NC0075736_Renewal (Application)_20221215

2
ROY COOPER _
Governor o�
ELIZABETH S.BISER • 31""•°"'
Secretary -
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
December 15, 2022
Whiteside Estates, Inc.
Attn: J. David Young
PO Box 100
Highlands, NC 28741-0100
Subject: Permit Renewal
Application No. NC0075736
Whiteside Estates WWTP
Jackson County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 15, 2022, receipt of your permit renewal application
n will assigned to a permit writer within the Section's NPDES WW
in documentation. Your application be as
and supporting pp g
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,
, CAt#14,(7.as-W
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
E Q North Carolina Department of Environmental Quality I DIvislon of Water Resources
Asheville Regional Office 2090 U.S.Highway 70 I Swannanoa.North Carolina 28778
•+ ��+ V 828 296 4500

CERTIFIED MAIL/ARTICLE NO. 7015 1520 0002 2116 7596
Mr J. David Young
Whiteside Estates, Inc.
P. O. Box 100
Highlands,NC 28741
December 12, 2022
Ms. Wren Thedford RECEIVED
NC/DENR Water Quality/NPDES Unit DEC 15 2022
1617 Mail Service Center
Raleigh,NC 27699-1617 NCDEQIDWRINPDES
Re:NPDES Permit NC0075736/Whiteside Estates, Inc. /Jackson County,NC
Dear Ms. Thedford:
Pursuant to the requirements listed in the e-mail received from Charles Weaver,
Environmental Specialist II,Division of Water Resources,NCDEQ on December 1,
2022, (copies of emails enclosed),please find enclosed our permit renewal application. I
hope you find it to be complete. If not,please contact me with any questions that arise.
Thank y .
Since e :
J. Da id Yo
Whit side Estates, Inc.
the un sinwnc >mail.com
(828 342-7570 mobile
[phone] fax

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

1( 19 L.1 fix(�-c-..
NPDES Permit Number Facility Name Modified Application Form 2A
1 C—007 5736, \I-1 Nl'(-511k 3[R'11'-� \.j W Modified March 2021
NC Department of Environmental QualityApplication for NPDES Permit to Discharge Wastewater
Form P - PP 9
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
i the instructions ma result in denial of the application.
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.216)(1)and(9))
1.1 Facility na e
4kt- ‘ �. �tx* . \N 1 TP
Mailing address(street or P.O.box)
'FCC. BOX WO
City or town State ZIP code
141 H Ds 1\1 L 2 57 g t
EContact name(first and last) Title ,Phon number Email address
_ 'DAyto Yvc.itali aNN gz8 34z- 7S7n tkeLfou inwn�C
Location address(street,route number,or other spec is identifier) ❑ Same as mailin address g►fl&i 1 •C.Dm
cti 30 ZO `V o R-ti-oa 'e-c)A c No C:6 t-sr( .,"1-::
i City`fortown AAtt- k-kl
State // ZIP code
�iCa` P,ve'f� Icn.I/4 4 i P r iZ.S C..— Zvi l 7
1.2 Is this application for a facility that has yet to commence discharge?
[cd/ Yes 4 See instructions on data submission 0 No
requirements for new dischargers.6N,O 4— r 5 T J\
1.3 Is applicant different from entity listed under Item 1.1 above? J
❑ Yes V No 4 SKIP to Item 1.4.
Applicant name
c Applicant address(street or P.O.box)
0
co
oCity or town State ZIP code
c
ro Contact name(first and last) Title Phone number Email address
a.
< 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
Et/ Owner ❑ Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
❑ Facility i Applicant ❑ Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
number for each.)
A , ExistingEnvironmental Permits ti
TiNPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
GU
water) k
DO7 3 control)
Li 0 PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
w
. , ❑ Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section ❑ Other(specify)
>,. 404)
I
Page 1

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•
IV U �� C.-1 ice'^ X(S i'S)
N DES Permit Number Facility Name Modified Application Form 2A
1,t 60 7 -, 3 /b \ Modified March 2021
�1C- I 141r.-s1/4"0= 5j�'C -S 4r)wrp
1.7 Provide the collection system information requested below for the treatment works.
Municipality , Population Collectia System Type
i Served Served Ownership Status I
(indicate percentages "...
%separate sanitary sewer ❑ Own ❑ Maintain
cu %combined storm and sanitary sewer 0 Own 0 Maintain
N ! 0 Unknown 0 Own 0 Maintain
o %separate sanitary sewer 0 Own 0 Maintain
--
is ,, %combined storm and sanitary sewer 0 Own 0 Maintain
= 1J0 �%!1C-i t-I TY XI 5'1'S 0 Unknown 0 Own 0 Maintain
0.
o %separate sanitary sewer 0 Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
c
ca 0 Unknown 0 Own 0 Maintain
E
a; %separate sanitary sewer 0 Own 0 Maintain
�n %combined storm and sanitary sewer 0 Own 0 Maintain
o 0 Unknown 0 Own 0 Maintain
Total`
°' Population
cal Served
Separate Sanitary Sewer System Combined Storm and
SanitarySewer
Total percentage of each type of % °
sewer line(in miles) �0
e' 1 1.8 Is the treatment works located in Indian Country?
0 0 Yes 0 No
0
1.9 Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes� ❑ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate ,
mgd
0 ° TwoYearsAnnual Average Flow Rates(Actual)
Ago I Last Year I This Year
01:3 cc
mgd mgd mgd
y Maximum Daily Flow Rates(Actual)
Two Years Ago Last Year r— This Year
mgd mgd ' mcd
t 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
a _ .. _ ___ Total Number of Effluent Discharge Points by Type
e` , �_._ Constructed
°' >^ Combined Sewer
.a Treated Effluent Untreated Effluent I Overflows Bypasses Emergency
Overflows
a
(Nrit__D fA6-1"—l-T x\s C s

1 � �i-,`{ �,�Ts
PDES Permit Number Facility Name Modified Application Form 2A
- Modified March 2021
Outfalls Other Than to Waters of the State of North Ca`rnina
1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
D Yes ❑ No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table'below.
Surface Impoundment Location and Discharge Data
Average Daily Volume I Continuous or Intermittent
Location I- < Discharged to Surface i
(check one)
t _ Impoundment
❑ Continuous
gpd 0 Intermittent
O Continuous
gpd ❑ Intermittent
O Continuous
gpd ❑ Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes E No 4 SKIP to Item 1.16.
0 15 Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
o , Average Daily Volume '
Continuous or
Location Size Applied Intermittent
i (check one)
acresgpd 0 Continuous
❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
acresgpd 0 Continuous
0 Intermittent
-÷11 ! 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ElYes ❑ No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Entity name Mailing address(street or P.O.box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

•
i 1A0 5.1.4-11 L.17*'( '--*.f-4,‘ ...r)
NPDES Permit Number Facility Name Modified Application Form 2A
1�\ / o o 7 t'7 / ,I`t tl vcfL\iv_ 5 . \i`+\' flJA4gdified March 2021
j1.20 In the table below,`indicate the name,address,contact information,NPDES number,and average daily flow rate of the
receivin facility.
", r
-0% Facility name Mailing address(street or P.O.box)
; City or town State ZIP code
Contact name(first and last) Title
a Phone number Email address
NPDES number of receiving facility(if any) 0 None
y< Average daily flow rate mgd
C 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina(e.g.,underground percolation,underground injection)?
o
r 0 Yes ❑ No 4 SKIP to Item 1.23.
1.22 Provide information in the table below on these other disposal methods.
ion on
-- Disposal Location of }InfarmatSize of Other Disposal
Annual Average I Continuous or Intermittent
--c Method Daily Discharge
1 Disposal Site Disposal Site I ., (check one)
ets , Description Volume ,
1 Y acres d 0 Continuous
5 gp 0 Intermittent
o
acres d 0 Continuous
gp ❑ Intermittent
acres d ❑ Continuous
gp 0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
d 2, Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
c Discharges into marine waters(CWA Water quality related effluent limitation(CWA Section
❑ Section 301(h)) ❑ 302(b)(2))
❑ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
0 Yes ❑ No-"SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
! Contractor 1 ! Contractor 2 ! Contractor 3 I
=
0 Contractor name
g (company name)
`o Mailing address
c (street or P.O.box)
o City,state,and ZIP
R code
oContact name(first and
0 last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

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I\\0
NPDES Permit Number Facility Name Modified Application Form 2A
C.OQ75736 w N CY\ 1prlodifiedMarch2021
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
c Outfalls to Waters of the State of North Carolina
c 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
cs,
o ❑ Yes ❑ No 4 SKIP to Section 3.
0 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
c
(75
0
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
specific requirements.)
,a �
off .
❑ Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
oLL
❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
0 Yes 0 No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
o '>
1.
E
O. 2.
E
0
3.
m
v>
4.
m 1 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
m Scheduled Affected I Begin End I Begin I` Attainment of
o Improvement Outfalls I Construction I Construction Discharge Operational
(list outfall I Level
(from above) (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) !
number~ (MM/DD/YYYY)
1.
cn
2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
0 Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

(.12A
0 in.iitb4“-..i 11'. ... ..;NAt '1%.\')
NPDES Permit Number Facility Name Modified Application Form 2A
ls'ALCU.,C 757 36z, \NII lk1i .,..1,,,E .- T1ki \Nwz P odrtied March 2021
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall. (Attach additional sheets if you':have more than three outfalls.)
i Outfall Number I Duffel!Number 1 Outfall Number
State
County
�fE! I
o City or town
c
c
o Distance from shore ft. ft. ft.
ca.
oDepth below surface ft. ft. ft.
Average daily flow rate mgd mgd mgd
Latitude "
Longitude ° ° °
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes ❑ No 4 SKIP to Item 3.4.
c
3.3 If so,provide the following information for each applicable outfall.
y ' I Outfall Number I Ou R. ; % f """- maca
s j Number of times per year
.- discharge occurs
ri Average duration of each
b discharge(specify units)
c Average flow of each
0 discharge mgd mgd mgd
w
c , Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes 0 No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
ca. 1 -r
Outfall Number_ I Outfall Number Outfall Number- 1
0
0
,
i s
o Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
fit3.6 one or more discharge points?
'_ ' ❑ Yes 0 No 4SKIP to Section 6.
Page 6

6A-0 f.../ .—..1 L— IT"{ 1**)si-41-:),-
NPDES Permit Number `, Facility�` Name �-g� Modified Application Form 2A
iq 75 73� `i�I�1 1 t-s `-�1 '`l l"`: \l\/viry od d March 2021
3.7 Provide the receiving water and related information(if known)for each outfall. �1'
Outfall Number Outfall Number Outfall Number
Receiving water name
Name of watershed,river,
a or stream system
U.S.Soil Conservation
` Service 14-digit watershed
d code
0 Name of state
management/river basin
U.S.Geological Survey
8-digit hydrologic
CA
re cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following nformation! describing the treatment provided for discharges from each outfall.
- �_
Outfall Number Outfall Number 1 Outfall Number
Highest Level of 0 Primary 0 Primary 0 Primary
4 Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary 0 Secondary 0 Secondary
0 Advanced 0 Advanced 0 Advanced
❑ Other(specify) 0 Other(specify) 0 Other(specify)
c
0
i 'Q Design Removal Rates by
0 Outfall
to
o BOD5 or CBOD5 % %
0/0
E
m TSS % %
t--
❑ Not applicable 0 Not applicable 0 Not applicable
Phosphorus
0 Not applicable 0 Not applicable 0 Not applicable
Nitrogen /o/o/o o 0 0
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
i
Page 7

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(Nib tt1-t't`li
NPDES Permit Number Facility Name Modified Application Form 2A
Ne--007 / 3 b \1I -"�--4,1)" 5viModified March 2021
1 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below.If disinfection varies by
season,describe below.
I �
0
, Outfall Number Outfall Number
i Outfall Number !
Disinfection type
Seasons used
Dechlorination used? ❑ Not applicable 0 Not applicable 0 Not applicable
0 Yes 0 Yes 0 Yes
❑ No 0 No 0 No
• 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes 0 No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number i Outfall Number
.ti Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge
water
Number of tests of receiving
water
u.:
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

(1\\ I LI'Y .)(1.3-TS)
NPDES Permit Number Facility Name Modified Application Form 2A
NL°C77S 73 6 W4-h'r s\ - .-r-A-T 5 \ "
1Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No+ Complete tests and Table E and SKIP to
Item 3.26.
tViitk
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
�`` ❑ Yes El Item
+Provide results in Table E and SKIP to
Item 3.26.
W.k � 3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted(MMiDDNYYY) Summary of Results
o
: 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
0 Yes 0 No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
ta\
ti
3.24 Has the treatment works conducted a toxicity reduction evaluation?
0 Yes 0 No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
it ri,,
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
" information to the NPDES •ermittin• authori .
Page 9

(14) -6.--4 L.-ri--il -- -)4 s---r"
NPDES Permit Numberu Facility Name Modified Application Form 2A
NLov S—1 2 b V I ' 11). ff. _S `KVI."Modified March 2021
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFRFR 122.22(a)and(d)) I
6.1 In Column 1 below,mark the sections of Form 2A 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 a.•licants are re•uired to •rovide attachments.
i�'%r:;� e" !� ✓" /% " ��i; i.,." ,.�: ,c�J .e 2 � ;i/ce yo
1 Section 1:Basic Application
❑ Information for All Applicants IDw/variance request(s) ❑ wl additional attachments
❑
Section 2:Additional ❑ w/topographic map El w/process flow diagram
1 Information
0 w/additional attachments
1 0 wl Table A 0 wl Table D
❑ Section 3:Information on ❑ w/Table B 0 w/additional attachments
1 Effluent Discharges
d 0 w/Table C
Go Section 4:Not Applicable
0
r Section 5:Not Applicable
d
c>
_ Section 6:Checklist and
`= ❑ Certification Statement El w/attachments
6.2 Certification Statement
c
t 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 imprisonm
ent for
r knowing violation
s.
Name(print or type first and last name) Official title
Signature Date signed
I
Page 10

ice( �>Vs-rs
NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified Mardi 2021
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical MLor MDL
Pollutant Number of Method1 (include units)Value Units Value Units
Samples I.
Biochemical oxygen demand ❑ML
❑BODs or❑CBODs ❑MDL
re.ort one
❑ML
Fecal coliform o MDL
Design flow rate
pH(minimum)
pH(maximum)
Temperature(winter)
Temperature(summer)
Total suspended solids(TSS) o ML
❑MDL
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).
Page 11

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At, r--A ...1 L-(i---1' .)(t�S
EPA Identification Number N DES Permit Number Facility Name Outfall Number Modified Application Form 2A
1`6_CO 7 S-7 3 / \'I I y, J�� �sllisT Modified March 2021
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge
Pollutant —,
Analytical ML or MDL
Value 1 Units Value Units Number of Method' (include units)
Samples
Ammonia(as N) ❑ML
❑MDL
Chlorine
❑ML
(total residual,TRC)2 ❑MDL
❑ML
Dissolved oxygen ❑MDL
Nitrate/nitrite \k- P\i------ o ML❑MDL
Kjeldahl nitrogen ❑ML
0 MDL
Oil and grease ❑ML
❑MDL
Phosphorus 0 ML
❑MDL
❑ML
Total dissolved solids ❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or O.See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant — —
' Number of Methods (include units)
Value Units Value Units
Samples
Metals,Cyanide,and Total Phenols
L%its
Hardness(as CaCO3) ❑MDL
❑ML
Antimony,total recoverable ❑MDL
❑ML
Arsenic,total recoverable ❑MDL
0 ML
Beryllium,total recoverable ❑MDL
Cadmium,total recoverable /71s\
❑ML
❑MDL
Chromium,total recoverable ❑ML
❑MDL
0 ML
Copper,total recoverable 0 MDL
❑ML
Lead,total recoverable
❑MDL
0 ML
Mercury,total recoverable 0 MDL
Nickel,total recoverable ❑ML
❑MDL
❑ML
Selenium,total recoverable ❑MDL
❑ML
Silver,total recoverable 0 MDL
❑ML
Thallium,total recoverable 0 MDL
Zinc,total recoverable ❑ML
❑MDL
❑ML
Cyanide ❑MDL
O ML
Total phenolic compounds ❑MDL
Volatile Organic Compounds
— I ❑ML
Acrolein ❑MDL
— ❑ML
Acrylonitrile ❑MDL
❑ML
Benzene ❑MDL
❑ML
Bromoform ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
I Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant — - --
I1 Number of Methods (include units)
Value Units Value Units
Carbon tetrachloride °MD
❑MDL
Chlorobenzene ❑ML
0 MDL
Chlorodibromomethane ❑ML
0 MDL
Chloroethane ❑ML
❑MDL
2-chloroethylvinyl ether ❑ML
❑MDL
Chloroform ❑ML
❑MDL
Dichlorobromomethane ❑ML
1,1-dichloroethane /A ❑❑MMLDL
❑MDL
❑ML
1,2-dichloroethane 0 MDL
trans-1,2-dichloroethylene ❑ML
0 MDL
1,1-dichloroethylene ❑ML
0 MDL
1,2-dichloropropane ❑ML
0 MDL
1,3-dichloropropylene 0 ML
0 MDL
Ethylbenzene ❑ML
❑MDL
Methyl bromide ❑ML
❑MDL
Methyl chloride °ML
❑MDL
Methylene chloride ❑ML
0 MDL
1,1,2,2-tetrachloroethane ❑ML
❑MDL
Tetrachloroethylene ❑ML
❑MDL
Toluene ❑ML
0 MDL
1,1,1-trichloroethane ❑ML
0 MDL
1,1,2-trichloroethane °ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant — _------ -- — ------- — ------- -
Value Units Value Units Number of Method1 (include units)
1 i Samples
❑ML
Trichloroethylene ❑MDL
-
❑ML
Vinyl chloride ❑MDL
Acid-Extractable Compounds
❑ML
p-chloro-m-cresol ❑MDL
O ML
2-chlorophenol ❑MDL
❑ML
2,4-dichlorophenol ❑MDL
—
2,4-dimethylphenol i o ML
DL
❑ML
4,6-dinitro-o-cresol o MDL
❑ML
2,4-dinitrophenol ❑MDL
❑ML
2-nitrophenol o MDL
I,A
❑ML
4-nitrophenol o MDL
❑ML
Pentachlorophenol 0 MDL
❑ML
Phenol ❑MDL
❑ML
2,4,6-trichlorophenol ❑MDL
Base-Neutral Compounds
�'''
Acenaphthene ❑MDL
Acenaphthylene ❑MDL
❑ML
❑MDL
Anthracene
O ML
❑MDL Benzidine
0 ML
❑MDL
Benzo(a)anthracene
0 ML
❑MDL
0 ML
Ei ML
0 ML
Benzo(a)pyrene
3,4-benzofluoranthene ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge • Analytical ML or
Pollutant -- —
Value Units Value • Units Number of Methods (include MDL units)
Samples
ML
Benzo(ghi)perylene ❑MDL
❑ML
Benzo(k)fluoranthene ❑MDL
❑ML
Bis(2-chloroethoxy)methane ❑MDL
❑ML
Bis(2-chloroethyl)ether ❑MDL
❑ML
Bis(2-chloroisopropyl)ether ❑MDL
Bis(2-ethylhexyl)phthalate ❑ML
❑MDL
4-bromophenyl phenyl ether ❑ML
0 MDL
it\
❑ML
Butyl benzyl phthalate ❑MDL
2-chloronaphthalene ❑ML
❑MDL
4-chlorophenyl phenyl ether ❑ML
❑MDL
Chrysene ❑ML
❑MDL
di-n-butyl phthalate ❑ML
❑MDL
di-n-octyl phthalate ❑ML
❑MDL
❑ML
Dibenzo(a,h)anthracene ❑MDL
1,2-dichlorobenzene ❑ML
❑MDL
1,3-dichlorobenzene ❑ML
❑MDL
❑ML
1,4-dichlorobenzene ❑MDL
3,3-dichlorobenzidine ❑ML
❑MDL
Diethyl phthalate ❑ML
❑MDL
Dimethyl phthalate ❑ML
❑MDL
2,4-dinitrotoluene ❑ML
❑MDL
2,6-dinitrotoluene ❑ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical I ML or MDL
Pollutant Value Units Value Units Number of Method1 (include units)
Samples
o ML
1,2-diphenylhydrazine ❑MDL
Fluoranthene D ML
❑MDL
❑ML
Fluorene ❑MDL
❑ML
Hexachlorobenzene ❑MDL
Hexachlorobutadiene ❑ML
' 0 MDL
- - ❑ML
Hexachlorocyclo-pentadiene ❑MDL
❑ML
Hexachloroethane ❑MDL
Indeno(1,2,3-cd)pyrene f ❑ML
MDL
❑ML
Isophorone ❑MDL
❑ML
Naphthalene ❑MDL
❑ML
Nitrobenzene ❑MDL
❑ML
N-nitrosodi-n-propylamine ❑MDL
❑ML
N-nitrosodimethylamine ❑MDL
❑ML
N-nitrosodiphenylamine ❑MDL
❑ML
Phenanthrene ❑MDL
❑ML
Pyrene _ ❑MDL
❑ML
1,2,4-trichlorobenzene ❑MDL
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I,Subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Pollutant Maximum Daily Discharge _` _ Average Daily Dischar a Analytical ML or MDL
(list) Number of
O Value Units Value Units Samples hMethodt (include units)
❑ No additional sampling is required by NPDES permitting authority.
❑ML
— i
❑MDL
❑ML
D MDL
❑ML
❑MDL
❑ML
Cl MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
MDL
❑ML
❑MDL
❑ML
Cl MDL
❑ML
❑MDL
❑ML
Cl MDL
El ML
❑MDL
Cl ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
El ML
❑MDL
❑ML
❑MDL
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).
• Page 18