NC0026697_Renewal (Application)_20220311

#O i,a STATf4
ROY COOPER
Governor '5 '„ , r )
ELIZABETH S.BISER .
Secretary "G °
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
March 14, 2022
Clay County Water & Sewer District
Attn: Dusty Beal, Director
119 Courthouse Dr
Hayesville, NC 28904
Subject: Permit Renewal
Application No. NC0026697
Clay County WWTP
Clay County
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 11, 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-quidance/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.
Sin erely,
0 9
.t
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
D E Q North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 2090 U.S.Highway 70 I Swannanoa,North Carolina 28778
828 296 4500

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
IKt112022
NCDEQ/DWRJNPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
the instructions may result in denial of the application.
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
Clay County Wastewater Treatment Plant
Mailing address(street or P.O.box)
238 Jarrett Road
City or town State ZIP code
Hayesville Norh Carolina 28904
€ Contact name(first and last) Title Phone number Email address
Dusty Beal Director [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑✓ Same as mailing address
7.5
co
LL
City or town State ZIP code
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission 0 No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes 0 No 4 SKIP to Item 1.4.
Applicant name
= Applicant address(street or P.O.box)
0
City or town State ZIP code
Contact name(first and last) Title Phone number Email address
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner D Operator ❑✓ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
❑ Facility ❑ Applicant 0 Facility and 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
0 NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
NC0026697
2 ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
47. ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
w 404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type Ownership Status
Served Served (indicate percentage)
.a 1509 1509 100 %separate sanitary sewer 0 Own 0 Maintain
Z %combined storm and sanitary sewer 0 Own 0 Maintain
0 Unknown ❑ Own ❑ Maintain
co %separate sanitary sewer 0 Own 0 Maintain
co %combined storm and sanitary sewer 0 Own 0 Maintain
3 0 Unknown 0 Own ❑ Maintain
a %separate sanitary sewer 0 Own 0 Maintain
c %combined storm and sanitary sewer 0 Own 0 Maintain
R ❑ Unknown 0 Own 0 Maintain
E %separate sanitary sewer 0 Own 0 Maintain
N %combined storm and sanitary sewer 0 Own ❑ Maintain
c 0 Unknown 0 Own 0 Maintain
Total 1509
d Population
c°) Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100 % °k
sewer line(in miles)
1.8 Is the treatment works located in Indian Country?
o ❑ Yes ❑ No
o
1.9 Does the facility discharge to a receiving water that flows through Indian Country?
co
c 0 Yes ❑ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.30 mgd
w Annual Average Flow Rates(Actual)
-IS
Two Years Ago Last Year This Year
CCS .110 mgd 0.112 mgd 0.115 mgd
Coc
c" Maximum Daily Flow Rates(Actual)
c Two Years Ago Last Year This Year
0.542 mgd 0.432 mgd 0.235 mgd
y 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge Points by Type
a° o. Constructed
CD a' Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
co - Overflows Overflows
U
en
G 1
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes ❑ 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
2 1.14 Is wastewater applied to land?
❑ Yes ❑ No 4 SKIP to Item 1.16.
c 1.15 Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
o Continuous or
8 Location Size Average Daily Volume Intermittent
Applied (check one)
acres d 0 Continuous
o gp ❑ Intermittent
CD acres d ❑ Continuous
o gp ❑ Intermittent
acres d ❑ Continuous
R gp 0 Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes ❑✓ No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O.box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
1.20 In the table below,indicate the name,address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name Mailing address(street or P.O.box)
City or town State ZIP code
0
Contact name(first and last) Title
0
Phone number Email address
2
aNPDES number of receiving facility(if any) ❑None Average daily flow rate mgd
N
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 have outlets to waters of the State of North Carolina(e.g.,underground percolation,underground injection)?
❑ Yes ❑ No 4 SKIP to Item 1.23.
c1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
c Disposal Location of Size of Annual Average Continuous or Intermittent
= Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
acres gpd ❑ Continuous
❑ Intermittent
❑ Continuous
acres gpd 0 Intermittent
acresgpd ❑ Continuous
❑ 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.
„ w Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
w Discharges into marine waters(CWA Water quality related effluent limitation(CWA Section
❑ Section 301(h)) ❑ 302(b)(2))
❑ 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?
❑ Yes ❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
c Contractor name
(company name)
Mailing address
(street or P.O.box)
w City,state,and ZIP
code
0 Contact name(first and
c.� last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
c Outfalls to Waters of the State of North Carolina
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
0 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. 100,000 gpd
1.--
Indicate the steps the facility is taking to minimize inflow and infiltration.
We have completed smoke testing to locate I&I sources and have been in touch with a contractor to repair the issues.
0
0
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
12 0 specific requirements.)
0
0 ❑ Yes E No
0
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
o
(See instructions for specific requirements.)
a,
LL ,R
❑ Yes El 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.
0
E
2.
E
0 0
3.
d
m
U)
4.
2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled Affected Attainment of
Begin End Begin
o Outfalls Operational
Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level
number) (MM/DD/YYYY)
1.
N
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:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
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 ow. Outfall Number Outfall Number
State North Carolina
a Clay
6 County
o City or town Hayesville
0
c Distance from shore 4 ft. ft. ft.
Q.
y Depth below surface na ft. ft. ft.
d
0
Average daily flow rate o.i.00 mgd mgd mgd
Latitude 35' „ 8S ' „
Longitude o „
co
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes 0 No 4 SKIP to Item 3.4.
d
3.3 If so,provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
0
:a Number of times per year
O discharge occurs
a Average duration of each
`o discharge(specify units)
c Average flow of each mgd mgd mgd
co discharge
o, Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑ No 4 SKIP to Item 3.6.
03.5 Briefly describe the diffuser type at each applicable outfall.
Outfall Number Outfall Number Outfall Number
d
-
N
23
"6 6. 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
d = one or more discharge points?
w 0 Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number 01 Outfall Number Outfall Number
Receiving water name Hiwassee River
Name of watershed,river,
c or stream system
0 U.S.Soil Conservation
0 Service 14-digit watershed
c code
Name of state
g management/river basin Hiwassee River Basin
U.S.Geological Survey
E 8-digit hydrologic USGS03548330
re cataloging unit code
Critical low flow(acute) na cfs cfs cfs
Critical low flow(chronic) na cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow na CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number Outfall Number Outfall Number
Highest Level of 0 Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
0 Secondary 0 Secondary 0 Secondary
0 Advanced 0 Advanced 0 Advanced
0 Other(specify) 0 Other(specify) 0 Other(specify)
_
0
a Design Removal Rates by
u Outfall
H
d
o BOD5 or CBOD5 85 %
d
E
0 TSS 85 % %
H
0 Not applicable 0 Not applicable 0 Not applicable
Phosphorus
0 Not applicable 0 Not applicable 0 Not applicable
Nitrogen % % %
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
% % %
Page 7

NPDES Permit Number FacilityName Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below.If disinfection varies by
season,describe below.
Liquid Chlorine
as
0
c,
c Outfall Number Outfall Number Outfall Number
w
Disinfection type
0
Seasons used
Dechlorination used? El Not applicable ❑ Not applicable ❑ Not applicable
❑ Yes ❑ Yes ❑ Yes
❑ No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes 0 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 ❑r 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
rn
Number of tests of discharge
water
a) Number of tests of receiving
water
Lu
w
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
El Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
El Yes ✓❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
El Yes 0 No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No-> Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No+ Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
m
0
w 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
c toxicity?
c ❑ Yes ❑ No 4 SKIP to Item 3.26.
I' 3.23 Describe the cause(s)of the toxicity:
W
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes 0 No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes 0 Not applicable because previously submitted
information to the NPDES 'ermittin. authori .
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to provide attachments.
Column 1 Column 2
• Section 1: Basic Application
Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments
O Section 2:Additional 0 wl topographic map ❑ w/process flow diagram
Information ❑ wl additional attachments
❑ w/Table A ❑ w/Table D
Section 3: Information on
O Effluent Discharges ❑ w/Table B ❑ w/additional attachments
❑ wl Table C
Section 4:Not Applicable
0
Section 5:Not Applicable
a�
c.)
Section 6:Checklist and
Certification Statement ❑ w/attachments
1-4
6.2 Certification Statement
d
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.lam 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
Dusty Beal Director
Signature Date signed
Dusty Beal 03/08/2022
.=:(2
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
I
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Number of Analytical ML or MDL
Value Units Value Units Method (include units)
Sam s les
Biochemical oxygen demand
i BOD5 or 0 CBOD5 14.4 mg/I I Weekly 5210E ❑ML
❑MDL
resort one
Fecal coliform o ML
❑MDL
Design flow rate
pH(minimum) 6.2 s.u.
pH(maximum) 7.5 s.u.
Temperature(winter) 23 C 14.0 C Daily •
Temperature(summer) 27.1 C 22.6 C Daily
0 ML
Total suspended solids(TSS) _■ ❑MDL
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
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
Value Units Value Units Method"' (include units)
Samples
Ammonia(as N) 14.9 mg/I 0.66 mg/I Weekly 4500F ❑ML
❑MDL
Chlorine 0 ML
(total residual,TRC)2 <10 ug/I <10 mg/I Weekly 4500CGL 0 MDL
Dissolved oxygen 16.9 mg/I 9.47 mg/I Weekly 45000G CI ML
❑MDL
Nitrate/nitrite ❑ML
❑MDL
Kjeldahl nitrogen ❑ML
❑MDL
Oil and grease ❑ML
0 MDL
Phosphorus 4.5 mg/I 2.67 mg/I 7 EPA 365.2 ❑ML
❑MDL
0 ML
Total dissolved solids I ❑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 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
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
Metals,Cyanide,and Total Phenols
o ML
Hardness(as CaCO3) ❑MDL
❑ML
Antimony,total recoverable ❑MDL
❑ML
Arsenic,total recoverable 0 MDL
❑ML
Beryllium,total recoverable 0 MDL
❑ML
Cadmium,total recoverable ❑MDL
Chromium,total recoverable ❑ML
❑MDL
0 ML
Copper,total recoverable ❑MDL
El ML
Lead,total recoverable 0 MDL
❑ML
Mercury,total recoverable ❑MDL
Nickel,total recoverable El ML
❑MDL
Selenium,total recoverable El ML
❑MDL
Silver,total recoverable ❑ML
❑MDL
❑ML
Thallium,total recoverable El MDL
❑ML
Zinc,total recoverable 0 MDL
❑ML
Cyanide ❑MDL
❑ML
Total phenolic compounds ❑MDL
Volatile Organic Compounds
El ML
Acrolein ❑MDL
❑ML
Acrylonitrile El MDL
❑ML
Benzene ❑MDL
❑ML
Bromoform ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697
Clay County Wastewater Plant 001 Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Methods (include units)
Samples
Carbon tetrachloride ❑ML
❑MDL
Chlorobenzene ❑ML
❑MDL
Chlorodibromomethane ❑ML
❑MDL
Chloroethane ❑ML
❑MDL
O ML
2-chloroethylvinyl ether 0 MDL
Chloroform ❑ML
❑MDL
Dichlorobromomethane ❑ML
❑MDL
1,1-dichloroethane ❑ML
❑MDL
1,2-dichloroethane ❑ML
❑MDL
0 ML
trans-1,2-dichloroethylene ❑MDL
0 ML
1,1-dichloroethylene 0 MDL
0 ML
1,2-dichloropropane ❑MDL
0 ML
1,3-dichloropropylene 0 MDL
0 ML
Ethylbenzene ❑MDL
0 ML
Methyl bromide 0 MDL
0 ML
Methyl chloride 0 MDL
0 ML
Methylene chloride ❑MDL
1,1,2,2-tetrachloroethane ❑ML
❑MDL
0 ML
Tetrachloroethylene 0 MDL
Toluene CI ML
❑MDL
1,1,1-trichloroethane ❑ML
❑MDL
1,1,2-trichloroethane ❑ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method, (include units)
Value Units Value Units Samples
Ill ML
Trichloroethylene 0 MDL
0 ML
Vinyl chloride ❑MDL
Acid-Extractable Compounds
O ML
p-chloro-m-cresol 0 MDL
2-chlorophenol ❑MDL
2,4-dichlorophenol 0 MDL
0 ML
2,4-dimethylphenol 0 MDL
4,6-dinitro-o-cresol ❑ML
❑MDL
CI ML
2,4-dinitrophenol 0 MDL
❑ML
2-nitrophenol ❑MDL
❑ML
4-nitrophenol ❑MDL
0 ML
Pentachlorophenol ❑MDL
Phenol CI ML
❑MDL
O ML
2,4,6-trichlorophenol ❑MDL
Base-Neutral Compounds
O ML
Acenaphthene ❑MDL
CI ML
Acenaphthylene ❑MDL
Anthracene ❑ML
CI_
Benzidine ❑ML
❑MDL
0 ML
Benzo(a)anthracene ❑MDL
CI ML
Benzo(a)pyrene ❑MDL
3,4-benzofluoranthene CI ML
I ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Methods (include units)
Samples
0 ML
Benzo(ghi)perylene ❑MDL
Benzo(k)fluoranthene ID ML
❑MDL
Bis(2-chloroethoxy)methane ❑ML
❑MDL
❑ML
Bis(2-chloroethyl)ether ❑MDL
Bis(2-chloroisopropyl)ether El ML
❑MDL
Bis(2-ethylhexyl)phthalate El ML
❑MDL
4-bromophenyl phenyl ether ❑ML
❑MDL
Butyl benzyl phthalate ❑ML
❑MDL
2-chloronaphthalene ❑ML
❑MDL
4-chlorophenyl phenyl ether ❑ML
El MDL
Chrysene ❑ML
0 MDL
di-n-butyl phthalate ❑ML
❑MDL
di-n-octyl phthalate El ML
0 MDL
Dibenzo(a,h)anthracene ❑ML
❑MDL
1,2-dichlorobenzene El ML
❑MDL
1,3-dichlorobenzene ❑ML
❑MDL
1,4-dichlorobenzene ID ML
❑MDL
3,3-dichlorobenzidine ❑ML
❑MDL
Diethyl phthalate ❑ML
❑MDL
Dimethyl phthalate ❑ML
❑MDL
2,4-dinitrotoluene El ML
❑MDL
2,6-dinitrotoluene ❑ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0026697 Clay County Wastewater Plant 001 Modified March 2021
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
CI ML
1,2-diphenylhydrazine ❑MDL
Fluoranthene CI ML
❑MDL
Fluorene ❑ML
❑MDL
❑ML
Hexachlorobenzene 0 MDL
Hexachlorobutadiene ❑ML
❑MDL
0 ML
Hexachlorocyclo-pentadiene ❑MDL
Hexachloroethane CI ML
❑MDL
0 ML
Indeno(1,2,3-cd)pyrene Cl MDL
0 ML
Isophorone ❑MDL
CI ML
Naphthalene ❑MDL
Nitrobenzene 0 ML
❑MDL
•
ML
N-nitrosodi-n-propylamine ❑MDL
0 ML
N-nitrosodimethylamine ❑MDL
ML
N-nitrosodiphenylamine ❑MDL
Phenanthrene ❑ML
❑MDL
❑ML
Pyrene ❑MDL
1,2,4-trichlorobenzene ❑ML
❑MDL
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 17

tion Application NPDES Permit Number Facility Name Outfall Number Modified pp ca Form 2A
NC0026697 Clay County Wastewater Plant Modified March 2021
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Maximum Daily Discharge Average Daily Dischar a Analytical ML or MDL
Pollutant I Number of y
gist) Value Units Value Units Samples Method1 (include units)
CI No additional sampling is required by NPDES permitting authority.
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
0 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).
Page 18