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HomeMy WebLinkAboutNC0024210_Application_20180710Water Resources ENVtRONNENTIIL OU11LrTY July 10, 2018 Melanie Bruton, MRF super City of High Point 5875 Riverdale Dr Jamestown, NC 27282 Subject: Permit Renewal Application No. NCO024210 East Side WWTP Guilford County Dear Applicant: ROY COOPER Gvvvrmr NIICHAEL S. REGAN Secretory LINDA CULPEPPER 1htrrbn Dhvaar The Water Quality Permitting Section acknowledges the July 10, 2018 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, —Xat') eA(? Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application(WSRO) State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6300 Public Services Department Terry Houk DIRECTOR August 21, 2018 NCDENR / DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, INC 27699-1617 Subject: City of High Point Eastside WWTP Permit Renewal Application NPDES #NC0024210, Guilford County Dear Sirs: NORTH CAROLINNS INTERNATIONAL CI7 RECEIVED/DENR/DWR AUG 2 8 2018 Water Resources Permitting Section This letter is in response to the permit renewal application that was submitted to NCDENR on June 29, 2018 and was sent back to High Point by e-mail on July 18, 2018. The e-mail requested that High Point re -submit the permit renewal application with copies of the annual monitoring pollutant scans and the results for second species toxicity testing. This submittal includes the additional information requested by NCDENR. Included is a copy of the last 3 Annual Monitoring and Pollutant Scan reports that were performed for the Eastside WWTP. The City of High Point has contacted the Aquatic Toxicology Unit to coordinate the additional requested toxicity testing. The additional second species testing will be with fat head minnows and will occur during the months of August, October, November, and December of 2018 at the recommendation of Charles Weaver with the Raleigh permitting office. The City of High Point will notify the Aquatic Toxicology Unit if any changes occur with the proposed second species testing schedule. We look forward to working with you on the renewal of Eastside's NPDES permit. Please contact me at 336-883-3218 or Duane Hamby, Wastewater Operator Chief at 336-822-4732 if you need any additional information. Sincerely, � . 1� Terry L. 1 Public Services Director cc: Derrick Boone, Public Services Assistant Director Dawn Molnar, Wastewater Superintendent Duane Hamby, Wastewater Operator, Chief City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA Fax:336.883.1675 Phone:336.883.3215 TDD:336.883.8517 Public Services Department Terry Houk DIRECTOR NORTH CAROLINNS INTERNATIONAL CT] June 29, 2018 NCDENR/DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: City of High Point Eastside WWTP Permit Renewal Application NPDES #NC0024210, Guilford County Dear Sirs: The NPDES permit for the City of High Point Eastside WWTP expires on December 31, 2018. In accordance with State and Federal regulations, the City is requesting NPDES renewal for the subject facility. This permit renewal application includes: Form 2A, Application Overview; Part D, Expanded Effluent Testing Data; Part E, Toxicity Testing: Biomonitoring Data; Part F, Industrial User Discharges and RCLA/CERCLA Wastes; and other supplemental information as required and/or needed. The Eastside WWTP has two permitted discharges; Outfall 001, Richland Creek, and Outfall 002, Deep River. Prior to May 2008 the Eastside WWTP discharged into Richland Creek, Outfall 001. After completion of the Effluent Pump Station, the plant began to discharge into the channel of the Deep River in the Randleman Reservoir, Outfall 002. Outfall 001 remains as a permitted outfall, but is used only on the rare occasion that the Effluent Pump Station must be taken out of service for maintenance. We look forward to working with you on the renewal of Eastside's NPDES permit. Please contact me at 336-883-3218 or Duane Hamby, Wastewater Operator Chief at 336-822-4732 if you need any additional information. Sincerely, Terry L. Houk Public Services Director cc: Derrick Boone, Public Services Assistant Director Duane Hamby, Wastewater Operator, Chief City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA Fox:336.883.1675 Phone:336.883.3215 TDD:336.883.8517 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: High Point Eastside WWTP, NCO024210 Renewal FORM r ate•. 2A APPLICATION OVERVI NPDES APPLICATION OVERVIEW RIVER BASIN: Cape Fear 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.B. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): 1. Has a design flow rate greater than or equal to 1mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. 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 now 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. Industrial User Discharges and RCRAICERCLA 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 I, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or 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 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 Renewal I Cape Fear 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 High Point Eastside Wastewater Treatment Plant Mailing Address Contact Person Title Telephone Number Facility Address 5898 Riverdale Drive (not P.O. Box) Jamestown NC 27282 A.2. Applicant Information. If the applicant is different from the above, provide the following: Applicant Name Mailing Address Contact Person Terry Houk Title Public Services Director Telephone Number (336) 883-3215 Is the applicant the owner or operator (or both) of the treatment works? X owner ❑ operator Indicate whether correspondence regarding this permitshould be directed to the facility or the applicant. X facility ❑ applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued permits). NPDES NCO024210 PSD UIC Na Other Air Quality 08074T12 RCRA Na Other Stormwater NCG110019 A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, 0 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 City of High Point 77,188 separate Municipal Town of Archdale 11,564 separate Municipal Jamestown/Sedgefield 6,532 separate Municipal Total population served 95,284 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear A.S. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes X No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes X No A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 12'" month of "this year" occurring no more than three months prior to this application submittal. a. Design flow rate 26.00 mild Two Years Aoo Last Year This Year b. Annual average daily flow rate 12.6 12.2 12.6 C. Maximum daily flow rate 29.3 29.3 25.6 A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. X Separate sanitary sewer 100 ❑ Combined stone and sanitary sewer We % A.8. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? X Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: 1. Discharges of treated effluent ii. Discharges of untreated or partially treated effluent Ill. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) V. Other We 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 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: We Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? 1 X No mgd ❑ Yes X No mgd ❑ Yes X No EPA Form 3510-2A (Rev, 1-99). Replaces EPA fomis 7550-6 & 7550-22. Page 3 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside W1NTP, NCO024210 Renewal Cape Fear If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). n/a If transport is by a party other than the applicant, provide: Transporter Name Na Mailing Address n/a We Contact Person n/a Title his Telephone Number (Na) For each treatment works that receives this discharge, provide the following: Name We Mailing Address nla n/a Contact Person n/a Title n/a Telephone Number rnlat If known, provide the NPDES permit number of the treatment works that receives this discharge n/a Provide the average daily flow rate from the treatment works into the receiving facility. n/a mgd e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.B. through A.B.d above (e.g., underground percolation, well injection): ❑ Yes X No If yes, provide the following for each disposal method: Description of method (including location and size of site(s) if applicable): nla Annual daily volume disposed by this method: n/a Is disposal through this method O continuous or ❑ intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22, Page 4 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside Willi NCO024210 Rer I Cape Fear WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Outfall. a. Ouffall number b. Location (City or town. if appliwWe) (Zip Code) (County) (State) 35056' 11 "N 79" 53' 22"W (Latitude) (Longitude) C. Distance from shore (if applicable) 180 ft. d. Depth below surface (8 applicable) 11.5 ft. e. Average daily flow rate 12.6 mgd I. Does this ouffall have either an intermittent or a periodic discharge? ❑ Yes X No (go to A.9.g.) If yes, provide the following information: Number f times per year discharge occurs: Na Average duration of each discharge: rue Average flow per discharge: n/a mgd Months in which discharge occurs: n/a g. Is outfall equipped with a diffuser? X Yes ❑ No A.10. Description of Receiving Waters. a. Name of receiving water Deep River b. Name of watershed (if known) Randleman Lake United States Soil Conservation Service 14-digit watershed code (if known): unknown C. Name of State Management/River Basin (d known): Cape Fear River Basin United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03030003 d. Critical low flow of receiving stream (if applicable) acute unknown ofs chronic unknown cis e. Total hardness of receiving stream at critical low flow (if applicable): unknown mgA of CaCO3 l-.PA Form 3510-2A (Rev. 1 99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 1 Renewal I Cape Fear WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not include Information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of OuHall. C. Outfall number d. Location (City or town, if applicable) (7Jp Code) (County) 350 56' 16"N (State) 79053' 26'W (Latitude) (Longitude) C. Distance from shore (if applicable) n/a ft. d. Depth below surface (if applicable) n/a ft. e. Average daily flow rate emergency only mgd f. Does this outfall have either an Intermittent or a parodic discharge? X Yes ❑ No (go to A.9.g.) If yes, provide the following information: Number f times per year discharge occurs: 1-2 Average duration of each discharge: emergency only Average flow per discharge: unknown mgd Months in which discharge occurs: unknown g. Is outfall equipped with a diffuser? ❑ Yes X No A.10. Description of Receiving Waters. d. Name of receiving water Richland Creek e. Name of watershed (if known) Randleman Lake United States Soil Conservation Service 14-digit watershed code (if known): unknown f. Name of State Management/River Basin (if known): Cape Fear River Basin United States Geological Survey 8-digit hydrologic cataloging unit code (If known): 03030003 d. Critical low flow of receiving stream (f applicable) acute unknown cis chronic unknown cis e. Total hardness of receiving stream at critical low now (if applicable): unknown mg/I of CaCO3 EPA Form 3510-2A (Rev 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NC0024210 Renewal Cape Fear A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. X Primary X Secondary X Advanced X Other. Describe: Enhanced Biological Nutrient Removal b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal 99.57 % Design SS removal 99.16 % Design P removal 90.58 % Design N removal 93.93 % Other n/a % c. What type of disinfection is used for the effluent from this ouffall? If disinfection varies by season, please describe: Ultraviolet Disinfection If disinfection is by chlorination is dechlorination used for this ouffall? n/a ❑ Yes ❑ No Does the treatment plant have post aeration? X 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. 002 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH (Minimum) 6.0 S.U. pH (Maximum) 7.6 S.U. Flow Rate 32.6 MGD 12.62 MGD 1461 Temperature (lMnter) 22.7 C 16.91 C 405 Temperature (Summer) 28 C C _ _ 5.96 _23.17 ' For pH please report a minimum and a maximum daily value M IM D CHARGE AVERAGE DAILY DISCHARGE ANALYTICAL . ,.PQ.LLIlTQNT -, _.__ METHOD MUMOL Conc. Units Conc. Units Numberof Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BOD5 7 Inn <2 m A 321 SM 5210 B-2011 <2 DEMAND (Report one) CBOD5 n/a n/a n/a n/a n/a n1a n/a FECAL COLIFORM 2420 #/100 ml 8.25 �m 0 321 Colilert 18 <1 TOTAL SUSPENDED SOLIDS (TSS) 124 m /I <2.5 m /I 321 SM 2540 D-2011 <2.5 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 & 7550-22. FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear BASIC APPLICATION INFORMATION i 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 >_ 0A mgd must answer questions BA through B.S. All others go to Part C (Certification). B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow Into the treatment works from inflow and/or infiltration. 530.000' gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. 'Estimate is based on water usage records compared to average daily flows A wastewater master plan is currently being conducted for High Point 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 d one map does not show the entire area.) a. The area surrounding the treatment plant, including all unit processes. b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is Injected underground. d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within % mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works Is stored, treated, or disposed. f. If the treatment works receives waste that is classed as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between treatment units. Include a brief narrative description of the diagram. BA. 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 X 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: n/a Mailing Address: n/a n/a Telephone Number. ( 1 Responsibilities of Contractor: n/a B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for each. (If none, go to question 13.6.) a. List the ouffall number (assigned in question A.9) for each outfall that is covered by this implementation schedule. n/a b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies. ❑ Yes ❑ No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 6 7550-22. Page 6 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (If applicable). 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 I / / / - End Construction I l I l - Begin Discharge / / / I - Attain Operational Level / / e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: B.S. 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 outfail 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 QA1QC 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. 002 MAXIMUM DAILY AVERAGE DAILY DISCHARGE POLLUTANT DISCHARGE ANALYTICAL MLIMDL Number of METHOD Conc. Units Conc. Units Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) .060 mgA .029 mgA 3 SM 455 ONH3 H -1997 Ot CHLORINE (TOTAL .038 mgA .025 mgA 3 SM 45000I G - <O.Ot RESIDUAL, TRC) 2000 DISSOLVED OXYGEN 9 mgA 7.9 mgA 3 SM 4500-0 G .01 TOTAL KJELDAHL .7 mgA .488 mgA 3 SM 4500 NORG .095 NITROGEN (TKN) D-1997 NITRATE PLUS NITRITE 787 mgA .46 mgA 3 SM 45M NO3 F - 01 NITROGEN 2000 OIL and GREASE 5.9 mgA 5.3 j mgA 3 SM552oB-2D01 <5 PHOSPHORUS (Total) .475 mgA .333 mgA 3 SM4500 P H - 1999 01 TOTAL DISSOLVED SOLIDS 500 mgA 481,6667 mgA 3 SM2540C-1997 10 (TDS) OTHER Na n/a n/a We nla n/a n/a rue qPM END OF PART B. 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 9 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside VVWTP, NCO024210 Renewal Cape Fear BASIC APPLICATION INFORMATION PART C. CERTIFICATION VOW All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ❑ Basic Application Information packet Supplemental Application Information packet: X Part D (Expanded Effluent Testing Data) X Part E (Toxicity Testing: Biomonitodng Data) X Part F (Industrial User Discharges and RCRAICERCLA Wastes) ❑ Pad 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 Terry Houk Signature Telephone number (336) 883-3166 Date signed Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 10 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 Renewal j Cape Fear 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 mild or it has (or is required to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below any data you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant scans and must be no more than four and one-half years old. Outfall number: 002 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL MUMDL Units Conic. Units Units Conic. Units Mass Mass of METHOD Samples METALS ITOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY <25 pgA 2.65 Ibs. <25 poA 2.43 Ibs. 3 EPA 220.7 25 ARSENIC <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 SM2311113 B 10 BERYLLIUM <5 pgA .53 tbs. <5 pgA .49 lbs. 3 EPA 220.7 5 CADMIUM <1 pgA .11 Ibs. <1 pgA p .10 ]be. 3 SM 31 B. 2004 1 CHROMIUM <5 pgA .53 lbs. <5 pgA .49 lbs. 3 SM2311 B- 5 COPPER <5 pgA .53 Ibs. <5 pgA .49 lbs. 3 SM2311113 B. 5 LEAD <2.5 pgA .26 lbs. <2.5 poll .24 Ibs. 3 SM2 11113 B- 2.5 MERCURY 4.420 pgA .0004 lbs. 3,413 pgA .0003 lbs. 3 EPA 1631 .001 NICKEL <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 SM23111143 B- 10 SELENIUM <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 SM2311113 B- 10 SILVER <5 poll .53 tbs. <5 pgA .49 tbs. 3 SM2311113 B• 5 THALLIUM <20 pgA 2.12 tbs. <20 pgA 1.94 lbs. 3 EPA 220.7 20 ZINC 44 pgA 4.45 lbs. 38.7 pgA 3.77 lbs. 3 SM 3111 B- 1999 25 Lachat 10-204- CYANIDE 10 pgA .93 lbs. 8.33 p9A .79 lbs. 3 00-1-X-Rev. 10 2.2 TOTAL PHENOLIC ,120 moll 11.21 lbs. .DS3 mgA 5.89 lbs. 3 EPA 420.1 .01 COMPOUNDS HARDNESS (as CaCO3) 88 moll 8220 lbs. 80 mgn 7728 tbs. 3 34 C- SM 2340 1997 2 Use this space (or a separate sheet) to provide information on other metals requested by the permit writer rVa EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 11 of 39 FACILITY NAME AND PERMIT NUMBER. PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 Renewal Cape Fear OuHall number: 002 (Complete once for each outfall discharging effluent to waters of the United States. ) MAXIMUM DAILY DISCHARGE - AVERAGE DAILY DISCHARGE POLLUTANT Number ANALYTICAL D. Conc. Units Mass Units Conc. Units Mass Units of METHOD,- Samples VOLATILE ORGANIC COMPOUNDS ACROLEIN <500 pg/1 45.87 lbs. 4500 pgA 18.61 lbs. 3 EPA624 50o ACRYLONITRILE <100 pgA 9.17 lbs. <100 pgA 3.72 lbs. 3 EPA624 100 BENZENE <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA624 10 BROMOFORM <10 pgA .92 lbs. <10 pgA .37 Ibs- 3 EPA624 10 CARBON <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA 624 10 TETRACHLORIDE CHLOROBENZENE <10 pgA .92 Ibs. <10 pgA .37 Ibs. 3 EPA624 10 CHLORODIBROMO- <10 p9 A Ibs. <10 pgA .37 Ibs. 3 EPA 624 10 METHANE .92 CHLOROETHANE <50 pgA 4-59 lbs. <50 pgll 1.86 Ibs. 3 EPA 624 50 2-CHLOROETHYLVINYL <50 p9A 4.59 Ibs. <50 pgA 1.86 Ibs. 3 EPA624 50 ETHER 11 CHLOROFORM 10 pgA .92 Ibs. 10 pgA .47 Ibs. 3 EPA624 10 DICHLOROBROMO- <10 pgA Ibs. <10 pgA .37 Ibs. 3 EPA624 10 METHANE .92 1,1-DICHLOROETHANE <10 pgA .92 Ibs. <10 pgA .37 Ibs. 3 EPA624 10 1,2-DICHLOROETHANE <10 pgA .92 Ibs. <10 p911 .37 Ibs. 3 EPA624 10 TRANS-I.2-DICHLORO- <10 p9 A Ibs. <10 p9A .37 Ibs. 3 EPA624 10 ETHYLENE .92 1,1-DICHLORO- <10 pg/I Ibs. <10 pgA .37 Ibs. 3 EPA624 10 ETHYLENE .92 1,2-DICHLOROPROPANE <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA624 10 1,3-DICHLORO- <10 pgA Ibs. <10 p9A .37 Ibs. 3 EPA 824 10 PROPYLENE .92 ETHYLSENZENE <10 pgA .92 Ibs. <10 pg/I .37 Ibs. 3 EPA624 10 METHYL BROMIDE <50 pg/I 4.59 Ibs. <50 pgA 1.86 Ibs. 3 EPA624 50 METHYL CHLORIDE <10 pgA .92 Ibs. <10 pgA .37 Ibs. 3 EPA624 50 METHYLENE CHLORIDE <10 pgA 94 lbs. <10 pgA .37 Ibs. 3 EPA 624 10 1,TETRA- <10 pgA lbs. <10 pgA .37 Ibs. 3 EPA624 10 CHLOROETHANE HLO .92 TETRACHLORO- <10 pgA 92 Ibs, <10 pgA .37 Ibs. 3 EPA624 10 ETHYLENE TOLUENE <10 pgA .92 Ibs. <10 pgA ,37 Ibs. 3 EPA624 10 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 12 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside WWTP, NCO024210 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: Cape Fear Oulfall number: 002 (Complete once for each outfall discharging effluent to waters of the United States.) POLLUTANT MAXIMUM DAILY DISCHARGE - - AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Mass Units Con,. -[ Units Mass Units umber Number of Samples TRICHLOROETHANE <10 pgll .g2 lbs. <10 pgA .37 lbs. 3 EPA 624 10 TRICHLOROETHANE <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA 624 10 TRICHLOROETHYLENE <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA 624 10 VINYL CHLORIDE <50 pgA 4.59 lbs. <50 pgA 1.86 lbs. 3 EPA624 50 Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit %wher n/a ACID -EXTRACTABLE COMPOUNDS P-CHLORO-M-CRESOL <50 pgA 5.30 Ibs. <50 pgA 3.63 Ibs. 3 EPA625 50 2-CHLOROPHENOL <10 pgA 1.06 lbs. <10 pgA .97 Ibs. 3 EPA625 10 Z4-0ICHLOROPHENOL <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 2,4-DIMETHYLPHENOL <50 pgA 5.30 lbs. <50 pgA 2.38 lbs. 3 EPA625 50 4,6-DINITRO-0-CRESOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 625 50 2,4-DINITROPHENOL <50 pg)I 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 2-NITROPHENOL <10 pgA 1.06 lbs. <10 p9n .97 lbs. 3 EPA625 10 4-NITROPHENOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 PENTACHLOROPHENOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 625 50 PHENOL <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 2,4,6- TRICHLOROPHENOL c10 pg/I 1.06 lbs. <1 pgll .97 lbs. 3 EPA625 10 Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer We BASE -NEUTRAL COMPOUNDS ACENAPHTHENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA625 10 ACENAPHTHYLENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA625 10 ANTHRACENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA625 10 BENZIDINE <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 BENZO(A)ANTHRACENE <10 pgA 1.06 lbs. <10 pgA .97 Ibs. 3 EPA625 10 SENZO(A)PYRENE <10 pgA 1.06 Ibs. <10 pgA .97 Ibs. 3 EPA625 10 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 13 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside VVMP, NCO024210 Renewal Cape Fear Outfall number. 002 (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. Coll Units �U Mass Units Conc. Units Mass Units of METHOD Samples 3.4 BENZO- <10 p9A 1.06 lbs. <10 pgA -97 lbs. 3 EPA 625 10 FLUORANTHENE SENZO(GHI)PERYLENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA 625 10 BENZO(K) <70 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 FLUORANTHENE BIS (2-CHLOROETHOXY) <10 pgA 1.06 tbs. <10 pgA .97 lbs. 3 EPA 625 10 METHANE BIS (2-CHLOROETHYL)- c10 pgA 1.08 lbs. <10 pgA .97 lbs. 3 EPA 625 10 ETHER BIS (2-CHLOROISO- <10 pgA 1.06 lbs. <10 pgA .07 lbs. 3 EPA 625 10 PROPYL)ETHER BIS (2-ETHYLHEXYL) <10 pgA 1.06 Ibs <10 pgA .97 tbs. 3 EPA 625 10 PHTHALATE 4-BROMOPHENYL <10 p9A 1.08 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PHENYLETHER BUTYL BENZYL <10 pgA 1.06 lbs. <10 pgA .97 Ibs. 3 EPA 625 10 PHTHALATE 2-CHLORO- <10 pgA 1.08 lbs. <10 pgA .97 lbs. 3 EPA 625 10 NAPHTHALENE 4-CHLORPHENYL <10 pgA 1.08 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PHENYL ETHER CHRYSENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 DI-N-BUTYL PHTHALATE <10 pgA 1.06 lbs. <10 p9A .97 lbs. 3 EPA 625 10 DI-N-OCTYL PHTHALATE <10 pgA 1.06 lbs. <10 p9A .97 lbs. 3 EPA 625 10 DIBENZO(A,H) <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 ANTHRACENE 1,2-DICHLOROBENZENE <10 pgA 1.06 lbs. <10 pgll .97 lbs. 3 EPA 625 10 1,3-DICHLOROBENZENE <70 PgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 1,4-DICHLOROBENZENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 3,3-DtCHLORO- <50 pgA5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 825 50 BENZIDINE DIETHYL PHTHALATE <10 pgA 1.06 lbs. <10 pgA .97 Ibs. 3 EPA 625 10 DIMETHYL PHTHALATE <10 pgA 1.06 lbs. <10 pgA .97 Ibs. 3 EPA 625 10 2,4-DINITROTOLUENE <10 pgA 1.06 tbs. <10 pgA .97 lbs. 3 EPA625 10 2,6-DINTTROTOLUENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 1,2-DIPHENYL- <10 pgA 1.06 tbs. <10 pgA .97 lbs. 3 EPA 625 10 HYDRAZINE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 14 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear OUtfall number. 002 _ (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTfCAL ML/MDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples FLUORANTHENE <10 pg/I 1.06 lbs. <10 1.10 .97 lbs. 3 EPA 625 10 FLUORENE 410 pg/I 1.06 lbs. <10 pgll .97 lbs. 3 EPA 625 10 HEXACHLOROBENZENE <10 pgA 1.06 lbs. <10 p9A .97 lbs. 3 EPA 625 10 HEXACHLORO- <10 pgA 1.08 lbs. <10 pg/I .97 lbs. 3 EPA 625 10 BUTADIENE HEROCYCLO- <50 pgll 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 625 50 PENTADIENE NTADIE HEXACHLOROETHANE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 INDENO(1,2,3-CD) <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PYRENE ISOPHORONE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 NAPHTHALENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 NITROBENZENE <10 W 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 N-NITROSODI-N- c10 A 1.06 tbs. <10 p .97 lbs. 3 EPA 625 10 PROPYLAMINE N-NITROSODI- 00 pg/I 1.06 lbs. <10 pgA •97 lbs. 3 EPA 625 10 MEfHYLAMINE N-NITROSODI- <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PHENYLAMINE PHENANTHRENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PYRENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 1,2,4- <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 TRICHLOROBENZENE Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer Na 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 fortes 7550.6 8 7550-22. Annual Monitoring and Pollutant Scan Permit # NCO024210 Month: July Outfall 002 Year: 2015 Facility Name: City of High Point- Eastside POTW ORC: Randy Smith Date of sampling: 07/15/2015 Phone: 336 - 822-4732 Analytical Laboratory: Laboratory - City of High Point Meritech - Reidsville Paz_ ameter Sample (G/C( Analytical Method Quantitation Level Sample Result Units # of samples Ammonia (as N) C SM 4500 NH3 11-1997 0.01 <0.01 m /L 1 Dissolved oxygen C SM 4500 O G-2001 0.01 7.4 m L 1 Nitrate/Nitrite C SM 4500 NO-3 F-2000 0.01 0.304 m L 1 Total Kjeldahl nitrogen C SM 4500 Nor D-1997 0.095 0.7 m L 1 Total Phosphorus C SM 4500 P H-1999 0.01 0.202 m L 1 Total dissolved solids C SM 2540 C 10 477 m L 1 Hardness C SM 2340 C-1997 2 80 m L 1 Chlorine (total residual, TRC) G SM 4500 C1 G-200 0 10 38 u L 1 Oil and grease G SM 5520 B-2001 5 5.9 mg/L 1 Metals (total recoverable), cyanide and total phenols Antimony C EPA 200.7 25 <25 u /L 1 Arsenic C SM 3113 B-2004 10 <10 u /L 1 Beryllium C EPA 200.7 5 <5 u L 1 Cadmium C SM 3113 B-2004 1 <1.0 u L 1 Chromium C SM 3113 B-2004 5 <5 u /L 1 Copper C SM 3113 B-2004 5 <5 u L 1 Lead C SM 3113 B-2004 2.5 <2.5 u L 1 Mercury C EPA 1631 0.001 0.003 u /L 1 Nickel C SM 3113 B-2004 10 <10 ug L 1 Selenium C SM 3113 B-2004 10 <10 u L 1 Silver C SM 3113 B-2004 5 <5 u /L 1 Thallium C EPA 200.7 20 <20 u L 1 Zinc C SM 3111 B-1999 25 30 u L I Cyanide G Lachat 10-204-00-1-X-Rev. 2.2 0.01 <0.01 mg/L 1 Total phenolic compounds G EPA 420.1 0.01 0%59 m L 1 Volafile organic compounds Acrolein G EPA 624 500 <500 u L 1 Acrylonitrile G EPA 624 100 <100 ug/L 1 Benzene G EPA 624 10 <10 u L 1 Bromoform G EPA 624 10 <10 u L 1 Carbon tetrachloride G EPA 624 10 <10 u L 1 Chlorobenzene G EPA 624 10 <10 ug/L 1 Chlorodibromomethane G EPA 624 10 <10 u L 1 Chloroethane G EPA 624 50 <50 u L 1 2-chloroethylvinyl ether G EPA 624 50 <50 u L 1 Chloroform G EPA 624 10 <10 u L 1 Dichlorobromomethane G EPA 624 10 <10 u L 1 1,1-dichloroethane G EPA 624 10 <10 u L 1 1,2-dichloroethane G EPA 624 10 <10 u /L 1 Trans-1,2-dichloroethylene G EPA 624 10 <10 ug/L 1 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units # of samples Volatile organic compounds (Cont.) 1,1-dichloroethylene G EPA 624 10 <10 ug L 1 1,2-dichloropropane G EPA 624 10 <10 u L 1 1,3-dichloropro ylene G EPA 624 10 <10 u /L 1 Ethylbenzene G EPA 624 10 <10 u L 1 Methyl bromide G EPA 624 50 <50 u L 1 Form - DMR- PPA-1 Page 1 Annual Monitoring and Pollutant Scan Permit # NC0024210 Month: July Outfall O02 Year: 2015 'Parameter Sample Type Analytical Method Quantitation Level Sample Result Units # of samples Volatile organic compounds (Cont.) 1,1-dichloroethylene G EPA 624 10 <10 ug/L 1 1,2-dichloropropane G EPA 624 10 <10 ug/L 1 1,3-dichloropropylene G EPA 624 10 <10 ug/L 1 Ethylbenzene G EPA 624 10 <10 ug/L 1 Methyl bromide G EPA 624 50 <50 ug/L 1 Methyl chloride G EPA 624 50 <50 ug/L 1 Methylene chloride G EPA 624 10 <10 ug/L 1 1, 1, 2,2-tetrachloroethane G EPA 624 10 <10 ug/L 1 Tetrachloroethylene G EPA 624 10 <10 ug/L 1 Toluene G EPA 624 10 <10 ug/L 1 1, 1, 1 -trichloroethane G EPA 624 10 <10 ug/L 1 1, 1, 2-trichloroethane G EPA 624 10 <10 ug/L 1 Trichlaroethylene G EPA 624 10 <10 ug/L 1 Vinyl chloride G EPA 624 50 <50 ug/L 1 d--extractable compounds P-chloro-m-creso G EPA 625 10 <10 ug/L 1 2-chlorophenol G EPA 625 10 <10 ug/L 1 2,4-dichlorophenol G EPA 625 10 <10 ug/L 1 2,4-dimethylphenol G EPA 625 10 <10 ug/L i 4,6-dinitro-o-cresol G EPA 625 50 <50 ug/L 1 2,4-dinitrophenol G EPA 625 50 <50 ug/L 1 2-nitrophenol G EPA 625 10 <10 ug/L 1 4-nitrophenol G EPA 625 50 <50 ug/L 1 Pentachlorophenol G EPA 625 50 <50 ug/L 1 Phenol G EPA 625 10 <10 ug/L 1 2,4,6-trichlorophenol G EPA 625 10 <10 ug/L 1 B_ise-neutral compounds Acenaphthene G EPA 625 10 <10 ug/L 1 Acenaphthylene G EPA 625 10 <10 ug/L 1 Anthracene G EPA 625 10 <10 ug/L 1 Benzidine G EPA 625 50 <50 ug/L 1 Benzo(a)anthracene G EPA 625 10 <10 ug/L 1 Benzo(a)pyrene G EPA 625 10 <10 ug/L 1 3,4 benzofluoranthene G EPA 625 10 <10 ug/L 1 Benzo(ghi)perylene G EPA 625 10 <10 ug/L 1 Benzo(k)fluoranthene G EPA 625 10 <10 ug/L 1 Bis (2-chloroethoxy) methane G EPA 625 10 <10 ug/L 1 Bis (2-chloroethyl) ether G EPA 625 10 <10 ug/L 1 Bis (2-chloroisopropyl) ether G EPA 625 10 <10 ug/L 1 Bis (2-ethylhexyl) phthalate G EPA 625 10 <10 ug/L 1 4-bromophenyl phenyl ether G EPA 625 10 <10 ug/L 1 Butyl benzyl phthalate G EPA 625 10 <10 ug/L 1 2-chloronaphthalene G EPA 625 10 <10 ug/L 1 4-chlorophenyl phenyl ether G EPA 625 10 <10 ug/L 1 Form - DMR- PPA-1 Page 2 Annual Monitoring and Pollutant Scan Permit # NC0024210 Month: July n„trall 002 Year: 2015 Parameter Sample Type Analytical Method Quantitation Level Sample Result Units # of samples Base -neutral compounds (coot.) Chrysenc G EPA 625 10 <10 ug/L 1 Di-n-butyl phthalate G EPA 625 10 <10 ug/L 1 Di-n-octyl phthalate G EPA 625 10 <10 ug/L 1 Dibenzo(a,h)anthracene G EPA 625 10 <10 ug/L 1 1,2-dichlorobenzene G EPA 625 10 <10 ug/L 1 1,3-dichlorobenzene G EPA 625 10 <10 ug/L 1 1,4-dichlorobenzene G EPA 625 10 <10 ug/L 1 3,3-dichlorobenzidine G EPA 625 50 <50 ug/L I Diethyl phthalate G EPA 625 10 <10 ug/L 1 Dimethyl phthalate G EPA 625 10 <10 ug/L 1 2,4-dinitrotoluene G EPA 625 10 <10 ug/L 1 2,6-dinitrotoluene G EPA 625 10 <10 ug/L 1 1,2-diphenylhydrazine G EPA 625 10 <10 ug/L 1 Fluoranthene G EPA 625 10 <10 ug/L 1 Fluorene G EPA 625 10 <10 ug/L 1 Hexachlorobenzene G EPA 625 10 <10 ug/L 1 Hexachlorobutadiene G EPA 625 10 <10 ug/L 1 Hexachlorocyclo-pentadiene G EPA 625 50 <50 ug/L 1 Hexachloroethane G EPA 625 10 <16 ug/L 1 Indeno(1,2,3-cd)pyrene G EPA 625 10 <10 ug/L 1 Isophorone G EPA 625 10 <10 ug/L 1 Naphthalene G EPA 625 10 <10 ug/L 1 Nitrobenzene G EPA 625 10 <10 ug/L 1 N-nitrosodi-n-propylamine G EPA 625 10 <10 ug/L 1 N-nitrosodimethylamine G EPA 625 10 <10 ug/L 1 N-nitrosodiphenylamine G EPA 625 10 <10 ug/L 1 Phenanthrene G EPA 625 10 <10 ug/L 1 Pyrene G EPA 625 10 <10 ug/L 1 1,2,4,-trichlorobenzene G EPA 625 10 <1( ug/L 1 I certify under penalty of law that this document and all attachments were prepared under my direction and supervision in accordance with a system to design to assure that qualified perdonnel properly gather and evaluat the information submitted. Based on my inquiry of the person or persons that manage the system, or those persons directly responsibel for gathering the information, the information submitted is , to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. )RAndkL- ! m..A Authorized R presennnttative name IM� �3G r Si ature Date Form - DMR- PPA-1 Page 3 Annuake Itlonitosing and Pollutant Scan Permit No. NCO024210 Outfall: 002 Month : July Year: 2016 Facility Name City of High Point-Eastside POTW ORC Timothy H. Fitzgerald Date of sampling 7/11/16*, 7/13/16 Phone (336) 883-3346 Analytical Laboratory City of High Point Water Quality Lab Meritech - Reidsville. NC Parameter Parameter Code Sample Type Analytical Method Quantitatioa Level Sample Result Units of Measurement Ammonia (as N) C0610 Composite SM 4500NH3 H-1997 0.010 0.017 m L Chlorine (total residual, TRC)* 50060 Grab sM 4500C1 G-2000 10 26 mg/L Dissolved Oxygen 00300 Grab SM 4500-0 G 0.01 7.3 m L Nitrite plus Nitrate Total (as N) 00630 Composite SM4500 NO3 F-2000 0.01 0.787 mg/L Total Kjeldahl Nitrogen 00625 Composite SM45MNOROO199/ 0.095 0.1 m /L Oil and Grease 00556 Grab SM552OB-2001 5 <5 ro/L Total Phosphorus C0665 Composite SM4500 PH-1999 0.01 0.475 m L Total Dissolved Solids 70295 Composite SM254OC-1997 10 468 m /L Hardness 00900 Composite SM234OC-1997 2 72 mg/L Metals (total recoverable), cyanide and total phenols Antimony 01097 Composite EPA 200.7 25 <25 µg/L Arsenic 01002 Composite SM 3113B -2004 10 <10 µ L Beryllium 01012 Composite EPA 200.7 5 <5 µg/L Cadmium 01027 Composite SM 3113B -2004 1 <1 µ L Chromium 01034 Composite SM 3113B -2004 5 <5 µg L Copper 01042 Composite SM 3113B -2004 5 <5 µ L Lead 01051 Composite SM 3113B -2004 2.5 <2.5 µ L Mercury Method 1631E) COMER Grab EPA 1631 E 1 3.01 n L Nickel 01067 Composite SM 3113B -2004 10 <10 µg/ L Selenium 01147 Composite EPA 200.7 10 <10 µ /L Silver 01077 Composite SM 3113B -2004 5 <5 µg/L Thallium 01059 Composite EPA 200.7 20 <20 µ L Zinc 01092 Composite SM 3111B -1999 25 42 lig L Cyanide 00720 Grab EPA 335.4 5 <5 µ L Total phenolic compounds 32730 Grab EPA 420.1 0.12 1 0.n i m L Volatile organic compounds Acrolein 34210 Grab EPA 624 50 <50 µ /L Acrylonitrile 34215 Grab EPA 624 10 <10 jig/ L Benzene 34030 Grab EPA 624 1 <1 µg/L Bromoform 32104 Grab EPA 624 1 <1 jig/ L Carbon Tetrachloride 32102 Grab EPA 624 1 <1 µ /L Chlorobenzene 34301 Grab EPA 624 1 <1 µg/L Chlorodibromomethane 34306 Grab EPA 624 1 <1 µ L Chloroethane 85811 Grab EPA 624 5 <5 µ L 2-chloroethyl vinyl ether 34576 Grab EPA 624 5 <5 µg/ L Chloroform 32106 Grab EPA 624 1 1.9 jig/ L Dichiorobromomethane 32101 Grab EPA 624 1 <1 µg L 1,1-dichloroethane 34496 Grab EPA 624 1 <1 µ L 1,2-dichloroethane 32103 Grab EPA 624 1 <1 µg L Trans-1,2-dichloroethylene 34546 Grab EPA 624 1 <1 µg/L 1,1-dichloroethylene 34501 Grab EPA 624 1 <1 µ /L 1,2-dichloro ropane 34541 Grab EPA 624 1 <1 µg/L 1,3-dichloro ropylehe 77163 Grab EPA 624 1 <1 µg/L Ethylbenzene 34371 Grab EPA 624 1 <1 µg/L Methyl Bromide 34413 Grab EPA 624 5 <5 µg/L Methyl Chloride 34418 Grab EPA 624 1 <1 µg/L Methylene Chloride 34423 Grab EPA 624 1 I <1 µ L Form - DMR- PPA-1 Page 1 Annual Monitoring and Pollutant Scan Permit No. NCO024210 Month : July Outfall:0O2 VPar• onu Parameter Parameter Code Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement 1,1,2,2-tetrachloroethane 81549 Grab EPA 624 1 <1 µ /L Tetrachloroethylene 34475 Grab EPA 624 1 <1 µ L Toluene 34010 Grab EPA 624 1 <1 µ L 1,1,1-trichloroethane 34506 Grab EPA 624 1 <1 µg/L 1, 1, 2-trichloroethane 34511 Grab EPA 624 1 <1 µ L Trichloroeth lene 39180 Grab EPA 624 1 <1 µg/L Vinyl Chloride+ 39175 Grab EPA 624 5 <5 µg/L P-chloro-m-creso 34452 Grab EPA 625 50 <50 µ /L 2-chlorophenol 34586 Grab EPA 625 10 <10 µ /L 2,4-dichlorophenol 34601 Grab EPA 625 10 <10 µg L 2,4-dimethyl henol 34606 Grab EPA 625 50 <50 µ L 4,6-dinitro-o-cresol 34657 Grab EPA 625 50 <50 µ /L 2,4-dinitro henol 34616 Grab EPA 625 50 <50 µ /L 2-nitrophenol 34591 Grab EPA 625 10 <10 µ L 4-nitrophenol 34646 Grab EPA 625 50 <50 µ /L Pentachlorophenol 39032 Grab EPA 625 50 <50 µ L Phenol 34694 Grab EPA 625 10 <10 µ /L 2,4,6-trichlorophenol 34621 Grab EPA 625 10 <10 µ /L Acena hthene 34205 Grab EPA 625 10 <10 µg L Acena hthylene 34200 Grab EPA 625 10 <10 µg L Anthracene CO220 Grab EPA 625 10 <10 µg/L Benzidine 39120 Grab EPA 625 50 <50 jig/ L Benzo(a)anthracene 34526 Grab EPA 625 10 <10 µg L Benzo a yrene 34247 Grab EPA 625 10 <10 µ L 3,4 benzofluoranthene 34230 Grab EPA 625 10 <10 µ L Benzo(&)perylene 34521 Grab EPA 625 10 <10 µg L Benzo(k)fluoranthene 34242 Grab EPA 625 10 <10 µ L Bis 2-chloroethoxy methane 34278 Grab EPA 625 10 <10 µg/L Bis (2-chloroethyl) ether 34273 Grab EPA 625 10 <10 µ L Bis 2-chloroiso ro 1 ether 34283 Grab EPA 625 10 <10 µg/L Bis 2-ethylhexyl) phthalate 39100 Grab EPA 625 10 <10 µ L 4-bromophenyl phenyl ether 34636 Grab EPA 625 10 <10 µ L Butyl benzyl phthalate 34292 Grab EPA 625 10 <10 µ L 2-chlorona hthalene 34581 Grab EPA 625 10 <10 µ L 4-chloro henyl phenyl ether 34641 Grab EPA 625 10 <10 µ /L Chrysene 34320 Grab EPA 625 10 <10 µg L Di-n-butyl phthalate 39110 Grab EPA 625 10 <10 µg L Di-n-octyl phthalate 34596 Grab EPA 625 10 <10 µg/L Dibenzo(a,h)anthracene 34556 Grab EPA 625E50 <10 µ /L 1,2-dichlorobenzene 34536 Grab EPA 625 <10 µg/L 1,3-dichlorobenzene 34566 Grab EPA 625 <10 µg L 1,4-dichlorobenzene 34571 Grab EPA 625 <10 µg/L 3,3-dichlorobenzid ne 34631 Grab EPA 625 <50 µ /L Diethyl phthalate 34336 Grab EPA 625 10 <10 µg L Dimethyl phthalate 34341 Grab EPA 625 10 <10 µ /L 2,4-dinitrotoluene 34611 Grab EPA 625 10 <10 µ L 2,6-dinitrotoluene CO626 Grab EPA 625 10 <10 µg/L 1,2-di henylhydrazine 34346 Grab EPA 625 10 <10 PBLL Fluoranthene CO376 Grab EPA 625 10 <10 µg/L Form - DMR- PPA-1 Page 2 Annual. Monitoring and Pollutant Seam Permit No. NC0024210 Outfall: 002 Month: July Year: 2016 Parameter Parameter Code Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Fluorene 34381 Grab EPA 625 10 <10 µ L Hexachlorobenzene CO700 Grab EPA 625 10 <10 µg L Hexachlorobutadiene 39702 Grab EPA 625 10 <10 µ L Hexachlorocyclo-pentadiene 34386 Grab EPA 625 50 <50 µ L Hexachloroethane 34396 Grab EPA 625 10 <10 µg/L Indeno(1,2,3-cd)pyrene 34403 Grab EPA 625 10 <10 µg/L Isophorone 34408 Grab EPA 625 10 <10 µg/L Naphthalene 34696 Grab EPA 625 10 <10 µ /L Nitrobenzene 34447 Grab EPA 625 10 <10 µ L N-nitrosodi-n-propylamine 34428 Grab EPA 625 10 <10 µ L N-nitrosodimethylamine 34438 Grab EPA 625 10 <10 µ L N-nitrosod henylamine '34433 Grab EPA 625 10 <10 µ L Phenanthrene 34461 _ Grab EPA 625 10 <10 µ /L Pyrene 34469 _Grab EPA 625 10 <10 µ L 1,2,4,-trichlorobenzene 34551 Grab EPA 625 10 <10 µ L "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 managed 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 fines and imprisonment for knowing violations." Authorized Representative name Signature 51110112 Date Form - DMR- PPA-1 Page 3 Permit No. N c a 0 a y aL I Annual Monitoring and Pollutant Scan Month *N � Outfall 00 Year Facility Name _Eastsde W WTP-City Of High Point ORC _Johnny Hamby Date of sampling 4/19/17 Phone _(336)822- 32 Analytical Laboratory _Water Quality Laboratory- City of High Point__ Meritech- Reidsville - - - - Parameter Parameter - Code Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement Ammonia (as N) C0610 Composite sm 450oNM x-1997 0.010 0.060 mg/L Chlorine (total residual, TRC) 50060 Grab SM 45MC1 c 20W 10 <0.010 mg/L Dissolved Oxygen 00300 Grab SM 450o-O G 0.01 9 mg/L Nitrite plus Nitrate Total (as N) 00630 Composite SM4500 son P-2M 0.01 0.289 mg/L Total Kjeldahl Nitrogen 00625 Composite SWNOI3O IM 0.095 0.658 mg/L Oil and Grease 00556 Grab SM552OB-2001 5 <5 mg/L Total Phosphorus C0665 Composite I SM4500PB-1999 0.01 0.323 mg/L Total Dissolved Solids 70295 Composite SM254OC-1997 10 500 mg/L Hardness 00900 Composite I SM2340C-199% 2 88 mg/L merarS Icocal recoveraoiel, cyamae ana total phenols - - Antimony 01097 T Composite EPA 200.7 25 <25 µg/L Arsenic 01002 Composite SM3113B-2004 10 <10 µg/L Beryllium 01012 Composite EPA 200.7 5 <5 µg/L Cadmium 01027 Composite SM 3113B .200 1 <1 µg/L Chromium 01034 Composite SM 3113B -200 5 <5 µg/L Copper 01042 Composite SM 3113B -200 5 <5 µg/L Lead 01051 Composite SM 3113B -2004 2.5 <2.5 µg/L Mercury (Method 1631E) COMER Grab EPA 1631E 1 4.42 ng/L Nickel 01067 Composite SM3113B-2004 10 <10 µg/L Selenium 01147 Composite EPA 200.7 10 Silver 01077 Composite SM3113B-200 5 <5 µg/L Thallium 01059 Composite EPA 200.7 20 <20 µg/L Zinc 01092 Composite SM 3111B -1999 25 44 µg/L Cyanide 00720 Grab N, �I-k _= 10 <10 µg/L Total phenolic compounds 32730 Grab EPA 420.1 0.12 <0.12 mg/L volatile organic compounds - - - - Acrolcin 34210 Grab EPA 624 50 <50 µg/L Acryloniuilc 34215 Grab EPA 624 10 <10.0 µg/L Benzene 34030 Grab Jill PA 624 1 c1.00 µg/L Bromoform 32104 Grab EPA 624 1 <1 µg/L Carbon Tetrachloride 32102 Grab EPA 624 1 <1 µg/L Chlorobenzene 34301 Grab EPA 624 Chlorodibromomethane 34306 Grab EPA 624 1 <1 µg/L Chloroethane 85811 Grab EPA 624 5 <5 µg/L 2-chloroethyl vinyl ether 34576 Grab EPA 624 5 <5 µg/L - Chloroform 32106 Grab EPA 624 5 3.23 µg/L Dichlorobromomethane 32101 Grab EPA 624 1 <1 µg/L 1,1-dichloroethane 34496 Grab EPA 624 1 <1 pg/L 1,2-dichloroethane 32103 Grab EPA 624 1 <1 µg/L Trans-1,2-dichloroethylene 34546 Grab EPA 624 1 <1 µg/L 1,1-dichloroethylene 34501 Grab EPA 624 1 <1 µg/L Form - DMR- PPA-1 Page 1 jgODn Annual Monitoring and Pollutant Scan Permit No. /yC 4 16 Month ri le An lAcia-extractable compounds P-chloro-m-creso 34452 Grab EPA 625 50 <50 µg/L 2-chlorophenol 34586 Grab EPA 625 10 <10 µg/L 2,4-dichlorophenol 34601 Grab EPA 625 10 <10 µg/L 2,4-dimethylphenol 34606 Grab EPA 625 10 <10 µg/L 4,6-dinitro-o-cresol 34657 Grab EPA 625 50 <50 µg/L 2,4-dinitrophenol 34616 Grab EPA 625 50 <50 µg/L 2-nitrophenol 34591 Grab EPA 625 10 <10 µg/L 4-nitrophenol 34646 Grab EPA 625 50 <50 µg/L Pentachlorophenol 39032 Grab EPA 625 50 <50 µg/L Phenol 34694 Grab EPA 625 10 <16 µg/L 2,4,6-trichlorophenol 34621 Grab EPA 625 10 <10 µg/L ,,ease-neurrai co_mpounas Acenaphthene 34205 Grab EPA 625 10 <10 µg/L Acenaphthylene 34200 Grab EPA 625 10 <10 µg/L Anthracene CO220 Grab EPA 625 10 <10 µg/L Benzidine 39120 Grab EPA 625 50 <50 µg/L Benzo(a)anthracene 34526 Grab EPA 625 10 <10 µg/L Benzo(a)pyrene 34247 Grab EPA 625 10 <10 µg/L 3,4 benzofluoranthene 34230 Grab EPA 625 10 <10 µg/L Benzo(ghi)perylene 34521 Grab EPA 625 10 <10 µg/L Benzc(k)fluoranthene 34242 Grab EPA 625 10 <10 µg/L Bis (2-chloroethoxy) methane 34278 Grab EPA 625 10 <10 µg/L Bis (2-chloroethyl) ether 34273 Grab EPA 625 10 <10 µg/L Bis (2-chloroisopropyl) ether 34283 Grab EPA 625 10 <10 µg/L Bis (2-ethylhexyl) phthalate 39100 Grab EPA 625 10 <10 µg/L 4-bromophenyl phenyl ether 34636 Grab EPA 625 10 <10 µg/L Butyl benzyl phthalate 34292 Grab EPA 625 10 <10 µg/L 2-chloronaphthalene 34581 Grab EPA 625 10 <10 µg/L 4-chlorophenyl phenyl ether 34641 Grab EPA 625 10 <10 µg/L Chrysene 34320 Grab EPA 625 10 <10 µg/L Di-n-butyl phthalate 39110 Grab EPA 625 10 <10 µg/L Di-n-octyl phthalate 34596 Grab EPA 625 10 <10 µg/L Dibenzo(a,h)anthracene 34556 Grab EPA 625 10 <10 µg/L Form - DMR- PPA-1 Page 2 CD6� O Annual Monitoring and Pollutant Scan Permit No/.� Month % / Outfall OVZ- Year Parameter Parameter Code Sample Type Analytical Method Quantitation Level Sample Result Units of Measurement 1,2-dichlorobenzene 34536 Grab EPA 625 10 <10 µg/L 1,3-dichlorobenzene 34566 Grab EPA 625 10 <10 µg/L 1,4-dichlorobenzene 34571 Grab EPA 625 10 <10 µg/L 3,3-dichlorobenzidine 34631 Grab EPA 625 50 <50 µg/L Diethyl phthalate 34336 Grab EPA 625 10 <10 µg/L Dimethyl phthalate 34341 Grab EPA 625 10 <10 µg/L 2,4-dinitrotoluene 34611 Grab EPA 625 10 <10 µg/L 2,6-dinitrotoluene CO626 Grab EPA 625 10 <10 µg/L 1,2-diphenylhydrazine 34346 Grab EPA 625 10 <10 µg/L Fluoranthene CO376 Grab EPA 625 10 <10 µg/L Fluorene 34381 Grab EPA 625 10 <10 µg/L Hexachlorobenzene CO700 Grab EPA 625 10 <10 µg/L Hexachlorobutadiene 39702 Grab EPA 625 10 <10 µg/L Hexachlorocyclo-pentadiene 34386 Grab EPA 625 50 <50 µg/L Hexachloroethane 34396 Grab EPA 625 10 <10 µg/L Indeno)1,2,3-cd)pyrene 34403 Grab EPA 625 10 <10 µg/L Isophorone 34408 Grab EPA 625 10 <10 µg/L Naphthalene 34696 Grab EPA 625 10 <10 µg/L Nitrobenzene 34447 Grab EPA 625El0 <10 µg/L N-nitrosodi-n-propylamine 34428 Grab EPA 6250 <10 µg/L N-nitrosodimethylarnine 34438 Grab EPA 625 10 <10 µg/L N-nitrosodiphenylamine 34433 Grab EPA 625 10 <10 µg/L Phenanthrene 34461 Grab EPA 625 10 <10 µg/L Pyrene 34469 Grab EPA 625 10 <10 µg/L 1,2,4,-tricldorobenzene 34551 Grab EPA 625 10 <10 µg/L "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 managed 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 fines and imprisonment for knowing violations." i 17 Form - DMR- PPA-1 Page 3 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear 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 Pan 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. See section EA, and attachment 4. X chronic ❑ acute E.2. Individual Test Date. Complete the following chart for each whole effluent toxicity lest 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: Test number: Test number: a. Test information. Test Species & test method number Age at initiation of test Outfall number Dates sample collected Date test started Duration b. Give toxicity test methods followed. Manual title Edition number and year of publication Page numbers) c. Give the sample collection methods) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection After dechlorination EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-6 & 7550-22- Page 16 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside VVVVTP, NCO024210 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: Cape Fear Test number: Test number: Test number: e. Describe the point in the treatment process at which the sample was collected. Sample was collected: f. For each test, include whether the test was Intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity Acute toxicity g. Provide the type of test performed. Static Static -renewal Flow -through h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source. Laboratory water Receiving water I. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. Fresh water Sall water j. Give the percentage effluent used for all concentrations in the test series. k. Parameters measured during the test. (State whether parameter meets test method specifications) pH Salinity Temperature Ammonia Dissolved oxygen I. Test Results. Acute: Percent survival In 100% effluent % % % LCss 95% C.I. % % % Control percent survival % % % Other(descdbe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 17 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear Chronic: NOEC % % % ICxs % % % Control percent survival % % % Other (describe) m. Quality Control/Quality Assurance. Is reference toxicant data available? Was reference toxicant test within acceptable bounds? What date was reference toxicant lest run (MM/DD/YYYY)? Other (describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes X 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) Chronic Pass/Fail dates 02/04/15 04/15/15 07/15/15 1021/15, 01/06/16 04/20/16 05/16116, 06/20/16, 07/13/16, 11/16/16 12/05/16 01/18/17 04/19/17 0726/17 10/18/17 0124/18 04/11/18. Failures occurred on 420116, & 11/16/16 with no known cause all others passed. END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE. EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION PART RINDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must complete part F. GENERAL INFORMATION: F.1. Pretreatment program. Does the treatment works have, or is subject to, an approved pretreatment program? X Yes ❑ No F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of industrial users that discharge to the treatment works. a. Number of non -categorical SIUs. 7 b. Number of CIUs. 10 SIGNIFICANT INDUSTRIAL USER INFORMATION: Supply the following Information for each SIU. If more than one SIU discharges to the treatment works. copy questions F.3 through F.8 and provide the information requested for each SIU. _ EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 19 of 39 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: Alberdingk Boley, Inc. Mailing Address: 6008 W Gate City Blvd. Greensboro, NC 27407 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures resins for coatings industry. F.5. Principal Product(s) and Raw Materfal(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal preduct(s): Polyurethanes and Polyagylates Raw material(s): Diisocvanates Polvesterdiols Polvetheroolvols Polycarbonatediols Monomers and Styrene 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. 4,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 2,000 gpd ( continuous or X 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? 40 CFR Part 414, Subparts G & H F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 20 of 39 F.3. Signlflcant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages as necessary. Name: CINTAS Corporation Location #45 Mailing Address: 4345 Federal Drive Greensboro, NC 27410 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Industrial Laundry Service F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIDS discharge. Principal product(s): Clean laundry, shop rags and rugs Raw material(s): Detergent, Builder Alkali, Bleach, Antichlor. Sour. Soft. Pathfree (bleach activator) 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. 47,000 gpd ( X 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. 1,000 gpd ( continuous or X 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? N/A 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 39 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: Custom Drum Services Mailing Address: 509 Woodrow Ave. High Point, NC 27262 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SI U's discharge. Reconditioning steel drums 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 pmduct(s): Reconditioned steel drums Raw matenal(s): Caustic sulfuric acid, phosphoric acid, ferric chloride F.6. Flow Rate. c. 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. 6,000 gpd X continuous or intermittent) d. 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. 200 gpd continuous or X 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3610-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22, Page 22 of 39 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: Diversified Technologies Inc Mailing Address: PO Box 2039 Jamestown INC 27282 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Circuit Board manufacturer F.S. 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 produc(s): Printed Circuit Boards Raw material(s): FR4 epoxy -fiberglass -copper laminate electroplated cooper nickel and Gold F.S. 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. 500 gpd ( continuous or X intermittent) b. Non -process wastewater Flow rate. Indicate the average daily volume of non -process wastewater Flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 100 gpd ( continuous or X 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? 40 CFR Part 413 84(b) 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 23 of 39 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: Harriss & Covington Hosiery Mills Mailing Address: 1250 Hickory Chapel Rd High Point NC 27260 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Hosiery Manufacturinq of socks from knitting wet processing, packaging and distribution. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): .Socks Rawmaterial(s): Yarn (wool nylon polyester, polypropylene, cotton) dyes and chemicals. 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. 45,000 gpd ( continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 5,560 gpd ( continuous or X 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 24 of 39 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: Hunter Farms Mailing Address: 1900 N Main St. High Point NC 27262 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Dairy Manufacturing F.5. Principal Products) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal pmduct(s): Milk Ice Cream & mixes Sour Cream, Buttermilk Orange Juice Rawmaterial(s): Milk sugar, cultures powders fruits and nuts F.6. Flow Rate. c. 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. 167,000 gpd ( continuous or X intermittent) d. 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. 2.700 gpd ( continuous or X intermittent) F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following: a. Loral limits ® Yes ❑ No b. Categorical pretreatment standards ❑ Yes M No If subject to categorical pretreatment standards, which category and subcategory? 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. IU has caused blockages in main line. There are no known issues caused by IIJ at WVVfP. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 25 of 39 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: Innospec Active Chemicals Mailing Address: 510 W Grimes Ave. High Point NC 27260 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Organic & Inorganic chemical manufacturer for personal care fuel additive industries and toll chemicals. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s). Organic & Inomanlc chemicals Raw material(s): Organic fatty acids and waxes organic amines monomers alcohols and aromatic hydrocarbons. 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. 51,000 gpd continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1.300 gpd continuous or X 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? 40 CFR Part 414 Subparts G & H 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22 Page 26 of 39 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: Kersey Valley Landfill Mailing Address: 3940 E Kivett Dr. High Point NC 27260 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Landfill operations F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): No products manufactured generates leachate Raw material(s): N/A F.G. 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. 25.000' gpd ( X continuous or intermittent) *2018 data 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. 0' gpd ( continuous or intermittent) 'Landfill officers on septic rank. 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 27 of 39 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: Mickey Truck Bodies Mailing Address: PO BOX 2044 High Point NC 27261 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufacturers aluminum truck bodies, trailers emergency vehicles and freight bodies which includes metal preparation odor to painting F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Truck bodies and trailers Raw material(s): Aluminum steel paint and solvents 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. 2,000 gpd 1 continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 3,000 gpd continuous or X 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? 40 CFR Part 433.17 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 6 7550-22. Page 28 of 39 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: Patheon Softgels Inc Mailing Address: 4125 Premier Dr. High Point NC 27265 F.A. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Pharmaceutical manufacturinq F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Soft gelatin and -gelatin-enrobed pharmaceutical and nutritional capsules Rawmaterial(s): gelatin glycerin sorbitol soybean oil med chain triglycerides mineral oil fish oil docusate sodium acetaminophen ibuprofen and other active pharmaceutical ingredients 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. 41,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 21,600 gpd continuous or x 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? 40 CFR Part 439.47 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 29 of 39 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: Slane Hosiery Mailing Address: PO BOX 2486 High Point NC 27261-2486 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Textile manufacturing F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Socks Raw material(s): Yarn dyes bleaches salt softeners, dying auxiliaries 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. 136,000 gpd continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 10,350 gpd ( continuous or x 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? N/A F.S. 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. EPA Form 3510-2A (Rev. 1-99) Replaces EPA forms 7550-6 & 7550-22. Page 30 of 39 F.3. Significant Industrial User Information. Provide the name and address of each pages as necessary. Name: Slane Hosiery - Fairfield SIU discharging to the treatment works. Submit additional Mailing Address: PO BOX 2486 High Point NC 27261-2486 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute Textile manufacturing to the SI U's discharge. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes discharge. and raw materials that affect or contribute to the SIU's Principal product(s): Socks Rawmaterial(s): Yarn dyes bleaches, salt, softeners, riving auxiliaries F.S. Flow Rate. a. Process wastewater flow rate. Indicate the average daily volume of process day (gpd) and whether the discharge is continuous or intermittent. wastewater discharge into the collection system in gallons per 67,000 gpd continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 4,300 gpd continuous or x 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22, Page 31 of 39 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: SYNTEC Seating Solutions LLC Mailing Address: 200 Swathmore Ave. High Point NC 27263 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures school bus seats which includes powder coating. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): School bus seats Raw material(s): Steel vinyl foam and powder coat Paint 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. 500 gpd continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1.200 gpd continuous or x 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? 40 CFR Part 433.17 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 3 7550-22. Page 32 of 39 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: Teknor Apex — North Carolina Mailing Address: PO Box 577 Jamestown NC 27282 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufacturers rigid and flexible PVC plastic into pellets. F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Thermoplastic polymer pellets and custom blends Raw material(s): PVC resin stabilizers plasticizer, fillers and colorants 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 (glad) and whether the discharge is continuous or intermittent. 4,000 glad continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1,700 glad continuous or x 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? 40 CFR Part 414.46 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 M No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 33 of 39 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: Thomas Built Buses Inc. Mailing Address: PO BOX 2450 High Point NC 27261 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures school and activity buses which include metal preparation prior to painting. F.S. Principal Product(s) and Raw Materal(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): .School and activity buses Raw material(s): VOCS metals paints solvents algaecides sulfuric acid 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 (glad) and whether the discharge is continuous or intermittent. 12.000 glad ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 23.600 glad ( continuous or X 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? 40 CFR Part 433.17 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. EPA Fonn 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22, Page 34 of 39 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: Ultra Coatings Inc Mailing Address: PO BOX 57 High Point NC 27261 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Powder Coat Painting F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that aged or contribute to the SIU's discharge. Principal product(s): Nothing is produced (mob shop): powder coating service Raw material(s): Atlantic clean 7290, Atlantic Coat 5580, Atlantic seal 3033 and defoamer 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. 9,000 gpd ( X continuous or intermittent) b. Non -process wastewater Sow rate. Indicate the average daily volume of non -process wastewater Sow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 500 gpd ( continuous or X 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? 40 CFR Part 433.17 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99) Replaces EPA forms 7550-6 8 7550-22, Page 35 of 39 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: Zebra Environmental Services. Inc. Mailing Address: PO BOX 357 High Point NC 27261 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Industrial Services contractor: recovered contaminated groundwater F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Nothing produoedr IU treats recovered contaminated groundwater or composts it for disposal Raw material(s): N/A 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. 5.000 gpd continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 700 gpd ( continuous or X 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? 40 CFR Part 437.26 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510.2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 36 of 39 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 X No (go to F.12) F.10. 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 REMEDIATION/CORRECTIVE ACTION WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER: F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities? X 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). Petroleum -impacted groundwater remediation at Speedway #6954 801 W. Fairfield Rd High Point NC (Non-SIU/locally permitted) Operations began May 9 2018 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.) Lead BETX MTBE DIPE Naphthalene C5-C8 Aliphatics C9-C22 Aromatics & Aliphatics. F.15. Waste Treatment a. Is this waste treated (or will be treated) prior to entering the treatment works? X Yes ❑ No If yes, describe the treatment (provide information about the removal efficiency): Dual phase extraction egualizalion tank oiltwater separator, and air stdppino Treatment system approved by NCDENR b. Is the discharge (or will the discharge be) continuous or intermittent? ❑ Continuous X Intermittent If intermittent, describe discharge schedule. Mobile remediation equipment will operate in alternating 3-month oedods Discharge is in batches maximum discharge expected is 3,000 god. END OF PART F. REFER I IHL AF'PLIUAI IUN UVLRVIE%V (FADE i) IU DETERMINE Wr iCH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point EastsideVVVVTP, NCO024210 1 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION 3 PART G. COMBINED SEWER SYSTEMS If the treatment works has a combined sewer system, complete Part G G.1. 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 CSOe (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 GA 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 GA once for each CSO discharge Point G.3. Description of Outfall. a. Outfall number b. Location (City or town, if applicable) (Zip Code) (County) (State) (Latitude) (Longitude) C. Distance from shore (if applicable) fl. d. Depth below surface (if applicable) ft. 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 38 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside WWfP, NCO024210 PERMIT ACTION REQUESTED: RIVER BASIN: Renewal Cape Fear C. Give the average volume per CSO event. minion 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 (if known): C. Name of State Management/River Basin: United States Geological Survey 8-digit hydrologic cataloging unit code (if 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 Stale 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 39 of 39 Additional information: Attachments Table of Contents Attachment 1 Topographical Maps Attachment 2 Process Flow Diagrams Attachment 3 Plant Description & Sludge Management Plan Attachment 4 Toxicity Results NPDES FORM 2A Additional Information Attachment 1—Topographical Maps NPDES FORM 2A Additional Information CITY OF HIGH POINT EASTSIDE WASTEWATER TREATMENT PLANT 6 0 Rp q Legend ti STREETS I PARCE S ob BUILDINGS to FT CONTOURS ° — TREATED WASTEWATER EFFLUENT WASTEWATER LINES c. r� 2 WASTEWATER STRUCTURES EFFLUENT PUMPING STATION 0 1• Till I ' Is YN CAEAl®8Y: TLW BEO.ETT OVn16 NPDES FORM 2A Additional Information CITY OF HIGH POINT EASTSIDE WASTEWATER TREATMENT PLANT ' j` - . r ryl k. 1 17, I I — I �INYiIF Legend &JiDrNGS — L — I _I I S 9 •al +�'1Ml ,' - :y' : l.,w -- STRETS STPEMAS .:S:i'' }' PARCELS I— NPDES FORM 2A Additional Information Attachment 2 — Process Flow Diagrams NPDES FORM 2A Additional Information - -------- -- .. . ... ........... oa ---------- ---- --- - - -------- --- uwwrwmemrnt DO HAZES AND MAYER XIT - arm IA YYYi-� `•� soo-ool I£A p �Y � ET � 1 YYIY 1M � N 4 b NiwwLLRe cIMSO ST9iFl N Lp n Y r p R 9Y b! Ib-I o � Ire• .uru0r„IµmV+fw.nm ruiln •.'� uer n YMM .- ,�� YR Umlux •' A ra II �� as a a - _ _ �^"., - alw�x � T ww ENGINEERING Mp LAND PLANNING �-M - SURVEYING OPo�o�� www.dmp Inc,c ni piYiY —�d{5 1 f[Fl{4 YP:.OL iLrIN } SUIO�OP LE -GE -ND DRAINAGE BOUNDARY S10RM DRAIN SYSTEM -- — PROPERTY UNE DITCH OPEN PROCESS UNIT BUILOINC PAS UJT — SIDEWALK DUTEET DRAINAGE AREA (ae.) IMPERVIOUS AREA (m) PEROEIJT IMPERVIDUS MO-001 30.65 7.04 22.97% 500-DOZ 1.39 0.31 22,302 S00-003 4.41 O.13 2.95% TOTAL 35.45 7.43 213.52% 1.760 FT I REV TEI Y. 200B Attachment 3 — Plant Description & Sludge Management Plan NPDES FORM 2A Additional Information DESCRIPTION OF PLANT FACILITIES City of High Point, Eastside WWTP NPDES Permit # NC 0024210 The Eastside WWTP provides tertiary treatment of the wastewater using the activated sludge process followed by effluent filters. The activated sludge process operates in the biological nutrient removal (BNR) mode to provide nitrogen and phosphorous reduction to meet stringent requirements for discharge of effluent to Randleman Lake. Following the activated sludge stage, additional solids and organic material are removed by effluent filters. The effluent is then disinfected by ultraviolet light prior to discharge. Waste activated sludge is thickened by dissolved air flotation (DAF) thickening. Primary sludge can be thickened in two fermentation tanks or sent directly to two sludge blending tanks for blending with waste activated sludge prior to dewatering, incineration and disposal of incinerator ash in compost material or in brick manufacturing. Raw wastewater enters the plant through a junction box, from which the flow is fed to the Preliminary Treatment Facilities through a 66-inch diameter line. From the Preliminary Treatment Facilities, the wastewater flows through the entire treatment plant by gravity. The bar screens at the Preliminary Treatment Facilities consist of three mechanically -cleaned screens and one manually - cleaned screen for backup. The screens remove rags, sticks, and other large objects to prevent clogging and interference with operation of downstream pumps and other process equipment. From the bar screens, the wastewater flows through two channels to the grit collectors. Two stirred vortex grit collectors operate in parallel for removal of sand and other heavy inorganic particles. Grit removal is provided to reduce abrasion on downstream equipment and minimize reductions in process efficiency due to accumulation of inorganic material in process units. Grit cyclones and grit classifiers are provided to remove organic material from the settled grit. The grit is then deposited in a dumpster for ultimate disposal in a landfill. Five primary clarifiers are provided and are designed to remove a portion of the influent BOD5 and suspended solids to reduce the organic loading on the biological nutrient removal activated sludge system. Sludge collectors in each clarifier move the settled solids to a hopper, from which it is removed and pumped to the fermentation tanks or the sludge blending tanks. The fermentation tanks are used to break down the primary sludge to produce a fermentation liquor with volatile fatty acids for the BNR activated sludge process. After fermentation, the primary sludge is pumped to the sludge blending tanks. Floating material, or scum, is also removed in the primary clarifiers. Scum pumps are provided to pump the scum into the discharge line for the primary sludge pumps for treatment with the primary sludge. After primary settling, the wastewater flows to the activated sludge stage. The primary effluent can also be directed to the flow equalization facilities, which consist of flow equalization basin, two aerated equalization basins and two equalization/sludge storage tanks. The flow equalization facilities can be used to reduce peak flows to the biological treatment facilities during wet weather conditions and to reduce the effects of diurnal flows. The BNR activated sludge stage consists of the anaerobic/anoxic/aeration (AAA) tanks, the nitrified recycle (NRCY) pumps, the final clarifiers, and the return activated sludge (RAS) pump stations. Primary effluent first enters the AAA tanks, where biological activity takes place under anaerobic, anoxic (mixed only), and aerated conditions for phosphorus removal; removal of BOD5; complete nitrification; and denitrification. Four AAA tanks are normally in service at all times. The aerated portions of the four tanks are aerated by a fine bubble diffused air aeration system. The anaerobic NPDES FORM 2A Additional Information and anoxic zones in the AAA are mixed by vertical mixers, which provide mixing without adding oxygen to the mixed liquor. Mixed liquor recycle is provided by nitrified recycle pumps, which pump mixed liquor from the end of the aerobic, or nitrification, zone to the head of the first anoxic zone. The AAA tank effluent, or mixed liquor, is equally distributed to the four final clarifiers. In the final clarifiers, the activated sludge is settled out for return to the AAA tanks. The clear liquid above the settling sludge overflows the effluent weirs and flows to the effluent filters. The settled sludge is removed from the clarifiers through suction -type sludge collectors and flows to two RAS pump stations, from which the return sludge is pumped to the AAA tanks. The two RAS pump stations discharge to the anaerobic zone distribution channel and the RAS is distributed equally among the operation AAA tanks. Excess sludge is removed from the BNR activated sludge system by the RAS pumps. From the RAS pump stations, the waste activated sludge is pumped to the solids handling facility for solids treatment and ultimate disposal. The final clarifier effluent flows to six effluent filters for removal of fine solids not removed in the final clarifiers. Two of the effluent filters are deep bed -type filters, containing approximately 48 inches of sand supported by 12 inches of filter gravel. The other four filters are dual media -type filters. Filter effluent flows through the underdrain system to the ultraviolet (UV) disinfection facilities. Backwash water for the filters is taken from the Wash Water Storage Tank next to the Primary Clarifier #5 and after backwashing, is collected in the wash water recovery basins for return to the head of the plant. Facilities are provided to bypass a portion of the secondary effluent when wastewater flows exceed the capacity of the effluent filters. Ultraviolet light is used for both filter effluent and filter bypass water disinfection. Three ultraviolet disinfection channels are provided with each channel containing two banks of UV lamps. Effluent from the ultraviolet disinfection facilities flows through three effluent Parshall Flumes for flow measurement and then flows to an Effluent Pump Station. The effluent is pumped to Groometown Road where it flows down a Cascade Aerator and into the channel of the Deep River in the Randleman Reservoir. Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge blending tanks, two centrifuges, a fluidized bed incinerator, and ash lagoon for ash storage and associated pumps and process equipment. Primary sludge is normally pumped to the sludge blending tanks but can be pumped to the fermentation tanks if additional food source is needed for BNR purposes. Waste Activated Sludge and Primary sludge are mixed in the sludge blending tanks from which the mixed sludge is pumped to the centrifuges for dewatering. After dewatering, the dewatered sludge is pumped to the incinerator and the ash is pumped as a slurry to the ash lagoons and then disposed of by adding to compost at the City landfill or it is transported to a brick manufacturing facility and used to make brick. An Odor Control System consisting of a two stage wet scrubber process was added in 2008. A 30,000 SCFM fan pulls the gases from the sludge storage tanks and the dewatering building through the two stage scrubbers where hydrogen sulfide odors are removed. Three 2000 kW diesel -driven generators provide standby power. Two diesel -fuel storage tanks of 10,000 gallons each provide fuel for the generators. The generators are sized to provide full power to the plant. NPDES FORM 2A Additional Information SLUDGE MANAGEMENT PLAN City of High Point Eastside WWTP The City of High Point has a Residual Management Division to manage the solids from the Eastside WWTP, Westside WWTP and the Ward Water Plant. The process of sludge disposal for the Eastside WWTP is dewatering and incineration. Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge blending tanks, one sludge storage tank, two centrifuges, an incinerator, an ash lagoon for ash storage and associated pumps and process equipment. Waste activated sludge is pumped to the DAF units for thickening. The solids content of the WAS is approximately 1 % prior to thickening and about 3.5% after thickening. The thickened sludge is then pumped to the sludge blending tanks. Thickened primary sludge, approximately 3.5% solids, is also pumped to the sludge blending tanks. A total of approximately 50,000 — 100,000 gallons per day of WAS and primary sludge is pumped to the sludge blending tanks. The sludge from the sludge blending tanks will be pumped to the centrifuges for dewatering. The dewatered sludge, approximately 25% - 27% cake, from the centrifuges is conveyed to incinerator with the resulting ash going to two ash lagoons. The ash will be removed from the ash lagoons and dried on the ash drying pad with the ultimate disposal at the City of High Point's composting facility or it is taken to a brick manufacturer. If there is a failure of the incinerator or the two centrifuges, sludge can be stored in the sludge blending tanks and the sludge storage tank for approximately 22 days. If just the incinerator is out of service, the sludge could continue to be dewatered. Once dewatered, the sludge could be trucked to a lined landfill or stored until the incinerator is fixed. If the centrifuge at Westside WWTP is down for several days, liquid sludge may be transported by tanker on a temporary basis, to the Eastside WWTP and pumped into the sludge blending tanks. It is then dewatered with the Eastside WWTP solids and incinerated. Terry L. Houk CITY OF HIGH POINT BSET Public Services Director _ 211 S Hamilton, Room 2061 High Point, NC 27260 336.883.3218 1 fax: 336.883-1675 terrv.houk(dhighpointnc.pov www.highpointnattov/plan Please be aware that e-mail and attachments sent to and from this address are subject to the North Carolina Public Records Law and may be disclosed to third parties. NPDES FORM 2A Additional Information Attachment 4 Toxicity Results NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/16/18 Facility: Eastaide Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford Laboratgay P ing Test: Central Laboratory Services X / .1/ t Comments: UVDisenfection being 1 urelor `p rraat(/o iin' espoR nsi01w-'-eftw-rqtkUIffl� used Iure4bf Laborato-r-T'STp-ervDisor I * PASSED: 7.08% Reduction * I Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of ENNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test bNTROL ORGANISMS 1 2 3 4 5 6 7 8 9 30 11 12 # Young Produced 1130129136131129128 132 29 31 32 30 30 Adult (L) ive (D) ead L L L L L L L L L L L L Sffluent %: 90$ .'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 Control CV 6.895% # Young Produced 131 26 30126127127125 29 34 27 29 30 $ control ors roducing 3rd Adult Wiveve (D)ead L L L L rood L L L L L L L L 1009, 1st sample 1st sample 2nd sample PH Control '}59 4. ,U 'VA-4 !63 Treatment 2 -4.41 -4� a t e s t e a t e a n r d a n r d a n r d t t t 1st sample 1st sample 2nd sample D.O. Control a3 a'i a6 aoi Treatment 2 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) Chronic Test Results Calculated t = 2.255 Tabular t = 2.508 % Reduction = 7.08 % Mortality Avg.Reprod. 0.00 30.58 Control Control 0.00 28.42 Treatment 2 Treatment 2 PASS FAIL X Check One Complete This For Either Test Teat Start Date: 04/11/08 Collection (Start) Date Sample 1: Sample 2: a4/11 / to Sample Type/Duration 2nd let P/F Grab Comp. Duration D Sample 1 �i(hra L A A Sample 2 k ,a'k hrs T P P Hardness (mg/1) q" gs..... ....... Spec. Cond. (Pmhos) ) .9 59) R '}(_9 ' Chlorine (mg/1) cE .....: N A Nf� Sample temp. at receipt(-C) :..... ),O 3 O obit Note: Please Concentration Complete This Section Also Mortality start/end start/end nation Control her — High Conc. Fl:� PH D.O. LC50 = $ Method of Determi 954 Con-iidenceZimits Moving Average Pr Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11195 (DDBIA ver. 4.32) N NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/08/18 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford Comments: UV Disenfection being used ISignature or Laboratory Superviifte ' ... ... I * PASSED: 4.40% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 128133131130133132134129126130129129 Adult (L) ive (D) ead L L L L L L L L L L L L affluent }: 90% REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1133127128127131128127126133128129 Adult Wive (D)ead IL IL IL IL IL IL IL IL IL IL IL IL Chronic Test Results Calculated t = 1.372 Tabular It = 2.508 } Reduction = 4.40 $ Mortality Avg.Reprod. 0 .00 30.33 Control Control 0.00 29.00 Treatment 2 Treatment 2 Control CV 7.742% PASS FAIL $ control orggs producing 3rd brood ICheck One loot 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 01/24/18 Control 7.58 7.94 7.56 7.56 7.57 7.65 Collection (Start) Date Treatment 2 8.12 7.56 8.22 7.51 8.20 8.28 Sale 1: Type/Duration Sample 2: 01/24/18 mp Type/Duration 2nd let P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 23.5 bra L A A r d r d r d U M M t t t Sample 2 X 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardnese(mg/1) 48 Control 7.57 7.86 7.46 7.75 7.69 7.88 Spec. Cond.(µmhos) 117 710.2 792.9 Treatment 2 8.20 8.01 8.23 8.01 8.06 8.41 Chlorine (mg/1) ....::: na na LC50/Acute Toxicity Test Sample temp. at receipt("C) ....... 2.0 1.0 (Mortality expressed as }, combining replicates) obit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control , -H - High Conc. pH D.O. LC50 = $ Method of Determination 95$ Co 1 enoe imits Moving Average Pr Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 11/22/17 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: MIX County: Guilford Laboratory Performing Teat: Central Laboratory Services Comments: UV Disenfection being used lgnature o o ups sor I • PASSED: 10.36% Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 r Chronic Pass/Fail-ReproW�-duction Toxicity Test !ONTROL ORGANISMS 1 2 3 4 5 6 7 6 9 10 11 12 # Young Produced 1133134131132132135133133132131128132 Adult Wive (D) ead IL IL IL IL IL IL IL IL IL IL IL IL affluent %:-&W s5�• )`a`a � REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 li 12 Control CV 5.439% # Young Produced 28 29 29 27 30 31 32 26 26 32 28 28 % control ozga producing 3rd brood Adult Wive (D)ead L L L L L L L L L L L L 1005 Chronic Test Results Calculated t = 4.247 Tabular t = 2.508 Reduction = 10.36 % Mortality Avg.Reprod. 0.00 32.17 Control Control 0.00 28.83 Treatment 2 Treatment 2 PASS FAIL X Check One let sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 10/18/17 Control 7.39 7.69 7.35 7.57 8.09 7.65 Collection (Start) Date Sample 1: 10/16/17 Sample 2: 10/18/17 Treatment 2 7.56 7.86 7.47 7.79 7.66 7.67 Sample Type/Duration 2nd 1st P/F s s e Grab Comp. Duration D t e t e t e i S S a n a n a n Sample 1 X 24.1 hrs L A A r d r d r d D M M t t t Sample 2 X 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness(mg/1) 50 Control 8.82 8.49 8.62 8.43 8.69 8.39 Spec. Cond.(µmhos) 117 721.4 824.7 Treatment 2 8.72 8.36 8.71 8.34 8.95 8.29 Chlorine (mg/1) ci ....... NA NA INVENNUMME LC50/Acute Toxicity Test Sample temp. at receipt('C) :: ..... 1.9 2.7 (Mortality expressed as %, combining replicates) Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit Other - High Conc. DH D.O. LC50 = % Method of Determination 95% Cc Inence Limits Moving Average _ Probit - % Spearman Karber Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/02/17 Facility: HIGH POINT - EAST NPDES#: NCO024210 Pipe#: Aef County: GUILFORD gna ure ot Laboratory Supervisor I * PASSED: 14.52} Reduction Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Chronic Pass -/Fail Reproduction Toxicity Teat Chronic Test Results Calculated t = 3.299 Tabular t = 2.508 VNTROL ORGANISMS 1 2 3 4 5 6 7 8 9 30 11 12 } Reduction = 14.52 % Mortality Avg.Reprod. # Young Produced 28127123127128121123128127125128125 0.00 Control 25.83 Control Adult (L)ive (D)ead L L L L L L L L L L L L 8 .33 22.08 Treatment 2 Treatment 2 .£fluent }: 85} Control CV REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 9.313} PASS FAIL # Young Produced 14 26 22 23 23 19 21 ZS 22 24 23 23 } control orgs producing 3rd brood FXI El Cbeck One Adult Wive (D)ead D L L L L L L L L L L L 100} let sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 07/26/17 Control 8.11 8.02 8.13 8.11 8.02 8.01 Collection (Start) Date Sample 1: 07/24/17 Sample 2: 07/26/17 Treatment 2 7.62 8.19 7.66 8.20 7.71 8.10 Sample Type/Duration 2nd let P/F 6 8 a Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.0 hra L A A r d r d r d U M M t t t Sample 2 X 24.0 hra T P P lot sample 1st sample 2nd sample D.O. Hardness- (ng/1) 46 Control 8.02 7.68 7.81 7.71 7.80 7.51 Spec. Cond.(pmhos) 163 696 620 Treatment 2 8.31 7.79 8.37 7.72 8.33 7.46 Chlorine(mg/1) LC50/Acute Toxicity Test Sample temp. at receipt(-C) (Mortality expressed as }, combining replicates) } } } } } } } } } } Note: Please Concentration Complete This Section Also Mortality start/end start/end nation Control obit - High Conc. PH D.O. LC50 = } Method of Determi 95} ConiiTence Zimits Moving Average Pr } - } Spearman Kerber - Other Organism Tested: Ceriodaphnia dubia Duration(hro): Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) NPDES FORM 2A Additional Information Meritech, Inc. Mini Chronic Pa s/Fe11 Test; Cadodephnla dubla Client: - l✓ Pipe #: �� County: _ Date Start: -Rio-t Incubator i Date End: / NPDES Date! Time of Culture Transfer:-7 3- 4 - 1 7iij Time Start: / /t n r"l Time End: Dilution Water: Lake Brandt Date / Time Neonates born: flLr �Q r2j _L F - C.�.� Test Organism Source: Tray # Age of ponates at Test Start:'5 7. hours „ 1st Renewal Date: 2nd Renewal Date: 3-•- I'7 Time: ?. Sl '7 - 31-7? Time: U: . td c}AM Stirred / Aerated for D.O.: Y / N Randomized:UY / N Culture Tray Temp: •r5 •• U °C Analyst(s): MR. CD, Lv, se Reviewed by: n rt__ ontrol Organism Reproduction Dav #2 1 2 3 4 5 6 7 8 9 10 11 12 #Young Produced 0 0 0 0 0 1 0 0 0 10 0 0 0 Adults Live / Dead e-- L L L_ t4 L. ✓` L- I L- I L- t✓ I L Dav lk5 1 2 A d R. A 7 A g. 1n 11 19 Da 1 7 1 2 3 4 5 6 7 8 9 10 11 12 # YoungProduced ?i ) -4 Adults Live / Dead -- t- L- Percent of Control producing third brood: I `-U°/a Test Sample Organism Reproduction Effluent %: Dav #2 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 Adults Live / Dead L— L L- L— L--1L- I_ L_. L 1,- 511 � �naVA1 11NFm, =1©110.1 MINGUAWA. I===WMMMMMMMM="�' s. s Total Produced vj' b-t 7 Sample 1: H-l? Sample 2: 7-;2%- L Sample Information 100% pH G l C7 Duration Sam p[a1 -'�!250 C- ,�`-i3O hours Sample 2 q LS<L) C ,6 hours Batch SawkI aemge2 Transfer Day D 2 5 Hardness (mgfL) ec, Cond. (upmh.w.)p- chlodna-F:"--' i• ,G0•� Gp•1 (mWL) �' R... W Semple t 1 1 off 1st SaInDle trol F � V a ple p 149 D.O. 1 st 5amole Control t) Sample C' 1f1'.')J YIIIIM IN181 Temp. tat Sample Control q9,5 -;kyy Sample -M,iy,-z .ON 2nd Sample � 1 ns m 2nd Sample In M 2nd Sample n n. Tlansfenad by. Fed by. Day 0 -L-/ Day 1 _C22 Day2/�` VV Day 3 Day 4 Day 5 L (!' Day 6 Terminated by: y�� 2nd Sam le Ila I N 2nd Semple 81,3" �41fl 2nd Sample s 0 a 0 Q N 2 of O LL w w 0 z z MERITECHr INC. aadaa sampalom ���� �% Bioassay Sample Chain of Custody 642 Tamoo Rd, Reidsville NC 27326 Phone: 1-336-342-4748 Fax: 1-336-342-1622 Toxldly Supervisor email: mike.reedftmedtech-labs.com Web Site: www:meftch4abs.com Client L- i�-vj t?b +41Ah V6N n-k- polf: Contact Person: a w�1�0i,r�'AY NPDES* NC Ora :ZL ti Q t 0 Address: t o1 1 i�i , Qe n Le Lard S}- Ptwna:3- $�2 - t 1 3 city:-i'to�'h Pipe#. OO'�, Comity: Cow\ 1 Fan1 state: Zip:� atmo T '`— SAMPLE INFORMATION _ Sample Site: C%.�T� � xe � -z)yzr" Sample Type: ❑Grab 1s )�+7Compossiite Sotmntainem: Sampling Time: Start Date: 'ildZ'l "� Stan Time: _(� ` PM End Date: T�o2'rJ /l T End Time: '�� ® PM Triple rinse sample container with sample before Filling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.6°C upon receip n the laboratory"' Collectors Name: Print r"4 l yAmpr Signature: W( TO)aCITY TEST INFORMATION Test Required: U Chronic (7 days) Test Organism: Dj'Cedodaphnla dubfa (water flea) Relinquished Received Relinquished Received Relinquished Received W. Relinquished by - Received by ❑ Acute (24-48 hours) ❑ Plmephales pmmelas (fathead minnow) ❑ Mysidopsis bahia (shrimp) MC: 8S % Test Concentrations (if multiple dilutions): SHIPPING INFORMATION Date:/as>i Date: Rafe: � 1 Date: Date: Date: Date: Date: Sample Temperature (°C} Time: Time: Time: Time: Time: Time: Time: Time: 0mo DS 7 ®PM PM PM AMAMAM AM PM AM PM Mefhod of Shipment❑ UPS ❑ Fed EX � Mentech Pkk-up ❑Dekvered ❑ Other Samples shipped on Friday must be FedEx and must be clearly labeled for Saturday delivery, NO SIGNATURE REQIRRED" SAMPLE RECEIVING (Laboratory Use Only) ingtnshed by. ✓s�— _ Received by. r r Data: Time: zL/ AM Sample Temperatures ("C): Sample Condition: ilili = Laboratory copy YELLOW = Client copy NPDES FORM 2A Additional Information MERITECH, INC. Men ernSamaelpk. C�1 �7 �7�5 Bioassay Sample Chain of CrrsMW 642 Tamco Rd, Reidsville NC 27320 Phone: 1-336-342-4748 Fax: 1-336-342-1522 Toxidty Supervisor email: mike.reed dtech-labs.com Web Site: www.merkech-labs.com CLIENT INFORMATION Client O'rI!q 0P 4s%��a�� PO#: Contact Person: NPDESH:NC ao atilalo Address: Prone: Cw �'1 al-.n� Pipe#:_`. Dounty.-, Hof a Slate: N �- Zip: a� a n Sample Site: Sample Type: Sampling Time: ❑ Grab >rDomposite # of containers: Start Dab:: `I IZi IP' 1-1 Start Time: _QLZW) PM End Data: ,' Z-111 ` End Time: �L PM Triple rinse sample container with sample before filling. Completely fill the sample confainer with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon receipt at the laboratory— Collector's Name: Print -*' aVkA. FILCV;-o . ��,, TOXICITY TEST INFORMATION Test Required: A Chronic (7 days) Test Organhm: �WCer/odaphnfa dubia (waterflea) ❑ Acute (24-48 hours) ❑ Pimephales promelas (fathead minnow) ❑ Mysidopsis balda (shrimp) Comments: Relinquished Receved Relinquished Received Relinquished Received Relinquished by. Reserved by rwc: aS % Test Concentrations (I multiple ddudons): .. Date: `1, 2.Time: 6,&AS PM Sample Temperature CC): Data: Time: Afte PM Data. Z Time: i 2= � I AM M ----'C1 Method of Shipment❑ UPS ❑ Fed EX ❑ Medtech Pick-up ❑Delivered El Other " Samples shipped on Friday must be FedEx and must be dearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING Labor tto Use Only) Relinquished by. Received by. Date: Time. .j am .AM Sample Temperatures CC): /�/ /_ Sample Condition: WHITE = Laboratory copy YELLOW = Client copy NPDES FORM 2A Additional Information Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 08/02/17 Facility: HIGH POINT - EAST NPDES#: NCO024210 Pipe#: 001 County:GDILFORD Laboratory Performing Teat: MERITECH LABS, INC. Reduction: 14.52%; CONTROL 85t Effluent # Replicates 12 12 Female Live 12 11 Adult Male 0 0 Adult Dead 0 1 Adult Mortality O.00t 8.33t # Neonates 310 265 Mean # Neonates 25.833 22.083 Standard Deviation 2.406 3.118 Coefficient of Variation 9.313% Fisher's Exact Test A = 12 B = 12 a = 12 b = li a/A = 1.00 b/B = 0.92 Success is: survival Critical b value = 8 11 > 8 The test concludes that the proportion of survival is not significantly different for the control and the effluent groups. Test Passes! SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA i Group Neonates 1 E 14 2 C 21 3 E 19 4 C 23 5 C 23 6 E 21 7 C 25 8 C 25 9 E 22 10 R 22 11 E 23 12 E 23 ORDERED OBSERVATIONS Centered i Group Neonates Centered -8.0833 13 H 23 0.9167 -4.8333 14 E 23 0.9167 -3.0833 15 C 27 1.1667 -2.8333 16 C 27 1.1667 -2.8333 17 C 27 1.1667 -1.0833 18 E 24 1.9167 -0.8333 19 C 28 2.1667 -0.8333 20 C 28 2.1667 -0.0833 21 C 28 2.1667 -0.0833 22 C 28 2.1667 0.9167 23 E 25 2.9167 0.9167 24 E 26 3.9167 NPDES FORM 2A Additional Information SHAPIRO-WILR'S TEST FOR NORMAL DISTRIBUTION OF DATA (coat.) COEFFICIENTS AND DIFFERENCES i x(n-i-1) x(i) a(i) x(n-i-1) 1 3.9167 -8.0833 0.4493 12.0000 2 2.9167 -4.8333 0.3098 7.7500 3 2.1667 -3.0833 0.2554 5.2500 4 2.1667 -2.8333 0.2145 5.0000 5 2.1667 -2.8333 0.1807 5.0000 6 2.1667 -1.0833 0.1512 3.2500 7 1.9167 -0.8333 0.1245 2.7500 8 1.1667 -0.8333 0.0997 2.0000 9 1.1667 -0.0833 0.0764 1.2500 10 1.1667 -0.0833 0.0539 1.2500 11 0.9167 0.9167 0.0321 0.0000 12 0.9167 0.9167 0.0107 0.0000 1 W = X 151.4241 170.5833 Calculated W = 0.888 Critical W = 0.B84 0.888 a 0.884 The reproduction data is normally distributed evaluated at a 99i confidence interval. Test Passes! F test for Homogeneity of Variance Effluent variance 9.7197 F - = 1.68 Control variance 5.7879 Numerator degrees of freedom: 11 Denominator degrees of freedom: 11 Critical F - 5.32 1.68 s 5.32 =� The Test PASSES, the variances of the two groups are significantly the same, homogeneous. NPDES FORM 2A Additional Information EQUAL VARIANCE t TEST 25.8 - 22.1 t = 3.299 1.137 Degrees of freedom - 22 Critical t - 2.506 3.299 a 2.508 Test fails. There is a significant difference in reproduction between the Control and the effluent evaluated at a 99% confidence interval. Chronic Test PASSES The reduction was less than 20t NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Pail and Acute LC50 Date: 05/24/17 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford T.ahnrafnry Parfnrminn Ted(_ r'A tral Laboratory Services IX Comments: UV Disinfection being used * PASSED: 7.22% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test UNTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1130137135130135130136130133133129 Adult (L) iR�ve (D) ead JIL IL IL IL IL IL IL IL IL IL IL IL 'ffluent REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 8.781% # Young Produced 29 31 30 28 30132129129129131 30 32 t control or gs producing 3r brood Adult (Clive (D)ead L L L L L L L L L L L L loot Chronic Test Results Calculated t = 2.596 Tabular t - 2.508 % Reduction = 7.22 t Mortality Avg.Reprod. 0.00 32.33 Control Control 0 .00 30.00 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 04/19/17 Control 7.60 7.50 7.42 7.40 7.46 7.60 Collection (Start) Date Sample 1: 04/17/17 Sample 2: 04/19/17 Treatment 2 7.51 7.75 7.50 7.76 7.66 7.67 Sample Type/Duration 2nd lot P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.1 hrs L A A r d r d r d U M M t t t Sample 2 R 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness (mg/1) 50 :::::::::::..... : Control 8.84 8.06 8.36 8.90 8.69 8.58 Spec. Cond.(µmhos) 113 623.7 760.7 Treatment 2 8.73 8.13 8.47 8.64 8.94 8.90 Chlorine (mg/1) :::..... LC50/Acute Toxicity Test Sample temp. at receipt(-C) ..... 5.9 2.8 (Mortality expressed as t, combining replicates) MMMMMMMMMM Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit - High Conc. nH D.O. LC50 = I Method of Determination 95t Con 1 ence 'mite Moving Average Pr t -- t _ Spearman Barber Other Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Statistical Results - Chronic Pass/Fail Date: 05/24/17 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County:Guilford Laboratory Performing Test: Central Laboratory Services Reduction: 7.22% CONTROL 90% Effluent # Replicates 12 12 Female Live 12 12 Adult Male 0 0 Adult Dead 0 0 Adult Mortality 0.00$ 0.008 # Neonates 388 360 Mean It Neonates 32.333 30.000 Standard Deviation 2.839 1.279 Coefficient of Variation 8.781% Fisher's Exact Test A = 12 B = 12 a = 12 b = 12 a/A = 1.00 b/B = 1.00 Success is: survival Critical b value = e 12 > 8 The test concludes that the proportion of survival is not significantly different for the control and the effluent groups. Test Passes! SRAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA ORDERED OBSERVATIONS i Group Neonates Centered i Group Neonates Centered 1 C 29 -3.3333 13 E 30 0.0000 2 C 30 -2.3333 14 E 30 0.0000 3 C 30 -2.3333 15 C 33 0.6667 4 C 30 -2.3333 16 C 33 0.6667 5 C 30 -2.3333 17 E 31 1.0000 6 C 30 -2.3333 18 E 31 1.0000 7 E 28 -2.0000 19 E 32 2.0000 8 E 29 -1.0000 20 E 32 2.0000 9 E 29 -1.0000 21 C 35 2.6667 ! 10 E 29 -1.0000 22 C 35 2.6667 11 E 29 -1.0000 23 C 36 3.6667 12 E 30 0.0000 24 C 37 4.6667 NPDES FORM 2A Additional Information SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.) COEFFICIENTS AND DIFFERENCES i x(n-i-1) x(i) a(i) x(n-i-1) - x(i) 1 4.6667 -3.3333 0.4493 8.0000 2 3.6667 -2.3333 0.3098 6.0000 3 2.6667 -2.3333 0.2554 5.0000 4 2.6667 -2.3333 0.2145 5.0000 5 2.0000 -2.3333 0.1807 4.3333 6 2.0000 -2.3333 0.1512 4.3333 7 1.0000 -2.0000 0.1245 3.0000 8 1.0000 -1.0000 0.0997 2.0000 9 0.6667 -1.0000 0.0764 1.6667 10 0.6667 -1.0000 0.0539 1.6667 11 0.0000 -1.0000 0.0321 1.0000 12 0.0000 0.0000 0.0107 0.0000 W X 101.2658 Calculated W = 0,949 Critical W = 0.884 0.949 : 0.884 The reproduction data is normally distributed evaluated at a 991 confidence interval. Test Passes! F test for Homogeneity of Variance Control variance 8.0606 4.93 Effluent variance 1.6364 Numerator degrees of freedom: 11 Denominator degrees of freedom: 11 Critical F = 5.32 4.93 s 5.32 � The,Test PASSES, the variances of the two groups are significantly the same, homogeneous. NPDES FORM 2A Additional Information EQUAL VARIANCE t TEST 32.3 - 30.0 t = 2.596 0.899 Degrees of freedom = 22 Critical t = 2.506 2.596 a 2.508 Teat fails. There is a significant difference in reproduction between the Control and the effluent evaluated at a 99% confidence interval. Chronic Test PASSES The reduction was less then 20% NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/24/17 Facility: Eastside Waste Treatment Plant NPDES#: MC0024210 Pipe#: 01 County: Guilford Laboratory Ferforming T X t: Centr Laboratory Services Comments: UV Disenfection being S re8 aerator 1n R Donal a rce used * PASSED: 8.56% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept_ of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test .ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 # Young Produced 1133137137132128128130I27I28I27I27I28II Adult (L) ive (D) ead JIL IL L L L L L IL IL IL IL IL affluent %: Aw $6�• t'l� 'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 12.390% # Young Produced 25 33 25 33 26 35 27 28 24 25 22 28 $ control orga producing 3rd brood Adult (Clive (D)ead L L L L L L L L L L L L 100% Chronic Test Results Calculated t = Tabular t = % Reduction = 8.56 $ Mortality Avg.Reprod. 0.00 30.17 Control Control 0 .00 27.58 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 01/18/17 Control 7.87 7.71 7.36 7.58 7.62 7.55 Collection (Start) Date Treatment 2 7.58 7.92 7.60 7.97 7.83 7.82 Sample Tle e/Dura17 Sample 2: O1/18/17 mp Type/Duration 2nd 1st P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.0 bra L A A r d r -d r d U M M t t t Sample 2 X 23.3 hra T P P let sample 1st sample 2nd sample D.O. Hardness(mg/1) 48 Control 8.01 7.85 8.65 6.85 7.50 8.28 Treatment 2 8.35 7.55 8.40 7.50 7.61 8.39 Spec. Cond. (µmhos) 115 696.6 804 .8 Chlorine (mg/1) ::...... LC50/Acute Toxicity Test Sample temp. at receipt('C) :: ..... 1.4 1.7 (Mortality expressed as t, combining replicates) Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit = High Conc. PH D.O. LC50 = $ 95t Coni3 e-nce Mimits Method of Determination Moving Average Pr IFR Spearman Karber - Other Organism Tested: Ceriodaphnia dubia Duration(hre): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase If Chronic Ceriodaphnia #Young 1) 3Q 1 _'61 Us D(p I 31 30. I ;ltz 1 2 28 a%- Adult (L)ive (D)ead L L L L L L L t L L n.a 6 1 ATT: Environmental Sciences Branch MAIL Div. of Water Quality TO: N.C. DENR 1621 Mail Service Center Raleigh, N.C. 27699-1621 `Should use highest test concentration or highest wncentration with D.O. >5.0 "V M nww:nm imm c aepr� v_ DWQ form AT-3 (8191) Rev. 11/95 P NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Fonn/Phase 11 Chronic Ceriodaphnla # Young ay » as � Z� .'1 1s A4 a5 Zy as ult rve D d L L t_ L. L t- L L L, RWI ~Q Should use highest test concenhaibn or ATT: Environmental Sciences Branch highest wncerdr-Aw with D.O.-5.0 mgll MAIL Div. of Water Quality 1%eeaumnnvn C. by n.m .a Masi TO: N.C. DENR 1621 Mail Service Center Raleigh, N.C. 27699-1621 DWQ form AT-3 (8191) Rev. 11195 NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/22/16 Facility: Eastaide Waste Treatment Plant NPDES#: MC0024210 Pipe#: 01 County: Guilford Comments: UV Disenfection being used Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EENR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 lor[n [arorrua wai�uayauua Chronic Pass/Fail Reproduction Toxicity Test :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 113414013313113212713013010 128132130 Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL ID IL IL IL A £fluent %: 'l9$ 'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced IIO 14 14 12 IO IO 16 IO 11 12 IO IO Adult (L)ive (Weed IID IL IL IL ID ID ID ID IL IL ID ID Chronic Test Results Calculated t = Tabular t = $ Reduction = 94.52 $ Mortality Avg.Reprod. 8.33 28.92 Control Control 58.33 1.58 Treatment 2 Treatment 2 Control CV 33,511% PASS FAIL $ control orgs producing 3rd brood [Ch2,ck%e 90$ 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 11/16/16 Control 7.36 6.53 6.84 7.92 7.61 7.69 Collection (Start) Date Sample 1: 11/14/16 Sample 2: 11/16/16 Treatment 2 7.34 7.78 7.08 8.22 7.52 7.95 Sample Type/Duration 2nd lst P/P a a s Grab Comp. Duration D t e t e t e I S S a n a n a a Sample 1 X 24.0 hrs L A A r d r d r d D M M t t t Sample 2 1 X 24.0 bra T P P 1st sample 1st sample 2nd sample D.O. Hardness (mg/1) 48 Control 8.39 8.51 8.14 7.88 7.86 6.09 . Spec. Cond. (µmhos) 10 109 683 .3 831.6 Treatment 2 8.20 8.03 8.82 8.48 7.75 8.19 Chlorine (mg/1)now LC50/Acute Toxicity Test Sample temp. at receipt(°C) (Mortality expressed as $, combining replicates) $ $ $ $ $ $ $ $ $ $ Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit - High Conc. DH D.O. FLC5O $ Method of Deten�c�imite Moving Average Probit - -- $ Spearman Barber Other Organism Tested: Ceriodaphnia dubia Duration(hrs): copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information flii,t Toxicity Renort Form - Chronic Paae/Fail and Acute LC50 Date: 08/09/16 dacility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford Laboratory Performing Test: Central Laboratory Services Comments: UV Disenfection being ����- used * PASSED: -0.32% Reduction MlvironmenLal bclenuub ni.ancu MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 forth Carolina cerlocapnnla Chronic Pass/Pail Reproduction Toxicity Test Chronic Test Results ated t = -0.090 ular t = 2.508 ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 uction = -0.32 rjT vg.Reprod. # Young Produced 2831 282427 26 25 26 25 25 23 2426.00Control Adult (L)ive (D)ead L L L L L L L L L L L L0.0026,08 Treatment 2 Treatment 2 :ffluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 8.522% PASS FAIL # Young Produced 27 29 25 28 27 24 26 24 23 23 27 30 $ control orggs prood roducing 3rd Adult Wivee (D)ead L L L L L L L L L L L L b100$ Check One let sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 07/13/16 Control 6.81 7.66 7.08 7.50 7.42 7.51 Collection (Start) Date Sample 1: 07/11/16 Sample 2: 07/13/16 Treatment 2 6.71 7.74 6.86 7.98 6.73 7.59 Sample Type/Duration 2nd let P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 I X 23.9 hrs L A A r d r d r d II M M t t t Sample 2 X 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness(mg/1) 48 ::::::. .......... Control 8.20 8.16 8.72 8.08 8.40 7.97 .•. Spec. Cond. (µmhos) 100 424.3 679.6 Treatment 2 8.56 8.25 8.94 8.38 8.97 8.i9 Chlorine(mg/1) LC50/Acute Toxicity Test Sample temp. at receipt(-C) ..........2.0 3.0 (Mortality expressed as $, combining replicates) $ 1 $ I $ I $ I $ I $ I $ I $ I % $ $ $ % $ $ $ $ % $ Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit _ High Conc. nH D.O. rCq-s'50%= $ Con i ence mite Method of Determination Moving Average _ PrI IT] $ - $ Spearman Barber of Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DIIBLA ver. 4.32) NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase II Chronic Ceriodaphnia MAIL Water Sciences Section Division of Water Resources, NC DENR TO: 1621 Mail Service Center Raleigh, NC 27699-1621 '5h0Ud "Ngheef N5t COM[RMjw Or highest mne Lion Mtlt D.O. >5.0 ugk M R,OYCO RPM Cprgl Rfjr:OL:1MLyi� DWQ form AT-3 revised 9/2014 NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase II Chronic Ceriodaphnia Facility Lek, �`l/ AI TP NPDES#:NC D 2 0 PlpeJi0,2Counry Laboratory PeRorming Test / . /i Cortments r x iiyil?2Li71 LIE Signature of O.RC. sample information samplet SampleelControl Lest sladoate F�e Dace SWT EM Time r o r 5 j j2Yj y 51p�il b /l; 31 // : Collection Start Date _ _ b? still Renewt Renew'_ �+ Ra,er, Grab Treatment IDO 00' 6 corms Control COnjfo1 ola�so�i z�.13 23.85pN Initial 7,52 M 1 ,0 , pH Final , 7,69 7,� .4D 7153 Nardness(mgn Spec.Cond.(pmttosr �f 71, 7 D.O. India , P 8D 9,4S o2 P2 ,D.O_Fnal ,/2 ,82 7, , ,III ,'I7-r5Chlonne(mgd 10 {# emp. INtla 2�, 2¢ 2 2 , 20 1'r,lSample temp. at receip . � hh 6 • � '[Temp Final 2#� 20 24, 2d.9 J4,5 2'f.'� organism# Chronic Test Results T 8 9 111,+sr Final Control Morta6ly Control #Young 23 2.3 20 22 1T 22 26 2I ZI 1221 X I X 2!2 % Control 3rde 0 Control Repro C� /9 but )ve(olead L L L L L L L L L L X Cm4,aol° rwc 1 2 3 4 5 6 7 8 9 10 11 12 "�^ Q 0f Q :�of� EMu*Wl. #Young zD 23 25 3 623 21 26 22 21 P3, Sgnirxant?© 30 (Lpv (eD cad L L L L L LL L L L Final Mortality SI rvawnt �I�1 vim. Efttuent% #Yang ZJ% 2 21 2i 22 2� 25 2i} 2G 21i.i ReprroLO n a %: NOEC= tpe % Meth: : W naI Cstnb9 Method Statistic: , Critical: E7al noes? Method C statistic e I Critical: Non-Parmemc AnaNals ld aoolic- abl+ell ��e� Adtlll p 1ae dead L L L L LLL LLL (J EfflrleM%2Lg 28L 24 2q 25 22 24 2? 15 2. O/ � AdultL Lk(D)eajd II L L Method: Rank g n ese'EMwnt Efnuente/. #Young 21 22 2p 2� 21 11174 Iq .3, jlP 22.IIt pve(o d L L L L L L L L L'' 1- ("� )� oe 41. 7 0- EHNent% #Ytxmg 'I 4 211113117 . � o a 22 'r / I� �rp �q ! Overall Analysis: Result - PASSTAIL or Test LOEC-7NOEC�_(0_O—% ChronOINJ e-�0 w BD d L L LLL L L L L L •shpAd use highest test cgncentraeon a MAIL Water Sciences Section nshe s+mentrv5on ertn n o..s o mg/ Division of Water Resources, NC DENR n eeo a<.. ca as xa.cw ra TO 1621 Mail Service Center Raleigh, NC 27699-1621 owQform AT-3 revised 9/21174 ifD NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/28/16 HIGH POINT - EAST NPDES#: NC0024210 Pipe#: -043• County: GUILFORD Oda. R e' Comments: Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DEWR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Chronic Pase/Fail Reproduction Toxicity Teat ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (Clive (Weed 221261271241271221251251271241251210 L IL IL IL '£fluent t: 85t REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 11 # Young Produced 11 1316 4 0 3 4 4 4 0 5 5 E Adult (L) ive (D) ead L L D L D L D D D D D L Chronic Teat Results Calculated t = Tabular t = t Reduction = 81.02 t Mortality Avg.Reprod. 0.00 24.58 Control Control 58.33 4.67 Treatment 2 Treatment 2 Control CV 8.401t PASS FAIL t control orgs x producing 3rd brood Check One 100t lot sample lat sample 2nd sample Complete This For Either Test PH Test Start Date: 04/20/16 Control 8.08 8.01 7.98 8.10 8.06 7.98 Collection (Start) Date Sample 1: 04/18/16 Sample 2: 04/20/16 Treatment 2 7.89 8.29 7.95 8.37 7.95 8.35 Sample Type/Duration 2nd 1st P/F s s s Grab Comp. Duration D t e t e t e I S 8 a n a n a n Sample 1 X 24 bra L A A r d r d r d O M M t t t Sample 2 X 24.1 bra T P P lot sample lot sample 2nd sample D.O. Hardness (ag/1) 46 ...... .......... Control 7.95 7.98 7.84 7.71 8.09 7.57 Spec. Cond. (pmhos) 189 587 721 Treatment 2 18.1717.991 8.10 7.7E 7.34 7.67 Chlorine(mg/1) :: ..... <0.1 <0.1 LC50/Acute Toxicity Test Sample temp. at receipt(-C) ei ..... 0.6 1.0 (Mortality expressed as t, combining replicates) t *I t t t t t t t t orbit her Note: Please Concentration Complete This Saction Also Mortality start/end start/end Control - Nigh Conc. PH D.O. LC50 - t 95t Cc ence units Method of Determination Moving Average P Organism Tested: Ceriodaphnia dubia Duration(bre): Copied from DWQ form AT-1 (3/87) rev. 11/95 (DDBIA ver. 4.41) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 PDate: 02/22/16 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#:. County: Guilford Lebo t ry Perf Teat: entral Laboratory Services � Comments: W Disenfection being x w or n Hesaoana�bTeZ" argi used X Lab & iiched de-nt MSrr.;r<"r"' Cigna urn- rlworatory-pe 7 sor * PASSED: 12.39$ Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 # Young Produced 1127+25128129130127131126132127121128 Adult (L)ive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL Iffluent %: 90% REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 10.537$ # Young Produced 18 26 24 27 24 26 20 23123125124128 LE'r,duci'g ontrolorge3rdod Adult Wive (D)ead L L L L L L L L L L L L100% Chronic Test Results Calculated t = 2.829 Tabular t = 2.508 % Reduction = 12.39 $ Mortality Avg.Reprod. 0.00 27.58 Control Control 0.00 24.17 Treatment 2 Treatment 2 PASS FAIL x Check One 1st sample let sample 2nd sample Complete This For Either Test PH Test Start Date: 01/06/16 Control 6.76 7.58 7.40 7.75 7.38 7.83 Collection (Start) Date Treatment 2 7.57 7.B1 7.59 7.90 7.46 8.04 Sample 1: Type/Duration 2nd 16 Sample 2: O1/06/16 Sample Type/Dura lst P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24 hrs L A A r d r d r d U M M t t t Sample 2 X 24 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness (mg/1) 45 Control 8.81 7.83 8.56 8.08 8.41 7.90 357.6 567.5 Treatment 2 9.78 8.04 8.00 8.22 8.11 8.34 Spec. Cond-(µmhos) 110 Chlorine (mg/1) ,,... LC50/Acute Toxicity Test Sample temp. at receipt(-C) :: ..... 1.4 1.3 (Mortality expressed as %, combining replicates) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ obit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control - High Conc. DH D.O. LCSO = $ 95% Co in�dence limits Method of Determination Moving Average Pr Organism Tested: Ceriodaphnia dubia Duration(hre): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Rffl„unt Tm 4rity Remrt Form - Chronic Pass/Fail and Acute LC50 Date: 11/02/15 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#:County; Guilford Laboj'�rformin Tes���Cep�ral Laboratory Services �-.. rf Y___1 rl-wIi-ic Commeate: i1V Disinfection Fgas ure A Laboratory Supervisor J01 * PASSED: 4.47% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Tonicity Teat Chronic Test Results Calculated t = 1.320 Tabular t = 2.500 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 $ Reduction - 4.47 # Young Produced II26I24I29I27I26I23'28I26I24I26126 Adult (L)ive (D)ead pL IL IL IL IL IL IL IL IL IL IL IL Effluent $:--ae$- 85-% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 1.211 # Young Produced 1122 23 129124122 1261231281231261251 2 Adult (L)ive (D)ead L L L L L L L L L L L L $ Mortality Avg.Reprod. 0.00 26.08 Control Control 0.00 24.92 Treatment 2 Treatment 2 Control Cv 6.831% PASS FAIL % control orggs producing 3rd 1 brood Check oae 100$ 1st sample lot sample 2nd sample Complete This For Hither Test PH Test Start Date: 10/21/15 Control 7.61 7.44 7.61 7.48 7.66 7.71 Collection (Start) Date Sample 1: 10/21/15 Sample 2: 10/28/15 Treatment 2 7.63 7.67 7.56 7.75 7.49 8.02 Sample Type/Duration 2nd lot P/F a s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 R 24 brs L A A r d r d r d U M M t t t Sample 2 % 72 hra T P P let sample let sample 2nd sample D.O. Hardness (mg/1) 51 :.':::::::7 Control 9.38 8.90 8.57 9.38 9.76 9.34 Treatment 2 9.65 8.78 8.81 9.a6 9.86 9.60 Spec. Cond.(µmhos) 136 646.9 708.9 Chlorine(mg/1) 0 0 LC50/Acute Toxicity Test Sample temp. at receipt(-C) (Mortality exoreseed as V. combining reDlicates) bit Note: Please Concentration Complete This Mortality Section Also start/end start/end Control her - High Conc. PH D.O. LC50 = $ 95% Con ence imits Method of Determination Moving Average Pro _ Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEN form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Paso/Fail and Acute LCSQ Date: 08/11/15 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 4 County: Guilford Labox`sPlefy Performin Teat: Ce ral Laboratory Services UV < Comments: ? X M e pe or in esponsi a Marge:Y'-9 Uz• X w o V1111am..�D, frazfar signature o ors ory upeu u ricncv�ij(a(jQ �( * PASSED: 1.13$ Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1130129129129130127130128133130129 Adult (Wive (D) ead 11L IL IL IL IL IL IL IL IL IL L L a affluent a: 5 o CREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 11 28133128127131129131129130 27 28 2 Adult (L) ive (D) ead L L L L L L L L L L L L Chronic Test Results Calculated t = 0.500 Tabular t = 2.508 $ Reduction = 1.13 $ Mortality Avg.Reprod. 0.00 29.50 Control Control 0.00 29.17 Treatment 2 Treatment 2 Control CV 4 .902$ PASS FAIL a control orrggs X producing 3rd brood ICheck One 1005 1st sample lot sample 2nd sample Complete This For Either Test PH I Test Start Date: 07/15/15 Control 7.61 7.69 7.80 7.74 7.72 7.74 Collection (Start) Date Sample 1: 07/13/15 Sample 2: 07/15/15 Treatment 2 7.63 7.96 7.62 8.07 7.81 8.14 Sample Type/Duration 2nd lot P/F s s s Grab Comp. Duration D t e t e t e Z S S a n a n a n Sample 1 X 24 hre L A A r d r d r d U M M t t t Sample 2 X 72 bra T P P lot sample lst sample ead sample D.O. Hardness (mg/1) 51 iEiiii:3i::i:i:i ie Control 8.12 8.27 8,42 8.13 8.66 8.0E Spec. Cond.(µmhos) 146 777.5 910.4 Treatment 2 8.40 8.42 8.46 8.34 8.74 8.26 Chlorine (mg/1) 0 0 LC50/Acute Toxicity Test Sample temp. at receipt(-C) (Mortality expressed as $, combininq replicates) a a a a $ $ $ a a a a $ a $ a $ $ t a a obit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control - High Conc. PH D.O. LC50 = a 953 Con i ence imite Method of Determination Moving Average Pr _ Organism Tested: Ceriodaphnia dubia Duration(hre): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/27/15 Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: ..03 County: Guilford Labo tory Performing Te Central Laboratory Services Comments: yV Disenfection being 13 X Q' S ^gnatu Opera or in esponoi e C used IIM D. Frozier X le(eai h4ern gi�ur9'o orare ry upervisor `tr * PASSED: -0.98% Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road North Carolina Ceriodaphnia Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Teat Chronic Test Results Calculated t = -0.297 Tabular t = 2.508 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -0.98 # Young Produced II27I25I26j27I26I25I22(21I27I27I25I28 Adult Wive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 26 22 26 25 24 27 28 28 23 25 T2728Adult Wive (D)ead L L L L L L L L L L % Mortality Avg.Reprod. 0.00 25.50 Control Control 0.00 25.75 Treatment 2 Treatment 2 Control CV 8.277% PASS FAIL % control orge roducing 3rd IT] El p brood ICheck One 100% let sample lat sample 2nd Sample Complete This For Either Test PH Control 7.88 8.04 7.66 8.00 7.96 7.58 Teat Start Date: 04/15/15 Collection (Start) Date Sample 04/13/15 Sample 2: 04J15/15 Treatment 2 7.79 8.15 7.46 8.25 7.19 7.90 T Sample Type/Duration 2nd at P/F e a a Grab Comp. Duration D t e t e t e I S S a n a n a n 6ample 1 X 24.0 hra L A A r d r d r d U M M t t t Sample 2 X 24.0 hre T P P lat sample 1st sample 2nd sample D.O. Control 7.96 7.90 7.77 7.62 7.82 8.02 Hardness (mg/l) 50 ;;;;;;;;;; ;;;;;;;;; Spec. Cond.(µmhos) 133 724.0 820.2 Treatment 2 8.03 8.05 8.11 7.66 8.20 8.09 Chlorine (mg/1) :i ..... LC50/Acute Toxicity Test Sample temp. at receipt(-C) ;; ,, 4.6 2.4 (Mortality expressed as %, combining replicates) bit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control - High Conc. PH D.O. LC50 = % Method of Determination 95% Coimits Moving Average Pro _ Organism Tested: Ceriodaphnia dubia - Duration(hra): Copied from DEN form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date.: 02/12/15 Facility: HIGH POINT - EAST work Order: NPDES#; NCO024210 Pipe#: -Ge4 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Teat CONTROL ORGANISMS # Young Produced Adult (L)ive Mead Comments: un y: GUILFORD PASSED: -5.28t Reduction Water Sciences Section - Aquatic Toxicology Branch Division of Water Resources 1623 Mail Service Center .621 Raleigh, N.C. 27699-1623 - Chronic Test Results Calculated t = Tabular t = 1 2 3 4 5 6 7 8 9 30 it 12 * Reduction = -5.28 21118125124118127126122126126127124 F�f�f1�F�F�I Effluent t: 85t TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV # Young Produced 1129126124124 Adult Wive (D)ead JIL IL 13.642* 26126114127127124 *control orgs pzoducing 3rd brood L L L L L L 100t % Mortality Avg.Reprod. 0.00 23.67 Control Control 0.00 24.92 Treatment 2 Treatment 2 PASS FAIL V1 El Check One 1st sample let sample 2nd sample Complete This For Either Test PH Test Start Date: 02/04/15 Control 7.88 8.04 7.93 7.94 7.87 7.95 Collection (Start) Date Sample 1t 02/02/15 Sample 2: 02/04/15 Treatment 2 7.93 8.10 7.55 8.12 7.00 8.28 Sample Type/Duration 2nd let P/F s s a Grab Comp. Duration D t e t e t e I S S an a n a n Sample 1 X 24 bra L A A r d r d r d D M M t t t Sample 2 x 24 bra T P P 1st sample lot sample and sample D.O. Hardness (mg/1) 44 Control 8.03 7.97 7.99 7.83 7.53 8.06 Spec. Cond.(pmhos) 158 554 764 Treatment 2 6.26 7.92 8.10 7.78 8.15 6.07 Chlorine(mg/1) E... <0.1 <o.1 LC50/Acute Toxicity Test Sample temp, at receipt(-C) ei[.....0 1.2 1.2 (Mortality expressed as *, combining replicates) obit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control Other _ High Conc. nH D.O. LC50 - * 95i' C ce Limits Method of Determination Moving Average Pr _ Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DWQ form AT-1 (3/87) rev. 11/95 (DDBIA ver. 4.41) NPDES FORM 2A Additional Information Public Services Department Terry Houk DIRECTOR June 29, 2018 NCDENR / DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: City of High Point Eastside WWTP Permit Renewal Application NPDES #NC0024210, Guilford County Dear Sirs: NORTH CAROLINA'S INTERNATIONAL CI7 RECEIVED/DENR/DWR JUL 10 2018 Water Resources Permitting Section The NPDES permit for the City of High Point Eastside WWTP expires on December 31, 2018. In accordance with State and Federal regulations, the City is requesting NPDES renewal for the subject facility. This permit renewal application includes: Form 2A, Application Overview; Part D, Expanded Effluent Testing Data; Part E, Toxicity Testing: Biomonitoring Data; Part F, Industrial User Discharges and RCLA/CERCLA Wastes; and other supplemental information as required and/or needed. The Eastside WWTP has two permitted discharges; Outfall 001, Richland Creek, and Outfall 002, Deep River. Prior to May 2008 the Eastside WWTP discharged into Richland Creek, Outfall 001. After completion of the Effluent Pump Station, the plant began to discharge into the channel of the Deep River in the Randleman Reservoir, Outfall 002. Outfall 001 remains as a permitted outfall, but is used only on the rare occasion that the Effluent Pump Station must be taken out of service for maintenance. We look forward to working with you on the renewal of Eastside's NPDES permit. Please contact me at 336-883-3218 or Duane Hamby, Wastewater Operator Chief at 336-822-4732 if you need any additional information. Sincerely, Terry L. Houk Public Services Director cc: Derrick Boone, Public Services Assistant Director Duane Hamby, Wastewater Operator, Chief City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA Fax:336.883.1675 Phone:336.883.3215 TDD:336.883.8517 FACILITY NAME AND PERMIT NUMBER: High Point Eastside VW TP, NCO024210 FORM 2A F L NPDES APPLICATION OVERVIEW PERMIT ACTION REQUESTED: Renewal (CATION RIVER BASIN: Cape Fear Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent 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 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 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear 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 High Point Eastside Wastewater Treatment Plant Mailing Address PO Box 230 High Point NC 27261 Contact Person Duane Hamby Title Chief Operator Telephone Number (336) 822-4732 Facility Address 5898 Riverdale Drive (not P.O. Box) Jamestown NC 27282 A.2. Applicant Information. If the applicant is different from the above, provide the following: Applicant Name City of High Point Mailing Address PO Box 230 High Point NC 27261 Contact Person Terry Houk Title Public Services Director Telephone Number (336) 883-3215 Is the applicant the owner or operator (or both) of the treatment works? X owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. X facility ❑ applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued permits). NPDES NCO024210 PSD UIC Ma Other Air Quality 08074T12 RCRA Na Other Stormwater NCG110019 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 City of High Point 77,188 separate Municipal Town of Archdale 11564 separate Municipal JamestownlSedgefield 6,532 separate Municipal Total population served 95 264 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 1 Renewal Cape Fear A.5. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes X No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes X No A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 121° month of "this year" occurring no more than three months prior to this application submittal. a. Design flow rate 26.00 mgd Two Years Ago b. Annual average daily flow rate 12.9 12.2 Last Year 12.6 This Year C. Maximum daily flow rate 29.3 29.3 25.6 A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. X Separate sanitary sewer 100 ❑ Combined storm and sanitary sewer nix A.8. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? X 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 V. Constructed emergency overflows (prior to the headworks) 0 V. Other We 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 X No If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) n1a mgd Is discharge ❑ continuous or ❑ intermittent? C. Does the treatment works land -apply treated wastewater? ❑ Yes X No If yes, provide the following for each land application site: Location: Number of acres: Annual average daily volume applied to site: Na mgd Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ Yes X No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal 1 Cape Fear 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 Na Mailing Address n/a Contact Person n/a Title n/a Telephone Number (n/a) For each treatment works that receives this discharge, provide the following: Name n/a Mailing Address r/a Contact Person n/a Title n/a Telephone Number (n/al If known, provide the NPDES permit number of the treatment works that receives this discharge n/a Provide the average daily flow rate from the treatment works into the receiving facility. n/a 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 X No If yes, provide the following for each disposal method: Description of method (including location and size of site(s) if applicable): Annual daily volume disposed by this method: n/a Is disposal through this method ❑ continuous or ❑ intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA tons 7550-5 & 7550-22. Page 4 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside WWfP, NCO024210 PERMIT ACTION REQUESTED: RIVER BASIN: Renewal Cape Fear WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not include Information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.S. Description of Outfall. a. Outlall number b. Location (City or town, if applicable) (County) (Latitude) C. Distance from shore (if applicable) d. Depth below surface (if applicable) e. Average daily flow rate I. Does this ouffall have either an intermittent or a periodic discharge? If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: Months in which discharge occurs: g. Is outfall equipped with a diffuser? A.10. Description of Receiving Waters (Zip Code) (State) (Longitude) 180 ft. 11.5 fl. 12.6 mgd ❑ Yes X No (go to A.9.g.) X Yes ❑ No mgd a. Name of receiving water Deep River b. Name of watershed (if known) Randleman Lake United Stales Soil Conservation Service 14-digit watershed code (if known): unknown C. Name of State Management/River Basin (if known): Cape Fear River Basin United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03030003 it. Critical low flow of receiving stream (if applicable) acute unknown cfs chronic unknown cfs e. Total hardness of receiving stream at critical low flow (if applicable): unknown mgll of CaCO3 EPA Form 351 p-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 1 Renewal Cape Fear WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not include Information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Outfall. C. Outfall number d. Location (City or town, 1applicable) (County) (Latitude) C. Distance from shore (if applicable) d. Depth below surface (if applicable) e. Average daily flow rate f. Does this outfall have either an intermittent or a periodic discharge? If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: Months in which discharge occurs: g. Is outfall equipped with a diffuser? (Zip Code) (State) (Longitude) n/a tt. n/a ft. emergency only mgd X Yes ❑ No (go to A.9.g.) emergency only unknown mgd ❑ Yes X No A.10. Description of Receiving Waters. d. Name of receiving water Richland Creek e. Name of watershed (f known) Randleman Lake United States Soil Conservation Service 14-digit watershed code (if known): unknown I. Name of State Management/River Basin (d known): Cape Fear River Basin United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03030003 d. Critical low flow of receiving stream (if applicable) acute unknown cis chronic unknown CIS e. Total hardness of receiving stream at critical low flow (if applicable): unknown mg/l of CaCO3 EPA Form 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 8 7550-22. Page 6 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. X Primary X Secondary X Advanced X Other. Describe: Enhanced Biological Nutrient Removal b. Indicate the following removal rates (as applicable): Design 8005 removal or Design CBOD5 removal 99.57 % Design SS removal 99.16 % Design P removal 90.58 % Design N removal 93.93 % Other n/a % c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: Ultraviolet Disinfection If disinfection is by chlorination is dechlormation used for this ouffall? n/a ❑ Yes ❑ No Does the treatment plant have post aeration? X 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. Ouffall number: 002 MAXIMUM DAILY VALUE AVERAGE DAILY VALUE PARAMETER Value Units Value Units Number of Samples pH (Minimum) 6.0 s.u. pH (Maximum) 7.6 S.U. Flow Rate 32.6 MGD 12.62 MGD 1461 Temperature (Winter) 22.7 C 16.91 C 405 Temperature (Summer) 28 C 23.17 C _ 596 ' For pH please report a minimum and a maximum dailv value MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT _ METHOD Num-- ML/MDL er of bp - -- Conc. Units Conc. Units Sam les i CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN B005 7 nrl 12 m A 321 SM 5210 B-2011 <2 DEMAND (Report one) CBOD5 n/a n/a n/a n/a n/a n/a n/a FECAL COLIFORM 2420 #/100 ml 8.25 #/11010 321 Colilert 18 <1 TOTAL SUSPENDED SOLIDS (TSS) 12.4 m /I <2.5 m A 321 SM 2540 0-2011 <2.5 END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS — OF FORM 2A YOU MUST COMPLETE EPA Form 351 D-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22 Page 7 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NC0024210 Renewal Cape Fear 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 mild must answer questions B.1 through 8.6. All others go to Part C (Certification). B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration. 530.000' gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. `Estimate is based on water usage records compared to average daily flows A wastewater master plan is currently being conducted for High Point 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 ouffalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within'X mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlormation). 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. BA. 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 X No If yes, list the name, address, telephone number, and status of each contractor and describe the contractors responsibilities (attach additional pages if necessary). Name: n/a Mailing Address: n/a n/a Telephone Number: ( t Responsibilities of Contractor: n/a B.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 8.5 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. _n/a b. Indicate whether the planned improvements or Implementation schedule are required by local, State, or Federal agencies. ❑ Yes ❑ No EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-6 6 75W22. Page 8 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear C. If the answer to B.5.b is "Yes," briefly Describe, including new maximum daily inflow rate (if applicable). 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 MMIDD/YYYY MM/DD/YYYY - Begin Construction / / I / - End Construction / / / / - Begin Discharge l / I I - Attain Operational Level / I I / e. Have appropriate permits/dearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: B.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 outfall 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 CiA/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: 002 MAXIMUM DAILY AVERAGE DAILY DISCHARGE DISCHARGE ANALYTICAL POLLUTANT METHOD MUMDL Conc. Units Conc. Units Number Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) .060 mg/l .029 mgA 3 SM 450oNH3 H - 01 1997 CHLORINE (TOTAL .038 mA g . 025 mgll 3 SM 4500C1 G - <0.01 RESIDUAL, TRC) 2000 DISSOLVED OXYGEN 9 mg/I 7.9 mgA 3 SM 4500-0 G .01 TOTAL KJELDAHL .7 mgA .486 Mon 3 SM 4500 NORG .095 NITROGEN (TKN) D-1997 NITRATE PLUS NITRITE 787 mgA .48 mgA 3 SM 45DO NO3 F - 01 NITROGEN 2000 OIL and GREASE 5.9 mgA 5.3 mgA 3 SM5520B-2001 <5 PHOSPHORUS (rolal) .475 mgA .333 mgA 3 SM 50008 H .07 TOTAL DISSOLVED SOLIDS 500 mgA 481.6667 mgA 3 SM254OC-1997 10 (TDS) OTHER n/a n/a n/a n/a n/a n/a n/a n/a END OF PART B. 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. FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED. RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear BASIC APPLICATION INFORMATION PART C. CERTIFICATION All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ❑ Basic Application Information packet Supplemental Application Information packet: X Part D (Expanded Effluent Testing Data) X Part E (Toxicity Testing: Biomonitodng Data) X 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 Terry Houk 0 Signature � 7i-^- Telephone number (336) 883-3166 Date signedi't9 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/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 10 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear 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 mild 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 dischamed. 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 QAtQC requirements of 40 CFR Part 136 and other appropriate CA/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 forth. 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: 002 (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 Conc. Units Mass Units of METHOD Samples METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY <25 pgA 2.65 lbs. <25 Pg/I 2.43 lbs. 3 EPA 220.7 25 ARSENIC <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 SM2311113 B- 10 BERYLLIUM <5 pgA .53 Ilia. <5 pgA .49 lbs. 3 EPA 220.7 5 CADMIUM <1 pgA .11 tbs. <1 pgA .10 tbs. 3 SM2311 B- 1 CHROMIUM <5 pgA .53 Ibs. <5 pgA .49 lbs. 3 SM23111143 B- 5 COPPER <5 pgA .53 tbs. <5 pgA .49 lbs. 3 SM2311113 B 5 LEAD <2.5 pgA .26 tbs. <2.5 pgA .24 Ibs. 3 SM2311 8 2.5 MERCURY 4.420 pgA .0004 Ilia. 3.413 pgA .0003 Ibs. 3 EPA 1631 .001 NICKEL <10 pgA 1.06 lbs. <10 pgA .97 tbs. 3 SM2311113 B 10 SELENIUM <10 pgA 1.06 lbs. <10 p9/I .97 Ibs. 3 SM2311113 8- 10 SILVER 45 pgA .53 tbs. <5 p9A .49 Ibs. 3 SM211 B- 004 5 THALLIUM <20 pgA 2.12 tbs. <20 pgA 1.94 tbs. 3 EPA 220.7 20 ZINC 44 pgA 4.45 tbs. 38.7 pgA 3.77 tbs. 3 SM' 111111 B- 25 Lachat lD-204- CYANIDE 10 pgA .93 lbs. 8.33 pgA .79 Ibs. 3 00-1-X-Rev. 10 2.2 TOTAL PHENOLIC .120 milli 11.21 lbs. .063 Mgt[5.89 Ibs. 3 EPA 420.1 .01 COMPOUNDS HARDNESS (as CaCO3) 88 mgA 8220 tbs. 80 Mgt[ 7728 Ibs. 3 SM 34 C- 2 Use this space (or a separate sheet) to provide information on other metals requested by the permit writer n/a EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 11 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 Renewal Cape Fear Outfall number: 002 (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 Conc. Units Mass Units of METHOD Samples VOLATILE ORGANIC COMPOUNDS ACROLEIN <500 pgn 45.87 lbs. <500 pgn 18.61 Ibs. 3 EPA 624 500 ACRYLONITRILE <100 pgn 9.17 lbs. <100 pgn 3.72 lbs. 3 EPA 624 100 BENZENE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA624 10 BROMOFORM <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA 624 10 CARBON <10 p9 n .92 lbs. <10 P9n lbs. 3 EPA 824 10 TETRACHLORIDE .37 CHLOROBENZENE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA624 10 CHLORODIBROMO- <10 pen lbs. <10 pen lbs. 3 EPA 624 10 METHANE .92 .37 CHLOROETHANE <50 pgn 4.59 lbs. <50 pgn 1.86 lbs. 3 EPA 624 50 2-CHLOROETHYLVINYL <50 Pgn 4.59 lbs. <50 pgn 1.86 lbs. 3 EPA 624 50 ETHER CHLOROFORM 10 pgn .92 lbs. 10 pgn .47 lbs. 3 EPA624 10 DICHLOROBROMO- <10 pgn lbs. <10 pgn lbs. 3 EPA624 10 METHANE .92 .37 1,1-13ICHLOROETHANE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA624 10 1,2-DICHLOROETHANE <10 pgn .92 Ibs. <10 pgn .37 lbs. 3 EPA624 10 TRANS-I,2-DICHLORO- <10 P9n lbs. <10 Pgn lbs. 3 EPA624 10 ETHYLENE .92 .37 L <10 Pgn lbs. <10 pgn lbs. 3 EPA624 10 ETHYLEHYLENEE E .92 .37 1,2-DICHLOROPROPANE <10 Pgn .92 lbs. <10 p9n .37 lbs. 3 EPA624 10 1,3-DICHLORO- <10 pgn lbs. <10 pgn lbs. 3 EPA624 10 PROPYLENE .92 .37 ETHYLBENZENE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA624 10 METHYL BROMIDE <60 pgn 4.59 lbs. <60 pgn 1.86 lbs. 3 EPA624 50 METHYL CHLORIDE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA 624 50 METHYLENE CHLORIDE <10 pgn .92 lbs. <10 pgn .37 lbs. 3 EPA 624 10 1,1,2,2-TETRA- <10 pgn lbs. <10 p9n lbs. 3 EPA624 10 CHLOROETHANE .92 .37 TETRACHLORO- <10 pgn lbs. <10 pgn lbs. 3 EPA 624 10 ETHYLENE .92 .37 TOLUENE <10 Pgn _92 Ibsj <10 pgll ,37 lbs. 3 EPA624 10 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 8 7550-22. Page 12 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside WWTP, NCO024210 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: Cape Fear Ouffall number: 002 (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 TRICHLOROETHANE <10 pg/I .92 lbs. <10 pgA .37 lbs. 3 EPA 624 10 1,1,2- TRICHLOROETHANE <70 pgA .92 Its. <10 pgA .37 lbs. 3 EPA 624 10 TRICHLOROETHYLENE <10 pgA .92 lbs. <10 pgA .37 lbs. 3 EPA 624 10 VINYL CHLORIDE <50 pgA 4.59 lbs. <50 pgA 1.86 lbs. 3 EPA 624 5o Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer n/a ACID -EXTRACTABLE COMPOUNDS P-CHLORO-M-CRESOL <50 pgA 5.30 lbs. <50 pgA 3.63 lbs. 3 EPA 625 50 2-CHLOROPHENOL <10 pgA 1.06 lbs. <10 Pg/I .97 lbs. 3 EPA625 10 Z4-DICHLOROPHENOL <10 pg/I 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 2,4-DIMETHYLPHENOL <50 pgA 5.30 lbs. <50 pgA 2.38 lbs. 3 EPA 625 50 4,6-DINITRO-O-CRESOL <50 pgA 5.30 lbs. <50 pg/t 4.85 lbs. 3 EPA625 50 2,4-DINn'ROPHENOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 2-NITROPHENOL <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 4-NITROPHENOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 PENTACHLOROPHENOL <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 PHENOL <10 pgA 1.06 tbs. <10 pgA .97 lbs. 3 EPA625 10 2,4,6- TRICHLOROPHENOL <70 p9 /I 1.06 lbs. <70 pgA .97 tbs. 3 EPA 625 10 Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer Na BASE -NEUTRAL COMPOUNDS ACENAPHTHENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA 625 10 ACENAPHTHYLENE <10 pgA 1.06 tbs. <10 pgA _97 lbs. 3 EPA 625 10 ANTHRACENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 BENZIDINE <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 625 50 BENZO(A)ANTHRACENE <10 pgA 1.06 lbs. <10 pgA ,97 lbs. 3 EPA625 10 BENZO(A)PYRENE <10 119/1 1.06 tbs. <10 pgA .97 lbs. 3 EPA 625 10 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22, Page 13 of 39 FACILITY NAME AND PERMIT NUMBER: ACTION REQUESTED: RIVER BASIN: High Point Eastside VVVVTP, NCO024210 [PERMIT Renewal Cape Fear Oulfall number: 002 (Complete once for each outfall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL MLJMDL Number Conic. Units Mass Units Conc. Units Mass Units of METHOD Samples 3,4 BENZO- 00 pg/I 1.06 lbs. 00 pg/I .97 lbs. 3 EPA 625 10 FLUORANTHENE BENZO(GHI)PERYLENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 Z(K) O <10 pgA 1.06 lbs. <10 pgA •97 tbs. 3 EPA625 10 FL NE BIS (2-CHLOROETHOXY) <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 METHANE BIS(2-CHLOROETHYL)- <10 pgll 1.06 lbs. <10 pgA •97 lbs. 3 EPA625 10 ETHER BIS (2-CHLOROISO- <10 pgA 1.06 tbs. <10 pgA •97 lbs. 3 EPA625 10 PROPYL)ETHER BIS (2-ETHYLHEXYL) <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 PHTHALATE 4-BROMOPHENYL <10 pgA 1.06 tbs. <10 p9A •97 lbs. 3 EPA 625 10 PHENYL ETHER BUTYL BENZYL <10 pgA 1.06 tbs. . <10 pgA •97 tbs. 3 EPA 625 10 PHTHALATE 2-CHLORO- <10 pgA 1O6 lbs. <10 pgA .97 tbs. 3 EPA625 10 NAPHTHALENE 4-CHLORPHENYL <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 PHENYL ETHER CHRYSENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 DI-N-BUTYL PHTHALATE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 DI-N-OCTYL PHTHALATE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 DIBENZO(A,H) <10 pgA 1.06 lbs. <10 pgA .97 tbs. 3 EPA 625 10 ANTHRACENE 1,2-DICHLOROBENZENE <10 pgA 1.06 lbs. <10 pgA .97 tbs. 3 EPA625 10 1,3-DICHLOROBENZENE <10 pgA 1.06 lbs. <10 pgA .97 tbs. 3 EPA625 10 1,4-DICHLOROBENZENE <10 pg/I 1.06 lbs. <10 pgA .97 tbs. 3 EPA625 10 - <50 pgA 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA625 50 BENZIDINE BENZIDINE DIETHYL PHTHALATE <10 pgA 1.06 lbs. <10 pgA .97 tbs. 3 EPA625 10 DIMETHYL PHTHALATE <10 pgA 1.06 lbs. <10 PgA .97 lbs. 3 EPA 625 10 2,4-DINITROTOLUENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 2,6-DINITROTOLUENE <10 pgA 1.06 tbs. <10 pgA .97 lbs. 3 EPA625 10 1,2-DIPHENYL- <10 pgA 1•06 tbs. 410 pgA .97 lbs. 3 EPA625 10 HYDRAZINE EPA For 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 8 7550-22. Page 14 of 39 FACILITY NAME AND PERMIT NUMBER: ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, NCO024210 [PERMIT Renewal Cape Fear Outfall number: 002 (Complete once for each ouffall discharging effluent to waters of the United States.) MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL MLIMDL Number Conc. Units Mass Units Conc. Units Mass Units of METHOD Samples FLUORANTHENE <10 pg/I 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 FLUORENE <10 pg/I 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 HEXACHLOROSENZENE <10 pg/I 1.06 lbs. 00 pg/I .97 lbs. 3 EPA625 10 HEXACHLORO- <10 pg/I 1.06 lbs. <10 pgA •97 lbs. 3 EPA625 10 BUTADIENE HEXACHLOROCYCLO- <50 p9A 5.30 lbs. <50 pgA 4.85 lbs. 3 EPA 825 50 PENTADIENE HEXACHLOROETHANE <10 pg/I 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 INDENO(1,2,3-CD) <10 pg/I 1.06 lbs. <10 pg/I •97 lbs. 3 EPA625 10 PYRENE ISOPHORONE <10 pg/I 1.06 lbs. <10 pgA .97 tbs. 3 EPA 625 10 NAPHTHALENE <10 pg/I 1.06 lbs. <10 pg/I .97 lbs. 3 EPA625 10 NITROBENZENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 N-NITROSODI-N- <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PROPYLAMINE N-NITROSODI- <70 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 METHYLAMINE N-NITROSODI- <10 pgA 1.08 lbs. <10 pgA .97 lbs. 3 EPA 625 10 PHENYLAMINE PHENANTHRENE <10 pgA 1.06 Ibs. <10 pgA .97 lbs. 3 EPA 625 10 PYRENE <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA625 10 1,2,4 <10 pgA 1.06 lbs. <10 pgA .97 lbs. 3 EPA 625 10 TRICHLOROBENZENE Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer n/a Use this space (or a separate sheet) to provide Information on other pollutants (e.g., pesticides) requested by the permit writer n/a END OF PART D. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PART OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 15 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWfP, NCO024210 Renewal Cape Fear 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/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-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 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 biomonfloring 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.1. Required Tests. Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. See section EA., and attachment 4. X 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: Test number: Test number: a. Test information. Test Species & test method number Age at initiation of test Outfall number Dates sample collected Date test started Duration b. Give toxicity test methods followed. Manual title Edition number and year of publication Page number(s) c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used. 24-Hour composite Grab d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each. Before disinfection After disinfection After tlechlorination EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 39 FACILITY NAME AND PERMIT NUMBER: High Point Eastside WWTP, NCO024210 PERMIT ACTION REQUESTED: Renewal RIVER BASIN: Cape Fear Test number: Test number: Test number: e. Describe the point in the treatment process at which the sample was collected. Sample was collected: f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both Chronic toxicity Acute toxicity g. Provide the type of test performed. Static Static -renewal Flow -through h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source. Laboratory water Receiving water I. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. Fresh water Salt water j. Give the percentage effluent used for all concentrations in the test series. �l I l I k. Parameters measured during the test. (State whether parameter meets test method specifications) PH Salinity Temperature Ammonia Dissolved oxygen I. Test Results. Acute: Percent survival in 100% effluent % % % LCm 95% C.I. % % % Control percent survival % % % Other (describe) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 17 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN- High Point Eastside WWTP, NCO024210 Renewal Cape Fear Chronic: NOEC % % % IC25 % % % Control percent survival % % % Other (describe) m. Quality Control/Quality Assurance. Is reference toxicant data available? Was reference toxicant lest within acceptable bounds? What date was reference toxicant test run (MMIDD/YYYY)? Other (describe) E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation? ❑ Yes X 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: / / (MWDD/YYYY) Summary of results: (see instructions) Chronic Pass/Fail dates: 02/04/15, 04/15/15, 07115/15, 1021/15, 01/06/16, 04120/16, 05/16/16, 06/20/16, 07/13/16, 11/16/16, 12/05/16, 01/18/17, 04/19/17, 07/26/17, 10/18117, 01/24/18, 04/11/18. Failures occurred on 420/16, & 11/16/16 with no known cause, all others passed. END OF PART E. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YUU MU51 UUMPLL I L. EPA Form 3510-ZA (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 18 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWiP, NCO024210 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must complete part F. GENERAL INFORMATION: F.I. Pretreatment program. Does the treatment works have, or is subject to, an approved pretreatment program? X Yes ❑ No F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of industrial users that discharge to the treatment works. a. Number of non -categorical SIUs. 7 b. Number of ClUs. SIGNIFICANT INDUSTRIAL USER INFORMATION: Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and provide the information requested for each SIU. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 19 of 39 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: Alberdingk Boley, Inc. Mailing Address: 6008 W Gate City Blvd. Greensboro, NC 27407 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures resins for coatings industry. F.S. 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 pmduct(s): Polyurethanes and Polyacrylates Raw material(s): Diisocvanates Polvesterdiols Polvetheroolvols Polvcarbonatediols Monomers and Styrene 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. 4,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 2,000 gpd ( continuous or X 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? 40 CFR Part 414, Subparts G & H F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 20 of 39 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: CINTAS Corporation Location #45 Mailing Address: 4345 Federal Drive Greensboro, NC 27410 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Industrial Laundry Service F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Clean laundry shoo rags and rugs. Raw material(s): Detergent Builder Alkali Bleach, Antichlor, Sour, Soft, Pathfree (bleach activator) 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. 47,000 gpd ( X 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. 1.000 gpd ( continuous or X 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? F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 21 of 39 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: Custom Drum Services Mailing Address: 509 Woodrow Ave. High Point, NC 27262 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Reconditioning steel drums F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Reconditioned steel drums Raw material(s): Caustic sulfuric acid, phosphoric acid, ferric chloride F.6. Flow Rate. c. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per day (god) and whether the discharge is continuous or intermittent. 6,000 gpd ( X continuous or intermittent) d. 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. 200 gpd continuous or X 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? 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 22 of 39 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: Diversified Technologies Inc. Mailing Address: PO BOX 2039 Jamestown NC 27282 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Circuit Board manufacturer F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Printed Circuit Boards Rawmaterial(s): FR-4 epoxy -fiberglass -copper laminate electroplated copper, nickel and gold. 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. 500 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 100 gpd ( continuous or X 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? 40 CFR Part 413 84(b) F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes. describe each episode. EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-6 & 7550-22. Page 23 of 39 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: Harriss & Covington Hosiery Mills Mailing Address: 1250 Hickory Chapel Rd High Point, NC 27260 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Hosiery Manufacturing of socks from knitting, wet processing, packaging and distribution. F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Socks Rawmaterial(s): Yarn (wool nylon polyester, polypropylene cotton), dyes and chemicals. 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. 45,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 5,560 gpd ( continuous or X 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 subcategoM N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 & 7550-22. Page 24 of 39 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: Hunter Farms Mailing Address: 1900 N Main St. High Point, NC 27262 FA. Industrial Processes. Describe all the Industrial processes that affect or contribute to the SIU's discharge. Dairy Manufacturing F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Milk, Ice Cream & mixes, Sour Cream, Buttermilk. Orange Juice Rawmaterial(s): Milk, sugar, cultures powders, fruits and nuts. F.6. Flow Rate. c. 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. 167,000 gpd ( continuous or X intermittent) d. 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. 2,700 gpd ( continuous or x 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? N/A 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. IU has caused blockages in main line. There are no known issues caused by IU at WWTP. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 25 of 39 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: Innospec Active Chemicals Mailing Address: 510 W Grimes Ave. High Point NC 27260 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Organic & Inorganic chemical manufacturer for personal care fuel additive industries and toll chemicals. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Organic & Inorcianic Chemicals Raw material(s): Organic fatty acids and waxes organic amines monomers alcohols and aromatic hydrocarbons 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. 51,000 gpd continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1,300 gpd continuous or X 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? 40 CFR Part 414 Subparts G & H F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1.99). Replaces EPA forms 7550-6 & 7550-22. Page 26 of 39 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: Kersey Valley Landfill Mailing Address: 3940 E Kivett Dr. High Point, NC 27260 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Landfill operations F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): No products manufactured: generates leachate Raw material(s): N/A 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. 25.000" gpd ( X continuous or intermittent) *2018 data 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. 0' gpd continuous or intermittent) *Landfill office is on septic tank. 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 27 of 39 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: Mickey Truck Bodies Mailing Address: PO BOX 2044 High Point NC 27261 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufacturers aluminum truck bodies, trailers emergency vehicles and freight bodies which includes metal preparation prior to painting. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Truck bodies and trailers Raw material(s): Aluminum steel paint and solvents 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. 2,000 gpd continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 3,000 gpd ( continuous or X 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? 40 CFR Part 433.17 F.6. 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 28 of 39 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: Patheon Soft -gels, Inc Mailing Address: 4125 Premier Dr. High Point NC 27265 Fri. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Pharmaceutical manufacturing F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Soft gelatin and gelatin-enrobed pharmaceutical and nutritional capsules Raw material(s): gelatin glycerin sorbitol soybean oil tried chain triglycerides mineral oil, fish oil docusate sodium acetaminophen ibuprofen and other active pharmaceutical ingredients 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. 41,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 21,600 gpd ( continuous or X 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? 40 CFR Part 439.47 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 29 of 39 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: Slane Hosiery Mailing Address: PO BOX 2486 High Point NC 27261-2486 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Textile manufacturing F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Socks Raw material(s): Yarn dyes bleaches salt softeners dying auxiliaries 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. 136,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 10,350 gpd continuous or X 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? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 30 of 39 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: Slane Hosiery - Fairfield Mailing Address: PO Box 2486 High Point, NC 27261-2486 Fit. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Textile manufacturing F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Socks Raw materal(s): Yarn, dyes, bleaches, salt, softeners, dying auxiliaries F.B. 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. 67,000 gpd ( continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 4,300 gpd ( continuous or x intemtittent) F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following: a. Loral limits ® Yes ❑ No b. Categorical pretreatment standards ❑ Yes ® No If subject to categorical pretreatment standards, which category and subcategory? N/A F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550-5 S 7550-22. Page 31 of 39 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: SYNTEC Seating Solutions, LLC Mailing Address: 200 Swathmore Ave. High Point NC 27263 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures school bus seats which includes powder coating. F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Raw material(s): Steel vinyl foam and powder coat paint F.S. 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. 500 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1,200 gpd ( continuous or X intermittent) F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following: a. Local limits ❑ Yes ® No b. Categorical pretreatment standards M Yes ❑ No If subject to categorical pretreatment standards, which category and subcategory? 40 CFR Part 433.17 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 32 of 39 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: Teknor Apex — North Carolina Mailing Address: PO Box 577 Jamestown, NC 27282 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufacturers rigid and flexible PVC plastic into pellets F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Thermoplastic polymer pellets and custom blends Raw material(s): PVC resin stabilizers. plasticizer, fillers and colorants 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. 4.000 gpd ( continuous or x intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged Into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 1.700 gpd ( continuous or x 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? 40 CFR Part 414.46 F.S. 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 33 of 39 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: Thomas Built Buses Inc Mailing Address: PO BOX 2450 High Point NC 27261 F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Manufactures school and activity buses which include metal preparation prior to painting. F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): School and activity buses Rawmaterial(s): VOCS metals paints solvents algaecides sulfuric acid 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. 12,000 gpd ( continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 23,600 gpd ( continuous or X 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? 40 CFR Part 433.17 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22, Page 34 of 39 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: Ultra Coatings, Inc Mailing Address: PC BOX 57 High Point, NC 27261 FA. Industrial Processes. Describe all the Industrial processes that affect or contribute to the SIU'S discharge. Powder Coat Painting F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Nothing is produced (mob shop): powder coating service Raw material(s): Atlantic clean 7290, Atlantic Coat 5580, Atlantic seal 3033 and defoamer 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. 9,000 gpd ( X 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. 500 gpd ( continuous or X intermittent) F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following: a. Local limits ❑ Yes ® No b. Categorical pretreatment standards ID Yes ❑ No If subject to categorical pretreatment standards, which category and subcategory? 40 CFR Part 433.17 F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g., upsets, interference) at the treatment works in the past three years? ❑ Yes ® No If yes, describe each episode. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 35 of 39 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: Zebra Environmental Services Inc. Mailing Address: PO BOX 357 High Point INC 27261 FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge. Industrial Services contractor recovered contaminated groundwater F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's discharge. Principal product(s): Nothino produced' IU treats recovered contaminated groundwater or composts it for disposal Raw material(s): N/A 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. 5,000 gpd continuous or X intermittent) b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater Flow discharged into the collection system in gallons per day (gpd) and whether the discharge is continuous or intermittent. 700 gpd continuous or X 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? 40 CFR Part 437.26 F.6. 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. EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 36 of 39 RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE: F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe? ❑ Yes X No (go to F.12) F.10. 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 REMEDIATION/CORRECTIVE ACTION WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER: F.12. Remedistion Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities? X 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 origniale in the next five years). Petroleum -impacted groundwater remediation at Speedway #6954 801 W. Fairfield Rd High Point NC (Non-SIt1/locally permitted) Operations began May 9 2018 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.) Lead BETX MTBE DIPE Naphthalene C5-C8 Aliphatics, C9-C22 Aromatics &Aliphatic$. F.15. Waste Treatment. a. Is this waste treated (or will be treated) prior to entering the treatment works? X Yes ❑ No If yes, describe the treatment (provide information about the removal efficiency): Dual phase extraction equalization tank oil/water separator, and air stripping Treatment system approved by NCDENR b. Is the discharge (or will the discharge be) continuous or intermittent? ❑ Continuous X Intermittent If intermittent, describe discharge schedule. Mobile remediation equipment will operate in alternating 3-month periods Discharge is in batches maximum discharge expected is 3,000 god 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. Page 37 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WVVTP, NCO024210 Renewal Cape Fear SUPPLEMENTAL APPLICATION INFORMATION PART G. COMBINED SEWER SYSTEMS If the treatment works has a combined sewer system, complete Part G. G.I. 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 3.3 through GA once for each CSO discharge Point. G.3. Description of Outfall. a. Outfall number b. Location (City or town, 9 applicable) (Zip Code) (County) (State) (Latitude) (Longitude) C. Distance from shore (if applicable) ft. d. Depth below surface (if applicable) ft. 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 f. 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 8 7550-22. Page 38 of 39 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: High Point Eastside WWTP, N00024210 Renewal Cape Fear 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 (if known): C. Name of State Management/River Basin: United States Geological Survey 8-digit hydrologic cataloging unit code (if 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 39 of 39 Additional information: Attachments Table of Contents Attachment 1 Attachment 2 Attachment 3 Attachment 4 Topographical Maps Process Flow Diagrams Plant Description & Sludge Management Plan Toxicity Results NPDES FORM 2A Additional Information Attachment 1—Topographical Maps NPDES FORM 2A Additional Information CITY OF HIGH POINT EASTSIDE WASTEWATER TREATMENT PLANT .0 1 L -7 4 9 V////A, rEU,,,.Qo d � .A — ,p4 U .p G o Legend 6 STREETS �4 0 PARCELS BUILDINGS 10 FT CONTOURS ° — TREATED WASTEWATER EFFLUENT o — WASTEWATER LINES o. b z WASTEWATER STRUCTURES EFFLUENT PUMPING STATION Q q G ® � YM UFAlID 81^. ��rtovm�s u tLC NPDES FORM 2A Additional Information CITY OF HIGH POINT EASTSIDE WASTEWATER TREATMENT PLANT r _. l., '•� - ---• it : � .-•-- �`� - P I I — r k. I I �'. r' • I -il N I1�_-JT^rj,l -j-Y w Y - - ' :,{=.� , ; ; I Legend 1-3 otmDom STREM STREALIS FINCELS L I 1 rr.ocla®sr. NPDES FORM 2A Additional Information Attachment 2 — Process Flow Diagrams NPDES FORM 2A Additional Information . p_='_... _.� foci ( 1-���• � r.. �M jib s J '•'�' pTy pF fIGH PONT HAZEN AD SAYERrnmY CAna.0 � YEau«cu Mss .1�.� M 7 MOOCYIfI.M � YWubIMnIAFMBNf..4 PIIOfLS$i1CI YJ4W11C � ...�.. v.r�r<rv. EA9fSOE WAS1FVYlFR fPEA'i Jff H/M `�`^' W`"K �.•�F— - xW.•. ^..•'�,�'.• 1 M YGO V W.LLE I.fD Ev0AN9lOq IA Yl 0 E »o 0 a 0 LL En W O IL z •��1�YV YIrY� �i71•YYrri �y " ^ 3DO-001 r � l ilEY R .. ',. Md�CdIYG u � �/�/l �r1� ��■/�� lJ XPY \ iNll e8L0 T _. `� VIP MN + � � \ VVIIIF PNtlFMMI rAIE l _ / {S �''L,p rYA1NIL PLL'l EL 1!4 Yc PC CN ' , pJYN-0OZ +P M mm R l M nu rt I��c ewo II 1 anana a` I —� 7 f ENGINEERING LmpLAND PLANNING SURVEYING w ..dmp lnc.wm I,1 .vrcamR'JPeoRc/Puunm inxly I est a w .Ri o-w ^ _- '—Nn tim��mm� �,r..Min ter. LEGEND ORAINAOE SGUNCARY vr— STORM ORAIIJ SYSi -- PROPERTY UNE DITCH OPEN PROCESS UNIT BUILOIIJC PA�UJT — SIDEWALK OUTLET AREA DRAIIJ( e) AREA (m) IMPERNOUS MO-001 30.60 7.04 22.97% SCO-002 11.39 0.M 22.]Ox SDO-003 4,41 0.13 2.955 TOTAL 35.45 7.40 20.52% PROIE07 09005E SCALE ry 0 Tn LU 0 OL z Attachment 3 — Plant Description & Sludge Management Plan NPDES FORM 2A Additional Information DESCRIPTION OF PLANT FACILITIES City of High Point, Eastside WWTP NPDES Permit # NC 0024210 The Eastside WWTP provides tertiary treatment of the wastewater using the activated sludge process followed by effluent filters. The activated sludge process operates in the biological nutrient removal (BNR) mode to provide nitrogen and phosphorous reduction to meet stringent requirements for discharge of effluent to Randleman Lake. Following the activated sludge stage, additional solids and organic material are removed by effluent filters. The effluent is then disinfected by ultraviolet light prior to discharge. Waste activated sludge is thickened by dissolved air flotation (DAF) thickening. Primary sludge can be thickened in two fermentation tanks or sent directly to two sludge blending tanks for blending with waste activated sludge prior to dewatering, incineration and disposal of incinerator ash in compost material or in brick manufacturing. Raw wastewater enters the plant through a junction box, from which the flow is fed to the Preliminary Treatment Facilities through a 66-inch diameter line. From the Preliminary Treatment Facilities, the wastewater flows through the entire treatment plant by gravity. The bar screens at the Preliminary Treatment Facilities consist of three mechanically -cleaned screens and one manually - cleaned screen for backup. The screens remove rags, sticks, and other large objects to prevent clogging and interference with operation of downstream pumps and other process equipment. From the bar screens, the wastewater flows through two channels to the grit collectors. Two stirred vortex grit collectors operate in parallel for removal of sand and other heavy inorganic particles. Grit removal is provided to reduce abrasion on downstream equipment and minimize reductions in process efficiency due to accumulation of inorganic material in process units. Grit cyclones and grit classifiers are provided to remove organic material from the settled grit. The grit is then deposited in a dumpster for ultimate disposal in a landfill. Five primary clarifiers are provided and are designed to remove a portion of the influent BOD5 and suspended solids to reduce the organic loading on the biological nutrient removal activated sludge system. Sludge collectors in each clarifier move the settled solids to a hopper, from which it is removed and pumped to the fermentation tanks or the sludge blending tanks. The fermentation tanks are used to break down the primary sludge to produce a fermentation liquor with volatile fatty acids for the BNR activated sludge process. After fermentation, the primary sludge is pumped to the sludge blending tanks. Floating material, or scum, is also removed in the primary clarifiers. Scum pumps are provided to pump the scum into the discharge line for the primary sludge pumps for treatment with the primary sludge. After primary settling, the wastewater flows to the activated sludge stage. The primary effluent can also be directed to the flow equalization facilities, which consist of flow equalization basin, two aerated equalization basins and two equalization/sludge storage tanks. The flow equalization facilities can be used to reduce peak flows to the biological treatment facilities during wet weather conditions and to reduce the effects of diurnal flows. The BNR activated sludge stage consists of the anaerobic/anoxic/aeration (AAA) tanks, the nitrified recycle (NRCY) pumps, the final clarifiers, and the return activated sludge (RAS) pump stations. Primary effluent first enters the AAA tanks, where biological activity takes place under anaerobic, anoxic (mixed only), and aerated conditions for phosphorus removal; removal of BOD5; complete nitrification; and denitrification. Four AAA tanks are normally in service at all times. The aerated portions of the four tanks are aerated by a fine bubble diffused air aeration system. The anaerobic NPDES FORM 2A Additional Information and anoxic zones in the AAA are mixed by vertical mixers, which provide mixing without adding oxygen to the mixed liquor. Mixed liquor recycle is provided by nitrified recycle pumps, which pump mixed liquor from the end of the aerobic, or nitrification, zone to the head of the first anoxic zone. The AAA tank effluent, or mixed liquor, is equally distributed to the four final clarifiers. In the final clarifiers, the activated sludge is settled out for return to the AAA tanks. The clear liquid above the settling sludge overflows the effluent weirs and flows to the effluent filters. The settled sludge is removed from the clarifiers through suction -type sludge collectors and flows to two RAS pump stations, from which the return sludge is pumped to the AAA tanks. The two RAS pump stations discharge to the anaerobic zone distribution channel and the RAS is distributed equally among the operation AAA tanks. Excess sludge is removed from the BNR activated sludge system by the RAS pumps. From the RAS pump stations, the waste activated sludge is pumped to the solids handling facility for solids treatment and ultimate disposal. The final clarifier effluent flows to six effluent filters for removal of fine solids not removed in the final clarifiers. Two of the effluent filters are deep bed -type filters, containing approximately 48 inches of sand supported by 12 inches of filter gravel. The other four filters are dual media -type filters. Filter effluent flows through the underdrain system to the ultraviolet (UV) disinfection facilities. Backwash water for the filters is taken from the Wash Water Storage Tank next to the Primary Clarifier #5 and after backwashing, is collected in the wash water recovery basins for return to the head of the plant. Facilities are provided to bypass a portion of the secondary effluent when wastewater flows exceed the capacity of the effluent filters. Ultraviolet light is used for both filter effluent and filter bypass water disinfection. Three ultraviolet disinfection channels are provided with each channel containing two banks of UV lamps. Effluent from the ultraviolet disinfection facilities flows through three effluent Parshall Flumes for flow measurement and then flows to an Effluent Pump Station. The effluent is pumped to Groometown Road where it flows down a Cascade Aerator and into the channel of the Deep River in the Randleman Reservoir. Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge blending tanks, two centrifuges, a fluidized bed incinerator, and ash lagoon for ash storage and associated pumps and process equipment. Primary sludge is normally pumped to the sludge blending tanks but can be pumped to the fermentation tanks if additional food source is needed for BNR purposes. Waste Activated Sludge and Primary sludge are mixed in the sludge blending tanks from which the mixed sludge is pumped to the centrifuges for dewatering. After dewatering, the dewatered sludge is pumped to the incinerator and the ash is pumped as a slurry to the ash lagoons and then disposed of by adding to compost at the City landfill or it is transported to a brick manufacturing facility and used to make brick. An Odor Control System consisting of a two stage wet scrubber process was added in 2008. A 30,000 SCFM fan pulls the gases from the sludge storage tanks and the dewatering building through the two stage scrubbers where hydrogen sulfide odors are removed. Three 2000 kW diesel -driven generators provide standby power. Two diesel -fuel storage tanks of 10,000 gallons each provide fuel for the generators. The generators are sized to provide full power to the plant. NPDES FORM 2A Additional Information SLUDGE MANAGEMENT PLAN City of High Point Eastside WWTP The City of High Point has a Residual Management Division to manage the solids from the Eastside WWTP, Westside WWTP and the Ward Water Plant. The process of sludge disposal for the Eastside WWTP is dewatering and incineration. Solids handling facilities consist of three dissolved air flotation (DAF) thickeners, two sludge blending tanks, one sludge storage tank, two centrifuges, an incinerator, an ash lagoon for ash storage and associated pumps and process equipment. Waste activated sludge is pumped to the DAF units for thickening. The solids content of the WAS is approximately 1 % prior to thickening and about 3.5% after thickening. The thickened sludge is then pumped to the sludge blending tanks. Thickened primary sludge, approximately 3.5% solids, is also pumped to the sludge blending tanks. A total of approximately 50,000 — 100,000 gallons per day of WAS and primary sludge is pumped to the sludge blending tanks. The sludge from the sludge blending tanks will be pumped to the centrifuges for dewatering. The dewatered sludge, approximately 25% - 27% cake, from the centrifuges is conveyed to incinerator with the resulting ash going to two ash lagoons. The ash will be removed from the ash lagoons and dried on the ash drying pad with the ultimate disposal at the City of High Point's composting facility or it is taken to a brick manufacturer. If there is a failure of the incinerator or the two centrifuges, sludge can be stored in the sludge blending tanks and the sludge storage tank for approximately 22 days. If just the incinerator is out of service, the sludge could continue to be dewatered. Once dewatered, the sludge could be trucked to a lined landfill or stored until the incinerator is fixed. If the centrifuge at Westside WWTP is down for several days, liquid sludge may be transported by tanker on a temporary basis, to the Eastside WWTP and pumped into the sludge blending tanks. It is then dewatered with the Eastside WWTP solids and incinerated. Terry L Houk BSET 1,9 CITY OF HIGH POINT Public Services Director 211 S Hamilton, Room 2061 High Point, NC 27260 336.883.3218 1 fax: 336.883-1675 tenv. houkA h ighpointne.gov www.highpoininc.gov/plan Follow Us - Please be aware that e-mail and attachments sent to and from this address are subject to the North Carolina Public Records Law and may be disclosed to third parties. NPDES FORM 2A Additional Information Attachment 4 Toxicity Results NPDES FORM 2A Additional Information X Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/16/18 Eastside Waste Treatment Plant NPDES#.: NCO024210 Pipe#: 01 County: Guilford P949rping Test: Central Laboratory Services Comments: UV Disenfection being used ture o oratory upervisor I • PASSED: 7.08% Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test I Chronic Test Results Calculated t = 2.255 :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 30 11 12 } Reduction = 7.08E M # Young Produced 1130129136131129128132129131132130130 Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL :ffluent g: 90g TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 6.895% # Young Produced 31 L26 30 26272725 2934272930 g control orgs producing 3rd brood Adult Wive (D)ead L L L L L L L L L L L 100% } Mortality Avg.Reprod. 0.00 30.58 Control Control 0.00 28.42 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample let sample 2nd sample Complete This For Either Test PH Test Start Date: 04/11/08 Control 7,$3 '}5°1 -4. },w ?jOA 74 63 Collection (Start) Date Treatment 2 1 L� et) Sample 3: e/Du at i Sample 2: �,r? '�� �_ '}, a.. �� Sample Type/Duration 2nd s s e Grab Comp. Duration D lst P/F a n a n a n Sample 1 i( ''Sphre L A A r d r d r d U M M t t t Sample 2 -$hra T P P 1st sample 1st sample 2nd sample D.O. Hardness (m9/1) Control a3 B h $ $ s.t a 6 a n t Treatment 2 .-4le �33 O -}9 Spec. Cond. (}mhos) )�.9 O Chlorine(mg/l) .....: N[a Nf� LC50/Acute Toxicity Test Sample temp. at receipt("C) ci ..... 1. 0 3 O (Mortality expressed as t, combining replicates) g g g } } g } g } g g } } } } g } g g g obit Note: Please Concentration Complete This Section Also Mortality start/end start/end nation Control = High Conc. CIS D.O. LC50 = g Method of Determi 95% Con Bence imits Moving Average Pr Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DDBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/08/18 Facility: ��Eaaassstaide Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford XaatYtXr formi Tee Cent oratory Services Comments: UV Disenfection being Ir bc�a e o ra or in e s 9e__. used Iglignature or Laboratory upervi I * PASSED: 4.40% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail keproduction Toxicity Test :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 11281331311301331321341291261301291291 Adult Wive (D) ead L L L L L L L L L L L L Iffluent $: 90% REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 11 # young Produced H33127128127131128127126133128129 Adult Wive (D)ead IIL IL IL IL IL IL IL Chronic Test Results Calculated t = 1.372 Tabular t = 2.508 $ Reduction = 4.40 $ Mortality Avg.Reprod. 0.00 30.33 Control Control 0.00 29.00 Treatment 2 Treatment 2 Control Cv 7.742% PASS FAIL $ control org5s producing 3rd brood ICheck One 100% 1st sample 1st sample 2nd sample Complete This For Either Test PH Teat Start Date: 01/24/18 Control 7.58 7.94 7.56 7.56 17.57 7.65 Collection (Start) Date Treatment 2 8.12 7.56 8.22 7.51 8.2D 8.28 Sale le 1: Type/Duration Sample 2: O1/24/18 Sample Type/Duration 2nd let P/F s s s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 23.5 bra L A A r d r d r d U M M t t t Sample 2 X 24.0 bra T P P lst sample let sample 2nd sample D.O. Hardness (mg/1) 48 eeeee:[2ii ce:::ieiii Control 7.57 7.86 7,46 7.75 7.69 7.8E Treatment 2 8.20 8.01 8.23 8.01 8.06 8.41 Spec. Cond.(µmhos) 117 710.2 792.9 Chlorine(mg/1) ..... na na LC50/Acute Toxicity Test Sample temp. at receipt(-C) :: ..... 2.0 1.0 (Mortality expressed as $, combining replicates) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ obit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control High Conc. DR D.O. LC50 = $ Method of Determination 95$ Conniden�imite Moving Average Pr _ Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 11/21/17 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: EQ. County: Guilford Laboratoory erforming Test Central Laboratory Services X �ry er o,-� Cosmients: UV Disenfection being gna re o Operator in es sl e_ arge used gnature o o upe sor I * PASSED: 10.36E Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept_ of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 _i-___ Chronic Pass/Fail Reproduction Toxicity Test :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced J133134131132f32135133133132131128132 Adult (L)ive (D)ead HL IL IL IL IL IL IL L IL IL JL IL If fluent 8: 94 S/. NP,Qw REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 5.439E # young Produced 28129 29 27 30 31 32 26 26 32 28 28 p, control or ge producing 3rd brood Adult (L)ive (D)ead L L L L L L L L L L L L loop, Chronic Test Results Calculated t = 4.247 Tabular t = 2.508 p, Reduction = 10.36 8 Mortality Avg.Reprod. 0.00 32.17 Control Control 0.00 28.83 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample let sample 2nd sample Complete This For Either Test PH Test Start Date: 10/18/17 Control 7.39 7.69 7.35 7.57 8.09 7.65 Collection (Start) Date Sample 1: 10/16/17 Sample 2: 10/18/17 Treatment 2 7.56 7.86 7.47 7.79 7.66 7.67 Sample Type/Duration 2nd lot P/F s s e Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.1 bra L A A r d r d r d U M M t t t Sample 2 X 24.0 bra T P P lot sample 1st sample 2nd sample D.O. Hardness (mg/1) 50 Control 8.82 8.49 8.62 8.43 8.69 8.39 Spec. Cond.(µmhos) 117 721.4 824.7 Treatment 2 8.72 8.36 5.71 8.34 8.95 8.29 Chlorine (mg/1) ..... NA NA LC50/Acute Toxicity Test Sample temp. at receipt(°C) ....... 1.9 2.7 (Mortality expressed as 8, combining replicates) Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit _ High Conc. DH D.O. LCSO = 8 Method of Determination 958 Con ii'Tence Eimits Moving Average Probit - 8 Spearman Karber _ Other Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev_ 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/02/17 Facility: HIGH POINT - EAST NPDES#: NCO024210 Pipe#: Aei County: GUILFORD Comments: I&Ignature of Laboratory Supervisor I * PASSED: 14.52% Reduction * Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Chronic Pass/Fail Reproduction Toxicity Test ,ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1128127123127128121123128127125128 Adult Wive, (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL Sf£luent a: 85$ 7REATMRNT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 9.313% # Young Produced 14 26 22 23 23 19 21 25 22124123123 a control orgs producing 3rd Adult (L)ive (D)ead D L L L L L L L L L L L brood100a Chronic Test Results Calculated t = 3.299 Tabular t = 2.508 $ Reduction = 14.52 $ Mortality Avq.Reprod. 0.00 25.83 Control Control 8.33 22.08 Treatment 2 Treatment 2 PASS FAIL X Check One lot sample 1st sample 2nd sample Complete This For Either Test pH Test Start Date: 07/26/17 Control 8.11 8.02 8.13 8.11 8.02 8.01 Collection (Start) Date Sample 1: 07/24/17 Sample 2: 07/26/17 Treatment 2 7.62 6.19 7.66 8.20 7.71 8.10 Sample Type/Duration 2nd let P/F s a s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.0 hrs L A A r d r d r d U M M t t t Sample 2 X 24.0 bra T P P let sample 1st sample 2nd sample D.O. Hardnese (mg/1) 46 Control 8.02 7.68 7.81 7.71 7.80 7.51 Spec. Cond.(pmhos) 163 Ef •.. Treatment 2 8.31 7.79 8.37 7.72 8.33 7.46 Chlorine(mg/1) E ..... LC50/Acute Toxicity Test Sample temp. at receipt(°C) ci .....' 1.1 (Mortality expressed as a, combining replicates) $ $ $ $ $ $ $ $ $ $ Note: Please Concentration Complete This Section Also y Mortalit start/end start/end nation Control obit her - High Conc. pH D.O. LC50 = a Method of Determi 95% ConUTaence Limits Moving Average Pr $ -- $ Spearman Farber - Ot Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) NPDES FORM 2A Additional Information Mini ct Client L -� Pipe*: �� County: _ NPDES #�-) Date / Time of Culture Transfer:? 7 Dilution Water: Lake Brandt Date / Time Neonates barn: ). Test Organism Source: Tray # Age of onates at Test Start: Stirred / Aerated for D.O.: Y ! N Randomized: Y / N Culture Tray Meritech, Inc. �e slFell, reap. cad°daphnia pubis Incubator (�aCCI�— Date Start: Date End: Time Start: Time End: �v�- G, lst Renewal Date: 7- V-5�- 17 Time: 5 7. hours 2nd Renewal Date: 7- �/ -7% Time: Lt�jf%vj P. •r5=1) °C Analyst(s): MR, cD, a.v, sa Reviewed by: _ AA Dav 92 1 2 3 d A, A 7 A g I 11 19 #Young Produced 0 1 0 0 0 0 1 0 0 0 0 0 1 0 1 0 Adults Live / Dead L- L L L_ L- t- L L- I >_ I L_ I 1✓ a. a Da #7 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 13 17 M I1 D l - 1p t 1 Adults Live / Dead y_ I cal Lf 7 I J L I 1 _ I L- �•f I f _I I - Total Percent of Control producing third brood: Test Sample Organism Reproduction Effluent %: Day _#2 1 2 3 4 5 6 7 8 9 10 11 12 #Young Produced 0 0 0 0 0 1 0 1 0 1 0 10 0 1 0 0 Adults Live / Dead /_ L L. L. I L- --IL_ L-4 _ L ��'�'l/l��s111 1�1L'I©�'��il�}i7�'/�L47F'J�ififLv�lA�A©L1 a. a C y7 Sample 1: - 1-t9 Sample 2: 7- %h- l Sample Informatlon 100°/a H G / C7 Duration Sample 1 50 L-24, 0 hours Sam le 2I L G hours a. a C y7 Sample 1: - 1-t9 Sample 2: 7- %h- l Sample Informatlon 100°/a H G / C7 Duration Sample 1 50 L-24, 0 hours Sam le 2I L G hours 8� .LIMO fa '' r `rl ` t' Transferred ty r a W. Dayo J4IL,Gi� Day 1 Day 2 /�` Ll/ Day 3 Day 4 Day 5 t ( Day 6 Terminated by: 4:-- H lots mple 2nd Sample 2nd Sam le Control Sample DI�� SW1 IfII IB IN I II D.O. lots mple 2nd Sample 2nd Sem le 5 81l- MID n 0 110 1 0 M 0 Temp. lot Sample 2nd Semple 2nd Sample Total Produced 3 Comments: � Controls l) i Control al3 74y Sample aul L �yrZ c 0 12 0 N 0 O LL rn w a o_ z MERITECHr INC. Me atltl sempelox of}S t% Bloassay Sample Chain of Cusfodv 46 642 Tamco Rd, Reidsville NC 27320 Phone: 1336-3424748 Fax: 1-336-342-1522 Toxicity Supervisor email: mlke.reedftmeritech-labs.com Web Site: ermvmeritechaabs.wra �n1 ` CLIENT INFORMATION Chant C t-1-,.� o� f\tjq� �O,'C,k PO# Contact Person: NPDES#: NC CO4 e1) U Address: ) a.) �i�^+� t+r» d c�a'v� .�T- Phone:�(p- '� o1a.- yi"-5 GIs City: Pape#. �O Camay. Stale: \VC Zip::,?r-0 'l- SAMPLE INFORMATION y Sample Site: Skim. 1.�'�tJU-71P i,V-G��V"T Sample Type: ❑Grab %}CoomposZite #ofcontamers: Sampling Time: StartDate: 7�t II2T Start Tme:� e PM EndDate: II T End Timor (9. PM Triple rinse sample container with sample before filling. Completely liff the sample container with no air space. Pack the sample cooler completely in lce. The sample must be < 6.11 upon recelplaf the laboratory. Collectors Name: Print ,r(211 APAPI- _ Signature: Test Required: U Chronic (7 days) ❑ Acute (2448 hours) IWC: 8,5 % Comments: TOXICITY TEST INFORMATION Test Organism: NCeriodaphniadubfa (waterflea) ❑ Pimephales promelas (fathead minnow) ❑ Mysidopsisbahia (shrimp) Test Concentrations (d mutbple dilutions): SHIPPING INFORMATION j Relinquished by. y��U / Date:/pc�j' /� Time: PM Received by. a� Date: UPy3-!S Time: PM Relinquished try. 't'SI-" Date: �' 1 Time: ��S PM Received by. Date: _ Time: �(�(�J F-P-M Relinquished by. Date: 7 Time: �` AM Received by. Date: Time: AM Relinquished by Date: Tbm: AM PM Received by Date: Time: AM PM Sample Temperature (°C} Method of Shipment❑ UPS ❑ Fed EX of Mer tech Pk:k-up ❑ Delivered ❑ Other Samples shipped on Friday must be FeFF cEx and must be dearly labeled for Saturday derwery. NO SIGNATURE REQUIRED SAMPLE RECEIVING (Laboratory Use Only) Relinquished by.'�— Sl �N Received by-, Date: --� Tma: .r C� AM kD Mr Sample Temperatures (°C):A� l l I Sample CondiBon: WHITE a LaborAwy copy YELLOW = Client copy NPDES FORM 2A Additional Information MERITECH, INC. aem a samaelox i�� �� 1laS Bbassay Sample Chain of Custody 642 Tames Rd, Reidsville NC 27320 Phone: 133F342-4748 Fax: 1-336-342-1522 Toxicity Supervisor email: mike.reed®rneritecMabs.com Wab Site: wvnv.meritech-labs.com CLIENT INFORMATION Client: C�� �'� h10.� �ox-r�� POII: Contact Person: NPDESIk. NC �oQ�421)0 Address: 1--�L1 }a ��rra\P+sy�- Ptwne: 33�,�rC��.-��.'1 City: T1�t CL Plpe#.�'. County: G -, Fes' a Srate: N G Zip: 'ate a c1 Sample Sample Type: ❑Grab -->rcomposRe rim e: me: Start Date: I �ztPi ' l-I End Data: , �Z-1 � k 1 # of containers:Z StartTime:_QU_Zil Q�p PM End Time:`J PM Triple rinse sample container with sample before felling. Completely fill the sample container with no air space. Pack the sample cooler completely in ice. The sample must be < 6.0°C upon rerei tat the laboratory"" Collectors Name: Print f5ylc-V1L 'PQA `;SL. Signature: �,, TOXICITY TEST INFORMATION - Test Required: A Chronic (7 days) Test Organism: )2rCerlodaphnia dubia (water flea) - ❑ Acute (24-48 hours) ❑ Pimephales promelas (fathead minnow) ❑ Mysldopslsbahia (shrimp) Comments: Relinquished Received Relinquished Received Relinquished Received Received by. IWC: a's % Test Concentrations (I multiple dilutions): SHIPPING INFORMATION Date: t -1 1 2-1 \ �, Date: Date: -7 Z Date: 7 12` I ) -z _ Date: VZ11 / % Date: Date: Date: Sample Temperature ("C): Time: Time: 00 9 to Time: /r-4'J Time: /2:4/ Time: Time: �t Torre: Time: If PM PM AM PM � AM Pf M 1 AM PM AM PM AM PM Method of Shipment❑ UPS ❑ Fed EX ❑ Mentech Pick-up El Delivered ❑ Other Samples shipped on Friday must be FedEx and must be dearly labeled for Saturday delivery, NO SIGNATURE REQUIRED " SAMPLE RECEIVING(Laboratory Use OnW Relinquished by I Received by Date: Tune:1— AM Sample Tempemtunscc / /_/ Sample Condition: mommmow- WHITE = Laboratory copy YELLOW = Client copy NPDES FORM 2A Additional Information Effluent Toxicity Statistical Results - Chronic Pass/Pail Date: 08/02/17 Facility: HIGH POINT - EAST NPDES#: NCO024210 Pipe#: 001 County:GUILFORD Laboratory Performing Test: MERITECH LABS, INC. Reduction: 14.52& CONTROL 85V Effluent # Replicates 12 12 Female Live 12 11 Adult Male 0 0 Adult Dead 0 1 Adult Mortality 0.00t 8.33$ # Neonates 310 265 Mean # Neonates 25.833 22.083 Standard Deviation 2.406 3.118 Coefficient of Variation 9.313% Fisher's Exact Test A = 12 B = 12 a = 12 b - 11 a/A = 1.00 b/B = 0.92 Success is: survival Critical b value = 8 11 > 8 The test concludes that the proportion of survival is not significantly different for the control and the effluent groups. Test Passes! SHAPIRO-WILK-S TEST FOR NORMAL DISTRIBUTION OF DATA ORDERED OBSERVATIONS i Group Neonates Centered i Group Neonates Centered 1 E 14 -8.0833 13 E 23 0.9167 2 C 21 -4.8333 14 E 23 0.9167 3 E 19 -3.0833 15 C 27 1.1667 4 C 23 -2.8333 16 C 27 1.1667 5 C 23 -2.8333 17 C 27 1.1667 6 E 21 -1.0833 18 E 24 1.9167 7 C 25 -0.8333 19 C 28 2.1667 8 C 25 -0.8333 20 C 28 2.1667 9 E 22 -0.0833 21 C 28 2.1667 10 E 22 -0.0833 22 C 28 2.1667 11 E 23 0.9167 23 E 25 2.9167 12 E 23 0.9167 24 E 26 3.9167 NPDES FORM 2A Additional Information SHAPIRO-WILX'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.) COEFFICIENTS AND DIFFERENCES i x(n-i-1) x(i) a(i) x(n-i-1) - x(i) 1 3.9167 -8.0833 0.4493 12.0000 2 2.9167 -4.8333 0.3098 7.7500 3 2.1667 -3.0833 0.2554 5.2500 4 2.1667 -2.8333 0.2145 5.0000 5 2.1667 -2.8333 0.1807 5.0000 6 2.1667 -1.0833 0.1512 3.2500 7 1.9167 -0.8333 0.1245 2.7500 8 1.1667 -0.8333 0.0997 2.0000 9 1.1667 -0.0833 0.0764 1.2500 10 1.1667 -0.0833 0.0539 1.2500 11 0.9167 0.9167 0.0321 0.0000 12 0.9167 0.9167 0.0107 0.0000 1 W X 151.4241 170.5833 Calculated W - 0.888 Critical W = 0.884 0.888 a 0.884 The reproduction data is normally distributed evaluated at a 99t confidence interval. Test Passes! F test for Homogeneity of variance Effluent variance 9.7197 F = _ = 1.68 Control variance 5.7879 Numerator degrees of freedom: 11 Denominator degrees of freedom: 11 Critical F - 5.32 1.68 s 5.32 =� The Test PASSES, the variances of the two groups are significantly the same, homogeneous. NPDES FORM 2A Additional Information EQUAL VARIANCE t TEST 25.8 - 22.1 t = 3.299 1.137 Degrees of freedom - 22 Critical t = 2.508 3.299 x 2.508 Test fails. There is a significant difference in reproduction between the Control and the effluent evaluated at a 99% confidence interval. Chronic Test PASSES The reduction was less then 201; NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/24/17 Facility: Eastside Waste Treatment Plant NPDES#: MC0024210 Pipe#: 01 County: Guilford Labors rfo T tral aboratory Services p/� / Comments: W Disinfection being X�,C.yi �y�../ rf a r o_ Operator in es nsi a arge used Iigna ure oratory Supervisor I * PASSED: 7.22% Reduction J Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1130137135130135130136130133133129 Adult (L) ippve (D) ead L L L L L L L L L L L L 'sffluent $: dSo TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV S.781$ # Young Produced 29 31 30 28 30 32 29 29 29 31 30 32 % control orgs producing 3rd brood Adult (L)ive (D)ead L L L L L L L L L L L L 100% Chronic Test Results Calculated t = 2.596 Tabular t - 2.508 $ Reduction = 7.22 $ Mortality Avg.Reprod. 0.00 32.33 Control Control 0.00 30.00 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 04/19/17 Control 7.60 7.50 7.42 7.40 7.46 7.60 Collection (Start) Date Sample 1: 04/17/ti Sample 2: 04/19/17 Treatment 2 7.51 7.75 7.50 7.76 7.66 7.67 Sample Type/Duration 2nd 1st P/F s s a Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.1 bra L A A r d r d r d U M M t t t Sample 2 R 24.0 hrs T P P 1st sample 1st sample 2nd sample D.O. Hardness(mg/1) 50 Control 8.84 8.06 8.36 8.90 8.69 8.58 Spec. Cond. (µmhos) 113 623.7 760.7 Treatment 2 8.73 8.13 8.47 8.84 8. 94 8.90 Chlorine(mg/1) ;;:..... LC50/Acute Toxicity Test Sample temp. at receipt(°C) ..... 5.9 2.8 (Mortality expressed as %, combining replicates) Note: Please Concentration Complete This Section Also Mortality start/end start/end Control obit - High Conc. PH D.C. LC50 = % Method of Determination 95$ Con -Hence Limits Moving Average Probit -- $ Spearman Barber - Other Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Statistical Results - Chronic Pass/Pail Date: 05/24/17 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County:Guilford Laboratory Performing Test: Central Laboratory Services Reduction: 7.22% CONTROL 90% Effluent # Replicates 12 12 Female Live 12 12 Adult Male 0 0 Adult Dead 0 0 Adult Mortality 0.00% 0.00% # Neonates 388 360 Mean # Neonates 32.333 30.000 Standard Deviation 2.839 1.279 Coefficient of variation 8.781% Fisher's Exact Test A = 12 B = 12 a = 12 b = 12 a/A = 1.00 b/B = 1.00 Success is: survival Critical b value = 8 12 > 8 The test concludes that the proportion of survival is not significantly different for the control and the effluent groups. Test Passes! SHAPIRO-WILX'S TEST FOR NORMAL DISTRIBUTION OF DATA ORDERED OBSERVATIONS i Group Neonates Centered i Group Neonates Centered 1 C 29 -3.3333 13 E 30 0.0000 2 C 30 -2.3333 14 E 30 0.0000 3 C 30 -2.3333 15 C 33 0.6667 4 C 30 -2.3333 16 C 33 0.6667 5 C 30 -2.3333 17 E 31 1.0000 6 C 30 -2.3333 18 E 31 1.0000 7 E 28 -2.0000 19 E 32 2.0000 8 E 29 -1.0000 20 E 32 2.0000 9 E 29 -1.0000 21 C 35 2.6667 10 E 29 -1.0000 22 C 35 2.6667 11 E 29 -1.0000 23 C 36 3.6667 12 E 30 0.0000 24 C 37 4.6667 NPDES FORM 2A Additional Information SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF DATA (cont.) COEFFICIENTS AND DIFFERENCES i x(n-i-1) x(i) a(i) x(n-i-I) - x(i) 1 4.6667 -3.3333 0.4493 8.0000 2 3.6667 -2.3333 - 0.3098 6.0000 3 2.6667 -2.3333 0.2554 5.0000 4 2.6667 -2.3333 0.2145 5.0000 5 2.0000 -2.3333 0.1807 4.3333 6 2.0000 -2.3333 0.1512 4.3333 7 1.0000 -2.0000 0.1245 3.0000 8 1.0000 -1.0000 0.0997 2.0000 9 0.6667 -1.0000 0.0764 1.6667 10 0.6667 -1.0000 0.0539 1.6667 11 0.0000 -1.0000 0.0321 1.0000 12 0.0000 0.0000 0.0107 0.0000 1 W X 101.2658 106.6667 Calculated W - 0.949 Critical W = 0.884 0.949 a 0.884 The reproduction data is normally distributed evaluated at a 998 confidence interval. Test Passes! F test for Homogeneity of Variance Control variance 8.0606 P = _ = 4.93 Effluent variance 1.6364 Numerator degrees of freedom: 11 Denominator degrees of freedom: 11 Critical F = 5.32 4.93 s 5.32 = The,Test PASSES, the variances of the two groups are significantly the same, homogeneous. NPDES FORM 2A Additional Information EQUAL VARIANCE t TEST 32.3 - 30.0 t = 2.596 0.899 Degrees of freedom = 22 Critical t = 2.508 2.596 a 2.508 Test fails. There is a significant difference in reproduction between the Control and the effluent evaluated at a 99% confidence interval. Chronic Test PASSES The reduction was less then 20% NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/24/17 Facility: Eastside Waste Treatment Plant NPDES#: NC0024210 Pipe#: 01 County: Guilford Laboratory _performinq TeAt: CentraI-Laboratory Services IX Comments: UV Disenfection being used * PASSED: 8.56% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Nnvth l�rr.lin� t+evJ ..A �..Y...i� Chronic Pass/Fail Reproduction Toxicity Test X)NTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # young Produced 1133137I37132I28I28I30I27I28I27I27I28 Adult (L)ive (D)ead L IL IL IL IL L L L L L L L affluent $: �9" ii5/. ttq ..TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # young Produced 1125133125133126135127128124125122 Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL Chronic Test Results Calculated t = Tabular t 8 Reduction = 8.56 $ Mortality Avg.Reprod. 0.00 30.17 Control Control 0.00 27.58 Treatment 2 Treatment 2 Control CV 12.390$ PASS FAIL $ control orge producing 3rd brood 100$ Check One 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 01/18/17 Control 7.87 7.71 7.36 7.58 7.62 7.55 Collection (Start) Date Treatment 2 7.5E 7.92 7.60 7.97 7.83 7.82 Sample ple Tmple e/Duran Sample 2: O1/18/17 p Type/Duration 2nd 1st P/F s s e Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24.0 hrs L A A r d r d r d U M M t t t Sample 2 X 23.3 hre T P P lst sample 1st sample 2nd sample - D.O. Hardness (mg/1) 48 eiiEeiiiEi Control 8.01 7.85 8.65 6.85 7.50 8.2E 696.E 604.E Treatment 2 8.35 7.55 8.40 7.50 7.61 8.39 Spec. Cond.(µmhos) 115 Chlorine (mg/1) LCSO/Acute Toxicity Test Sample temp. at receipt(-C) (Mortality expressed as %, combining replicates) bit Note: Please Concentration Complete This Mortality Section Also start/end start/end Control er - High Conc. PH D.O. LCSO = $ 95$ Con i ence units Method of Determination Moving Average Pro Organism Tested: Ceriodaphnia dubia Duration(hre): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Forrn/Phase II Chronic Ceriodaphnia FacilityP NPDES#: Performing L-*+-oli, Hi '+�* Comments l)V X r -- hra .o % s. A of O.R.C. SignatureLab Supervisor #Young 3a -Ej �s a(„ 31 3a �,$ 5} �8 • Adult (L)ive (D ad 1. L. L L L L L L L L flitl 6 II Effluen% Jt OV ATT: Environmental Sciences Branch MAIL Div. of Water Quality TO: N.C. DENR 1621 Mail Service Center Raleigh, N.C. 27699-1621 'Should use highest test concentation or highest concentration with D.O. >5.0 mgA t%R..M1,G.R RI.. Meer DWQ form AT-3 (8/91) Rev. 11195 0 NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase 11 Chronic Cerioclaphnla # Young a>a a3 °as 2V'- a3 a9 1s ay a5 .. 3y as. lve addult L L L 1L L L �- L i.,I- Should use highest test concentration or MAIL ATT' Environmental Sciences Branch highest concentration vdth D.O. >5.0 mgn Div. of Water Quality r„ a.m.sm � Cmvm a.aeaoean M.m TO: N.C. DENR 1621 Mail Service Center Raleigh, N.C. 27699-1621 DWQ form AT-3 (8/91) Rev. 11/95 NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 12/22/16 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford Comments: UV Disenfection being used Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 orcu �u �aaua waia.ruuyauua Chronic Pass/Fail Reproduction Toxicity Test ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 113414013313113212713013010 12813213011 Adult Wive (D) ead L L L L L L L L D L IL L 11 A effluent 'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 1211 # Young Produced 110 14 14 12 10 10 16 10 11 12 10 10 Adult (L)ive (D)ead IID IL IL IL ID ID ID ID IL IL ID Chronic Test Results Calculated t = Tabular t = $ Reduction = 94.52 $ Mortality Avg.Reprod. 8.33 28.92 Control Control 58.33 1.58 Treatment 2 Treatment 2 Control CV 33.Sll% PASS FAIL $ control orrggs X producing 3rd 171 brood Check One 90$ 1st sample lot sample 2nd sample Complete This For Either Test pH Test Start Date: 11/16/16 Control 7.36 6.53 6.84 7.92 7.61 7.69 Collection (Start) Date Sample 1: 11/14/16 Sample 2: 11/16/16 Treatment 2 7.34 7.70 7.08 8.22 7.52 7.95 Sample Type/Duration 2nd let P/F s e s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 I X 24.0 bra L A A r d r d r d U M M t t t Sample 2 1 X 24.0 bra T P P 1st sample lot sample 2nd sample D.O. Hardness (mg/1) 48 ::::::::::.......... Control 8.39 8.51 8.14 7.88 7.86 8.09 .. Spec. Cond.(µmhos) 109 683.3 831.6 Treatment 2 8.20 8.03 B.82 8.48 7.75 8.19 Chlorine(mg/1) na na LC50/Acute Toxicity Test Sample temp. at receipt(°C) ..... 0.9 2.5 (Mortality expressed as $, combining replicates) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Prnbit Note: Please Concentration Complete This Mortality Section Also start/end start/end Control - High Conc. PH D.O. LC50 - to 95$ Coi�idence Zim'ts Method of Determination Moving Average - $ - $ Spearman Xarber Organism Tested: Ceriodaphnia dubia Duration(hra): Copied from DEN form AT-1 (3/87) rev. 11/95 (DUHIA ver. 4.32) NPDES FORM 2A Additional Information :fluent ToxiaitY Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/09/16 ity: Eastside waste Treatment Plant NPDES#: NCO024210 Pipe#: 01 County: Guilford story Performing Test: Central Laboratory Services Comments: UV Disenfection being -T�fZS o t it R,+annnai a aYa� a used In gnatur o rato, rvisor I * PASSED: -0.32} Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div, of Environmental Management N.C. Dept. of EENR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 iortn c:arolina �eraoeapnnra Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = -0.090 Tabular t = 2.508 :ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 } Reduction = -0.32 } Mortality Avg.Reprod. # Young Produced 28 31 28 24 27 26 25 26 25 25 23 24 0.00 26.00 Control Control Adult (L) ive (D) ead L L L L L L L L L L L L 0.00 26.08 Treatment 2 Treatment 2 :fflue t: }: 90} 'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 8.522% PASS FAIL # Young Produced 27 29125128127124126 24 23 23 27 30 } control orgga ne producing 3rd ck bO Adult (L)ive (D)ead L L L L L L L L L L L L rood 100} Che let sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 07/13/16 Control 6.81 7.66 7.08 7.50 7.42 7.51 Collection (Start) Date Sample 1: 07/11/16 Sample 2: 07/13/16 Treatment 2 6.71 7.74 6.86 7.98 6.73 7.59 Sample Type/Duration 2nd lot P/F s a s Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 23.9 hre L A A r d r d r d U M M t t t Sample 2 1 X 24.0 hrs T P P 1st sample lot sample 2nd sample D.O. Hardness(mg/1) 48 EEc:ccccci e2ee::.i Control 8.20 8.16 8.72 8.08 8.40 7.97 Spec. Cond. (µ1mhos) 00 424.3 679.6 Treatment 2 8.56 8.25 8.94 8.38 8.97 8.19 Chlorine(mg/1) LC50/Acute Tonicity Teat Sample temp. at receipt(-C) (Mortality expressed as *, combining replicates) } 1 } } } I } I} } } } } Note- Please Concentration Complete This Section Also Mortality start/end start/end Control obit _ they High Conc. DH D.O. f'CC95s10,Co i epee imits hod of Determi Moving Average _ Pr Spearman Barber o Organism Tested: Ceriodaphnia dubia Duratioa(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DQBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase 11 Chronic Ceriodaphnia Faulity 5f•Sidc LJIr�'i NPDFS#:NCW.-,N4?)c9Pipei€�?2County Laboratory Performing Testt h �Ulyl"J' Comments UV `L�;c r V_e o i3�c"fTPt-rR )-vr�,�ya 05E� Signal eof O.R.C. 1'tr>m Slg. Lau Supervisor Sample Information Sample 1 Sample2 Control Test start Date End Dare Stan Tone Erd Tune Information .6/ 16 /av/yL IZ-'S4 lza:aa Collection Start Date (o Do, I 6 -1� Stan Renews R.1-4 shut Cxah '— —' Treatment ) oo b t uo' 3 0 o contra canaol contra Composite �� c1 pH Initial } 46 -+21S Ag. } * (Duration) Hardness(mg1l y.y pH Final' �9 p 2LOj s , SpecCond.(Vmht>^a/ f C�2j tc�_Qre: J j (,'�- D.O. Initial r .} D.O. Final La -4 $ 6 q Z- T4 ChbnnelmgA N� Nr� amp. Initial �y. 2.yR �4. ��3 aU9 3�. Sample temp. at recei amp. Final ay. n 2.4 9 Q4 !Sj ay. Zy ¢ jy_ Organism# Chronic Test Results u"r Final Control Mortality i O Control #Young ' as a -as a6 aLie1(o a14 a$/ % Control 3rd Broad1� Control Repro Ci o A.dDit pye (D)eatl 11 L L t L L L L L L L Co 6Hour Mortalitrol tyVA'C 1 2 3 4 S 6 7 0 9 10 11 12 v..a Oor)C) Oof)O — flr g 14 a )14 18 $ 13 a a Significant? 3 c� A" L t L L L L- L IL-1 L 1. Final Mortality SI nificant (Lpe (D)eatli O % a Nocant year Effluent% rel O )1 S 's 9 5 „"� Rwrodmwn AnaNais: #Yowl g ` Repro. LOEC=�Q%: NOEC= CO* Method: Normal DWb? Medr00� 1Go\ Statistic0. 'a 9 Critical:o.K95 Equal Vaaances? Method: '�. StatlsEc:� y�r4i tali.... 1s,e Non•ParameAc Analysis lit applintle). a (D ¢)rve (D)eatl L L. Z t L- L L L L L "" v", Effluent% #Young 14 -4 O 3 �' S O -4 5 've 1" ` L_ L L L � "L L nr° Method: DAdult ad Effluent% v"' Effluent % Rank Sum Critical Sum #Young 1 J) '�- L'i p O OAdult 85 L L L L L L `D L. L L "" )i're (D)ead 4 v_ Effluent% # young'0 � O LA O 1 tj 0 Overall Analysis: Result-PASSIFAIL or Test LOEr} 30 %: NOECe % L L L L L L L L D L,,, rna J5Adult (L)ive(D)ead Chronic Value= % MAIL Water Sciences Section Division of Water Resources, NC DENR TO: 1621 Mail Service Center Raleigh, NC 27699-1621 'Shom use 1=1 teal cancentraw or hiaheal canuntration wan D.O. -so rnyr. M r.Wuta rP� CMdNyb tm 4bi� DWQ form AT-3 revised 9/2014 o�ge�i6 NPDES FORM 2A Additional Information Effluent Aquatic Toxicity Report Form/Phase 11 Chronic Ceriodaphnia Fealty L-�a��Jl �✓WTf NPDES I: NC LO-PipwEacounty. Laboratory PerbM*V Test - C.a;r eft44 � itrigZLS'>l Signature of CA C. Phame/ Emalt Signa[ure of Lab Supervisor sample lntonnallon Sam le 1 Sample 2 Control its l Start owe Due SMT Erld Time 5j1 % 4 %P�/b //: / /I Collection Start Date _ �_ - Stan Renew, RenewI tut Re Grab Treatment 160 ` o' Cor" C"n CWWl CfDuTstr) ��.13 t 23r85 PH Initial '7, 52 ,3'1 1,l .t{ , pH Final 7,49 , ,40 -1 M UO Hardness(mgn Spec.Conli({, ss(mhost L� 23 3 D.O. India 8 8, D MS b2. 8.F2 �, D.O.Final ./2 ,?2157 , ,45 Chlorine(mgq A� emp.Initia g4, 244 1 2 14,5 .141 Sample temp, at receiP - ' 2. 1? ' emp. Final1 oroanlsmM Chronle Test Results 1 r»r Final Control Mortafly Control #Young 23 23 20 Z2 I8' 22 20 21 Z2 X z12 %Control 3rd 0 Control Repro C, /� AdWt (D)eacl L L L L L L L L ` / L L x Controller a lwC 1 2 3 4 5 6 7 8 9 10 11 t2 ".m Q of _of #Y«Mg 3 25 23 2D 23 21 1241221111 Emttent% signi5amt?© CR - (L)ve(D)ead L L I L I L-1 L I LLL I Ll L I Ax r. D Final Mortality 91ruficaM to 0« Effluent% #Yong 26 Z3 25 2J 24 QZ 'L(p 25 21} 2G ,I Repm.LO on Ana is: Repm. LO -r %: NOEC= 100 % Method: Normalb5tnb? Method: Statistic cdtiac Equal va � ces? Method- C Statistic. 2. / Cptiat , Non-Pammeric Analials(itapDilcaolel p,lrye ptje� L L L L L L L L L L $° (J 4i, I;muent% #Young 29 28' 24 z9 25 12 '1 2Y 2it �5 ,,11 zY t},` / !OQ AdWt (D)ead L L L L L L L L L L Method: Ra m mJ v IXfluenrA #Young 111122 101 2I 1211 yAd ve (Dt ad L. I L I I- 1. L I L L [—I L 100 � � • 4w+ Effluent% #Young nA LfJ n2 f. ^2 G '� �� 1 OveraResult PASSs: Result- PASS:FAIL or Test LOEC-7 DO %; NOEC-00 l Chronic Value- !00 % l60 Adult (L)ive ult L L L L L L L L L 'SnoWa,... bienest bs, cancentraeon a MAIL Water Sciences Section hghe„coneeno-onan"d, p o. �5 o mgr, Division of Water Resources, NC DENR TO: 1621 Mail Service Center Raleigh, NC 27699-1621 DWOfonnAT-3revised 9/2014 PD NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/28/16 Facility: HIGH POINT - BAST NPDES#: NCO024210 Pipe#: •991 County: GUILFORD 06a, R GQ Laboratory Performi g Test: TECH LABS, INC. Comments: Cigna ure ilff pOppera-t—r in Reapons eEZ', argue e X Signature o or upervisor Work Order: Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Water Quality N.C. DENR 1621 Mail Service Center Raleigh, North Carolina 27699-1621 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = Tabular t = CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 it 12 } Reduction = 81.02 # Young Produced H22126127124127122125125127124125 Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL Effluent }: 85} TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 # Young Produced 13 6 4 10 3 4 14 14 0 5 5 18 Adult Wive (D) ead L L D L D L D D D D D L } Mortality Avg.Reprod. 0.00 24.58 Control Control 58.33 4.67 Treatment 2 Treatment 2 Control CV 8,401t PASS FAIL t control orgs X producing 3rd brood Check One 100} let sample let sample 2nd sample Complete This For Hither Test PH Test Start Date: 04/20/16 Control 8.08 8.01 7.98 8.10 8.06 7.98 Collection (Start) Date Sample 1: 04/18/16 Sample 2: 04/20/16 Treatment 2 7.89 8.29 7.95 8.37 7.95 8.35 Sample Type/Duration 2nd 11 let P/F s s e Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24 hrs L A A r d r d r d D M M t t t Sample 2 X 24.1 bra T P P lot sample lot sample 2nd sample D.O. Hardness(mg/1) 46 Control 7.95 7.98 7.84 7.71 8.09 7.57 Spec. Cond.(pmhos) 189 587 721 Treatment 2 8.17 7.99 8.10 7.7E 7.34 7.67 Chloriae(mg/1) LC50/Acute Toxicity Test Sample temp. at receipt(-C) (Mortality expressed as }, combining replicates) robit Note: Please Concentration Complete This Section Also Mortality start/end start/end Control her — High Conc. PH D.O. LC50 = } 95% Cc 1 ence imits Method of Determination Moving Average P Organism Tested: Ceriodaphnia dubia Dhlration(hra): Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Paas/Fail and Acute LC50 Pa Date: 02/22/16 Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#:V.P County: Guilford Perf Test: antral Laboratory Services J r- Comments: UV Disenfection being ! or n Re a Charge used Lab & Signature ot L&Uoratozyei!Qisor I * PASSED: 12.39% Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Test !ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1127125128129130127131126132127121 Adult (L)ive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL affluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 10.537* # Young Produced 18 28 24 27 24 26 20 23123125124128 % control orggs producing 3rd b Adult Wive (D)ead L L L L L L L L L rood L L L 100* Chronic Test Results Calculated t = 2.829 Tabular t - 2.508 % Reduction = 12.39 % Mortality Avg.Reprod. 0.00 27.58 Control Control 0.00 24.17 Treatment 2 Treatment 2 PASS FAIL X Check One 1st sample let sample 2nd sample Complete This For Either Test PH Test Start Date: 01/06/16 Control 6.76 7.58 7.40 7.75 7.38 7.83 Collection (Start) Date Treatment 2 7.57 7.81 7.59 7.90 7.46 8.04 Sale Tle OS/04/ti Sample 2: O1/06/16 Sample Type Duration 2nd let P/F s s 6 Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 X 24 hrs L A A r d r d r d U M M t t t Sample 2 X 24 hrs T P P let sample lot sample 2nd sample D.O. Hardness(mg/1) 45 Control 8.81 7.83 8.56 8.08 8.41 7.90 Spec. Cond. (pmhoe) 110 15E76F967Treatment 2 9.78 8.04 8.00 8.22 8.11 8.34Chlorine(mg/1)LC50/Acute Toxicity Test Sample temp. at receipt(°C) :: ..... 1.4 (Mortality expressed as %, combining replicates) obit Note: Please Concentration Complete This Section Also Mortality start/end start/end ation Control High Conc. DR D.O. LC50 = * 95% Con i ence imits Method of Determin Moving Average Pr Organism Tested: Ceriodaphnia dubia Duration(hra): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information affluent Tnxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 11/02/15 Facility: Eastside Waste Treatment Plant NPDES#: NCO024210 Pipe#: aiCounty; Guilford Lab& ry rformin Tes(��M- ral Laboratory Services w^-7 j�,^D-7� Comments: W Disinfection * PASSED: 4.47} Reduction * Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of ERMR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results Calculated t = 1.328 Tabular t = 2.508 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 } Reduction - 4.47 # Young Produced 1126124129127126123128126124126 Adult (L) ive (D) eadL IL IL IL IL IL IL IL IL IL IL IL Effluent }:-get- $ SG* TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 6.831% # Young Produced 11 22123129124122126 23 28 23 26 25 28 } control orgs producing 3rd brood Adult (L)ive (D)ead L L L L L L L L L L L L 100} } Mortality Avg.Reprod. 0.00 26.08 Control Control 0 .00 24.92 Treatment 2 Treatment 2 PASS FAIL Check One 1st sample 1st sample 2nd sample Complete This For Either Test PH Test Start Date: 10/21/15 Control 7.61 7.44 7.61 7.48 7.66 7.71 Collection (Start) Date Sample 1: 10/21/15 sample 2: 10/28/15 Treatment 2 7.63 7.67 7.56 7.75 7.49 8.02 Sample Type/Duration 2nd let P/F s a a Grab Comp. Duration D t e t e t e I S S a n a n a n Sample 1 R 24 bra L A A r d r d r d D M M t t t Sample 2 R 72 hrs T P P 1st sample let sample 2nd sample D.O. Hardness (mg/l) 51 Control 9.38 8.90 8.57 9.38 9.76 9.34 ..-. Spec. Cond.(µmhos) 136 646.9 708.9 Treatment 2 9.65 8.78 8.81 9.26 9.86 9.60 Chlorine(mg/1) 0 0 LC50/Acute Toxicity Test Sample temp. at receipt(*C) a....� 3.3 2.3 (Mortality expressed as }, combining replicates) Note: Please Concentration Complete This Section Also Mortality start/end start/end Control robit - High Cone. nH D.O. LC50 } 95} Con epee imits Method of Determination Moving Average _ P } -- } Spearman Karber Other Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEN form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 08/11/15 Facility: Ea6taide Waste Treatment Plant NPDES#: NC0024210 Pipe#:-" County: Guilford Labora y Per ormin Taet: Ce ral Laboratory Services < Comments: I UV X e pe is eeponsi- a �i, rga�i`i Us�• •---� Illi(ml D, FfQzfOt X gna re PASSED: 1.13$ Reduction Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of BHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Vy ChronicyPass/Fail�Reproduction Toxicity Teat 'ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1130129129129130127130128133130129 Adult (Wive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL a 'REATMnt $: $ e RIIATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV 4 .9028 # Young Produced 28 33 28 27 31 29 31 29 30 27 28 29 $ Control orggs groducing 3rd brood Adult Wive (D) ead L L L L L L L L L L L L 100% Chronic Test Results Calculated t = 0.500 Tabular t = 2.508 % Reduction = 1.13 $ Mortality Avg.Reprod. O.DO 29.50 Control Control 0 .00 29.17 Treatment 2 Treatment 2 PASS FAIL X Check One let sample 1st sample 2nd sample Complete This For Either Test PH Test start Date: 07/15/15 Control 7.61 7.69 7.80 7.74 7.72 7.74 Collection (Start) Date Sample 1: 07/13/15 Sample 2: 07/15/15 Treatment 2 7.63 7.96 7,62 6.07 7.81 8.74 Sample Type/Duration 2nd let P/F a a' 6 Grab Comp. Duration D t e t e t e I S S a n a a a n Sample 1 X 24 hre L A A r d r d r d U M M t t t Sample 2 X 72 hra T P P let sample let sample 2nd sample D.O. Hardness (mg/1) 51 Control 8.12 8.27 8.42 8.13 6.66 8.06 . Spec. Cond.(µmhos) 146 777.5 910.4 Treatment 2 8.40 0.42 8.46 8.34 8.74 8.26 Chlorine(mg/1) 0 0 LC50/Acute Toxicity Test Sample temp. at receipt(-C) eii.....: 4.8 4.9 (Mortality expressed as $, combining replicates) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Mote: Please Concentration Complete This Section Also Mortality start/end start/end Control obit - High Conc. nH D.O. LC50 = $ 95% Co-n eir�Limits Method of Determination Moving Average Pr $ - $ _ Spearman Karber of organism Tested: Ceriodaphnia dubia Duratioa(hre): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 05/27/15 Facility: Eastside Waste Treatment Plant NPDRS#: MC0024210 Pipe#:. County: Guilford Labo. tory Perfo ing Te Central Laboratory Services Comments: yV Disenfection being X Ji ,bignac qr opera or in Responsible used Signtiturge of Laboratory Supervisor '(I * PASSED: -0.96% Reduction * I Environmental Sciences Branch MAIL ORIGINAL TO: Div. of Environmental Management N.C. Dept. of EHNR 4401 Reedy Creek Road Raleigh, North Carolina 27607-6445 Chronic Pass/Fail Reproduction Toxicity Teat X)NTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1127125 26 27 26 25 22 21 27 27 25 28 Adult (L)ive (D)ead L L L L L L L L L L 1, L 11 tffluent %: 90$ MEATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 1126122126125124127128128123125127 2 Adult (L)ive (D)ead L L L L L L L L L L L L Chronic Teat Results Calculated t = -0.297 Tabular t = 2.508 $ Reduction = -0.98 $ Mortality Avg.Reprod. 0.00 25.50 Control Control 0.00 25.75 Treatment 2 Treatment 2 Control CV 8.277$ PASS FAIL 8 control or K El producing b1 rood Check One loop, lot sample let sample 2nd sample Complete This For Either Teat PH Test Start Date: 04/15/15 Control 7.88 8.04 7.66 8.08 7.96 7.56 Collection (Start) Date SleTreatment 2 7.79 8.15 7.46 8.25 7.19 7.90 Sa1: Sample 2: 04/15/15 ample Typa/Durati/Duration 2nd l s a e Grab Comp. Duration D at P/F t e t e t e I S S a n a n a n Sample 1 X 24.0 hra L A A r d r d r d U M M t t t Sample 2 X 24.0 hra T P P 1st sample lot sample 2nd sample D.O. Hardnese (mg/1) 50 :::::::::: :::::: Control 7.96 7.90 7.77 7.62 7.82 8.02 Spec. Cond. (µmhos) 133 724.0 620.2 Treatment 2 8.03 8.05 8.11 7.66 8.20 8.09 Chlorine (mg/1) ;; ..... LC50/Acute Toxicity Test Sample temp. at receipt(-C) is .... 4.6 2.4 (Mortality expressed as $, combining replicates) $ $ $ $ $ $ $ $ $ $ obit Note: Please Concentration Complete This Section Also Mortality start/end start/end ation Control - High Conc. PH D.O. LC50 = $ Method of Determia 95$ Conte enccee imits Moving Average Pr _ Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEN form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) NPDES FORM 2A Additional Information Effluent Toxicity Report Form - Chronic Paea/Fail and Acute LC50 Date: 02/12/15 Facility: HIGH POINT - EAST Work Order: NPDBS#s NCO024210 Pipe#: MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pasa/Fail Reproduction Toxicity Teat CONTROL ORGANISMS # Young Produced Adult Wive (D)ead Comments; un y: GUILFORD I ! PASSED: -5.28% Reduction Water Sciences Section - Aquatic Toxicology Branch Division of Water Resources 1623 Mail Service Center .621 Raleigh, N.C. 27699-1623 - Chronic Test Results Calculated t = Tabular t = 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction = -5.28 1812512411812712612212612612712411 L IL IL IL IL IL IL IL Effluent S: 85V TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 11 # Young Produced 1129126124124124128126126114127127 Adult Wive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL % Mortality Avg.Reprod. 0.00 23.67 Control Control 0.00 24.92 Treatment 2 Treatment 2 Control CV 13.642% PASS FAIL % control orgge A producing 3rd brood Check One 100% 1st sample lot sample 2nd sample Complete This For Either Test PH Test Start Date: 02/04/15 Control 7.88 8.04 7.93 7.94 7.87 7.95 Collection (Start) Date Sample 1: 02/02/15 Sample 2: 02/04/15 Treatment 2 7.93 8.10 7.55 8.12 7.00 8.2E Sample Type/Duration 2nd is P/P s s e Grab Comp. Duration D t e t e t e I s S a n a n a n Sample 1 x 24 hra L A A r d r d r d D M M t t t Sample 2 x 24 hra T P P 1st sample let sample 2nd sample D.O. Hardness (mg/1) 44 :ciSeEEEiE ::::=:::: Control 8.03 7.97 7.99 7.83 7.53 8.06 Spec. Cond.(pmhoe) 158 554 764 Treatment 2 8.26 7.92 8.10 7.7E 8.15 8.07 Chlorine(mg/1) Ei ...3 <0.1 <0.1 LC50/Acute Toxicity Test Sample temp. at receipt(-C) ei ..... 1.2 1.2 (Mortality expressed as %. combi-nincr replicates) obit Note: Please Concentration Complete This Section Also Mortality start/end alert/end Control Other - Nigh Coac. pH D.O. LC50 - % 95V cc nce Limits Method of Determination Moving Average Pr _ Organism Tested: Ceriodapbnia dubia Duration(hrs)s Copied from DWQ form AT-1 (3/87) rev. 11/95 (DDBIA ver. 4.41) NPDES FORM 2A Additional Information