NC0080071_Renewal (Application)_20221019

ROY COOPER y _ A
Governor
ELIZABETH S.BISER v"
11AM�
Secretary _=
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
October 20, 2022
Town of Vanceboro
Attn: Chad E. Braxton, Mayor
PO Box 306
Vanceboro, NC 28586-0306
Subject: Permit Renewal
Application No. NC0080071
Vanceboro WTP
Craven County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 19, 2022, receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sinc rely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DECSNorth Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 1943 Washington Square Mall I Washington.North Carolina 27889
.....a a..wnore� 252 946 6481

Alderman Stephen Belrose
Mayor Chad Braxton r�
p Alderman Keith Cannon
. itt '/11,1" Alderman Russell (pock
,. Alderman Thad Jones
Town Clerk Beverly Drake " .: : Alderman Todd McMillen
October 17, 2022
NC Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: NPDES Permit Renewal
Town of Vanceboro WTP
NPDES Permit#NC0080071
Craven County
Dear Permitting Unit:
The Town of Vanceboro is submitting the renewal application for NPDES permit #NC0080071
which is scheduled to expire on April 30, 2023. The permit application package consists of:
- Cover letter
- EPA Form 1
- EPA Form 2E
- Table "A" from EPA Form 2C
- Table "B" from EPA Form 2C
- Table"C" from EPA Form 2C
- Topographic Map
If you have any additional questions or comments, please call my office at [phone] or my
cell #252- 229-8861
Si cerel ,
Y
Chad E. Braxton
Mayor; Town of Vanceboro

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 `3EP^ Application for NPDES Permit to Discharge Wastewater
NPDES Cr/'1 GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
1.1.1 Is the facility a new or existing publicly owned 1 1 2 Is the facility a new or existing treatment works
treatment works? treating domestic sewage?
If yes,STOP.Do NOT complete El No If yes,STOP.Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
o Yes-4 Complete Form 1 El No ❑ Yes 9 Complete Form El No
O. and Form 2B. 1 and Form 2C.
c 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
= commenced to discharge? discharges only nonprocess wastewater?
a Yes 4 Complete Form 1 0 No ❑ Yes 4 Complete Form El No
re and Form 2D. 1 and Form 2E.
•.°; 1.2.5 Is the facility a new or existing facility whose
' discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 ElNo
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15.
SECTION 2. NAME, MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Vanceboro WTP
• 2.2 EPA Identification Number
U
110006707787
• 2.3 Facility Contact
Name(first and last) Title Phone number
Chad Braxton Mayor [phone]
a Email address
[e-mail]
2
• 2.4 Facility Mailing Address
CO Street or P.O.box
P.O.Box 758
City or town State ZIP code
Vanceboro NC 28586
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
d 2.5 Facility Location
wStreet,route number,or other specific identifier
Q V 923 Farm Life Ave.
c c County name County code(if known)
Craven
0
City or town State ZIP code
z as Vanceboro NC 28586
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4941 Water Supply
w
0
C)
N
V
3.2 NAICS Code(s) Description(optional)
-a
2213 Water Treatment
U
co
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Chad Braxton
4.2 Is the name you listed in Item 4.1 also the owner?
c El Yes ❑ No
4.3 Operator Status
o ❑ Public—federal ❑Public—state El Other public(specify)Municipal
o ❑ Private ❑Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O.Box
E y P.O.Box 745
City or town State ZIP code
0 o Vanceboro NC 28586
I; U
h.
fl. Email address of operator
[e-mail]
SECTION 5. INDIAN LAND(40 CFR 122.21(f)(5))
R 0 5.1 Is the facility located on Indian Land?
❑Yes ❑r No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
713
© NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
N water) fluids)
NC0080071,NC0031828
a ❑ PSD(air emissions) ❑Nonattainment program(CM) ❑ NESHAPs(CM)
w ❑ Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section 404) ❑Other(specify)
SECTION 7. MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
0. specific requirements.)
a
Yes ❑ No 0 CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8,1 Describe the nature of your business.
Operation of a water treatment plant with a discharge of backwash and rinse water from an Ion Exchange units.The
water treatment plant has a design potable flowrate of 0.432 MGD,and a maximum monthly average discharge of
to
approximately 0.016 MGD.
r-.
i0
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
0 Yes El No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
w 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
cY NPDES permitting authority to determine what specific information needs to be submitted and when.)
0
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
CD
❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
CC d Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3
I -

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (do)
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
El Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
0 Section 2:Name,Mailing Address,and Location ❑ w/attachments
Section 3:SIC Codes ❑ wl attachments
0 Section 4:Operator Information ❑ w/attachments
ElSection 5:Indian Land ❑ w/attachments
El Section 6: Existing Environmental Permits ❑ wl attachments
wl topographic
El Section 7:Map ❑ map ❑ w/additional attachments
m
o El Section 8:Nature of Business [7.] w/attachments
❑ Section 9:Cooling Water Intake Structures ❑ wl attachments
CD
C.' ❑ Section 10:Variance Requests ❑ w/attachments
a
tEl Section 11:Checklist and Certification Statement ❑ w/attachments
d 11.2 Certification Statement
s
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is, to the best of my knowledge and
belief,true,accurate,and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Chad Braxton Mayor
Si ure
I ! Date signed
✓W ` l
EPA Form 3510-1(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
U.S.Environmental Protection Agency
FORM Application for NPDES Permit to Discharge Wastewater
NPDES — EPA MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURAL FACILITIES WHICH I
DISCHARGE ONLY NONPROCESS WASTEWATER
SECTION 1.OUTFALL LOCATION(40 CFR 122.21(h)(1))
1.1 Provide information on each of the facilit 's outfalls in the table below.
0 Numbelr Receiving Water Name Latitude Longitude. .
v
001 Mauls Swamp 35° 18' 13.7" N 77° 08' 51.1" W
cc
° °
0
SECTION 2.DISCHARGE DATE(40 CFR 122.21(h)(2))
aP 2.1 Are you a new or existing discharger?(Check only one response.)
c o El New discharger ❑✓ Existing discharger 4 SKIP to Section 3.
y c 2.2 Specify your anticipated discharge date:
0
SECTION 3.WASTE TYPES(40 CFR 122.21(h)(3))
3.1 What types of wastes are currently being discharged if you are an existing discharger or will be discharged if you are a
new discharger?(Check all that apply.)
❑ Sanitary wastes ❑✓ Other nonprocess wastewater(describe/explain
Restaurant or cafeteria waste directly below)
y ❑ WTP Ion Exchange Backwash and Rinse
a ❑ Non contact cooling water
F- 3.2 Does the facility use coolingwater additives?
N ❑ Yes ❑✓ No 4 SKIP to Section 4.
3.3 List the cooling water additives used and describe their composition.
Cooling Water Additives Composition of Additives
(list) (if available to you)
SECTION 4.EFFLUENT CHARACTERISTICS(40 CFR 122.21(h)(4))
4.1 Have you completed monitoring for all parameters in the table below at each of your outfalls and attached the results to
this application package?
0 Yes ❑ No;a waiver has been requested from my NPDES permitting authority
(attach waiver request and additional information) 4 SKIP to Section 5.
4.2 Provide data as requested in the table below., (See instructions for specifics.)
t Number of Maximum Daily Average Daily Source
n Parameter or Pollutant Analyses Discharge Discharge (use codes
'a (if actual data (specify units) (specify units) per
R
reported) Mass Conc. ' Mass Conc. instructions)
co Biochemical oxygen demand(BOD5) N/A N/A N/A N/A N/A N/A
V Total suspended solids(TSS) 24 N/A 42.0 mg/L N/A 24.5 mg,, N/A
5
gOil and grease N/A N/A N/A N/A N/A N/A
W Ammonia(as N) 12 N/A 0.21 mg/L N/A 0.1 mg/L N/A
Discharge flow 365 0.016 MGD N/A
pH(report as range) 24 8.9-6.3 N/A
Temperature(winter) N/A N/A N/A
Temperature(summer) N/A N/A N/A
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant
parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2E(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
4.3 Is fecal coliform believed present,or is sanitary waste discharged(or will it be discharged)?
❑ Yes 0 No 4 SKIP to Item 4.5.
4.4 Provide data as requested in the table below. (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (Use codes
(if actual data (specify units) (specifl units) per
reported) Mass Conc. Mass Conc. Instructions.)
Fecal coliform
E. col/
Enterococci
4.5 Is chlorine used(or will it be used)?
cr, El Yes ❑✓ No 4 SKIP to Item 4.7.
y 4.6 Provide data as requested in the table below. (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
cts
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (specify units) (speci units) per
reported) Mass Conc. Mass Conc. instructions)
Total Residual Chlorine
w 4.7 Is non-contact cooling water discharged(or will it be discharged)?
❑ Yes ElNo 4 SKIP to Section 5.
4.8 Provide data as requested in the table below. (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (specif' units) (specify units) per
reported) Mass Conc. Mass Conc. instructions)
Chemical oxygen demand(COD)
Total organic carbon(TOC)
SECTION 5.FLOW(40 CFR 122.21(h)(5))
5.1 Except for stormwater water runoff,leaks,or spills,are any of the discharges you described in Sections 1 and 3 of this
application intermittent or seasonal?
0 Yes 4 Complete this section. ❑ No.SKIP to Section 6.
0 5.2 Briefly describe the frequency and duration of flow.
a` Flow is only discharged during backwash and rinse operations.
SECTION 6.TREATMENT SYSTEM(40 CFR 122.21(h)(6))
6.1 Briefly describe any treatment system(s)used(or to be used).
The water treatmentplant is a Sand Filter and Ion Exchange treatment system.
g Y
0,
as
E
io
tr
I
'Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant
parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2E(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
SECTI0117.OTHER INFORMATION(40 CFR 122.21(h)(7))
7.1 Use the space below to expand upon any of the above items.Use this space to provide any information you believe the
reviewer should consider in establishing permit limitations.Attach additional sheets as needed.
N/A
E
i
N
0
SECTION 8.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
8.1 In Column 1 below,mark the sections of Form 2E that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that
not all applicants are required to provide attachments.
Column 1 Column 2
Section 1:Outfall Location ❑ w/attachments(e.g.,responses for additional outfalls)
0 Section 2:Discharge Date ❑ w/attachments
El Section 3:Waste Types ❑ w/attachments
c ❑✓ Section 4: Effluent Characteristics ❑ w/attachments
❑ Section 5: Flow ❑ w/attachments
oci
cn
o CI Section 6:Treatment System ❑ w/attachments
❑ Section 7:Other Information ❑ w/attachments
c.' ❑✓ Section 8:Checklist and Certification Statement ❑ w/attachments
a
y 8.2 Certification Statement
/certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate,and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Chad Braxton Mayor
Signature Date signed
EPA Form 3510-2E(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP 001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1
Effluent Intake
Waiver (Optional)
Pollutant Requested Units Maximum Maximum Long-Term
(if applicable) (specify) Daily Monthly Average Daily Number of Long-Term Number of
Discharge Discharge Discharge Analyses Average Value Analyses
(required) (if available) (if available)
❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand Concentration NA NA
1' ❑
(BOD5) Mass NA NA
Chemical oxygen demand Concentration NA NA
2. ❑
(COD) Mass NA NA
Concentration NA NA
3. Total organic carbon(TOC) ❑
Mass NA NA
Concentration mg/L 45 30 24.46 24
4. Total suspended solids(TSS) ❑
Mass NA NA
Concentration mg/L NA NA 0.1 12
5. Ammonia(as N) ❑
Mass NA NA
6. Flow ❑ Rate MGD 0.432 NA 0.016 Continuous
Temperature(winter) ❑ °C °C NA
7.
Temperature(summer) ❑ °C °C NA
pH(minimum) ❑ Standard units S.U. 6.29 NA NA 24
8.
pH(maximum) ❑ Standard units s.u. 8.89 NA NA 24
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term _
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Daily of
Discharge Discharge Discharge Analyses AverageTerm of
Analyses
(required) (if available) Value
(if available)
❑
Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table.Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
1.1 Antimony,total Concentration
(7440-36-0) Mass
1.2 Arsenic,total Concentration
(7440-38-2) Mass
1.3 Beryllium,total Concentration
0 0 E
(7440-41-7) Mass
1.4 Cadmium,total CI Concentration
(7440-43-9) ✓ Mass
1.5 Chromium,total Concentration
(7440-47-3) Mass
1.6 Copper,total Concentration ug/L NA NA 0.0 4
(7440-50-8) Mass
1.7 Lead,total Concentration
(7439-92-1) Mass
1.8 Mercury,total ElConcentration
(7439-97-6) Mass
1.9 Nickel,total Concentration
(7440-02-0) Mass
Selenium,total Concentration
1.10 CI CI 0
(7782-49-2) Mass
1.11 Silver,total Concentration
0 CI
(7440-22-4) ✓ Mass
EPA Form 3510-2C(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110006707787 NC0080071 Vanceboro WTP
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
I (optional)
Pollutant/Parameter Testing Units Long-Term
Maximum Maximum Long-
(and CAS Number,if available) Required Believed Believed (specify) Daily Monthly Average Number Term Number
Present Absent Daily of Average of
Discharge Discharge
Discharge
(required) (if available) Analyses Value Analyses
(if available)
Thallium,total Concentration
1.12 (7440-28-0) Mass
1.13 Zinc,total � Concentration ug/L NA NA 74 4
El 0(7440-66-6) Mass
1.14 Cyanide,total 0 0 Concentration
(57-12-5) ✓ Mass
1.15 Phenols,total 0 0 Concentration
Mass
Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
21 Acrolein Concentration
(107-02-8) ✓ Mass
2.2 Acrylonitrile Concentration
(107-13-1) ✓ Mass
Benzene Concentration
2.3 (71-43-2) ❑ � 0
Mass
2.4 Bromoform ❑ ❑ ElConcentration
(75-25-2) Mass
2.5 Carbon tetrachloride ❑ ❑ Concentration
r
(56-23-5) Mass
2.6 Chlorobenzene ❑ ❑ Concentration
(108-90-7) Mass
2.7 Chlorodibromomethane ❑ 0 Concentration
(124-48-1) ✓ Mass
2.8 Chloroethane ❑ 0 Concentration
(75-00-3) Mass
EPA Form 3510-2C(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(! (7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) (if available) Value
2-chloroethylvinyl ether ✓ Concentration
2'9 (110-75-8) Mass
2.10 Chloroform(67-66-3) El El Ell
Concentration
Mass
2.11 Dichlorobromomethane Concentration
(75-27-4) Mass
212 1,1-dichloroethane Concentration
(75-34-3) Mass
2.13 1,2-dichloroethane Concentration
El 0 El
(107-06-2) Mass
2.14 1,1-dichloroethylene Concentration
(75-35-4) ✓ Mass
215 1,2-dichloropropane Concentration
(78-87-5) Mass
2.16 1,3-dichloropropylene 0 Concentration
(542-75-6) ✓ Mass
2.17 Ethylbenzene Concentration
(100-41-4) ✓ Mass
2.18 Methyl bromide Concentration
(74-83-9) ✓ Mass
2.19 Methyl chloride Concentration
(74-87-3) Mass
2 20 Methylene chloride 0 0 Concentration
•
(75-09-2) ✓ Mass
2.21 1 1,2,2-tetrachloroethane El
(79-34-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g 7)(v))1
Presence or Absence
(check one) Effluent Intake
I (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
D(reghred) ifava available) Dof
iscarge Discharge isDcharge Analyses Average
Analyses
(if available)
2.22 Tetrachloroethylene Concentration
(127-18-4) ✓ Mass
2.23 Toluene Concentration
(108-88-3) Mass
2.24 1,2-trans-dichloroethylene 0 0 Concentration
(156-60-5) ✓ Mass
2.25 1,1,1-trichloroethane Concentration
(71-55-6) Mass
2.26 1,1,2-trichloroethane Concentration
(79-00-5) Mass
2.27 Trichloroethylene Concentration
(79-01-6) Mass
2.28 Vinyl chloride Concentration
(75-01-4) Mass
Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds)
3.1 2-chlorophenol Concentration
(95-57-8) ✓ Mass
2,4-dichlorophenol Concentration
3.2 (120-83-2) Mass
2,4-dimethylphenol Concentration
3.3 (105-67-9) Mass
4,6-dinitro-o-cresol Concentration
3.4 (534-52-1) Mass
3.5 2,4-dinitrophenol Concentration
(51-28-5) Mass
EPA Form 3510-2C Pa a 14
(Revised 3-19) g

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21 ! 7)(v))1
Presence or Absence
{check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
{and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Daily of Term of
Discharge(required)
(if ava labl) De ischarge Analyses Average
Analyses
(if available)
3.6 2-nitrophenol Concentration
(88-75-5) E Mass
3.7 4-nitrophenol Concentration
(100-02-7) Mass
3.8 p-chloro-m-cresol Concentration
(59-50-7) Mass
3.9 Pentachlorophenol Concentration
(87-86-5) ✓ Mass
Phenol Concentration
3.10 (108-95-2) Mass
3.11 2 4,6-trichlorophenol Concentration
El El r
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base!Neutral Compounds)
Acenaphthene Concentration
4.1 (83-32-9) Mass
4.2 Acenaphthylene 0 Concentration
(208-96-8) Mass
4.3 Anthracene Concentration
CI CI l
(120-12-7) ✓ Mass
Benzidine Concentration
4.4 0 El 0(92-87-5) Mass
4.5 Benzo(a)anthracene 0 ❑ Concentration
r
(56-55-3) Mass
Benzo(a)pyrene Concentration
✓ •
4.6 (50-32-8) Mass
EPA Form 3510-2C(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(s 7)(v)I
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Daily
D feQharuid) Df available)ischarge Discharge Analyses Average
Analyses
(if available) I
3,4-benzofluoranthene Concentration
4.7 (205-99-2) Mass
Benzo(ghi)perylene Concentration
4.8 (191-24-2) Mass
Benzo(k)fluoranthene Concentration
4.9 (207-08-9) Mass
4.10 Bis(2-chloroethoxy)methane Concentration
(111-91-1) Mass
4.11 Bis(2-chloroethyl)ether Concentration
(111-44-4) Mass
4.12 Bis(2-chloroisopropyl)ether Concentration
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate Concentration
(117-81-7) ✓ Mass
4.14 4-bromophenyl phenyl ether Concentration
(101-55-3) Mass
4.15 Butyl benzyl phthalate Concentration
(85-68-7) Mass
•
4.16 2-chloronaphthalene Concentration
(91-58-7) Mass
4-chlorophenyl phenyl ether Concentration
4.17 (7005-72-3) Mass
Chrysene Concentration
4.18 (218-01-9) Mass
4.19 Dibenzo(a,h)anthracene Concentration
(53-70-3) Mass
EPA Form 3510-2C(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro TP OMB No.2040-0004
W
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
of
Discharge Discharge DisDcharge Analyses of Average
Analyses
(required) (if available)
(if available) _
4.20 1,2-dichlorobenzene Concentration
CI 0
(95-50-1) ✓ Mass
4.21 1,3-dichlorobenzene Concentration
(541-73-1) ✓ Mass
4.22 1,4-dichlorobenzene Concentration
(106-46-7) Mass
4.23 3,3-dichlorobenzidine Concentration
(91-94-1) Mass
4.24 Diethyl phthalate ❑ 0 0Concentration
(84-66-2) Mass
4.25 Dimethyl phthalate ❑ 0 � Concentration
(131-11-3) ✓ Mass
4.26 Di-n-butyl phthalate El 0 ❑ Concentration
(84-74-2) Mass
4.27 2,4-dinitrotoluene Concentration
(121-14-2) Mass
4.28 2,6-dinitrotoluene Concentration
(606-20-2) Mass
4.29 Di-n-octyl phthalate ❑ ❑ ❑✓ Concentration
(117-84-0) Mass
1,2-Diphenylhydrazine ✓ Concentration
4.30 (as azobenzene)(122-66-7) Mass
4.31 Fluoranthene Concentration
(206-44-0) Mass
4.32 Fluorene Concentration
(86-73-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g 7)(v)1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
{and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
uDischarge fired) Df available) Diischargescharge Analyses ValueAverag Analyses
(if available)
4.33 Hexachlorobenzene ❑ Concentration
(118-74-1) ✓ Mass
4.34 Hexachlorobutadiene Concentration
(87-68-3) Mass
4.35 Hexachlorocyclopentadiene Concentration
(77-47-4) ✓ Mass
4.36 Hexachloroethane 0 Concentration
(67-72-1) Mass
Indeno(1,2,3-cd)pyrene Concentration
4.37 (193-39-5) Mass
4.38 Isophorone Concentration
(78-59-1) Mass
4.39 Naphthalene Concentration
r
(91-20-3) Mass
4.40 Nitrobenzene Concentration
(98-95-3) ✓ Mass
4.41 N-nitrosodimethylamine Concentration
(62-75-9) ✓ Mass
N-nitrosodi-n-propylamine Concentration
4.42 (621 64 7) 0 � 0
Mass
4.43 N-nitrosodiphenylamine 0 Concentration
r
(86-30-6) Mass
4 Phenanthrene Concentration
(85-01-8) Mass
Pyrene Concentration
4.45 (129-00-0) Mass
EPA Form 3510-2C(Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g 7)(v)1
Presence or Absence Intake
(check one) Effluent
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly of of
Term
Discharge ge Discharge
d) f available) DisDcharge Analyses Averageaily Value Analyses
(if available)
4.46 1,2,4-trichlorobenzene ❑ ❑ ❑ Concentration
(120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction—Pesticides)
51 Aldrin 0 0 ❑ Concentration
(309-00-2) Mass
a-BHC Concentration
5.2 (319-84-6) 0 0 El
13-BHC Concentration
5.3 (319-85-7) 0 0 ❑ Mass
y-BHC Concentration
5.4 (58 89 9) 0 0 El Mass
b-BHC Concentration
5.5 0 0 r(319-86-8) Mass
5.6 Chlordane 0
0
❑ Concentration
(57-74-9) Mass
5.7 4,4'-DDT 0
0
❑ Concentration
(50-29-3) Mass
4,4'-DDE Concentration
5.8 (72-55-9) 0 0 El _
5.9 4,4'-DDD 0 ❑ ❑ Concentration
(72-54-8) Mass
5.10 Dieldrin 0
❑ Concentration
(60-57-1) ✓ Mass
a-endosulfan Concentration
5.11 0 0 El(115-29-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Daily
Discharge feq Dd) f available)ischarge
Discharge Analyses AVa uee Analyses
(if available)
33-endosulfan Concentration
5.12 (115-29-7) Mass
Endosulfan sulfate Concentration
5.13 (1031-07-8) Mass
Endrin Concentration
5.14 (72 20 8) Mass
5.15 Endrin aldehyde ❑ 0 Concentration
(7421-93-4) ✓ Mass
5.16 Heptachlor CI 0 0 Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) ❑ 0 0
Mass
PCB-1242 Concentration
5.18 (53469-21-9) ❑ ❑ 0
Mass
PCB-1254 Concentration
5.19 (11097-69-1) 0 0 0
Mass
PCB-1221 Concentration
5.20 (11104-28-2) 0 0 0
Mass
PCB-1232 Concentration
5.21 (11141-16-5) 0 0 0
Mass
PCB-1248 Concentration
5.22 (12672-29-6) 0 ❑ 0
Mass
PCB-1260 Concentration
5.23 (11096-82-5) 0 0 0
Mass
PCB-1016 Concentration
5.24 (12674-11-2) ❑ ❑ 0
Mass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHEMOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(,)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Dailyof Term of
uD(eg fired)a (if aCa iabl) Discharge Analyses AValuee Analyses
r_ (if available)
Toxaphene Concentration
5.25 (8001-35-2) 00 El -
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))'
Presence or Absence Intake
(check one) Effluent (Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum Dail Long-Term
Present Absent Discharge y Monthly Average Daily Number of Average Number of
(required) Discharge Discharge Analyses Value Analyses
(if available) cif available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
1 Bromide ❑ ❑ Concentration
-
(24959-67-9) Mass
2 Chlorine,total ❑ ❑ Concentration
residual Mass _
❑ ❑ Concentration
3. Color
Mass
4. Fecal coliform El Concentration
Mass
5 Fluoride ❑ ❑ Concentration
(16984-48-8) Mass
Concentration
6 Nitrate-nitrite ❑ 0 Mass
Nitrogen,total Concentration mg/L NA NA 0.44 2
7' organic(as N) ❑ ❑ Mass
8. Oil and grease ❑ ❑ Concentration
Mass
Phosphorus(as Concentration mg/L NA NA 0.11 2
9. P),total(7723-14-0) El ❑ Mass
10. Sulfate(as SO4) ❑ ❑ Concentration
(14808-79-8) Mass
Concentration
11. Sulfide(as S) ❑ Mass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence
(check one) Effluent Intake
(Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of
Present Absent Discharge Discharge Discharge Analyses Average Analyses
(required) Value
(if available) (if available)
12. Sulfite(as SOs) ❑ ❑ Concentration
(14265-45-3) Mass
Concentration
13. Surfactants ❑ ❑ Mass
14 Aluminum,total ❑ ❑ Concentration
(7429-90-5) Mass
15. Barium,total ❑ ❑ Concentration
(7440-39-3) Mass
Boron,total Concentration
16. (7440-42-8) ❑
Mass
17 Cobalt,total 0 ❑ Concentration
(7440-48-4) Mass
18 Iron,total 0 ❑ Concentration
(7439-89-6) Mass
19 Magnesium,total a 0 Concentration mg/L NA NA 201.5 4
(7439-95-4) Mass
Molybdenum, Concentration
20. total 0 C Mass
(7439-98-7) _ _
21. Manganese,total ❑ ❑✓ Concentration
(7439-96-5) Mass
22. Tin,total ❑ ❑ Concentration
(7440-31-5) Mass
23 Titanium,total ❑ ❑ Concentration
(7440-32-6) Mass
EPA Form 3510-2C(Revised 3-19) Page 24

EPA Identification Number NPDES Perm t Number Facility Name Outfall Number Form Approved 03/05/19
110006707787 NC0080071 Vanceboro WTP OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence
(check one) Effluent Intake
(Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of
Present Absent Discharge Discharge Discharge Analyses Average Analyses
(required) Value
_ Of available) (if available)
24, Radioactivity
Concentration
Alpha,total ❑ Mass
Beta,total CI
Mass
Concentration
Radium,total ❑ 0 Mass
Concentration
Radium 226,total ❑ Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Foram 3510-2C(Revised 3-19) Page 25

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