XOOIQ\NNo xxoIQ\A
smwax* log we mangrige wease
x�w+Ysa qMPIt.92
3.4 ucyMy e4t1141 P 1a d
enovp >i4+ems
>1:21)9Cn11 »tom vti

Sample N: L1,6050244-01
Client ED: Al300337
Matrix: TCLP Leach
Itiocky N: WG560444
Collect Date: 05/0s/2016 09:30
sample lag: DUI
Analyte
!Jenrette
Carbon tetrad -amide
Claceobeniene
Cameleer%
1.2-05rAlloroa1tone
Certificate of Analysis
PrePtcp Method:
Psep Method: 5030WOOCA.1135A
Analyttom Method: AMOS
Analyst: ,IDS
Ditution: 10
44,11
RL
u
1.1 50.0
Lab Pcpert LlitISC044
Deb Po:tette: 21111.018
Project Name lMot
t reePeec FJsly AsTe
Instrument Hpr.151.1
Prep Ditto: MA
Cai Dato: 05,03/7015 21 37
Run Dee: 05/12r2015 01.40
1-11, ID: 11MU789
MDL
2.50
EPA HMO
001e
DON
u
u
1.25 0021
.0
1,3-0ichanr
Methyl Ethyl ketone
Tetraohloroadvane
Tiliditoroalticee
u
u
u
50.0
3-25
2.50
f1077
Reg, Limit
500
500
100000
6000
50.0
5,
25.0.
60,0
2,50
S0,0
2,60
011215
D020
C035
D039
0040
500
700
500
Vinyl daeride
Surrogate
Dibromofluorotnethane
022
1.2-Dichloroethatte-d4 8.1A
1'otaterte-d6 972
4-Bromo5uorobert7ette 102
U Nor detected at or Acme sample deteedon limit
Sample It: L16135C244 -01
Client ID: A0,03k3.37
Matrix: TCLP Leath
Workgroup N: VJG558S02
Collect Date: DS1'04.02016 09 oa
Sample Tag: 01
PrePrep Methnd:
Prep Method: IS10C
Artilytieal Method: 0270L:
Analyst: SC'.6
Dilution: 1
Units: uo,l,
Inshumenr, HPMS4
Prep Date: OS/11/201514:00
Cal nate: 04/13/2015 13:49
Run Data. DEVI, 2/2015 ICY 54
File ID: 4t0711333
Result
Quad
fit-
MAIM
EPA HMV
Reg. Limit
.1 I
U
90.0
25,0
0023
200000
. amstat
U
50.0
25,0
I3026
200000
1.4-Dschlorobenzene
U
5:10
25.0
0027
2.4,,Cinetrprottme
U
50.0
25.0
D020 j
130
ktexachlorobenzane
U
50L0
25.0
D032
130
Hatrodeorobutediene
U
50A 25.0
D033
Horachkettelbane
U
60.0 .....,
260
D(134
3000
Poeta/4
Get Garai. uay16, meats
W:\DIOXX_GEN\DIOOX_MSW\D1005SORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Analyse
trcbenzene
Pontathlowehenol
Pyridine
Carlin
Raul'
e of Analysis
rural
RL
Lnh Report fi U61767:44
PrajecrMaw; 'r har
Lab Conman: Emily 'reek
MOL EPAH11t#
e 25.0
owe
2,4,STrich nos
2,4,6-fl$ tttorophenol
u
u
Surrogate
Recovery
125
Op37
2:0
50.0
50,0
Lower Until
32.0
214
60,1
24,64f nl irteti4
p.Terpnerty141.4
Nei dotes at
n
61.1
21
10
43
125
2,
D038 5000
0441 404000
P042 2000
84.4
Sample A- 1.16050244.01
CTirnt ID: AB09337
Matrix; TCLP Lnoth
Woehgraup t1 .356840.5
Collect Date: 0504f2010 Og:3o
Sample Tag: 01
108
apse dctecke Iiii
1
PraPrep Method:
Prep Method: 3510C
talytica1 Method: 1301113
Analyst. AED
Dilution: 1
Unit*: t:41J1
Result Qual
11
RL
0.500
0500
for
u
©.
Taisphene
Ch ordnnc
Hepletitlor
Heptachlor 1=po dto
alpha Chlordane
u
u
10,0
.0
0303
9anma chlordane
2,4,
11
Sur inflate
nok}4dne
u
instrument: HP15
Prep Date: 0511/2016 14.00
Cal Date: 05103/2016 20:21
Run Date: 05,1212016 02:56
File 10: 15G56935A.F
MOL
0.100
0.100
aim
3.00
3.00
0.100
0.100
EPA HMI
13017
P013
D014
Rea. Limit
20
DOLS
0020
0031
500
30
8
0.500
Recover
L.o vatr Limit
0.1UC
it Limit
S
180
49.9
25
luctad at Or abtme adjusted sample aim) find
Por 2 I4
htzqi w
W:\D10XX GEN\D100X_MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Sample 4: 116052244411.
Gliettt IO: AE0983 '
Matrix; TCLP Leer*
Workg roue #, W6568591
Collect Date: 651i.+4t201.6 00; 30
Sample Tag: 01
Analyte
2,4-D
2,4,S-TP (S4vex1
Certificate of Analysis
Prorrep Method:
Prep Method: MFTIaOO
Analytical Mwihad_ P.1S1A
Analyst; ASp
Dilution: 1,
Units: rear,
L �ti thouli v: L1E:096244
W Proj Kt /: 2B41.010
Proyeet Nuee: Meson RIC
I a coronet; Frraj ltd
Instrument; HP17
>;rtp Dais : 05111re016 iELcaCi
Cat Date: tl';A'1412015 l t:Ct1
Run 1ate: 051'1212316 18;01
File ID: 17C:21892,R
HOasult
u
20.0
3110
MDL
540
0.500
ER4HNIII Rail. Limit
D010 10000
0017 1000
storage*
2,4-Dichlorochenylacelicacid
iorirer Limit
20
Upper Limit 1
144
11 % Not detected at or above adju ad'inmate de cti n limit
Semple16051244-01
Client ID: A1309537
Matrix: TCLP Leach
titircitkutaup tJ: WG568231
Collect Date: 05A14t2016 09:30
Semple Tag: 01
PrePrep Method: N)A
Prep Method: 1015
Analyuaat Method: soioa
Analyst: K1t8
Dilution: 1
Units: man.
Anatyta
Ante*, TCLP
att`itn, TCLP`
Cadieltarrt„ TOW
Chromium, Tap
1444 TCLP
S kniuninTCt.P
TC7: P
tJ Not detected at or above
Sample /CI L1605(1244-01
CrientIQ AS005 7
Matrix: TCLP Leach
Warhalrcttp k: 4VG568225
collect Date: 05A34t2016 09:30
Sample Trig: 01
Result
❑.196
deeection limit
PrePrep Method:
Prep Method: 7470A
Analytical Alethod: '14'7t1A
Analyst: Pt*.1
Ditutinn: 1
Units: malt
Page ad
Page 8
Instrument: !CP-THEW73
Prep Date: 05/1012016 12:31
Cal Date: 050.1J2O1611:49
Hun Date. 060.1.2016.16:44
File ID: 73.0 1116.U1441S
hMDL EPA HMI Rag. Limit
01500 D004 5
7.0500 D005 100
0.0500 i D005 1
DIM
0.500
0400
D007
D00a
D010�
0011
5
5
1
5
Instrument CVAA1
Prep Date: 05110112016 11:23
Cal Date: a l P.201614556
Run Date: 05t10.120161522
File 10: M7051016a62212
SenaaYA My la 4I7re 15:15
W:\D10XX GEN\D100X MSW\D1005_CORRES MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Le` NNawi /: LL I?44
W Protect Ot 2541.016
Pvjct il.re.: 5.41.gel1k.:
LzA C011100; ENV tusk
Certificate of Analysis
Pap 4a14 6wraal r lia f1E, 901E IEtIS
Page 9
W:\D10XX_GEN\D100X_MSW\D1005 CORRES MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

Micrabac Laboratories Inc.
Ohio Valley Division Analyst List
May 16, 2016
001.
003
005
007
010
ADC
AED
AMA
AEU
BKT
ERG
CAP
CJR
CLS
CPO
I)AK.
DEV
DLB
MAW
ECI,
ENY
FJB
JDK
JJS
JLD
JMW
JWR
JIB
KAT
KEB
KKB
KRB
LEC
LLS
NAP
NDA
NES
MM8
MSw
PTT
PSW
RAH
RLB
RNP
SAV
SDC
SLP
TGF
TMM
WJB
WTD
- BIO-CHEM TESTING WVDPP
- Sturm Environmental
- ES LABORATORIES
- ALS LABORATORIES
- MICRORAC CHZCAGOLAHW
ANTHONY D. CANTER
- ALLEN E. DAVIS
- ALEXANDRA M. ALFRED
- AFTER HOURS
- BRENDAN TORRENCE
- BRENDA R. GREGORY
CHERYL A. FLOWERS
COURTNEY J. REXROAD
- CARA L. STRIC1LER
- CHAD P. DAVIS
-- DEAN A. KETELSEN
- DAVID E. VANDENBERG
- DAVID L. BUMGARNER
- DIANA L. WRIGHT
- ERIC C. LAWSON
- EMILY N. YOAK
-
-FFRANCES J. BOLDEN
- JUSTIN D. HESSON
- JOHN J. STE MARIE
- JESSICA t, !ALONG
- JEANA M. WHITE
- JOHN W. RICHARDS
- JI Y. HU
KATHY A. TUCKER
- KATIE E. BARNES
- KERRI K. BUCK
- KAELY R, BECKER
- LAURA E. CARPENTER
- LARRY L. STEPHENS
- MARLA A. PORTER
MIKE D. ALBERTSON
- MIARY E. SCHILLING
- MAREN M. BEERY
MATT S. WILSON
= MICROBAC WARRENDALE
- PEGGY S. WEBB
- ROY A. HALSTEAD
- BOB BUCHANAN
- RICK N. PETTY
- SARAII A. VANDENBERG
- SHALYN D. CONLEY
- SHERI L. PFALZGRAF
- TIM G. FELTON
- TAMMY M. MORRIS
- WILL J. BEASLEY
- WADE T. DELONG
220 002 REIO Consultants, Inc. HVDEP 060
004 - MICROBAC PITTSBURGH
006 - ALCOSAN LABORATORIES
008 - BENCHMARK LABORATORIES
AC - AMBER R. CARMICHAEL
ADG - APR.IL D. GREENE
ALS - ADRIANE L. STEED
AWE - ANDREW W. ESSIG
BJO - BRIAH J. OGDEN
BLG - BRENDA L. GREENWALT
Chh - CASSTE A. AUGENSTEIN
CEB - CCHAD E, BARNES
CLC - CHRYS L. CRAWFORD
CLW - CtARI55A L. WINTERS
CSH - CHRIS S. HILL
DCM - DAVID C. MERCKLE
DIE - DEANNA I. HESSON
DLP - DOROTHY L. PAIN£
DSM - DAVID S. MOSSOR
EMW - ERIC M. WILKEN
ERP - ERIN R. PORTER
JBK - JEREMY B. KINNEY
JDS - JARED D. SMITH
JEEP - JACQUELINE K. PARSONS
JLL - JOHN L. LENT
JTP - JOSHUA T. PEMBERTON
JWS - JACK W. SHEAVES
KAJ - KELLIE A. JOHNSGNI
KDW - KATHRYN D. WELCH
KHR - KIM H. RHODES
KRA - KATHY R. ALBERTSON
RRP - KATHY R. PARSONS
LKN - LINDA K. NEDEFF
LSB - LESLIE S. I3UCINA
MEE - MORGAN B. KNOWLTON
MDC - MIKE. D. COCHRAN
MLB - MEGAN L. BACHE
MRT MICHELLE R. TAYLOR
PDMt - PIERCE 0, MORRIS
PRL - PAIGE R. LAMB
QX - QIN XU
REK - BOB E. KYER
RM .. RAYMOND MAL.RKE
RST ROBIN S. TURNER
SCB - SARAH C. BOGOLIN
SLM STEPEIANIE L. IiOSSBURG
TB - TODD BOYLE
TMB - TIFFANY M. BAILEY
VC - VICKI COLLIER
WRR - WESLEY R. RICHARDS
XXX - UNAVAILABLE OR SUBCONTRACT
Pago 10
W:\D10XX_GEN\D100X MSW\D1005 CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

M larabec Laboratories Inc-
Lisl of Valid Qualifiers
May 16, 2016
Quaitcy: STD NO■U
Quaint" Description
Surrogate orapike compound out of range
+ Correlation coefficient far the MSA is lass than O.995
c RestiI es lei than the ens%ortoted rurnericai value,
s Resta is greater than the associated numerical value_.
A Sae the report narrative
B Analyte premed in method blank
61 Target arafyte detected in method bier* at or above the method reporting limit
Fig Target sna#yte detected in ca&traFon blank at or above the method repotting Ilmll
C Confirmed by GC/MS
CG Conl[Vent growth
DI Surrogate or spike compound was dialed out
E Estimated concentration due to sample mats Interference
EDL E1evsir d ; enpie repainted limits, presence of non React nnalytcd
EMPC Estrnated Maximum Poaalble Concentration
F, 3 Estimated result below quail -Illation lirrit; method of standard addidons(MSA)
FL Free Liquid
FPi Did not ignite,
H1 Sample analysis performed past hoklinp nine.
l Serniyuarilitalive result (out of instrument Cagiraron range)
J The anatyte was positively identified, but the quan,ttalion was below Ina tiL
J,B Anatyte detected In both the metered bank and sample above the MDL
J,H1 The arratyte vras Positively kiemified, bed the quantization was bek+w the RL, Sample analysis performed past holding titre
J,P E=Bache: columns don't agree to within 40%
J,S Eetimeted concentration; analyzed by method of standard addition (MSA)
L Semple reporting limits Elevated due to matrix interterente
L1 The associated blank spike (LCS) recovery was above the Laboratory acceptance limits.
L2 The associated blank sire (LCS) recovery was beta the laboratory accaptanos firsts,
M Matrix effect the concentration is an estimate duo bi matrix effect
N Tentatively Identified oexnpound(TIC)
NA Not appdable
ND, S Not deterled; analyzed by method of standard raidr:rxt (MSA)
ND,I. Not detected; simple reporting !krill (RL) rlevaied due to Interference
NF Not found by library search
NFL Nofree liquid
NI Non -ignitable
NR Arxriyte is not required to be analyzed
NS Not spiked
P Concentrabcx1s ›illrga difference between the two GC columns
LI One or more quatt y control criteria fatted. See narreilve-
ONS Quantity of sample not sufficient to perform analysis
RA Reanalysis confines repotted results
RE Ruw rtysk; rpnfirnt3 sample matrix Interference
S Analyzed by method of atandant edSlian (MSA)
SMI Sample matrix Interference on aurrogete
SP Reported results are for spike compounds only
TPC Library Search Compound
TNTC Ton rntertrrrrnrs In count
U Noi detested at or above adJustnl is, niptr7 doicosori fired
U,H1 Nat detected; sample analysts performed past holding time.
W Undetected; the MDL and RL are estimated due to quality control discrepancies.
W Post -digestion spike for furnace AA out of control Gmits
X Exceeds rvpnialvey limit
X, $ Exceeds regulatory limit; method of standard adrldhrtrt: (MSA)
Z Carux?t be resolved from isomer - see below
Page 11
W:\D1OXX GEN\D100X_MSW\D1005_CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

.Micfobac
lificrobac Laboratories / Wilson Division
3809 Airport Drive, Wilson, N.C. 27896
262-237-4175 Phone [phone] Fax.
„ .hac.com
Analysis Request Form— intraL Laboratory Chain of Custody
P.OiWor1C Order # Lot 6~1S- a y'o 17
Subcontracted ted Company: MECRQBAC l OVb
Contact at Sub Company: f MfLY YQAK
Address:
stac.,w•a: a6/08/721t 09-
158 �TARLITED = ,on GREGCIY
A OH 4575[
Date Ordered: S` Y-,16
i Dicrobact OVO
Phone: [phone] Amd, Akuogym
STRL Dateiiirne
Sample # Sampled maple Description Analysis Recruested
ABofrr? ri4tonqbegik Ni+ayrae 4` 4y A1c. -R L f
221000095461
we oSoy i 77 � +0,b)z %4\
erer
&A-C1
Check if RUSTY service is requested: Tracking #:
Check ff data is to be used for regulatory compliance _ if yes, which agency:
Special instructions: Please reference our Sarre # on reporf. Report each
Sample # separately. Also, include entire sample description.
Send Reports to: tonva.oridgentitmkmbac.com, & fax [phone]
Invoices should be sent to Jeff Taylor: jeff.taylart2mac,com
Number of Containers Shipped: Page t of
Subcontracted by: l' V KO Date: S - I- LC
sample Split by Date:
Shipped by: k W Kc Date: t- 11,- l 6
Received by: Date:
Chemical and Microbiological Analysis:
Env ronmentaleAgroch+em cal*Foods*Pharmaceuticals
Pape 12
W:\D10XX GEN\D100X MSW\D1005 CORRES MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC

•
Mlcrobac Laboratories Inc.
Internal Chain of Custody Report
Logint L16050244
Account: 2941
Project: 2941.016
Sample's 1
Due Date: 12-MAY-2016
Samplenuim Container ID Products
L16050244-01 739546 TC-ZWE
Bottle: 1
Sorg, 1- Purpose From
r TO
Date T ire
Aceept?Relinquish]
CLS
pF
1
LOGIN CQOLER
W1
05-MAY-2016 13:41
2
ANALYZ i W1
TCL
09-MAY-2016 09:31
BRG
CI,S
CLS
3
STORE TCL
A2
09-MAY-2016 15:i
BRO
Samplenum Container ID Products
1.16090244-01 739547 TC-EX
Settle: 1
Seq,
Purpose
From
To
Date/Time
Accept
Rslinquishi pH
1
LOGIN ICOOLERIt
E1
OS-MAY-2016 13:41
CTS
2
ANALYZ
el
TCL
119-MAY-201609.31
ERG
CLS
3
STORE
TCL
A2
09-MAY-2016 15:44
CLS
BRO
Battle: 2
Seq.
Purpose
From
To
Date/Time Accept
Relinquish
psi
1
LOGIN
COOLER
El
05-MAY-2016 11:41
CLS
2
ANALYZ
Wl
TCL
09-MAY-2016 09:31
SRO
€:L8
Samplenum Container ID Produeta
L16050244-01 739548 REACTC REACTS
iottle: 1
Seq..
Purpuee
From
To
Da 0/Time
Accept
Relinquish
pH
1
,
IN—
COOLER
el
SQ5-N1AY-201C 1.3:41
CLS
2
Y2
W1
WET
5-NAY-2016 16:06
DLP
CLS
3
10R13
WET
A2
10-t4.AY-2016 1.7:32
CLS
TB
samglenum Container IlI Products
1.16050244-01 739549 FLASH
Bottle: 1
fSeq.l Purpose
From
To
Date/Time lFcceptIRelinquiah
pH
r1 'LOGIN
COOLER
Al
OS-MAY-2016 13:41
C19
I
2 'PREP
Al
TCL
11-MAY-201.6 09:48
CPD BRO
1
6TOAB
TCL
A2
13-MAY-2016 10:04
BRG 1 AMA
Al - Sample Archive (COLD)
A2 - Sample Archive (AMBIENT)
Fi - Volatiles Freezer in Login
VI - Volatiles Refrigerator In Login
WI - Welkin Cooler in Login
Rage l s
W:\D10XX_GEN\D100X_MSW\D1005 CORRES_MSW\CGM\2020\SEWSD\REQUEST FOR RENEWAL.DOC