NC0086797_Renewal (Application)_20221206

a sa STATE q
iM,YDI�
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ROY COOPER � ,, - 4;1
Governor
ELIZABETH S.BISER ',. ° '`
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
December 06, 2022
Town of River Bend
Attn: Charles Jackson, Town Manager
PO Box 455
Bladenboro, NC 28320-0455
Subject: Permit Renewal
Application No. NC0086797
River Bend WTP 1 & 2
Craven County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 5, 2022, receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely
Aanti if
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DEC)".?) North Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 943 Washington Square Mall Washington.North Carolina 27889
o.�w d' •+v+1.� / 2529466481

TOWN OF RIVER BEND 45 Shoreline Drive
River Bend,NC 28562
T 252.638.3870
\ i9a� F 252.638.2580
11 ovt www.riverbendnc.org
RECEIVED
November 30, 2022
0 5 2022
NC Department of Environment and Natural Resources NCDECIIDWRINPDES
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: NPDES Permit Renewal
River Bend WTP 1 &2
NPDES Permit#NC0086797
Craven County
Dear Permitting Unit:
The Town of River Bend is submitting the renewal application for NPDES permit
#NC0086797 which is scheduled to expire on May 31, 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 # 252-638-3870
ext. 213
Sincerely
C.
Charles Delane Jackson
Town Manager; River Be d

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 a EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 12
treatment works? 1. . treating domestic sewage?
If yes,STOP. Do NOT complete ❑ No If yes,STOP. Do NOT 0 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 0 No ElYes 4 Complete Form 0 No
z and Form 2B. 1 and Form 2C.
0 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?
w ❑ Yes 4 Complete Form 1 0 No 0 Yes 4 Complete Form 0✓ No
and Form 2D. 1 and Form 2E.
f/1
1.2.5 Is the facility a new or existing facility whose
y discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
0 Yes 4 Complete Form 1 0 No
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
River Bend WTP 1&2
R0 2.2 EPA Identification Number
110018765969
03 2.3 Facility Contact
Name(first and last) Title Phone number
- Brandon Mills Director Of Public Works [phone]
Email address
5 [e-mail]
2
2.4 Facility Mailing Address
03
R Street or P.O.box
45 Shoreline Dr
City or town State ZIP code
New Bern North Carolina 28562
EPA Form 3510-1(revised 3-19) Page 1

r
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
2.5 Facility Location
o r Street,route number,or other specific identifier
Q U 27&57 Shoreline Dr
a)
c o County name County code(if known)
Craven
cCity or town State ZIP code
z R New Bern North Carolina 28562
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4941 Water Treatment
N
d)
0
O
N
3.2 NAICS Code(s) Description(optional)
2213 Water Treatment
(73
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Brandon Mills
4.2 Is the name you listed in Item 4.1 also the owner?
❑ Yes ❑✓ No
4.3 Operator Status
❑ Public—federal ❑ Public—state ❑✓ Other public(specify)municipal
cu
o ❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O.Box
� 45 Shoreline Dr
`o a
c .= City or town State ZIP code
o o New Bern North Carolina 28562
co _
Email address of operator
c [e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
c 5.1 Is the facility located on Indian Land?
C J ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 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)
711
d m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑water) UIC(underground injection of
fluids)
y
E NC0086797
w a ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
rn
❑ Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section 404) 0 Other(specify)
SECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑✓ Yes 0 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.
Conventional Water Treatment plants that uses berm media to filter iron and manganese.These filters use finished
drinking water during the backwash cycle.This backwash water is dechlorinated,and flows to sedimentation tanks
cn
before discharged.
.y
m
p i
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
0 Yes ❑✓ No 4 SKIP to Item 10.1.
o 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
• 2 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
rn
o Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
o �
U �
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
cu
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
CD
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
0 Section 2:Name,Mailing Address,and Location 0 w/attachments
❑✓ Section 3: SIC Codes 0 wl attachments
❑✓ Section 4: Operator Information ❑ wl attachments
❑✓ Section 5:Indian Land ❑ w/attachments
❑✓ Section 6: Existing Environmental Permits 0 wl attachments
w/topographic
❑✓ Section 7: Map ❑✓ map ❑ w/additional attachments
o ❑✓ Section 8: Nature of Business ❑ w/attachments
0 Section 9:Cooling Water Intake Structures ❑ wl attachments
0 Section 10:Variance Requests 0 wl attachments
❑� Section 11:Checklist and Certification Statement 0 w/attachments
Y
11.2 Certification Statement
U
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
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
Charles Delane Jackson Town Manager
Signature Date signed
11/30/2022
EPA Form 3510-1(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
U.S.Environmental Protection Agency
FORM Application for NPDES Permit to Discharge Wastewater
2E — EPA
NPDES MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURAL FACILITIES WHICH
DISCHARGE ONLY NONPROCESS WASTEWATER
SECTION 1.OUTFALL LOCATION(40 CFR 122.21(h)(1))
1.1 Provide information on each of the facility's outfalls in the table below.
o
Outfall Receiving Water Name Latitude Longitude
— Number
U
0 001 Plantation Canal 35° 4' 25" N 77° 8 44" W
cis
002 Plantation Canal 35° 4' 31" N 77° 9' 10" W
O
SECTION 2.DISCHARGE DATE(40 CFR 122.21(h)(2))
d 2.1 Are you a new or existing discharger?(Check only one response.)
t R El New discharger 0Existing discharger 4 SKIP to Section 3.
N 2.2 Specify your anticipated discharge date:
0
SECTION 3.WASTE TYPES(40 CFR 122.21(h)(3))
3.1 What types of wastes are currently being discharged if you are an existing discharger or will be discharged if you are a
new discharger?(Check all that apply.)
❑ Sanitary wastes ❑✓ Other nonprocess wastewater(describe/explain
❑ Restaurant or cafeteria waste directly below)
w ❑ Non contact cooling water Backwash water from water treatment plant.
G.)
a.
I- 3.2 Does the facility use cooling water additives?
R ❑ Yes ❑✓ No 4 SKIP to Section 4.
3.3 List the cooling water additives used and describe their comjosition.
Cooling Water Additives Composition of Additives
(list) (if available to you)
SECTION 4.EFFLUENT CHARACTERISTICS(40 CFR 122.21(h)(4))
4.1 Have you completed monitoring for all parameters in the table below at each of your outfalls and attached the results to
this application package?
❑✓ Yes ❑ No;a waiver has been requested from my NPDES permitting authority
(attach waiver request and additional information) 4 SKIP to Section 5.
4.2 Provide data as requested in the table below.1 (See instructions for specifics.)
cn Number of Maximum Daily Average Daily Source
.N Parameter or Pollutant Analyses Discharge Discharge (use codes
"� (if actual data (specify units) (specify units) per
reported) Mass Conc. Mass Conc. instructions)
413
r Biochemical oxygen demand(BOD5)
b' Total suspended solids(TSS) 10.1 10.1mg/I 1.81mg/
_z Oil and grease
w Ammonia(as N)
Discharge flow 193 0.026mgd o,`.,A `
pH(report as range) 193 7-8.1 S.U. f s
Temperature(winter) ,
Temperature(summer) -
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 3510-2E(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
4.3 Is fecal coliform believed present,or is sanitary waste discharged(or will it be discharged)?
0 Yes ❑ No 4 SKIP to Item 4.5.
4.4 Provide data as requested in the table below., (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (Use codes
(if actual data (specify units) (specify units) per
reported) Mass Conc. Mass Conc. Instructions.)
Fecal coliform
•
E.coli
c Enterococci
`0 4.5 Is chlorine used(or will it be used)?
o
p Yes 0 No 4 SKIP to Item 4.7.
0 4,6 Provide data as requested in the table below., (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
co
Parameter or Pollutant Analyses Discharge Discharge (use codes
- (if actual data (specify units) (specify units) per
v reported) Mass Conc. Mass Conc. instructions)
c
z Total Residual Chlorine 193 49ug/I 11.7ug/I
w 4.7 Is non-contact cooling water discharged(or will it be discharged)?
0 Yes ❑✓ No 4 SKIP to Section 5.
4.8 Provide data as requested in the table below., (See instructions for specifics.)
Number of Maximum Daily Average Daily Source
Parameter or Pollutant Analyses Discharge Discharge (use codes
(if actual data (specify units) (specify units) per
reported) Mass Conc. Mass Conc. instructions)
Chemical oxygen demand(COD)
Total organic carbon(TOC)
SECTION 5.FLOW(40 CFR 122.21(h)(5))
5.1 Except for stormwater water runoff,leaks,or spills,are any of the discharges you described in Sections 1 and 3 of this
application intermittent or seasonal?
❑ Yes 4 Complete this section. ❑✓ No 4 SKIP to Section 6.
0 5.2 Briefly describe the frequency and duration of flow.
L.T.
SECTION 6.TREATMENT SYSTEM(40 CFR 122.21(h)(6))
6.1 Briefly describe any treatment system(s)used(or to be used).
5 The wastewater is drinking water filter backwash water.Treatment consists of sedimentation,and dechlorination
co before discharge into the plantation canal.
E.
a
E
co
co
N
'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 Nor 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
110018765969 NC0086797 River Bend WTP 1&2 OMB No.2040-0004
SECTIOII 7.OTHER INFORMATION(40 CFR 122.21(h)(7))
7.1 Use the space below to expand upon any of the above items.Use this space to provide any information you believe the
reviewer should consider in establishing permit limitations.Attach additional sheets as needed.
0
0
t
O
SECTIOII 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)
❑✓ Section 2:Discharge Date ❑ w/attachments
❑✓ Section 3:Waste Types ❑ w/attachments
❑✓ Section 4: Effluent Characteristics ❑ w/attachments
o ❑✓ Section 5:Flow ❑ w/attachments
0 ❑✓ Section 6:Treatment System ❑ wl attachments
F ❑ Section 7:Other Information ❑ w/attachments
❑✓ Section 8:Checklist and Certification Statement ❑ w/attachments
y 8.2 Certification Statement
/certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
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
Charles Delane Jackson Town Manager
Signature Date signed
e- / Iii 11/30/2022
EPA Form 3510-2E(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))1
Effluent Intake
Waiver (Optional)
Units Maximum Maximum Long-Term
Pollutant Requested
(if applicable) (specify) Daily Monthly Average Daily Number of Long-Term Number of
Discharge Discharge Discharge Analyses Average Value Analyses
(required) (if available) (if available)
0 Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand Concentration n/a
1' El(BOD5) Mass
Chemical oxygen demand Concentration n/a
2' ❑
(COD) Mass
Concentration n/a
3. Total organic carbon(TOC) 0
Mass
Concentration mg/I 5.4 20
4. Total suspended solids(TSS) ❑
Mass
Concentration n/a
5. Ammonia(as N) ❑
Mass
6. Flow 0 Rate MGD 0.017 79
Temperature(winter) 0 °C °C
7.
Temperature(summer) ❑ °C °C
pH(minimum) ❑ Standard units s.u. 7.3 79
8.
pH(maximum) ❑ Standard units S.U. 7.9 79
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
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) g Value
(if available)
1-1 Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table.Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
Antimony,total Concentration
1.1 (7440 36 0) � �
Mass
1 2 Arsenic,total 0 Concentration
(7440-38-2) Mass
Beryllium,total Concentration
1.3 (7440-41-7) Mass
Cadmium,total ✓ Concentration
1.4 El El
(7440-43-9) Mass
Chromium,total ✓ Concentration
1.5 (7440-47-3) Mass
Copper,total ✓ Concentration
1.6 0 0
(7440-50-8) Mass
Lead,total ✓ Concentration
1.7 (7439-92-1) Mass
1.8 Mercury,total Concentration
(7439-97-6) Mass
1.9 Nickel,total 0 Concentration
(7440-02-0) Mass
1.10 Selenium,total 0 Concentration
0 El
(7782-49-2) Mass
Silver,total ✓ Concentration
1.11 El 0
(7440-22-4) Mass
EPA Form 3510-2C(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))'
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 Discharge Discharge Analyses Average Analyses
(required) (if available) (if available' Value
Thallium,total Concentration
1.12 (7440 28 0) 0 0
Mass
1.13 Zinc,total 0 Concentration
•
(7440-66-6) Mass
1.14 Cyanide,total Concentration
0 El El
(57-12-5) Mass
Concentration
1.15 Phenols,total
Mass
Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
Acrolein 0 Concentration
2.1 (107-02-8) Mass
2.2 Acrylonitrile Ei Concentration
0 0
(107-13-1) Mass
2.3 Benzene 0 Concentration
(71-43-2) Mass
2.4 Bromoform 0 Concentration
(75-25-2) Mass
2.5 Carbon tetrachloride 0 Concentration
0 0
(56-23-5) Mass
2.6 Chlorobenzene 0 1=1 Concentration
(108-90-7) Mass
Chlorodibromomethane 0 Concentration
2.7 (124-48-1) Mass
2.8 Chloroethane El Concentration
0 0
(75-00-3) Mass
EPA Form 3510-2C(Revised 3-19) Page 12
it

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge
available) Discharge Analyses AValuee Analyses
( ) (
2.9 2-chloroethylvinyl ether El Concentration
El
(110-75-8) Mass
2.10 Chloroform(67-66-3) Concentration
Mass
2.11 Dichlorobromomethane ❑ Concentration
El 1:1
(75-27-4) Mass
212 1,1-dichloroethane ❑ ❑ Concentration
(75-34-3) Mass
1,2-dichloroethane Concentration
2.13 (107-06-2) Mass
2.14 1,1-dichloroethylene � El
(75-35-4) ✓ Mass
2.15 1,2-dichloropropane El Concentration
(78-87-5) Mass
2.16 1,3-dichloropropylene 0 ❑ 0Concentration
(542-75-6) Mass
Ethylbenzene 0 Concentration
2.17 (100-41-4) Mass
2.18 Methyl bromide ❑ Concentration
El El
(74-83-9) Mass
2.19 Methyl chloride ❑ Concentration
0 0
(74-87-3) Mass
2.20 Methylene chloride El 0 ❑ Concentration
(75-09-2) Mass
2.21 1,1,2,2-tetrachloroethane ❑ Concentration
(79-34-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))l
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Dischargee (ifavailabe)ischarg De ischarge Analyses AverageValue Analyses
(required)
q re ) ( (if available)
2.22 Tetrachloroethylene El 0 0 Concentration
(127-18-4) Mass
2.23 Toluene El Concentration
(108-88-3) Mass
2.24 1,2-trans-dichloroethylene 0 ❑ 0Concentration
(156-60-5) Mass
2.25 1,1,1-trichloroethane El El Concentration
(71-55-6) Mass
2.26 1,1,2-trichloroethane 0 El ❑✓ Concentration
(79-00-5) Mass
2.27 Trichloroethylene El 0 0Concentration
(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 O Concentration
(95-57-8) Mass
2,4-dichlorophenol Concentration
3.2 (120-83-2) Mass
2,4-dimethylphenol Concentration
3.3 El 0
(105-67-9) Mass
3.4 4,6-dinitro-o-cresol ❑ ❑ 0Concentration
(534-52-1) Mass
3.5 2,4-dinitrophenol 0 ❑ ElConcentration
(51-28-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110009845221 NC0086797 River Bend WTP 1&2 001
TABLE B.TOXIC•METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Term
of of
Discharge Discharge DisDcharge Analyses Average Analyses
(required) (if available) (if available) Value
3.6 2-nitrophenol � ❑ Concentration
(88-75-5) Mass
4-nitrophenol Concentration
3.7 (100-02-7) Mass
3.8 p-chloro-m-cresol El Concentration
(59-50-7) Mass
3.9 Pentachlorophenol 0 ❑ 0 Concentration
(87-86-5) Mass
3.10 Phenol 0 Concentration
El I:I
(108-95-2) Mass
3.11 2,4,6-trichlorophenol El0 Concentration
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
4.1 Acenaphthene ❑ 0 Concentration
(83-32-9) Mass
Acenaphthylene Concentration
4.2 El El El
(208-96-8) Mass
Anthracene Concentration
4.3 (120-12-7) ❑ ID Mass
4.4 Benzidine 0Concentration
El El
(92-87-5) Mass
4.5 Benzo(a)anthracene 0Concentration
El El
(56-55-3) Mass
4.6 Benzo(a)pyrene 0Concentration
El El
(50-32-8) Mass
EPA Form 3510-2C(Revised 3-19) Page 15 1

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
of of
Discharge
(req i ed) (if available) DisDcharge Analyses Discharge AValuee Analyses
(if available)
4.7 3,4-benzofluoranthene m Concentration
(205-99-2) Mass
Benzo(ghi)perylene m Concentration
4.8 (191-24-2) Mass
Benzo(k)fluoranthene m Concentration
4.9 (207-08-9) Mass
Bis(2-chloroethoxy)methane m Concentration
4.10 (111-91-1) Mass
4.11 Bis(2-chloroethyl)ether ❑ 0 m Concentration
(111-44-4) Mass
4.12 Bis(2-chloroisopropyl)ether El Concentration
(102-80-1) Mass
4.13 Bis(2-ethyihexyl)phthalate m Concentration
El 1:1
(117-81-7) Mass
4.14 4-bromophenyl phenyl ether ❑ 0 Concentration
(101-55-3) Mass
4.15 Butyl benzyl phthalate 0 Concentration
(85-68-7) Mass
4.16 2-chloronaphthalene m Concentration
(91-58-7) Mass
4-chlorophenyl phenyl ether m Concentration
4.17 (7005 72 3) ❑ El
Mass
Chrysene m Concentration
4.18 El El
(218-01-9) Mass
Dibenzo(a,h)anthracene Concentration
4.19 (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
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Dischar(ifavailablge)e Analyses Value Analyses
1,2-dichlorobenzene Concentration
4.20 (95-50-1) Mass
4.21 1,3-dichlorobenzene 0 ❑✓ Concentration
(541-73-1) Mass
4.22 1,4-dichlorobenzene Concentration
(106-46-7) Mass
3,3-dichlorobenzidine � Concentration
4.23 (91 94 1) Mass
Diethyl phthalate Concentration
4.24 (84-66-2) Mass
4.25 Dimethyl phthalate ❑ ❑ Concentration
(131-11-3) Mass
4.26 Di-n-butyl phthalate © Concentration
El 0(84-74-2) Mass
4.27 2,4-dinitrotoluene Concentration
0 El El
(121-14-2) Mass
2,6-dinitrotoluene 0 Concentration
4.28 (606-20-2) Mass
4.29 Di-n-octyl phthalate El 0 Concentration
(117-84-0) Mass
4.30 1,2-Diphenylhydrazine ElConcentration
0 El
(as azobenzene)(122-66-7) Mass
4.31 Fluoranthene Concentration
(206-44-0) Mass
Fluorene Concentration
4.32 (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
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Dischar a Analyses Average Analyses
(required) (if available) g Value
(if available)
4.33 Hexachlorobenzene a Concentration
0 El(118-74-1) Mass
4.34 Hexachlorobutadiene � ❑ Concentration
0(87-68-3) Mass
4.35 Hexachlorocyclopentadiene ❑ 0 a Concentration
(77-47-4) Mass
4.36 Hexachloroethane Concentration
El El 0
(67-72-1) Mass
4.37 Indeno(1,2,3-cd)pyrene CI 0 Concentration
(193-39-5) Mass
4.38 Isophorone 1:1 Concentration
(78-59-1) Mass
4.39 Naphthalene Concentration
ID 1=1 El
(91-20-3) Mass
4.40 Nitrobenzene a Concentration
0 0(98-95-3) Mass
4.41 N-nitrosodimethylamine 0 Concentration
(62-75-9) Mass
4.42 N-nitrosodi-n-propylamine ❑ Concentration
(621-64-7) Mass
4.43 N-nitrosodiphenylamine El ❑ Concentration
(86-30-6) Mass
4.44 Phenanthrene 0Concentration
(85-01-8) Mass
Pyrene Concentration
4.45 (129-00-0) 0 ❑ 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
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) g Value
(if available)
1,2,4-trichlorobenzene ❑ El Concentration
4.46 (120-82-1) Mass
Section 5.Organic Toxic Pollutants(GCIMS Fraction-Pesticides)
Aldrin 0 Concentration
5.1 El 11
(309-00-2) Mass
a-BHC El Concentration
5.2 0 El
(319-84-6) Mass
(3-BHC ✓ Concentration
5.3 El El
(319-85-7) Mass
y-BHC ❑ Concentration
5.4 (58 89 9) Mass
b-BHC 0 Concentration
5.5 El El
(319-86-8) Mass
5.6 Chlordane 0 Concentration
El El
(57-74-9) Mass
4,4'-DDT 0 Concentration
5.7 El El
(50-29-3) Mass
5.8 4,4'-DDE 0 Concentration
El 1:1
(72-55-9) Mass
5.9 4,4'-DDD 0 Concentration
El 0
(72-54-8) Mass
5.10 Dieldrin Q Concentration
El I=1
(60-57-1) Mass
5.11 a-endosulfan 0 Concentration
El 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
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC OXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) if g available Value
5.12 -endosulfan Concentration
(115-29-7) Mass
Endosulfan sulfate El 0 ✓ _Concentration
5.13 (1031-07-8) Mass
Endrin Concentration
5.14 (72 20 8) Mass
Endrin aldehyde El 0 0
Concentration
5.15 (7421-93-4) Mass
5.16 Heptachlor Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) 0 0 ElMass
PCB-1242 Concentration
5.18 (53469-21-9) 0 0 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 El 0 Mass
PCB-1248 Concentration
5.22 (12672-29-6) 0 0 0 Mass
PCB-1260 Concentration
5.23 (11096-82-5) C3 0 0 Mass
PCB-1016 Concentration
5.24 (12674-11-2) 0 0 0 Mass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANICTOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Daily Discharge Discharge Discharge char a Analyses Average Analyses
(required) (if available) Value
(if available)
Toxaphene Concentration
5.25 (8001-35-2) ❑ ❑ ❑ Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent (Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) Value
(if available) (if 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 0 ❑ Concentration ug/I 49 79
residual Mass
3. Color ❑ Concentration
Mass
Concentration
4. Fecal coliform ❑ ❑✓ Mass
5 Fluoride ❑ ❑ Concentration
(16984.48-8) Mass
Concentration mg/I 0 3
6 Nitrate-nitrite ❑ ❑ Mass
Nitrogen,total Concentration mg/I 0 3
7' organic(as N) ❑ ❑ Mass
Concentration
8. Oil and grease 0 ❑✓
Mass
Phosphorus(as Concentration mg/I 0.51 3
g' P),total(7723-14-0) ❑ ❑ Mass
10. Sulfate(as SO4) ❑ ✓❑ Concentration
(14808-79-8) Mass
11. Sulfide(as S) ElConcentration
Mass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110009845221 NC0086797 River Bend WTP 1&2 001
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent (Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) Value
(if available) (if available)
Sulfite(as SO3) Concentration
12. (14265-45-3)
Mass
Concentration
13. Surfactants 0 ❑✓ Mass
14. Aluminum,total ❑ ✓❑ Concentration
(7429-90-5) Mass
15. Barium,total ❑ ❑ Concentration
(7440-39-3)
Mass
16. Boron,total 0 El
Concentration
(7440-42-8) Mass
17 Cobalt,total Concentration
0 El
(7440-48-4) Mass
18 Iron,totalEl 0 Concentration
(7439-89-6) Mass
19 Magnesium,total ❑ O Concentration
(7439-95-4) Mass
Molybdenum, Concentration
20. total 0 ElMass
(7439-98-7)
21. Manganese,total Concentration mg/I 0.083 3
(7439-96-5) Mass
22. Tin,totalEl El Concentration
(7440-31-5) Mass
23. Titanium,totalEl El Concentration
(7440-32-0) Mass
EPA Form 3510-2C(Revised 3-19) Page 24

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 001 OMB No.2040-0004
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent (Optional)
Units
Pollutant Maximum Long-Term
Believed Believed (specify) Maximum Daily Monthly Average Daily Number of Long-Term Number of
Present Absent Discharge Average
(required) Discharge Discharge Analyses Analyses
(if available) (if available) Value
24. Radioactivity
Alpha,total Concentration
Mass
Beta,total Concentration
Mass
Radium,total Concentration
Mass
Radium 226,total Concentration
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 25
II

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 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
(specify) Daily Monthly Average Daily Number of Long-Term Number of
(if applicable) 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 n/a
1' El(BOD5)
Mass
Chemical oxygen demand Concentration n/a
2' El(COD) Mass
Concentration n/a
3. Total organic carbon(TOC) El
Mass
Concentration mg/I 10.1 20
4. Total suspended solids(TSS) ❑
Mass
Concentration n/a
5. Ammonia(as N) El
Mass
6. Flow ❑ Rate MGD 0.012 114
Temperature(winter) ❑ °C °C
7.
Temperature(summer) ❑ °C °C
pH(minimum) ❑ Standard units S.U. 7.0 114
8.
pH(maximum) ❑ Standard units S.U. 8.1 114
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
I
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
I
EPA Form 3510-2C(Revised 3-19) Page 9

This page intentionally left blank.
1

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Term
Daily Average
of of
Discharge Discharge Discharge Analyses Analyses
(required) (if available) g 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
Antimony,total ✓ Concentration
1.1 (7440-36-0) Mass
Arsenic,total Concentration
1.2 (7440 38 2) 0 0 0
Mass
Beryllium,total ✓ Concentration
1.3 El 0
(7440-41-7) Mass
Cadmium,total ✓ Concentration
1.4 0 El
(7440-43-9) Mass
Chromium,total ✓ Concentration
1.5 El El
(7440-47-3) Mass
Copper,total Concentration
1.6 0 0
(7440-50-8) Mass
Lead,total ✓ Concentration
1.7 (7439-92-1) Mass
Mercury,total Concentration
1.8 (7439-97-6) Mass
1 9 Nickel,total ElConcentration
0 El
(7440-02-0) Mass
1.10 Selenium,total El n ✓❑ Concentration
(7782-49-2) Mass
Silver,total ✓ Concentration
1.11 El 0
(7440-22-4) Mass
EPA Form 3510-2C(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) (if available) Value
Thallium,total Concentration
1.12 0 El
(7440-28-0) Mass
Zinc,total0 Concentration
1.13 El El
(7440-66-6) Mass
1.14 Cyanide,total 0Concentration
1:1 El
(57-12-5) Mass
1.15 Phenols,total El 0
0 Concentration
Mass
Section 2.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
Acrolein Concentration
2.1 (107 02 8) El
Mass
2.2 Acrylonitrile ✓❑ Concentration
El El
(107-13-1) Mass
2.3 Benzene � Concentration
El El
(71-43-2) ✓ Mass
2.4 Bromoform ❑✓ Concentration
1:1 El
(75-25-2) Mass
2.5 Carbon tetrachloride 0Concentration
0 El
(56-23-5) Mass
Chlorobenzene Concentration
2.6 1:1 El
(108-90-7) Mass
Chlorodibromomethane 0 Concentration
2.7 1:1 El
(124-48-1) Mass
2.8 Chloroethane 12Concentration
0 El
(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
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC •XIC POLLUTANTS(40 CFR 122.21(g)(7)(v)),
Presence or Absence Intake
(check one) Effluent
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) g Analyses Value Analyses
(if
Dischar available)e _
2-chloroethylvinyl ether ❑ ❑ Concentration
2'9 (110-75-8) Mass
2.10 Chloroform(67-66-3) Concentration
Mass
2.11 Dichlorobromomethane El 0 0 Concentration
(75-27-4) Mass
1,1-dichloroethane El El El Concentration
2.12 (75-34-3) Mass
2.13 1,2-dichloroethane � 1:1 Concentration
(107-06-2) Mass
2.14 1,1-dichloroethylene 0 0 Concentration
(75-35-4) Mass
1,2-dichloropropane 0 Concentration
2.15 0 El
(78 87 5) Mass
2.16 1,3-dichloropropylene � Concentration
El 0
(542-75-6) Mass
2.17 Ethylbenzene � � 0 Concentration
(100-41-4) Mass
2.18 Methyl bromide a Concentration
(74-83-9) Mass
2 19 Methyl chloride El Concentration
(74-87-3) Mass
2 20 Methylene chloride IDConcentration
El
(75-09-2) Mass
2.21 1,1,2,2-tetrachloroethane 1:1Concentration
0 0
(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
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))l
Presence or Absence Intake
(check one) Effluent (optional)
PollutantlParameter 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 DisDchar aily of a Analyses Average Analyses
(required) (if available) g Value
(if available)
Tetrachloroethylene ❑ ❑ ❑ Concentration
2.22 -
(127-18-4) Mass
Toluene Concentration
2.23 (108-88-3) ❑ ❑ ❑ Mass
2.24 1,2-trans-dichloroethylene ❑ ❑ ❑ Concentration
(156-60-5) Mass
1,1,1-trichloroethane ❑ ❑ ❑ Concentration
2.25 (71-55-6) Mass
2.26 1,1,2-trichloroethane El ❑ ❑ Concentration
(79-00-5) Mass
2.27 Trichloroethylene ❑ ❑ ❑ Concentration
(79-01-6) Mass
Vinyl chloride ❑ ❑ ❑ Concentration
2.28 (75-01-4) Mass
Section 3.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds)
3 1 2-chlorophenol ❑ El El Concentration
(95-57-8) Mass
3.2 2,4-dichlorophenol ❑ ❑ 0 Concentration
(120-83-2) Mass
2 4-dimeth IYP henol
Concentration
3.3 ❑ ❑
(105-67-9) Mass
3.4 4,6-dinitro-o-cresol El ❑ 0 Concentration
(534-52-1) Mass
3.5 2,4-dinitrophenol ❑ ❑ ElConcentration
(51-28-5) Mass
EPA Form 3510-2C(Revised 3-19) Page 14
1

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 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 of of
Term
Discharge Discharge DisDcharge Analyses AverageValue Analyses
(required) (if available)
(if available)
3.6 2-nitrophenol 0Concentration
(88-75-5) Mass
3.7 4-nitrophenol 0 Concentration
ID El
(100-02-7) Mass
3.8 p-chloro-m-cresol ❑ El ✓❑ Concentration
(59-50-7) Mass
3.9 Pentachlorophenol ❑ Concentration
(87-86-5) ✓ Mass
Phenol 0 Concentration
3.10 El 0
(108-95-2) Mass
3.11 2,4,6-trichlorophenol 0 ✓❑ Concentration
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
4.1 Acenaphthene 0✓ Concentration
0 El
(83-32-9) Mass
Acenaphthylene Concentration
4.2 0 El El
(208-96-8) Mass
Anthracene 1:1Concentration
4.3 (120-12-7) Mass
4.4 Benzidine Concentration
(92-87-5) Mass
•
4.5 Benzo(a)anthracene ❑ Concentration
(56-55-3) Mass
4.6 Benzo(a)pyrene Concentration
(50-32-8) ✓ Mass
EPA Form 3510-2C(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent (optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long- Number
Present Absent Daily Monthly Daily of Term of
Discharge Discharge Discharge Analyses Average Analyses
(required) (if available) g Value
(if available)
3,4-benzofluoranthene Concentration
4.7 (205-99-2) Mass
4.8 Benzo(ghi)perylene Concentration
(191-24-2) Mass
Benzo(k)fluoranthene ✓ Concentration
4.9 (207-08-9) ❑ ElMass _ _-
4.10 Bis(2-chloroethoxy)methane ❑✓ Concentration
(111-91-1) Mass
4.11 Bis(2-chloroethyl)ether 0 0Concentration
(111-44-4) Mass
4.12 Bis(2-chloroisopropyl)ether ElL✓ Concentration
El
(102-80-1) Mass
4.13 Bis(2-ethylhexyl)phthalate El ❑ ❑ Concentration
(117-81-7) Mass
4.14 4-bromophenyl phenyl ether ❑ a Concentration
1:1(101-55-3) Mass
4.15 Butyl benzyl phthalate 0 a Concentration
(85-68-7) Mass
4.16 2-chloronaphthalene 1=1 ❑ Concentration
(91-58-7) Mass
4-chlorophenyl phenyl ether ✓ Concentration
4.17 (7005-72-3) Mass
Chrysene ✓ Concentration
4.18 El 1:1
(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
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long• Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Value Analyses
(if available)
1,2-dichlorobenzene Concentration
4.20 (95-50-1) Mass
4.21 1,3-dichlorobenzene ❑ Concentration
(541-73-1) Mass
4.22 1,4-dichlorobenzene Concentration
(106-46-7) Mass
3,3-dichlorobenzidine ❑ Concentration
4.23 (91-94-1) Mass
4.24 Diethyl phthalate Concentration
0 El El
(84-66-2) Mass
4.25 Dimethyl phthalate Concentration
(131-11-3) Mass
4.26 Di-n-butyl phthalate � ❑ Concentration
(84-74-2) Mass
4.27 2,4 dinitrotoluene Concentration
(121-14-2) Mass
4.28 2,6-dinitrotoluene Concentration
El 0 El
(606-20-2) Mass
Di-n-octyl phthalate Concentration
4.29 (117-84-0) Mass
4.30 1,2-Diphenylhydrazine Concentration
(as azobenzene)(122-66-7) Mass
Fluoranthene Concentration
4.31 (206-44-0) Mass
Fluorene Concentration
4.32 0 El El
(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
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number.if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Analyses
Value
(if available)
4.33 Hexachlorobenzene Concentration
(118-74-1) Mass
4.34 Hexachlorobutadiene 0 Concentration
(87-68-3) Mass
4.35 Hexachlorocyclopentadiene 0 Concentration
(77-47-4) Mass
4.36 Hexachloroethane ElConcentration
El
(67-72-1) Mass
4.37 Indeno(1,2,3-cd)pyrene 0Concentration
(193-39-5) Mass
4.38 Isophorone ❑ Concentration
(78-59-1) Mass
4.39 Naphthalene Concentration
El 0 El
(91-20-3) Mass
4.40 Nitrobenzene Concentration
(98-95-3) Mass
4.41 N-nitrosodimethylamine Concentration
(62-75-9) Mass
4.42 N-nitrosodi-n-propylamine 0 Concentration
(621-64-7) Mass
4.43 N-nitrosodiphenylamine ❑ Concentration
(86-30-6) Mass
Phenanthrene 0 0 Concentration -
4.44 (85-01-8) Mass
Pyrene Concentration
4.45 0 El 0✓
(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
110009845221 NC0086797 River Bend WTP 1&2 002 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 Discharge Discharge char a Analyses Average Analyses
(required) (if available) Value
(if available)
4.46 1 2 4-trichlorobenzene El El0Concentration
(120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction-Pesticides)
Aldrin Concentration
5.1 (309 00 2) ❑ ❑ ❑
Mass
a-BHC Concentration
5.2 (319-84-6) ❑ ❑ ❑ Mass
13-BHC Concentration
5.3 (319-85-7) ❑ El
.
Mass
y-BHC Concentration
5.4 (58 89 9) El 0 ❑ Mass
i-BHC Concentration
5.5 (319-86-8) El ❑ ❑ Mass
5.6 Chlordane ❑ 0
❑ Concentration
(57-74-9) Mass
4,4'-DDT El ❑ ❑ Concentration
5.7 (50-29-3) Mass
5.8 4,4'-DDE ❑ ❑ IDConcentration
(72-55-9) Mass
5.9 4,4'-DDD El ElConcentration
(72-54-8) Mass
Dieldrin Concentration
5.10 (60-57-1) ❑ El Mass
5.11 a-endosulfan 0
0
Q Concentration
(115-29-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 OMB No.2040-0004
TABLE B.TOXIC METALS,CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence Intake
(check one) Effluent
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Average Number Long Number
Present Absent Daily Monthly Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Value Analyses
(if available) _
5.12 R-endosulfan Concentration
0 El El
(115-29-7) Mass
Endosulfan sulfate Concentration
5.13 (1031 07 8) � � 0
Mass
Endrin Concentration
5.14 El 0 El ,
(72 20 8) Mass
Endrin aldehyde ElConcentration
5.15 El
(7421-93-4) Mass
5.16 Heptachlor Concentration
(76-44-8) Mass
Heptachlor epoxide Concentration
5.17 (1024-57-3) 0 0 E Mass
PCB-1242 Concentration
5.18 (53469-21-9) 0 El E Mass
PCB-1254 Concentration
5.19 (11097-69-1) El El E Mass
PCB-1221 Concentration
5.20 (11104-28-2) El 0 E Mass
PCB-1232 Concentration
5.21 (11141-16-5) El Mass
PCB-1248 Concentration
5.22 (12672-29-6) 0 0 0 Mass
PCB-1260 Concentration
5.23 (11096-82-5) El 0 0 Mass
PCB-1016 Concentration
5.24 (12674-11-2) 0 0 0 Mass
EPA Form 3510-2C(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 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)
PollutantlParameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Avera a Number Long- Number
Present Absent Daily Monthly g Term
aily of of
Discharge Discharge Discharge D Analyses Average Analyses
(required) (if available) Value
(if available)
Toxaphene Concentration
5.25 (8001-35-2) 0 0 ✓❑ Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 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)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) Value
_ (if available) (if available)
1-1❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
Bromide ❑ ❑ Concentration
1. (24959-67-9) Mass
2 Chlorine,total residual
❑ ❑ Concentration ug/I as 114
Mass
Concentration
3. Color 0 0 Mass
Concentration
4. Fecal coliform 0 0 Mass
5.
Fluoride 0 El Concentration(16984 48 8) Mass
Concentration mg/I 0.05 3
6 Nitrate-nitrite 0 ❑ Mass
Nitrogen,total ❑ ❑ Concentration mg/I 0.6 3
7. organic(as N) Mass
8. Oil and grease 0 0 Concentration
Mass
9. Phosphorus(as ❑ 0 Concentration mg/I 4.06 3
P),total(7723-14-0) Mass
10 Sulfate(as SO4) ❑ 0 Concentration
(14808-79-8) Mass
Concentration
11. Sulfide(as S) 0 0 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
110009845221 NC0086797 River Bend WTP 1&2 002 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 Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) (if available) (if available) Value
12 Sulfite(as SOa) ❑ 0 Concentration
(14265-05-3) Mass
Concentration
13. Surfactants ❑ 0 Mass
14.
Aluminum,total
El ✓❑ Concentration
(7429-90-5) Mass
15. Barium,total ❑ ❑ Concentration
(7440-39-3) Mass
16. Boron,total 0 ❑ Concentration
(7440-42-8) Mass
17. Cobalt,total ❑ ❑ Concentration
(7440-48-4) Mass
18 Iron,total ❑ 0 Concentration
(7439-89-6) Mass
19.
Magnesium,total ❑❑ Concentration
(7439-95-4) Mass
Molybdenum, Concentration
20. total ❑ ✓❑ Mass
(7439-98-7)
21 Manganese,total ❑ ❑ Concentration mg/I 0.086 3
(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 Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009845221 NC0086797 River Bend WTP 1&2 002 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)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum Daily Long-Term
Present Absent Discharge Monthly Average Daily Number of Average Number of
Discharge Discharge Analyses Analyses
(required) Value
(if available) (if available)
24. Radioactivity
Alpha,total El El
Mass
Beta,total 0 El
Mass
Radium,total 0 1=I
Concentration
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 Form 3510-2C(Revised 3-19) Page 25

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TTSGS Quad: G30SW Pollocksville,NC /, _
Outfa11001 WTP#1 Outfall 002 WTP#2 1',
° ° „ C`
Latitude: 35 4 25 N 35 4 19"N 35 431N 35433
Longitude: 77°8'44"W 77°8' 50"W 77°9' 10"W 77°9' 5"W ,• 5 \
Receiving Facility Location
Streams: Plantation Canal UT to Plantation Canal 1 North
Subbasin: 03-04-11 HUC:03020204 NC0086797 Town of River Bend WTP 1 & 2
Streams Class: SB,Sw,NSW Craven County

°�oF xrv����� TOWN OF RIVER BEND 45 Shoreline Drive
ti River Bend,NC 28562
T 252.638.3870
__ V F 252.638.2580
°�TlI Awl www.riverbendnc.org
November 30, 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
River Bend WTP 1 &2
NPDES Permit#NC0086797
Craven County
Dear Permitting Unit:
The Town of River Bend is submitting the renewal application for NPDES permit 1
#NC0086797 which is scheduled to expire on May 31, 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 # 252-638-3870 I
ext. 213
Sincerely
- 1111(CiAl EiCielili-rk--
Charles Delane Jackson
Town Manager; River Be d

oh ��2
TOWN OF RIVER BEND �Shoreline drive
F River Bend, NC 28562
T 252.638.3870
��� F 252.638.2580
c Asd ti' www.riverbendnc.org
November 30, 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
River Bend WTP 1 &2
NPDES Permit#NC0086797
Craven County
Dear Permitting Unit:
The Town of River Bend is submitting the renewal application for NPDES permit
#NC0086797 which is scheduled to expire on May 31, 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 # 252-638-3870
ext. 213
Sincerely
Charles Delane Jackson
Town Manager; River B(1°((111"1--