NC0021181_Renewal (Application)_20100630

NPDES DOCIMENT SCANNING COVER SHEET
NC0021181
Belmont WWTP
NPDES Permit:
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
.
Renewal Application
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
June 30, 2010
This document is printed w . reuse paper - ignore arty
content cwt.-the remzerse side

�.� pust4C
City of •Belmont Wastewater Treatment
"CARD"
June 30, 2010
Mr. Ron Berry
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Berry,
PO Box 431 * Belmont, NC 28012 * www.cityolbclmont.org
Telephone [phone] * Fax [phone]
The enclosed information should contain everything you requested for the completion of
the NPDES permit renewal for the City of Belmont #NC0021181. However this does
not include any information that you need from Jerry Hatton. If you need any further
information from me, please feel free to contact me at 704-825-3791.
Sinc rely,
Sandra M. Craft 1g6(1
City of Belmont
Wastewater ORC
POINT SOURCE BRANCH
Enclosure
Cc: File

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 11, 2010
SANDRA M CRAFT
ORC
CITY OF BELMONT WWTP
PO BOX 431
BELMONT NC 28212
Subject: Receipt of permit renewal application
NPDES Permit NC0021181
Belmont WWTP
Gaston County
Dear Ms. Craft:
The NPDES Unit received your permit renewal application on January 5, 2010. A member of the NPDES
Unit will review your application. They will contact you if additional information is required to complete your
permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit
expires.
If you have any additional questions concerning renewal of the subject permit, please contact Ron Berry at
[phone].
Sincerely,
Suizu
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Isvlooresville Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
2atura!!j

To: Western NPDES Unit
Surface Water Protection Section
Attention: Ron Berry
SOC PRIORITY PROJECT: No
Date: January 29, 2010
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No.: NC0021181
PART I - GENERAL INFORMATION
1. Facility and address: City of Belmont WWTP
Post Office Box 431
Belmont, N.C. 28212
Physical Location
298 Parkdale Drive
Belmont, NC 28212
2. Date of investigation: January 28, 2010
3. Report prepared by: Michael L. Parker, Environmental Engineer II
4. Person contacted and telephone number: Chuck Flowers, Utilities Director; Sandra Craft,
WWTP Superintendent [phone] (WWTP).
5. Directions to site: From the intersection of Hwy. 273 and Catawba Street (Hwy. 7) in
the City of Belmont, travel east on Catawba Street 0.7 mile and turn right on loth street.
Travel 0.3 mile and turn left onto Parkdale Drive. Travel 0.2 mile and bear right into the
entrance to the Belmont WWTP.
6. Discharge point(s), list for all discharge points:
Latitude: 35° 13' 33"
Longitude: 81° 00' 53"
USGS Quad No.: G 14 NE
7. Receiving stream or affected surface waters: Catawba River (Lake Wylie).
a. Classification: WS-IV, B
b. River Basin and Subbasin No.: Catawba 030833
c. Describe receiving stream features and pertinent downstream uses: Lake Wylie
is used for primary and secondary recreation and receives frequent bodily contact.
There are no water intakes. for several miles below the point of discharge,
however, there are other dischargers downstream of this facility.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater: 5.0 MGD (Design Capacity)

Page Two
b. What is the current permitted capacity: 5.0 MGD
c. Actual treatment capacity of current facility (current design capacity): 5.0 MGD
d. Description of existing or substantially constructed WWT facilities: The existing
WWT facilities consist of dual influent bar screens (one mechanical and one
manual), caustic addition (if necessary), a parshall flume with flow meter, grit
chamber with mechanical grit removal system (currently inoperable), dual
aeration basins with mechanical aeration (only one in service), dual secondary
clarifiers, chlorine gas disinfection with contact chamber, effluent parshall flume,
effluent flow measurement with recorder, two aerobic sludge digesters, an aerated
sludge holding tank, a stand-by power generator, and sludge drying beds (not
used).
e. Description of proposed WWT facilities: There are no proposed WWT facilities
at this time.
PART III - OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None requested at this time
.by the City nor are any recommended by this Office.
2. Compliance information: This facility consistently complied with all permit parameters in
2009. The most recent CEI performed at this facility did not find any issues with operations
or maintenance that would warrant a NOV.
PART IV - EVALUATION AND RECOMMENDATIONS
The City of Belmont (the City) requests renewal of the subject permit. There have been no
changes to the existing WWTP and/or the permit since the permit was last renewed nor are any
proposed during the term of the new permit.
In conversations with Mr. Flowers and Ms. Craft during the site visit, the possibility of
including tiered effluent limits in the permit was discussed. The City has lost a number of industrial
customers over the past several years, which has resulted in a significant reduction in hydraulic flow
to the WWTP. Current wastewater flows over the past 12 months are averaging around 1.3 MGD,
which is less than half the hydraulic capacity of the WWTP. Furthermore, the receiving waters have
been found to be impacted by nutrients, which may eventually result in the City having to upgrade to
meet future nutrient effluent limitations. The City hopes that by reducing the permitted flow, they
would be able to postpone future nutrient removal upgrades. One possible scenario being considered
by the City would be to establish effluent limits for 2.0 MGD and 5.0 MGD. If tiered limits are
requested by the City and eventually incorporated into this NPDES permit, it is important that
language also be included in the permit that specifically defines when the City must move from one
permitted flow to the other. Without such written guidance, compliance becomes difficult to
determine, especially when average flows are at or near the lowered tiered limit.

Page Three
Pending a review and approval of this request by the Western NPDES Unit, it is
recommended that the subject permit be renewed.
Signal of Report Preparer
/ et/
D e
Water Quality Regional Supervisor
h:\dsr\dsr 10\belmont doc
Date

Z0l9 ReveiJ
FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
FORM
2A
NPDES
PERMIT ACTION REQUESTED:
Renewal
NPDES FORM 2A APPLICATION
APPLICATION OVERVIEW
RIVER BASIN:
Catawba -Lake Wylie
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to
one or more of the following criteria must complete Part D (Expanded Effluent Te
1. Has a design flow rate greater than or equal to 1mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
�tIVE
JAN - 5 2010
Toxicity Testing Data. A treatment works that meets one or more of the following t ATER Et( '�i i 'l}j l'ng
Data): U C
1. Has a design flow rate greater than or equal to 1 mgd, POINT SOURCE BRANCH
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). Sills are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions Al through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name City of Belmont, Wastewater Treatment Plant
Mailing Address P.O. Box 431
Belmont, N.C. 28212
Contact Person Sandra M. Craft
Title ORC
Telephone Number j704) 825-3791
Facility Address 298 Parkdale Drive
(not P.O. Box) Belmont, N.C. 28212
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number i_L
Is the applicant the owner or operator (or both) of the treatment works?
X❑ owner X❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
X❑ facility ❑ applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES NC 0021181 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Belmont 9500 Sanitary Sewer Municipal
Total population served

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC 0021181
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
❑ Yes X ❑ No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes X ❑ No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12th month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 5.0 mgd
b. Annual average daily flow rate
c. Maximum daily flow rate
Two Years Ago
1.304
Last Year This Year
1.441 1.373
2.233 2.740 2.688
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
x❑ Separate sanitary sewer 100
❑ Combined storm and sanitary sewer
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? X ❑ Yes 0 No
If yes, list how many of each of the following types of discharge points the treatment works uses:
Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent
iii. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
v. Other
1 (one)
None
None
None
None
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? 0 Yes x❑ No
If yes, provide the following for each surface impoundment:
Location: N/A
Annual average daily volume discharge to surface impoundment(s) N/A mgd
Is discharge ❑ continuous or 0 intermittent?
c. Does the treatment works land -apply treated wastewater? 0 Yes X 0 No
If yes, provide the following for each land application site:
Location: NIA
Number of acres: NIA
Annual average daily volume applied to site:
Is land application
N/A mgd
❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
❑ Yes X ❑ No

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC 0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
e.
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
N/A
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number j )
For each treatment works that receives this discharge, provide the
following:
Name
Mailing Address
Contact Person
Title
Telephone Number j )
If known, provide the NPDES permit number of the treatment works
Provide the average daily flow rate from the treatment works into
Does the treatment works discharge or dispose of its wastewater
in A.8. through A.8.d above (e.g., underground percolation, well
If yes, provide the following for each disposal method:
that receives this discharge
the receiving facility. mgd
in a manner not included
injection): ❑ Yes x❑ No
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC 0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number 001
b. Location Belmont, N.C. (Lake Wylie) 28212
(City or town, if applicable)
Gaston
(Zip Code)
North Carolina
(County) (State)
35-13-37 81-00-52
(Latitude) (Longitude)
c. Distance from shore (if applicable) 345 ft.
d. Depth below surface (if applicable) 1223 ft.
e. Average daily flow rate 1.560 mgd
f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes x D No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge: mgd
Months in which discharge occurs:
g. Is outfall equipped with a diffuser? 0 Yes X ❑ No
A.10. Description of Receiving Waters.
a. Name of receiving water Catawba River
b. Name of watershed (if known) Lake Wylie
United States Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin (if known):
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute N/A cfs chronic N/A cfs
e. Total hardness of receiving stream at critical low flow (if applicable): N/A mg/l of CaCO,

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catabwa-Lake Wylie
A.11. Description of Treatment
a. what level of treatment are provided? Check all that apply.
❑ Primary x❑ Secondary
❑ Advanced 0 Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 85 %
Design SS removal 85
Design P removal 0 %
Design N removal 0 %
Other N/A 04
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine
If disinfection is by chlorination is dechlorination used for this outfall? x ❑ Yes ❑ No
Does the treatment plant have post aeration? 0 Yes x ❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number. 001
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
Value
Units
Value
Units
Number of Samples
pH (Minimum)
7.07
s.u.
pH (Maximum)
7.42
s.u.
Flow Rate
1.906
mgd
1.373
mgd
3
Temperature (Winter)
14.0
c
14.0
c
3
Temperature (Summer)
28.0
c
22.9
c
3
* For pH please report a minimum and a maximum daily value
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLJMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
DEMAND (Report one)
BOD5
16.0
mg/I
7.6
mgll
3
SM5210B
2.0
CBOD5
FECAL COLIFORM
55.0
col/100ml
6.0
com100
3
SM9222D
2.0
TOTAL SUSPENDED SOLIDS (TSS)
17.0
mgll
10.2
mg/I
3
SM2540D
1.0
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

' FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC002118
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate >_ 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day
20,000 gpd
that flow into the treatment works from inflow and/or infiltration.
Briefly explain any steps underway or planned to minimize inflow and infiltration.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within'/. mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes xD No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number: j )
Responsibilities of Contractor:
B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
0 Yes ❑ No

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
c. If the answer to B.5.b is "Yes," briefly
describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed
applicable. For improvements
applicable. Indicate
Implementation Stage
- Begin Construction
- End Construction
- Begin Discharge
- Attain Operational
e. Have appropriate
Describe briefly:
by any compliance schedule
planned independently
dates as accurately as possible.
Level
permits/clearances concerning other
or any actual dates of completion for the implementation steps listed
of local, State, or Federal agencies, indicate planned or actual completion
Schedule Actual Completion
MM/DD/YYYY MM/DD/YYYY
below, as
dates, as
Yes ❑ No
/ / / /
/ / / /
/ / / /
/ / 1 I
Federal/State requirements been obtained? ❑
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD
Applicants that discharge to waters of the US must
effluent testing required by the permitting authority
on combine sewer overflows in this section. All information
using 40 CFR Part 136 methods. In addition, this data
QA/QC requirements for standard methods for analytes
based on at least three pollutant scans and must be
Outfall Number: 001
ONLY).
provide effluent testing data for the following parameters. Provide
for each outfall through which effluent is discharged. Do not include
the indicated
information
conducted
other appropriate
data must be
reported must be based on data collected through analysis
must comply with QA/QC requirements of 40 CFR Part 136 and
not addressed by 40 CFR Part 136. At a minimum effluent testing
no more than four and on -half years old.
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MIJMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
.54
mgll
.39
mg/l
3
350.1
0.10
CHLORINE (TOTAL
RESIDUAL, TRC)
.10
mgll
.10
mgll
3
SM4500 CL G
0.10
DISSOLVED OXYGEN
8.82
mg/I
8.26
mgli
3
SM4500 OG
2.00
TOTAL KJELDAHL
NITROGEN (TKN)
3.1
mg/1
1.5
mg/I
3
351.2
0.50
NITRATE PLUS NITRITE
NITROGEN
21
mg/1
20
mg/I
3
353.2
0.20
OIL and GREASE
4.8
mg/1
4.6
mgll
3
1664 A
4.8
PHOSPHORUS (Total)
20.0
mg/I
9.3
mgll
3
365.1
0.50
TOTAL DISSOLVED SOLIDS
(TDS)
630
mg/1
587
mgll
3
SM 2540 C
10
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
c - ° Lake Wylie
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
x❑ Basic Application Information packet Supplemental Application Information packet:
x❑ Part D (Expanded Effluent Testing Data)
x❑ Part E (Toxicity Testing: Biomonitoring Data)
x❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPUCANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
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 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 and official title Barry L. Webb, City Manager�
Signature 4
Telephone number 70 ,,4)JJ) 825- 86
Date signed
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENRI DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE,
PHENOLS,
AND HARDNESS.
ANTIMONY
.0058
mg/I
.065
lbs
.0047
mg/I
.061
Ibs
3
200.8
.001
ARSENIC
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
200.8
.001
BERYLLIUM
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
200.8
.0004
CADMIUM
.0013
mg/I
.002
Ibs
.0001
mg/I
.0014
Ibs
3
200.8
.001
CHROMIUM
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
200.8
.005
COPPER
.017
mgll
.270
Ibs
.016
mg/I
.208
Ibs
3
200.8
.001
LEAD
ND
mg/1
ND
lbs
ND
mgll
ND
Ibs
3
200.8
.001
MERCURY
.0088
mg/I
.099
lbs
.0080
mg/I
.104
Ibs
3
245.1
.0080
NICKEL
ND
mg/1
ND
lbs
ND
mg/I
ND
Ibs
3
200.8
.005
SELENIUM
ND
mg/I
ND
lbs
ND
mg/I
ND
Ibs
3
200.8
.001
SILVER
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
200.8
.001
THALLIUM
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
200.8
.0005
ZINC
.24
mg/I
3.82
lbs
.16
mg/I
2.08
lbs
3
200.8
.01
CYANIDE
ND
mg/I
ND
Ibs
ND
mg/I
ND
lbs
3
SM 4500 CNE
.010
TOTAL PHENOLIC
COMPOUNDS
.015
mg/I
.168
Ibs
.001
mg/I
.143
lbs
3
420.4
.0050
HARDNESS (as CaCO3)
68
mgll
762
lbs
59
mg/I
768
Ibs
3
SM 2340 C
10
Use this space (or a separate sheet) to provide information on other metals requested by the permit write

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
ND
mg/I
ND
Ibs
ND
mgll
ND
Ihs
3
8260 B
.005
ACRYLONITRILE
ND
mgll
ND
Ibs
ND
mgll
ND
Ibs
3
8260 B
.005
BENZENE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
BROMOFORM
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ihs
3
8260 B
.001
CARBON
TETRACHLORIDE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
CHLOROBENZENE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
CHLORODIBROMO-
METHANE
ND
mgll
ND
Ibs
ND
mg/I
NO
Ibs
3
8260 B
.001
CHLOROETHANE
.0035
mg/I
.080
Ibs
.005
mg/I
.065
Ibs
3
8260 B
.005
2-CHLOROETHYLVINYL
ETHER
ND
mg/I
ND
Ibs
ND
rng/I
ND
Ibs
3
8260 B
.001
CHLOROFORM
.0062
mg/I
.074
Ibs
.0035
mg/I
.046
Ibs
3
8260 B
.001
DICHLOROBROMO-
METHANE
.0036
mg/I
.043
Ibs
.0024
mgll
.031
Ibs
3
8260 B
.001
1,1-DICHLOROETHANE
ND
mgll
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
1,2-DICHLOROETHANE
ND
mg/I
ND
Ibs
ND
mgll
ND
Ibs
3
8260 B
.001
TRANS-I,2-DICHLORO-
ETHYLENE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
1,1-DICHLORO-
ETHYLENE
ND
mgll
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001
1,2-DICHLOROPROPANE
ND
mgll
ND
Ibs
ND
mg/I
ND
lbs
..
8260 B
.001
1,3-DICHLORO-
PROPYLENE
ND
mgll
ND
Ibs
ND
mg/I
NO
Ibs
3
8260 B
.001
ETHYLBENZENE
ND
mg/I
ND
Ibs
ND
mg/I
ND
lbs
3
8260 B
.001
METHYL BROMIDE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.002
METHYL CHLORIDE
ND
mg/I
ND
Ibs
ND
mgll
ND
Ibs
3
8260 B
.002
METHYLENE CHLORIDE
ND
mgll
ND
Ibs
ND
mg/l
ND
Ibs
3
8260 B
.001
1,1,2,2-TETRA
CHLOROETHANE
ND
mg/I
ND
Ibs
ND
mg/I
ND
lbs
3
8260 B
.001
TETRACHLORO-
ETHYLENE
ND
mgll
ND
Ibs
ND
mgll
ND
Ibs
3
8260 B
.001
TOLUENE
ND
mg/I
ND
Ibs
ND
mg/I
ND
Ibs
3
8260 B
.001

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
1,1,1-
TRICHLOROETHANE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
1,1,2
TRICHLOROETHANE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
TRICHLOROETHYLENE
ND
ugll
ND
Ibs
ND
ugll
ND
Ibs
3
8260 B
1.0
VINYL CHLORIDE
ND
ug/I
ND
Ibs
ND
ugll
ND
Ibs
3
8260 B
2.0
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
2-CHLOROPHENOL
ND
ug/I
ND
Ibs
ND
ug/1
ND
Ibs
3
8270 C
1.0
2,4-DICHLOROPHENOL
ND
ug/1
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
2,4-DIMETHYLPHENOL
ND
ug/1
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
4,6-DINITRO-O-CRESOL
2,4-DINITROPHENOL
ND
ug/I
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
2-NITROPHENOL
ND
ugA
ND
Ibs
ND
ug/1
ND
Ibs
3
8270 C
2.0
4-NITROPHENOL
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.1
PENTACHLOROPHENOL
ND
ug/1
ND
lbs
ND
ug/I
ND
lbs
3
8270 C
5.1
PHENOL
ND
ug/I
ND
Ibs
ND
ug/l
ND
Ibs
3
8270 C
1.0
2,4,6-
TRICHLOROPHENOL
ND
ug/I
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
ACENAPHTHYLENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
ANTHRACENE
ND
ug/I
ND
Ibs
ND
ug/1
ND
Ibs
3
8270 C
1.0
BENZIDINE
ND
ugA
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
BENZO(A)ANTHRACENE
ND
ugA
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
BENZO(A)PYRENE
ND
ugA
ND
Ibs
ND
ug/l
ND
Ibs
3
8270 C
1.0

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLIMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
3,4 BENZO-
FLUORANTHENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BENZO(GHI)PERYLENE
ND
ug/I
ND
lbs
ND
ugll
ND
Ibs
3
8270 C
1.0
BENZO(K)
FLUORANTHENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BIS (2-CHLOROETHOXY)
METHANE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BIS (2-CHLOROETHYL)-
ETHER
ND
ug/1
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BIS (2-CHLOROISO-
PROPYL) ETHER
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BIS (2-ETHYLHEXYL)
PHTHALATE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
4-BROMOPHENYL
PHENYL ETHER
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
BUTYL BENZYL
PHTHALATE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
2-CHLORO-
NAPHTHALENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
4-CHLORPHENYL
PHENYL ETHER
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
CHRYSENE
ND
ugll
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
DI-N-BUTYL PHTHALATE
ND
ug/I
ND
Ibs
ND
ug/I
ND
lbs
3
8270 C
5.0
DI-N-OCTYL PHTHALATE
ND
ug/I
ND
lbs
ND
ug/I
ND
Ibs
3
8270 C
5.0
DIBENZO(A,H)
ANTHRACENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
1,2-DICHLOROBENZENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
1,3-DICHLOROBENZENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
1,4-DICHLOROBENZENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
3,3-DICHLORO-
BENZIDINE
ND
ugll
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
DIETHYL PHTHALATE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
DIMETHYL PHTHALATE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
5.0
2,4-DINITROTOLUENE
ND
ug/I
ND
Ibs
ND
ug/1
ND
Ibs
3
8270 C
2.0
2,6-DINITROTOLUENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
2.0
1,2-DIPHNYL-
HYDRAZINE
ND
ug/I
ND
Ibs
ND
ug/I
ND
lbs
3
8270 C
1.0

FACIUTY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
FLUORANTHENE
ND
ug/l
ND
Ibs
ND
ug/I
ND
lbs
3
8270 C
1.0
FLUORENE
ND
ug/I
ND
lbs
ND
ugll
ND
lbs
3
8270 C
1.0
HEXACHLOROBENZENE
ND
ugll
ND
lbs
ND
ugll
ND
lbs
3
8270 C
1.0
HEXACHLORO-
BUTADIENE
ND
ugh
ND
Ibs
ND
ugh
ND
lbs
3
8270 C
1.0
HEXACHLOROCYCLO-
PENTADIENE
ND
ug/1
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
5.0
HEXACHLOROETHANE
ND
ug/l
ND
Ibs
ND
ug/l
ND
Ibs
3
8270 C
1.0
INDENO(1,2,3-CD)
PYRENE
ND
ugll
ND
Ibs
ND
ugil
ND
Ibs
3
8270 C
1.0
ISOPHORONE
ND
ugll
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
NAPHTHALENE
ND
ugh
ND
Ibs
ND
ugll
ND
Ibs
3
8270 C
1.0
NITROBENZENE
ND
ug/I
ND
lbs
ND
ugll
ND
Ibs
3
8270 C
1.0
N-NITROSODI-N-
PROPYLAMINE
ND
ugh
ND
Ibs
ND
ug/I
ND
lbs
3
8270 C
1.0
N-NITROSODI-
METHYLAMINE
ND
ug!I
ND
lbs
ND
ugll
ND
Ibs
3
8270 C
1-0
N-NITROSODI-
PHENYLAMINE
ND
ugll
ND
Ibs
ND
ug/I
ND
Ibs
3
8270 C
1.0
PHENANTHRENE
ND
ug/I
ND
Ibs
ND
ugll
ND
lbs
3
8270 C
1.0
PYRENE
ND
ug/I
ND
lbs
ND
ug/I
ND
lbs
3
8270 C
1.0
1,2,4
TRICHLOROBENZENE
ND
ug/I
ND
Ibs
ND
ug/I
ND
Ibs
3
8260 B
1.0
Use this space (or a separate sheet) to
provide information
on
other base -neutral compounds
requested
by the permit
writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g , pesticides) requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used, report the reasons for using altemate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent
x❑ chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 1 Test number. 2 Test number. 3
a. Test information.
Test Species & test method number
Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
11/15/09,11/17/09,11/19/09
5/17/09,5/19/09,5/21/09
2/15/09,2/17/09,2/19/09
Date test started
11/17/09
5/19/09
2/17/09
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection me hod(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC00121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Test number: 1 Test number: 2 Test number. 3
e_ Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before Rive
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
x
x
x
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
x
x
x
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
x
x
x
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
x
x
x
Salt water
j. Give the percentage effluent used for all concentrations in the test serves.
2,4,8,16,32 %
2,4,8,16,32 %
2,4,8,16,32 %
k. Parameters measured during he test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
97.5 %
100 %
92.5 %
LC50
95% C.I.
Control percent survival
97.5 %
100 %
92.5 %

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Chronic:
NOEC
PASS %
PASS
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
97.5 %
100 %
92.5 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acceptable bounds?
YES
YES
YES
What date was reference toxicant test
run (MM/DD/YYYY)?
11/17/2009
5119/2009
2/17/2009
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes X❑ No
Is the treatment works involved in a Tox city Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
Rl..(ER BA:
("°� �SINake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent
IX chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number. 4 Test number: 5 Test number. 6
a. Test information.
Test Species & test method number
Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
11/12/08, 11/17/08
8/13/08, 8/18/08
5/14/08, 5/20/08
Date test started
11/13/08
8/15/08
5/16/08
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC00121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
flake Wylie
Test number. 4 Test number: 5 Test number. 6
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before Rive
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
x
x
x
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
x
x
x
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
x
x
x
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
x
x
x
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
8 %
8 %
8 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
100 %
100 %
100 %
LCso
95% C.I.
%
%
%
Control percent survival
100 %
100 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal Colo.
RIVER B IN:
ake Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acceptable bounds?
YES
YES
YES
What date was reference toxicant test
run (MM/DD/YYYY)?
11/13/08
8/15/08
5/16/08
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes K No
Is the treatment works involved in a Tox city Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
it
(..t°``"')Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used, report the reasons for using altemate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent
XI chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 7 Test number. 8 Test number. 9
a. Test information.
Test Species & test method number
Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
2/13/08, 2/18/08
11/07/07, 11/12/07
8/15/07, 8/20/07
Date test started
2/15/08
11/09/07
8/16/07
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NCOO121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BA IN:
r24040,40 ake Wylie
Test number: 7 Test number: 8 Test number. 9
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before Rive
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
x
x
x
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
x
x
x
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
x
x
x
Receiving water
i. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
x
x
x
Salt water
j. Give the percentage effluent used for all concentrations in the test senes.
8 %
8 %
8 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100°%
effluent
100 %
83 %
92 %
LC50
95°% C.I.
%
%
%
Control percent survival
100 %
91 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
R VER B N:
ake Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acceptable bounds?
YES
YES
YES
What date was reference toxicant test
run (MM/DD/YYYY)?
2/15/08
11/09/07
8/16/07
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes .rxf No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitortng Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
nRIVER B` SIN:
�'0" ?Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• if you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used, report the reasons for using altemate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent
k chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number. 10 Test number. 11 Test number. 12
a. Test information.
Test Species & test method number
Ceriodaphnia
Ceriodaphnia
Ceriodaphnia
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
5/16/07, 5/17/07
2/14/07, 2/19/07
11/13/06, 11/16/06
Date test started
5/17/07
2/16/07
11/15/06
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
144-189
144-189
144-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC00121181
PERMIT ACTION REQUESTED:
Renewal°"'
RIyER ASIN//
ake Wylie
Test number: 10 Test number: 11 Test number: 12
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before Rive
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
x
x
x
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
x
x
x
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
x
x
x
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
x
x
x
Salt water
j. Give the percentage effluent used for all concentrations in the test serves.
8%
8%
8%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Resits.
Acute:
Percent survival in 100%
effluent
100 %
100 %
100 %
LC50
95% C.I.
%
%
%
Control percent survival
100 %
100 %
100 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN)
bbLa//ke Wylie
Chronic:
NOEC
PASS %
PASS %
PASS
IC25
PASS %
PASS %
PASS %
Control percent survival
100 %
91 %
100 %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acceptable bounds?
YES
YES
YES
What date was reference toxicant test
run (MWDD/YYYY)?
5/17l07
2/16/07
11115/06
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes :rit No
Is the treatment works involved in a Tox city Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results.
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information, or information regarding the
the information was submitted to the permitting authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
x❑ Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical Sills. 0
b. Number of CIUs. 1
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Spartan Dyers Inc.
Mailing Address: P.O. Box 790
Belmont, N.C. 28012
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Commission Yam Dyeing
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Dyed Yam.
Raw material(s): Yam, Electrolytes, (NaCI, Na2, SO4) Weak Organic Acids, Soda Ash, Sodium Hydro Sulfite, Softners, Detergent
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
175.400 gpd ( continuous or X intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
15,500 gpd ( continuous or X intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits X ❑ Yes ❑ No
b. Categorical pretreatment standards ❑ Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
N/A

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must indude quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used, report the reasons for using altemate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent
© chronic ❑ acute
E.2. Individual Test Data. Complete the
column per test (where each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 1 Test number: 2 Test number. 3
a. Test information.
Test Species & test method number
Chronic Fathead -Minnow
Multi -Concentration
Chronic Fathead -Minnow
Multi -Concentration
Chronic Fathead -Minnow
Multi -Concentration
Age at initiation of test
<24 hrs
<24 hrs
<24 hrs
Outfall number
001
001
001
Dates sample collected
2/15/09,2/17/06,2/19/09
5/17/09,5/19/09,5/21/09
8/16/09,8/18/09,8/20/09
Date test started
2/17/09
5/19/09
8/18/09
Duration
24 hrs
24 hrs
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Chronic Manual
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
EPA-600-4-91-002 July 94
Page number(s)
58-139
58-139
58-139
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X

'FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC00121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Test number: 1 Test number: 2 Test number: 3
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
Before River
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
i. Type of dilution water. If salt water, specify `natural" or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2,4,8,16,32 %
2,4,8,16,32 %
2,4,8,16,32
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
LC50
95% C.I.
Control percent survival
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Chronic:
NOEC
>32%
>32%
>32%
IC25
>32%
>32%
>32%
Control percent survival
90 %
100 %
97.5 %
Other (describe) ChV
>32%
>32%
>32%
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
YES
YES
Was reference toxicant test within
acceptable bounds?
YES
YES
YES
What date was reference toxicant test
run (MM/DD/YYYY)?
2/10/2009
5/9/2009
8/1/2009
Other (describe)

E.1. Required Tests.
Indicate the number of whole effluent
® chronic 0 acute
E.2. Individual Test Data. Complete the
column per test (when: each species
toxicity tests conducted in the past four and one-half years.
following chart for each whole effluent toxicity test conducted in the last four and one-half vears. Allow one
constitutes a test). Copy this page if more than three tests are being reported.
Test number: 4 Test number. Test number:
a. Test information.
Test Species & test method number
Chronic Fathead -Minnow
Multi -Concentration
Age at initiation of test
<24 hrs
Outfall number
001
Dates sample collected
11/15/09.11/17/09.11119/09
Date test started
11/17/09
Duration
24 hrs
b. Give toxicity test methods followed.
Manual title
Chronic Manual
Edition number and year of publication
EPA-600-4-91-002 July 94
Page number(s)
58-139
c_ Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC00121181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Test number: 4 Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Before River
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2,4,8,16,32 %
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
Salinity
Temperature
yes
Ammonia
Dissolved oxygen
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
97.5
LC50
95% C.I.
ye
Control percent survival
97.5 %
Other (describe)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
Chronic:
NOEC
>32%
IC25
>32%
Control percent survival
97.5 %
Other (describe) ChV
>32%
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
YES
Was reference toxicant test within
acceptable bounds?
YES
What date was reference toxicant test
run (MM/DD/YYYY)?
11103/09
Other (describe)
E.3. Toxicity Reduction Evaluation.
❑ Yes © No
Is the treatment works involved in a Toxicity Reduction Evaluation?
If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have
cause of toxicity, within the past four and one-half years, provide the dates
of the results_
Date submitted: / / (MM/DD/YYYY)
submitted biomonitoring test information,
the information was submitted to the
permitting
or information regarding the
authority and a summary
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes X ❑ No if yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
0 Yes X ❑ No (go to F.12)
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
❑ Truck 0 Rail 0 Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
0 Yes (complete F.13 through F.15.) x❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
0 Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system, complete Part G.
G.1. System Map. Provide a
a. All CSO discharge
b_ Sensitive use areas
outstanding natural
c. Waters that support
G.2. System Diagram. Provide
includes the following information.
a. Location of major sewer
b. Locations of points
c. Locations of in -line
d. Locations of flow -regulating
e. Locations of pump
CSO OUTFALLS:
map indicating the following: (may be included with Basic Application Information)
points.
potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
resource waters).
threatened and endangered species potentially affected by CSOs.
a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that
trunk lines, both combined and separate sanitary.
where separate sanitary sewers feed into the combined sewer system.
and off-line storage structures.
devices.
stations.
Complete questions G.3 through
G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outfall number
b. Location
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude)
c. Distance from shore
d. Depth below surface
e. Which of the following
❑ Rainfall
0 CSO flow
f. Flow many storm events
G.4. CSO Events.
a. Give the number of
(Longitude)
(if applicable) ft.
(if applicable) ft.
were monitored during the last year for this
❑ CSO pollutant concentrations
volume 0 Receiving water quality
were monitored during the last year?
CSO events in the last year.
events (❑ actual or ❑ approx.)
CSO?
0 CSO frequency
b. Give the average duration per CSO event.
hours (0 actual or 0 approx.)

FACILITY NAME AND PERMIT NUMBER:
City of Belmont, NC0021181
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Catawba -Lake Wylie
G.5.
G.6.
c. Give the average volume per CSO event.
million gallons (❑ actual or 0 approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code
c. Name of State Management/River Basin:
(if known):
United States Geological Survey 8-digit hydrologic cataloging unit
CSO Operations.
Describe any known water quality impacts on the receiving water caused
intermittent shell fish bed closings, fish kills, fish advisories, other recreational
code (if known):
by this CSO (e.g., permanent or intermittent beach closings, permanent or
loss, or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.

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Receiving Stream:
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81° 00' 53"
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City of Belmont WWTP
Gaston County
NC0021181

DIGESTER NO. 2
(EAST)
DIGESTER NO. 1
(WEST)
0, Z-6 Z M 6-
8-S
LEGEND
PUMP
AERATOR
MIXER
PLUG VALVE & GATE VALVE
CHECK VALVE
SLUICE LATE
FLOW METER
STRUCTURE
WASTEWATER (Ww)
RETURN ACTIVATED SLUDGE (RAS)
WASTE ACTIVATED SLUDGE (WAS)
DIGESTED SLVDGE (DS)
SUPERNATANT (S)
FLOW ARROW
DIGESTER
BUILDING
Z
a
WW-2
DS-8
HTM-3
DIGESTER SLUDGE
PUMPS
8-WAS
•
12"
WAS-14 THRU
WAS-23
SLUDGE HOLDINM
TANK r../
B'S
5-7
30" W W
PARSHALL FLUME
INFLUENT METER
GRIT REMOVAL
MECHANICAL BAR
SCREEN
PRETREATMENT
(HEADWORKS)
PLANT
INFLUENT
05-10
DS49
TM-2
HOLDING TANK
PUMP STATION
8"OS
6"WAS
4-Ds
SLUDGE TO
LAND DISPOSAL T
SLUDGE PUMPS
e_ 8-WAS
AERATION BASIN
NO. 2 (EAST)
O
EA-1 EA-2 EA-5
WW-12
a
N
WW-3
0
WA-3
WA-2
RAS-11
RAS-8
(6)
EA-3
EA-4
RAS-12 RAS-13
ry
Wt4-14
WW-SN
RAS-9 RAS-10
WA-4 O 5
0_1
wA-•7
AERATION BASIN 3, 9 /116
NO. 1 (WEST)
0
WA-6
0
WA-8
20-RAS
8 WAS
WAS-10
WAS FLOW
METER—
RAS FLOW
METER
FIGURE 11.1
V/ASTERWATER AND SLUDGE HANDLING
SCHEMATIC
SLUDGE PUMP STATION
WAS-11
WAS-9
WAS-8
11
WAS-7
WAS-6
-- �Z
� I RAS-6 �2
RAS-4
I
L RAS-5
I I
20-RAS J
f — — —
JI
WW-9
30"ww
WW-8
WW-7
30-WW
ri
WW-6
14,
RAS--3
WAS-4 'tip L
SCUM
PIT
RAS-2
`WAS
iti
34 p
r 6 BPS
0/ CHLORINE CONTACT
WAS-5
RAS-7
CLARIFIER NO. 2
(EAST)
\�.
r
WAS-2
WAS-1
�/
CLARIFIER ND. 1
(WEST)
24-RAS
RAS-1
Pr-
WAS PUMPS
RAS PUMPS
SCUM PUMP
WAS-3
24"Ww
3O"WW
CHLORINE FEED
SYSTEM
TANK r),/O%MG
0.376 M6 3" DIFFUSER , "M'-1D
30" BYPASS
EFFLUENT METER
W.W.T.P.
EFFLUENT
30"Ww
WW-11

ee,t wwr ' wtA) 1 ! _ Ziv 5Pi--Gi ��-
Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont
Laboratory: ETT Environmental, Inc.
NPDES # NC0021181 Pi
Signature of Operator in Responsible Charge
Signature of Laboratory Supervisor
pe #: 001 County: Gaston
Comments!
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 8-Dec-15
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
2
Surviving #
Original #
Wt/original (mg)
4
Surviving #
Original #
Wt/original (mg)
8
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
16
32
Water Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) tnit/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp at Receipt ( C)
Dilution H2O
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
/ 1530
2
3
4
Avg Wt/Surv. Control
10
10
10
9
10
10
10
9
0.6160
0.6450
0.6130
0.7378
10
10
10
10
10
10
10
10
0.5150
0.6600
0.6660
0.5970
9
10
9
9
10
10
9
10
0.5700
0.6090
0.7578
0.5390
10
10
9
9
10
10
10
9
0.6930
0.6260
0.6260
0.8078
10
10
10
10
10
10
10
10
0.6060
0.7010
0.6610
0.7550
10
9
8
10
10
9
8
10
0.8330
0.7022
0.7163
0.8810
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
0.6530
100.0%
0.6530
100.0%
0.6095
94.9%
0.6190
97.4%
0.6882
100.0%
0.6808
100.0%
0.7831
0
1
2
3
4
5
8.2
/
7.6
7.8
/
7.7
7.9
/
7.5
8.0
/
7.5
8.1
/
7.2
7.8
/
7.6
7.8
/
7.8
7.7
/
6.6
7.1
/
5.7
7.7
/
5.3
7.8
/
6.3
7.9
/
4.3
7.4
/
5.4
7.6
/
6.1
25.0
/
24.9
24.9
1
25.4
24.7
/
25.4
24.6
/
24.8
24.6
1
25.3
24.8
/
24.7
24.5
/
25.4
0
1
2
3
4
5
7.7
/
7.6
7.6
/
7.4
7.7
/
7.4
7.8
/
7.3
8.0
/
7.2
7.6
/
7.3
7.7
/
7.6
8.1
/
6.9
7.4
/
5.0
8.3
/
4.9
7.9
/
4.7
8.0
/
4.3
7.5
/
4.8
7.7
/
5.8
25.0
1
24.9
24.5
/
25.4
25.0
/
25.4
24.7
1
24.8
24.4
/
25.3
24.8
/
24.7
24.3
/
25.4
1
2
3
12-7-15
12-09-15
12-10-15
24 hr
24 hr
24 hr
40.0
47.0
47.0
21.4
31.1
36.0
572
1057
1266
<0.05
_ <0.05
0.06
0.6
1.4
2.4
50.0
46.80
211
Test Organisms
PlCultured In -House
u X Outside Supplier
Hatch Date: < 48 hrs
Hatch Time: 1000-1000
Survival Growth Overall Result
Normal III no I I yes ChV
Hom. Var. no ❑ yes
NOEC 32.0% 32.0%
LOEC >32.0% >32.0%
ChV >32.0% >32.0%
Method Steels Dunnetts
>32%
Stats Survival Growth
Conc. Critical Calculated Critical Calculated
2 10 18 2.41 0.70
4 10 14 2.41 0.61
8 10 16 2.41 -0.64
16 10 18 2.41 -0.50
32 10 18 2.41 -2.35
DWQ Form AT-5 (1/04)
Page 2 of 6

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont
Laboratory: ETT Environmental, Inc.
NPDES # NC00 21181 Pi
x
Signature of Operator in Responsible Charge
x
Signature of Laboratory Supervisor
pe #: 001 County: Gaston
Comments!
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 12-May-15 / 1628
% Eff.
Control
Repi.
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wtloriginal (mg)
Surviving #
Original #
Wtloriginal (mg)
2
4
8
Surviving #
Original #
Wtloriginal (mg)
16
Surviving #
Original #
Wt/original (mg)
32
Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp at Receipt ( C)
Dilution H2O
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhoslcm)
1
2
3
Avg Wt/Surv. Control
10
9
10
10
10
9
10
10
0.7530
0.7811
0.7590
0.7440
9
10
10
10
10
10
10
10
0.7790
0.8990
0.8030
0.6700
9
10
10
10
9
10
10
10
0.7700
0.6260
0.7470
0.7000
10
9
8
6
-
10
9
8
8
0.7340
0.8111
0.7450 _
0.9200
10
9
5
10
10
9
7
10
0.7120
0.7633
0.5843
0.7800
8
9
9
10
9
10
9
10
0.6467
0.5300
0.8156
0.8680
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
Survival
Avg Wt (mg)
0.759
100.0%
0.7593
97.5%
0.7878
100.0%
0.7108
96.4%
0.8025
92.9%
0.7099
94.7%
0.7151
1
2
3
4
5
6
7.8
/
7.6
8.2
/
7.8
7.9
/
7.4
7.9
/
7.5
8.0
/
8.4
8.2
/
7.8
7.8
/
7.5
7.4
/
6.3
7.9
/
6.4
8.1
/
5.6
8.1
/
6.3
8.0
/
6.5
8.3
/
5.6
7.6
/
6.7
25.0
1
25.1
25.1
/
25.2
24.7
1
25.2
24.8
/
24.9
24.8
/
25.2
25.0
I
25.4
24.8
/
24.9
0
1
2
3
4
5
6
7.6
/
7.7
7.7
/
7.7
7.8
/
7.5
7.7
/
7.5
7.8
/
7.8
8.0
/
7.4
7.9
/
7.6
7.8
/
7.2
7.9
/
6.6
8.6
/
6.4
8.1
/
5.6
8.0
/
6.4
8.5
/
5.3
7.9
/
6.2
25.0
/
25.1
24.9
/
25.2
24.5
/
25.2
24.7
/
24.9
24.5
1
25.2
24.7
/
24.4
24.8
/
24.9
1
2
3
5-11-15
5-13-15
24 hr
24 hr
38.0
0.8
61.5
45.1
808
1145
_
<0.05
<0.05
0.6
_ 1.7
50.0
39.10
248
Survival Growth
Normal 7 no [] yes
Horn. Var. ❑ no yes
NOEC 32.0% 32.0%
LOEC >32.0% >32.0%
ChV >32.0% >32.0%
Method Steels Dunnetts
Test Organisms
)Cultured In -House
U X Outside Supplier
Hatch Date: 5-12-15
Hatch Time: 0730-0900
Overall Result
ChV
>32%
Stats Survival Growth
Conc. Critical Calculated Critical Calculated
2 10 17.5 2.41 -0.43
4 10 18 2.41 0.73
8 10 13 2.41 -0.65
16 10 15.5 2.41 0.75
32 10 13 2.41 0.67
t%
DWQ Form AT-5 (1/04)
Page 2 of 5

Ncov2�IsSl
Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
x
Facility: Belmont
Laboratory: ETT Environmental, Inc.
NPDES # NC00 21181 Pi
Signature of Operator in Responsible Charge
x
Signature of Laboratory Supervisor
pe #: 001 County: Gaston
Comments!
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 10-Nov-15
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
2
Surviving #
Original #
Wt/original (mg)
4
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
8
16
Surviving #
Original #
Wt/original (mg)
32
Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) init/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) Init/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp at Receipt ( C)
Dilution H2O
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
/ 1650
2
3
4
Avg Wt/Surv. Control
10
10
9
10
10
10
9
10
0.8260
0.9100
0.8920
0.9610
10
10
8
9
10
10
10
9
0.8640
0.8870
0.8660
0.9311
10
10
10
10
10
10
10
10
0.7770
0.9590
0.7900
1.0070
8
9
9
10
10
10
10
10
0.6840
0.8290
0.8960
0.9200
10
10
10
6
10
10
10
10
1.0000
1.1400
0.9860
0.6620
9
9
10
9
9
10
10
10
1.0078
0.9100
1.0220
0.8510
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
0.8973
100.0%
0.8973
94.9%
0.8870
100.0%
0.8833
90.0%
0.8323
90.0%
0.9470
94.9% 1
0.9477
0
1
2
3
4
5
6
8.3
/
7.3
7.4
/
6.5
7.8
/
7.3
7.8
/
7.3
7.8
/
7.2
7.8
/
7.5
7.9
/
7.4
8.1
/
5.5
6.2
/
7.7
7.7
/
6.0
7.4
/
5.3
7.2
/
5.8
7.3
/
6.3
8.1
/
6.1
24.7
1
24.6
24.5
/
24.9
24.6
/
24.9
24.9
/
24.7
24.5
1
24.7
24.6
/
24.8
24.4
/
24.5
0
1
2
3
4
5
6
7.9
/
7.3
8.0
/
7.3
7.7
/
7.3
7.7
/
7.3
7.6
/
7.4
7.6
/
7.4
7.8
/
7.4
7.9
/
5.9
7.8
/
5.4
7.7
/
5.6
8.1
/
5.4
7.8
/
5.7
7.1
/
6.1
8.1
/
5.6
25.0
1
24.6
24.3
/
24.9
_ 24.4
/
24.9
25.1
/
24.7
25.2
/
24.7
24.3
/
24.8
24.5
/
24.5
1
2
3
11-9-15
11-11-15
11-12-15
24 hr
24 hr
24 hr
46.0
48.0
48.0
26.9
72.0
52.0
517
869
960
<0.05
<0.05
<0.05
0.8
0.0
0.2
50.0
46.80
211
Normal
Horn. Var.
NOEC
LOEC
ChV
Survival
11
Test Organisms
I
Cultured In -House
u X Outside Supplier
Hatch Date: 11/9-11/10
Hatch Time: 1500-1000
Growth Overall Result
no ❑ yes ChV
yes 1 I yes
32.0% 32.0%
>32.0% >32.0%
>32.0% >32.0%
Method Rank Sum t Test
>32%
Stats Survival Growth
Conc. Critical Calculated Critical Calculated
2 10 18.0 2.41 0.13
4 10 20.0 2.41 0.18
8 10 20.0 2.41 0.81
16 10 18.0 2.41 -0.62
32 10 14.0 2.41 -0.63
DWQ Form AT-5 (1/04)
Page 2 of 6

Effluent Toxicity Report Form -Chronic Fathead Minnow Multi -Concentration Test
Facility: Belmont
Laboratory: ETT Environmental, Inc.
NPDES # NC00 21181 Pi
x
Signature of Operator in Responsible Charge
x
Signature of Laboratory Supervisor
pe #: 001 County: Gaston
Comments'
MAIL ORIGINAL TO:
Environmental Sciences Branch
Division of Water Quality
NC DENR
1621 Mail Service Center
Raleigh, NC 27699-1621
Test Initiation Date/Time 10-Feb-15
% Eff.
Control
Repl.
Surviving #
Original #
Wt/original (mg)
2 Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
Surviving #
Original #
Wt/original (mg)
4
8
16
Surviving #
Original #
Wt/original (mg)
32
Surviving #
Original #
Wt/original (mg)
Water Quality Data
Control
pH (SU) Init/Fin
DO (mg/L) !nit/Fin
Temp (C) 'nit/Fin
High Concentration
pH (SU) Init/Fin
DO (mg/L) !nit/Fin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
Chlorine(mg/L)
Temp at Receipt ( C)
Dilution H2O
Hardness (mg/L)
Alkalinity (mg/L)
Conductivity (umhos/cm)
1
/ 1658
2
3
4
Avg Wt/Surv. Control
9
10
10
10
9
10
10
10
0.9256
0.9420
0.7420
0.7330
10
10
10
9
10
10
10
9
0.7120
0.8520
0.8610
0.8989
10
10
10
9
10
10
10
10
0.8680
0.9200
0.8760
0.7250
10
9
10
10
10
10
10
10
0.7670
0.6840
0.8960
0.8610
9
10
9
10
10
10
10
10
0.7020
0.8100
_ 0.9530
0.9900
10
10
9
10
10
10
9
10
1.0480
0.8820
0.8656
0.8490
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
0.8357
100.0%
0.8357
100.0%
0.8310
97.5%
0.8473
L 97.5%
0.8020
95.0%
0.8638
100.0%
0.9112
0
1
2
3
4
5
6
8.0
/
7.8
8.2
/
7.6
7.8
/
8.3
8.2
/
8.1
8.1
/
7.7
8.3
/
7.4
8.3
/
8.2
7.9
/
6.8
8.2
/
5.7
7.7
/
5.6
7.7
/
6.6
7.6
/
7.1
8.1
/
6.0
8.0
/
6.2
24.6
/
25.0
25.0
/
25.1
25.1
I
25.0
24.7
1
25.1
24.5
1
24.7
24.7
1
24.9
24.6
/
25.1
0
1
2
3
4
5
6
7.6
/
7.6
7.6
/
7.3
7.6
/
7.6
7.7
/
7.5
7.6
/
7.5
7.7
/
7.3
7.8
/
7.5
7.8
/
6.7
8.0
/
6.0
8.0
/
6.1
7.9
/
6.2
8.4
/
6.3
8.0
/
5.4
8.1
/
5.3
25.0
/
25.0
25.0
/
25.1
24.6
1
25.0
24.4
/
25.1
24.7
1
24.7
24.7
1
24.9
24.5
/
25.1
1
2
3
2-9-15
2-11-15
2-12-15
24 hr
24 hr
24 hr
40.0
42.0
38.0
24.2
47.0
50.2
607
937
1089
0.17
0.07
0.19
0.8
1.7
2.0
50.0
53.80
213
Survival
Test Organisms
I 1Cultured In -House
U X Outside Supplier
Hatch Date: 2-9-15
Hatch Time: 0730-0900
Growth Overall Result
Normal f no 0 yes ChV I >32%
Hom. Var. E no I I yes
NOEC 32.0% 32.0%
LOEC >32% >32%
ChV >32% >32%
Method Steels Dunnetts
Stats Survival Growth
Conc. Critical Calculated Critical Calculated
2 10 18 2.41 0.07
4 10 17.5 2.41 -0.16
8 10 17.5 2.41 0.47
16 10 15 2.41 -0.39
32 10 18 2.41 -1.05
Page 2 of 7
DWQ Form AT-5 (1/04)

06/30/2010 11:33 8648776936
ETT ENVIRONMENTAL PAGE 02
Effluent Toxicity Report Form -Chronic Fathad Minnow MuhlConeentralbn T1tta:05/29/09
Facility: Belmont
NPDES M NC00 21181 Pi
pea: 001 County: Gaston
Laboratory: ETT Environmental
Signature of Operator in RespaneiblZjI
yi� ! it
Signature of Laboratory Supervisor
Comments'
MAIL ORIGINAL TO:
Environmental Sciences Rreaeh
Division of Water Quality
N(: DF.NR
1621 Mall Service Cantor
Ratdgh,TIC 278194621
.dcLA€_, .2(4� InCi-
�X 1 CCuv4 z fl c�Yr
01!IO(OC
1
Teat initiation Date/Time 17-Feb-09
% Eft.
Control
Reps.
Surviving*
Original 0
Wt/original (mg)
Surviving N
Original R
WUorlglnal (mg)
2
Surviving N
Original
WUDriginal (mg)
Surviving
Original*
IA!/original (mg)
41
8
10
Surviving x
Original e
WUoriglnal (mg)
32
Surviving*
Original 4
WI/original (mg)
Water Quality Data
Control
pH (SU) Ini /Fin
DO (mg/L) IniuFin
Temp (C) InIUFIn
High Concentration
pH (SU) IniUFin
DO (mg/L) IniUFin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Conductivity (umhoahxn)
Alkalinity (mg/L)
Hardness (mg/I.)
CP lorino(mg/L)
Tamp at Receipt ('C)
Test Organisms
Cultured In -House
Outside Supplier
Hatch Oete/TIrnp
/ 1530
2
3
Avg Wt/Surv. Control
8
10
9
9
10
10
10
10
0 310
0.329
0.389
0.379
10
10
10
9
10
10
10
10
0,290
0.249
0,314
0.394
9
10
9
10
10
10
10
10
0.274
0.302
0.383
0.333
9
10
9
9
10
10
10
10
0.333
0.328
0.298
0.316
6
9
10
9
10
10
t0
10
0.329
0.262
0.310
0.294
10
9
9
10
10
10
10
10
0.322
0.339
0.342
0.356
Day
% Survival
Avg WI(mg)
% Survival
Avg Wt (rng)
% Survival
Avg WI (mg)
°h Survival
Avg WI (mg)
% Survival
Avg WI (mg)
% Survival
Avg Wt (mg)
0.387
0.347
97,5
0.312
L
95.0
0.323
92.5
0.319
90.0
0.304
95,0
0.340
0
2
3
4
5
8
7
8.2
/
na
7.2
/
7.6
7.6
1
7.a
7.8
/
7.7
7.9
1
7.e
7.8
/
7.9
7.8
/
7.8
no
/
7.7
8.5
/
na
9.2
1
9.0
8.0
I
7.2
8.3
1
7.4
8.8
1
7.5
8.2
/
7.2
8.1
/
7.4
na
/
8.3
25.1
/
no
25.3
/
25.0
25.2
/
24,7
25.3
/
24.9
25.4
/
24.3
25.2
/
25,0
24.9
/
24.4
no
/
24.0
D
2
3
4
5
8
7
7.9
/
no
7.10
1
7.20
7.10
1
7.20
7.20
/
7.30
7.30
/
7.20
7.20
/
7.40
7.10
/
7.50
na
/
7.30
8.3
/
na
9.2
/
8.3
8.1
/
7.1
8 0
1
7.6
8.2
/
7.8
8.3
/
7.7
8.3
1
7.1
NI
1
7.8
25.2
1
na
25.4
1
25.0
25.5
/
24.7
25.3
/
24.9
25.2
1
24.3
24.7
/
25.0
25.2
/
24.4
na
1
24.8
2
3
02/15/09
02/17/09
02/19/09
24hr5
24hrs
24nrS
787
728
1014
50.0
52.0
81.4
60
54
58
<0.05
<0 05
<0.05
2.7
3.0
3.0
,11111,
X
02-1A-09
a
Control
Hardness 48 mg/L
Alka9ntty 38.8 mg/L
ConductMty 191 wnneuee
/ 11AM-2:30PM
Survival Growth
Normal We 0,95 yes 0.9e yes
Hom. Var. 8= 1.o yea 0.97 yes
NOEC > 32.0% > 320%
LOEC > 32.0% > 32.0%
ChV > 32.0% > 32.0%
Method Dunn, I TOSI Dunn. t Teti
CM Urtmm 2.55 2.55
Cone.
2.0% -1.63 1.37
4.0% -1,06 0.93
8.0% -00.49 1.08
16.0% 0 00 1,66
32.0% -1.06 0.27
DWG Form AT-5 (WON

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nvironmental. Inc.
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Z N+
Inorganic non-metals
Client: City of Belmont
Description: Effluent
Date Sampled:01125/2017 0850
Date Received:01/25/2017
Laboratory ID: SA25079-001
Matrix: Aqueous
Run Prep Method
1 350.1
1
1
2
1
1 351.4
Analytical Method
(Ammonia - N ) 350.1
(Hardness (to) SM 2340C-2011
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C-2011
(TKN) 351.2
Dilution
1
1
10
5
1
1
Analysis Date Analyst
02/02/20171548 MSG
01/30/20171841 DMA
02/01/20171545 MSG
02/02/20171045 KWP
01/26/20171140 CLM
02/01/20171157 KWP
Batch
33383
32967
33237
02/01/2017 1656 33202
32654
01 /31 /2017 1535 33096
Prep Date
Parameter
Ammonia - N (gas diffusion)
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
CAS
Number
7723-14-0
Analytical
Method Result Q
350.1 0.36
SM 2340C-20 38
353.2 8.9
365.1 0.98
SM 2540C-20 420
351.2 2.3
PQL
0.10
10
0.20
0.050
10
0.10
Units Run
mglL 1
mg!L 1
mg1L 1
mg/L 2
mg1L 1
mg/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% No Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a -W
Shealy Environmental Services, Inc. Page: 4 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Semivolatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:01/25/2017 0850
Date Received:01/25/2017
Laboratory ID: SA25079-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
625 1 01/30/2017 1546 RBH 01/27/2017 1140 32766
Parameter
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
Benzo(b)fluoranthene
Benzo(g,h,i)perylene
Benzo(k)fluoranthene
4-Bromophenyl phenyl ether
Butyl benzyl phthalate
bis (2-Chloro-1-methylethyl) ether
4-Chloro-3-methyl phenol
bis(2-Chloroethoxy)methane
bis(2-Chloroethyl)ether
2-Chloronaphthalene
2-Chiorophenol
4-Chlorophenyl phenyl ether
Chrysene
Dibenzo(a,h)anthracene
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1,4-Dichlorobenzene
3,3'-Dichlorobenzidine
2,4-Dichlorophenol
Diethylphthalate
Dimethyl phthalate
2,4-Dimethylphenol
Dl-n-butyl phthalate
4,6-Dinitro-2-methylphenol
2,4-Dinitrophenol
2,4-Dinitrotoluene
2,6-Dinitrotoluene
Di-n-octylphthalate
1,2-Diphenylhydrazine(as azobenzene)
bis(2-Ethylhexyl)phthalate
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachiorobutadiene
Hexachlorocyclopentadiene
Hexachloroethane
Indeno(1,2,3-c,d )pyrene
Isophorone
CAS Analytical
Number Method Result Q PQL Units Run
83-32-9 625 ND 1.6 ug/L 1
208-96-8 625 ND 1.6 ug/L 1
120-12-7 625 ND 1.6 ug/L 1
92-87-5 625 ND ' 8.0 ug/L 1
56-55-3 625 ND 1.6 ug/L 1
50-32-8 625 ND 1.6 ug/L 1
205-99-2 625 ND 1.6 ug/L 1
191-24-2 625 ND 1.6 ug/L 1
207-08-9 625 ND 1.6 ug/L 1
101-55-3 625 ND 1.6 ug/L 1
85-68-7 625 ND 1.6 ug/L 1
108-60-1 625 ND 1.6 ug/L 1
59-50-7 625 ND 1.6 ug/L 1
111-91-1 625 ND 1.6 ug/L 1
111-44-4 625 ND 1.6 ug/L 1
91-58-7 625 ND 1.6 ug/L 1
95-57-8 625 ND 1.6 ug/L 1
7005-72-3 625 ND 1.6 ug/L 1
218-01-9 625 ND 1.6 ug/L 1
53-70-3 625 ND 1.6 ug/L 1
95-50-1 625 ND 1.6 ug/L 1
541-73-1 625 ND 1.6 ug/L 1
106-46-7 625 ND 1.6 ug/L 1
91-94-1 625 ND 8.0 ug/L 1
120-83-2 625 ND 1.6 ug/L 1
84-66-2 625 ND 1.6 ug/L 1
131-11-3 625 ND 1.6 ug/L 1
105-67-9 625 ND 1.6 ug/L 1
84-74-2 625 ND 1.6 ug/L 1
534-52-1 625 ND 8.0 ug/L 1
51-28-5 625 ND 8.0 ug/L 1
121-14-2 625 ND 3.2 ug/L 1
606-20-2 625 ND 3.2 ug/L 1
117-84-0 625 ND 1.6 ug/L 1
103-33-3 625 ND 1.6 ug/L 1
117-81-7 625 ND 1.6 ug/L 1
206-44-0 625 ND 1.6 ug/L 1
86-73-7 625 ND 1.6 ug/L 1
118-74-1 625 ND 1.6 ug/L 1
87-68-3 625 ND 1.6 ug/L 1
77-47-4 625 ND 8.0 ug/L 1
67-72-1 625 ND 1.6 ug/L 1
193-39-5 625 ND 1.6 ug/L 1
78-59-1 625 ND 1.6 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC cotumns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a W
Shealy Environmental Services, Inc. Page: 5 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Semivolatile Organic Compounds by GC/MS
Client: City of Belmont
Description: Effluent
Date Sampled:01/2512017 0850
Date Received:01125/2017
Laboratory ID: SA25079-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
' 625 1 01/30/2017 1546 RBH 01/27/2017 1140 32766
Parameter
Naphthalene
Nitrobenzene
2-Nitrophenol
4-Nitrophenol
N-Nitrosodimethylamine
N-Nitrosodi-n-propylamine
N-Nitrosodiphenylamine (Diphenylamine)
Pentachlorophenol
Phenanthrene
Phenol
Pyrene
1,2,4-Trichlorobenzene
2,4,6-Trichlorophenol
CAS Analytical
Number Method Result Q PQL
91-20-3 625 ND 1.6
98-95-3 625 ND 1.6
88-75-5 625 ND 3.2
100-02-7 625 ND 8.0
62-75-9 625 ND 1.6
621-64-7 625 ND 1.6
86-30-6 625 ND 1.6
87-86-5 625 ND 8.0
85-01-8 625 ND 1.6
108-95-2 625 ND 1.6
129-00-0 625 ND 1.6
120-82-1 625 ND 1.6
88-06-2 625 ND 1.6
Run 1 Acceptance
Surrogate Q % Recovery Limits
Units Run
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
2-Fluorobiphenyl 63 37-129
2-Fluorophenol 35 24-127
Nitrobenzene-d5 65 38-127
Phenol-d5 47 28-128
Terphenyl-d14 48 10-148
2,4,6-Tribromophenol 66 41-144
POL = Practical quantitation limit B = Detected in the method blank E = Ouantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the POL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery 1s out of criteria
Where applicable. all sot sample analysis are reported on a dry weight basis unless flagged with a "W"
Shealy Environmental Services, Inc. Page: 6 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

ICP-MS
Client: City of Belmont
Description: Effluent
Date Sampled:01/2512017 0850
Date Received:01/2512017
Laboratory ID: SA25079-001
Matrix: Aqueous
Run Prep Method
1 200.2
2 200.2
3 200.2
Analytical Method Dilution Analysis Date Analyst
200.8 1 01/28/2017 0117 BNW
200.8 1 01/30/2017 1322 BNW
200.8 1 01/30/2017 1753 BNW
Prep Date Batch
01/26/2017 1925 32681
01/26/2017 1925 32681
01/26/2017 1925 32681
Parameter
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Nickel
Selenium
Silver
Thallium
Zinc
CAS Analytical
Number Method Result Q
7440-36-0 200.8 23
7440-38-2 200.8 ND
7440-41-7 200.8 ND
7440-43-9 200.8 ND
7440-47-3 200.8 ND
7440-50-8 200.8 11
7439-92-1 200.8 ND
7440-02-0 200.8 ND
7782-49-2 200.8 3.7
7440-22-4 200.8 ND
7440-28-0 200.8 ND
7440-66-6 200.8 60
PQL
1.0
1.0
0.40
0.10
5.0
1.0
1.0
5.0
1.0
1.0
0.50
10
Units Run
uglL 3
ug/L 1
ug/L 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
ug/L 2
ug/L 1
ug/L 1
ug/L 1
POL = Practical guantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the POL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N s Recovery is out of criteria
Where applicable, ail soil sample analysis are reported on a dry weight basis unless flagged with a -W-
Shealy Environmental Services, Inc. Page: 7 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Inorganic non-metals
Client: City of Belmont
Description: Effluent
Date Sampled:01/2512017 0831
Date Received:0112512017
Laboratory ID: SA25079-002
Matrix: Aqueous
Run Prep Method
Analytical Method
1 10-204-00-1-X (Cyanide - To) SM 4500-CN E-
(Phenolics) 420.4
1 (HEM (oil and) 1664B
1
Dilution
1
1
1
Analysis Date Analyst
02/02/20171638 KWP
01/27/2017 2207 MSG
01/31/20171134 JMM
Prep Date Batch
02/02/2017 1120 33353
01/26/2017 1441 32698
33049
Parameter
Cyanide - Total
Phenolics
HEM (oil and grease)
CAS
Number
57-12-5
Analytical
Method Result Q
SM 4500-CN 0.013
420.4 ND
1664E ND
PQL
0.010
0.020
4.4
Units Run
mg/L 1
mg/L 1
mg/L 1
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < POL and MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, an soil sample analysis are reported on a dry weight basis unless flagged with a W.
Shealy Environmental Services, Inc. Page: 8 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Volatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:01/25/2017 0831
Date Received:01/25/2017
Laboratory ID: SA25079-002
Matrix: Aqueous
Run Prep Method
1 5030B
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
624 1 01/26/2017 2353 JJG
32727
Parameter
Acrolein
Acrylonitrile
Benzene
Bromodichloromethane
Bromoform
Bromomethane (Methyl bromide)
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinylether
Chloroform
Chloromethane (Methyl chloride)
Dibromochloromethane
1,1-Dichloroethane
1,2-Dichloroethane
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethylbenzene
Methylene chloride
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1,1,1-Trichloroethane
1,1,2-Trichloroethane
Trichloroethene
Vinyl chloride
Surrogate
CAS Analytical
Number Method Result Q PQL
107-02-8 624 ND 50
107-13-1 624 ND 50
71-43-2 624 ND 5.0
75-27-4 624 ND 5.0
75-25-2 624 ND 5.0
74-83-9 624 ND 5.0
56-23-5 624 ND 5.0
108-90-7 624 ND 5.0
75-00-3 624 ND 5.0
110-75-8 624 ND 10
67-66-3 624 ND 5.0
74-87-3 624 ND 5.0
124-48-1 624 ND 5.0
75-34-3 624 ND 5.0
107-06-2 624 ND 5.0
75-35-4 624 ND 5.0
156-60-5 624 ND 5.0
78-87-5 624 ND 5.0
10061-01-5 624 ND 5.0
10061-02-6 624 ND 5.0
100-41-4 624 ND 5.0
75-09-2 624 ND 5.0
79-34-5 624 ND 5.0
127-18-4 624 ND 5.0
108-88-3 624 ND 5.0
71-55-6 624 ND 5.0
79-00-5 624 ND 5.0
79-01-6 624 ND 5.0
75-01-4 624 ND 5.0
Run 1 Acceptance
Q % Recovery Limits
Units Run
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
1,2-Dichloroethane-d4 120 70-130
Bromofluorobenzene 102 70-130
Toluene-d8 107 70-130
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery Is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a -W-
Shealy Environmental Services, Inc. Page: 9 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com

Sample Summary
City of Belmont
Lot Number: SC17044
Sample Number Sample ID
001 Effluent Comp
002 Upstream
003 Effluent Cornp
004 Upstream
005 Effluent Comp
006 Effluent Comp
007 Upstream
008 Effluent Comp
009 Upstream
010 Upstream
Matrix Date Sampled Date Received
Aqueous 03/13/2017 0858 03/17/2017
Aqueous 03/13/20171128 03/17/2017
Aqueous 03/142017 0851 03/17/2017
Aqueous 03/1420171044 03/17/2017
Aqueous 03/152017 0848 03/17/2017
Aqueous 03/162017 0853 03/17/2017
Aqueous 03/1620171117 03/17/2017
Aqueous 03/17/2017 0840 03/17/2017
Aqueous 03/17/2017 0847 03/17/2017
Aqueous 03/p/20171115 03/17/2017
(10 samples)
tS
C0entCity of Belmont
Description: Effluent Comp
Date Sampled:03/13/2017 0858
Date Received:03117/2017
Laboratory ID: SC17044-001
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result Q
37
PQL
Units Run
10 mg/L 1
Client City of Belmont
Description: Upstream
Date Sampled:03/13/20171128
Date Received:03/172017
Laboratory ID: SC17044-002
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03/242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result Q
20
PQL
10
Units Run
mglL 1
CiientCity of Belmont
Description: Effluent Comp
Date Sampled:03/142017 0851
Date Received:03/172017
Laboratory ID: SC17044-003
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03/242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result Q
PQL
Units Run
33 10 mglL 1
Client City of Belmont
Description: Upstream
Date Sampled:03/1420171044
Date Received:03/17/2017
Laboratory ID:SC17044-004
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03/24/2017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result 0
22
PQL
10
Units Run
mglL 1
Client City of Belmont
Description: Effluent Comp
Date Sampled:03/15/2017 0848
Date Received:03/17/2017
Laboratory ID: SC17044-005
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03/242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result Q PQL
33 10
Units Run
mglL 1

..._.a......_ ........__..._
Client City of Belmont
Description: Effluent Comp
Date Sampled:031162017 0853
Date Received:03/17/2017
Laboratory ID: SC17044-006
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result 0
33
PQL
10
Units Run
mglL 1
ClientCity of Belmont
Description: Upstream
Date Sampled:03/16/20171117
Date Received:03/17/2017
Laboratory ID: SC17044-007
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 031242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number fettg
SM 2340C-20
Result 0
20
PQL
10
Units Run
mg/L 1
ClientCity of Belmont
Description: Effluent Comp
Date Sampled:03/17/2017 0840
Date Received:03/17/2017
Laboratory ID:SC17044-008
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03/242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result 0
33
PQL
Units Run
10 mg/L 1
CfientCity of Belmont
Description: Upstream
Date Sampled:03/172017 0847
Date Received:03/17/2017
Laboratory ID: SC17044-009
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number Method
SM 2340C-20
Result Q
20
PQL
10
Units Run
mgfL 1
CbentCity of Belmont
Description: Upstrea1
Date Sampled:03 m171115
Date Received:03/17/2017
Laboratory ID: SC17044-010
Matrix: Aqueous
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date
1 (Hardness (to) SM 2340C-2011 1 03242017 0955 BWS
Batch
37971
Parameter
Hardness (total)
CAS Analytical
Number JWlejjeod Result Q PQL
SM 2340C-20 20 10
Units Run
mg/L 1

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: PE07095
Sample Number Sample ID Matrix Date Sampled Date Received
001 Effluent Aqueous 05/07/2014 0915 05/07/2014
002 Effluent Aqueous 05/07/2014 0922 05/07/2014
(2 samples)
Shealy Environmental Services, Inc. Page: 3 of 9
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Inorganic non-metals
Client: City of Belmont
Description: Effluent
Date Sampled:06/07/2014 0915
Date Received:06/07/2014
Laboratory ID: PE07095-001
Matrix: Aqueous
Run Prep Method
1 350.1
1
1
1
1
1 351.4
Analytical Method
(Ammonia - N ) 350.1
(Hardness (to) SM 2340C-2011
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C-2011
(TKN) 351.2
Dilution
1
5
20
10
1
1
Analysis Date
05/16/2014 1257
05/19/2014 1920
05/08/2014 1753
05/24/2014 1500
05/12/2014 1608
05/15/2014 1423
Analyst Prep Date Batch
BLB 05/14/20141558 46767
TAF 47249
AKW 46460
NCM 05/23/20141628 47416
AKG 46588
NCM 05/13/20141500 46666
Parameter
Ammonia - N (phonate)
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
CAS
Number
7723-14-0
Analytical
Method
350.1
SM 2340C-20
353.2
365.1
SM 2540C-20
351.2
Result Q
0.35
52
32
4.7
680
1.9
PQL
0.10
50
0.40
0.10
10
0.10
Units Run
mg/L 1
mg/L 1
mg/L 1
mg1L 1
mg/L 1
mg/L 1
PQL = Practical quantitation limit
ND = Not detected at or above the PQL
B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, ail soil sample analysis are reported on a dry weight basis unless flagged with a'W'
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Semivolatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:05/07/2014 0915
Date Received:05/07/2014
Laboratory ID: PE07095-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
625 1 05/13/2014 1828 DRB1 05/09/2014 1212 46479
Parameter
CAS Analytical
Number Method Result Q PQL Units Run
Acenaphthene 83-32-9 625 ND 2.0 ug/L 1
Acenaphthylene 208-96-8 625 ND 2.0 ug/L 1
Anthracene 120-12-7 625 ND 2.0 ug/L 1
Benzidine 92-87-5 625 ND 10 ug/L 1
Benzo(a)anthracene 56-55-3 625 ND 2.0 ug/L 1
Benzo(a)pyrene 50-32-8 625 ND 2.0 ug/L 1
Benzo(b)fluoranthene 205-99-2 625 ND 2.0 ug/L 1
Benzo(g,h,i)perylene 191-24-2 625 ND 2.0 ug/L 1
Benzo(k)fluoranthene 207-08-9 625 ND 2.0 ug/L 1
4-Bromophenyl phenyl ether 101-55-3 625 ND 2.0 ug/L 1
Butyl benzyl phthalate 85-68-7 625 ND 10 ug/L 1
4-Chloro-3-methyl phenol 59-50-7 625 ND 2.0 ug/L 1
bis(2-Chloroethoxy)methane 111-91-1 625 ND 2.0 ug/L 1
bis(2-Chloroethyl)ether 111-44-4 625 ND 2.0 ug/L 1
bis(2-Chloroisopropyl)ether 108-60-1 625 ND 2.0 ug/L 1
2-Chloronaphthalene 91-58-7 625 ND 2.0 ug/L 1
2-Chlorophenol 95-57-8 625 ND 2.0 ug/L 1
4-Chlorophenyl phenyl ether 7005-72-3 625 ND 2.0 ug/L 1
Chrysene 218-01-9 625 ND 2.0 ug/L 1
Dibenzo(a,h)anthracene 53-70-3 625 ND 2.0 ug/L 1
1,2-Dichlorobenzene 95-50-1 625 ND 2.0 ug/L 1
1,3-Dichlorobenzene 541-73-1 625 ND 2.0 ug/L 1
1,4-Dichlorobenzene 106-46-7 625 ND 2.0 ug/L 1
3,3'-Dichlorobenzidine 91-94-1 625 ND 10 ug/L 1
2,4-Dichlorophenol 120-83-2 625 ND 2.0 ug/L 1
Diethylphthalate 84-66-2 625 ND 10 ug/L 1
Dimethyl phthalate 131-11-3 625 ND 10 ug/L 1
2,4-Dimethylphenol 105-67-9 625 ND 2.0 ug/L 1
Di-n-butyl phthalate 84-74-2 625 ND 10 ug/L 1
4,6-Dinitro-2-methylphenol 534-52-1 625 ND 10 ug/L 1
2,4-Dinitrophenol 51-28-5 625 ND 10 ug/L 1
2,4-Dinitrotoluene 121-14-2 625 ND 4.0 ug/L 1
2,6-Dinitrotoluene 606-20-2 625 ND 4.0 ug/L 1
Di-n-octylphthalate 117-84-0 625 ND 10 ug/L 1
1,2-Diphenylhydrazine(as azobenzene) 103-33-3 625 ND 2.0 ug/L 1
bis(2-Ethylhexyl)phthalate 117-81-7 625 ND 10 ug/L 1
Fluoranthene 206-44-0 625 ND 2.0 ug/L 1
Fluorene 86-73-7 625 ND 2.0 ug/L 1
Hexachlorobenzene 118-74-1 625 ND 2.0 ug/L 1
Hexachiorobutadiene 87-68-3 625 ND 2.0 ug/L 1
Hexachlorocyclopentadiene 77-47-4 625 ND 10 ug/L 1
Hexachloroethane 67-72-1 625 ND 2.0 ug/L 1
Indeno(1,2,3-c,d)pyrene 193-39-5 625 ND 2.0 ug/L 1
lsophorone 78-59-1 625 ND 2.0 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < P0L and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a -W'
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Semivolatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:05/07/2014 0915
Date Received:05/07/2014
Laboratory ID: PE07095-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
625 1 05/13/2014 1828 DRB1 05/09/2014 1212 46479
Parameter
CAS Analytical
Number Method Result Q PQL Units Run
Naphthalene 91-20-3 625 ND 2.0 ug/L 1
Nitrobenzene 98-95-3 625 ND 2.0 ug/L 1
2-Nitrophenol 88-75-5 625 ND 4.0 ug/L 1
4-Nitrophenol 100-02-7 625 ND 10 ug/L 1
N-Nitrosodimethylamine 62-75-9 625 ND 2.0 ug/L 1
N-Nitrosodi-n-propylamine 621-64-7 625 ND 2.0 ug/L 1
N-Nitrosodiphenylamine (Diphenylamine) 86-30-6 625 ND 2.0 ug/L 1
Pentachlorophenol 87-86-5 625 ND 10 ug/L 1
Phenanthrene 85-01-8 625 ND 2.0 ug/L 1
Phenol 108-95-2 625 ND 2.0 ug/L 1
Pyrene 129-00-0 625 ND 2.0 ug/L 1
1,2,4-Trichlorobenzene 120-82-1 625 ND 2.0 ug/L 1
2,4,6-Trichlorophenol 88-06-2 625 ND 2.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
2-Fluorobiphenyl 78 37-129
2-Fluorophenol 70 24-127
Nitrobenzene-d5 70 38-127
Phenol-d5 71 28-128
Terphenyl-d14 57 10-148
2,4,6-Tribromophenol 90 41-144
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and> MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a NT
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ICP-MS
Client: City of Belmont
Description: Effluent
Date Sampled:05107/2014 0915
Date Received:05/07/2014
Laboratory ID: PE07095-001
Matrix: Aqueous
Run Prep Method
1 200.2
2 200.2
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
200.8 1 05/08/2014 2014 CDF 05/08/2014 0957 46363
200.8 1 05/09/2014 1925 CDF 05/08/2014 0957 46363
Parameter
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Nickel
Selenium
Silver
Thallium
Zinc
CAS Analytical
Number Method Result Q PQL Units Run
7440-36-0 200.8 8.8 1.0 ug/L 1
7440-38-2 200.8 12 1.0 ug/L 1
7440-41-7 200.8 ND 0.40 ug/L 1
7440-43-9 200.8 ND 0.10 ug/L 1
7440-47-3 200.8 ND 5.0 ug/L 1
7440-50-8 200.8 20 1.0 ug/L 2
7439-92-1 200.8 ND 1.0 ug/L 1
7440-02-0 200.8 ND 5.0 ug/L 1
7782-49-2 200.8 1.5 1.0 ug/L 1
7440-22-4 200.8 ND 1.0 ug/L 1
7440-28-0 200.8 ND 0.50 ug/L 2
7440-66-6 200.8 130 10 ug/L 1
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable. all soil sample analysis are reported on a dry weight basis unless flagged with a'W'
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Inorganic non-metals
Client:City of Belmont
Description: Effluent
Date Sampled:05/07/2014 0922
Date Received:05/07/2014
Laboratory ID: PE07095-002
Matrix: Aqueous
Run Prep Method
Analytical Method
1 10-204-00-1-X (Cyanide - To) SM 4500-CN E-
(Phenolics) 420.4
1 (HEM (oil and) 1664E
1
Dilution Analysis Date Analyst
1 05/17/20141800 NCM
1 05/19/2014 2107 TAF
1 05/15/2014 0025 TDT
Prep Date Batch
05/17/20141340 46817
05/14/20141505 46761
46783
Parameter
Cyanide - Total
Phenolics
HEM (oil and grease)
CAS
Number
57-12-5
Analytical
Method
SM 4500-CN
420.4
1664B
Result Q PQL
0.011
ND
6.4
0.010
0.020
4.7
Units Run
mg/L 1
mg/L 1
mg/L 1
PQL = Practical quantitation limit B = Detected in the method blank E = Ouantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable. all soil sample analysis are reported on a dry weight basis unless flagged with a "W'
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Volatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:05/07/2014 0922
Date Received:05/07/2014
Laboratory ID: PE07095-002
Matrix: Aqueous
Run Prep Method
1 5030B
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
624 1 05/13/2014 2129 PMM2
46702
Parameter
Acrolein
Acrylonitrile
Benzene
Bromodichloromethane
Bromoform
Bromomethane (Methyl bromide)
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinylether
Chloroform
Chloromethane (Methyl chloride)
Dibromochloromethane
1,1-Dichloroethane
1,2-Dichloroethane
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethylbenzene
Methylene chloride
1,1,2,2-Tetra chloroethane
Tetrachloroethene
Toluene
1,1,1-Trichloroethane
1,1,2-Trichloroethane
Trichloroethene
Vinyl chloride
CAS Analytical
Number Method Result Q PQL Units Run
107-02-8 624 ND 50 ug/L 1
107-13-1 624 ND 50 ug/L 1
71-43-2 624 ND 5.0 ug/L 1
75-27-4 624 ND 5.0 ug/L 1
75-25-2 624 ND 5.0 ug/L 1
74-83-9 624 ND 5.0 ug/L 1
56-23-5 624 ND 5.0 ug/L 1
108-90-7 624 ND 5.0 ug/L 1
75-00-3 624 ND 5.0 uglL 1
110-75-8 624 ND 10 ug/L 1
67-66-3 624 5.7 5.0 ug/L 1
74-87-3 624 ND 5.0 ug/L 1
124-48-1 624 ND 5.0 ug/L 1
75-34-3 624 ND 5.0 ug/L 1
107-06-2 624 ND 5.0 ug/L 1
75-35-4 624 ND 5.0 ug/L 1
156-60-5 624 ND 5.0 ug/L 1
78-87-5 624 ND 5.0 ug/L 1
10061-01-5 624 ND 5.0 ug/L 1
10061-02-6 624 ND 5.0 ug/L 1
100-41-4 624 ND 5.0 ug/L 1
75-09-2 624 ND 5.0 ug/L 1
79-34-5 624 ND 5.0 ug/L 1
127-18-4 624 ND 5.0 ug/L 1
108-88-3 624 ND 5.0 ug/L 1
71-55-6 624 ND 5.0 ug/L 1
79-00-5 624 ND 5.0 ug/L 1
79-01-6 624 ND 5.0 ug/L 1
75-01-4 624 ND 5.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
1,2-Dichloroethane-d4 105 70-130
Bromofluorobenzene 102 70-130
Toluene-d8 112 70-130
PQL = Practical quantitation limit
8 = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a'W'
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Zo 13
SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: 0B07109
Sample Number Sample ID Matrix Date Sampled Date Received
001 Effluent Aqueous 02/07/2013 0930 02/07/2013
002 Effluent Aqueous 02/07/2013 0935 02/07/2013
(2 samples)
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Inorganic non-metals
Client:City of Belmont
Description: Effluent
Date Sampled:02/07/2013 0930
Date Received:02/07/2013
Laboratory ID: 0B07109-001
Matrix: Aqueous
Run Prep Method
1 SM4500-NH3
1
1
1
1
1 351.4
Analytical Method
(Ammonia - N) 350.1
(Hardness (to) SM 2340C-
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C-2011
(TKN) 351.2
Dilution
1
1
50
10
1
1
Analysis Date
02/20/2013 1029
02/08/2013 1015
02/19/2013 1706
02/14/2013 1644
02/14/2013 0814
02/19/2013 1614
Analyst
MML
KMB
HBB
MML
KES
MML
Batch
02/19/2013 0900 14382
13636
14478
02/13/2013 1630 14085
14051
02/18/2013 1319 14334
Prep Date
Parameter
Ammonia - N (phenate)
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
CAS
Number
7723-14-0
Analytical
Method
350.1
SM 2340C-20
353.2
365.1
SM 2540C-20
351.2
Result Q
0.37
50
18
3.0
640
0.68
PQL
0.10
10
1.0
0.10
10
0.10
Units Run
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mglL 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' S = MS/MSD failure
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Level 1 Report v2.1
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Semivolatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:02/07/2013 0930
Date Received:02/07/2013
Laboratory ID: 0B07109-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
625 2 02/14/20131730 RBH 02/11/20131013 13738
Parameter
CAS Analytical
Number Method Result Q PQL Units Run
Acenaphthene 83-32-9 625 ND 2.0 ug/L 1
Acenaphthylene 208-96-8 625 ND 2.0 ug/L 1
Anthracene 120-12-7 625 ND 2.0 ug/L 1
Benzidine 92-87-5 625 ND 10 ug/L 1
Benzo(a)anthracene 56-55-3 625 ND 2.0 ug/L 1
Benzo(a)pyrene 50-32-8 625 ND 2.0 ug/L 1
Benzo(b)fluoranthene 205-99-2 625 ND 2.0 ug/L 1
Benzo(g,h,i)perylene 191-24-2 625 ND 2.0 ug/L 1
Benzo(k)fluoranthene 207-08-9 625 ND 2.0 ug/L 1
4-Bromophenyl phenyl ether 101-55-3 625 ND 2.0 ug/L 1
Butyl benzyl phthalate 85-68-7 625 ND 10 ug/L 1
4-Chloro-3-methyl phenol 59-50-7 625 ND 2.0 ug/L 1
bis(2-Chloroethoxy)methane 111-91-1 625 ND 2.0 ug/L 1
bis(2-Chloroethyl)ether 111-44-4 625 ND 2.0 ug/L 1
bis(2-Chloroisopropyl)ether 108-60-1 625 ND 2.0 ug/L 1
2-Chloronaphthalene 91-58-7 625 ND 2.0 ug/L 1
2-Chlorophenol 95-57-8 625 ND 2.0 ug/L 1
4-Chlorophenyl phenyl ether 7005-72-3 625 ND 2.0 ug/L 1
Chrysene 218-01-9 625 ND 2.0 ug/L 1
Dibenzo(a,h)anthracene 53-70-3 625 ND 2.0 ug/L 1
1,2-Dichlorobenzene 95-50-1 625 ND 2.0 ug/L 1
1,3-Dichlorobenzene 541-73-1 625 ND 2.0 ug/L 1
1,4-Dichlorobenzene 106-46-7 625 ND 2.0 ug/L 1
3,3'-Dichlorobenzidine 91-94-1 625 ND 10 ug/L 1
2,4-Dichlorophenol 120-83-2 625 ND 2.0 ug/L 1
Diethylphthalate 84-66-2 625 ND 10 ug/L 1
Dimethyl phthalate 131-11-3 625 ND 10 ug/L 1
2,4-Dimethylphenol 105-67-9 625 ND L 2.0 ug/L 1
Di-n-butyl phthalate 84-74-2 625 ND 10 ug/L 1
4,6-Dinitro-2-methylphenol 534-52-1 625 ND 10 ug/L 1
2,4-Dinitrophenol 51-28-5 625 ND 10 ug/L 1
2,4-Dinitrotoluene 121-14-2 625 ND 4.1 ug/L 1
2,6-Dinitrotoluene 606-20-2 625 ND 4.1 ug/L 1
Di-n-octylphthalate 117-84-0 625 ND 10 ug/L 1
1,2-Diphenylhydrazine(as azobenzene) 103-33-3 625 ND 2.0 ug/L 1
bis(2-Ethylhexyl)phthalate 117-81-7 625 ND 10 ug/L 1
Fluoranthene 206-44-0 625 ND 2.0 ug/L 1
Fluorene 86-73-7 625 ND 2.0 ug/L 1
Hexachlorobenzene 118-74-1 625 ND 2.0 ug/L 1
Hexachlorobutadiene 87-68-3 625 ND 2.0 ug/L 1
Hexachlorocyclopentadiene 77-47-4 625 ND 10 ug/L 1
Hexachloroethane 67-72-1 625 ND 2.0 ug/L 1
Indeno(1,2,3-c,d)pyrene 193-39-5 625 ND 2.0 ug/L 1
lsophorone 78-59-1 625 ND 2.0 ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
E = Quantitation of compound exceeded the calibration range H = Out of holding time 0 = Surrogate failure
P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a -W- S = MS/MSD failure
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Semivolatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:02/07/2013 0930
Date Received:02/07/2013
Laboratory ID: OB07109-001
Matrix: Aqueous
Run Prep Method
1 625
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
625 2 02/14/20131730 RBH 02/11/20131013 13738
Parameter
CAS Analytical
Number Method Result Q PQL Units Run
Naphthalene 91-20-3 625 ND 2.0 ug/L 1
Nitrobenzene 98-95-3 625 ND 2.0 ug/L 1
2-Nitrophenol 88-75-5 625 ND 4.1 ug/L 1
4-Nitrophenol 100-02-7 625 ND 10 ug/L 1
N-Nitrosodimethylamine 62-75-9 625 ND 2.0 ug/L 1
N-Nitrosodi-n-propylamine 621-64-7 625 ND 2.0 ug/L 1
N-Nitrosodiphenylamine (Diphenylamine) 86-30-6 625 ND 2.0 ug/L 1
Pentachlorophenol 87-86-5 625 ND 10 ug/L 1
Phenanthrene 85-01-8 625 ND 2.0 ug/L 1
Phenol 108-95-2 625 ND 2.0 ug/L 1
Pyrene 129-00-0 625 ND 2.0 ug/L 1
1,2,4-Trichlorobenzene 120-82-1 625 ND 2.0 ug/L 1
2,4,6-Trichlorophenol 88-06-2 625 ND 2.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
2,4,6-Tribromophenol 52 41-144
Phenol-d5 51 28-128
Nitrobenzene-d5 51 38-127
2-Fluorobiphenyl 47 37-129
2-Fluorophenol 44 24-127
Terphenyl-d14 39 10-148
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time 0 = Surrogate failure
ND = Not detected at or above the POL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS1LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a ' W' S = MS/MSD failure
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ICP-MS
Client: City of Belmont
Description: Effluent
Date Sampled:02/0712013 0930
Date Received:02107/2013
Laboratory ID: OB07109-001
Matrix: Aqueous
Run Prep Method
1 200.2
2 200.2
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
200.8 1 02/08/2013 2126 CDF 02/08/2013 1048 13601
200.8 1 02/12/2013 1040 CDF 02/08/2013 1048 13601
Parameter
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Nickel
Selenium
Silver
Thallium
Zinc
CAS Analytical
Number Method Result Q PQL Units Run
7440-36-0 200.8 9.4 1.0 ug/L 2
7440-38-2 200.8 ND 1.0 ug/L 1
7440-41-7 200.8 ND 0.40 ug/L 1
7440-43-9 200.8 ND 0.10 ug/L 1
7440-47-3 200.8 ND 5.0 ug/L 1
7440-50-8 200.8 22 1.0 ug/L 1
7439-92-1 200.8 ND 1.0 ug/L 1
7440-02-0 200.8 ND 5.0 ug/L 1
7782-49-2 200.8 ND 1.0 ug/L 1
7440-22-4 200.8 ND 1.0 ug/L 1
7440-28-0 200.8 ND 0.50 ug/L 1
7440-66-6 200.8 160 10 ug1L 1
PQL = Practical quantization limit B = Detected in the method blank E = Quantization of compound exceeded the calibration range H = Out of holding time 0 = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W" S = MS/MSD failure
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Inorganic non-metals
Client: City of Belmont
Description: Effluent
Date Sampled:02/07/2013 0935
Date Received:02/07/2013
Laboratory ID: OB07109-002
Matrix: Aqueous
Run Prep Method Analytical Method
1 10-204-00-1-X (Cyanide - To) SM 4500-CN
1 (Phenolics) 420.4
1 (HEM (oil and) 1664E
Dilution
1
1
1
Analysis Date
02/14/2013 0059
02/19/2013 2348
02/18/2013 0953
Analyst Prep Date Batch
M M L 02/13/2013 1205 13908
HBB 02/19/2013 1100 14383
AJK 14258
Parameter
Cyanide - Total
Phenolics
HEM (oil and grease)
CAS
Number
57-12-5
Analytical
Method
SM 4500-CN
420.4
1664B
Result Q PQL
ND
0.025
ND
0.010
0.020
4.5
Units Run
mg/L 1
mg/L 1
mg/L 1
POL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the POL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCSILCSD failure
Where applicable. all soil sample analysis are reported on a dry weight basis unless flagged with a' W' S = MSIMSD failure
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Volatile Organic Compounds by GC/MS
Client:City of Belmont
Description: Effluent
Date Sampled:02/07/2013 0935
Date Received:02/07/2013
Laboratory ID: OB07109-002
Matrix: Aqueous
Run Prep Method
1 5030B
Analytical Method Dilution Analysis Date Analyst Prep Date
624 1 02/11 /2013 2251 JAC
Batch
13826
Parameter
Acrolein
Acrylonitrile
Benzene
Bromodichloromethane
Bromoform
Bromomethane (Methyl bromide)
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinylether
Chloroform
Chloromethane (Methyl chloride)
Dibromochloromethane
1,1-Dichloroethane
1,2-Dichloroethane
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethylbenzene
Methylene chloride
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1,1,1-Trichloroethane
1,1,2-Trichloroethane
Trichloroethene
Vinyl chloride
CAS Analytical
Number Method Result Q PQL Units Run
107-02-8 624 ND 50 ug/L 1
107-13-1 624 ND 50 ug/L 1
71-43-2 624 ND 5.0 ug/L 1
75-27-4 624 ND 5.0 ug/L 1
75-25-2 624 ND 5.0 ug/L 1
74-83-9 624 ND 5.0 ug/L 1
56-23-5 624 ND 5.0 ug/L 1
108-90-7 624 ND 5.0 ug/L 1
75-00-3 624 ND 5.0 ug/L 1
110-75-8 624 ND 10 ug/L 1
67-66-3 624 ND 5.0 ug/L 1
74-87-3 624 ND 5.0 ug/L 1
124-48-1 624 ND 5.0 ug/L 1
75-34-3 624 ND 5.0 ug/L 1
107-06-2 624 ND 5.0 ug/L 1
75-35-4 624 ND 5.0 ug/L 1
156-60-5 624 ND 5.0 ug/L 1
78-87-5 624 ND 5.0 ug/L 1
10061-01-5 624 ND 5.0 ug/L 1
10061-02-6 624 ND 5.0 ug/L 1
100-41-4 624 ND 5.0 ug/L 1
75-09-2 624 ND 5.0 ug/L 1
79-34-5 624 ND 5.0 ug/L 1
127-18-4 624 ND 5.0 ug/L 1
108-88-3 624 ND 5.0 ug/L 1
71-55-6 624 ND 5.0 ug/L 1
79-00-5 624 ND 5.0 ug/L 1
79-01-6 624 ND 5.0 ug/L 1
75-01-4 624 ND 5.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
1,2-Dichloroethane-d4 102 52-138
Bromofluorobenzene 96 70-147
Toluene-d8 92 76-125
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time Q = Surrogate failure
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of criteria L = LCS/LCSD failure
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' S = MS/MSD failure
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2 or
SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name: NPDES 2A Renewal
Lot Number:KE21057
Date Completed:06/02/2009
itisbie- akin
R. Brooke Montgomery
Project Manager
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report Chain of Custody Record and Sample Receipt Checklist.
• • • • • • • • •
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010
NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KE21057
This Report of Analysis contains the analytical results) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: KE21057
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Eff Aqueous 05/21/20091130 05/21/2009
002 Pipe 001 Eff Aqueous 05/21/2009 1200 05/21/2009
(2 samples)
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KE21057
Sample Sample ID Matrix Parameter Method Result Q Units Page
001 Pipe 001 Eff Aqueous Ammonia - N (phenate) 350.1 0.33 mg/L 5
001 Pipe 001 Eff Aqueous BOD, 5 day SM 5210B 4.8 mg/L 5
001 Pipe 001 Eff Aqueous Hardness (total) SM 2340C 68 mg/L 5
001 Pipe 001 Eff Aqueous Nitrate -Nitrite - N 353.2 20 mg/L 5
001 Pipe 001 Eff Aqueous Phosphorus 365.1 3.4 mg/L 5
001 Pipe 001 Eff Aqueous TDS SM 2540C 630 mg/L 5
001 Pipe 001 Eff Aqueous TKN 351.2 0.98 mg/L 5
001 Pipe 001 Eff Aqueous TSS SM 2540D 9.5 mg/L 5
001 Pipe 001 Eff Aqueous Antimony 200.8 5.8 ug/L 7
001 Pipe 001 Eff Aqueous Cadmium 200.8 0.13 ug/L 7
001 Pipe 001 Eff Aqueous Copper 200.8 16 ug/L 7
001 Pipe 001 Eff Aqueous Zinc 200.8 140 ug/L 7
001 Pipe 001 Eff Aqueous Mercury 245.1 0.0088 mg/L 7
002 Pipe 001 Eff Aqueous Phenolics 420.4 0.015 mg/L 8
002 Pipe 001 Eff Aqueous Fecal Coliform-MF SM 9222D 64 col/100 8
002 Pipe 001 Eff Aqueous Bromodichloromethane 8260B 2.4 uglL 8
002 Pipe 001 Eff Aqueous Chloroform 8260E 3.4 ug/L 8
(17 detections)
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Ciient:City of Belmont
Description: Pipe 001 Eff
Date Sampled:05/21/2009 1130
Date Received:05/21/2009
Laboratory ID: KE21057-001
Matrix: Aqueous
Inorganic non-metals
Run Prep Method
1 SM4500-NH3
1
1
1
1
1
1
351.4
Analytical Method
(Ammonia - N ) 350.1
(BOD, 5 day) SM 5210B
(Hardness (to) SM
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C
(TKN) 351.2
(TSS) SM 2540D
Dilution
1
1
1
10
10
1
1
1
Analysis Date
05/29/2009 2223
05/27/2009 0936
05/27/2009 2134
06/01/20091911
06/02/20091317
05/28/2009 0925
05/29/20091121
05/25/20091005
Analyst
MML
SAM
SLH
WD
MML
HBB
MML
HBB
Prep Date Batch
05/29/20091450 11532
05/22/2009 0826 5031
11436
11661
05/27/2009 1916 11412
11447
05/28/2009 1100 11446
11219
Parameter
Ammonia - N (phonate)
BOD, 5 day
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
TSS
Run
1
Prep Method
3520C
CAS
Number
7723-14-0
Analytical
Method
350.1
SM 5210B
SM 2340C
353.2
365.1
SM 2540C
351.2
SM 2540D
Result Q
0.33
4.8
68
20
3A
630
0.98
9.5
PQL
0.10
2.0
10
0.20
0.10
10
0.50
5.0
Semivolatile Organic Compounds by GC/MS
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8270C 1 05/29/20091656 DC 05/26/20091430 11321
Units Run
mglL 1
mglL 1
mglL 1
mglL 1
mg/L 1
mglL 1
mglL 1
mglL 1
Parameter
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
Benzo(b)fluoranthene
Benzo(g,h,i)perytene
Benzo(k)fluoranthene
4-Bromophenyl phenyl ether
Butyl benzyl phthalate
4-Chloro-3-methyl phenol .,
bis(2-Chloroethoxy)methane
bis(2-Chloroethyl)ether
bls(2-Chioroisopropyl)ether
2 roronaphthalene
4-Chiorophenyl phenyl ether
CAS
Number
83-32-9
208-96-8
120-12-7
92-87-5
56-55-3
50-32-8
205-99-2
191-24-2
207-08-9
101-55-3
85-68-7
59-50-7
111-91-1
111-44-4
108-60-1
91-58-7
95-57-8
7005-72-3
Analytical
Method
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
Result Q
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
PQL
1.0
1.0
1.0
5.0
1.0
1.0
1.0
1.0
1.0
1.0
5.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
Units Run
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
POL = Practical quantitation limit B = Detected In the method blank
ND - Not detected at or above the POL J = Estimated result < PQL and > MDL
Where applicable. all soil sample analysis are reported on a dry weight basis unless flagged with a "V
E = Quantitation of compound exceeded the aeration range
P = The RPD between two GC columns exceeds 4096
N = Recovery is out of criteria H - Out of holding time
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Level 1 Report v2.1

C ient:City of Belmont
Uescnption: Pipe 001 Eff
Date Sampled:05/21/20091130
Date Received:05/21/2009
Laboratory ID: KE21057-001
Matrix: Aqueous
Semivolatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 3520C
8270C 1 05/29/20091656 DC 05/26/20091430 11321
Parameter
Chrysene
Dian -butyl phthalate
Di-n-octylphthalate
Dibenzo(a,h)anthracene
3.3'-Dichtorobenzidine
CAS Analytical
Number Method Result Q PQL Units Run
218-01-9 8270C ND 1.0 ug/L 1
84-74-2 8270C ND 5.0 ug/L 1
117-84-0 8270C ND 5.0 ug/L 1
53-70-3 8270C ND 1.0 ug/L 1
91-94-1 8270C ND 5.0 ug/L 1
120-83-2 8270C ND 1.0 ug/L 1
Dieth rpnmaIa e 84-66-2 8270C ND 5.0 ug/L 1
Dimetbyln thalatR 131-11-3 8270C ND 5.0 ug/L 1
2,4-Di_rylohenol 105-67-9 8270C ND 1.0 ug/L 1
4,6-Dinitro-2-methylphenol 534-52-1 8270C ND 5.0 ug/L 1
no - 51-28-5 8270C ND 5.0 ug/L 1
2,4-Dinitrotoluene 121-14-2 8270C ND 2.0 uglL 1
2,6-Dinitrotoluene 606-20-2 8270C ND 2.0 ug/L 1
1,2-Diphenylhydrazine(as azobenzene) 103-33-3 8270C ND 1.0 uglL 1
bis(2-Ethylhexyl)phthalate 117-81-7 8270C ND 5.0 uglL 1
Fluoranthene 206-44-0 8270C ND 1.0 ug/L 1
Fluorene 86-73-7 8270C ND 1.0 ug/L 1
Hexachlorobenzene 118-74-1 8270C ND 1.0 ug/L 1
Hexachlorobutadiene 87-68-3 8270C ND 1.0 ug/L 1
Hexachlorocyctopentadiene 77-47-4 8270C ND 5.0 ug/L 1
Hexachloroethane 67-72-1 8270C ND 1.0 ug/L 1
Indeno(1,2,3-c,d)pyrene 193-39-5 8270C ND 1.0 ug/L 1
Isophorone 78-59-1 8270C ND 1.0 ug/L 1
N-Nitrosodi-n-propylamine 621-64-7 8270C ND 1.0 ug/L 1
N-Nitrosodimethylamine 62-75-9 8270C ND 1.0 ug/L 1
N-Nitrosodlphenylamine (Diphenylamtne) 86-30-6 8270C ND 1.0 ug/L 1
Naphthalene 91-20-3 8270C ND 1.0 uglL 1
Nitrobenzene 98-95-3 8270C ND 1.0 ugiL 1
2-Nitrophenol 88-75-5 8270C ND 2.0 ug/L 1
4-Nitrophenol 100-02-7 8270C ND 5.0 ug/L 1
Pentachlorophenol 87-86-5 8270C ND 5.0 ug/L 1
Phenanthrene 85-01-8 8270C ND 1.0 ug/L 1
Phenol 108-95-2 8270C ND 1.0 ug/L 1
fence 129-00-0 8270C ND 1.0 ug/L 1
2,4,6-Trichlorophenol 88-06-2 8270C ND 1.0 ug/L 1
PQL = Practical quentitatlon limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 4096
Where applicable, all son sample analysis are reported on a dry weight basis unless flagged with a NV N = Recovery is out of criteria H = Out of holding time
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C[ient:City of Belmont
Description: Pipe 001 Eff
Date Sampled:05/21/20091130
Date Received:06/21/2009
Laboratory ID: KE21057-001
Matrix: Aqueous
Surrogate
Run 1 Acceptance
Q % Recovery Limits
2,4,6-Tribromo_ohenol
2-Ffuorobiphenyl
2-Fluorophenol
Nitrobenzene-d5
Phenol-d5
Terphenyl-d14
78 41-144
41 37-129
43 24-127
43 38-127
48 28-128
68 10-148
ICP-MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 200.2 200.8 1 05/28/2009 0009 FTS 05/25/2009 2030 11270
2 200.2 200.8 10 08/02/2009 0228 KJC 05/25/2009 2030 11270
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Antimony 7440-36-0 200.8 5.8 1.0 uglL 1
Arsenic 7440-38-2 200.8 ND 1.0 ug/L 1
Beryllium 7440-41-7 200.8 ND 0.40 ug/L 1
Cadmium 7440-43-9 200.8 0.13 0.10 uglL 1
Chromium 7440-47-3 200.8 ND 5.0 ug/L 1
Copper 7440-50-8 200.8 16 1.0 uglL 1
Lead 7439-92-1 200.8 ND 10 ug/L 2
Nickel 7440-02-0 200.8 ND 5.0 ug/L 1
Selenium 7782-49-2 200.8 ND 1.0 ug/L 1
Silver 7440-22-4 200.8 ND 1.0 ug/L 1
Thallium 7440-28-0 200.8 ND 0.50 ug/L 1
Zinc 7440-66-6 200.8 140 10 uglL 1
CVAA
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 245.1 1 05282009 0058 BNW 0527/20091700 11394
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Mercury 7439-97-6 245.1 0.0088 0.0080 mglL 1
PQL = Practical quantitation limit B = Detected in the method blank E = Quantitatlon of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and = MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all sot sample analysis are reported on a dry weight basis unless Bagged with a "W' N = Recovery is out of criteria H = Out of holding time
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Client:City of Belmont
Description: Pipe 001 Eff
Date Sampled:05/21/2009 1200
Date Received:05/21/2009
Laboratory ID: KE21057-002
Matrix: Aqueous
Inorganic non-metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Dissolved Ox) SM 1 05/21/2009 1200 SFM
1 (Flow) Flow 1 05/21/2009 1200 SFM
1 (pH - Field) SM 4500-H 1 05/21/2009 1200 SFM
1 (Temperature ) SM 1 05/21/2009 1200 SFM
1 (TRC - Field) SM 4500- 1 05/21/2009 1200 SFM
1 (Cyanide) SM 4500-CN 1 05/27/2009 0939 WD 05/26/2009 1130 11294
1 (Phenolics) 420.4 1 05/29/2009 1305 WD 05/27/2009 0900 11385
1 (Fecal Colifo) SM 1 05/22/2009 1717 WD 05/21/2009 1633
1 (HEM (oil and) 1664A 1 05/22/2009 0931 JBK 11158
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Dissolved Oxygen - Field SM 4500-0 G 8.56 2.00 mg/L 1
Flow Flow 1343800 gal/day 1
pH - Field SM 4500-H B Field 7.42 su 1
Temperature - Field SM 2550B 20.0 ° C 1
TRC - Field SM 4500-CL G ND 0.10 mg/L 1
Cyanide 57-12-5 SM 4500-CN E ND 0.010 mg/L 1
Phenolics 420.4 0.015 0.0050 mg/L 1
Fecal Coliform-MF SM 9222D 64 2 col/100mL 1
HEM (oil and grease) 1664A ND 4.8 mg/L 1
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B 82608 1 05/26/2009 0432 DLB 11282
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Acrolein 107-02-8 8260B ND 5.0 ug/L 1
Acrylonitrile 107-13-1 8260B ND 5.0 ug/L 1
Benzene 71-43-2 8260B ND 1.0 ug/L 1
Bromodichloromethane 75-27-4 8260E 2.4 1.0 ug/L 1
Bromoform 75-25-2 8260B ND 1.0 ug/L 1
Bromomethane (Methyl bromide) 74-83-9 8260B ND 2.0 ug/L 1
Carbon tetrachloride 56-23-5 8260B ND 1.0 ug/L 1
Chlorobenzene 108-90-7 8260E ND 1.0 ug/L 1
Chloroethane 75-00-3 8260B ND 2.0 ug/L 1
2-Chloroethylvinylether 110-75-8 82608 ND 5.0 ug/L 1
Chloroform 67-66-3 82608 3.4 1.0 ug/L 1
Chloromethane (Methyl chloride) 74-87-3 8260B ND 2.0 ug/L 1
Dibromochloromethane 124-48-1 8260E ND 1.0 ug/L 1
1,2-Dichlorobenzene 95-50-1 8260E ND 1.0 ug/L 1
1,3-Dichlorobenzene 541-73-1 8260E ND 1.0 ug/L 1
1,4-Dichlorobenzene 106-46-7 8260E ND 1.0 ug/L 1
PQL = Practical quantitatton limit 8 = Detected in the method blank
ND = Not detected al or above the PQL J = Estimated result < PQL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W'
E = Quantitation of compound exceeded the calibration range
P = The RPO between two GC columns exceeds 40%
N = Recovery is out of criteria H = Out of holding time
Shealy Environmental Services, Inc. Page: 8 of 9
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Client:City of Belmont
Description: Pipe 001 Eff
Date Sampled:05/21/20091200
Date Received:05/2112009
Laboratory ID: KE21057-002
Matrix: Aqueous
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B
8260E 1 05/26/2009 0432 DLB 11282
Parameter
1,1-Dichloroethane
1,2-Dichloroethane
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethylbenzene
Methylene chloride
1,1,2,2 Tetrachloroethane
Tetrachloroethene
Toluene
1,2,4-Tr ichlorobenzene
1,1,1-Trichloroethane
1,1,2-Trichloroethane
Trlchloroethene
Vinyl chloride
CAS Analytical
Number Methgtl Result Q PQL Units Run
75-34-3 8260B ND 1.0 ug/L 1
107-06-2 8260B ND 1.0 ug/L 1
75-35-4 8260B ND 1.0 ug/L 1
156-60-5 8260E ND 1.0 ug/L 1
78-87-5 8260B ND 1.0 ug/L 1
10061-01-5 8260B ND 1.0 ug/L 1
10061-02-6 8260B ND 1.0 ug/L 1
100-41-4 8260E ND 1.0 ug/L 1
75-09-2 8260B ND 1.0 ug/L 1
79-34-5 82608 ND 1.0 ug/L 1
127-18-4 8260E ND 1.0 ug/L 1
108-88-3 8260B ND 1.0 ug/L 1
120-82-1 8260E ND 1.0 ug/L 1
71-55-6 8260E ND 1.0 ug/L 1
79-00-5 8260B ND 1.0 ug/L 1
79-01-6 8260B ND 1.0 ug/L 1
75-01-4 8260E ND 2.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
1,2-Dichloroethane-d4 81 70-130
Bromottuorobenzene 81 70-130
Toluene-d8 85 70-130
PQL = Practical quantitation limit B = Detected In the method blank E _ Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W" N = Recovery Is out of criteria H = Out of holding time
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CWA / NPDES
SHEALY Chain of Custody Record
Cue,it
CAN n
� ` •
SHEALY ENVIRONMENTAL SERVICES, INC.
106 Vantage Point Drive • Wct Columbia, SC 291/2
Tela:shone No. (8031 7 91.9700 Fax No. [phone]
www.sPieelylab.com
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Note. Ail samples are rammed for six weeks frcrn receipt
unless other arrangements are made
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SHEALY ENVIRONMENTAL SERVICES, INC.
1).:•;un:nt Nun-')cr F-A121-1..1t.
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Lf7rc...:tv: Date:
Sample Receipt Checklist (SR()
civil:: AA. ')'""g‘ el4 Cooler 11:4.1ec:ed byidate. f-jil .f) 1?-1 fe 1 Lot °
IMcalli tti 7".:t......::pt.: SESI
•
Client LJ UPS TT FedEx 0 Airborne Ex: E Other
No
-NA
0 ; 1 Were custody seals present en the cooler?
Ye1-71.._
No it.
NA F1'i 2. If com-or- seals were prescn:. wcrr thc-, intact an. unhrc!ken"
Cooler ID.':ernperature
•,ipon receipt 1-
±_,..- `C
N-lethotf.: 7-emperatu.rc
Method of coelant:
Blank .• Against &Ages
ja-NVet lee E Blue lee D Dry lee 0 None
;
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Ycs for 14. 15. 16i. an nationiresoAltier. MUM be PrOVidtd.
1 Ye5
. LI
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.1%. If tempt:ratan: of any :..:ole:- exceeded 6.0'C. was Projet.1 Mart:ger notified'?
PN-1 notified by SRC. phone. note (circle :Art :. other . . 1,'F...ir
co, ler-s- re...cel\-eil via ciiintnrcai zc-roier. PM.; are to he ii.otif7ed ittiliediAlt:!, .
Ye Lil
NioEi
NA
•:-. IS the commercial courier's packing. slip anazhed to this form?
Yec
I No
NA
:) We- c rproper crmody TrocedureA ;:-clinquishedireeevce..) followed?
Ye7,
2
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6 We-e sample 1Ds listed?
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' Was collection date & time listed'
Yes
No
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D
. Were tests le be perforrnze listed on the ('.:_).:.: or wr.s :ruck: •orcyided?
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N,'.., !
No JD
NA
• .\ A
f1
7
'. I )id all sa:nnles arr've in the prriper z.ontainers 7or each test''
10. Did all eontLiner label :rifor ;nal ion (11). da:e. time' at -tree with CO..
NA
D
1 1. Did all containers arr7ve in t.'od condition 1 unbroken. lids on. et:.).
Pi N.., 17
\ A I -I
.. -
I 2. \Va.': :;deritsatesarrinle volirrne available'?
. .._
Y es D No NA
13. Wcre all samples :e.:•ei% et: within :.•': the holding :rine cl- 4S haus. •.-%liielicx er
conies first? .
• cs No 2' NA 1 14. Wzrc an' sz:.7n_plzs eontainers rrissiic?
'es IJ No •NA -1
15. \V:rc there any excess san-.71cs not listed on COC?
Noak N.r.,
1
.- -
11. Were bAbbles present >-pea-size- i',',.for 6mri ir ciieteri ir any '‘, t.)A
l
vrals?
\ cs -4-''Ni:..) 0
I NA ; 17. Were all nietal0)&.G;HEN-1/nutrient .artipl,'...s reee%.t.:: al ii pi-1 oC<2.'
Ycs i,2( No 0
NA 18. Wcre all cyanid: ardicr sultithc samples received at a p1-1 >12. :
Yes j„..---No 0
--, I 19. Were all applicable NR3.7kNicyanide.:pher.o.2.1.3NA;pest;K:Blierb
NA _f (.-f-C2.211-1.2..11_J an. tk-ly.ictv (*•::(1. l mei.) samples free :if rcsidez...1 ch:orine?
'1 cs .J No D
N.A„23" 20. Were eoLec:ion temperatures dozwrented on the COC for NC samples?
Sample Preservation rNtrist *De completed for any sarne,le(s i incon-t-ci: ereser.'ed :_)r with headspace.)
Sample( .0 receive:1 ineorree:iy preserved and were adjustee
11-.vordiril) in sample recer..irg v.. tit (1-1,SO4J-1N0,1-1CI.Nt..01 ri with the SR r.' (number!
Sainplet
Sample; si
were reeeivezi with bubbles :net. in diameter.
we received with TRC >0.2 m.Lfi:r NIL.
Alpe,t:PC1ilierb
(oNien) stmiplett.) Yr-ere teeer‘ed itil 1 K(>0_ 1 m2/1_ and yen.:
I anal‘.7ecl method
Corrective Action taken, II necessary:
Was client no:ifie: 1 es N E
SLSI employee:
Cerninerits:_
Die: client respond- Y- E Ni..El
L>ate. of response:
Shealy Environmental Services, Inc.
108 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

,446 - 2ai ?
SHEALY ENVIRONMENTAL SERVICES, INC.
. !Yr. ft.L Y TCS
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name:NPDES 2A Renewal
Lot Number:KH20039
Date Completed:09/02/2009
Sabrina E Boles
Project Manager
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist.
Shealy Environmental Services, Inc. Page: 1 of 9
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010
NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KH20039
This Report of Analysis contains the analytical resutt(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number: KH20039
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Aqueous 08/20/20091105 08/20/2009
002 Pipe 001 Aqueous 08/20/20091110 08/20/2009
(2 samples)
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KH2O039
Sample Sample ID Matrix Parameter Method Result Q Units Page
001 Pipe 001 Aqueous Ammonia - N (phenate) 350.1 0.30 mg/L 5
001 Pipe 001 Aqueous Hardness (total) SM 2340C 55 mg/L 5
001 Pipe 001 Aqueous Nitrate -Nitrite - N 353.2 21 mg/L 5
001 Pipe 001 Aqueous Phosphorus 365.1 4.4 mg/L 5
001 Pipe 001 Aqueous TDS SM 2540C 590 mg/L 5
001 Pipe 001 Aqueous TSS SM 2540D 4.0 B mg/L 5
001 Pipe 001 Aqueous Antimony 200.8 5.6 ug/L 7
001 Pipe 001 Aqueous Copper 200.8 16 ug/L 7
001 Pipe 001 Aqueous Zinc 200.8 110 ug/L 7
002 Pipe 001 Aqueous Phenolics 420.4 0.0064 mglL 8
002 Pipe 001 Aqueous Bromodichloromethane 8260E 3.6 ug/L 8
002 Pipe 001 Aqueous Chloroform 8260E 6.2 ug/L 8
(12 detections)
Shealy Environmental Services, Inc. Page:4 of 9
Level 1 Report v2.1
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Client:City of Belmont
Description: Pipe 001
Date Sampled:08/20/2009 1105
Date Received:08120/2009
Laboratory ID: KH20039-001
Matrix: Aqueous
Run Prep Method
1 SM4500-NH3
1
1
1
1
1
1 351.4
1
Analytical Method
(Ammonia - N ) 350.1
(BOD, 5 day) SM 5210B
(Hardness (to) SM
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C
(TKN) 351.2
(TSS) SM 2540D
Inorganic non-metals
Dilution
1
Analysis Date
09/01/2009 2250
1 08/26/2009 1510
1 08/28/2009 1859
20 09/01/20091830
10 08/31/20091027
1 08/27/2009 0841
1 09/02/2009 1221
1 08/27/2009 0839
Analyst
WD
HBB
MML
BM
DAS
SLH
WD
SLH
Prep Date Batch
09/01/2009 0910 17108
08/21/20091255 5180
17052
17176
08/28/2009 1400 16959
16828
09/01/2009 1018 17117
16827
Parameter
Ammonia - N (phenate)
BOD, 5 day
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
TSS
CAS
Number
7723-14-0
Analytical
Method
350.1
SM 5210B
SM 2340C
363.2
365.1
SM 2540C
351.2
SM 2540D
Result Q
0.30
ND
55
21
4.4
590
ND
4.0 B
Semivolatile Organic Compounds by GC/MS
PQL
0.10
2.0
10
0.40
0.10
10
0.50
2.0
Units Run
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mg/L 1
mg/L 1
Run Prep Method Analytical Method
1 3520C 8270C 1 08/27/2009 1230 DC 08/24/2009 2005 16631
Dilution Analysis Date Analyst Prep Date Batch
Parameter
CAS Analytical
Number Method
Result Q
PQL
Units Run
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
Benzo(b)fluoranthene
Benzo(g,h,i)perylene
Benzo(k)fluoranthene
4-Bromophenyl phenyl ether
Butyl benzyl phthalate
4-Chlore-3-methql-phertar
bis(2-Chloroethoxy)methane
bis(2-Chloroethyl)ether
bis(2-C h loroisopropyl)ether
2-Chloronaphthalene
Chloropheno
4-Chlorophenyl phenyl ether
83-32-9
208-96-8
120-12-7
92-87-5
56-55-3
50-32-8
205-99-2
191-24-2
207-08-9
101-55-3
85-68-7
59-50-7
111-91-1
111-44-4
108-60-1
91-58-7
95-57-8
7005-72-3
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
1.0
1.0
1.0
5.1
1.0
1.0
1.0
1.0
1.0
1.0
5.1
1.0
1.0
1.0
1.0
1.0
1.0
1.0
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
PQL = Practical quantitation limit B = Detected in the method blank
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W'
E = Quantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery is out of criteria H = Out of holding time
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Client: City of Belmont
Description: Pipe 001
Date Sampled:08/20/2009 1105
Date Received:08/20/2009
Laboratory ID: KH20039-001
Matrix: Aqueous
Run Prep Method
1 3520C
Semivolatile Organic Compounds by GC/MS
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8270C 1 08/27/20091230 DC 08/24/2009 2005 16631
Parameter
Chrysene
Di-n-butyl phthalate
Di-n-octylphthalate
Dibenzo(a,h)anthracene
3,3'-Dichlorobenzidine
Dietphthalate
Dimthyi phthalate
4,6-Dinitro-2-methylphenol
.
2,4-Dinitrotofuene
2,6-Dinitrotoluene
1,2-Diphenylhydrazine(as azobenzene)
bis(2-Ethylhexyl)phthalate
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclopentadiene
Hexachloroethane
tndeno(1,2,3-c,d)pyrene
Isophorone
N-Nitrosodi-n-propylamine
N-Nttrosodimethylamine
N-Nitrosodlphenylamine (Diphenylamine)
Naphthalene
Nitrobenzene
ophenel--.
�entachlorophenol
Phenanthrene
Phenol
Pyrene
richlorophenol
CAS
Number
218-01-9
84-74-2
117-84-0
53-70-3
91-94-1
120-83-2
84-66-2
131-11-3
105-67-9
534-52-1
51-28-5
121-14-2
606-20-2
103-33-3
117-81-7
206-44-0
86-73-7
118-74-1
87-68-3
77-47-4
67-72-1
193-39-5
78-59-1
621-64-7
62-75-9
86-30-6
91-20-3
98-95-3
88-75-5
100-02-7
87-8(i-5
85-01-8
108-95-2
129-00-0
88-06-2
Analytical
Method
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
Result Q PQL Units Run
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 5.1 ug/L 1
ND 2.0 ug/L 1
ND 2.0 ug/L 1
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
ND 2.0 ug/L 1
ND 5.1 ug/L 1
ND 5.1 ug/L 1
ND 1.0 ug/L 1
ND 1.0 uga. 1
ND 1.0 ug/L 1
ND 1.0 ug/L 1
PQL = Practical quantitation emit B = Detected in the method blank
NO = Not detected at or above the PQL J = Estimated result < PQL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless Ragged with a "W"
E Quantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery Is out of criteria H = Out of hotding time
Shealy Environmental Services, Inc.
106 Vantage Polnt Drive West Columbia, SC 29172 [phone] Fax [phone] vwrw.shealytab.com
Page: 6 of 9
Level 1 Report v2.1

Client:City of Belmont
Description: Pipe 001
Date Sampled:08120/2009 1105
Date Received:08/20/2009
Laboratory ID: KH20039-001
Matrix: Aqueous
Surrogate
Run 1 Acceptance
Q % Recovery Limits
2,4,6-Tribromophenol
2-Fluorobiphenyl
2-Fluorophenol
Nitrobenzene-d5
Phenol-d5
Terphenyl-d14
59 41-144
45 37-129
43 24-127
45 38-127
43 28-128
64 10-148
ICP-MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 200.2 200.8 1 08/26/2009 2201 FTS 08/24/2009 1720 16616
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Antimony 7440-36-0 200.8 5.6 1.0 ug/L 1
Arsenic 7440-38-2 200.8 ND 1.0 ug/L 1
Beryllium 7440-41-7 200.8 ND 0.40 ug/L 1
Cadmium 7440-43-9 200.8 ND 0.10 ug/L 1
Chromium 7440-47-3 200.8 ND 5.0 ug/L 1
Copper 7440-50-8 200.8 16 1.0 uglL 1
Lead 7439-92-1 200.6 ND 1.0 ug/L 1
Nickel 7440-02-0 200.8 ND 5.0 ug/L 1
Selenium 7782-49-2 200.8 ND 1.0 ug/L 1
Silver 7440-22-4 200.8 ND 1.0 ug/L 1
Thallium 7440-28-0 200.8 ND 0.50 ug/L 1
Zinc 7440-66-6 200.8 110 10 ug/L 1
CVAA
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 245.1 1 08/24/2009 2116 BNW 08/24/2009 1645 16607
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Mercury 7439-97-6 245.1 ND 0.00010 mg/L 1
PQL = Practical quantitation limit B = Detected in the method blank
ND = Not detected at or above the POL J = Estimated result < PQL and > MDL
Where applicable, al soil sample analysis are reported on a dry weight basis unless flagged with a -W'
E = Quantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery is out of criteria H = Out of holding time
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Client:City of Belmont
Description: Pipe 001
Date Sampled:08/20/2009 1110
Date Received:08/20/2009
Laboratory ID: KH20039-002
Matrix: Aqueous
Run Prep Method
1
1
1
1
1
1
1
1
1
Analytical Method
(Dissolved Ox) SM
(Flow) Flow
(pH - Field) SM 4500-H
(Temperature ) SM
(TRC - Field) SM 4500-
(Cyanide) SM 4500-CN
(Phenolics) 420.4
(Fecal Colifo) SM
(HEM (oil and) 1664A
Inorganic non-metals
Dilution
1
1
1
1
1
1
1
1
1
Analysis Date
08/20/2009 1110
08/20/2009 1110
08/20/2009 1110
08/20/2009 1110
08/31/2009 1747
09/01/2009 1501
08/21/2009 1550
08/27/2009 1633
Analyst
GMC
GMC
GMC
GMC
BM
BM
SLH
JKP
Prep Date Batch
08/31/2009 1400 17070
08/28/2009 1621 16987
08/20/2009 1626
16877
Parameter
Dissolved Oxygen - Field
Flow
pH - Field
Temperature - Field
TRC - Field
Cyanide
Phenolics
Fecal Coliform-MF
HEM (oil and grease)
CAS Analytical
Number Method
SM 4500-0 G
Flow
SM 4500-H B Field
SM 2550B
SM 4500-CL G
57-12-5 SM 4500-CN E
420.4
SM 9222D
1664A
Result Q PQL Units Run
7.41
1429000
7.38
28.0
ND
ND
0.0064
ND
ND
Volatile Organic Compounds by GC/MS
2.00 mg/L 1
0.000 gaUday 1
0.000 su 1
0.000 ° C 1
0.10 mg/L 1
0.010 mg/L 1
0.0050 mglL 1
2 col/100mL 1
4.1 mg/L 1
Run
1
Prep Method
5030E
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8260E 1 08/24/20091601 DLB 16649
Parameter
Acrolein
Acrylonitrile
Benzene
Bromodichloromethane
Bromoform
Bromomethane (Methyl bromide)
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinylether
Chloroform
Chloromethane (Methyl chloride)
Dibromochloromethane
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1,4-Dichlorobenzene
CAS
Number
107-02-8
107-13-1
71-43-2
75-27-4
75-25-2
74-83-9
56-23-5
108-90-7
75-00-3
110-75-8
67-66-3
74-87-3
124-48-1
95-50-1
541-73-1
106-46-7
Analytical
Method
8260B
8260B
8260E
8260E
8260E
8260B
8260E
8260E
8260E
8260E
8260B
8260E
8260E
8260B
8260B
8260B
Result
ND
ND
ND
3.6
ND
ND
ND
ND
ND
ND
6.2
ND
ND
ND
ND
ND
Q PQL Units Run
5.0 ug/L 1
5.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
5.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
POL = Practical quantitation Ilmd
ND = Not detected at or above the POL
B = Detected in the method blank
J = Estimated result < POL and > MIX
Where applicable, at soil sample analysis are reported on a dry weight basis unless flagged with a "W
E = Quantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery is out of criteria H = Out of holding time
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Client:City of Belmont
'Description: Pipe 001
Date Sampled:08/20/20091110
Date Received:08/2012009
Laboratory ID: KH20039-002
Matrix: Aqueous
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030B
8260B 1 08/24/20091601 DLB 16649
Parameter
1,1-Dichloroethane
12-Dichloroethane
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichtoropropene
Ethylbenzene
Methylene chloride
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1,2,4-Trichlorobenzene
1,1,1-Trichloroethane
1,1,2 Trichloroethane
Trichloroethene
Vinyl chloride
CAS Analytical
Number Method Result Q PQL Units Run
75-34-3 8260B ND 1.0 ug/L 1
107-06-2 8260B ND 1.0 uglL 1
75-35-4 8260B ND 1.0 ug/L 1
156-60-5 8260E ND 1.0 uglL 1
78-87-5 8260B ND 1.0 ug/L 1
10061-01-5 8260B ND 1.0 ug/L 1
10061-02-6 8260E ND 1.0 ug/L 1
100-41-4 8260B ND 1.0 ug/L 1
75-09-2 8260B ND 1.0 uglL 1
79-34-0 8260B ND 1.0 uglL 1
127-18-4 8260B ND 1.0 ug/L 1
108-88-3 8260B ND 1.0 uglL 1
120-82-1 8260E ND 1.0 ug/L 1
71-55-6 8260B ND 1.0 ug/L 1
79-00-5 8260E ND 1.0 uglL 1
79-01-6 8260E ND 1.0 ug/L 1
75-01-4 8260B ND 2.0 ug/L 1
Run 1 Acceptance
Surrogate Q % Recovery Limits
1,2-Dichtoroethane-d4 87 70-130
Bromofluorobenzene 90 70-130
Toluene-d8 88 70-130
PQL = Practical quantltation limit 8 = Detected In the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL P = The RPD between two GC columns exceeds 40%
Where applicable, all soli sample analysis are reported on a dry weight basis unless Ragged with a'W N = Recovery Is out of criteria H = Out of holding time
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SHEALY ENVIRONMENTAL SERVICES, INC.
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Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealytab.com Level 1 Report v2•1

SHEALY ENVIRONMENTAL SERVICES, INC.
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Shealy Environmental Services, Inc.
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F
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SHEALY ENVIRONMENTAL SERVICES, INC. (maQ ,z1,e
Report of Analysis
City of Belmont
PO Box 431
Belmont, NC 28012
Attention: Sandra Edwards
Project Name: NPDES 2A Renewal
Lot Number.KB19033
Date Completed:03/09/2009
&t5a-e_ dAkAisir
R. Brooke Montgomery
Project Manager
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
The following non -paginated documents are considered part of this report Chain of Custody Record and Sample Receipt Checklist.
• • • • • • • • •
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SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010
NELAC No: E87653 NC DEHNR No: 329
Case Narrative
City of Belmont
Lot Number: KB19033
This Report of Analysis contains the analytical result(s) for the samples) listed on the Sample Summary following this Case Narrative. The sample
receiving date is documented in the header information associated with each sample.
Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the
Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy
policies. Any exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page.
Semivolatile Organic Analysis
Sample -001 had two surrogates recovered outside of the acceptance limits due to confirmed matrix interference for the analysis of semivolatile
organic compounds.
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SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
City of Belmont
Lot Number KB19033
Sample Number Sample ID Matrix Date Sampled Date Received
001 Pipe 001 Aqueous 02/19/20091030 02/19/2009
002 Pipe 001 Aqueous 02/19/20091055 02/19/2009
(2 samples)
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SHEALY ENVIRONMENTAL SERVICES, INC.
Executive Summary
City of Belmont
Lot Number: KB19033
Sample Sample ID Matrix Parameter Method Result Q Units Page
001 Pipe 001 Aqueous Ammonia - N (phenate) 350.1 0.54 mg/L 5
001 Pipe 001 Aqueous BOD, 5 day SM 5210B 16 mg/L 5
001 Pipe 001 Aqueous Hardness (total) SM 2340C 54 mg/L 5
001 Pipe 001 Aqueous Nitrate -Nitrite - N 353.2 20 mg/L 5
001 Pipe 001 Aqueous Phosphorus 365.1 20 mg/L 5
001 Pipe 001 Aqueous TDS SM 2540C 540 mg/L 5
001 Pipe 001 Aqueous TKN 351.2 3.1 mg/L 5
001 Pipe 001 Aqueous TSS SM 2540D 17 mg/L 5
001 Pipe 001 Aqueous Antimony 200.8 2.8 ug/L 7
001 Pipe 001 Aqueous Copper 200.8 17 ug/L 7
001 Pipe 001 Aqueous Zinc 200.8 240 ug/L 7
002 Pipe 001 Aqueous Phenolics 420.4 0.012 mg/L 8
002 Pipe 001 Aqueous Fecal Coliform-MF SM 9222D 55 co1/100mL 8
002 Pipe 001 Aqueous Bromodichloromethane 8260E 1.3 ug/L 8
(14 detections)
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ClientCity of Belmont
Description: Pipe 001
Date Sampled:02119/20091030
Date Received:02/19/2009
Laboratory ID: KB19033-001
Matrix: Aqueous
Inorganic non-metals
Run Prep Method
1 SM4500-NH3
1
1
1
1
1 351.4
1
Analytical Method
(Ammonia - N ) 350.1
(BOD, 5 day) SM 5210B
(Hardness (to) SM
(Nitrate-Nitr) 353.2
(Phosphorus) 365.1
(TDS) SM 2540C
(TKN) 351.2
(TSS) SM 2540D
Dilution
1
1
1
10
50
1
1
1
Analysis Date
02/27/20091546
02/25/20091011
02/27/2009 1629
02/25/20091348
02/24/2009 2037
02/24/20091715
02/25/2009 1338
02/25/2009 0908
Analyst
SLH
MML
MML
RLM
SLH
WD
SLH
WD
Prep Date Batch
02/25/20091254 95828
02/20/2009 0918 4879
96117
95852
02/23/20091248 95638
95779
02/24/20091800 95757
95799
Parameter
Ammonia - N (phonate)
BOD, 6 day
Hardness (total)
Nitrate -Nitrite - N
Phosphorus
TDS
TKN
TSS
CAS
Number
7723-14-0
Analytical
Method Result
360.1 0.64
SM 6210B 16
SM 2340C 64
353.2 20
365.1 20
SM 2540C 540
361.2 3.1
SM 2640D 17
Semivolatile Organic Compounds by GC/MS
PQL
0.10
2.0
10
0.20
0.50
10
0.60
1.0
Units Run
mglL 1
mglL 1
mg1L 1
mglL 1
mglL 1
mg/L 1
mglL 1
mglL 1
Run Prep Method
1 3520C
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8270C 1 03/06/20091816 GLR 02/26/2009 2328 95980
Parameter
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
Benzo(b)fluoranthene
Benzo(g,h,i)perylene
Benzo(k)fluoranthene
4-Bromophenyl phenyl ether
Butyl benzyl phthalate
roro-3-methyl phen
bi: . _ • methane
bis(2-Chroroethyl)ether
bis(2-Chloroisopropyl)ether
2- oronaphtharene
4-Chlorophenyl phenyl ether
CAS
Number
83-32-9
208-96-8
120-12-7
92-87-5
56-55-3
50-32-8
205-99-2
191-24-2
207-08-9
101-55-3
85-68-7
59-50-7
111-91-1
111-44-4
108-60-1
91-58-7
95-57-8
7005-72-3
Analytical
Method
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
Result
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
Q PQL Units Run
1.0 uglL 1
1.0 ug/L 1
1.0 ug/L 1
5.0 uglL 1
1.0 ug/L 1
1.0 uglL 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
5.0 uglL 1
1.0 ug/L 1
1.0 ug/L 1
1.0 uglL 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
PQL = Practical quantttatlon limit B = Detected In the method blank
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
Where applicable, ail soil sample analysis am reported on a dry weight basis unless flagged with a W
E = Quentitation of compound exceeded the caitbratlon range
P - The RPD between two GC columns exceeds 4096
N = Recovery is out of criteria
Shealy Environmental Services, Inc.
108 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealytab.com
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Level 1 Report v2.1

Client: City of Belmont
Description: Pipe 001
Date Sampled:02119/20091030
Date Received:02/19/2009
Laboratory ID: KB19033-001
Matrix: Aqueous
Semivolatile Organic Compounds by GC/MS
Run Prep Method
1 3520C
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8270C 1 03/06/20091816 GLR 02/26/2009 2328 95960
Parameter
Chrysene
Dian -butyl phthalate
Di-n-octylphthalate
Dibenzo(a,h)anthracene
3,3'-D azdine
,4-Dichlorophenol
Diethy iithelate
Di
late
274-Dimethyiphenoll
4,6-Dinitro-2 methylphenol
2,4-Dinitrophenol l
2,4-Dinitrotoluene
2,6-Dinitrotoluene
1,2-Diphenyihydrazlne(as azobenzene)
bis(2-Ethylhexyl)phthalate
Fluoranthene
Moreno
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclopentadlene
Hexachloroethane
lndeno(1,2,3-c,d)pyrene
Isophorone
N-Nitrosodl-n-propylamine
N-Nitrosodimethylamine
N-Nitrosodiphenylamine (Diphenylamine)
Naphthalene
Nitrobenzene
2-Nitrophenol
4-Nitrophenol
Pentachlorophenol
Phenanthrene
Phenol
Pyrene
2,4,6-Trichlorophenol
CAS
Number
218-01-9
84-74-2
117-84-0
53-70-3
91-94-1
120-83-2
84-66-2
131-11-3
105-67-9
534-52-1
51-28-5
121-14-2
606-20-2
103-33-3
117-81-7
206-44-0
86-73-7
118-74-1
87-68-3
77-47-4
67-72-1
193-39-5
78-59-1
621-64-7
62-75-9
86-30-6
91-20-3
98-95-3
88-75-5
100-02-7
87-86-5
85-01-8
108-95-2
129-00-0
88-06-2
Analytical
Mettjod
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
8270C
Result Q
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
PQL
1.0
5.0
5.0
1.0
5.0
1.0
5.0
5.0
1.0
5.0
5.0
2.0
2.0
1.0
5.0
1.0
1.0
1.0
1.0
5.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
2.0
5.0
5.0
1.0
1.0
1.0
1.0
Units Run
ug/L 1
uglL 1
uglL 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
ug/L 1
uglL 1
ug/L 1
ug/L 1
PQL = Practical quantltatloon limit B = Detected to the method blank
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with WIN'
E = Quantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 4096
N = Recovery Is out of criteria
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page: 6 of 9
Level 1 Report v2.1

CiientCity of Belmont
Description: Pipe 001
Date Sampled:02/19/2009 1030
Date Received:02/19/2009
Laboratory ID: KB19033-001
Matrix: Aqueous
Surrogate
Run 1 Acceptance
Q % Recovery Limits
2,4,6-Tribromophenol
2-Ftuoroblphenyl
2-Fluorophenol
Nitrobenzene-d5
Phenol-d5
Terphenyl-d14
52 41-144
N 28 37-129
27 24-127
N 32 38-127
32 28-128
47 10-148
ICP-MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 200.2 200.8 1 02/23/20091921 FTS 02/20/20091355 95533
CAS Analytical
Parameter Number Method Result Q PQL Units Run
Antimony 7440-36-0 200.8 2.8 1.0 ug/L 1
Arsenic 7440-38-2 200.8 ND 1.0 ug/L 1
Beryllium 7440-41-7 200.8 ND 0.40 ug/L 1
Cadmium 7440-43-9 200.8 ND 0.10 ug/L 1
Chromium 7440-47-3 200.8 ND 5.0 ug/L 1
Copper 7440-50-8 200.8 17 1.0 ug/L 1
Lead 7439-92-1 200.8 ND 1.0 ug/L 1
Nickel 7440-02-0 200.8 ND 5.0 ug/L 1
Selenium 7782-49-2 200.8 ND 1.0 ug/L 1
Silver 7440-22-4 200.8 ND 1.0 ug/L 1
Thallium 7440-28-0 200.8 ND 0.50 ug/L 1
Zinc 7440-68-6 200.8 240 10 ug/L 1
CVAA
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 245.1 1 02/26/20091651 KJC 02/25/2009 2046 95862
Parameter
Mercury
CAS Analytical
Number Method
Result Q PQL Units Run
7439-97-6 245.1 ND 0.00010 mg/L 1
PQL = Practical quantitatlon limit B = Detected in the method blank
ND = Not detected at or above the PQL J = Estimated result < PQL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless nagged with a "W"
E = Quantitatlon of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery is out of crttcna
Shealy Environmental Services, inc. Page: 7 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.com Level 1 Report v2.1

Client:City of Belmont
Description: Pipe 001
Date Sampled:02/19/2009 1055
Date Received:02/19/2009
Laboratory ID: KB19033-002
Matrix: Aqueous
Run Prep Method
1
1
1
1
1
1
1
1
Analytical Method
(Dissolved Ox) SM
(pH - Field) SM 4500-H
(Temperature ) SM
(TRC - Field) SM 4500-
(Cyanide) SM 4500-CN
(Phenolics) 420.4
(Fecal Colifo) SM
(HEM (oil and) 1664A
Inorganic non-metals
Dilution
1
1
1
1
1
1
1
1
Analysis Date
02/19/2009 1055
02/19/2009 1055
02/19/2009 1055
02/19/2009 1055
02/27/2009 1036
02/23/2009 1423
02/20/2009 1516
03/02/2009 1430
Analyst
SFM
SFM
SFM
SFM
RLM
RLM
SLH
JKP
Prep Date Batch
02/26/20091038 95924
02/20/20091309 95532
02/19/2009 1651
96136
Parameter
Dissolved Oxygen - Field
pH - Field
Temperature - Field
TRC - Field
Cyanide
Phenolics
Fecal Coliform-MF
HEM (oil and grease)
CAS Analytical
Number Method
SM 4500-0 G
SM 4500-H B Field
SM 2550B
SM 4500-CL G
57-12-5 SM 4500-CN E
420.4
SM 9222D
1664A
Result Q
8.82
7.07
14.0
ND
ND
0.012
55
ND
Volatile Organic Compounds by GC/MS
PQL
2.00
0.10
0.010
0.0050
2
4.8
Units Run
mg/L 1
su 1
"C 1
mg/L 1
mg/L 1
mg/L 1
co1/100mL 1
mg/L 1
Run Prep Method
1 5030B
Analytical Method Dilution Analysis Date Analyst Prep Date Batch
8260E 1 02/25/2009 0311 DLB 95810
Parameter
Acrolein
Acrylonitrile
Benzene
Bromodichloromethane
Bromoform
Bromomethane (Methyl bromide)
Carbon tetrachloride
Chlorobenzene
Chloroethane
2-Chloroethylvinylether
Chloroform
Chloromethane (Methyl chloride)
Dibromochloromethane
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1,4-Dichlorobenzene
1,1-Dichloroethane
1,2-Dichloroethane
CAS
Number
107-02-8
107-13-1
71-43-2
75-27-4
75-25-2
74-83-9
56-23-5
108-90-7
75-00-3
110-75-8
67-66-3
74-87-3
124-48-1
95-50-1
541-73-1
106-46-7
75-34-3
107-06-2
Analytical
Method
8260B
8260B
8260B
8260E
8260B
8260E
8260E
8260B
8260B
8260E
8260B
8260E
8260E
82608
8260E
8260B
8260B
8260E
Result
ND
ND
ND
1.3
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
Q POL Units Run
5.0 ug/L 1
5.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
5.0 ug/L 1
1.0 ug/L 1
2.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
1.0 ug/L 1
POL = Practical quantitation limit 8 = Detected in the method blank
ND - Not detected at or above the PQL J = Estimated result < POL and > MDL
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
E = Ouantitation of compound exceeded the calibration range
P = The RPD between two GC columns exceeds 40%
N = Recovery Is out of criteria
Shealy Environmental Services. Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page: 8 of 9
Level 1 Report v2.1

Client City of Belmont
Description: Pipe 001
Date Sampled:02119/20091055
Date Received:02/19/2009
Laboratory ID: KB19033-002
Matrix: Aqueous
Volatile Organic Compounds by GC/MS
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 5030E
8260B 1 02/25/2009 0311 DLB 95810
Parameter
1,1-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dlchloropropane
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethylbenzene
Methylene chloride
1,1,2,2-Tetrachloroethane
Tetrachloroethene
Toluene
1,2,4-Trichlorobenzene
1,1,1-Trtchloroethane
1,1,2-Trichtoroethane
Trichloroethene
Vinyl chloride
CAS Analytical
Number Method Result Q PQL Units Run
75-35-4 8260B ND 1.0 ug/L 1
156-60-5 8260E ND 1.0 ug/L 1
78-87-5 8260B ND 1.0 ug/L 1
10061-01-5 8260B ND 1.0 ug/L 1
10061-02-6 8260B ND 1.0 ug/L 1
100-41-4 8260E ND 1.0 ug/L 1
75-09-2 8260B ND 1.0 ug/L 1
79-34-5 8260B ND 1.0 ug/L 1
127-18-4 8260E ND 1.0 ug/L 1
108-88-3 8260E ND 1.0 ug/L 1
120-82-1 8260B ND 1.0 ug/L 1
71-55-6 8260E ND 1.0 ug/L 1
79-00-5 8260B ND 1.0 ug/L 1
79-01-6 8260E ND 1.0 ug/L 1
75-01-4 8260B ND 2.0 ug/L 1
Run 1
Surrogate Q % Recovery Ac Lim
i
ts
1,2-Dtchloroethane-d4 108 70-130
Bromofuorobenzene 109 70-130
Toluene-d8 109 70-130
PQL Practical quantttation limit 8 z Detected in the method blank
ND Not detected at or above the PQL J Estimated result < PQL and > MDL
Whore appEicabte, an son sample analysis are reported on a dry weight basis unless Slagged with a "W'
E v Quantitation of compound exceeded the catibradon range
P = The RPD between two GC columns exceeds 40%
N n Recovery is out of crtterta
Shealy Environmental Services, Inc. Page: 9 of 9
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.com Level 1 Report v2.1

•
SHEALY ENVIRONMENTAL SERVICES, INC.
•
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2! 75
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PIVT.S.' 4C-I1J.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com Level 1 Report v2.1

SHEALY ENVIRONMENTAL SERVICES, INC.
Sh:al;, :;:wtrunu,r,t .l Scrvic;!. Inc
,rm•ent l.ur tka F-.�J-•11G
\u,atici ti
Cher::
,.;r
C a: 1 •,f I
r'cplsc:s Date
Ettc_t_.'c rgat: t: 5:29
Sample Receipt Checklist (SRC)
Cooler inspected bv!datc: ,�� t� 2 i / `J/6 Lot k ,3 `( & > ;
57.44/1
Means of revein ['SESI [ Client ❑ UPS C FedEx. Airtxxne Exp ❑ Other
ves ] ND d I SA ❑ 1 Were eutitc�dv seals =resent on the cooler?
Yes ❑ �;p \A 12. If custody seals were present. •�'e-c tiiev intact and un' rckcn"
Cooler :D1:crni erasure upon receipt 1. 2 _ `C
N•lethod: '-e:naeranrr' Blank ] Actainst Bottles
Method o co o;ant: W et ice
vC
❑ 31ue Ice E L)r ice
None
1f response :s No ..,r Ycs for 14.: `. ar exnlanatior.: re.suli :iOrr trust be provided.
3. I temper�rire .of any cooler exceeded 6.:):C, was Project Manager notified'.:'
Yes ❑ No 0N - PM notified by SRC_', pione, note (circle one), other: rFor
crrriler; received via :o-nmercial courier. PNIs are to be notified immedia:elv.
4. 15 :he comrner:al cot.rier's paci:ir.e slip attached to this form''
5. Were proper cuitodz Sri 2 lures treiiaouishecl/received l followed'
b. We:e sarnole IDs listed?
No ❑ N. L, 7. Was collectior. J:i.c . time listed'
R. Were tests to be pr;fonned listed on the CK. ;It- was euate provide:?
NA 0 9. Did al: samples arrive in the proper containers for each t:5t?
SA [ : Q. Did all eorit&ir er label ir.tcrmation i ID, date. tine) introit: with COC?
C ..�'t:o:: ••rfpr ker i-dr� a .'
��rt . I. Diu .ill ��tri►:.ii►��S::ai:�C iG �'ti:za C:.•• � {--.._••.•e.•,••. _. .. lC.i.
_ S C : _. was volume available'
3. Were eta samples received wtrhin ! :he holding time or 4S hCL S. r�.t.chever
Yes ❑ vo NA [ -
carte; first`'
Ycs
. Yes
Ycs g
Yc (1r
Y• e; C/
Yes
'r Ci
i' e s
No 7
NA
NA
No NA
No ❑
.\ o ❑
•U
Yc_: [l N- 7 , NA L I :.1. Were any samples containers missing.'
1 r. Were there ar.• cz:CS. samples not listed on ("7OC?
1 6. Were bubbles present >` pcz.-size ' t::/4"or 5rnrn :n diameter) in any VOA
vials?
Yc� N N a L
Yes ❑ N,_ NA
Y i No ❑ NA Q : 7. Were al: mcthis.O& r''HF.M, i atri:nt samples-ezeived a: a pH of •=2'.'_
Y . .Nc '❑ NA I : , S. Wcrc al. :cyanide an for su:f di sam-ii_; receive:: at a pH >:=.1
‘:C5 No❑ N. F. 9. Were all applicable N71.TKNrevanide:pl►enol;BNA`pcs:2C!:herh
(--0.2mg:-) and :oxrcln• (r-Y1. l ni.:`L) samples free of resioual chlocine'.'
e, 7 No ❑ NA 120. Were collection 'ern leratares docum: r on r1 e CC)C for NC samples?
Sample Preservation (ivkist be completed for any sam7:1e(s) incorrectly p:esc:.cd or witI• headspa;:.)
Sample t s) _:Fero received iuciareedy preserved and were adjusted
i
1 accoruin..Iy in sample rc'cei ins: wir.h t I,SO..HNO .F'C1.NaOH) with the SR (number)
Samplci s)
Samples:s )
were received with Dibbles men in diameter.
wer::__eired with TRC >0.2 :n ._ for NH
Tk.Nicvanide:BN 1pcsIPCRlierh.
j Toxicity. sarhp'c(s) were received with TRC 1 soul. and were
anaivze:' by method 330.5.
Corrective Action taken. if necessary:
Was client uotif:ed: Yes n No ❑
IFS' ernal. a e:
i 'rnrnen:s:
Did client respond: Yes ❑ No ❑
Date cf respons::
Shealy Environmental Services, Inc.
108 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.sheaiylab.com Level 1 Report v2.1

' Peiznit No. i t Oa I I g
Outfall 0C...0
Annual Monitoring and Pollutant Scan
Zdo g`'
Month
Year
Apri' P.;
o r'8
Facility Name: City of Belmont, WWTP
Date of sampling: April
Analytical Laboratory: Shealy Environmental
ORC Sandra S. Edwards
Phone [phone]
AMEND
Ammonia (as N)
Composite
350.1
0.1
0.41
mg/L
1
Dissolved oxygen
Nitrate/Nitrite
Grab
Composite
4500.0 G
353.2
0.4
8.08
25
mg/L
mg/L
1
1
Total Kjeldahl nitrogen
Total Phosphorus
Composite
Composite
351.2
365.1
0.5
0.2
2.2
9
mg/L
mg/L
2
1
Total dissolved solids
Composite
SM 2540C
10
460
mg/L
1
Hardness
Composite
SM 2340C
10
67
mg/L
1
Chlorine (total residual, TRC)
Grab
8370
2-500
15
ug/L
1
Oil and grease
Metals (total recoverab%),
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Mercury
Nickel
Selenium
Silver
Thallium
Zinc
Cyanide
Total phenolic compounds
Volatile organic iiiiii eai.
Grab
1664 A _
fide Midtotal:phezioliktiff;taig,,
Composite
Composite
Composite
200.8
200.8
200.8
Composite 200.8
Composite 200.8
Composite
Composite
Composite
Composite
Composite
Composite
Composite
Composite
Grab
Grab
200.8
200.8
245.1
200.8
200.8
200.8
200.8
200.8
SM 4500-CNE
420.4
4.6
1
1
0.4
0.1
5
1
1,
0 .000 10
5
1
1
0.5
10
0.01
0.02
ND
3.9
ND
ND
ND
ND
15
ND
ND
ND
ND
ND
ND
120
0.015
0.033
r,f
mg/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
mg/L
ug/L
ug/L
ug/L
ug/L
ug/ L
mg/L
mg/L
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
2
Acrolein
Acrylonitrile
Benzene
Bromoform
Carbon tetrachloride
Chlorobenzene
Chlorodibromomethane
Chloroethane
2-chloroethylvinyl ether
Chloroform
Dichlorobromomethane
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
624
624
624
624
624
624
624
624
624
624
50
50
5.0
5.0
5.0
5.0
5.0
5.0
10
5.0
ND
ND
ND
ND
ND
ND
ND
ND
ND
ND
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
ug/L
1
1
1
1
1
1
1
1
1
1
1,1-dichloroethane
1,2-dichloroethane
Trans-1,2-dichloroethylene
. Y s
Parameter ; _ ' y
Volatile organic compounds (Con
1,1-dichloroethylene
1,2-dichloropropane
1,3-dichloropropylene
Grab
Grab
Grab
Grab
Grab
Grab
624
624
624
5.0
5.0
5.0
uantitation
rlevel>
ND
ND
ND
�le>
ug/L
ug/L
ug/L
Units
Measurement
1
1
1
lumber of
samples);.
Ethylbenzene
Methyl bromide
Grab
Grab
624
5.0
ND
ug/L
Form - DMR- PPA-1
Page 1

Annual Monitoring and Pollutant Scan
Permit No. /I 00:4i f
Outfall 00
Month Apr, I e • -
Year
Methyl chloride
Grab
624
5.0
ND
ug/L
1
Methylene chloride
Grab
624
5.0
ND
ug/L
1
1,1,2,2-tetrachloroethane
Grab
624
5.0
ND
ug/L
1
Tetrachloroethylene
Grab
624
5.0
ND
ug/L
1
Toluene
Grab
624
5.0
ND
ug/L
1
1,1,1-trichloroethane
Grab
624
5.0
ND
ug/L
1
1,1,2-trichloroethane
Grab
624
5.0
ND
ug/L
1
Trichloroethylene
Grab
Vinyl chloride
Grab
624
5.0
ND
ug/L
1
Acid -extractable comimunds:-,,,,N--•;.:,,,,..:T.jj„i,,,i1,,',,i4";:'-''''-'S7:1.;10.1..-40,:"-i.-,,.:°iri47',--='],,::-.4ii-t-CA:i4,,---:•ii;•';
'",-;;.,i-''*:--.--;:--
P-chloro-m-creso
Grab
2-chlorophenol X
Grab
625
_
ND
ug/L
2,4-dichlorophenol1
Grab
625
ND
ug/L
1
2,4-dimethylphenol )(
Grab
625
C5:-.5 1
ND
ug/L
1
4,6-dinitro-o-cresol
Grab
2,4-dinitrophenol
Grab
625
26
ND
ug/L
1
2-nitrophenol
Grab
625
10
ND
ug/L -
1
4-nitrophenol
Grab
625
26
ND
ug/L
1
Pentachlorophenol 7(
Grab
625
A
ND
ug/L
1
Phenol
Grab
625
5.1
ND
ug/L
1
2,4,6-trichlorophenol
Grab
625
4.
ND
uz/L
1
B'As'e*eiitiiiraiiiiijoei".thkdoi%ISVA!V,:12-tWrd)ttt:
'' --..,0
:.i..e. : .
, :.1.)-2:4,. ' -44,CVZOA ,,siwe
ortVjgCtiaVingi
Acenaphthene
Grab
625
5.1
ND
ug/L
1
Acenaphthylene
Grab
625
5.1
ND
ug/L
1
Anthracene
Grab
625
5.1
ND
ug/L
1
Benzidine
Grab
625
.
26
ND
ug/L
1
Benzo(a)anthracene
Grab
625
5.1
ND
ug/L
1
Benzo(a)pyrene
Grab
625
5.1
ND
ug/L
1
3,4 benzofluoranthene
Grab
625
5.1
ND
ug/L
1
Benzo(ghi)perylene
Grab
625
5.1
ND
ug/L
1
Benzo(k)fluoranthene
Grab
625
5.1
ND
ug/L
1
Bis (2-chloroethoxy) methane
Grab
625
5.1
ND
ug/L
1
Bis (2-chloroethyl) ether
Grab
625
5.1
ND
ug/L
1
Bis (2-chloroisopropyl) ether
Grab
625
5.1
ND
ug/L
1
Bis (2-ethylhexyl) phthalate
Grab
•
.
4-bromophenyl phenyl ether
Grab
625
5.1
ND
ug/L
1
Butyl benzyl phthalate
Grab
625
10
ND
ug/L
1
2-chloronaphthalene
Grab
625
5.1
ND
ug/L
1
4-chlorophenyl phenyl ether
Grab
625
5.1
ND
ug/L
1
Para,,,,..:mo.,..;1
^ '''' ='-'4 -,•- ,-1- .• --- ' - : ,',
e . - -' ; ''-: !. - 7 '
..., .. -
,-,- - -.-4-
-,...--z, 6
ii:,', 4 ._ .. ,
. •,'
r,,-....,-„%-„, __,--.4,,,N47-
.n):17 i
--11j9701,4-i,-- 4
,,,. iiii,.,
- *
.'- - ,ia,t,f
... ti::-,
1,14.ir riv..,,,,;
A:1.t,6',6147-.4, '
,,, %--.-- - ----- -
..,:._..eas Men* '
,. . Number: of
: •,,. ,,-;., • ,,,,,,
' - ,,
...--, . ." .'
,Base'.ife,a :ablikiii -;:: --
1#,!'.?
-Iga4,-
,--71::+:21i-375-11'„'W:,),:-
'TA,Re.-7-iAtolA.,-
Chrysene
Grab
625
5.1
ND
ug/L
1
Di-n-butyl phthalate
Grab
625
5.1
ND
ug/L
_ 1
Di-n-octyl phthalate
Grab
625
5.1
ND
ug/L
1
Dibenzo(a,h)anthracene
Grab
625
5.1
ND
ug/L
1
1,2-dichlorobenzene
Grab
625
5.1
ND
ug/L
1
1,3-dichlorobenzene
Grab
625
5.1
ND
ug/L
1
1,4-dichlorobenzene
Grab
625
5.1
ND
ug/L
1
3,3-dichlorobenzidine
Grab
625
5.1
ND
ug/L
1
Diethyl phthalate
Grab
625
5.1
ND
ug/L
- 1
Dimethyl phthalate
Grab
625
5.1
ND
ug/L
1
2,4-dinitrotoluene
Grab
625
10
ND
ug/L
1
'
2,6-dinitrotoluene
Grab
625
10
ND
-
ug/L
1
1,2-diphenylhydrazine
.
Grab
.
625
5.1 .
ND
ug/L
1
Form - DMR- PPA-1
Page 2

Pefmit No. A/C oo l I S
Outfall uc
Annual Monitoring and Pollutant Scan
Month R*rI
Year e?0°S
Fluoranthene
k Grab
625
5.1
ND
ug/L
1
Fluorene
Grab
625
5.1
ND
ug/L
1
Hexachlorobenzene
_
Grab
625
5.1
ND
ug/L
1
Hexachlorobutadiene
Grab
625
5.1
ND
ug/L
1
Hexachlorocyclo-pentadiene
Grab
625
26
ND
ug/L
1
Hexachloroethane
Grab
625
5.1
ND
ug/L
1
Indeno(1,2,3-cd)pyrene
Grab
625
5.1
ND
ug/L
1
Isophorone
_
Grab
625
- 5.1
ND
ug/L
1
Naphthalene
Grab
625
5.1
ND
ug/L
1
Nitrobenzene
Grab
625
5.1
ND
ug/L
1
N-nitrosodi-n-propylamine
Grab
625
5.1
ND
ug/L
1
N-nitrosodimethylamine
Grab
625
5.1
ND
ug/L
1
N-nitrosodiphenylamine
_
Grab
625 1
5.1
ND
ug/L
1
Phenanthrene
Grab
625
5.1
ND
ug/L
1
Pyrene
Grab
625
5.1
ND
ug/L
1
1,2,4,-trichlorobenzene
Grab
625
5.1
ND
ug/L
1
I certify under penalty of law that this document and all attachments were prepared under my direction
and supervision in accordance with a system to design to assure that qualified perdonnel properly
gather and evaluat the information submitted. Based on my inquiry of the person or persons that
manage the system, or those persons directly responsibel 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 fines and imprisonment for knowing violations.
fl T rCk Ed (,Jo (ofS
'Authorized Representative name
S Lc,c-(-06}Jo.LcA,
Signature
/61.73/0g
Date
Form - DMR- PPA-1 Page 3

06/30/2010 11:33 8648776938
ETT ENVIRONMENTAL
-ffluent Toitkity Report Form•Chronie Fathead Minnow Multi -Concentration T *te:08131109
PAGE 10
1 81
Control
x
Faciliy Delmont
Laboratory; ETT Environmental
NPOES 0 NCO0 21181 Pipes: 001 County Gaston
5ignatur,!of Operator In Responsible Charge
Sig attire o(Lalwratory Supervisor
ommonta
MAIL, ORIGINA1. TO:
Environment") Sciences *ranch
Division of Water Qualkv
NC DENR
1621 Mall Service Center
Raleigh, NC 27699-1621
ttcd JIL r
�()(1ac(
Test Inllletion Onto/Time 18-Aug-09
% Eff. Repl.
Surviving a
Orlglner
Wt/original (mg)
2
)
Surviving #
Original 0
WI/original (mg)
Surviving #
Original #
WI/origin/II (mg)
Surviving #
Original #
Wt/0rugirtel (mg)
4
16
Surviving #
Original*
Wt/original (mg)
Surviving #
Original*
Wt/originat (mg)
Water Quality Data
321
Control
pH (SU) InIUFin
00 (mg1L) Init/FIn
Temp (C) !nit/Fin
High Concentration
PH (SU) Inh/Fin
D0 (mg/L) INUFin
Temp (C) Init/Fin
Smolt
Ceeection Start Date
Grab
Cornposlto (Duration)
Conductivity (umhos/cm)
Alkalinity (ntg/L)
Hardness (mg/L)
Chlorine(men-)
Temp at Receipt ("C)
Test Organisms
Cultured In -House
Outside Supplier
Hatch Date/Time' 08"17.09
( 1300
2
4
Avg Wt/Surv. Control
10
10
9
10
10
10
10
10
0.389
0.400
0.339
0,447
10
10
10
10
10
10
10
10
0.402
0.397
0.408
0.391
10
10
10
9
10
10
10
10
0.383
0.384
0.489
0.342
10
10
10
9
10
10
10
10
0 443
0.431
0.444
0,405
10
10
8
10
10
10
10
10
0.395
0.425
0.371
0,398
9
10
9
10
10
10
10
10
0.435
0.483
0.418
0.390
Day
96 Su/Nivel
Avg WI (mg)
% Survival
Avg WI (mg)
% Survival
Avg WI (mg)
1 Survival
Avg Wt(mg)
% Survival
Avg Wt (mg)
1 Survival
Avg Wt (mg)
0.4031
)
0.3941
100.0
0.400
97.5
0.4061
97.5
L
0.4311
95.01
0.397
95.0
0,4321
0
2
7.80
1
no
7.90
/
7.80
7.60
/
7.40
7.80
/
7.30
7.70
/
7.00
7.80
/
7.70
7.70
/
7,70
no
1
7,00
8.3
1
na
8.1
1
7,3
8.0
/
7.1
8.3
I
7.4
8.4
/
7.2
8.8
/
7.1
7.8
1
7.0
na
1
7.8
24.7
I
na
249
/
24.9
25.1
/
24.9
25.3
/
24.4
20.2
/
Z5.1
24.8
/
24.8
26.1
/
24a
iv
/
24.3
2
7,40
1
na
7.40
/
7.40
7.40
/
7.30
7,40
/
7.60
7,00
/
7.80
7,70
/
7.80
7.50
t
7.90
no
I
7.40
8,7
/
no
0.0
/
7.8
8,3
/
7.4
8.1
(
7.0
8,2
/
7.2
8.4
1
7.2
7.8
/
7.0
na
/
7.5
25.1
/
na
24.7
/
24.9
25.3
/
24.9
24,5
1
24.4
24,8
1
25.1
25.1
/
24.8
24.9
1
24.4
na
/
24.1
08/16/09
08/18/09
08/20/09
24 hrs
24 hrs
24 his
1010
1073
11t16 -I
88.8
64,8
67,3
46
50
44
0.05
'0.05
<0.05
4.7
2.7
4.6
OWO Form AT-5 (&03)
Control
Hardness 48 mg/L
Alkalinity 45.1 mgll
Conductivity 182 umnowon
1 0830 - 1000 MDT
Survival Growth
Normal W= n,81 no 0.93 yes
Hom. Var. Sr- -13.2 yes 11.3 yes
NOEC > 32.0% > 32,0%
LOEC - 32 0% > 32.0%
> 32.0% > 32.0%
Rank &um Dvm.1 Teat
11 2.55
ChV
Method
Crit Ursum
Conc.
2.0%
4.0%
8.016
16.0%
32.0%
18.00
20.00
20.00
18.00
14.00
-0.22
-0.22
-1.41
"0.11
-1.44
BILLED SEP - 5 2009
Sliv7T! 9 SEP r 5 2ME

EflVkonmeinIld. inc.
TT
Liaittng Address: RO. Box 16414, Greenville, SC 29805-7414
ShippingAddress:4 Craftsman Court, Grey, SC 28650
Phone: (814) B774942 Fax: [phone] Too Free: (800) a91.2325
Email: maileettenviinonmentaLcom
Facility: 641i of (JjVJr 1, klui I r
site Description:: E flQ(fl] CCOVINSi k cS t
State: f4C , County:
NPDES 9: (t}Zl, Pipe It obi
CHAIN OF L ..STO DY FORM
GRAB SAMPLES
Collected By (Print):
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Sample Sealed By:
Relinquished By -
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'Relinquished By:
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Relinquished By:
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Organaa9on:
Preservation concentrations am below DOT concentratton Wks.
Date/Time:
Date/Time:
SAMPLE T IIISP T
Carrier.
Transport Method:S
Received By (Slgrra
RECEIPT AT LABORAT • Y
Relinquiahe d By �"— v � '_ ceived
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Organization: Date/Time: I•f7-� /a`�
Date/rime: e. /'' , p9 /zap unsealed By:
Arrival Temp: Y. 7 •C
Semple Unposed/Returned By: Date:
8E69LL8b98

virenmentdl, Inc.
Mailing Address: RO. Box 16414, Grecnvflle, SC 22868-7414
Shipping Address: 4 Craftsmen Court, Greer, SC 29650
Phone: (814) sn-6942 Fax: [phone] Ton Free: (SOO) 8912325
Email: mail®ettsmrfronmentsl.com
FaciSty:C111 BQT mbr M
StEe Desaipiion: iuen4 Corripily i5ample
Stale: K.ii County: Ga.s4th
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4Ce 2t 4". lees-1 -%. 40-- o`14 t �+ ! la35.
Rerinqutahed By: Organization:
Received By: Orgafiza6on:
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'Received BY Organization:
Preservation concentrations are below DOT concerdratlon »mils.
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SAMPLE TRANSPORT
Canter:
Date/Time: M)1 ,1 I Z ilk" Transport Mclhod: v .
!ration: �Z tY Dategime.lepireAgerReceived 8y (Signature) -
Organization: Date/Tirne:
Organisation: Date/Time:
Date/Time:
Date/Time:
Date/Time:
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RECEIPT AT LABORATO
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Sample Disposed/Returned By: Date:
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8£69LL8b98

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nvirenmentalt, inc.
Mailing Address: P.O. Box 16414, Greenville, SC 29980S-7414
Shipping Address: 4 Craftsmen Court, Greer, SC 29830
CHAIN OF LoSTODY FORM
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Email: naileetterwircnmcrd
Facility: C (AN Q If IYhA4 W u1.r II'
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Signature:
Date/Time:
COMPOSITE SAMPLES
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Signatu S' nalw.:
To
Dale/Time: St2titicA 17--1 1 DaterTime: eiz~ic/q VOW"
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Site Description: gr kill Cianzsi 143
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County: C1of4tri
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m

06/30/2010 11:33
8648776938
ETT ENVIRONMENTAL
Effhpant Toi.±city Report Form -Chronic Fat/road Minnow Multi-ConcentratIon TMtr.11130109.,
PAGE 14
Patiity: Belmont
Laboratory: ETT Environmental
NPDE$>MNC00 21181
Signsturo of Operator In Responsible Charge
nature of a • . - tory Supervisor
Pipe tt: 001 County Gaston
MAIL OR1f71NAI. TO:
environments, Seiencen Branch
Division of Writer Quality
NC DOIR
1.621 Mill Servioc Center
Raleigh. NC 17499-1621
Test Initiation Dant/Time 17-Nov.09
Control
S EK. Rep!.
Sunriving it
Original
Wt/orignal (mg)
2
Surviving X
Original4
Wt/nnginal (mg)
4
Surviving 4
Original 0
Wt/original (mg)
8
Surviving 0
Original*
Wt/original (mg)
10
(
Surviving 4
Original X
Wfloriginal (mg)
Surviving*
Original 0
WI/original (mg)
Wetor Duality Data
Control
pH (SU) InWirin
DO (mg/L) Snit/Fin
Temp (C) Init/Fln
321
High Concentration
pH (SU) Init/Fin
DO (mg/L) Intt/Fin
Temp (C) Init/Fln
Sample
Collection Start Date
Grob
Composite (Duration)
Conductivity (umnos/cm)
Akalinity (mg/14
Hardness (mg/L)
Chiorine(mg/L)
Temp al Roosipt ('C)
1
/ 1300
2
3
Avg Wt/Surv. Control
10
10
10
9
10
tO
10
10
0.4.10
0.364
0.405
0.426
10
10
10
10
10
10
10
10
0 403
0.449
0.411
0.432
9
9
10
10
10
10
10
10
0.404
0.373
0.434
0.490
10
10
10
9
10
10
10
10
0.437 _
0 473
0.465
D.397
10
10
10
10
10
10
10
10
0,551
0,427
0.575
0.443
8
g
10
8
)o
)0
1 10
10
0.483
0.442
0.518
0.494
Day
% Survival
Avg Wt (mg)
4 Survival
Avg WI (mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt(mg)
% Survival
Avg W1(mg)
9 Survival
Avg Wt (mg)
0
2
0,423
l
0.4111
100.01
0.4241
es,01
0.425
97,5
0.443
100.0
0.499
07.51
0.479
IIIIMY
7.7
1
1
na
7,8
/
7.6
7,8
/
7.4
7.7
/
7.5
7.8
/
7.6
7,7
/
7.7
7.8
/
7.8
na
r
1
8.1
8.9
/
ne
8.0
/
7.5
7.6
/
8.2
8.1
/
8.2
8,2
/
7.1
8,3
/
6.7
8.2
/
6.5
na
/
6.5
24.8
/
na
23.1
1
25.4
24.7
1
25.2
25.1
/
25.1
25,5
/
24.9
25,3
/
25.1
25,7
/
25.8
na
/
25.3
0
7,5 / na
8,1 / ne
25,2 / no
7.8 / 7.5
7,8 / 8.7
25.2 1 25.4
2
7.5 / 7.4
8.1 / 8.5
28.0 / 25.2
1
2
11/15/09
11 /17/09
11 /19/09
24 hrs
24 hrs
24 hra
783
888
1278
32.8
55.7
62.5
60
54
46
=0 05
c0 05
0.07
1.2
2.1
2.$
Teat Orgenlsms
Cultured In -House
Outside Supplier )(
Hatch DatefinlP.ilw..i•1D.0B..
Control
Hardnoan 48 mg/L
Alkalinity 57.8 mg/L
Conductivity 183 um4oelcm
/ 0830 - 1000 MST
3
7.5 / 7,7
4
7.8 / 7,8
8.1 1 6.7 8,2 / 7 2
24.8 / 25.t 25.1 / 24,9
5
6
7.8 / 7.8 7.7 / 7.8
8.1 / 7.0
25.2 / 25.1
Survival
Normal W= 0.90 yes
Hom. Var. 9= -29.2 yes
NOEC > 32,0%
LOEC > 32.0%
ChV > 32.0%
Method Dunn. 1 T94l
Cri1 t/rsum 2.55
Conc.
2.0% -0,68
4.0% 0,98
5.0%
16.1"
32.0%
0.00
-0.88
2.54
8,2 1 6.7
25.3 1 25.5
Growth
0.97 yes
5.01 yes
> 32,0%
32.0%
> 32.0%
Dunn. t Tool
2.55
-0.41
-0,46
-1.02
-2.78
•2.16
7
na / 7.7
na / 6.6
no / 26.3
DWQ Form AT-5 (8/03)
BILLED DEC - 8 2009
SHIPPED DEC - 2 2009

TOXICITY CHAIN OF CUSTODY
Facility:
ciboSfInikits4IQ
INt21k
ETT
ASSIGNED
LABm#
3 0f!
SAMPLE ID
I
TT
eDvuonMental, inc.
l'gsrsnonroaale! Test Container Paean Sample
Pro .m (Indicate%&Containers -dire T
1
3
5
k
0
g
oc
•
•
•
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-mt
w
0
V
Liz tweeetaf ..U1
Idailing Address: PO Elea 16414. Geemdlls, 9C 29605.7414
Shipping Ad st 4 Csnitzetan Ct, Greer. SC 29650
Phew (I164) 977.6942 or (BOO) 891-2325
V
0
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Acute
1
Testpanantaer
Maele neon To:dcity
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. da: EPA 1002
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SAMPLING PROCZDURRS
Composite sample, muss to c,!!armed over a 34 haw polio&
Tina Proportional: l maple each hour far 24 hots. Bqualwabanes.
or et nitrite= t tamp!* envy 4 hours over 24 haws.
Flow Proportional: As par instructions in NPDESpenrlil.
Spacid fristerctiaas:
ThMPHRRIilRB bMCWIIORWOPROCtTBURHS
Somp!e tetaprtaturo dazing collection eui In mipost oust lea between
0.0 and 6.0 •C. Serapler crust nal be Goren. Us* avatar ice is sealed begs.
*mum tamp none upon receift arid meat
Nati& client to temple Map endure is out change.
HOLD 77MitPROCSDl/R&S
For taxyCosting the sample must Got bI used within36boon
of sample coUactina(cosephtian of coop Doke sample).
Semple may not be used altar 72 harsh from sample collection
Sample Custody Transfer
Date Time
Record
R - Willy l Orgtaizetiaa
Receipt
Temp •C
Receive 1 etim
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e
1tiktuo
Sdsecrd
:..
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Coraposde
1
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Start Oale/Time:11,109
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LAB ID
34[4eo3
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Pleas (1164)877.6942ar (800)891--2325
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COMPOSfli mamma PRUC OWLTS
Composite samples cast bs collected over a24hour period
Time Progortioaat-1 sample each hour fbr24h urn Equd volumes.
or etrobi nuo L sample every 4haws over 3Aboars
Flow Proportional: A s per instructions in NPDFS permit.
• Special Inslmatioas:
i
116.
•
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1
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TTJ,IPBRITURS MOJ4IIVR WG PROCEDURES
Ssmple temperatura dining collection and transport must be b:Owen
00 and60°C. Samples must not ba frozen. Use wales ice is sealed bags.
Mearuse temperature uponsaceipt and :scent.
Ned/ client to crumple Jtemperature is out of wage.
Sample Castody Transfer Record
Date Time ReiragniabedilylOrmaaatiom Received Byr/Organaatioan
Secure
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Receipt
Teenp°+C
ivAtct
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HOLD TU/S PROCEDURES
For toxicity lasting the sample most first be used mill i:136 W=
escalate colleelaion(corapletion al:eompasite sample)
Sample may not be weed after 73 haunt front sample calls ctiom.
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Maim Address: PO Box 16414, Grcenvila,SC 29406.7414
SkIpplag Address:4 Craftsman Ct. Greer, SC 29Q68
Plrorse:0164)677-6942 or (0 )691
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COMPOSER SAWPL1NG PROCItDURt4
Comp asks samples snot be collected ores a 24 hoot puke!.
Time Propotianot 1 simple etch hour Par21 hours. Equal voles.
as at minimum 1 surge every 4 hours over 24 hours.
Flow Prop oatioaaat As per instructions in NPOES pemnt.
Special Instructions:
r--
1f
1
•
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7701dPSRAIT/RSMON1117Ra 1t PROCBDURSS
Semple temperature duaogcoasttiors artd trumped must b s between
0.0 and 60'C. Samples must nab* &rain Use water ice in seeded bags.
Measure temperadme upon receipt and record
Nosily d ent to rumple Utarn esatasro is out of ramp.
i
i
1 l 1
HOLD 7102 PROCEDURES
For toxicity totting the sample must first be used within 36 bons
of sample collectioa(eoorprelion of composite sample).
Sample may not be used after 72 hours from semp*c collection.
Sample Custody Transfer Record
Oats
Receipt
Tamp'C
a4.
Sang
Composite
Grab
Sla:tDelo/rime: ll,t411,4 ��
Da1 fires:
Sot
Collected Br
Enid Detarruae: % of 55Z?
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8£69LL8098

ETT ENVIRONMENTAL PAGE 06
06/30/2010 11:33 8648776938
EfflWrit Toxicity Report Farm -Chronic Fathead Minnow Multi•Conantration TQate:08102J09
Facility: Belmont
Laboratory: ETT Environmental
Signature of Operator In Responsible Charge
SI• ature of La••ra • Supervisor
NPDES A N000 21181 Pipe 0: 001 County; Gaston
Comments I
MAR ORIGINAL TO:
Gnvirnnnteetil Se:e.cee branch
Dlvi+inn nr Water Qui I ity
NC DENR
1621 Mail Scrvico Center
Raleigh, NC 27699-1621
I od oc(
Test Initiation Date/Time 19-May-09 / 1800
% Eft.
Control
Repl,
Surviving X
Original N
WI/original (mg)
Surviving %
Original 0
Wtloriginal (mg)
Surviving #
Original Y
WI/original (mg)
2
4
8
Surviving
Original*
WI/Original (mg)
Surviving #
Original 8
WI/original (mg)
Surviving #
Original $
Wt/original (mg)
18I
32
Water Quality Data
Control
pH (SU) Ink/Fin
DO (mg/L) Init/Fin
Tamp (C) Init/Fin
High Conc,ntratlon
pH (SU) Init/Fin
DO (mg/L) InitlFin
Temp (C) Init/Fin
Sample
Collection Start Date
Grab
Composite (Duration)
Conductivity (unlhoe!cm)
Alkalinity (mg/L)
Hardness (mg1L)
Chlonne(mg!L)
Tamp at Receipt (•C)
Test Organisms
Cultured In -louse
Outside Supplier
Hatch Date/Time
2
3
4
Avg WI/Su/v. ControlI 0.3701
10
10
1D
1D
10
10
10
10
0.326
0.392
0.369
0.394
10
10
10
9
10
10
10
10
0.429
0.383
0,356
0.313
10
10
10
8
10
10
1D
10
0.375
0.403
0.321
0.327
9
9
10
10
10
10
10
10
0.369
0401
0.396
0.380
9
9
9
10
10
10
10
10
0.383
0.345
0.377
0.388
6
9
10
10
10
iD
10
10
D.380
0.383
0.357
0.385
Day
% Survival
Avg Wt (mg)
% Survival
Avg Wt (Mg)
% Survival
Avg Wt (mg)
% Survival
Avg Wt (mg)
% 3trrvlval
Avg Wt (mg)
% Survival
Avg Wt (mg)
97.5
t
0.3701
95.0
0.357
95.0
0.387
92.51
0.388
92.5
0,378
0
2
4
6
7.90
/
na
7.60
1
7.60
7,70
/
7.50,
7.80
/
7.70
7.70
/
7,60
7.00
/
7.70
7.90
/
7.60
na
1
6.00
8.3
/
na
8.2
1
7.8
8.3
1
7.4
8.3
/
7.2
8.4
/
7,1
8.8
/
7.1
8.3
1
7.7
no
/
7.7
24.3
/
111
25.0
1
24.2
25.0
/
25.2
25.2
1
25.0
25,4
/
26.7
25.4
/
25.5
20.3
1
24.7
na
1
25.3
2
3
5
a
7
7.50
/
no
7.10 1
7 30
7A0
1
7.40
7.50
/
7.00
7.60
/
7 70
7.70
/
7.7D
7.70
1
7.50
no
/
7.60
8.2
/
1
na
8.2 1
7.3
8.4
/
7.5
8.4
/
7.3
8.4
/
7,2
8.5
/
7.0
8.3
/
7.9
na
/
7.7
25.1
/
na
25.1 /
24.2
25.1
/
25.2
25.2
/
25.0
25.2
/
25.7
25.5
1
25.5
25.3
/
24.7
na
/
25,3
2
3
05/17109
05/19/09
05/21/09
24 hrs
24 hrs
24 hrs
885
993
t104
30.4
59.9
63.7
50
88
52
0.07
0.06
<0.05
1.1 _
2.3
3.5
X
08.18.0E
Control
Hardness 40.0 mg/L
Alkalinity 59.4 mg/L
Conductivity 211 urho,/em
1 11AM•ZPM
Survtvel Growth
Normal W= 0.92 yes 0.07 yes
Horn. Ver. B^ -12.3 yes 7.57 yae
NOEC > 32.0% > 32.0%
LOEC > 32.0% > 32,0%
ChV > 32.0% > 32.0%
Method Oven. I Toil Cam. t Teat
Crlt tlrsvm 2.55 2.55
Cone,
2,0% 0.55 D.00
4.0% 1.02 0.64
8.0% 1.09 -0.75
18.0% 1.64 0.09
32.0% 1.57 -0.28
ResuIt
Pass
Ch=32,0% )
BILLED JIJN 1 5 2009
0140 form A7-6 (8 03)
SHIPPED JUN 1 3 2009

TT
nvironmental, inc,
Mailing Address: P.O. Box 16414, Greenville, SC 29606.7414
Shipping Address: 4 Craftsman Court, Greer, SC 296S0
CHAIN OF ATODY FORM
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SAMPLE CUSTODY
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TRANSFER
RECORD (Please sign) -
--.40- ganizadonOt 0 C OatelTime: 4 r"
Organization: Date/Time• /ioe
Organization: DatetTime:
Organization: Datsl4e:
&N , 01J3 +0 i°3".
Organization: Dale/Time:
•Organization: DateRlme;
Oration: DatelTmre:
Orgai atien: Date/Time:
SAMPLE TRANSPORT
Carrier: k7P---
TlaImport Method" /� '
eceivad 8y (Signature): .�
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frill
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RECEIPT AT LABORATORY
-I'Trm
Relinquished By .--...s• :'III! �"� ived 9 :
Organization:er
Organization- Date/Tirne• S /)j i
DateRtme Z�" %,aq Unseated By: 'r�-�
Annual Temp:, \ S • C
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Mailing Address: P.O. Box 18414, Greenville. 5C 29808•7414
Shipping Address: 4 Craftsman Court, Greer, SC 29650
CHAIN OF LJSTODY FORM
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Email: matlOenenvironmental.com
Facifty: CA-4 Q tieleflar14 VI kA-1TP
GRAB SAMPLES
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Signature:
Date/The:
ICO MROSlTE SAMPLE'S
Set By (print):Su►ssn It 0 Ski KKCaliected by. . SeV Z {✓
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Daterme:r� �1t DatelTrme: S tt S lcq `23 3 1A
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Site Description: l'?1�t� keno Cr%11 t SQrY14€.
State: MC- ,
County: --tA.S
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SAMPLE CUSTODY TRANSFER RECORD (Please sign)
Sample Sealed By:
Rehnqulobad Organization 1 ?C Date/Ti:ne: 511 e1M 83811YY%
Received By: ;.A. Organization: %2 Datof irn :ffir firt 0/4-?SrReceived
.
Relinquished 8y: ' Organization: Date/Time:
Received By: • Organiza!l'en: Date Time:
mC 6 vot. txcii� Ra,, o 3 -44 1133 .
Relinquished By: Organization: Data/The:0
Received By: Organization: OatelTime:
Relinquished By: Organization: Datemrne:
Received Sy: Organization: Date/Tfrne:
SAMPLE TRANSPORT
Cartier
Tampon Method.
By (Signahne):
RECEIPT AT LABORATORY
GOA
Relinquished By: ��� •• ived By:
. = ninth:in:LT
Organization: / Date/Time: die�/
,Da�/Tisne:=7- 'f y /y® Unseated By: fV.tia m
�AMval Temp: 1.1 •C
Semple (Reposed/Returned By: Cate:
Noma concentrations are below DOT crn mth lion Iimih.
OIOZ/0E/90
8E69LL8098
7a1N3WNO8 U1N3 113

TT
nvironmentel, Inc.
Melling Address: RO. Box 18414, Greenville. SC 29606-7414
Shipping Address: 4 Craftsman Court, Greer, SC 29850
Phone: [phone] Fast O884) 877.6938 Toll Free: [phone]
EmaA: mail@ettenvireementaLcom W ' t
Feciity: C1 � t �CY C,L441P
Site Descriptions Eccitalikk COPIlfthiV
State: Courtly: elf f
NPoES *: etat l gi Pipe ii: bb
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GRAB SAMPLES
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Signature:
Datelilme:
Program Area
COMPOSITE SAMPLES
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Signature Signature: (....).Adir
DablTirr3e:511q WI 921 rim Date1Time: 5i21a" Q f4
Frequency: No c tmialCb hitlsd? / No
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ethrgedshed B
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Relinquished By:
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Relinquished By:
Received By:
Relinquished By:
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a bition:C A.4 D Dale/Vine:S��D oc{ 1�0 ' ( l
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Organization: Date/Time:
Organization: Date/TIme:
Organization:
Organization:
Preservation concentrations are berms DOT concentration 6rnits.
Date1Time:
Datefilme:
SAMPLE TRA
Carrier:
import Method: i
Received By (Signature
RECEIPT AT LABORATORY
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eceived B
Organization: Or
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