NC0088439_Renewal (Application)_20220630

tYR�•vC4 "Y
ROY COOPER , _
Governor
ELIZABETH S.BISER
Secretory
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
June 30, 2022
Cranberry Creek, LLC
Attn: David Robbins, Dir. of Development
PO Box 55
Elk Park, NC 28622-0055
Subject: Permit Renewal
Application No. NC0088439
Cranberry Creek Development WWTP
Avery County
Dear Applicant:
The Water Quality Permitting Section acknowledges the June 30, 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 T edfor
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
E Q^v North CAshevlCe aro Regionallina DepartmentOffice2090 of EnvironUS.Hmighwayental Q70ualIity Swannano Divisiona,of WNorth ater Carolina Resources
`v7J/� 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
0 2 FA LI Tki O i
y
c ( 1.1 O c ).
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
NC oo Z`i s 4-5 J f b sr �y 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 ma 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
CPI N66-f--R-Y coVE, L�.e
Mailing address(street or P.O.box)
P. o. Box 5-5
City or town State ZIP code
0
C— "PA 0 I\( C 2c?)(0 22
Contact name(first and last) Title Phone number Email address d c`npr i@56?
w DAvi
Q�i ems,�S b)E • �s�' 17Cv�EL �i 28.'j 37.9 27 2. 9 wt Aac._.. c.c,rl
' Location address(street,route number,or other specific identifier) 0-Same as mailing address
a
nv
I.L.
City or town State ZIP code
1.2 Is this plication for a facility that has yet to commence discharge?
Yes 4 See instructions on data submission ❑ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above? ,.,�
El Yes l� No 4 SKIP to Item 1.4.
Applicant name
c Applicant address(street or P.O. box)
0
iv
E 0 City or town State ZIP code
c
co Contact name(first and last) Title Phone number Email address
.a
n
< 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
Owner ❑ Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
❑ Facility Applicant ❑ 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
to
1-2 number for each.)
E Existing Environmental Permits
m
a 0 NPDES(discharges to surface El RCRA(hazardous waste) 0 UIC(underground injection
c water) control)
d
E
o ❑ PSD(air emissions) 0 Nonattainment program(CM) ❑ NESHAPs(CM)
W
a)
y ❑ Ocean dumping(MPRSA) El Dredge or fill(CWA Section 0 Other(specify)
w 404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
KC-p p 86 ¢3 9 Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
%separate sanitary sewer 0 Own 0 Maintain
Z %combined storm and sanitary sewer ❑ Own 0 Maintain
d ❑ Unknown ❑ Own El Maintain
Cl) %separate sanitary sewer 0 Own ❑ Maintain
o %combined storm and sanitary sewer 0 Own ❑ Maintain
❑ ynknown 0 Own ElMaintain
O / %separate sanitary sewer El Own ❑ Maintain
%combined storm and sanitary sewer ❑ Own 0 Maintain
O ❑ Unknown 0 Own El Maintain
E /� %separate sanitary sewer El Own ❑ Maintain
›, / %combined storm and sanitary sewer CI Own 0 Maintain
cr) ❑ Unknown 0 Own 0 Maintain
Total
d Po. . ation
ci '-rved
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line(in miles)
?' 1.8 Is the treatment works located in Indian Country?
a
oo ❑ Yes [-NO
U
R 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
mgd
ri
Annual Average Flow Rates(Actual)
aUa Tw• ears Ago Last Year This Year
c
C• O mgd mgd mgd
ii3• `L Maximum Daily Flow Rates(Actual)
CO
c Two Years Ago Last Year This Year
mgd mgd mgd
H 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
o Total Number of Effluent Discharge Points by Type
a 0.4) Constructed
rn Combined Sewer
T ted Effluent Untreated Effluent Bypasses Emergency
s Overflows Overflows
u
c
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
14 tat)8S 439 Crxe �_ � C4� Modified March2021
Outfalls Other Than to Waters of the State of NorthCarolina W�
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 Er 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 (check one)
Impoundment
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
1.14 Is wastewater applied to land?
g ❑ Yes E No 4 SKIP to Item 1.16.
c 1.15 Provide the land application site and discharge data requested below.
y Land Application Site and Discharge Data
'c Continuous or
`o Location Size Average Daily Volume Intermittent
Applied (check one)
acres d ❑ Continuous
N gp ❑ Intermittent
acresgpd 0 Continuous
0 Intermittent
0
❑ Continuous
acres gpd ❑ Intermittent
o 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes 2----No. 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
P A 0 0 8e4 .53
e ` Q /� bR{ey /L v� Modified March 2021
1.20 In the table below, indicate the name,address,contact information, NPDEt number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
-a Facility name Mailing address(street or P.O. box)
City or town State ZIP code
0
Contact nag.- rst and last) Title
0
P.: e number Email address
nNPDES number of receiving facility(if any) 0 None Average daily flow rate mgd
V!
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina(e.g.,underground percolation, underground injection)?
CD
s ❑ Yes R 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
o Disposal Location of Size of Annual Average Continuous or Intermittent
Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
acresgpd ❑ Continuous
❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
acresgpd 0 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.)
c ❑ 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 KIP 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)
o City,state,and ZIP
code
co
Contact name(first and
ci last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
$a 4&J C r r ,r F e( Modified March 2021
Goo
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
c Outfalls to Waters of the State of North Carolina
c 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ❑ Yes —N 4 SKIP to Section 3.
0 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
0
s 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
0 F. specific requirements.)
03
1- ❑ Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
`>° (See instructions for specific requirements.)
0 cn
o 0 Yes 0 No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1.
E
d
0. 2.
E
0
3.
a)
0 4.
U,
gs 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
d Scheduled 11s P
Begin End Begin
Outfa Operational
o Improvement Construction Construction Discharge
(from above) (list outf Level
I (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
number (MM/DD/YYYY)
1.
2.
co
3.
4.
21 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
0 Yes 0 No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
Modified March 2021
Nc 00 8. - -F• Q Y Sae i/�
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 Outfall Number Outfall Number
State
County
R
7
O City or town
0
c Distance from shor- ft. ft. ft.
Q
. Depth belo s urface ft. ft. ft.
0
Ave .•e daily flow rate mgd mgd mgd
Latitude "' o
Longitude 0 ' '" " "" ""
.o
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.
s
N Outfall Outfall Number Outfall Number
c
Number of times per year
O discharge occurs
a Average duration o ch
`o discharge(s units)
To
Avera ow of each mgd mgd mgd
u. d. arge
COco
onths 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.
$. 3.5 Briefly describe the diffuser pe at each applicable outfall
Outfall Num Outfall Number Outfall Number
at
M
7
a
o vi 3.6 D.- the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
n •ne or more discharge points?
d
f' ❑ Yes ❑ No-SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
t4 1)4 B 4,19 C ry G. Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number Outfall Number Outfall Number
Receiving water name
Name of watershed,river,
= or stream system ------
0
U.S.Soil Conservation
•L
y Service 14-digit watershed
o code
43 Name of state
management/river basin
co
U.S. Geological Survey
a) 8-digit hydrologic
cc cataloging unit code
Critical low flow cute) cfs cfs cfs
Critical I flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number Outfall Number Outfall Number
Highest Level of 0 Primary 0 Primary ❑ Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary 0 Secondary 0 Secondary
O Advanced ❑ Advanced 0 Advanced
O Other(speci 0 Other(specify) 0 Other(specify)
_
cDesign Removal Rates by
.� Outfall
U)
Gf
o BOD5 or CBOD5 % % ok
_
d
E
d TSS % %
L
1-
0 Not applicable 0 Not applicable 0 Not applicable
Phosp us
0 Not applicable 0 Not applicable 0 Not applicable
itrogen % % %
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
Page 7

NPDES Permit Numberer Facility Name Modified Application Form 2A
A
4 .Cnrv0n g$� �/ C(IC ear Ca E Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfalf in the table below. If disinfection varies by
season,describe below.
c
c
0
Outfall Number Outfall Number Outfall Number
0
0- Disinfection type
01
Seasons used
d
Dechlorination used? ❑ N• .pplicable ❑ Not applicable D Not applicable
PI Yes ❑ Yes ❑ Yes
❑ No El No ❑ No
3.10 Have you complet-, onitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11 Have = conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
d" arges or on any receiving water near the discharge points?
❑ Yes ❑ No 4 SKIP to Item 3.13.
..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
R Acute Chronic Acute Chronic __Acute— Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.14 Does the POTW use chlorine for disi - ion,use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to dischar•- lorine in its effluent?
❑ Yes 4 Complete ••le B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you complet-: monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Y:. ❑ No
Ha you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 • "ached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
1 1 n 0118
/r4-39 C(4,?_ fr j � IE Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET sts for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
No 4 Complete tests and Table E and SKIP to
❑ Yes ❑ Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 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
(MMIDDIYYYY)
m
c
c
0
w 3.22 Regardless of how you provided your WET testing a to the NPDES permitting authority,did any of the tests result in
toxicity?
c ❑ Yes ❑ No 4 SKIP to Item 3.26.
10 3.23 Describe the cause(s)of the toxicity'
3.24 Has the tr-. ment works conducted a toxicity reduction evaluation?
❑ es ❑ No 4 SKIP to Item 3.26.
3.25 • ovide 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 ❑ Not applicable because previously submitted
information to the NPDES •ermittin. authorit .
Page 9

•
NPDES Permit Number Facility Name Modified Application Form 2A
01 00 tj ^ 3 q `—r 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 EIX-ection 1: Basic Application
Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments
❑ Section 2:Additional ❑ wl topographic map 0 wl process flow diagram
Information ❑ w/additional attachments
❑ w/Table A ❑ w/Table D
❑ Section 3: Information on ❑ w/Table B ❑ wl additional attachments
Effluent Discharges ❑
w/Table C
co
Section 4:Not Applicable
0
w Section 5:Not Applicable
U
-0 Section 6:Checklist and
R ❑ ❑ w/attachments
U)
Certification Statement
6.2 Certification Statement
CD
/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
Dav► ED G3 b i✓t DEvEcofrazADT
Si Date signed
)?OlD9 49.23. 2Z
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
oo s +5 3 ewe rr v Modified March 2021
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods Include units
Value Units Value Units Samples Methods (
)
Biochemical oxygen demand
❑ML
❑BOD5 or❑CBOD5 ❑MDL
(report one)
Fecal coliform ❑ML
❑MDL
Design flow rate
pH(minimum)
pH(maximum)
Temperature(winter)
Temperature(summer)
Total suspended solids SS) ❑ML
0 MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
f, c. :1.a'
s, ei (_4�` a 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 Methods (include
Value Units Value Units Samples units)
Ammonia(as N) ❑MDL
Chlorine ❑ML
(total residual,TRC)2 PPM! - -
❑MDL
0 ML
Dissolved oxygen ❑MDL
Nitrate/nitrite ❑ML
❑MDL
Kjeldahl nitrogen illill
0 ML
0 MDL
0 ML
Oil and grease 0 MDL
Phosphorus ❑ML
❑MDL
Total dissolved solids ❑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).
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
NI a. e` ' 3 Q(4 ),i2jzr
�ttE 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
Metals,Cyanide,and Total Phenols
❑ML
Hardness(as CaCO3) 0 MDL
0 ML
Antimony,total recoverable ❑MDL
Arsenic,total recoverable ❑ML
❑MDL
0 ML
Beryllium,total recoverable ❑MDL
Cadmium,total recoverable ❑ML
❑MDL
Chromium,total recoverable ❑ML
❑MDL
Copper,total recoverable ❑ML
❑MDL
Lead,total recoverable V ❑ML
❑MDL
Mercury,total recoverable ❑MDL
Nickel,total recoverable ❑ML
❑MDL
Selenium,total recoverable ❑ML
❑MDL
Silver,total recoverable ❑ML
❑MDL
Thallium,total recoverable ❑ML
❑MDL
Zinc,total recoverable ❑ML
❑MDL
0 ML
Cyanide ❑MDL
0 ML
Total phenolic compounds ❑MDL
Volatile Organic Compounds
Acrolein ❑ML
❑MDL
❑ML
Acrylonitrile ❑MDL
0 ML
Benzene 0 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
V 0 : I •
IP 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
Carbon tetrachloride ❑ML
❑MDL
Chlorobenzene ❑ML
❑MDL
Chlorodibromomethane ❑ML
❑MDL
Chloroethane ❑ML
❑MDL
0 ML
2-chloroethylvinyl ether ❑MDL
Chloroform ❑ML
❑MDL
Dichlorobromomethane ❑ML
❑MDL
1,1-dichloroethane ❑ML
❑MDL
1,2-dichloroethane ❑ML
❑MDL
0 ML
trans-1,2-dichloroethylene ❑MDL
ML
1,1-dichloroethylene ❑MDL
0 ML
1,2-dichloropropane ❑MDL
0 ML
1,3-dichloropropylene ❑MDL
❑ML
Ethylbenzene ❑MDL
0 ML
Methyl bromide ❑MDL
0 ML
Methyl chloride ❑MDL
0 ML
Methylene chlorid- ❑MDL
1,1,2,2-tetrachloroethane 0 ML
❑MDL
ML
Tetrachloroethylene ❑MDL
Toluene ❑ML
❑MDL
1,1,1-trichloroethane ❑ML
❑MDL
1,1,2-trichloroethane 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number 1Facility Name Outfall Number Modified Application Form 2A
K / Co 8E7 43 6 Cr Sl Q f , C G. Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS YJ
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Method1 (include units)
Samples
Trichloroethylene ❑ML
❑MDL
Vinyl chloride ❑ML
❑MDL
Acid-Extractable Compounds
❑ML
p-chloro-m-cresol ❑MDL
L
2 chlorophenol ❑ML
❑❑MMLDL
2,4-dichlorophenol
0 MDL
2,4-dimethylphenol ❑ML
❑MDL
❑ML
4,6-dinitro-o-cresol 0 MDL
2,4-dinitrophenol ❑ML
❑MDL
2-nitrophenol ❑ML
❑MDL
4-nitrophenol ❑ML
❑MDL
Pentachlorophenol ❑ML
❑MDL
0 ML
Phenol ❑MDL
2,4,6-trichlorophenol ❑ML
❑MDL
Base-Neutral Compounds
❑ML
Acenaphthene 0 MDL
Acenaphthylene ❑ML
❑MDL
❑ML
Anthracene 0 MDL
❑ML
Benzidine ❑MDL
/
❑ML
Benzo(a)anthr ne ❑MDL
❑ML
Benzo( yrene 0 MDL
❑ML
. 3,4-benzofluoranthene ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
1\\e—
e— OL g`4 Gail/kJ
VE— 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
0 ML
Benzo(ghi)perylene ❑MDL
0 ML
Benzo(k)fluoranthene ❑MDL
Bis(2-chloroethoxy)methane ❑MDL
0 ML
Bis(2-chloroethyl)ether ❑MDL
0 ML
Bis(2-chloroisopropyl)ether ❑MDL
0 ML
Bis(2-ethylhexyl)phthalate ❑MDL
0 ML
4-bromophenyl phenyl ether ❑MDL
0 ML
Butyl benzyl phthalate ❑MDL
0 ML
2-chloronaphthalene ❑MDL
0 ML
4-chlorophenyl phenyl ether ❑MDL
0 ML
Chrysene ❑MDL
0 ML
di-n-butyl phthalate ❑MDL
0 ML
di-n-octyl phthalate ❑MDL
0 ML
Dibenzo(a,h)anthracene ❑MDL
1,2-dichlorobenzene ❑ML
❑MDL
1,3-dichlorobenzene ❑ML
❑MDL
1,4-dichlorobenzene ❑ML
❑MDL
3,3-dichlorobenzidine ❑ML
❑MDL
❑ML
Diethyl phthalate ❑MDL
Dimethyl phthalate ❑MDL
2,4-dinitrot, -ne ❑ML
❑MDL
0 ML
2,6-dinitrotoluene ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
IQ,a d .S.- l 3 5 C ex-CCJJ j„y, Cos. Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
�J
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units SampIes
ML
1,2-diphenylhydrazine o MDL
Fluoranthene 0 ML
❑MDL
Fluorene ❑ML
❑MDL
Hexachlorobenzene 0 ML
❑MDL
Hexachlorobutadiene ❑ML
❑MDL
0 ML
Hexachlorocyclo-pentadiene ❑MDL
Hexachloroethane ❑ML
❑MDL
0 ML
Indeno(1,2,3-cd)pyrene ❑MDL
❑ML
Isophorone ❑MDL
❑ML
Naphthalene ❑MDL
Nitrobenzene ❑ML
❑MDL
0 ML
N-nitrosodi-n-propylamine ❑MDL
0 ML
N-nitrosodimethylamine 0 MDL
ML
N-nitrosodiphenylamine ❑MDL
❑ML
Phenanthrene ❑MDL
0 ML
Pyrene ❑MDL
1,2,4-trich orobenzene ❑ML
❑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).
•
EPA Form 3510-2A(Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
QQKIii ' 3 31
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of y
(hst) Value Units Value Units Samples Methods (include units)
❑ No additional sampling is required by NPDES permitting authority.
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
0 ML
0 MDL
0 ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
t 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