NC0082376_Renewal (Application)_20220411

,
,.I i
ROY COOPER l �
Governor 10
ELIZABETH S.BISER
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
April 11, 2022
City of Raleigh
Attn: Chris Phelps, Utilities Dir.
PO Box 590
Raleigh, NC 27602
Subject: Permit Renewal
Application No. NC0082376
E.M. Johnson WTP
Wake County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 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. 150E-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,
62.c\VZ
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Katie Walker, PE
ec: WQPS Laserfiche File w/application
�+ D E�^ North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh,North Carolina 27609
M�tmi.*++ 919.791.4200

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No 2040-0004
Form U.S.Environmental Protection Agency
1 EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 12
treatment works? 1. . treating domestic sewage?
If yes, STOP. Do NOT complete ❑✓ No If yes, STOP. Do NOT ✓❑ No
Form 1. Complete Form 2A. complete Form 1. Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining, or silvicultural facility that is
a production facility? currently discharging process wastewater?
oEl Yes 3 Complete Form 1 ❑✓ No Yes 4 Complete Form No
a and Form 2B. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining, or silvicultural facility that has not yet commercial, mining, or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
Cr Yes 4 Complete Form 1 ❑✓ No Yes 4 Complete Form 0✓ No
and Form 2D. 1 and Form 2E.
t/>
1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose RECEIVE®
discharge is composed of both stormwater and
non-stormwater? APR 11 2022
ri Yes 4 Complete Form 1 ❑✓ No
and Form 2F
unless exempted by NCDEQIDWRINPDES
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2. NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
E.M.Johnson Water Treatment Plant
2.2 EPA Identification Number
O 110018643734
2.3 Facility Contact
Name(first and last) Title Phone number
Bryan Hamilton WTP Operations Supervisor [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
Street or P.O. box
P.0 Box 590
City or town State ZIP code
Raleigh NC 27602

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
N d 2.5 Facility Location
. . Street, route number. or other specific identifier
Q 0 10301 Falls of Neuse Road
rn
c c County name County code(if known)
M Wake
c City or town State ZIP code
z Raleigh NC 27614
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description (optional)
4941 Water Supply
a>
V
0
U
Cl)
U
3.2 NAICS Code(s) Description(optional)
-0
221310 Water Treatment Plant
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237110 Water Treatment Plant Construction
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Bryan Hamilton
4.2 Is the name you listed in Item 4.1 also the owner?
0
❑ Yes ❑✓ No
4.3 Operator Status
0
❑ Public—federal ✓❑ Public—state ❑ Other public(specify)
CD
o ❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O. Box
E 0 10301 Falls of Neuse Road
o 2
.5 City or town State ZIP code
o co Raleigh NC 27614
a Email address of operator
[e-mail]
SECTION 5. INDIAN LAND(40 CFR 122.21(f)(5))
0 5.1 Is the facility located on Indian Land?
la F3
C J ❑ Yes ❑✓ No

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
d m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
h water) fluids)
we
m NC0082376
a ❑ PSD(air emissions) ❑ Nonattainment program(CM) CI NESHAPs(CM)
.x ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
The facility is a Municipal Water Treatment Facility.The raw water comes from Falls Lake and is treated with
enhanced coagulation,flocculation,sedimentation,and filtration.Intermediate ozonation is regularly used for
en
settled water oxidation.Disinfection is achieved through free chlorine contact time in the two clearwells prior to
'3 converting to chloramines for residual disinfection in the distribution system.Settled solids are collected from the
sedimentation basins and filter backwash operations,and are treated using thickening and dewatering processes.
w
There is no regular discharge except under emergency situations,in which case water from Outfall 002 would
z ultimately be discharged to the Neuse River and water from Outfalls 001 and 003 would ultimately be discharged to
z Falls Lake.
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
i '6 9.2 Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
o, 2 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
c
•0 Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
0 ip
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SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(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
d when.)
El Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
CI
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable

1
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson Water Treatme n+ OMB No.2040-0004
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 ❑ wl attachments
❑✓ Section 2: Name, Mailing Address,and Location ❑ wl attachments
❑✓ Section 3: SIC Codes El w/attachments
❑✓ Section 4:Operator Information ❑ w/attachments
❑✓ Section 5: Indian Land ❑ w/attachments
❑� Section 6: Existing Environmental Permits ❑ wl attachments
w/topographic
❑✓ Section 7: Map ❑✓ map ❑ w/additional attachments
c IDSection 8: Nature of Business ❑ w/attachments
❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
❑✓ Section 10: Variance Requests ❑ wl attachments
a
c _ —
❑✓ Section 11:Checklist and Certification Statement ❑ w/attachments
8 11,2 Certification Statement
U
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
directlyresponsible for gatheringthe information, the information submitted is, to the best of myknowledge and
p 9
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
Chris Phelps Interim Assistant Public Utilities Director
Signature Date signed

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CITY OF RALEIGH - E.M. JOHNSTON WATER TREATMENT PL
FYZNPDES PERMIT TOPOGRAPHIC MAP - MARCH
EPA ID 110018643734,NPDES: NCO

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
2C — EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING,AND SILVICULTURE OPERATIONS
SECTION 1.OUTFALL LOCATION (40 CFR 122.21(g)(1))
1.1 Provide information on each of the facility's outfalls in the table below.
g Numbelr Receiving Water Name Latitude Longitude
001 Falls Lake 35° 54' 59.2" 78° 36' 00.1"
is
002 Neuse River 35° 54' 38" 78° 35' 25"
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003 Falls Lake 35° 54' 59.2" 78° 36' 00.1
SECTION 2. LINE DRAWING(40 CFR 122.21(g)(2))
a, 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
3 balance?(See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
J R
❑✓ Yes ❑ No
SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(g)(3))
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information.Add additional sheets if
necessary.
**Outfali Number" o01
Operations Contributing to Flow
Operation Average Flow
Emergency Discharge from East Reservoir o mgd
mgd
mgd
mgd
0 Treatment Units
Q, Description Code from Final Disposal of Solid or
(include size,flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than
retention time,etc.) by Discharge
N/A

i
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
3.1 **Outfall Number** 002
cont. Operations Contributing to Flow
Operation Average Flow
Emergency Discharge of Supernatant 0 mgd
mgd
mgd
mgd
Treatment Units
Description Code from Final Disposal of Solid or
(include size,flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than
retention time,etc.) by Discharge
-0i Sedimentation 1-U Recycled;lagoon storage
a
a)
**Outfall Number** 003
Operations Contributing to Flow
o Operation Average Flow
L
a) Emergency Discharge from West Reservoir 0 mgd
mgd
mgd
mgd
Treatment Units
Description Code from Final Disposal of Solid or
(include size,flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than
retention time,etc.) by Discharge
N/A
3.2 Are you applying for an NPDES permit to operate a privately owned treatment works?
E ❑ Yes ❑✓ No 4 SKIP to Section 4.
3.3 Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
SECTION 4.INTERMITTENT FLOWS(40 CFR 122.21(g)(4))
4.1 Except for storm runoff,leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal?
E Yes ✓❑ No 4 SKIP to Section 5.
4.2 Provide information on intermittent or seasonal flows for each applicable outfall.Attach additional pages, if necessary.
Outfall Operation FreSuency Flow Rate
Number (list) Average Average Long-Term Maximum Duration
Days/Week Months/Year Average Daily
days/week months/year mgd mgd days
3o days/week months/year mgd mgd days
LL
days/week months/year mgd mgd days
3
m
days/week months/year mgd mgd days
c
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
SECTION 5.PRODUCTION(40 CFR 122.21(g)(5))
5.1 Do any effluent limitation guidelines(ELGs)promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ Yes ❑Q No 4 SKIP to Section 6.
5.2 Provide the following information on applicable ELGs.
w ELG Category ELG Subcategory Regulatory Citation
a)
7
R
a.
5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)?
❑ Yes ❑ No 4 SKIP to Section 6.
:s 5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
Outfall Operation,Product,or Material Quantity per Day Unit of
-0 Number Measure
co
C
0
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O
a

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
SECTION 6.IMPROVEMENTS(40 CFR 122.21(g)(6))
6.1 Are you presently required by any federal,state, or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ❑✓ No 4 SKIP to Item 6.3.
6.2 Briefly identify each applicable project in the table below.
Affected Final Compliance Dates
Brief Identification and Description of Outfalls Source(s)of
c Project (list outfall Discharge Required Projected
c number)
U)
d
ca
rn
a
6.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(optional item)
❑ Yes ✓❑ No ❑ Not applicable
SECTION 7.EFFLUENT AND INTAKE CHARACTERISTICS(40 CFR 122.21(g)(7))
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn,the tables you must
complete. Not all applicants need to complete each table.
Table A.Conventional and Non-Conventional Pollutants
7.1 Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of
your outfalls?
❑ Yes ❑✓ No 4 SKIP to Item 7.3.
7.2 If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
7.3 Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
requested and attached the results to this application package?
No; a waiver has been requested from my NPDES
❑ Yes ❑ permitting authority for all pollutants at all outfalls.
Table B.Toxic Metals,Cyanide,Total Phenols,and Organic Toxic Pollutants
7.4 Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
= listed in Exhibit 2C-3?(See end of instructions for exhibit.)
❑ Yes ❑✓ No 4 SKIP to Item 7.8.
•d 7.5 Have you checked "Testing Required"for all toxic metals,cyanide,and total phenols in Section 1 of Table B?
❑ Yes ❑ No
7.6 List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s)identified
in Exhibit 2C-3.
Primary Industry Category Required GC/MS Fraction(s)
(Check applicable boxes.)
❑ Volatile ❑Acid ❑ Base/Neutral ❑ Pesticide
❑Volatile 0 Acid 0 Base/Neutral ❑ Pesticide
0 Volatile 0 Acid 0 Base/Neutral ❑ Pesticide

i
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
7.7 Have you checked"Testing Required"for all required pollutants in Sections 2 through 5 of Table B for each of the
GC/MS fractions checked in Item 7.6?
❑ Yes ❑ No
7.8 Have you checked"Believed Present"or"Believed Absent"for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
❑✓ Yes ❑ No
7.9 Have you provided(1)quantitative data for those Section 1,Table B,pollutants for which you have indicated testing is
required or(2)quantitative data or other required information for those Section 1,Table B,pollutants that you have
indicated are"Believed Present"in your discharge?
❑ Yes © No
7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes 4 Note that you qualify at the top of Table B, ❑✓ No
- then SKIP to Item 7.12.
s 7.11 Have you provided (1)quantitative data for those Sections 2 through 5,Table B,pollutants for which you have
c determined testing is required or(2)quantitative data or an explanation for those Sections 2 through 5,Table B,
pollutants you have indicated are"Believed Present"in your discharge?
N
—' ElYes ❑✓ No
Table C.Certain Conventional and Non-Conventional Pollutants
7.12 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table C
for all outfalls?
Y ❑✓ Yes ❑ No
c 7.13 Have you completed Table C by providing(1)quantitative data for those pollutants that are limited either directly or
indirectly in an ELG and/or(2)quantitative data or an explanation for those pollutants for which you have indicated
"Believed Present"?
❑ Yes ❑✓ No
Table D.Certain Hazardous Substances and Asbestos
7.14 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table D for
all outfalls?
✓❑ Yes ❑ No
7.15 Have you completed Table D by(1)describing the reasons the applicable pollutants are expected to be discharged
and (2)by providing quantitative data,if available?
❑ Yes ❑✓ No
Table E.2,3,7,8-Tetrachlorodibenzo-p-Dioxin(2,3,7,8-TCDD)
7.16 Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions,or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑✓ No 4 SKIP to Section 8.
7.17 Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTION 8.USED OR MANUFACTURED TOXICS(40 CFR 122.21(g)(9))
8.1 Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as
an intermediate or final product or byproduct?
❑ Yes ❑✓ No 4 SKIP to Section 9.
cn 8.2 List the pollutants below.
c •-
1. 4. 7.
0
2. 5. 8.
3. 6. 9.

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP OMB No.2040-0004
SECTION 9.BIOLOGICAL TOXICITY TESTS(40 CFR 122.21(g)(11))
9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
within the last three years on (1)any of your discharges or(2)on a receiving water in relation to your discharge?
,� ❑ Yes ❑✓ No 4 SKIP to Section 10.
9.2 Identify the tests and their purposes below.
u Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
x Permitting Authority?
0
: ::
: ::
m
❑ Yes ❑ No
SECTION 10.CONTRACT ANALYSES(40 CFR 122.21(g)(12))
10.1 Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 11.
10.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm Meritech Inc.Environmental Environmental 1 Inc.(Lab City of Raleigh,EMJ WTP
Laboratory(Lab Certification Certification Number 10) Laboratory(Lab
Number 165)
y Certification Number 426)
m
Laboratory address 642 Tamco Rd P.O.Box 7085 10301 Falls of Neuse Rd
Reidsville,NC 27320 Greenville,NC 27835 Raleigh,NC 27614
co
Phone number
[phone] [phone] [phone]
Pollutant(s)analyzed
SECTION 11.ADDITIONAL INFORMATION(40 CFR 122.21(g)(13))
11.1 Has the NPDES permitting authority requested additional information?
❑ Yes ❑✓ No 4 SKIP to Section 12.
0
E 11.2 List the information requested and attach it to this application.
1. 4.
R
0
2. 5.
3. 6.

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson Water Treatme n� OMB No.2040-0004
SECTION 12.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
12.1 In Column 1 below, mark the sections of Form 2C 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 complete all sections or provide attachments.
Column 1 Column 2
Q Section 1:Outfall Location ❑ w/attachments
❑✓ Section 2: Line Drawing ❑ w/line drawing ❑ w/additional attachments
wl list of each user of
❑✓ Section 3:Average Flows and ❑ w/attachments ❑ privately owned treatment
Treatment works
❑✓ Section 4: Intermittent Flows ❑ w/attachments
❑✓ Section 5: Production ❑ w/attachments
wl optional additional
❑ Section 6: Improvements ❑ w/attachments ❑ sheets describing any
additional pollution control
plans
❑ w/request for a waiver and ❑ w/explanation for identical
w
supporting information outfalls
j ❑ w/small business exemption ❑ w/other attachments
request
✓❑ Section 7: Effluent and Intake Q w/Table A ❑✓ w/Table B
Characteristics
Q w/Table C ❑✓ w/Table D
w/Table E w/analytical results as an
U El attachment
✓❑ Section 8: Used or Manufactured ❑ w/attachments
Toxics
❑✓ Section 9: Biological Toxicity ❑ wl attachments
Tests
❑✓ Section 10: Contract Analyses ❑ w/attachments
El Section 11:Additional Information ❑ w/attachments
Section 12: Checklist and
✓❑ Certification Statement ❑ w/attachments
12•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) Official title
Chris Phelps Interim Assistant Public Utilities Director
Signature Date signed

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NCO082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1
Effluent Intake
Waiver (Optional)
Units Maximum Maximum Long-Term
Pollutant Requested
(if applicable)
(specify) Daily Monthly Average Daily Number of Long-Term Number of
Discharge Discharge Discharge Analyses Average Value Analyses
(required) (if available) (if available)
❑✓ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand Concentration
1' (BOD5) ❑ Mass
Chemical oxygen demand Concentration
2' (COD) ❑ Mass
Concentration
3. Total organic carbon(TOC) ❑
Mass
Concentration
4. Total suspended solids(TSS) ❑
Mass
Concentration
5. Ammonia(as N) ❑
Mass
6. Flow ❑ Rate
Temperature(winter) ❑ °C °C
7.
Temperature(summer) ❑ °C °C
pH(minimum) ❑ Standard units s.u.
8.
pH(maximum) ❑ Standard units s.u.
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 3510-2C(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
0 Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table. Note, however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
Antimony,total ✓ Concentration
1.1 (7440-36-0) Mass
Arsenic,total ✓ Concentration
1.2 (7440-38-2) Mass
Beryllium,total Concentration
1.3 (7440-41-7) Mass
Cadmium,total Concentration
1.4 El 0 El
(7440-43-9) Mass
Chromium, total Concentration
1.5 (7440-47-3) Mass
Copper,total Concentration
1.6 (7440-50-8) Mass
Lead,total ✓ Concentration
1.7 El 0(7439-92-1) Mass
Mercury,total Concentration
1.8 (7439-97-6) Mass
1.9 Nickel,total Concentration
(7440-02-0) ✓ Mass
1.10 Selenium,total Concentration
El 0 CI
(7782-49-2) Mass
Silver,total Concentration
1.11 (7440-22-4) Mass
EPA Form 3510-2C(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No,2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Average
(required) (if available) Discharge Analyses Value Analyses
(if available)
Thallium,total ✓ Concentration
1.12 (7440-28-0) Mass
Zinc,total Concentration
1.13 (7440-66-6) Mass
1.14 Cyanide,total Concentration
(57-12-5) Mass
1.15 Phenols,total ❑ ❑ 0
Concentration
Mass
Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
Acrolein ✓ Concentration
2.1 (107-02-8) Mass
2.2 Acrylonitrile Concentration
(107-13-1) Mass
Benzene Concentration
2.3 El 0(71-43-2) ✓ Mass
2 4 Bromoform Concentration
(75-25-2) Mass
2.5 Carbon tetrachloride ❑ Concentration
(56-23-5) ✓ Mass
Chlorobenzene Concentration
2.6 (108-90-7) Mass
Chlorodibromomethane Concentration
✓
2.7 (124-48-1) Mass
Chloroethane Concentration
2.8 (75-00-3) ✓ Mass
EPA Form 3510-2C(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one)_ Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Discharge Discharge Daily °f Average of
(required) (if available) Discharge Analyses Value Analyses
(if available)
2-chloroethylvinyl ether Concentration
2.9 (110-75-8) Mass
2.10 Chloroform(67-66-3) ❑ ❑ 0
Concentration
Mass
2.11 Dichlorobromomethane Concentration
(75-27-4) Mass
2.12 1,1-dichloroethane Concentration
(75-34-3) Mass
2.13 1,2-dichloroethane 0 Concentration
(107-06-2) Mass
2.14 1,1-dichloroethylene Concentration
(75-35-4) Mass
2.15 1,2-dichloropropane Concentration
(78-87-5) Mass
2.16 1,3-dichloropropylene Concentration
(542-75-6) ✓ Mass
2.17 Ethylbenzene Concentration
(100-41-4) ✓ Mass
2.18 Methyl bromide Concentration
(74-83-9) Mass
2.19 Methyl chloride Concentration
0 El El
(74-87-3) Mass
2.20 Methylene chloride ❑ Concentration
(75-09-2) Mass
2.21 1,1,2,2-tetrachloroethane Concentration
(79-34-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 13

P
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))l
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Value Analyses
(if available)
2.22 Tetrachloroethylene ❑ Concentration
(127-18-4) Mass
2.23 Toluene Concentration
(108-88-3) Mass
2 24 1,2-trans-dichloroethylene ❑ Concentration
(156-60-5) Mass
1,1,1-trichloroethane ❑ Concentration
2.25 (71-55-6) Mass
2.26 1,1,2-trichloroethane 0 Concentration
(79-00-5) Mass
2.27 Trichloroethylene ❑ ❑ Concentration
(79-01-6) Mass
Vinyl chloride Concentration
2.28 (75-01-4) Mass
Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds)
2-chlorophenol Concentration
1 3.1 (95-57-8) Mass
2,4-dichlorophenol Concentration
3.2 (120-83-2) Mass
2,4-dimethylphenol ❑ ❑ Concentration
3.3 (105-67-9) Mass
4,6-dinitro-o-cresol � ElConcentration
3.4 El
(534-52-1) Mass
3.5 2,4-dinitrophenol Concentration
(51-28-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
of of
Discharge Discharge Di D barge Analyses Average Analyses
(required) (if available) (if available) Value
2-nitrophenol ❑ Concentration
3.6 0 0
(88-75-5) Mass
4-nitrophenol ✓ Concentration
3.7 0 El(100-02-7) Mass
3.8 p-chloro-m-cresol ❑ ✓❑ Concentration
(59-50-7) Mass
Pentachlorophenol � Concentration
3.9 (87-86-5) Mass
3.10 Phenol 0Concentration
El El
(108-95-2) Mass
3.11 2,4,6-trichlorophenol 0 0 ✓❑ Concentration
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
4.1 Acenaphthene 0 ❑✓ Concentration
(83-32-9) Mass
Acenaphthylene El Concentration
4.2 (208-96-8) 0 0
Mass
4.3 Anthracene ✓❑ Concentration
(120-12-7) Mass
4.4 Benzidine ❑ Concentration
El 0
(92-87-5) Mass
4.5 Benzo(a)anthracene ❑ ❑ Concentration
(56-55-3) Mass
4.6 Benzo(a)pyrene 0 Concentration
(50-32-8) Mass
EPA Form 3510-2C(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No,2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) (if available) Value
3,4-benzofluoranthene ElConcentration
4.7 El
(205-99-2) Mass
Benz°(ghi)perylene Concentration
4.8 (191-24-2) Mass
Benzo(k)fluoranthene ❑ Concentration
4.9 (207-08-9) Mass
Bis(2-chloroethoxy)methane Concentration
4.10 (111-91-1) Mass
4.11 Bis(2-chloroethyl)ether Concentration
(111-44-4) Mass
4.12 Bis(2-chloroisopropyl)ether 0 Concentration
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate Concentration
(117-81-7) Mass
4.14 4-bromophenyl phenyl ether ❑ 0 Concentration
(101-55-3) Mass
4.15 Butyl benzyl phthalate 0 Concentration
(85-68-7) Mass
4.16 2-chloronaphthalene 0 Concentration
(91-58-7) Mass
4-chlorophenyl phenyl ether Concentration
4.17 (7005-72-3) Mass
Chrysene Concentration
4.18 0 0(218-01-9) El
Mass
4.19 Dibenzo(a,h)anthracene Concentration
(53-70-3) Mass
EPA Form 3510-2C(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
4.20 1,2-dichlorobenzene Concentration
(95-50-1) Mass
4.21 1,3-dichlorobenzene Concentration
(541-73-1) ✓ Mass
1 4-dichlorobenzene Concentration
4.22 El 0 0(106-46-7) Mass
4.23 3,3-dichlorobenzidine Concentration
0 El El
(91-94-1) Mass
4.24 Diethyl phthalate Concentration
(84-66-2) Mass
4.25 Dimethyl phthalate CD Concentration
CD
(131-11-3) ✓ Mass
4.26 Di-n-butyl phthalate Concentration
(84-74-2) Mass
4.27 2,4-dinitrotoluene Concentration
El El 0
(121-14-2) Mass
4.28 2,6-dinitrotoluene Concentration
El 0
(606-20-2) ✓ Mass
4 29 Di n octyl phthalate Concentration
El 0
(117-84-0) ✓ Mass
4.30 1,2-Diphenylhydrazine 0 ElConcentration
(as azobenzene)(122-66-7) Mass
4.31 Fluoranthene Concentration
(206-44-0) ✓ Mass
4.32 Fluorene Concentration
El 0
(86-73-7) El Mass
EPA Form 3510-2C(Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
aily of of
Discharge Discharge Discharge harge Analyses Average Analyses
(required) (if available) (if available) Value
4.33 Hexachlorobenzene Concentration
(118-74-1) Mass
4.34 Hexachlorobutadiene Concentration
El El ID
(87-68-3) Mass
4.35 Hexachlorocyclopentadiene Concentration
El l=1 El
(77-47-4) Mass
4.36 Hexachioroethane Concentration
(67-72-1) Mass
4.37 Indeno(1,2,3-cd)pyrene Concentration
(193-39-5) Mass
4.38 Isophorone Concentration
1=I El El
(78-59-1) Mass
4.39 Naphthalene Concentration
(91-20-3) Mass
4.40 Nitrobenzene Concentration
(98-95-3) Mass
4.41 N-nitrosodimethylamine ❑ Concentration
(62-75-9) Mass
4.42 N-nitrosodi-n-propylamine ❑ Concentration
(621-64-7) Mass
4.43 N-nitrosodiphenylamine Concentration
(86-30-6) Mass
4.44 Phenanthrene a Concentration
(85-01-8) Mass
Concentration
4.45 Pyrene
(129-00-0) Mass
EPA Form 3510-2C(Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No,2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
1,2,4-trichlorobenzene El ❑ ❑ Concentration
4.46 (120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction—Pesticides)
Aldrin ❑ ❑ ❑ Concentration
5.1 (309-00-2) Mass
5.2 a-BHC ❑ ❑ ❑ Concentration
(319-84-6) Mass
13-BHC Concentration
5.3 ❑ ❑ ❑
(319-85-7) Mass
y-BHC Concentration
5.4 (58 89 9) ❑ ❑ ❑ Mass
b-BHC Concentration
5.5 ❑ ❑ El(319-86-8) Mass
5.6 Chlordane ❑ ❑ ❑ Concentration
(57-74-9) Mass
5.7 4,4'-DDT ❑ ❑ 0 Concentration
(50-29-3) Mass
5.8 4,4'-DDE ❑ ❑ ❑ Concentration
(72-55-9) Mass
5.9 4,4'-DDD ❑ 0 ❑ Concentration
(72-54-8) Mass
Dieldrin Concentration
5.10 (60-57-1) ❑ ❑ ❑ Mass
5.11 a endosulfan ❑ ❑ ElConcentration
(115-29-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Daily of of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
13-endosulfan Concentration
5.12 (115-29-7) � ❑ 0 Mass
Endosulfan sulfate Concentration
5.13 (1031-07-8) ❑ ❑ Mass
5.14 Endrin Concentration
(72-20-8) ✓ Mass
5.15 Endrin aldehyde 0 Concentration
(7421-93-4) ✓ Mass
5.16 Heptachlor Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) ❑ ❑ 0
Mass
PCB-1242 Concentration
5.18 (53469-21-9) ❑ 0 0 Mass
PCB-1254 Concentration
5.19 (11097-69-1) ❑ ❑ 0
Mass
PCB-1221 Concentration
5.20 (11104-28-2) El 0 0
Mass
PCB-1232 Concentration
5.21 (11141-16-5) ❑ ❑ 0 Mass
PCB-1248 Concentration
5.22 (12672-29-6) 0 0 0 Mass
PCB-1260 Concentration
5.23 (11096-82-5) 0 ❑ 0 Mass
PCB-1016 Concentration
5.24 (12674-11-2) 0 0 0 Mass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
Toxaphene Concentration
5.25 (8001-35-2) 0 0 ✓D Mass
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 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent (Optional) i
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
(required) Discharge Discharge Analyses Analyses
(if available) (if available) Value
❑
Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
❑
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 ❑✓ ❑ Concentration
(24959-67-9) Mass
Chlorine,total Concentration
2. residual ❑ ❑ Mass
3. Color ❑ ❑ Concentration
Mass
4. Fecal coliform ❑ El
Concentration
Mass
5 Fluoride Concentration
(16984-48-8) ❑ ❑ Mass
❑ Concentration
6 Nitrate-nitrite 0
Mass
7 Nitrogen,total ❑ ❑ Concentration
organic(as N) Mass
8. Oil and grease El Concentration
Mass
Phosphorus(as Concentration
9' P),total(7723-14-o) ❑ Mass
10. Sulfate(as SO4) El ❑ Concentration
(14808-79-8) Mass
Concentration
11. Sulfide(as S) ❑ ElMass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent (Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
(required) Discharge Discharge Analyses Analyses
(if available) (if available) Value
12. Sulfite(as S03) ❑ 0 Concentration
(14265-45-3) Mass
Concentration
13. Surfactants ❑ I=1 Mass
Aluminum,total Concentration
14. (7429-90-5) CI
Mass
15.
Barium,total
CI 0 Concentration
(7440-39-3) Mass
16. Boron,total ❑ ❑ Concentration
(7440-42-8) Mass
Cobalt,total Concentration
17. (7440 48 4) CI 0
Mass
18 Iron,total ❑✓ 0 Concentration
(7439-89-6) Mass
19 Magnesium,total ❑✓ ❑ Concentration
(7439-95-4) Mass
Molybdenum, Concentration
20. total ❑ ❑✓ Mass
(7439-98-7) ,
21 Manganese,total ❑✓ ❑ Concentration
(7439-96-5) Mass
22 Tin,total ❑ ❑✓ Concentration
(7440-31-5) Mass
23 Titanium,total CI ❑ Concentration
(7440-32-6) Mass
EPA Form 3510-2C(Revised 3-19) Page 24

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence
(check one) Effluent Intake
(Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of
Present Absent Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) (if available) Value
24. Radioactivity
Concentration
Alpha,total 0 0 Mass
Beta,total 0 ❑ Concentration
Mass
Radium,total 0 0 Concentration
Mass
Concentration
Radium 226,total ❑ 0 Mass -
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 3510-2C(Revised 3-19) Page 25

EPA Identification Number NPDES Permit Number Facility Name Duffel!Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
1. Asbestos ❑ ✓❑
2. Acetaldehyde ❑ ✓❑
3. Allyl alcohol ❑ ❑✓
4. Allyl chloride ❑ ❑✓
5. Amyl acetate ❑ ❑✓
6. Aniline ❑ ❑✓
7. Benzonitrile ❑ ❑✓
8. Benzyl chloride ❑ ❑✓
9. Butyl acetate ❑ ❑✓
10. Butylamine ❑ ❑✓
11. Captan ❑ ❑✓
12. Carbaryl ❑ ❑✓
13. Carbofuran ❑ ✓❑
14. Carbon disulfide ❑ ✓❑
15. Chlorpyrifos ❑ ❑✓
16. Coumaphos ❑ ❑✓
17. Cresol ❑ ❑✓
18. Crotonaldehyde ❑ ❑✓
19. Cyclohexane ❑ ✓❑
EPA Form 3510-2C(Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
20. 2,4-D(2,4-dichlorophenoxyacetic acid) ❑ ❑✓
21. Diazinon 0 ✓❑
22. Dicamba 0 ❑✓
23. Dichlobenil 0 ❑✓
24. Dichlone 0 ❑✓
25. 2,2-dichloropropionic acid 0 ❑✓
26. Dichlorvos 0 ❑✓
27. Diethyl amine 0 ❑✓
28. Dimethyl amine ❑ ❑✓
29. Dintrobenzene 0 ❑✓
30. Diquat 0 ❑✓
31. Disulfoton 0 ❑✓
32. Diuron 0 ❑✓
33. Epichlorohydrin 0 ❑✓
34. Ethion 0 ❑✓
35. Ethylene diamine 0 ❑✓
36. Ethylene dibromide 0 ❑✓
37. Formaldehyde ❑ ❑✓
38. Furfural ❑ ❑✓
EPA Form 3510-2C(Revised 3-19) Page 28

EPA Identification Number NPDES Permit Number Facility Name Outrall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
39. Guthion 0 ❑✓
40. Isoprene ❑ ❑✓
41. Isopropanolamine ❑ ❑✓
42. Kelthane ❑ ❑✓
43. Kepone ❑ ❑✓
44. Malathion ❑ ❑✓
45. Mercaptodimethur ❑ ❑✓
46. Methoxychlor 0 ❑✓
47. Methyl mercaptan 0 ❑✓
48. Methyl methacrylate 0 ❑✓
49. Methyl parathion 0 ❑✓
50. Mevinphos ❑ ❑✓
51. Mexacarbate ❑ ❑✓
52. Monoethyl amine ❑ ❑✓
53. Monomethyl amine 0 ❑✓
54. Naled ❑ ❑✓
55. Naphthenic acid 0 ❑✓
56. Nitrotoluene ❑ ❑✓
57. Parathion 0 ❑✓
EPA Form 3510-2C(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
58. Phenolsulfonate ❑ ❑✓
59. Phosgene ❑ ❑✓
60. Propargite ❑ ❑✓
61. Propylene oxide ❑ ✓❑
62. Pyrethrins ❑ ❑✓
1 63. Quinoline ❑ ❑✓
64. Resorcinol ❑ ❑✓
65. Strontium ❑ ✓❑
66. Strychnine ❑ ✓❑
67. Styrene ❑ ❑✓
68. 2,4,5-T(2,4,5-trichlorophenoxyacetic ❑ ❑
acid)
I 69. TDE(tetrachlorodiphenyl ethane) ❑ ❑✓
70 2,4,5-TP[2-(2,4,5-trichlorophenoxy) ❑ ✓❑
propanoic acid]
71. Trichlorofon ❑ ❑✓
72. Triethanolamine ❑ ❑✓
73. Triethylamine ❑ ❑✓
74. Trimethylamine ❑ ❑✓
75. Uranium ❑ ❑✓
76. Vanadium ❑ ❑✓
EPA Form 3510-2C(Revised 3-19) Page 30

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
77. Vinyl acetate ❑ ❑✓
78. Xylene ❑ ❑✓
79. Xylenol ❑ ❑✓
80. Zirconium ❑ ❑✓
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 O.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 31

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110018643734 NC0082376 E.M.Johnson WTP 001,002,003 OMB No.2040-0004
TABLE E.2,3,7,8 TETRACHLORODIBENZO P DIOXIN(2,3,7,8 TCDD)(40 CFR 122.21(g)(7)(viii))
TCDD Presence or
Congeners Absence
Pollutant Used or (check one) Results of Screening Procedure
Manufactured Believed Believed
Present Absent
2,3,7,8-TCDD � ✓❑
EPA Form 3510-2C(Revised 3-19) Page 33

03, KMnO4, PAC, Caustic 03 Clz NH3, Caustic,
Hydrofluosilicic Acid
Backwash
70 MG Reservoir
—1. (West) i I IITo
Coagulation & Distribu
0=86 mgd i__♦ NPDES Settling with Chlorine Potable
o ► Filters ►
Discharge 003 86 mgd Ferric Sulfate 84.8 mgd 77 mgd Disinfection 77 mgd Storage 77
70 MG Reservoir
(East) E
co
__♦ NPDES 1.2 mgd II
CI
Discharge 001
To Land • Overflow LEGEND
Application Belt Filter Gravity o -_ WTP Process
4 1.0 mgd Solids HandlingProcess
Presses Thickeners
0.2 mgd 0 Chemical Addition
0.0
0.19 mgd o0
4 06
Filtrate to Sewer ii
0
•
Pump ` UV System Supe'natan
Recycle Station Sedimentation Basins
NPDES
Discharge 002
Storage Lagoon 4 F:
Residuals
City of Raleigh —
E.M. Johnson WTP
Filter backwash is internally recycled but can be discharged on an as-needed basis during Process Flow Diagram
emergency conditions. The plant is currently recycling 100 percent of filter backwash. April 2022

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M Johnson WTP OMB No,2040-0004
U.S.Environmental Protection Agency
FORM Application for NPDES Permit to Discharge Wastewater
NPDES — EPA 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 facility's outfalls in the table below.
c Outfall Receiving Water Name Latitude Longitude
Number
0 001 Falls Lake 35° 54' 59.2" 78° 36' 00.1"
002 Neuse River 35° 54' 38" 78° 36' 25"
O
003 Falls Lake 35° 54' 59.2" 78° 36' 00.1"
SECTION 2.DISCHARGE DATE(40 CFR 122.21(h)(2))
2.1 Are you a new or existing discharger?(Check only one response.)
❑ New discharger ❑✓ Existing discharger 4 SKIP to Section 3.
y o 2.2 Specify your anticipated discharge date:
SECTION 3.WASTE TYPES(40 CFR 122.21(h)(3))
3.1 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 ❑✓ Other nonprocess wastewater(describe/explain
❑ Restaurant or cafeteria waste directly below)
ayi ❑ Non-contact cooling water Emergency discharge:east/west reservoir or
n sedimentation basin
I- 3.2 Does the facility use cooling water additives?
❑ Yes ❑✓ No 4 SKIP to Section 4.
3.3 List the cooling water additives used and describe their composition.
Cooling Water Additives Composition of Additives
(list) (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?
❑ 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.1 (See instructions for specifics.)
cn Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (spec)units) (specify units) per
z reported) Mass Conc. Mass Conc. instructions)
Biochemical oxygen demand(BOD5)
Total suspended solids(TSS)
Oil and grease
Ammonia(as N)
Discharge flow
pH(report as range)
Temperature(winter)
Temperature(summer)
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).
IL

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M Johnson WTP OMB No.2040-0004
4.3 Is fecal coliform believed present,or is sanitary waste discharged(or will it be discharged)?
❑ Yes ❑✓ No 4 SKIP to Item 4.5.
4.4 Provide data as requested in the table below. (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (Use codes
(if actual data (specify units) (specify units) per
reported) Mass Conc. Mass Conc. Instructions.)
Fecal coliform
d E. coli
3 Enterococci
c
0 4.5 Is chlorine used(or will it be used)?
u) El Yes ❑� No 4 SKIP to Item 4.7.
y 4.6 Provide data as requested in the table below. (See instructions for specifics.)
0 Number of Maximum Daily Average Daily Source
ci Parameter or Pollutant Analyses Discharge Discharge (use codes
.c (if actual data (specify units) (speci units) per
v reported) Mass Conc. Mass Conc. instructions)
w
c
3 Total Residual Chlorine N/A N/A N/A N/A N/A N/A
w 4.7 Is non-contact cooling water discharged(or will it be discharged)? 1
❑ Yes ❑✓ No 4 SKIP to Section 5.
4.8 Provide data as requested in the table below.' (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (specify units) (specify units) per
reported) Mass Conc. Mass Conc. instructions)
Chemical oxygen demand(COD)
Total organic carbon(TOC)
SECTION 5.FLOW(40 CFR 122.21(h)(5))
5.1 Except for stormwater water runoff,leaks,or spills,are any of the discharges you described in Sections 1 and 3 of this
application intermittent or seasonal?
❑� Yes. Complete this section. ❑ No 4 SKIP to Section 6.
c 5.2 Briefly describe the frequency and duration of flow.
u. Discharge would be intermittent and on an emergency basis.This discharge has not been used since 2004(i.e.
frequency/duration of flow has been zero).
SECTION 6.TREATMENT SYSTEM (40 CFR 122.21(h)(6))
6.1 Briefly describe any treatment system(s) used(or to be used).
E
y The raw water comes from Falls Lake and is treated with enhanced coagulation,flocculation,sedimentation,and
rn filtration.Intermediate ozonation is regularly used for settled water oxidation.Disinfection is achieved through free
chlorine contact time in the two clearwells prior to converting to chloramines for residual disinfection in the distribution
E system.Settled solids are collected from the sedimentation basins and filter backwash operations,and are treated using I
76
co thickening and dewatering processes.
H
'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 Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018643734 NC0082376 E.M Johnson Water Treatment Pia OMB No.2040-0004
SECTION 7. OTHER INFORMATION(40 CFR 122.21(h)(7))
7.1 Use the space below to expand upon any of the above items. Use this space to provide any information you believe the
reviewer should consider in establishing permit limitations,Attach additional sheets as needed.
The only discharge that is produced by the water treatment plant is during emergency events.The last discharge
occurred in 2004.Because there has not been a discharge since 2004,there is no effluent data to provide and a waiver
is requested.
m i
5
SECTION 8. CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (d))
8.1 In Column 1 below, mark the sections of Form 2E 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: Outfall Location ❑ wl attachments(e.g., responses for additional outfalls)
❑✓ Section 2: Discharge Date ❑ w/attachments
❑✓ Section 3:Waste Types ❑ w/attachments
❑✓ Section 4: Effluent Characteristics ❑ w/attachments
E
4) ❑✓ Section 5: Flow ❑ wl attachments
o ❑✓ Section 6:Treatment System ❑ w/attachments
❑✓ Section 7: Other Information ❑ wl attachments
© Section 8: Checklist and Certification Statement ❑ wl attachments
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) Official title
Chris Phelps Interim Assistant Utilities Director
Signature Date signed