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HomeMy WebLinkAboutNC0026000_Application_20190325ROY COOPER Governor MICHAEL S. REGAN Secretory LINDA CULPEPPER Dire"" Al Leonard, Jr., Town Manager Town of Tabor City PO Box 655 Tabor City, NC 28463 Subject: Permit Renewal Application No. NCO026000 Tabor City WWTP Columbus County Dear Applicant: NORTH CAROLINA £nvfronmwital Quality March 25, 2019 The Water Quality Permitting Section acknowledges the March 22, 2019 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://decinc 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, RJ Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D �� North Cero: na Department of Environments Qual3y I Divwn of Water Resources K'�Im ngton Regorre Office 1 127 Ca:o-.�+. Drva Eaanson I K9im.rgton, North Caro: ns 28405 "' 910-795-7215 Home Of The North Carolina Yam Festival DIANE B. WARD CLERK-TREAS. KEVIN BULLARD TOWN ATTORNEY A.6 LEONARD, IR. TOWN MANAGER A] Leonard, Jr. Town Manager Town of Tabor City P. O. Box 655 Tabor City, North Carolina 28463 Phone Number: 910-653-3458 3/20/2019 TOWN OF TABOR CITY P.O. DRAWER 655 TABOR CITY, NC 28463 01.910.653.3458 F: 910.653.3970 Ms. Julie Grzyb, Supervisor NPDES Complex Permitting Division of Water Resources Water Quality Permitting Section - NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Dear Ms. Grzyb, ROYCE HARPER MAYOR LAMONT GRATE MAYOR PRO TEM NELSON LEE SAM ROGERS DAVID MINCEY RECEIVED/DENR/DWR MAR 2 2 2019 Water Resources Permitting Section As town manager and the responsible party for the Tabor City W WTP (NPDES # NC0026000) I herein request the renewal of our plant's NPDES discharge permit. The plant has not been modified since the last renewal but repairs to the existing equipment are imminent. We will soon repair the piping associated with one clarifier to increase its efficiency in solids removal but treatment capacity and functioning of the plant will remain the same. Attached are signed originals and the required copies of the completed NPDES application Form 2A with exhibits, and a statement from our sludge handlers. Please contact me with any further requirements you may have. Thank you Al J. Leonard, . FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER FORM _"-- 2A PDES FORM 2A APPLICATION OVERVIEW NPDES APPLICATION OVERVIEW Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Ffow 2 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions BA through B.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): Has a design flow rate greater than or equal to 1 mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data): 1. Has a design flow rate greater than or equal to 1 mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to submit results of toxicity testing. F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter 1, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or C. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REOUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER BASIC APPLICATION INFORMATION PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS: All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet. A.1. Facility Information. Facility Name Town of Tabor City Wastewater Treatment Plant Mailing Address PO Box 655 Tabor City NC 28463 Contact Person Stephany Moore Title ORC Telephone Number (910) 617-1353 Facility Address 244 US HWY 701 BYPASS N, (not P.O. Box) Tabor City. NC 20463 A.2. Applicant Information. It the applicant is different from the above, provide the following: Applicant Name Town of Tabor City Mailing Address PO Box 655 Tabor City. NC 28463 Contact Person At Leonard Jr Title Town Manager Telephone Number (910) 653-3458 Is the applicant the owner or operator (or both) of the treatment works? ® owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ❑ facility ® applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued pends).EPA # 110009720640 NPDES NC 0026000 PSD UIC Other RCRA Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, if known, provide Information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership Tabor City 2900 separate municipal Total population served EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 2 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER A.S. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes ® No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes ® No A.S. Flow. Indicate the design flow rate of the treatment plant (Le., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each years data must be based on a 12-month time period with the 121h month of 'this year' occurring no more than three months prior to this application submittal. a. Design flow rate 1.1 mgd Two Years Apo Last Year This Year b. Annual average daily flow rate 0.445 0.444 C. Maximum daily flow rate 4.879 2.52 4.919 A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. ® Separate sanitary sewer 100 ❑ Combined storm and sanitary sewer A.B. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: I. Discharges of treated effluent ii. Discharges of untreated or partially treated effluent iii. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) V. Other 0 b. Does the treatment works discharge effluent to basins, ponds, or other surface Impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes ® No If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) Is discharge ❑ continuous or ❑Intermittent? C. Does the treatment works land -apply treated wastewater? If yes, provide the following for each land application site: Location: Number of acres: Annual average daily volume applied to site: Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? Mg ❑ Yes ® No mgd ❑ Yes ® No EPA form 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 8 7550-22. Page 3 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). If transport is by a party other than the applicant, provide: Transporter Name Mailing Address Contact Person Title Telephone Number ( ) For each treatment works that receives this discharge, provide the following: Name Mailing Address Contact Person Title Telephone Number ( ) If known, provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily flow rate from the treatment works into the receiving facility. mgd e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes ® No If yes, provide the following for each disposal method: Description of method (including location and size of sites) ri applicable): Annual daily volume disposed by this method: Is disposal through this method ❑ continuous or ❑ intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 I RENEWAI I LUMBER WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outtall (including bypass points) through which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question A.B,a, go to Part "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Ouffall. a. OuOall number 001 b. Location Un-named tributary of Grisset Swamp adiacent to plant ® 244 US HWY 701 BYPASS N, Tabor City, NC. 28463 (City or town, if applicable) (Zip Code) COLUMBUS NC (County) (State) (Latitude) (Longitude) C. Distance from shore (if applicable) 0 N. d. Depth below surface (if applicable) 0 tt. e. Average daily flow rate 0.480 mgd I. Does this oudall have either an intermittent or a periodic discharge? ❑ Yes ® No (go to A.9.g.) If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: mgd Months in which discharge occurs: g. Is outfall equipped with a diffuser? ❑ Yes ® No A.10. Description of Receiving Waters. a. Name of receiving water Unnamed tributary of Grissett Swamp. b. Name of watershed (0 known) LUMBER RIVER United States Soil Conservation Service 14-digit watershed code (if known):12 digit corN 030402060505 C. Name of State Management/River Basin (if known): LUMBER d. United States Geological Survey 8-digit hydrologic cataloging unit code (8 known): 03040206 d. Critical low flow of receiving stream (if applicable) acute 0 cis chronic 0 cfs e. Total hardness of receiving stream at critical low flow (if applicable): mgA of CaCO3 EPA Form 3510-2A (Rev. 1-99), Replaces EPA torms 7550-6 & 7550-22. Page 5 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWA I LUMBER A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary ® Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal Design SS removal Design P removal Design N removal Other C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: If disinfection is by chlorination is dechlormation used for this outall? ® Yes ❑ No Does the treatment plant have post aeration? ® Yes ❑ No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart. Outfall number. PARAMETER Flow Rate Temperature (Summer) r. r, MAXIMUM DAILY AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDL POLLUTANT DISCHARGE METHOD Cone. Units Cone. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BOD5 10.5 mgn 2.54 m /I 624 SM5210-B 2.0 MG/L DEMAND (Report one) CBOD5 FECAL COLIFORM 2550 1 Col/100ml 109.86 Col/100 ml 827 SM9222D 1 COL/100 ML TOTAL SUSPENDED SOLIDS (TSS) 47 mgA 5.81 mall 656 SM2540D 0.1 MG/L END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 6 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER BASIC APPLICATION INFORMATION PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR EQUAL TO 0.1 MGD (100,000 gallons per day). All applicants with a design flow rate 2 0.1 mgd must answer questions BA through B.6. All others go to Pan C (Certification). 8.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration. 132000 gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. A thorough Inflow and Infiltration study is current underway. The study will identify extraneous flows that occur with large rain events and identify Priority engineering and repair of those sources. The study should be completed within 6 months and design of mitigation immediately there after. B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire area.) a. The area surrounding the treatment plant, including all unit processes. b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. (NONE) d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within ,p mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. (No known wells within �I/ mile of plant) e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. (See Site Plan) I. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. . (NONE) B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redundancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between treatment units. Include a brief narrative description of the diagram. 8.4. Operation/Maintenance Performed by Contractor(s). , Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ® Yes ❑ No If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional pages if necessary). Name: EnviroUnk Mailing Address: P.O Box 670 Bailey, NC 27807 Telephone Number: (252) 235-2132 Responsibilities of Contractor: Operation and Maintenance of all aspects of treatment works 8.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for each. (If none, go to question B.6.) a. List the ouffall number (assigned in question A.9) for each ouffall that is covered by this implementation schedule. 001 b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies. ❑ Yes ® No EPA Form 3510-ZA (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER C. If the answer to B.5.1a is "Yes," briefly describe, including new maximum daily inflow rate (if applicable). Clarifier i is scheduled to have piping replaced and regraded d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as applicable. Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY - Begin Construction 0&15/2019 - End Construction 08/15/2020 - Begin Discharge 08/15/2020 - Attain Operational Level 08/15/2020 e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: These are repairs to existing equipment and not an upgrade. An Authorization to Construct was applied for with its approval imminent. 8.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY). Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each ouffall through which effluent is discharged. Do not include information on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be based on at least three pollutant scans and must be no more than four and on -half years old. Outfall Number: 001 MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT METHOD MIJMDL Conc. Units Conc, Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 6.4 mg/I 0.18 mg/I 626 SM4500NH3 F 0.1 mgA CHLORINE (TOTAL Environmental RESIDUAL, TRC) 50 ugn 18.45 ug/I 640 Instruments 20ug/L Meter DISSOLVED OXYGEN 15.20 mgn 8.07 mg/I 645 YSI 55 meter 0.1 mg/L TOTAL KJELDAHL 0 mgA 0 mgA 3 SM4500NH3 C 0.25 MGIL NITROGEN (TKN) NITRATE PLUS NITRITE 21 3 mg(I 15.6 mgA 3 4500-P B,5 & E 0.05 MGIL NITROGEN OIL and GREASE 0 m9/1 0 mgA 4 1664A 5.0 mg/L PHOSPHORUS (Total) 5.38 mgA 1.45 m9/1 54 4500-P B,5 & E 0.01 MG/L TOTAL DISSOLVED SOLIDS 500 mg/I 368 Mgt[ 4 2540 C-2011 10.0 mg/L (TDS) OTHER END OF PART B. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Farm 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 & 7550-22. Page 8 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER BASIC APPLICATION INFORMATION PART C. CERTIFICATION All applicants must complete the Certification Section. Rater to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ® Basic Application Information packet Supplemental Application Information packet: ® Part D (Expanded Effluent Testing Data) ® Part E (Toxicity Testing: Biomonitoring Data) ❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name and official title ALJ LEONARD TOWN MANAGER Signature Telephone number f910) 653-3456 Date signed 3' °L (- t Q Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWO Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Forte 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 9 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART D. EXPANDED EFFLUENT TESTING DATA Refer to the directions on the cover page to determine whether this section applies to the treatment works. Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below any data you may have on pollutants not specifically listed in this torn. At a minimum, effluent testing data must be based on at least three pollutant scans and must be no more than four and one-half years old. Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE I AVERAGE DAILY DISCHARGE ANALYTIC POLLUTANT nits/ Number Unita/da AL ML/MDL Conc. Units Mass Conc. Units Mass of METHOD Samples METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY 0 mg/I 0.00 Ibs 0.00 mg/I 0.00 Ibs 4 EPA 200'7/ 200.8 0.025 ARSENIC 0 mg/I 0.00 Ibs 0.00 mg/I 0.00 Ibs 4 EPA 200'7/ 200.8 0.010 BERYLLIUM 0 mg/I 0.00 Ibs 0.00 mg/I 0.00 Ibs2000.8 4 EPA .8 0.005 CADMIUM 0 mg/I 0.00 Ibs 0.00 mg/I 0.00 Ibs 4 EPA 200.7/ 200.8 0.002 CHROMIUM 0 mg/I 0.00 Ibs 0.00 mg/I 0.00 Ibs 4 EPA 200'7/ 2D0.8 0.005 COPPER 0,022 mg/I 0.0838 Ibs 0.0052 mg/I 0.021 Ibs 29 EPA 200.7/ 200.8 0.002 LEAD 0 mg/1 0.00 Ibs 0.00 mgA 0.00 Ibs 4 EPA 200.7/ 2D0.8 0010 MERCURY 0.03E ug/I 0.00011 Ibs 0.00517 UW 0.000021 Ibs 90 EPA 245.1 0.0002 NICKEL 0 mgA 0.00 Ibs 0.00 mg/1 D.Do Ibs 4 EPA 200.7/ 200.8 0.010 SELENIUM 0 mg/I 0.00 Ibs 0.00 mgn 0.00 Ibs 4 EPA 200.7/ 0.010 200.8 SILVER 0 mg/I 0.00 Ibs 0.00 mg/1 0.00 Ibs 4 EPA .8 2000.8 0.005 THALLIUM 0 mg/I 0.00 Ibs 0.00 MO 0.00 Ibs 4 EPA200.7/ 200.8 0.020 ZINC 0.208 mg/1 0.997 Ibs 0.044 mgA 0.176 Ibs 25 EPA 200.7/ 200.8 0.010 CYANIDE 0 mg/1 0.00 Ibs 0.00 mg/I 0.00 Ibs 3 EPA 335.4 0.005 TOTAL PHENOLIC 0.036 mgA 0.0892 Ibs 0.026 mg/I 0.0640 Ibs 4 EPA 420.1 0.010 COMPOUNDS HARDNESS (as 64 mg/I 156.4 Ibs 55 MV 135.4 Ibs 4 SM 2340-B 0.662 CaCO3) Use this space (or a separate sheet) to provide information on other metals requested by the permit writer EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 8 7550-22. Page 10 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Oufall number: (Complete once for each outfall discharging effluent to waters of the United States.) ANALYTICAL MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE MLAMDL METHOD POLLUTANT Number Conc. Units Mass Units Conc. Units Mass Units of Samples VOLATILE ORGANIC COMPOUNDS ACROLEIN 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 Ibs 4 EPA 624 <50.0 ACRYLONITRILE 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 The 4 EPA 624 <10.0 BENZENE 0.0 ug4 0.00 Ibs 0.00 ugll 0.00 Ibs 4 EPA 624 <1.00 BROMOFORM 2.57 ug/1 0.0052 Ibs 1.39 ugn 0.0063 The 4 EPA 624 <1.00 CARBON 0.0 ug/I 0.00 Ibs 0.00 uga 0.00 Ibs 4 EPA 624 <7.00 TETRACHLORIDE CHLOROBENZENE 0.0 ugn 0.00 Ibs 0.00 ug/l 0.00 Ibs 4 EPA 624 <1.00 CHLORODIBROMO- 1.89 ugn 0.00 Ibs 1.22 ug/I 0.00 Ibs 4 EPA 624 <7.00 METHANE CHLOROETHANE 0.0 ugA 0.00 Ibs 0.00 ug/I 0.00 Ibs 4 EPA 624 <5.00 2-CHLOROETHYLVINYL 0.0 ugA 0.00 Ibs 0.00 ug/I 0.00 Ibs 3 EPA 624 <5.00 ETHER CHLOROFORM 11.1 ugn 0.027 Ibs 7.12 ugn 0.017 Ibs 3 EPA 624 <1.00 DICHLOROBROMO- 5.92 ugn 0.012 Ibs 3.46 ugn 0.008 Ibs 3 EPA 624 <1.00 METHANE 1,1-DICHLOROETHANE 0.0 ugA G.Do We 0.00 ugA 0.00 Ibs 3 EPA 624 <1.00 1,2-DICHLOROETHANE 0.0 ug/I 0.00 The 0.00 ugll 0.00 Ibs 3 EPA 624 <1.00 I,2-DICHLORO- 0.0 ug/I 0.00 Ibs 0.00 ugll 0.D0 Ibs 3 EPA 624 <1.00 ETHYLENE ETHYLE 1,1-DICHLORO- 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 Ibs 3 EPA 624 <1.00 ETHYLENE 1,2-DICHLOROPROPANE 0.0 u9/1 0.00 Ibs 0.00 ugn 0.00 Ibs 3 EPA 624 <1.00 1,3-DICHLORO- 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 Ibs 3 EPA 624 <11.00 PROPYLENE ETHYLBENZENE 0.0 ugA 0.00 Ibs 0.D0 ugA 0.00 Ibs 3 EPA 624 <1.00 METHYL BROMIDE 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 Ibs 3 EPA 624 <5.00 METHYL CHLORIDE 0.0 ugA 0.00 Ibs 0.00 ugll 0.00 Ibs 3 EPA 624 <5.00 METHYLENE CHLORIDE 0.0 ug/I 0.00 Ibs 0.00 ugn 0.00 Ibs 3 EPA 624 <1.00 1,1,2,2-TETRA- 0.0 ugA 0.00 Ibs 0.00 ugfI 0.00 Ibs 3 EPA 624 <11.00 CHLOROETHANE TETRACHLORO- 0.0 ugn 0.00 We 0.00 ugA 0.00 Ibs 3 EPA 624 <1.00 ETHYLENE TOLUENE 0.0 ug/I 0.00 Ibs 0.00 ugn 0.00 Ibs 3 EPA 624 <1.00 EPA Foes 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22, Page 11 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Oudall number: (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD MLIMDL Conc. Units Mass Units Conc. Units Mass Units Number of Samples 1,t,1 TRICHLOROETHANE 0.0 ug/1 0.00 Ibs 0.00 u9A 0.00 Ibs 3 EPA 624 0.00 1,1,2 TRICHLOROETHANE 0.0 ug/I 0.00 Ibs 0.00 u9A 0.00 The 3 EPA 624 <1.00 TRICHLOROETHYLENE 0.0 ug/I 0.00 Ibs 0.00 u911 0.00 Ibs 3 EPA 624 <1.00 VINYL CHLORIDE 0.0 ug/I 0.00 Iba 0.00 u911 0.00 Ibs 3 EPA 624 <5.00 Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer ACID -EXTRACTABLE COMPOUNDS P-CHLORO-M-CRESOL 0 ug/I 0 Ibs 0 ugn 0 Ibs 3 EPA 625 <10 2-CHLOROPHENOL 0 ugA 0 Ibs 0 ugll 0 Ibs 3 EPA625 <10 2+DICHLOROPHENOL 0 ugA 0 Ibs 0 u9n 0 Ibs 3 EPA 625 <10 2,4-DIMETHYLPHENOL 0 ugA 0 The 0 u94 0 Ibs 3 EPA 625 <10 4,6-DINITRO-0-CRESOL 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <50 2,4-DINITROPHENOL 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <50 2-NITROPHENOL 0 ug/I 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 4-NITROPHENOL 0 ug/I 0 Iba 0 ugn 0 Ibs 3 EPA 625 <50 PENTACHLOROPHENOL 0 ug/I 0 Ibs 0 ugA 0 Its 3 EPA 625 <50 PHENOL 0 ug/I 0 We 0 USA 0 Ibs 3 EPA 625 <10 2.4,6- TRICHLOROPHENOL 0 ugA O Ibe 0 ugn 0 Ibs 3 EPA 625 <10 Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer BASE -NEUTRAL COMPOUNDS ACENAPHTHENE 0 ug/I 0 The 0 u9A 0 Ibs 3 EPA 625 <10 ACENAPHTHYLENE 0 u9A 0 Ibs 0 USA 0 Iba 3 EPA 625 <10 ANTHRACENE 0 u911 0 Ibs 0 ug/I 0 Ibs 3 EPA 625 <10 BENZIDINE 0 ugn 0 Ibs 0 ugn 0 Iba 3 EPA 625 <50 BENZO(A)ANTHRACENE 0 ugll 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 BENZO(A)PYRENE 0 ugn 0 Ibs 0 u9A 0 Iba 3 EPA 625 <10 EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 12 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REOUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Outfall number. (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples 0 ugn 0 The 0 ugll 0 Ibs 3 EPA 625 <10 FLUORANTHENE RANT BENZO(GHI)PERYLENE 0 u9/1 0 The 0 a9/1 0 Ibs 3 EPA 625 <10 BENZO( 0 u9/1 0 Ibs 0 u9n 0 Ibs 3 EPA 625 <10 FLUORANTHENE BIS (2-CHLOROETHOXY) 0 ugn 0 Ibs 0 ugA 0 Iba 3 EPA 625 <10 METHANE BIS (2CHLOROETHYL)- 0 ugll 0 Ibs 0 u9A 0 Ibs 3 EPA 625 <10 ETHER BIS (2CHLOROISO- 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 PROPVL)ETHER BIS (2-ETHYLHEXYL) 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 PHTHALATE HE 0 u9n 0 Ibs 0 u9A 0 Ibs 3 EPA 625 <10 PHENYL EETHERR PHENY BUTYL 0 ugll 0 The 0 ugA 0 Ibs 3 EPA 625 <10 PHTHALATE LATE H 0 ug/I 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 NAPHTTHALHALENE NA 4CHLOR 0 ug/I 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 ETHER PHENYLETHER CHRYSENE 0 ugA 0 The 0 ugA 0 The 3 EPA625 <10 DI-N-BUTYL PHTHALATE 0 ugn 0 The 0 u9/1 0 Ibs 3 EPA 625 <10 DI-N-OCTYL PHTHALATE 0 ugA 0 The 0 ugA 0 Ibs 3 EPA 625 <10 DIBENZO(A,H) 0 ug/1 0 The 0 u9/1 0 Ibs 3 EPA 625 <10 ANTHRACENE 1,2-DICHLOROBENZENE 0 ugA 0 [be 0 ugn 0 Ibs 3 EPA 625 <10 1,3-DICHLOROBENZENE 0 ugn 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 1,4-DICHLOROBENZENE 0 ugA 0 The 0 ugA 0 Ibs 3 EPA 625 <10 3,3-DICHLORO- 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <50 BENZIDINE DIETHYL PHTHALATE 0 ugfl 0 The 0 ugA 0 Ibs 3 EPA 625 <10 DIMETHYL PHTHALATE 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 2,4-DINITROTOLUENE 0 ug/1 0 Iba 0 ugA 0 Ibs 3 EPA 625 <10 2,6-DINITROTOLUENE 0 ug/1 0 The 0 ugA 0 Ibs 3 EPA 625 <10 1,2-DIPHENYL- 0 ugn 0 Ibs 0 u9n0 Ibs 3 EPA 625 <10 HYDRAZINE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 13 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Ouffall number: (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL MLIMDL Number Conc. Units Mass Units Cone. Units Mass Units of METHOD Samples FLUORANTHENE 0 ugli 0 Ibs 0 ugq 0 Ibs 3 EPA 625 <10 FLUORENE 0 u90 0 Ibs 0 ugn 0 Ibs 3 EPA 625 <10 HEXACHLOROBENZENE 0 ug0 0 Ibs 0 ugll 0 Ibs 3 EPA 625 <10 HEXA- 0 ugA0 Ibs 0 u911 0 The 3 EPA 625 <10 BUTADIENE DIENE HEXACHLOROCYCLO- 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <50 PENTADIENE HEXACHLOROETHANE 0 ug/I 0 Ibs 0 ug/1 0 Ibs 3 EPA 625 <10 INDENO(1,2.3-CD) 0 ugA 0 Ibs 0 ug/I 0 Ibs 3 EPA 625 <10 PYRENE ISOPHORONE 0 ugA 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 NAPHTHALENE 0 ugll 0 Ibs 0 ugll 0 Ibs 3 EPA 625 <10 NITROBENZENE 0 ugn 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 N-NITROSODI-N- 0 ugn 0 Its 0 ugll 0 Ibs 3 EPA 625 <10 PROPYLAMINE OSODI- 0 ugll 0 Ibs 0 ugA 0 Ibs 3 EPA 625 <10 METHVLAMINE METH N-NITROSODI- 0 ugn 0 Ibs 0 ugll 0 Ibs 2 EPA 625 <10 PHENYLAMINE PHENANTHRENE 0 ugll 0 Ibs 0 ugll 0 Iba 3 EPA 625 <10 PYRENE 0 ugll 0 His 0 ugA 0 Has 3 EPA 625 <10 0 U911 0 Ibs 0 ugll 0 Ibs 3 EPA 625 <10 TRIGHLOROBENZENE RIC Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer _ _ - _ END OF PART D. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 14 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/OC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, if one was conducted. • If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested in question I for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to complete. E.I. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.16 ® chronic ❑ acute I Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one column per test (where each species constitutes a test). Copy this page it more than three tests are being reported. Test number. 001 Test number: 002 Test number. 003 a. Test information. Test Species & test method number Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Age at initiation of test <24 Hrs <24 Hrs <24 Hrs Outtall number 001 001 001 Dates sample collected 03/09/15-03/11/15 06/08/15-06/10/15 09/21/15-09/23/15 Date test started 03/11 /15 06/10/15 09/23/15 Duration 7 days 7 days 7 days I Give toxicity test methods followed. Short Term Methods For Short Term Methods For Short Term Methods For Estimating The Chronic Estimating The Chronic Estimating The Chronic Manual title Toxicity Of Effluents And Toxicity Of Effluents And Toxicity Of Effluents And Receiving Waters To Fresh Receiving Waters To Fresh Receiving Waters To Fresh Water Organisms Water Organisms Water Organisms Edition number and year of publication EPA-821_R-02-013 Edition # 4' Oct 2002 EPA-821 `R-02-013 Edition # 4 Oct 2002 EPA-821-R-02-013 Edition # 41h Oct 2002 Page number(s) 141-196 141-189 141-189 c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection After dechlorination X X X EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test number: 001 Test number: 002 Test number: 003 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration Post Final Aeration Post Final Aeration I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X X X Acute toxicity g. Provide the type of test performed. Static Static -renewal X X X Flow -through It. Source of dilution water- If laboratory water, specify type; if receiving water, specify source. Laboratory water X X X Receiving water 1. Type of dilution water. If ask water, specify "natural" or type of artificial sea sales or brine used. Fresh water X X X Salt water j. Give the percentage effluent used for all concentrations in the test sense. 90% 90% 90% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH X X X Salinity Temperature X X X Ammonia Dissolved oxygen X X X 1. Test Results. Acute: Percent survival in 100 % effluent ,fie % % LCsa 95% C.I. % % % Control percent survival % % % Other (describe) EPA Foan 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 3 7550-22. Page 16 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Chronic: NOEC % % % ICz5 % % % Control percent survival 100.0 % 100 % % 100 % % Other (describe) m. Quality Control/Quality Assurance. Is reference toxicant data available? YES YES YES Was reference toxicant test within YES YES YES acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) (Pass/Fail) PASS (-3.65%) PASS (6.71 %) PASS (5.53%) %Reduction in Reproduction E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Forte 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 a 755422. FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 4o CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QArQC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whale effluent toxicity test conducted during the past four and one -hall years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, it one was conducted. • If you have already submitted any of the information requested In Part E, you need not submit it again. Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomonitormg data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to complete. E.1. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.???? ❑ chronic ❑ acute E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-haff Years. Allow one column per test (where each species constitutes a test). Copy this page If more than three tests are being reported. Test number. 004 Test number: 005 Test number. 006 a. Test information. Test Species a test method number Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Age at initiation of test <24 Hrs <24 His <24 Hire Ouffall number 001 001 001 Dates sample collected 12114/15-12116/15 03/14/16-03116116 06/13/16-W15/16 Date test started 12/16/15 03/16/16 06/15/16 Duration 7 days 7 days 7 days b. Give toxicity test methods followed. Short Term Methods For Short Term Methods For Short Term Methods For Estimating The Chronic Estimating The Chronic Estimating The Chronic Manual title Toxicity Of Effluents And Toxicity Of Effluents And Toxicity Of Effluents And Receiving Waters To Fresh Receiving Waters To Fresh Receiving Waters To Fresh Water Organisms Water Organisms Water Organisms EPA-821-R-02-013 Edition # EPA-821-R-02-013 Edition EPA-821-R-02-013 Edition Edition number and year of publication y p 41h Oct 2002 # 41h Oct 2002 # 41h Oct 2002 Pagenumber(s) 141-189 141-189 141-189 c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken In relation to disinfection. (Check all that apply for each. Before disinfection After disinfection X After dechlormatton X X EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 18 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test number: 004 Test number: 005 Test number: 006 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration Post Final Aeration Post Final Aeration I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X X X Acute toxicity g. Provide the type of test performed. Static Static -renewal X X X Flow -through h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source. Laboratory water X X X Receiving water i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. Fresh water X X X Sell water j. Give the percentage effluent used for all concentrations in the test series. 90% 90% 90% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH X X X Salinity Temperature X X X Ammonia Dissolved oxygen X X X I. Test Results. Acute: Percent survival in 100 % effluent % % % LCw 95 % C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 & 7550-22. Page 19 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Chronic: NOEC % % % IC25 % % % Control percent surv'Ivaf 81.3 % 100 % % 100 % % Other (describe) m. Quality Control/Quality Assurance. Is reference toxicant data available? YES YES YES Was reference toxicant test within YES YES YES acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) (Pass/Fall) %Reduction in Reproduction PASS (-25.1 %) PASS (3.64%) PASS (-8.65°/u) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted blomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 20 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate CA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, 'lf one was conducted. • If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to complete. E.1. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one -ha f years. ❑ chronic ❑ acute E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one column per test (where each species constitutes a test). Copy this page lf more than three tests are being reported. Test number. 007 Test number: 008 Test number: 009 a. Test information. Test Species & test method number Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Age at initiation of test <24 Hrs <24 Hits <24 Hrs Outfall number 001 001 001 Dates sample collected 9/19116-9/21 /16 12/12/16-12/14116 03/13/17-03/15/17 Date test started 9/21/16 12/14/16 03/15/17 Duration 7 days 7 days 7 days b. Give toxicity test methods followed. Short Term Methods For Short Term Methods For Short Term Methods For Estimating The Chronic Estimating The Chronic Estimating The Chronic Manual title Toxicity Of Effluents And Toxicity Of Effluents And Toxicity Of Effluents And Receiving Waters To Fresh Receiving Waters To Fresh Receiving Waters To Fresh Water Organisms Water Organisms Water Organisms EPA-821-R-02-013 Edition B EPA-821-R-02-013 Edition EPA-821-R-02-013 Edition Edition number and year publication ye P 4th Oct 2002 # 4th Oct 2002 # 41h Oct 2002 Page number(s) 141-189 141-189 141-189 c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection X After dechlorination X X EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test number: 007 Test number: WS Test number: 009 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration Post Final Aeration Post Final Aeration I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X X X Acute toxicity g. Provide the type of test performed. Static Static -renewal X X X Flow -through h. Source of dilution water. If laboratory water, specify type: 0 receiving water, specify source. Laboratory water X X X Receiving water I. Type of dilution water. If sell water, specify "naturar or type of artificial sea setts or brine used. Fresh water X X X Sao water j. Give the percentage effluent used for all concentrations in the test series. 90% 90% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH X X X Salinity Temperature X X X Ammonia Dissolved oxygen X X X I. Test Results. Acute: Percent survival in 100 % effluent % % % LCw 95 % C.I. % % % Control percent survival % % % Other(describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 22 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City. NCO026000 RENEWAL LUMBER Chronic: NOEC % % IC25 % % O%/ /O Control percent survival 91.7 % 100 % 100 % Other (describe) PASS (-7.099/6) PASS (1.21 °k) PASS (-11.36%) m. Quality Control/Quality Assurance. Is reference toxicant data available? YES YES YES Was reference toxicant test within YES YES YES acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) (Pass/Fail) %Reduction in Reproduction E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dales the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 23 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-haff years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/oC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test conducted during the past four and one-haff years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, if one was conducted. • If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using affemate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to complete. E.I. Required Testa. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. ❑ chronic ❑ acute E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity lest conducted in the Iasi four and ona-half years. Allow one column per test (where each species constitutes a test). Copy this page if more than three tests are being reported. Test number. 010 Test number: 011 Test number: 012 a. Test information. Test Species & test method number Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Age at initiation of test <24 Hrs <24 Hrs <24 HIS Ouffall number 001 001 001 Dates sample collected 06119/17-06/21/17 09/18/17-09/20117 12/11/17-12113117 Date test started 06/21 /17 09/20/17 12/13/17 Duration 7 days 7 days 7 days b. Give toxicity test methods followed. Short Term Methods For Short Term Methods For Short Term Methods For Estimating The Chronic Estimating The Chronic Estimating The Chronic Manual title Toxicity Of Effluents And Toxicity Of Effluents And Toxicity Of Effluents And Receiving Waters To Fresh Receiving Waters To Fresh Receiving Waters To Fresh Water Organisms Water Organisms Water Organisms EPA-821-R-02-013 Edition # EPA-821-R-02-013 Edition EPA-821-R-02-013 Edition Edition number and year of publication y 4th Oct 2002 # 4th Oct 2002 # 41h Oct 2002 Page number(s) 141-189 141-189 141-189 c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection X After dechlormatlon X X EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 24 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test numbw: 010 Test number: Olt Test number: 012 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration Post Final Aeration Post Final Aeration I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X X X Acute toxicity g. Provide the type of test performed. Static Static -renewal X X X Flow -through h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source. Laboratory water X X X Receiving water i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. Fresh water X X X Salt water j. Give the percentage effluent used for all concentrations in the test series. 90% 90% k. Parameters measured during the test. (State whether parameter meets test method specifications) PH X X X Salinity Temperature X X X Ammonia Dissolved oxygen X X X I. Test Results. Acute: Percent survival in 100 % effluent % % ° �O LCm 95% C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-ZA (Rev. 1-99), Replaces EPA forms 7550-6 & 7550-22. Page 25 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Chronic: NOEC % % % ICzs % % % Control percent survival 91.7 % 100 % % 91.7 % % Other (describe) (Pass/Fall) %Reduction in PASS (-8.17%) PASS (19.47%) PASS (-14.78%) Reproduction m. Quality Control/Quality, Assurance. Is reference toxicant data available? YES YES YES Was reference toxicant test within YES YES YES acceptable bounds? What date was reference toxicant test if run (MM/DD/YYYY)? Other (describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: EA. Summary of Submitted Biorrwnitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 8 7550-22. Page 26 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/OC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past tour and one-half years. If a whole effluent toxicity test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, it one was conducted. • If you have already submitted any of the information requested in Par E, you need not submit it again. Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using axemate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to complete. E.I. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. ❑ chronic ❑ acute E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one column per test (where each species constitutes a test). Copy this page it more than three tests are being reported. Test number. 013 Test number. 014 Test number. 015 a. Test information. Test species a test method number Ceriodaphnia dubia 1 G02.0 Ceriodaphnia dubia 1002.0 Ceriodaphnia dubia 1002.0 Age at initiation of test <24 HIS <24 Hrs <24 Hrs Ouffall number 001 001 001 Dates sample collected 03/12118-03/14/18 06/11/18-06/13/18 10/08/18-10/10/18 Date test started 03/14/18 06/13/18 10/10/18 Duration 7 days 7 days 7 days b. Give toxicity test methods followed. Short Term Methods For Short Term Methods For Short Term Methods For Estimating The Chronic Estimating The Chronic Estimating The Chronic Manual title Toxicity Of Effluents And Toxicity Of Effluents And Toxicity Of Effluents And Receiving Waters To Fresh Receiving Waters To Fresh Receiving Waters To Fresh Water Organisms Water Organisms Water Organisms Edition number and year of publication EPA-821-R-02-013 Edition # 4' Oct 2002 EPA-821-R-02-013 Edition # 4' Oct 2002 EPA-821--R-02-013 Edition # 4mOct 2002 Page number(s) 141-189 141-189 141-189 c. Give the sample collection method(s) used. For multiple grab samples, Indicate the number of grab samples used. 24-Hour composite X X X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection X After dechlormation X X EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 27 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test number: 013 Test number: 014 Test number: 015 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration Post Final Aeration Post Final Aeration I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X X X Acute toxicity g. Provide the type of test performed. Static Static -renewal X X X Flow -through h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source. Laboratory water X X X Receiving water i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. Fresh water X X X Salt water j. Give the percentage effluent used for all concentrations in the test series. 90% 90% 22.5%,45%, 75%,90%, 100% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH X X X Salinity Temperature X X X Ammonia Dissolved oxygen X X X I. Test Results. Acute: Percent survival in 100 % effluent % % % LCw 95 % C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 28 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Chronic: NOEC % % 90 % IC2s % % % Control percent survival 91.7 % 100.0 % 100 % Other (describe) PASS (-6.94%) PASS (-4.355k) PASS (-6.42%) m. Quality Control/Quality Assurance. Is reference toxicant data available? YES YES YES Was reference toxicant test within YES YES YES acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) (Pass/Fail) %Reduction in Reproduction E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fomns 7550-6 & 7550-22. Page 29 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART E. TOXICITY TESTING DATA POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters. • At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. • In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity reduction evaluation, if one was conducted. • If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E. If no biomomoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to complete. E.I. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. ❑ chronic ❑ acute E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one column per test (where each species constitutes a test). Copy this page if more than three tests are being reported. Test number: 016 Test number. Test number. a. Test information. Test Species & test method number Ceriodaphnia dubia 1002.0 Age at initiation of test <24 Hrs Outfall number 001 Dates sample collected 12/10118-12/12/18 Date test started 12/12/18 Duration 7 days b. Give toxicity test methods followed. Short Term Methods For Estimating The Chronic Manual title Toxicity Of Effluents And Receiving Waters To Fresh Water Organisms Edition number and year of publication EPA-821-R-02-013 Edition #41h Oct 2002 Page number(s) 141-189 c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite X Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection X After dechlorination EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 30 of 36 FACILITY NAME AND PERMIT NUMBER: Town of Tabor City, NCO026000 PERMIT ACTION REQUESTED: RENEWAL RIVER BASIN: LUMBER Test number: 016 e. Describe the point in the treatment process at which the sample was collected. Sample was collected: Post Final Aeration 1. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity X Acute toxicity g. Provide the type of test performed. Static Static renewal X Flow -through h. Source of dilution water. If laboratory water, speciy type: 0 receiving water, specify, source. Laboratory water X Receiving water i. Type of dilution water. If saltwater, specify "natural" or type of artificial sea salts or brine used. Fresh water X Salt water j. Give the percentage effluent used for all concentrations in the test series. 90% k. Parameters measured during the test. (State whether parameter meets test method specifications) pH X Salinity Temperature X Ammonia Dissolved oxygen X I. Test Results. Acute: Percent survival in 100 % effluent % % % LCw 95% C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 31 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER Chronic: NOEC % % % ICas % % % Control percent survival 100 % % % Other (describe) (PasstFail) %Reduction in PASS (-0.44%) Reproduction m. Quality Control/Ouality Assurance. Is reference toxicant data available? YES Was reference toxicant test within YES acceptable bounds? What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes ❑ No If yes, describe: EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary of the results. Date submitted: / / (MM/DD/YYYY) Summary of results: (see instructions) END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 32 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART F.INDUSTRIAL USER DISCHARGES AND RCRAICERCLA WASTES All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must complete part F. GENERAL INFORMATION: F.I. Pretreatment program. Does the treatment works have, or is subject of, an approved pretreatment program? ❑ Yes N No F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of industrial users that discharge to the treatment works. a. Number of non -categorical SIUs. b. Number of CIUs. SIGNIFICANT INDUSTRIAL USER INFORMATION: Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.6 and provide the information requested for each SIU. F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages as necessary. Name: Mailing Address: FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal producl(s): Raw material(s): F.6. Flow Rate. a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. gpd ( continuous or intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. gpd ( continuous or intermittent) F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following: a. Local limits ❑ Yes ❑ No b. Categorical pretreatment standards ❑ Yes ❑ No If subject to categorical pretreatment standards, which category and subcategory? EPA Forte 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 33 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER F.B. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ❑ No If yes, describe each episode. RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE: F.S. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe? ❑ Yes ® No (go to F.12) FA 0. Waste transport. Method by which RCRA waste is received (check all that apply): ❑ Truck ❑ Rail ❑ Dedicated Pipe F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units). EPA Hazardous Waste Number Amount Units CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATIOWCORRECTIVE ACTION WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER: F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities? ❑ Yes (complete F.13 through F.15.) ® No F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in the next five years). F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if known. (Attach additional sheets if necessary.) F.15. Waste Treatment. a. Is this waste treated (or will be treated) prior to entering the treatment works? ❑ Yes ❑ No If yes, describe the treatment (provide information about the removal efficiency): b. Is the discharge (or will the discharge be) continuous or intermittent? ❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule. END OF PART F. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Paa1e 5n o, 9@ FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER SUPPLEMENTAL APPLICATION INFORMATION PART G. COMBINED SEWER SYSTEMS If the treatment works has a combined sewer system, complete Part G. GA. System Map. Provide a map indicating the following: (may be included with Basic Application Information) a. All CSO discharge points. b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and outstanding natural resource waters). C. Waters that support threatened and endangered species potentially affected by CSOs. G.2. System Diagram. Provide a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that includes the following information. a. Location of major sewer trunk lines, both combined and separate sanitary. b. Locations of points where separate sanitary sewers feed into the combined sewer system. C. Locations of in -line and off-line storage structures. d. Locations of flow -regulating devices. e. Locations of pump stations. CSO OUTFALLS: Complete questions G.3 through G.B once for each CSO discharge ooinL G.3. Description of Outfall. a. Outfall number b. Location (City or town, if applicable) (Zip Code) (County) (State) (Latitude) (Longitude) C. Distance from shore (if applicable) ft. d. Depth below surface (if applicable) fl. e. Which of the following were monitored during the last year for this CSO? ❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency ❑ CSO flow volume ❑ Receiving water quality I. How many storm events were monitored during the last year? GA. CSO Events. a. Give the number of CSO events in the last year. events (❑ actual or ❑ approx.) b. Give the average duration per CSO event. hours (❑ actual or ❑ approx.) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 & 7550-22. Page 35 of 36 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Town of Tabor City, NCO026000 RENEWAL LUMBER C. Give the average volume per CSO event. million gallons (❑ actual or ❑ approx.) d. Give the minimum rainfall that caused a CSO event in the last year Inches of rainfall G.5. Description of Receiving Waters. a. Name of receiving water: b. Name of watershed/river/stream system: United State Soil Conservation Service 14-digit watershed code (& known): C. Name of State Management/River Basin: United States Geological Survey 6-digit hydrologic cataloging unit code (it known): G.6. CSO Operations. Describe any known water quality impacts on the receiving water caused by this CSO (e.g., permanent or intermittent beach closings, permanent or intermittent shell fish bed closings, fish kills, fish advisories, other recreational loss, or violation of any applicable State water quality standard). END OF PART G. — — -- REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 36 of 36 WWTP Site Plan 500 TABOR CITY WWTP NPDES NC 0026000 PLANT LAYOUT AND YARD PIPING �! AERATION II$ BASIN 1 I--- .-L- I el I 1 4 I I I V T V I___I -1 \ ENERATOR BEHIND CONTROL BUILDING CLARIFIER #EL. SLJJD6E /DIGESTL STGRAG -------------- - APiFIER Ll LCI L I , -------------- ------------- ,q I L - 1 i I 1 _-_ ELJUALI ZA_ T� BASIN r'T-rni _.a 1 , �o 200 300 --- --400'----- 500, i PLANT 0 BOUPLANT NDAR �I � II -s I i x i �- - - - - - - - - SY ' \Y�R,ESSIURE SAND FILTERS (TAKEN OUT ❑F SERVICE) 900 WWTP Topographical Map Tabor City Wastewater Treatment Plant TOPO 0000" W 078' 50' 60 0000" W 078° 49' 60.0000" W 0.25 Mile Range Ring NPDES NC 0026000 - -- )'•_� 9\r " ane 1 ---1n/h,Ve v 7//�, 9e p 1 a j �`11rpa �''"°` 0 °a a o _ `c.= - Own rli•,• _ p .;t sSy eSet� ��\p l°i7 J t�e� — Z 'Dot-lcC Ts1t�a\ P,atK i i o n crn � n Miriam: Lane'. v\� r ; .d" , o. 3aboS .-:✓" / Z - o 00 0 � o '1J� II \ fG , . i 6�r ci CID ` olem n_Road In o lin`a CD CID CD 6 v _„ v, �L ' C% Ro 51 m v�i . 1 • as�`5� Jd��� I- r I Z t 8 �StreetJ�1! > - o r• o I n t as in` yOha .' ard-Wti- Ro ad Z a o #cn« West=7th�S G) Tabor C wwrPzo- Ric ,y w o o / o Wes1:3 7204 t iles yris Z d°Stre o Q� t n1S Ifit y r' a `Oi o o r' Unity_Street 1\ L•abont ��� ��/ �g ^ p �Y7-f � • n�StreeC /;fir C' Declination ,� � � • � d � u , � • � l Z _Bluff_Road omplex.Stre an-R �Will-lnm, • ad. 1, ;�' _ r - �l o o t mo�N o 0 D SCALE 1:24000 ^^rn /r esEjwe - 1000 2000 3000 4000 soon soon7000 8000 e• �'- - a9GN Feet 1.20" E .J MN 8.89Co ' `� i " UU,�0 GN Y 078° 52' 60.0000" W 078' 51' 60.0000" W 078' 50' 60.0000" W 078' 49' 60.0000" W Flow Balance Diagram FLOW BALANCE NOTES: In calculating the material bolonce flows for the Tabor City WWTP, the WAS flow is estimated at 350 GPD. Of that 350 gallons, the equivalent of 300 gallons per day is periodically decanted out of the Sludge Digester returned to the headworks. The remaining 50 gallons per day of thickened solids remains in the tank until hauled. These WAS flows are insignificant compared to the plant process flows and are not included within the water balance diagram but ore contained within the plant. LEGEND: HW Headworks flow RAS#1 RAS flow from Clarifier #1 RAS#2 RAS flaw from Clarifier #2 AER#1 Aeration Tank #1 feed flow AER#2 Aeration Tank #2 feed flow CLAR#1 Clarifier #1 feed flow from Aeration Tank #1 CLAr#2 Clarifier #2 feed flow from Aeration Tank #2 WEIR#1 WEIR flow from Clarifier #1 WEIR#2 WEIR flow from Clarifier #2 CLCH Chlorine Contact Chamber flow AVERAGE INFLUENT FLOW = 0.48 MGD = 1.0 0 AER #1 0,45 Q10 AERATION BASIN #1 INFLUENT HIN 1.0 Q RAS #1 0.45 0 1.0 0 IN PS HEADWORKS oec uo n cc SIDE —STREAM EMERGENCY SURGE BASIN AERATION BASIN #2 AER #2 0.55 Q WAS-- 350 GPD TABOR CITY PLANT NARRATIVE: Influent flow foils into the plant influent pump station (ps), excess flow can be diverted to the equalization basin for later treatment. The influent ps transfers the untreated waste stream to the headworks where it is screened through either a mechanical or manual barscreen and metered. The influent flow then posses into a splitter box where 55% is diverted to Basin #2 and the balance of 45% is conducted to Aeration Basin #1. These percentage partitions ore proportional to the size of the respective aeration basin. After the aeration basins the two MLSS flows enter two clarifiers for solids settling. The flow over the clarifier weirs is approximately half of the aeration tank flow while the remaining flow exits the bottom as RAS flow returning to the aeration basin from which it came. The weir flows from the two clarifiers then flows into o single Chlorine contact chamber for disinfection. The final course of the Chlorine contact chamber is fitted with a dechlorinotion feed of Sulfer Dioxide and well mixed by aeration before discharging from the plant. CLAR #1 0.9 Q CLARIFIER #1 CLARIFIER #2 SLUDGE DIGESTION AND STORAGE WEIR #1 0.45 0 CHLORINE SOURCE CHLORINE CONTACTOR WEIR #2 0.55 0 EFFLUENT TO DISCHARGE 1.0 Q DE —CHLORINATION & POST AERATION TP FLOW BALANCE DIAGRAM Sludge Management Plan MCGILL The compost people" March 14, 2019 Dear Tabor City, McGill Environmental Systems of NC, Inc. will be able to handle dewatered biosolids from the Tabor City WWTP for processing at the McGill — Delway Composting Facility at 1100 Herring Road, Rose Hill, NC 28458 (permit number WQ00006816). Our facility located in Rose Hill has the capacity to handle up to 500 wet tons annually from Tabor City. Please do not hesitate to contact me with any questions or comments. Best, Kyle Wiggins Business Development Rep KWig ins ,McGillCompost.com (910)465-1582 McGill Environmental Systems 1 (0) 919-362-1161 1 (F) 919-362-1141 1 www.mcclilicompost.com 634 Christian Chapel Church Rd J New Hill, NC 27562