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by Anonymous User 12/22/2021 12:11:00 PM (Supplemental Submittal)
by Thedford, Wren 1/20/2022 2:03:07 PM (Supplemental Info Submittal)
• Thedford, Wren assigned the task to Thedford, Wren 1/20/2022 2:03 PM
• The task was assigned to Thedford, Wren, Bennett, Tilman B 12/22/2021 12:11 PM
NPDES Wastewater EDMR Supplemental Information Upload
NORTH CAROLINA
Envlronm¢ntcl Qvofiry
Initial Review Information
Updated ID#:*
IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
NC0021181
How should this project be handled?*
File Discard
Information Submitted on 12/22/2021
Submitter Information
Name:
Email Address:*
Tanya S Carter
Who is submitting the information?
tsetzer@cityofbelrnont.org
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental information
associated with discharge monitoring reports (DMR). All DMR data is required to be submitted electronically through
the eDMR system and should not be submitted here. Division staff will review all uploaded documents and will only
maintain required information. Documents such as laboratory reports are not required to be submitted and will not be
maintained in the system.
Project Information:
Please supply the permit number for this project.
Existing ID#* Permit Number
NC0021181
Examples: NCxxxxxxx or NCGxxxxxx
Facility Name:*
City of Belmont WWTP
County: Gaston
Please upload all files that need to be submited. *
Click the upload button or drag and drop files here to attach document
Signed 2021.pdf 227.24KB
Only pdf files are accepted.
Comments about the attachments:
Attached is the City of Belmont WWTP Effluent Pollutant Scan
* By checking the box and signing box below, I certify that:
0 I have given true, accurate, and complete information on this form;
a I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act")
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Supplemental Information form."
Full Name: Tanya Setzer Carter
Signature:
rateet
Date Submitted: 12/22/2021
Annual Monitoring and Pollutant Scan
Permit No. 1\)e. spa
Outfall OCj
Month l OYerrb'C(�
Year ,--)W911
Facility Name City of Belmont
Date of sampling 1 1 /9/2021
Analytical Laboratory Pace Analytical
ORC Tanya S. Carter
Phone 704-825-3791
Parameter
Parameter
Code
Sample Type
Analytical
Method
Quantitation
Level
Sample Units of
Result , Measurement
Ammonia (as N)
C0610
Composite
350.1
0.1
0.25
mg/L
Chlorine (total residual. TRC)
50060
Grab
SM 4500-CL G-2
0.015
ND
mg/L
Dissolved Oxygen
00300
Grab
SM 4500-OG-20
0.2
9.91
mg/L
Nitrite pies Nitrate Total (as N)
00630
Composite
353.2
0.3
25
mg/L
Total Kjeldahl Nitrogen
00625
Composite
351.2
0.1
ND
mg/L
Oil and Grease
00556
Grab
1664B
5.6
ND
mg/L
Total Phosphorus
C0665
Composite
365.1
0.1
2.6
mg/L
Total Dissolved Solids
70295
Composite
SM 2540C-2011
25
470
mg/L
Hardness
00900
Composite
SM-2340C-2011
10
54
mg/L
Metals (total recoverable), cyanide and total phenols
Antimony
01097
Composite
200.8
2
37
ug/L
Arsenic
01002
Composite
200.8
2
ND
ug/L
Beryllium
01012
Composite
200.8
0.4
ND
ug/L
Cadmium
01027
Composite
200.8
0.5
ND
ug/L
Chromium
01034
Composite
200.8
5
ND
ug/L
Copper
01042
Composite
200.8
5
12
ug/L
Lead
01051
Composite
200.8
1
ND
ug/L
Mercury (Method 1631E)
COMER
Grab
1631E
0.5
2.52
ng/L
Nickel
01067
Composite
200.8
5
ND
ug/L
Selenium
01147
Composite
200.8
5
ND
ug/L
Silver
01077
Composite
200.8
1
ND
ug/L
Thallium
01059
Composite
200.8
0.5
ND
ug/L
Zinc
01092
Composite
200.8
10
88
ug/L
Cyanide
00720
Grab
SM 4500-CN E-2
0.01
0.028
mg/L
Total phenolic compounds
32730
Grab
420
0.005
ND
mg/L
Volatile organic compounds
Acrolein
34210
Grab
624.1
5
ND
ug/L
Acrylonitrile
34215
Grab
624.1
5
ND
ug/L
Benzene
34030
Grab
624.1
1
ND
ug/L
Bromoform
32104
Grab
624.1
1
ND
ug/L
Carbon Tetrachloride
32102
Grab
624.1
1
ND
ug/L
Chlorobenzene
34301
Grab
624.1
1
ND
ug/L
Chlorodibromomethane
34306
Grab
624.1
1
ND
ug/L
Chloroethane
85811
Grab
624.1
2
ND
ug/L
2-chloroethyl vinyl ether
34576
Grab
624.1
5
ND
ug/L
Chloroform
32106
Grab
624.1
1
2
ug/L
Dichlorobromomethane
32101
Grab
624.1
1
1.3
ug/L
1,1-dichloroethane
34496
Grab
624.1
1
ND
ug/L
1,2-dichloroethane
32103
Grab
624.1
1
ND
ug/L
Trans-1,2-dichloroethylene
34546
Grab
624.1
1
ND
ug/L
Form - DMR- PPA-1
Page 1
Permit No. Ne. bDO-MS1
Outfall
Annual Monitoring and Pollutant Scan
Month Ni ig%nbe Y
Year d.po11
Parameter
1,1-dichloroethylene
1,2-dichloropropane
1,3-dichloropropylene
Ethylbenzene
Methyl Bromide
Methyl Chloride
Methylene Chloride
1,1,2,2-tetrachloroethane
Tetrachloroethylene
Toluene
1,1,1-trichloroethane
1,1,2-trichloroethanc
Trichloroethylene
Vinyl Chloride
Acid -extractable compounds
34475
34010
34506
34511
39180
39175
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
.Analytical Quantitation Sample Units of
Method Level
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
624.1
1
1
1
1
2
Result Measurement
ND
ND
ND
ND
ND
ug/L
ug/ L
ug/L
ug/L
ug/L
P-chloro-m-creso
34452
Composite
625.1
1.6
ND
ug/L
2-chlorophenol
34586
Composite
625.1
1.6
ND
ug/L
2,4-dichlorophenol
34601
Composite
625.1
1.6
ND
ug/L
2,4-dimethylphenol
34606
Composite
625.1
1.6
ND
ug/L
4.6-dinitro-o-cresol
34657
Composite
625.1
8
ND
ug/L
2.4-dinitrophenol
34616
Composite
625.1
8
ND
ug/L
2-nitrophenol
34591
Composite
625.1
3.2
ND
ug/L
4-nitrophenol
34646
Composite
625.1
8
ND
ug/L
PentachlorophenoI
39032
Composite
625.1
8
ND
ug/L
Phenol
34694
Grab
625.1
1.6
ND
ug/L
2.4,6-trichlorophcnol
34621
Composite
625.1
1.6
ND
ug/L
Base -neutral compounds
Acenaphthene
rAcenaphthylene
34205
34200
Anthracene
CO220
Bcnzidine
39120
Benzo(a)anthracene
34526
Benzo(a)pyrene
34247
3.4 benzofluoranthene
34230
Benzo(ghi)perylene
Benzo(k)fluoranthene
34521
34242
Bis (2-chloroethoxy) methane
34278
Composite
625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
8
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Bis (2-chioroethyl) ether
34273
Composite 625.1
1.6
ND
ug/L
Bis (2-chloroisopropyl) ether
34283
Composite 625.1
1.6
ND
ug/L
Bis (2-ethylhexyl) phthalate
39100
Composite 625.1
8
ND
ug/L
4-bromophenyl phenyl ether
34636
Butyl benzyl phthalate
34292
2-chloronaphthalene
34581
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
Composite 625.1
1.6
ND
ug/L
4-chlorophenyl phenyl ether
Chrysene
34641
34320
Composite
Composite
625.1
625.1
1.6
1.6
ND
ND
ug/L
ug/L
Form - DMR- PPA-1
Page 2
Month F`larei'rlla.e.
Q G Annual Monitoring and Pollutant Scan
Permit No. 0
Outfall l7`l)1
Year 69.1
Parameter
Parameter
Code
Sam le Type
pMethod
Analytical
Quantitation
Level
Sample
Result
Units of
Measurement
Di-n-butyl phthalate
39110
Composite
625.1
1.6
ND
ug/L
Di-n-octyl phthalate
34596
Composite
625.1
1.6
ND
ug/L
Dibenzo(a,h)anthracene
34556
Composite
625.1
1.6
ND
ug/L
1,2-dichlorobenzene
34536
Grab
624.1
1
ND
ug/L
1,3-dichlorobenzene
34566
Grab
624.1
1
ND
ug/L
1,4-dichlorobenzene
34571
Grab
624.1
1
ND
ug/L
3,3-dichlorobenzidine
34631
Composite
625.1
8
ND
ug/L
Diethyl phthalate
34336
Composite
625.1
1.6
ND
ug/L
Dimethyl phthalate
34341
Composite
625.1
1.6
ND
ug/L
2,4-dinitrotoluene
34611
Composite
625.1
3.2
ND
ug/L
2,6-dinitrotoluene
CO626
Composite
625.1
3.2
ND
ug/L
1,2-diphenylhydrazine
34346
Composite
625.1
1.6
ND
ug/L
Fluoranthene
CO376
Composite
625.1
1.6
ND
ug/L
Fluorene
34381
Composite
625.1
1.6
ND
ug/L
Hexachlorobenzene
C0700
Composite
625.1
1.6
ND
ug/L
Hexachlorobutadiene
39702
Composite
625.1
1.6
ND
ug/L
Hexachlorocyclo-pentadiene
34386
Composite
625.1
8
ND
ug/L
Hexachloroethane
34396
Composite
625.1
1.6
ND
ug/L
Indeno(1,2,3-cdipyrene
34403
Composite
625.1
1.6
ND
ug/L
Isophorone
34408
Composite
625.1
1.6
ND
ug/L
Naphthalene
34696
Composite
625.1
1.6
ND
ug/L
Nitrobenzene
34447
Composite
625.1
1.6
ND
ug/L
N-nitrosodi-n-propylamine
34428
Composite
625.1
1.6
ND
ug/L
N-nitrosodimethylamine
34438
Composite
625.1
1.6
ND
ug/L
N-nitrosodiphenylamine
34433
Composite
625.1
1.6
ND
ug/L
Phenanthrene
34461
Composite
625.1
1.6
ND
ug/L
Pyrene
34469
Composite
625.1
1.6
ND
ug/L
1,2,4,-trichlorobenzene
34551
Composite
625.1
1.6
ND
ug/L
Sampling should be conducted as specified in 40 CFR Part 136.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who managed 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 fines and imprisonment for knowing violations."
Authorized Representative name
)01 sin Cc tjcL4
Signature
Date
Form - DMR- PPA-1
Page 3