NC0089435_Renewal (Application)_20220208

Ad'
ROY COOPER 5 Governor ,11
21
ELIZABETH S.BISER `.
Secretary � °
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
February 09, 2022
Martin County Regional Water & Sewer Authority
Attn: U. James Bennett, County Manager
PO Box 668
Williamston, NC 27892-0668
Subject: Permit Renewal
Application No. NC0089435
Martin County WTP
Martin County
Dear Applicant:
The Water Quality Permitting Section acknowledges the February 8, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Clina Department of Environmental Quali I Divis'o W
Washington Regional Office 943 Washington Squarety Mal l Washington.nofaterResources North Carolina 27889
252 946 6481

EPA Identification Number
NPDES Permit Number
NC0089435
Facility Name
Martin County WTP
Form Approves' v.wupi i
OMB No.2040-0004
Form
NPDES
U.S. Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater
GENERAL INFORMATION
GENERAL
SECTION
1. ACTIVITIES REQUIRING AN NPDES PERMIT (40 CFR 122.21(f) and (f)(1))
1.1
Applicants Not Required to Submit Form 1
1 1 1
Is the facility a new or existing publicly owned
treatment works?
If yes, STOP. Do NOT complete r
Form 1. Complete Form 2A.
No
1 1 2
Is the facility a new or existing treatment
treating domestic sewage?
If yes, STOP. Do NOT
complete Form 1. Complete
Form 2S.
r
works
No
1.2
Applicants Required to Submit Form 1
E
a
c
1.2.1
Is the facility a concentrated animal feeding
operation or a concentrated aquatic animal
production facility?
Yes - Complete Form 1 r
and Form 2B.
No
1.2.2
Is the facility an existing manufacturing,
commercial, mining, or silvicultural
currently discharging process wastewater?
Yes 4 Complete Form
1 and Form 2C.
facility
r
that is
No
z
c
c
:c
m
o:
1.2.3
Is the facility a new manufacturing, commercial,
mining, or silvicultural facility that has not
commenced to discharge?
Yes -4 Complete Form 1 r
and Form 2D.
yet
No
1.2.4
Is the facility a new or existing manufacturing,
commercial, mining, or silvicultural
discharges only nonprocess wastewater?
❑ Yes 4 Complete Form
1 and Form 2E.
facility
r
that
No
w
a
1.2.5
Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater
non-stormwater?
Yes 4 Complete Form 1 r
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15 .
and
No
SECTION
2. NAME,
2.1
MAILING ADDRESS, AND LOCATION (40 CFR 122.21(f)(2))
Facility Name
Martin County Water Treatment Plant
0
2.2
EPA Identification Number
8
J
-0
A
2.3
Facility Contact
m
....
Name (first and last)
U. James Bennett
Title
MCRWASA Board Chairman
Phone number
[phone]
03
c
TB
Email address
[e-mail]
a
m
2.4
Facility Mailing Address
va
z
Street or P.O. box
1001 Park St.
City or town
Williamston
State
NC
ZIP code
27892
EPA Form 3510-1 (revised 3-19)
Page 1

EPA Identification Number
NPDES Permit Number
NC0089435
Facility Name
Martin County WTP
Form Approved 03105I19
OMB No. 2040-0004
2.5 Facility Location
Street, route number, or other specific identifier
1001 Park St.
County name
Martin
County code (if known)
City or town
Williamston
State
NC
SECTION 3. SIC AND NAICS CODES (40 CFR 122.21(f)(3))
SIC and NAICS Codes
3.1
4941
3.2
SIC Code(s)
221310
NAICS Code(s)
ZIP code
27892
Description (optional)
Water Supply Systems, Except Irrigation
Description (optional)
Water Treatment Plants
SECTION 4. OPERATOR INFORMATION (40 CFR 122.21(f)(4))
Operator Information
c
0
c
0 U
a
0
4.1
Name of Operator
Veolia North America
4.2
Is the name you listed in Item 4.1 also the owner?
❑ Yes 0 No
4.3
4.4
Operator Status
❑ Public —federal ❑ Public —state
❑ Private ❑ Other (specify)
Phone Number of Operator
[phone]
El Other public (specify)Municipal
4.5
Operator Address
Street or P.O. Box
53 State St. #14
City or town
Boston
State
MA
ZIP code
02109
Email address of operator
[e-mail]
SECTION 5. INDIAN LAND (40 CFR 122.21(f)(5))
c co c .o
co
c J
5.1 Is the facility located on Indian Land?
❑ Yes 0 No
EPA Form 3510-1 (revised 3-19)
Page 2

EPA Identification Number
NPDES Permit Number
NC0089435
racmry rvarrw
Martin County WTP
Fnrm AnnmvPd 03f05119
OMB No. 2040-0004
SECTION 6. EXISTING ENVIRONMENTAL PERMITS (40 CFR 122.21(f)(6))
Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
© NPDES (discharges to surface ❑ RCRA (hazardous wastes) ❑ UIC (underground injection of
water) fluids)
NC0089435
6.1
❑ PSD (air emissions)
❑ Nonattainment program (CAA) ❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA) 0 Dredge or fill (CWA Section 404) ❑ Other (specify)
SECTION 7. MAP (40 CFR 122.21(f)(7))
a
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
El Yes 0 No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS (40 CFR 122.21(f)(8))
Nature of Business
8.1
Describe the nature of your business.
Operations of a conventional surface water treatment plant located in Williamston, NC that provides drinking water
to municipal distribution systems, including the Town of Williamston and Martin County Water District 2. The
treatment processes of this plant yields sludge from the sedimentation basin and solids from filter backwashing,
both of which are held in collection basins for settling, then decanted (dewatered) and dechlorinated. This permit
extends to our ability to discharge these process waters from said treatment works via Outfall 001, at the location
specified on the attached map into an unnamed tributary to Sweetwater Creek [23- 50], a waterbody currently
classified C located within Subbasin 03- 02- 09 [HUC: 030101070405] of the Roanoke River Basin.
Also attached is the plant flow schematic.
SECTION 9. COOLING WATER INTAKE STRUCTURES (40 CFR 122.21(f)(9))
Does your facility use cooling water?
0 Yes ❑ No -4 SKIP to Item 10.1.
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
SECTION 10. VARIANCE REQUESTS (40 CFR 122.21(0(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
❑ Fundamentally different factors (CWA
Section 301(n))
❑ Non -conventional pollutants (CWA
Section 301(c) and (g))
▪ Not applicable
❑ Water quality related effluent limitations (CWA Section
302(b)(2))
❑ Thermal discharges (CWA Section 316(a))
EPA Form 3510-1 (revised 3.19)
Page 3

EPA Identification Number
NPDES Permit Number
NC0089435
Faculty Name
Martin County WTP
rum,OMB Noc2040-0004
SECTION
11. CHECKLIST AND
CERTIFICATION STATEMENT (40
CFR 122.22(a) and (d))
11.1
In Column 1 below, mark the sections of Form 1 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: Activities Requiring an NPDES Permit
❑ w/ attachments
v
Section 2: Name, Mailing Address, and Location
❑ wl attachments
✓
Section 3: SIC Codes
❑ w/ attachments
v
Section 4: Operator Information
❑ wl attachments
✓
Section 5: Indian Land
❑ w/ attachments
v
Section 6: Existing Environmental Permits
❑ w/ attachments
mw/
v
Section 7: Map
✓
topographic
map ❑ w/ additional attachments
c✓
Section 8: Nature of Business
v
wl attachments
co
✓
Section 9: Cooling Water Intake Structures
❑ w/ attachments
ci
a
✓
Section 10: Variance Requests
❑ wl attachments
N
v
Section 11: Checklist and Certification Statement
❑ w/ attachments
Y
m
11.2
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 properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
U. James Bennett
Official title
MCRWASA Board Chairman
Signature
Date signed
2/7/22
EPA Form 3510-1 (revised 3-19)
Page 4

Sweetwater Creek
[flows northeast]
a• -a.
•
.-
}
Martin County Regional Water and Sewer Authority
Martin County WTP
NPDES Permit NC0089435
1001 Park Street, Williamston 27892
Receiving Stream: UT to Sweetwater Creek
Stream Segment: 23-50
River Basin: Roanoke
County: Martin
Stream Class: C
Sub -Basin #: 03-02-09
HUC: 030101070405
SCALE
1:24.000
•
t 15.000,000
35.848056° N,-77.044167° W
NC Grid: D3OSE
USGS Quad: Williamston. NC

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EPA Identification Number
NPDES Permit Number
NC0089435
Facility Name
Martin County WTP
G,,.n, a r,m oe nsmsN4
OMB No. 2040-0004
FORM
2E
NPDES
.=.EPA
U.S. Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater
MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURAL FACILITIES WHICH
DISCHARGE ONLY NONPROCESS WASTEWATER
SECTION 1. OUTFALL LOCATION (40 CFR 122.21(h)(1))
1.1 Provide information on each of the facili
Outfall
Number
001
's outfalls in the table below.
Receiving Water Name
Sweetwater Creek
Latitude
Longitude
35' 50' 53.0f N
-77° 02' 39.25" W El
SECTION 2. DISCHARGE DATE (40 CFR 122.21(h)(2))
co 2.1 Are you a new or existing discharger? (Check only one response.)
` m ❑ New discharger 0 Existing discharger 4 SKIP to Section 3.
s
H o2.2
Specify your anticipated discharge date:
SECTION 3. WASTE TYPES (40 CFR 122.21(h)(3))
What types of wastes are currently being discharged if you are an existing discharger or will be discharged if you are a
new discharger'? (Check all that apply.)
❑ Sanitary wastes E❑ Other nonprocess wastewater (describe/explain
Restaurant or cafeteria waste directly below)
❑ Dewatered solids from plant processes
3.1
m
❑ Non -contact cooling water
3.2
3.3
Does the facility use cooling water additives?
❑ Yes ❑ No -) SKIP to Section 4.
List the cooling water additives used and describe their composition.
Cooling Water Additives
(list)
Composition of Additives
(if available to you)
SECTION 4. EFFLUENT CHARACTERISTICS (40 CFR 122.21(h)(4))
4.1 Have you completed monitoring for all parameters in the table below at each of your outfalls and attached the results to
this application package?
Q Yes ❑ No; a waiver has been requested from my NPDES permitting authority
(attach waiver request and additional information) -4 SKIP to Section 5.
4.2 Provide data as requested in the table below., (See instructions for specifics.)
Maximum Daily
Discharge
(specify units)
Effluent Characteristics
Parameter or Pollutant
Number of
Analyses
(if actual data
reported)
Mass
Conc.
Average Daily
Discharge
(specify units)
Mass
Conc.
Source
(use codes
per
instructions)
Biochemical oxygen demand (BOD5)
Total suspended solids (TSS)
Oil and grease
132
57 mg/L
9.7 mg/L
Ammonia (as N)
Discharge flow
pH (report as range)
Temperature (winter)
10
919
152
36
76
.98 mg/L
.543 MG
7.24 s.u.
11.5
26.3
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved und136 er 40 CFR for the analysis of pollutants or po"
parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Temperature (summer)
EPA Form 3510-2E (revised 3-19)
Page 1

EPA Identification Number
NPDES Permit Number
NC0089435
Facility Name
Martin County WTP
Form Approved us/uonu
OMB No. 2040-0004
4.3
Is fecal
■
coliform believed present, or is sanitary waste discharged
Yes 51
(or will it be discharged)?
No 4 SKIP to Item 4.5.
4.4
Provide data as requested in the table below) (See instructions for
specifics.)
Parameter or Pollutant
Number of
Analyses
(if actual data
Maximum Daily
Discharge
(specify units)
Average Daily
Discharge
(specify units)
Source
(Use codes
reported)
Mass
Conc.
Mass
Conc.
Instructions.)
)
Fecal coliform
1:3E.
coli
w
Enterococci
0
H
4.5
Is chlorine
MI
used (or will it be used)?
Yes ■
No 4 SKIP to Item 4.7.
LI
rn
4.6
Provide data as requested in the table below) (See instructions for
specifics.)
m
15
co
03
Parameter or Pollutant
Number of
Analyses
(if actual data
Maximum
Discharge
(spect
Daily
units)
Average Daily
Discharge
( ' units)
Source
(use codes
per
reported)
Mass
Conc.
Mass
Conc.
instructions)
C.
co
Total Residual Chlorine
152
16 µg/L
4 µg/L
w
4.7
Is non
•
-contact cooling water discharged (or will it be discharged)?
Yes IS
No 4 SKIP to Section 5.
4.8
Provide data as requested in the table below) (See instructions for specifics.)
Parameter or Pollutant
Number of
Analyses
(if actual data
Maximum Daily
Discharge
(spe. units)
Average Daily
Discharge
(s. - ., units)
Source
(use codes
per
reported)
Mass Conc.
Mass Conc.
instructions)
Chemical oxygen demand (COD)
SECTION
5. FLOW
Total organic carbon (TOC)
(40 CFR 122.21(h)(5))
5.1
Except for stormwater water runoff, leaks, or spills, are any of the
application intermittent or seasonal?
❑ Yes 4 Complete this section. r
discharges you described
No 4 SKIP to Section
in Sections 1 and 3 of this
6.
33
LL
5.2
Briefly describe the frequency and duration of flow.
SECTION
6. TREATMENT
SYSTEM (40 CFR 122.21(h)(6))
cu
to
c
m
E
A
d
t•—
6.1
Briefly describe any treatment system(s) used (or to be used).
This discharge is water from the collection of solids from filter backwashing and sedimentation basin sludge. These
process wastes are held in collection basins for settling, then decanted (dewatered) and dechlorinated before discharge
to outfall.
1 Sampling shall be conducted according to sufiaently sensitive test procedures (i.e., methods) approved unde
parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2E (revised 3-19)
Page 2

EPA Identification Number
SECTION 7. OTHER INFORMATION
NPDES Permit Number
NC0089435
(40 CFR 122.21(h)(7))
of the above
permit limitations.
been recycling
again
BOD.
Facility Name
Martin County WTP
items. Use this space to provide
Attach additional sheets as
to our onsite raw water reservior.
when warmer weather is upon us and
JIV
rum MIDIOMB No 2040-0004
any information you believe the
needed.
This has worked well so
distribution demand picks up.
c
o
iCurrently
c
ar
t
3
7.1
Use the space below to expand upon any
reviewer should consider in establishing
For the past few months this discharge has
far, but we anticipate needing to discharge
we have no requirement to analyze
SECTION
8. CHECKLIST
AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
c
d
u,
c
4
-o
2
to
d
8.1
In Column 1 below, mark the sections of Form 2E that you have completed and are submitting
For each section, specify in Column 2 any attachments that you are enclosing to alert
not all applicants are required to provide attachments.
with your application.
the permitting authority. Note that
Column 1
Column 2
Outfall Location
❑ w/ attachments (e.g., responses for additional outfalls)
✓ Section 1:
Discharge Date
❑ w/ attachments
✓ Section 2:
Waste Types
❑ w/ attachments
✓ Section 3:
Effluent Characteristics
❑ w/ attachments
✓ Section 4:
Flow
❑ w/ attachments
✓ Section 5:
Treatment System
❑ w/ attachments
✓ Section 6:
Other Information
❑ w/ attachments
✓ Section 7:
Checklist and Certification Statement
❑ w/ attachments
✓ Section 8:
8.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
U. James Bennett
Official title
MCRWASA Board Chairman
Signature_.-
�
Date signed
2`7/22.
EPA Form 3510-2E (revised 3-19)
Page 3

EPA Identexation Number
NPOES Perrot Number
NC0089435
FaatyName
Martin County WTP
()veal Number
Form Approved 03A5119
OMB No.2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))'
Intake
loPbona9
Presence or Absence
(check one)
Effluent
PollutantlParemeter
(and CAS Number. if available)
Testing
Required
Believed
Present
Believed
Absent
Units
(spedry)
Maximum
Daily
Discharge
(rued)
Maximum
Monthly
Discharge
(Ifavaieble)
Long -Tenn
Average
Daily
Discharge
fro)
Number
of
Analyses
Long
Term
Average
Value
a
Number
of
Analyses
Thallium, total
Concentration
1'12
(7440-28-0)
Mass
Zinc, total
Concentration
ugh
72
27
10
1'13
(7440-66-6)
✓
MI
■
Mass
Cyanide,
Concentration
1'14
total
(57-12-5)
Mass
Concentration
1.15
Phenols, total
E
•
II
Mass
Section 2. Organic Toxic Pollutants (GC/MS Fraction —Volatile Compounds)
2'1
Acrolein
(107-02-8)
Concentration
Mass
2.2
Acrylonitrile
(107-13-1)
•
Concentration
Mass
2 3
Benzene
(71-43-2)
•
Concentration
Mass
2.4
Bromoform
(75.25-2)
•
�
Concentration
Mass
2.5
Carbon tetrachloride
(56-23-5)
•
•
•
Concentration
Mass
2'6
Chlorobenzene
(108-90-7)
Concentration
Mass
2.7
Chlorodibromomethane
(124-48-1)
�
Concentration
Mass
2.8
Chloroethane
(75-00-3)
Concentration
Mass
EPA Fonn 3510-2C (Revised 3-19)
Page 72

EPA dentificabon Number
NPDES Permit Number
NC0089435
Faoiy Name
Martin County WTP
Outlall Number
Form Approved 03A5119
OMB No.2040-0004
TABLE
B. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND
Presence or
Mack
ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))1
Effluent
Intake
(optonal)
Pollutant/Parameter
(and CAS Number, davailabb)
(end
Testing
Required
Absence
)
Unit
(
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(davaaable)
AverageNumber
Daily
Discharge
(d available)
°f
Analyses
Long -
Lon -
Term
Average
Value
Number
Anatyses
2'9
2-chloroethylvinyi ether
(110-75-8)
Concentration
Mass
2.10
Chloroform (67.66-3)
•
•
•
Concentration
Mass
2'11
Dichlorobromomethane
(75-27-4)
M
IN
MI
Concentration
Mass
212
11-dichloroethane
(75-34-3)
•
0
•
Concentration
Mass
2'13
1,2-0ichloroethane
(107-06-2)
•
Concentration
Mass
2.14
1,1-dichloroethy)ene
(75.354)
Concentration
Mass
2.15
1,2-dichloropropane
(78-87-5)
Concentration
Mass
2.16
1'3-dichloropropylene•
(542-75-6)
Concentration
Mass
217
Ethy)benzene
(100.41-0)
Concentration
Mass
218
Methyl bromide
(74-83.9)
•
Concentration
Mass
2'19
Methyl chloride
(74-87-3)
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
•
•
Concentration
Mass
2.21
1,1,2,2-tetrachloroethane
(79-34-5)
Concentration
Mass
EPA Fomr 3510-2C (Revised 3-19)
Page 13

EPA Identficabon Number
NPDES Permit Number
NC0089435
FaoIy Name
Martin County WTP
Outten Number
Form Approved 03,05/19
OMB No. 2040.0004
TABLE
B. TOXIC METALS, CYANIDE TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(0)P
Intake
(optional)
Presence or Absence
( one)
Effluent
Pollutant/Parameter
(and CAS Number, Yavaiabb)
Testing
Required
Believed
Present
Believed
Absent
Units
(aD M
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(if evadable)
Long -Term
AverageNumber
Daily
Discharge
@avaaeble)
AnXses
Lon -
g
Term
Average
Value
Number
Analyses
1.12
Thallium. total
Concentration
(7440.28-0)
Mass
Zinc, total
Concentration
µ8/L
72
27
10
(7440-66-6)
isi1.13
Mass
1 14
Cyanide,
Concentration
total•
(57-12-5)
Mass
1.15
Concentration
Phenols, total
•
M
0
Mass
Section 2. Organic Toxic Pollutants (GC/MS Fraction —Volatile Compounds)
2.1
Acrolein
(107-02-8)
•
❑
Concentration
Mass
2.2
A nitrite
(10 131)
M
�
�
Concentration
Mass
2'3
Benzene
(71-43-2)
Concentration
Mass
2 4
Bromotorm
(75-25-2)
Concentration
Mass
2.5
Carbon tetrachbride
(56-23.5)
1
1
MI
Concentration
Mass
2.6
Chiorobenzene
(108-90-7)
1
1
❑
Concentration
Mass
2'7
Chlorodibromomethane
(124-48-1)
•
0
•
Concentration
Mass
2.8
Chloroethane
(75-00-3)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 12

EPA Identification Number
NPDES Permit Number
NC0089435
Faaiy Name
Martin County WTP
Oudar Number
Form Approved 03N5/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(0)'
Effluent
Intake
(optrone9
Pollutant/Parameter
(and CAS Number. davaiebie)
Presence or Absence
(mbar one)
Units
(WAY)Daily
Testing
Required
Believed
Present
Believed
Absent
Maximum
Discharge
(required)
Maximum
Monthly
Discharge
(dtradable)
Lon Terrn
Average
Dischaarge
(4aveaebie)
Number
maimly s
Long -
Term
Average
Value
Number
of
Analyses
2'9
2-chloroethylvinyl ether
(110-75-8)
Concentration
Mass
2.10
Chloroform (67-663)
•
•
•
Concentration
Mass
2'11
Dichlorobromomethane
(75-27.4)
Concentration
Mass
2.12
1,1-dichbroethane
(75-34-3)
•
Concentration
Mass
2.13
1,2-dichbroethane
(107-06-2)
•
Concentration
Mass
2.14
1,1-dichloroethyiene
(75-35-4)
Concentration
Mass
2.15
1,2-dichloropropane
(78.87-5)
•
Concentration
Mass
2.16
1 3-dichbropropylene
(542-75-6)
•
Concentration
Mass
2.17
Ethylbenzene
(100.41.4)
Concentration
Mass
2'18
Methyl bromide
(74-83-9)
Concentration
Mass
2'19
Methyl chloride
(74-87-3)
•
•
•
Concentration
Mass
2.20
Methylene chloride
(75-09-2)
•
•
•
Concentration
Mass
2.21
1,1,2,2-tetrachloroethane
(79.34-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 13

EPA ldenbfication Number
NPDES Permit Number Fanfty Name
NC0089435 Martin County WTP
Ob11aB Number
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND ORGANIC TOXIC POLLUTANTS (40 CFR 122.21(g)(7)(v)I'
Intake
(00b3na0
Presence or Absence
(check one)
Effluent
Pollutant/Parameter
(and CAS Number, if evadable)
Testing
Required
Believed
Present
Believed
Absent
Units
(spend
Maximum
Discaharge
(required)
Maximum
Discharge
(davadable)
Long -Term
Ave a
ro9
Daily
Discharge
(d evadable)
Number
of
Analyses
Lon -
g
Tenn
Average
Value
Number
of
Analyses
2 22
Tetrachloroethylene
Concentration
(127-18-4)
Mass
2'23
Toluene
Concentration
(108-88-3)
Mass
2'24
1,2-transtlichloroethylene
Concentration
(156.60-5)
Mass
2 25
•
Concentration
1,1,1-trichloroethane
(71-55-6)
Mass
2.26
1 1,2-trichloroethane
Concentration
(79-00-5)
•
Mass
2 27
Trichloroethylene
Concentration
(79-01-6)
•
Mass
2.28
Vinyl
Concentration
chloride
(75-01-4)
Mass
Section 3. Organic Toxic Pollutants (GC/MS Fraction —Acid Compounds)
31
2-chlorophenol
(95-57-8)
M
II
Concentration
Mass
3.2
2,4-dichlorophenol
(120-83-2)
Concentration
Mass
3.3
2,4.dimethylphenol
(105.67-9)
Concentration
Mass
3.4
4,6-dinitroo-cresol
(534-52-1)
Concentration
Mass
3.5
2,4-dinitrophenol
(51-28-5)
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 14

EPA Identification Number
NPOES Permit Number
NC0089435
Fealty Name
Martin County WTP
Outha Number
Form Approved 03105t19
OMB No.2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(9)(7)(v)),
Effluent
Intake
(opbona0
Pollutant/Parameter
(and CAS Number, daraiaDb)
Testing
Required
Presence or Absence
(check one)
Units
(
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(d sae)
Long -Term
AverageNumber
Daily
Discharge
(d available)
of
Analyses
Lon -
g
Term
Average
value
Number
of
Analyses
3.6
2-nitrophenol
(88-75-5)
■
■
■
Concentration
Mass
3•7
4-nitrophenol
(100-02-7)
•
■
■
Concentration
Mass
3'8
p-chloro.m-cresol
(59-50-7)
El0
•
Concentration
Mass
3 9
Pentachbrophenol
(87-86-5)
■
■
■
Concentration
Mass
3.10
Phenol
(108-95-2)
El
■
�
Concentration
Mass
3.11
2,4,6-trichbrophenol
(88-05-2)
•
❑
■
Concentration
Mass
Section
4. Organic Toxic Pollutants (GC/MS Fraction —Base /Neutral Compounds)
41
Acenaphthene
(83-32-9)
■
•
■
Concentration
Mass
4 2
Acenaphthylene
(208-96-8)
•
■
o
Concentration
Mass
4.3
Anthracene
(120 12 7)
■
■
■
Concentration
Mass
4.4
Benzidine
(92-87-5)
■
El
■
Concentration
Mass
4'5
Benzo (a) anthracene
(56-55-3)
■
■
Concentration
Mass
4.6
Benzo (a) pyrene
(50-32.8)
•■
•
■
Concentration
Mass
EPA Forth 3510-2C (Revised 3-19)
Page 15

EPA Identification Number
TABLE B. TOXIC METALS, CYANIDE,
NPDES Permit Nurnber
NC0089435
TOTAL PHENOLS, AND ORGANIC
Facility Name
Martin County WTP
TOXIC POLLUTANTS (40 CFR
Oudal Number
122.21(9)(7)(v)),
Effluent
roan npgovau uarvW ra
OMB No.2040-0004
Intake
(oPtiu+a0
Pollutant/Parameter
(and CAS Number, if available)
Presence or Absence
( )
Units
(sPeCiN)
Testing
Required
Believed
Present
Believed
Absent
Maximum
Daily
DischargeDischarge
(required)(dava
Maximum
Monthly
a)
Long -Term
Average
Daily
Dscharge
((evadable)
Number
of
Analyses
Lon -
g
Tenn
Average
Value
Number
of
Analyses
4 7
3 4-benzofluoranthene
(205-99-2)
■
■
o
Concentration
Mass
4'8
Benzo (ghi) perylene
(191-24-2)
III
■
■
Concentration
Mass
4'9
Benzo (k) fluoranthene
(207-08-9)
■
■
■
Concentration
Mass
4'10
Bis (2-chloroethoxy) methaneEl
(111-91-1)
■
El
Concentration
Mass
4 11
Bis (2-chloroethyl) ether
(111-44-4)
■
■
■
Concentration
Mass
4'12
Bis (2 chtoroisopropyl) etherEl
(102-80-1)
■
El
Concentration
Mass
4.13
Bis (2-ethyihexyl) phthalate
(117-81-7)
�
El■
Concentration
Mass
4'14
4-bromophenyl phenyl ether12
(101-55-3)
El
■
Concentration
Mass
4.15
Butyl benzyl phthalate
(85-68-7)
•
El
■
Concentration
Mass
4.16
2-chloronaphthalene
(91-58-7)
■
■
■
Concentration
Mass
4 17
4-chlorophenyl phenyl ether
(7005-723)
El
El■
Concentration
Mass
4.18
Chrysene
(218-01-9)
■
■
■
Concentration
Mass
4.19
Dibenzo (a,h) anthracene
(53-70-3)
■
■
■
Concentration
Mass
EPA Form 3510-2C (Revised 3.19)
Pape 16

EPA IderrAa5on Nu'r Der
NPOES Pena Number
NC0089435
Faciity Name
Martin County WTP
OutfallNumber
Form Approved 03205119
OMB No. 2040-0,304
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))h
Effluent
Intake
(000
Pollutant/Parameter
(and CAS number, if available)
Testing
Required
Presence or
(cheek
Believed
Present
Absence
one)
Units
(a e*
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(davadeble)
Long-TermLong-
AverageNumber
Daily
sch
Discharge
ia
el
of
Analyses
TermNumber
Average
Value
of
Analyses
4.20
12-dichbrobenzene
(95-50-1)
Concentration
Mass
4 21
•
1 3-dichlorobenzene
(541-73-1)
Concentration
Mass
4
14-dichlorobenzene
(106 46-7)
Concentration
Mass
4 23
•
3 3-dichbrobenzidine
(91-94-1)
Concentration
Mass
4.24
Diethyl phthalate
(84-66-2)
Concentration
Mass
4.25
Dimethyl phthalate
(131-11-3)
Concentration
Mass
4.26
Di-n-butyl phthalate
(84-74.2)
•
Concentration
Mass
4 27
2 4-dinitrotoluene
(121-14-2)
❑
Concentration
Mass
4 28
•
2,6-dinitrotoluene
(606-20-2)
Concentration
Mass
4.29
Di-noctyl phthalate
(117-84-0)
Concentration
Mass
4
1,2-DiphenylhydrazineE
(as azobenzene) (122-66-7)
II
Concentration
Mass
4.31
Fluoranthene
(206-44-0)
Concentration
Mass
4.32
Fluorene
(86.73-7)
•
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 17

EPA Identification Number
NPOES Pent Number
89435
Faa§y Name
Martin County WTP
Ou8ae Number
Form Approved 03/05/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL
PollutantiParameter
(and CAS Number, 8avallable)
PHENOLS,
Testing
Required
AND
Presence or
(cher*
ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(g)(7)(v))'
Effluent
Intake
(oPtone0
Absence
one)
Units
(epe�y)
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
MaximumNumber8-
Monthly
Discharge
(davadabte)
Long -Term
Avers ge
ly
DisOcahiaarge
(d bie)
of
Analyses
Lon
Tenn
Average
Value
Number
of
Analyses
4'33
Hexachlorobenzene
(118 74 1)
•
•
O
Concentration
Mass
4'34
Hexachlorobutadiene
(87-68-3)
Concentration
Mass
4'35
Hexachlorocyclopentadiene
(77-07-4)
Concentration
Mass
4'36
Hexachloroethane
(67-72-1)
Concentration
Mass
4.37
Indeno (1,2,3•cd) pyrene
(193-39-5)
•
Concentration
Mass
4'38
Isophorone
(78-59-1)
•
•
Concentration
Mass
4'39
Naphthalene
(91-20-3)
•
•
Concentration
Mass
4.40
Nitrobenzene
(98 95-3)
0
❑
Concentration
Mass
4.41
N-nitrosodimethylamine
(62-75-9)
Concentration
Mass
4'42
N-nitrosodi-n-propylamine
(621.64-7)
Concentration
Mass
4'43
N-nitrosodiphenylamine
(86-30-6)
.
0
.
Concentration
Mass
4.44
Phenanthrene
(85-01-8)
Concentration
Mass
4.45
Pyrene
(129-00-0)
•
�
❑
Concentration
Mass
EPA Form 3510.2C (Revised 3-19)
Page 18

EPA Identification Number
NPDES Perrot Number
NC0089435
FaoIy Name
Martin County WTP
Outlay Number
Form Approved 03A5/19
OMB No. 2040-0004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS, AND ORGANIC TOXIC POLLUTANTS (40 CFR
122.21(9)(7)(vW
Intake
(opal)
Presence or Absence
( one)
Effluent
Pollutant/Parameter
(and CAS Number, it available)
Testing
Required
Believed
Present
Believed
Absent
Units
(
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
ofavarable)
Long -Term
Average
Daily
Discharge
(if available)
Number
of
Analyses
Long -
Aver. a
Value
a
Number
of
Analyses
1,2,4-trichlorobenzene
Concentration
4.46
(120.82-1)
III0
IN
Mass
Section 5. Organic Toxic Pollutants (GC/MS Fraction—Pestic des)
5'1
Aldrin
(309-00-2)
•
0
■
Concentration
Mass
5.2
a-BHC
(319.84.6)
■
■
■
Concentration
Mass
5'3
0-BHC
(319-85-7)
■
■
■
Concentration
Mass
5'4
y-BHC
(58-89-9)
■
■
■
Concentration
Mass
5'5
d-BHC
(319-86-8)
■
■
❑
Concentration
Mass
5.6
Chlordane
(57-74-9)
■
■
■
Concentration
Mass
5.7
4,4'-DDT
(50-29-3)
■
■
Concentration
Mass
5.8
4,4'-DDE
(72-55-9)
■
■
■
Concentration
Mass
5.9
4,4'-DDD
(72-54-8)
IN
Concentration■
Mass
5.10
Dieldrin
(60.57-1)
II
■
■
Concentration
Mass
5.11
a-endosulfan
■
0(115-29-7)
■
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 19

EPA Identification Number
NPOES Perrot Number
NC0089435
Facility Name
Martin County WTP
Outlab Number
roan nppvveo WNW I
OMB No.2040-0004
TABLE B. TOXIC METALS, CYANIDE. TOTAL PHENOLS.
AND ORGANIC TOXIC POLLUTANTS
(40 CFR
122.21(g)(7)(v(P
Intake
(opens()
Pollutant/Parameter
(and CAS NunOar.savalabb)
(am
Testing
Required
Presence or Absence
(cheek one)
Units
(h)
Effluent
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
(davalable)
Average
Daily
Discharge
(A available)
Number
of
Analyses
Lon -
Long -
Term
Average
Value
Number
of
Analyses
5 12
8-endosulfan
(115-29-7)
E
•
•
Concentration
Mass
5.13
Endosulfan sulfate
(1031-07.8)
Concentration
Mass
5.14
Endrin
(72 20-8)
Concentration
Mass
5.15
Endrin aldehyde
(7421-93 4)
•
Concentration
Mass
5.16
Heptachlor
(76-44-8)
Concentration
Mass
5.17
Heptachlor epoxide
(1024-57-3)
•
•
IN
Concentration
Mass
5.18
PCB-1242
(53469.21-9)
III
•
•
Concentration
Mass
5.19
PCB-1254
(11097-69-1)
•
•
•
Concentration
Mass
5.20
PCB-1221
(11104.28-2)
•
•
0
Concentration
Mass
5.21
PCB-1232
(11141.165)
•
•
•
Concentration
Mass
5.22
PCB-1248
(12672-29-6)
•
•
•
Concentration
Mass
5.23
PCB-1260
(11096-82-5)
•
•
•
Concentration
Mass
5.24
PCB-1016
(12674-11-2)
•
•
0
Concentration
Mass
EPA Form 3510-2C (Revised 3-19)
Page 20

EPA Idemlfcabon Number
NPDES Pent Number
NC0089435
Facility Name
Martin County WTP
Outal Number
Form Approved O3/05119
OMB No. 2040-3004
TABLE B. TOXIC METALS, CYANIDE, TOTAL PHENOLS,
AND
ORGANIC TOXIC
or Absence
one)
POLLUTANTS (40 CFR
Units
(Spep(y)
122.21(9)(70))'
Effluent
Intake
(optiona0
Pollutant/Parameter
(and CAS Number. f available)
Testing
Required
Presence
(check
Believed
Present
Believed
Absent
Maximum
Daily
Discharge
(required)
Maximum
Monthly
Discharge
r9
Ofavalable)
Long -Term
Average
Daily
Discharge
(dava3ebte)
Number
of
Analyses
Lon -
Term
Average
Value
Number
of
Analyses
Toxaphene
5.25 (8001-35.2)
•
•
•
Concentration
Mass
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved u
required under 40 CFR chapter I, subchapter N or O. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Reviled 3-19)
Page 21

This page intentionally left blank.

EPA identification Number
TABLE C. CERTAIN CONVENTIONAL
NPDES Pert% Number Faafy
NC0089435 Martin
AND NON CONVENTIONAL POLLUTANTS
Name
County WTP
(40 CFR 122.21(g)(7)
uueau numoer
vi))'
ruilliew WOW V.V.. ,4
OM8 No.2040-0004
Presence or Absence
(check one)
Effluent
Intake
(Opoons0
Pollutant
Believed
Present
Believed
Absent
Units
(speay
Maximum Daily
y
Discharge
(required)(davailable)
Maximum
Monthly
Discharge
Long -Term
Average Daily
Discharge
(davaisble)
Number of
Analyses
Lon Term
Angvery 9e
Value
Number of
Analyses
Check here if you believe all pollutants on Table C to be present in your discha ge from the noted outfall. You need not complete the Presence or Absence' column of Table C for
•
each pollutant.
mi Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall. You need not complete the 'Presence or Absence column of Table C for
each pollutant.
1 •
Bromide
(24959-67.9)
❑
•
Concentration
Mass
2
Chlorine, total
residual
■
Concentration
µg/L
16
4.197
152
Mass
3.
Color
•
•
Concentration
Mass
4.
Fecal coliform
❑
•
Concentration
Mass
6
Fluoride
(16960.48-8)
•
•
Concentration
Mass
6
Nitrate -nitrite
51
•
Concentration
mg/L
.200
.103
10
Mass
7
Nitrogen, total
organic (as N)
.
Concentration
mg/L
1.86
.613
10
Mass
8.
Oil and grease
•
•
Concentration
Mass
g
Phosphorus (as
P), total (7723.14-0)
Concentration
mg/L
.390
.083
10
Mass
10 •
Sulfate (as SO4)
(14806-79-0)
•❑
Concentration
Mass
11.
Sulfide (as S)
■
■
Concentration
Mass
EPA Fan 3510-2C (Revined 3-19)
Page 23

EPA Idenbkation Number
NPOES Permit Number
Fadity Name
Martin County WTP
Outfaf Number
Fomi Approved 03N5/19
OMB No. 2040-0004
TABLE C. CERTAIN CONVENTIONAL
AND NON CONVENTIONAL POLLUTANTS
(40 CFR 122.21(g)(7)(vi)).
Effluent
Intake
(Opp()
Pollutant
Presence or
(d+edcaa)
Absence
Believed
Absent
Units
(speafy)
Believed
Present
Maximum Daily
Discharge
( ►�
Maximum
Monthly
Discharge
(dawlabk)
Long -Tenn
Average Daily
Discharge
(lavalabe)
Number of
Analyses
Lon Terrn
Average
Values
Number of
Analyses
12.Sulfite
(as S03)
3)
•(14265-15
❑
Concentration
Mass
13.
Surfactants
•
•
Concentration
Mass
14.Aluminum,
total
(7429.90-5)
MI
III
Concentration
µg/L
2924
859
10
Mass
15.
Barium, total
(7440-39-3)
•
•
Concentration
Mass
16
Boron, total
(7440.42-8)
•
0
Concentration
Mass
17
Cobalt, total
(7440-1&t)
■
Concentration
Mass
18
Iron, total
(743989-6)
•
Concentration
Mass
19
Magnesium, total
(7439-95-0)
•IN
Concentration
Mass
20.
Molybdenum,
total
(7439.98-7)
•
•
Concentration
Mass
21.
Manganese, total
(7439-96-5)
•
•
Concentration
Mass
22
Tin, total
(7440315)
•
0
Concentration
Mass
23.Titanium,
total
(744032-6)
Concentration
Mass
EPA Fom+ 3510-2C (Revised 3-19)
Page 24

EPA Identficabon Number
NPDES Permit Number
Facility Name
Mart n County WTP
Oudaa Number
Form Approved 03V5/19
OMB No.2040-0004
TABLE C. CERTAIN CONVENTIONAL
AND NON CONVENTIONAL POLLUTANTS
(40 CFR 122.21(g)(7)(v0
Effluent
Intake
(0ppona0
Pollutant
Presence or Absence
(check one)
Units
(seedy)
Believed
Present
Believed
Absent
Maximum Daily
Discharge
(reQu(required)(davailable)
Maximum
Monthly
Discharge
Long -Term
Average Daily
Discharge
(deniable)
Number of
AnalysesValue
Lon Term
AverageNumber
of
Analyses
24. Radioactivity
Alpha, total
•
•
Concentration
Mass
Beta, total
•
0Mass
Concentration
Radium, total
•
M
Concentration
Mass
Radium 226, total
•
E
Concentration
Mass
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under
required under40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510.2C (Revised 3-19)
Page 25

This page intentionally left blank.

EPA IdenNration Number NPDES Pernit Number raasy Name
NC0089435 Martin County WTP
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS (40 CFR 122.21(g)(7)(vii))'
W1l411 rvunwu
Believed Present in Discharge
^rr-• — •-
OMBNo.2040-0004
Available Quantitative Data
(specify units)
Pollutant
Presence or Absence
(a'ec` one)
Reason Pollutant
Believed
Present
Believed
Absent
1.
Asbestos
■
•
2.
Acetaldehyde
❑
■
3.
Ally' alcohol
•
M
4.
Ally! chloride
❑
❑
5.
Amyl acetate
0
■
6.
Aniline
•
•
7.
Benzonitrile
0
•
8.
Benzyl chloride
❑
0
9.
Butyl acetate
■
II
10.
Butylamine
❑
•
11.
Caplan
❑
■
12.
Carbaryl
•
•
13.
Carbofuran
0
•
14.
Carbon disulfide
■
•
15.
Chlorpyrifos
■
•
16.
Coumaphos
■
•
17.
Cresol
■
•
18.
Crotonaldehyde
■
•
19.
Cyciohexane
■
•
EPA Form 3510.2C (Revised 3-19)
Page 27

EPA IdentitkationNumber
TABLE D. CERTAIN HAZARDOUS
NPOESPermit Number
NC0089435
SUBSTANCES AND ASBESTOS (40
Facility Name
Martin County WTP
CFR 122.21(g)(7)(vii))
uutraaNUmoer
Believed Present in Discharge
ru,inMINI Wt. �.,N,,a
OMB No.20404004
Available Quantitative Data
(specify units)
Pollutant
Presence or Absence
Pled( one)
Reason Pollutant
Believed
Present
Believed
Absent
20.
2,4•D (2,4dichlorophenoxyacetic acid)
■
■
21.
Diazinon
❑
E
22.
Dicamba
0
■
23.
Dichlobenil
■
•
24.
Dichlone
■
•
25.
2,2dichloropropionic acid
■
■
26.
Dichlorvos
■
•
27.
Diethyl amine
■
•
28.
Dimethyl amine
❑
❑
29.
Dintrobenzene
■
III
30.
Diquat
0
•
31.
Disulfaton
❑
❑
32.
Diuron
■
•
33.
Epichlorohydrin
0
■
34.
Ethion
❑
■
35.
Ethylene diamine
❑
36.
Ethylene dibromide
❑
■
37.
Formaldehyde
■
E
38.
Furfural
❑
■
EPA Fomi 3510-2C (Revised 3-19)
Page 28

EPA Identlication Number
TABLE D. CERTAIN HAZARDOUS
NPOES Pem+t Number
NC0089435
SUBSTANCES AND ASBESTOS
rawly
Martin
40 CFR 122.21(g)(7)(vii))'
Name
County WTP
Reason Pollutant
W0411 rowl:xt
Believed Present in Discharge
• .,,OMB Noo.204-0--0-00-
Available Quantitative Data
(speedyun[s)
Pollutant
Presence or Absence
pied( one)
Believed
Present
Believed
Absent
39.
Guthion
0
■
40.
Isoprene
0
0
41.
Isopropanolamine
■
•
42.
Kelthane
0
•
43.
Kepone
0
■
44.
Malathion
■
•
45.
Mercaptodimethur
0
•
46.
Methoxychlor
0
•
47.
Methyl mercaptan
■
■
48.
Methyl methacrylate
❑
•
49.
Methyl parathion
0
•
50.
Mevinphos
0
•
51.
Mexacarbate
■
■
52.
Monoethyl amine
■
MI
53.
Monomethyl amine
0
■
54.
Naled
0
■
55.
Naphthenic acid
❑
■
56.
Nitrotoluene
■
■
57.
Parathion
❑
•
EPA Fomi 3510-2C (Revised 3.19)
Page 29

EPA Identification Number NPDES Penn Number
NC0089435
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS (40
Martin
CFR 122.21(g)(7)(vii))'
Faa6ty Name
County WTP
Reason Pollutant
OuMa1 Number
Believed Present in Discharge
Form Approved 03A5119
OMB No.2040-0004
Available Quantitative Data
(speafyunits)
Pollutant
Presence or
(`"`d`0n0)
Absence
Believed
Absent
Believed
Present
58.
Phenolsutfonate
■
■
59.
Phosgene
■
■
60.
Propargite
■
■
61.
Propylene oxide
0
❑
62.
Pyrethrins
■
■
63.
Quinoline
■
■
64.
Resorcinol
❑
■
65.
Strontium
❑
0
66.
Strychnine
❑
■
67.
Styrene
■
■
68.
2,4,5-T (2,4,54richlorophenoxyacetic
acid)
M
•
69.
TDE (tetrachlorodiphenyl ethane)
■
■
70.
2,4,5-TP [242,4,5-trichlorophenoxy)
propanoic acid]
❑
III
71.
Trichlorofon
❑
■
72.
Triethanolamine
❑
■
73.
Triethylamine
■
■
74.
Trimethylamine
❑
■
75.
Uranium
❑
■
76.
Vanadium
■
■
EPA Forth 3510-2C (Revised 3-19)
Pape 30

EPA identification Number
NPDES Perm Number
Facility Name
Martin County WTP
OudaINumber
Form Approved 03A5/19
OMB No. 2040-0004
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS (40 CFR 122.21(g)(7)(vii))'
Available Quantitative Data
(specify units)
Pollutant
Presence or
(Cane)
Absence
Believed
Absent
Reason Pollutant Believed Present in Discharge
Believed
Present
77.
Vinyl acetate
0
■
78.
Xylene
■
II
79.
Xylenol
❑
0
80.
Zirconium
❑
■
d
1 Sampling shall be conducted according to sufficiently sensitive tes procedures (i.e., methods) approved uner
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C (Revised 3.19)
Page 31

This page intentionally Icft blank.

EPA IdenD cation Number
NPOES Perrnl Number
NC0O89435
Faokty Name
Martin County WTP
TABLE E. 2,3.7.8 TETRACHLORODIBENZO P DIOXIN (2.3,7,8 TCDD) (40 CFR 122.21(g)(7)(viii))
Pollutant
2.3,7,8-TCDD
EPA Form 3510-2C (Revised 3-19)
TCDD
Congeners
Used or
Manufactured
Presence or
Absence
(check one)
Believed Believed
Present Absent
OudafNumber
Results of Screening Procedure
Form Approved 03A5/19
OMB No. 2040 0004
Page 33