NC0023353_Renewal (Application)_20210712

,offj f
ft,1 .,t40),
ROY COOPER l
Governor JOHN NICHOLSON V .
Interim Secretary num
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
July 12, 2021
Town of White Lake
Attn: H. Goldston Womble, Jr., Mayor
1849 White Lake Dr
Elizabethtown, NC 28337
Subject: Permit Renewal
Application No. NC0023353
White Lake WWTP
Bladen County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 12, 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.
Sincerel,-..ACIVIy'
clii
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
D E Coe) Noaepa of t Qliiv of r es
FayettevillerthCrolina RegioDnal or 225 GreenEnvironmen Street,al Suite
ua ty D
7141 Fayetteville,isionWate
North Carolinourcesa 28301
W::\ine„,., 910 433 3300

MAYOR: O\ W'l�t�p`
H.Goldston Womble,Jr.
�� _ d� 1879 White Lake Dr. PMB 7250
COMMISSIONERS:
Timothy G.Blount White Lake,NC 28337-6280
Timothy L.Clifton Phone [phone]
Paul A. Evans ?� k Fax [phone]
Dean C.Hilton m www.whitelakenc.org
Thomas E.Riel �F>
Michael J.Suggs `3/Resort C°��
July 15, 2021
NC DEO/DWR
Attn: NPDES Unit RECEIVED
1617 Mail Service Center
Raleigh, NC 27699-1617 JUL 12 2021
Subject: Town of White Lake NCDEQIDWRINPDES
Permit Renewal
NPDES NC0023353
Bladen County
Dear Permitting Unit:
The Town of White Lake has an NPDES discharge permit that will eA.ni-e on January 31, 2022. WE are
submitting the permit renewal package for your review. This renewal package includes:
• Cover Letter;
• Completed Application Form 2A with completed tables A. 13 and D;
• Topographic Map;
• Plant Schematic; and
• WWTP narrative
Please contact Bill Stafford, WWTP ORC at 910-862-4800 if you h v7'questions or comments.
Sincerely,
H. Goldston Wom ,Jr., Mayor
Town of White Lake
File:Public Works-Sewer-NC DEQ-DWR-NPDES NC0023353 Permit Renewal •

White Lake WWTP
NC0023353
Plant Narrative
The Town of White Lake WWTP is an Aerated Facultative Treatment Lagoon. The facility is
permitted for 0.8 mgd and has an average daily flow of 0.46 mgd. The facility receives wastewater
flow from the Town of White Lake.
The WWTP consists of the following major processes:
• Bar Screens—Mechanical and Manual
• Vortex Grit Removal
• 4.4 Acre Aerated Multi Cell Lagoon
• Disinfection—chlorination
• Dechlorination
• Flow meter
• Standby electrical generator
Preliminary Treatment
As the flow enters the facility it is screened. The physical process of wastewater treatment begins
with screening out large items that have found their way into the sewer system,and if not removed,
can damage pumps and impede water flow. After passing through the screens,the flow enters the
vortex grit chamber where sand is settled. Excessive sand entering the treatment process can cause
excessive wear on pump parts, clog lines and valves, and deposit on the bottom of the lagoon.
Treatment
The lagoon is divided into cells by the use of divider curtains. The lagoon stabilizes the organic
wastes through a natural process involving sunlight, oxygen, water currents, algae and bacterial
action. As wastewater inters the lagoon,organic material undergoes decomposition in the bacteria
rich aerated zones, settleable solids will settle out in the final non-aerated zone and will undergo
anaerobic decomposition. Organic dissolved and suspended matter are oxidized by bacteria and
BOD5 and suspended solids are reduced. The wastewater flows through the outlet structure to be
disinfected and discharge.
Disinfection
The effluent from the lagoon flows to the chlorine contact basin. A chlorine solution is added to
the head of the basin and the basin provides the needed contact time for disinfection. The
disinfected effluent is dechlorinated and aerated prior to discharge from the chlorine contact basis.
Wasted activated sludge is pumped to two aerobic digesters at the "old"plant. The aerobic
digesters provide long term holding and stabilization of the solids removed from the treatment
process. Stabilized sludge

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
2A aEPA Application for NPDES Permit to Discharge Wastewater
NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
SECTION 1. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(1)(1)and(9))
1.1 Facility name
White Lake WWTP
Mailing address(street or P.O.box)
PMB 7250
City or town State ZIP code
o White Lake NC 28337
Contact name(first and last) Title Phone number Email address
o Bill Stafford WWTP ORC [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
00 90 E.Willimas Street
City or town State ZIP code
White Lake NC 28337
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
Town of White Lake
= Applicant address(street or P.O.box)
PMB 7250
City or town State ZIP code
White Lake NC 28337
co Contact name(first and last) Title Phone number Email address
o. H.Goldston Womble Mayor [phone] [e-mail]
a
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner ❑ Operator ❑✓ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
Facility and applicant
❑ Facility ❑ Applicant (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
number for each.)
Existing Environmental Permits
a NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
c water) control)
NC00233353
❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
rn
.y ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section Other(specify)
404)
WQCS00136
EPA Form 3510-2A(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
Town of White 845 100 %separate sanitary sewer 0 Own 0 Maintain
w Lake %combined storm and sanitary sewer 0 Own 0 Maintain
0 Unknown ❑ Own 0 Maintain
c %separate sanitary sewer 0 Own 0 Maintain
10 %combined storm and sanitary sewer 0 Own 0 Maintain
co
0 Unknown ❑ Own 0 Maintain
a %separate sanitary sewer 0 Own 0 Maintain
-o %combined storm and sanitary sewer 0 Own 0 Maintain
cu ❑ Unknown 0 Own 0 Maintain
E %separate sanitary sewer 0 Own 0 Maintain
N %combined storm and sanitary sewer 0 Own 0 Maintain
c ❑ Unknown 0 Own ❑ Maintain
Total 845
O Population
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100 % NA
sewer line(in miles)
a•' 1.8 Is the treatment works located in Indian Country?
c
o ❑ Yes ✓❑ No
R1.9 Does the facility discharge to a receiving water that flows through Indian Country?
1 c 0 Yes ❑✓ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.8 mgd
3 Annual Average Flow Rates(Actual)
ch
IS Two Years Ago Last Year This Year
CO CO 0.46 mgd 0.33 mgd 0.46 mgd
'U" Maximum Daily Flow Rates(Actual)
a Two Years Ago Last Year This Year
2.00 mgd 0.70 mgd 1.20 mgd
u, 1.11 Provide the total number of effluent discharge points to waters of the United States by type.
Total Number of Effluent Discharge Points by Type
a° a Constructed
aT►— Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
s
Overflows Overflows
0
H
b 1
EPA Form 3510-2A(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
Outfalls Other Than to Waters of the United States
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 United States?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
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
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
-o
2 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No SKIP to Item 1.16.
w 1.15 Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Continuous or
Location Size Average Daily Volume Intermittent
En (check(check one)
acresgpd 0 Continuous
o ❑ Intermittent
acresgpd ❑ Continuous
❑ Intermittent
v ❑ Continuous
acres gpd ❑ Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes m 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
EPA Form 3510-2A(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353
White Lake WWTP OMB No.2040-0004
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
.n Facility name Mailing address(street or P.O.box)
d
`— City or town State ZIP code
c
0
co Contact name(first and last) Title
0
5 Phone number Email address
c NPDES number of receiving facility(if any) 0 None Average daily flow rate mgd
n
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 not
8 have outlets to waters of the United States(e.g.,underground percolation,underground injection)?
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Annual Average Continuous or Intermittent
Daily Discharge
c Method Disposal Site Disposal Site (check one)
0 Description Volume
y 0 Continuous
Ti acres gpd ❑ Intermittent
o 0 Continuous
acres gip" ❑ Intermittent
❑ Continuous
acres gpd ❑ 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.
N Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
C Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section
❑co co Section 301(h)) 302(b)(2))
0 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?
El Yes ❑ No+SKIP to Section 2.
in addition to a description of the contractor's operational
1.25 Provide location and contact information for each contractor
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
c Contractor name
0
E (company name)
o Mailing address
c (street or P.O.box)
c City,state,and ZIP
co
code
c Contact name(first and
coy last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Form 3510-2A(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
o Outfalls to Waters of the United States
▪ 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o ❑✓ Yes ❑ No 4 SKIP to Section 3.
c 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration. 29000
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
The Contractor has completed the sewer main replacement work on Wilson Street and most of Bladen Street.The work
will continue on to finish the sewer replacement on Fayetteville Street by August 2021. Approximately 6,300 feet.
Phase II sewer rehab will be bid soon.
s 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
RI 0 specific requirements.)
rng
0
0 ❑✓ Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
otu (See instructions for specific requirements.)
rn
❑✓ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes 0 No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1.
E
c 2.
E
0 0
3.
a)
a�
4.
ci 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
w Scheduled Begin End Begin
Outfalls Operational
o Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MMIDD/YYYY) (MM/DD/YYYY) Level
number) (MM/DD/YYYY)
-0
1.
in 2.
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:
EPA Form 3510-2A(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number 001 Outfall Number Outfall Number
State North Carolina
County Bladen
O City or town White Lake
o -
Distance from shore NA ft. ft. ft.
Depth below surface NA ft. ft. ft.
Average daily flow rate 0.46 mgd mgd mgd
Latitude 34 3S 10" NO
Longitude 7s 2d 3o" v1=1
co
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
a ❑ Yes ✓❑ No 4 SKIP to Item 3.4.
R 3.3 If so,provide the following information for each applicable outfall.
0
Outfall Number Outfall Number Outfall Number
Number of times per year
g discharge occurs
a Average duration of each
discharge(specify units)
c Average flow of each mgd mgd mgd
discharge
Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ElNo 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
c.
Outfall Number Outfall Number Outfall Number
d
Nl
o vi 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
co
w ❑✓ Yes ❑ No+SKIP to Section 6.
EPA Form 3510-2A(Revised 3-19) Page 6

1
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number 001 Outfall Number Outfall Number
Receiving water name UT to Colly Creek
Name of watershed,river,
0 or stream system Cape Fear
Q- U.S.Soil Conservation
y Service 14-digit watershed
o code
L
cp Name of state
3 management/river basin
co
U.S.Geological Survey
iD 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 0 Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to ❑ Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary 0 Secondary 0 Secondary
O Advanced 0 Advanced 0 Advanced
O Other(specify) 0 Other(specify) 0 Other(specify)
c Stabilization Lagoon
0
0.
Design Removal Rates by
Outfall
M
d
0 BOD5 or CBOD5 85 % % %
d
E
ok
d TSS 85 % ryo
r=
0 Not applicable 0 Not applicable 0 Not applicable
Phosphorus % % ova
I Not applicable 0 Not applicable 0 Not applicable
Nitrogen % %
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
ok % ok
EPA Form 3510-2A(Revised 3-19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
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.
c
'c
0
c Outfall Number 001 Outfall Number Outfall Number
Q- Disinfection type Chlorination
Seasons used All
Dechlorination used? 0 Not applicable ❑ Not applicable ❑ Not applicable
❑✓ Yes ❑ Yes 0 Yes
0 No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
✓❑ 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 ✓❑ 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
Number of tests of receiving
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
co ❑✓ Yes 0 No.4 SKIP to Item 3.16.
0 3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
c reasonable potential to discharge chlorine in its effluent?
0 Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
CD
;` 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
w ❑� Yes ❑ No
3.16 Does one or more of the following conditions apply?
• The facility has a design flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C,must
sample other additional parameters(Table D),or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls(Table E).
❑ Yes 4 Complete Tables C,D,and E as ❑ No-4 SKIP to Section 4.
applicable.
3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
O Yes ✓❑ No
3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
❑✓ Yes ❑ No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A(Revised 3-19) Page 8

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
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?
❑ Yes ❑ No 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?
El Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
NA
m
0
R 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
o toxicity?
❑ Yes ❑ No 3 SKIP to Item 3.26.
Tfi
3.23 Describe the cause(s)of the toxicity:
a•
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ 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?
El Yes ❑ Not applicable because previously submitted
information to the NPDES sermittin• authorit .
SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.21(j)(6)and(7))
4.1 Does the POTW receive discharges from SIUs or NSCIUs?
❑ Yes ❑✓ No 4 SKIP to Item 4.7.
d 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW.
Number of SIUs Number of NSCIUs
N
R 4.3 Does the POTW have an approved pretreatment program?
_ ❑ Yes ❑ No
-a
4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F:(1)a pretreatment program annual report submitted within one year of the
application or(2)a pretreatment program?
co
❑ Yes ❑ No 4 SKIP to Item 4.6.
0
4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7.
M
4.6 Have you completed and attached Table F to this application package?
❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
4.7 Does the POTW receive,or has it been notified that it will receive, by truck,rail,or dedicated pipe,any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
❑ Yes 0 No-4 SKIP to Item 4.9.
4.8 If yes,provide the following information:
Annual
Hazardous Waste Waste Transport Method Amount of Units
Number (check all that apply) Waste
Received
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
c
w
0
U
❑ Truck 0 Rail
❑ Dedicated pipe ❑ Other(specify)
❑ Truck 0 Rail
_ ❑ Dedicated pipe ❑ Other(specify)
co
4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities,
includingthose undertakenpursuant to CERCLA and Sections 3004 7 or 3008 h of RCRA?
O ( )
❑ Yes 0 No 4 SKIP to Section 5.
4.10 Does the POTW receive(or expect to receive)less than 15 kilograms per month of non-acute hazardous wastes as
specified in 40 CFR 261.30(d)and 261.33(e)?
❑ Yes 4 SKIP to Section 5. 0 No
4.11 Have you reported the following information in an attachment to this application:identification and description of the
site(s)or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents;and
the extent of treatment,if any,the wastewater receives or will receive before entering the POTW?
❑ Yes 0 No
SECTION 5. COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8))
5.1 Does the treatment works have a combined sewer system?
rn ❑ Yes ❑✓ No+SKIP to Section 6.
T3 5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
❑ Yes ❑ No
z 5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
0
cn
C-) ❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 10

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
5.4 For each CSO outfall,provide the following information.(Attach additional sheets as necessary.)
CSO Outfall Number CSO Outfall Number CSO Outfall Number
City or town
0
State and ZIP code
U
U,
o County
Latitude " o
O
N Longitude °
U
Distance from shore ft. ft. ft.
Depth below surface ft. ft. ft.
5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number CSO Outfall Number CSO Outfall Number
Rainfall 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No
am
0 CSO flow volume 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No
At
CSO pollutant 0 Yes 0 No 0 Yes 0 No ❑ Yes ❑ No
o concentrations
u) 1
c_' Receiving water quality 0 Yes 0 No 0 Yes 0 No ❑ Yes 0 No
CSO frequency 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No
Number of storm events 0 Yes ❑ No 0 Yes 0 No 0 Yes 0 No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
rNumber of CSO events in events events events
- the past year
co
Average duration per hours hours hours
d event ❑Actual or 0 Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated
w million gallons million gallons million gallons
o Average volume per event
0 Actual or 0 Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated
Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall
a CSO event in last year 0 Actual or❑Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated
Form 3510-2A(Revised 3-19) Page 11
EPAo

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
1
5.7 Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number_ CSO Outfall Number_
Receiving water name
Name of watershed/
stream system -
U.S. Soil Conservation 0 Unknown 0 Unknown 0 Unknown
Service 14-digit
cn watershed code
> (if known)
Name of state
management/river basin
U.S.Geological Survey 0 Unknown 0 Unknown ❑Unknown
8-Digit Hydrologic Unit
Code(if known)
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam a les
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
Section 1 Basic Application
❑ Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments
❑ Section 2:Additional ❑ w/topographic map wl process flow diagram
Information ❑ w/additional attachments
❑ wl Table A w/Table D
❑ Section 3 Information on ❑ wi Table B ❑ w/Table E
Effluent Discharges
❑ w/Table C ❑ wl additional attachments
Section 4: Industrial ❑ w/SIU and NSCIU attachments ❑ w/Table F
rn ❑ Discharges and Hazardous
o Wastes ❑ wl additional attachments
— ❑ Section 5:Combined Sewer ❑ w/CSO map ❑ wi additional attachments
Overflows ❑ wl CSO system diagram
❑ Section 6:Checklist and ❑ w/attachments
Certification Statement
Y B.2 Certification Statement
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 property 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 name) Official title
H.Goldston Wombe Mayor
Signature Date signed
EPA Form 3510-2A(Revised 3.19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number I Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP 001 OMB No.2040-0004
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods include units
Value Units Value Units Samples Methods (
)
Biochemical oxygen demand
o ML
0 BOD5 or❑CBOD5 34.0 mg/L 12.1 mg/L 104 5210E-11 2.0 0 MDL
(report one)
o ML
Fecal coliform 155 Colonies/100 ml 2.0 Colonies/100 ml 104 9222D-06 1 O MDL
Design flow rate 1.20 mgd 0.46 mgd 365
pH(minimum) 6.0 S.U.
pH(maximum) 7.1 S.U.
Temperature(winter) 17 Degrees C 12.2 Degrees C 36
Temperature(summer) 31 Degrees C 27.7 Degrees C 36
Total suspended solids(TSS) 41.0 mg/L 15.0 mg/L 104 2540D-11 2.5 0 ML
p 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).
EPA Form 3510-2A(Revised 3-19) Page 13

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP 001 OMB No.2040-0004
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods (include units
Value Units Value Units Samples )
ML
Ammonia(as N) 7.97 mg/L 13.7 mg/L 12 350.1 R2-93 0.1 o
MDL
Chlorine ❑ML
0 ug/L 0 ug/L 104 SM 4500 CL G-2011 10
(total residual,TRC)2 0 MDL
0 ML
Dissolved oxygen 11.7 mg/L 7.7 mg/L 52 SM 4500 0 G 2011 0.1 0 MDL
0 ML
Nitrate/nitrite NA NA NA NA NA NA NA 0 MDL
0 ML
Kjeldahl nitrogen NA NA NA NA NA NA NA 0 MDL
0 ML
Oil and grease NA NA NA NA NA NA NA 0 MDL
ML
Phosphorus 6.3 mg/L 3.5 mg/L 18 365.4-74 0.1 ©MDL
0 ML
Total dissolved solids NA NA NA NA NA NA NA 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).
2 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 15

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Method1 (include units)
Samples
Metals,Cyanide,and Total Phenols
o ML
Hardness(as CaCO3) ❑MDL
Antimony,total recoverable ❑ML
❑MDL
Arsenic,total recoverable ❑ML
❑MDL
Beryllium,total recoverable ❑ML
0 MDL
Cadmium,total recoverable ❑ML
o MDL
Chromium,total recoverable 0 ML
❑MDL
Copper,total recoverable ❑ML
❑MDL
Lead,total recoverable 0 ML
o MDL
Mercury,total recoverable 0 ML
❑MDL
Nickel,total recoverable 0 ML
o MDL
0 ML
Selenium,total recoverable ❑MDL
Silver,total recoverable 0 ML
o MDL
Thallium,total recoverable 0 ML
❑MDL
Zinc,total recoverable 0 ML
o MDL
Cyanide 0 ML
❑MDL
❑ML
Total phenolic compounds ❑MDL
Volatile Organic Compounds
Acrolein ❑ML
❑MDL
Acrylonitrile ❑ML
❑MDL
Benzene 0 ML
o MDL
Bromoform 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 17

EPA Identification Number 1NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Method, (include units)
Samples
Carbon tetrachloride ID ML
❑MDL
Chlorobenzene 0 ML
❑MDL
Chlorodibromomethane 0 ML
❑MDL
Chloroethane ❑ML
❑MDL
2-chloroethylvinyl ether ID ML
❑MDL
Chloroform 0 ML
❑MDL
Dichlorobromomethane 0 ML
❑MDL
1,1-dichloroethane 0 ML
❑MDL
1,2-dichloroethane 0 ML
❑MDL
trans-1,2-dichloroethylene ❑ML
❑MDL
1,1-dichloroethylene ❑ML
❑MDL
1,2-dichloropropane ❑ML
❑MDL
1,3-dichloropropylene ❑ML
❑MDL
Ethylbenzene ❑ML
❑MDL
Methyl bromide ❑ML
❑MDL
Methyl chloride ❑ML
❑MDL
Methylene chloride ❑ML
❑MDL
1,1,2,2-tetrachloroethane ❑ML
❑MDL
Tetrachloroethylene 0 ML
❑MDL
Toluene ❑ML
❑MDL
1,1,1-trichloroethane 0 ML
❑MDL
1,1,2-trichloroethane ❑ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
o ML
Trichloroethylene ❑MDL
Vinyl chloride ❑ML
❑MDL
Acid-Extractable Compounds
p-chloro-m-cresol o ML
❑MDL
2-chlorophenol ❑ML
❑MDL
2,4-dichlorophenol ❑ML
❑MDL
2,4-dimethylphenol ❑ML
❑MDL
4,6-dinitro-o-cresol ❑ML
❑MDL
2,4-dinitrophenol ❑ML
❑MDL
2-nitrophenol ❑ML
❑MDL
4-nitrophenol ❑ML
❑MDL
Pentachlorophenol ❑ML
❑MDL
Phenol 0 ML
❑MDL
2,4,6-trichlorophenol ❑ML
❑MDL
Base-Neutral Compounds
Acenaphthene o ML
❑MDL
Acenaphthylene ❑ML
❑MDL
Anthracene ❑ML
❑MDL
Benzidine 0 ML
❑MDL
Benzo(a)anthracene ❑ML
❑MDL
Benzo(a)pyrene ❑ML
❑MDL
3,4-benzofluoranthene 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
Benzo(ghi)perylene ❑ML
❑MDL
Benzo(k)fluoranthene ❑ML
❑MDL
Bis(2-chloroethoxy)methane ❑ML
❑MDL
Bis(2-chioroethyl)ether ❑ML
❑MDL
Bis(2-chioroisopropyl)ether ❑ML
❑MDL
Bis(2-ethylhexyl)phthalate ❑ML
❑MDL
4-bromophenyl phenyl ether ❑ML
❑MDL
Butyl benzyl phthalate ❑ML
❑MDL
2-chloronaphthalene ❑ML
❑MDL
4-chlorophenyl phenyl ether ❑ML
0 MDL
Chrysene ❑ML
❑MDL
di-n-butyl phthalate ❑ML
❑MDL
di-n-octyl phthalate ❑ML
❑MDL
Dibenzo(a,h)anthracene ❑ML
❑MDL
1,2-dichlorobenzene 0 ML
o MDL
1,3-dichlorobenzene ❑ML
0 MDL
1,4-dichlorobenzene ❑ML
o MDL
3,3-dichlorobenzidine ❑ML
❑MDL
Diethyl phthalate ❑ML
❑MDL
❑ML
Dimethyl phthalate ❑MDL
2,4-dinitrotoluene 0 ML
❑MDL
2,6-dinitrotoluene 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP OMB No.2040-0004
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
1,2-diphenylhydrazine o ML
❑MDL
Fluoranthene 0 ML
❑MDL
Fluorene 0 ML
o MDL
Hexachlorobenzene 0 ML
❑MDL
Hexachlorobutadiene 0 ML
❑MDL
Hexachlorocyclo-pentadiene ❑ML
❑MDL
Hexachloroethane 0 ML
o MDL
Indeno(1,2,3-cd)pyrene ❑ML
❑MDL
Isophorone ❑ML
0 MDL
Naphthalene ❑ML
❑MDL
Nitrobenzene 0 ML
❑MDL
N-nitrosodi-n-propylamine ❑ML
❑MDL
N-nitrosodimethylamine ❑ML
❑MDL
N-nitrosodiphenylamine ❑ML
❑MDL
Phenanthrene ❑ML
❑MDL
Pyrene ❑ML
❑MDL
1,2,4-trichlorobenzene 0 ML
❑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).
EPA Form 3510-2A(Revised 3-19) Page 21

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006673527 NC0023353 White Lake WWTP 001 OMB No.2040-0004
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Maximum Daily Discharge Average Daily Dischar e
Pollutant I Analytical ML or MDL
(list) Value Units Value Units Number of Methods (include units)
Samples
❑ No additional sampling is required by NPDES permitting authority.
o ML
Total Nitrogen 28.6 mg/L 12.2 mg/L 18 Calculated NA ❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑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).
EPA Form 3510-2A(R vised( e 3-19) Page 23

i I f
r White Lake Drive ; .‘ ,'
T,�' Mote Fields Road
Lake (' `
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r
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444
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Iatitude:34'38'10" NC0023353 A ----......„.
Facility
Longitude:78'20'30" Location
Stream Class:C-Swamp White Lake WWTP
Subbasin:30620
USGS Quad:White Lake,N.C. Arnu , Bladen County
Receiving Stream:UT Colly Creek ✓'�'�` Map not to scale

Town of White Lake WWTP — NC0023353
r/4.4 Acre Treatment Lagoon
r----
Generator
0.46-M
Cp
Influent 0.46 MGD
.
n
Bar Screen and �.
Grit Removal a
Effluent 0.46 MGD

0
FA1 - FLOATING AERATOR UNIT N1
EDGE OF THE
TREATMENT POND •
SUNRAY
GENERA TER
BAR SCREEN
t VORTEX ER IT
R£MDV*&STD'
CURTAIN
• INLET PIPE AL.LS
\ WATER SURFACE ELEV. = 56.0
BOTTOM ELEV. = 52.5 I
•
CHEMCAL BLOC.
I ;
I CHLORINE/OEMERLNE
• L CONTACT CHAA€ER
OUTLET STRUCTURE L
1
EFFLUENT PETER
TOWN OF WHITE LAKE
WASTEWATER TREATMENT FACILITY
SCALE = NONE