NC0077143_Renewal (Application)_20220803

•
ROY COOPER
Governor r<„, C
ELIZABETH S.BISER aOP'
Secretary ""v ow
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
August 04, 2022
West Carteret Water Corporation, Inc
Attn: Lisa Smith-Perri, GM
4102 NC Hwy 24
Newport, NC 28570-0849
Subject: Permit Renewal
Application No. NC0077143
West Carteret Water Corp WTP
Carteret County
Dear Applicant:
The Water Quality Permitting Section acknowledges the August 3, 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://dea.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
SlituYL.M1Pittj
Wren T'edford
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
vWilmington Regional Office I I27 Cardinal Drive Extension I Wilmington.North Carolina 28405
910.796.7215

West Carteret Water Corporation LETTER OF TRANSMITTAL
A nonprofit coporation serving western Carteret County DATE: 7/29/2022
4102 Highway 24(Deliveries)
Newport,NC 28570 ATTENTION:
Office(252)393-1515 Fax[phone] RE: NPDES PERMIT RENEWAL
NC0077143
TO: NC DEQ
Division of Water Resources
217 W Jones St R r
Raleigh, I� /C D
i NC 27603 SHIPPED VIA UPS ' �
0 3 �/202G2
NCDEQIDWRINPDES
WE ARE SENDING YOU: ( X) ATTACHED ( ) UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS:
( ) DRAWINGS ( )PRINTS ( )PLANS ( )SPECIFICATIONS
( )COPY OF LETTER ( )CHANGE ORDER ( )OTHER:
COPIES(#) DATE REF. NO. DESCRIPTION
1 EPA Form 5310-1
1 EPA Form 5310-2C
1 EPA Form 5310-2E
THESE ARE TRANSMITTED as checked below:
(X) FOR APPROVAL ( ) APPROVED AS SUBMITTED ( ) RESUBMIT COPIES FOR APPROVAL
( ) FOR YOUR USE ( ) APPROVED AS NOTED ( ) SUBMIT COPIES FOR DISTRIBUTION
( ) AS REQUESTED ( ) RETURNED FOR CORRECTIONS ( ) RETURN 2 CORRECTED PRINTS
( ) FOR REVIEW&COMMENTS ( ) OTHER:
REMARKS: Please do not hesitate to contact us if you have any questions or comments.
COPY TO: Michelle Clements, TEG
isa D. Smith- , General Manager
[phone] Direct or(252)393-1515 Ext. 20
arenotnoted,please notifyus at once.
If enclosures as

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 6EP Application for NPDES Permit to Discharge Wastewater
NPDES C�1�1 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
1.1.1 Is the facility a new or existing publicly owned 1 1 2 Is the facility a new or existing treatment works
treatment works? treating domestic sewage?
If yes,STOP. Do NOT complete 0✓ 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
ry production facility? currently discharging process wastewater?
oYes 4 Complete Form 1 ❑✓ No Ej Yes 4 Complete Form �✓ No
z and Form 2B. 1 and Form 2C.
c 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?
❑ Yes 4 Complete Form 1 ❑✓ No ❑✓ Yes 4 Complete Form 0 No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
'— discharge is composed entirely of stormwater RECEIVED
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater? AUG 0 3 222
El Yes 4 Complete Form 1 E✓ No
and Form 2F WRJNPDES
unless exempted by NCDEQID
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
West Carteret WTP
2.2 EPA Identification Number
U
O
J
2.3 Facility Contact
Name(first and last) Title Phone number
-a Lisa Smith-Peri General Manager [phone]
Email address
[e-mail]
2.4 Facility Mailing Address _
ZStreet or P.O.box
4104 NC Highway 24
City or town State ZIP code
Newport NC 28570
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
u;Is 2.5 Facility Location
a .. Street,route number,or other specific identifier
Q 0 4104 Hwy 24
o County name County code(if known)
Carteret
CIT 2,
City or town State ZIP code
z Newport NC 28570
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4941 Water Supply
N
0
O
U
U)
3.2 NAICS Code(s) Description(optional)
C
fo 221310 Water supply systems
U
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
West Carteret Water Corporation
0 4.2 Is the name you listed in Item 4.1 also the owner?
❑✓ Yes ❑ No
L 4.3 Operator Status
❑ Public—federal ❑ Public—state ❑✓ Other public(specify)Non-profit
❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O.Box
4102 Hwy 24
`o
City or town State ZIP code
o O Newport NC 28570
ro
a Email address of operator
O [e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
g c 5.1 Is the facility located on Indian Land?
J ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret 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)
171 NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
• NC0077143
> E
w a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
rn
.111
❑ 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
CL specific requirements.)
❑✓ Yes ❑ No 0 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.
West Carteret Water Corporation WTP is a public non-profit groundwater treatment plant that pumps water from a
deep aquifer and treats the water to NCDEQ and EPA standards and provides potable water to western Carteret
cCounty in North Carolina. The process of the water treatment plant includes taking the water pumped from
groundwater wells and sent to the WTP where it is treated through aeration using an induced draft aerator,then
00 into ground storage before it is pumped through the filter portion of the process which includes greensand iron
removal filters,ion exchange softeningfilters and ion-exchange color removal filters in pressurized vessels.After the
g g
water leaves the color removal vessels,chlorine gas is injected,contact time is provided and then ammonium
hydroxide is added before the water leaves the WTP and enters the distribution system.
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No -) SKIP to Item 10.1.
9.2 Identifythe source of coolingwater.(Note that facilities that use a coolingwater intake structure as described at
a,w 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
oNPDES permitting authority to determine what specific information needs to be submitted and when.)
o
U �
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
when.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
ce Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP 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 ❑ w/attachments
❑✓ Section 3:SIC Codes ❑ wl attachments
❑✓ Section 4:Operator Information ❑ wl attachments
❑ Section 5:Indian Land ❑ w/attachments
❑✓ Section 6: Existing Environmental Permits ❑ wl attachments
❑✓ Section 7:Map ❑✓ wl topographic ❑ wl additional attachments
map
o ❑✓ Section 8:Nature of Business Elw/attachments
❑ Section 9:Cooling Water Intake Structures ❑ w/attachments
c' ❑ Section 10:Variance Requests ❑ wl attachments
❑✓ Section 11:Checklist and Certification Statement ❑ wl attachments
11.2 Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Lisa Smith-Perri General Manager/Executive Director
Signature Date signed
IY)t-64(j /7• g-gI. Zvta
EPA Form 3510-1(revised 3-19) Page 4

West Carteret WTP NC0077143
..-.
. . ..,...
,,
...-__"- -• ... .,
. ,
....- --. ,, .
.. . „. ,.
_..
1 .
,.,. .
. ., ,.. ,.
.....
. .
r .
. .
t,t,,,,
• ., NATI O'4,4_ , ,..
FOREST ! _ -••
- -...._.,
„. ....,'.."'
1.
F ORES- ,' w--24 HWY 24.
1 ,
:,-_
. ....--
.-.,--. .-------
...,.... . •
1 ..
DISCHARGE - NC007 ..1,41---3-7—
WEST CARTERET WTP 34°42'57.26/5"Ik6° ' . 97"W '''' :' 4: —
34°4255.6801" 6°5908.0717W ...-- ...., .
.' .
c '•:-. .......,--- OUTFALL LOCA .10N
i, .-----
,... ......
_,...--...... - ... . . . . ,
,--- .
:- UPSTREAM
4
,
:.-,4-fl..,
",* SAMPLE
- 4,.7-r.‘*Nif,:. :!.';'II ' ' .i' 'r•,,
. -I :., ..-4/k. "....4,!- • --AY '...5-.. :111;.'''" - - '
,'. .i.... 4,. .r;-.11--' '''.•4 i - '-1:'"?". '" ' * * '',* t .
OUTFALL L.Yir--- • - -
.,...,
. ,.-
I, ,,..14.0...,..... -,... ',...‘_- . .
e: t
,...,...,,,,,, 44or
, . - LdCI
•...., , ,.. . .
NC HWY 24
_:ji kr5 trati'-.1-. • _„-—-----, OP'' " DOWNSTREAM
§i'
. -............—— - N ( • . SAMPLE
. •-"N. .-
.! (\--) "- - ..•-'-''' .
r.,.?2....'' •
-'1..1
_ _, ,• -
x LOCATIONS 1 , ,I

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
Form U.S. Environmental Protection Agency
2C VP/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.
o Nu belt Receiving Water Name Latitude Longitude
.�
V
1 East Prong Sanders Creek 34° 42' 57.9" N 76° 58' 35.3" W
CU
0
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 `
o ❑✓ 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.
**Outfall Number** 1
Operations Contributing to Flow
Operation I V TV rage Flow
Softener Vessel Backwash 2�22 .058 mgd
,BUG O
EGreensand Iron Removal Backwash .019 mgd
m
i NCDEQIDWRINPDES
F— Color Removal Vessel Backwash .022 mgd
v
c
ca mgd
3
E Treatment Units
a, Description Code from Final Disposal of Solid or
co
(include size,flow rate through each treatment unit, Table 2C 1 Liquid Wastes Other Than
a' retention time,etc.) __ bypischarge
Four 400 gpm capacity green sand filters 1-Q Drying Beds
Seven 240 gpm capacity water softeners 2-J
Five 320 gpm capaciity color filters 2-J
EPA Form 3510-2C(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
3.1 **Outfall Number**
cont. Operations Contributing to Flow
Operation Average Flow
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
0
v
a,
E
is
m
F--
0 **Outfall Number**
Operations Contributin• to Flow
0 Operation Average Flow
a, mgd
a' 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
3.2 Are you applying for an NPDES permit to operate a privately owned treatment works?
❑ Yes ❑✓ No 3 SKIP to Section 4.
3.3 Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑✓ No
EPA Form 3510-2C(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret 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?
❑ 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.
Fre uency Flow Rate
Outfall Operation Average Average Long-Term Maximum Duration
Number (list) Days/Week Months/Year Average Daily
days/week months/year mgd mgd days
o days/week months/year mgd mgd days
m days/week months/year mgd mgd days
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 ❑✓ No 4 SKIP to Section 6.
,'
0 5.2 Provide the following information on applicable ELGs. 1
w ELG Category ELG Subcategory Regulatory Citation
cu
T
co
0
Q
Q
5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)?
u) ❑ Yes ❑ No 4 SKIP to Section 6.
0
5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
J Outfall Operation,Product,or Material Quantity per Day Unit of
-0 Number Measure
0
co
m
0
w
U
0
O
d
EPA Form 3510-2C(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret 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
Project (list outfall Discharge Required Projected
EL
number)
E
a)
co
co
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 El No p 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 0 No-3 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 1 Outfall Number Outfall Number
0 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?
.L
CI Yes TANo;a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
i 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
c listed in Exhibit 2C-3?(See end of instructions for exhibit.)
v
❑ Yes ✓❑ No 4 SKIP to Item 7.8.
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 GCIMS Fraction(s)
(Check applicable boxes.)
❑Volatile 0 Acid 0 Base/Neutral 0 Pesticide
0 Volatile 0 Acid ❑ Base/Neutral ❑ Pesticide
❑Volatile ❑Acid 0 Base/Neutral 0 Pesticide
EPA Form 3510-2C(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret 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
cs then SKIP to Item 7.12.
7.11 Have you provided(1)quantitative data for those Sections 2 through 5,Table B,pollutants for which you have
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?
`' p Yes ❑ 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
s for all outfalls?
U
❑✓ Yes 0 No
a 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 0 No
u, 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 0 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 ElNo
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?
0 Yes ❑✓ No 4 SKIP to Section 9.
u, 8.2 List the pollutants below.
1. 4. 7.
2. 5. 8.
3. 6. 9.
EPA Form 3510-2C(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret 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- SKIP to Section 10.
N I
9.2 Identify the tests and their ourposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
0 Permitting Authority?
❑ Yes : ::
0'm ❑ Yes
❑ 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 Environment 1
4.1 Laboratory address 114 Oakmont Drive
To
Greenville,NC 27858
0
C
Phone number
[phone]
Pollutant(s)analyzed TSS,Ammonia(N),TDS,
Copper,Manganese,Lead,
Zinc,Conductivity,Salinity,
Turbidity,Acute Toxicity
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.
0
2. 5.
¢ i
3. 6.
EPA Form 3510-2C(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP 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
❑✓ Section 1:Outfall Location ✓❑ wl attachments
❑✓ Section 2: Line Drawing ✓❑ w/line drawing ❑ wl additional attachments
1-71 Section 3:Average Flows and w/list of each user of
Treatment ❑ w/attachments Elprivately owned treatment
works
❑ Section 4: Intermittent Flows ❑ w/attachments
❑ Section 5:Production ❑ wl attachments
w/optional additional
❑ Section 6: Improvements ❑ w/attachments ❑ sheets describing any
additional pollution control
plans
❑ w/request for a waiver and ❑ w/explanation for identical
supporting information outfalls
wl small business exemption w/other attachments
❑ request ❑
❑ Section 7:Effluent and Intake ❑✓ w/Table A ❑✓ w/Table B
Characteristics
0
❑✓ w/Table C ❑ w/Table D
wl analytical results as an
c� 0 wl Table E ❑ attachment
Section 8: Used or Manufactured
N
❑ Toxics ❑ w/attachments
Section 9: Biological Toxicity
a, ❑ Tests ❑ w/attachments
U
❑✓ Section 10:Contract Analyses ❑ w/attachments
❑ Section 11:Additional Information ❑ wl attachments
✓❑ Section 12:Checklist and ❑ wl attachments
Certification Statement
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
3MIT14- PER ! GM f ED
Signature Date signed
rb Vi• Zoz z
EPA Form 3510-2C(Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCO077143 West Carteret WTP 1
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1
Effluent Intake
Waiver (Optional) —
Pollutant Requested Units Maximum Maximum Long-Term
(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)
0 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.
1 Biochemical oxygen demand ❑ Concentration
(BOD5) Mass
2 Chemical oxygen demand ElConcentration
(COD) Mass
Concentration
3. Total organic carbon (TOC) p
Mass
Concentration mg/I 2.9 24
4. Total suspended solids(TSS) ❑
Mass
Concentration mg/I 0.09 12
5. Ammonia(as N) 0
Mass
6. Flow 0 Rate mgd 0.56 1.519 .105 24
Temperature(winter) ❑✓ °C °C
7.
Temperature(summer) 0 °C °C
pH(minimum) 0 Standard units s.u. 7.7 24
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
I

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NC0077143 West Carteret WTP
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
Discharge e(required)
Dischargef available) Di Daily Discharge Analyses AverageValue Analyses
e uired
(if available)
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
1.1 Antimony,total Concentration
(7440-36-0) Mass
Arsenic,total Concentration
1.2 1=1 El
(7440-38-2) Mass
Beryllium,total Concentration
1.3 (7440-41-7) Mass
Cadmium,total ✓ Concentration
1.4 (7440-43-9) Mass
1.5 Chromium,total Concentration
1=1 El El
(7440-47-3) Mass
Copper,total0 Concentration ug/L <10 1
1.6 El E
(7440-50-8) Mass
Lead,total 0 Concentration ug/L <5 1
1.7 El El
(7439-92-1) Mass
Mercury,total0 Concentration
1.8 I=1 ID
(7439-97-6) Mass
1.9 Nickel,total Concentration
(7440-02-0) Mass
1.10 Selenium,total Concentration
(7782-49-2) Mass
Silver,total Concentration
1.11 0 0
(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
OMB No.2040-0004
NC0077143 West Carteret WTP
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 Maximum Maximum Long-
( q (specify) Daily Monthly Average Number Term Number
Present Absent
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Analyses
Value
(if available)
Thallium,total Concentration
1.12 (7440-28-0) Mass
Zinc,total Concentration ugh 55 1
1.13 (7440-66-6) Mass
1.14 Cyanide,total Concentration
(57-12-5) Mass
Concentration
1.15 Phenols,total •
Mass
Section 2.Organic Toxic Pollutants(GCIMS Fraction—Volatile Compounds)
Acrolein Concentration
2.1 (107-02-8) Mass
2.2 Acrylonitrile Concentration
(107-13-1) Mass
Benzene Concentration
2.3 (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
2.7 Chlorodibromomethane 0Concentration
0 0
(124-48-1) Mass
Chloroethane Concentration
2.8 0 0 0
(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
OMB No.2040-0004
NC0077143 West Carteret WTP
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
(req fi (red) ifavalablle) Discharge Analyses Average
ee
( Analyses
(if available)
2.9 2-chloroethylvinyl ether � Concentration
(110-75-8) Mass
Concentration
2.10 Chloroform(67-66-3) 0 0 0✓ Mass
2.11 Dichlorobromomethane ❑ Concentration
(75-27-4) ✓ Mass
212 11-dichloroethane 0 0 Concentration
(75-34-3) Mass
1,2-dichloroethane Concentration
2.13 (107-06-2) Mass
2.14 11-dichloroethylene 0 Concentration
(75-35-4) ✓ Mass
2.15 12-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 0 Concentration
(74-83-9) ✓ Mass
2.19 Methyl chloride ❑ Concentration
(74-87-3) ✓ Mass
2.20 Methylene chloride 0 0Concentration
(75-09-2) 0 Mass
2.21 1,1,2,2-tetrachloroethane Concentration
El 0
(79-34-5) 0 Mass
EPA Form 3510-2C(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NC0077143 West Carteret WTP
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
of of
Discharge Discharge DisDchar a Analyses Average Analyses
(required) (if available) (if available)g Value
2.22 Tetrachloroethylene Concentration
(127-18-4) Mass
Toluene Concentration
2.23 (108-88-3) 0 Mass
2.24 1,2-trans-dichloroethylene Concentration
(156-60-5) Mass
2 25 1 1,1 trichloroethane ❑ ❑✓ Concentration
(71-55-6) Mass
2.26 1,1,2-trichloroethane 0 Concentration
(79-00-5) Mass
2.27 Trichloroethylene Concentration
(79-01-6) Mass
2.28 Vinyl chloride Concentration
(75-01-4) Mass
Section 3.Organic Toxic Pollutants(GCIMS Fraction—Acid Compounds)
3.1 2-chlorophenol Concentration
(95-57-8) Mass
2,4-dichlorophenol Concentration
3.2 (120-83-2) Mass .
3.3 2,4-dimethylphenol Concentration
0 El El
(105-67-9) Mass
3.4 4 6-dinitro-o-cresol 0 Concentration
(534-52-1) Mass
3.5 2,4-dinitrophenol ❑ Concentration
(51-28-5) 1 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
NC0077143 West Carteret WTP
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
(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 Discharge Analyses Average Analyses
(required) (if available) Value
(if available)
3.6 2-nitrophenol 0 0 Concentration
(88-75-5) Mass
4-nitrophenol El El ✓ Concentration
3.7 (100-02-7) Mass
3.8 p-chloro-m-cresol El Concentration
(59-50-7) ✓ Mass
3.9 Pentachlorophenol 0 Concentration
(87-86-5) Mass
Phenol Concentration
3.10 El
(108-95-2) � ElMass
3.11 2,4,6-trichlorophenol Concentration
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
4.1 Acenaphthene Concentration
(83-32-9) Mass
4.2 Acenaphthylene 1=1 Concentration
(208-96-8) Mass
Anthracene Concentration
4.3 (120-12-7) Mass
4.4 Benzidine Concentration
0 0
(92-87-5) 0 Mass
4.5 Benzo(a)anthracene El ❑ Concentration
El
(56-55-3) Mass
4.6 Benzo(a)pyrene 1=1 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
OMB No.2040-0004
NC0077143 West Carteret WTP
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p
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 Dischar a Analyses Average Analyses
(required) (if available) g Value
(if available)
3,4-benzofluoranthene Concentration
4.7 (205-99-2) ❑ Mass
4.8 Benzo(ghi)perylene Concentration
(191-24-2) Mass
4.9 Benzo(k)fluoranthene Concentration
(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 Concentration
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate Concentration
(117-81-7) Mass
4.14 4-bromophenyl phenyl ether Concentration
(101-55-3) Mass
4.15 Butyl benzyl phthalate � Concentration
(85-68-7) Mass
4.16 2-chloronaphthalene Concentration
(91-58-7) Mass
4-chlorophenyl phenyl ether Concentration
4.17 (7005-72-3) Mass
Chrysene Concentration
4.18 (218-01-9) 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
OMB No.2040-0004
NC0077143 West Carteret WTP
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 D Analyses Average Analyses
(required) (if available) (if available) Value
4.20 1,2-dichlorobenzene Concentration
0 El El
(95-50-1) Mass
4.21 1,3-dichlorobenzene Concentration
0 0 0
(541-73-1) Mass
4.22 1,4-dichlorobenzene Concentration
(106-46-7) Mass
4.23 3,3-dichlorobenzidine Concentration
0 0 0
(91-94-1) Mass
4.24 Diethyl phthalate Concentration
0 0 0
(84-66-2) Mass
4.25 Dimethyl phthalate 0 0 Concentration
(131-11-3) Mass 1
4.26 Di-n-butyl phthalate 0 Concentration
0 El
(84-74-2) Mass
4.27 2,4-dinitrotoluene Concentration
(121-14-2) Mass
4.28 2,6-dinitrotoluene Concentration
0 0 0
(606-20-2) Mass
4.29 Di-n-octyl phthalate 0 Concentration
0 El
(117-84-0) Mass
4.30 1,2-Diphenylhydrazine 0 El Concentration
El
(as azobenzene)(122-66-7) Mass
4.31 Fluoranthene Concentration
(206-44-0) Mass
4.32 Fluorene Concentration
0 0 0
(86-73-7) 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
OMB No.2040-0004
NC0077143 West Carteret WTP
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 D Analyses Average Analyses
(required) (if available) (if available) Value
4.33 Hexachlorobenzene 0 Concentration
(118-74-1) Mass
4.34 Hexachlorobutadiene � Concentration
El
(87-68-3) Mass
4.35 Hexachlorocyclopentadiene Concentration
0 El El
(77-47-4) Mass
4.36 Hexachloroethane 0 Concentration
(67-72-1) Mass
4.37 Indeno(1,2,3-cd)pyrene Concentration
(193-39-5) Mass
4.38 Isophorone Concentration
(78-59-1) Mass
4.39 Naphthalene Concentration
(91-20-3) Mass
4.40 Nitrobenzene Concentration
(98-95-3) Mass
4.41 N-nitrosodimethylamine 0 Concentration
(62-75-9) Mass
4.42 N-nitrosodi-n-propylamine Concentration
0 El El
(621-64-7) Mass
4.43 N-nitrosodiphenylamine � Concentration
El
(86-30-6) Mass
4.44 Phenanthrene 0 Concentration
(85-01-8) Mass
Pyrene Concentration
4.45 (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
OMB No.2040-0004
NC0077143 West Carteret WTP
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
Discharge Discharge Disc a An Ifses Average Analfses
(required) (if available) (if availableg) y Value y
4.46 1,2,4-trichlorobenzene Concentration
(120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction—Pesticides)
5.1 Aldrin Concentration
0(309-00-2) j Mass
5.2 a-BHC Concentration
(319-84-6) Mass
13-BHC Concentration
5.3 (319-85-7) � � 0
Mass
y-BHC Concentration
5.4 (58-89-9) Mass
5-BHC Concentration
5.5 (319-86-8) 0 I:: 0 Mass
5.6 Chlordane Concentration
0 0 0
(57-74-9) Mass
5.7 4,4'-DDT Concentration
0 0 0
(50-29-3) Mass
4 4'-DDE Concentration
5.8 (72-55-9) El 0 0 Mass _
5.9 4,4'-DDD Concentration
0 0 0
(72-54-8) Mass
5.10 Dieldrin Concentration
0 0 0
(60-57-1) Mass
5.11 a-endosulfan 0 0 El Concentration
(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
OMB No.2040-0004
NC0077143 West Carteret WTP
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p
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)
R-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
Endrin aldehyde Concentration
5.15 (7421-93-4) Mass _
5.16 Heptachlor � Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) 0 0 ❑ Mass
PCB-1242 Concentration
5.18 (53469-21-9) 0 0 ✓l Mass
PCB-1254 Concentration
5.19 (11097-69-1) El 0 E✓
Mass
PCB-1221 Concentration
5.20 (11104-28-2) El El 0Mass
PCB-1232 Concentration
5.21 (11141-16-5) 0 0 0 Mass
PCB-1248 Concentration
5.22 (12672-29-6) El 0 0 Mass
PCB-1260 Concentration
5.23 (11096-82-5) 0 0 0Mass
PCB-1016 Concentration
5.24 (12674-11-2) El 0 ElMass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NC0077143 West Carteret WTP
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v)p
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) El 0 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 21

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NC0077143 West Carteret WTP 1
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
Discharge Discharge Analyses Analyses
(required) Value
(if available) (if available)
1-1 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
2 Chlorine,total ❑ ❑ Concentration ug/l 13 2
residual Mass
Concentration
3. Color ❑ ❑✓
Mass
Concentration
4. Fecal coliform ❑ 0 Mass
5 Fluoride 0 0 Concentration
(16984-48-8) Mass
Concentration
6 Nitrate-nitrite 0 0 Mass
7 Nitrogen,total 0 ❑ Concentration
organic(as N) Mass
Concentration
8. Oil and grease ❑ 0 Mass
9 Phosphorus(as)
ElConcentration
El
P),total(7723-14-0) Mass
10. Sulfate(as SO4) ❑ 0 Concentration
(14808-79-8) Mass
Concentration
11. Sulfide(as S) ❑ ❑✓ Mass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NC0077143 West Carteret WTP 1
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 Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) (if available) (if available) Value
12. Sulfite(as SO3) 0 0 Concentration
(14265-45-3) Mass
Concentration
13. Surfactants 0 0 Mass
14. Aluminum,total 0 0 Concentration
(7429-90-5) Mass
15. Barium,total 0 El Concentration
(7440-39-3) Mass
16. Boron,totalEl 0 Concentration
(7440-42-8) Mass
17. Cobalt,total 0 Concentration
0(7440-48-4) Mass
18 Iron,total 0 ❑ Concentration
(7439-89-6) Mass
19 Magnesium,total ❑ Concentration
(7439-95-4) Mass
Molybdenum, Concentration
20. total 0 0 Mass
(7439-98-7)
21 Manganese,total 0 0 Concentration mg/I <10 1
(7439-96-5) Mass
22 Tin,total ❑ 0 Concentration
(7440-31-5) Mass
23 Titanium,total ❑ 0 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
OMB No.2040-0004
NC0077143 West Carteret WTP 1
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) V31ue
24. Radioactivity
Concentration
Alpha,total ❑ ❑✓
Mass
Beta,total 0 ❑ Concentration
Mass
Concentration
Radium,total ❑ ✓❑ Mass
Radium 226,total 0 Concentration
❑✓
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

WATER SUPPLY / 1
n. 1,0. aR. a a aP. Ae. rim - V `---
M P R r P P P P ri i IA y®:oc 0 117m>m —
> es 11 g .I— " a�
r ^
r DIN) r(MI ,CNN T., rCM
Y PK IY Pp it[AK if Picg
Eli H. r i l
Y it
600,000 GAL --- - -Ai - - -- - F%
EL TANK
1ASWU
I.
IMMO PPP
Y _ hr ay
(5 r
TO DISTRIBUTION SYSTEM p 0 - ir El Ms.past rot LA.. IY
esr j I
PM RIfA Al Ea R411 p PM I MN P I Ih1I M
t
Ar IY — o
—T Y r H ;
j r r a
I--
I��'��.�. 1 IFp NI T S 1
1 C i• ,���-1i " rl rl1 / it �- 1 ,\ _._ T1r \ it I�
° r "' " �• r �� r L, r "' r I�
„ ,,f T T TI i L ry 1 Y 1
r I smug ~e r ` r r
g sopa.11 I P fmO.P '1 P 1 9nIDR1 P mmPl P ' P 1
44g "4 .-1 T _ 'T _ T Ir_, °T Ir ,r Ir Ir T w p �T
Y Y Y Y Y
r it
-g r r_
• ■ •• f r r r 1.10 , r r ^�,
o � _ 1 e�e �� r 1
e1 A
u i V ©+A 7��. �r$ m r C r
App0�A CALORNATION Pr 11 P '�P _A bdl Iy ma I[m P arw Ia.M
W6iNoaA it Ir... 'f. 4) ® ��0T1 T T A� 'T�? ♦ If Ir — T �. T Y T� r
SWAMIIr uremTPur j
IT Li A' ll
j u"oo I
'G .k d...u.e ®»AAA kla mum 1` A< P 1 h
gima rm.
C74»dw,sw r.�.K pd»arz..,E r.wwA rap
®r 001 ronlrm N...rA.K IIr siAti Noma --© v.Wax. p TO CREEK
� 100 GPI(OESI N _ £ DISCHARGE
—rely t ra A4.AA NUM w.� [�i:J eo.
WEST CARTERET WATER CORPORATION
FLOW SCHEMATIC
JULY, 2022

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
U.S.Environmental Protection Agency
FORM Application for NPDES Permit to Discharge Wastewater
2E
NPDES cyEPA 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.
0 Outfall Receiving Water Name Latitude Longitude
Number
U
0 1 East Prong Sanders Creek 34° 42' 57.9" N 76° 58' 35.3" W
J
w ° °
0
SECTION 2.DISCHARGE DATE(40 CFR 122.21(h)(2))
2.1 Are you a new or existing discharger?(Check only one response.)
cu ❑ New discharger ❑✓ Existing discharger--> SKIP to Section 3.
N 2.2 Specify your anticipated discharge date:
0
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? all that apply.)
9 (CheckPPIY)
❑ Sanitary wastes 0 Other nonprocess wastewater(describe/explain
❑ Restaurant or cafeteria waste directly below)
a ❑ Non-contact cooling water WTP backwash effluent
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 com3osition.
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?
El Yes ❑✓ No;a waiver has been requested from my NPDES permitting authority
(attach waiver request and additional information) SKIP to Section 5.
4.2 Provide data as requested in the table below.1 (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)
Biochemical oxygen demand(BOD5)
Total suspended solids(TSS) 24 2.9 mg/I Grab
717
Oil and grease
EE
Ammonia(as N) 12 0.09 mg/I Grab
Discharge flow 24 1.519 mgd Meter
pH(report as range) 24 7.7 Grab
Temperature(winter)
Temperature(summer)
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 3510-2E(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP OMB No.2040-0004
4.3 Is fecal coliform believed present,or is sanitary waste discharged(or will it be discharged)?
0 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
report
ed)) Mass Conc. Mass Conc. Instructions.)
Fecal coliform
a)
E. coil
c Enterococci
0 4.5 Is chlorine used(or will it be used)?
U
✓❑ Yes ❑ No 4 SKIP to Item 4.7.
y 4.6 Provide data as requested in the table below.1 (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
La
Parameter or Pollutant Analyses Discharge Discharge (use codes
-c (if actual data (specify units) (specif units) per
r reported) Mass Conc. Mass Conc. instructions)
c
cu
Total Residual Chlorine 2 ug/I 13 Grab
w 4.7 Is non-contact cooling water discharged(or will it be discharged)?
❑ Yes ❑✓ No 4 SKIP to Section 5.
4.8 Provide data as requested in the table below.1 (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (specify units) (sped 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 3 Complete this section. ❑✓ No 4 SKIP to Section 6.
0 5.2 Briefly describe the frequency and duration of flow.
L
SECTION 6.TREATMENT SYSTEM(40 CFR 122.21(h)(6))
6.1 Briefly describe any treatment system(s)used(or to be used).
E
w One 70'x 36'settling lagoon for color filters backwash wastewater with pump station.one 52'x 52'filtering lagoon for
fn softener backwash wastewater with pump station used as overflow only.Twelve 50'x 20'drying beds for green sand
mfilters backwash wastewater. Backwash pumps,transfer pumps,and controls for equipment operation.
?
Co
ai
it 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 3510-2E(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0077143 West Carteret WTP 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.
0
E
0
ac
O
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 El w/attachments(e.g.,responses for additional outfalls)
❑✓ Section 2:Discharge Date El wl attachments
❑✓ Section 3:Waste Types ❑ wl attachments
❑✓ Section 4:Effluent Characteristics El w/attachments
❑✓ Section 5:Flow El w/attachments
o ❑✓ Section 6:Treatment System Elw/attachments
l0
y— El Section 7:Other Information ❑ wl attachments
❑✓ Section 8:Checklist and Certification Statement El wl attachments
y 8.2 Certification Statement
/certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
43
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
Lisa Smith-Perri Executive Director/General Manager
Signature Date signed
?* z.vzz
EPA Form 3510-2E(revised 3-19) Page 3