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NC0057606_Renewal (Application)_20230131
6„sSTATE'o- 46. ROY COOPER Governor �ELIZABETH S.BISER `,, ann.,� . Secretary �y� vim RICHARD E.ROGERS,JR. NORTH CAROLINA Director Environmental Quality January 31, 2023 Town of Stantonsburg Attn: Coley H. Rhodes, Mayor PO Box 10 Stantonsburg, NC 27883-0010 Subject: Permit Renewal Application No. NC0057606 Stantonsburg WWTP Wilson County Dear Applicant: The Water Quality Permitting Section acknowledges the January 27, 2023, receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, 1 JritIMP (4:A Wren The ford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D_E Q.,_ North Carolina Department of Environmental Quality Division of Water Resources ��) Raleigh Regional Office 13800 Barrett Drive I Raleigh North Carolina 27609 4=44.44a4. 919.791.4200 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 Form U.S.Environmental Protection Agency 2A :.EPA Application for NPDES Permit to Discharge Wastewater NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9)) 1.1 Facility name Stantonsburg Wastewater Treatment Plant Mailing address(street or P.O.box) PO Box 10 City or town State ZIP code O Stantonsburg NC 27883 Contact name(first and last) Title Phone number Email address Roger Sullivan Chief Utilities System Officer (252)238-2679 roger@townofstantonsburg.cc Location address(street,route number,or other specific identifier) 0 Same as mailing address 7655 Peacock Bridge Road L City or town State ZIP code Stantonsburg NC 27883 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission 0 No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? El Yes ❑ No 4 SKIP to Item 1.4. Applicant name Town of Stantonsburg = Applicant address(street or P.O.box) O 108 Commercial Avenue oCity or town State ZIP code Stantonsburg NC 27883 co Contact name(first and last) Title Phone number Email address n Coley Hunt Rhodes Mayor (252)238-3608 coleyhuntrhodes@yahoo.com 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.) ❑ Owner ❑ Operator i Both 1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.) ❑ Facility ❑� Applicant ❑ Facility and applicant (they are one and the same) 1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit number for each.) Existing Environmental Permits a ✓❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection water) control) E NC0057606 o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM) rn ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 0 Other(specify) 404) RECEIVED EPA Form 3510-2A(Revised 3-19) JAN 2 7 2023 Page 1 NCDEQ/DWR/NPDES r EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WTP OMB No.2040-0004 W 1.7 Provide the collection system information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served (indicate percentage) 100 %separate sanitary sewer 0 Own ❑ Maintain -o Stantonsburg1,275 % o) combined storm and sanitary sewer 0 Own ❑ Maintain w ❑ Unknown 0 Own 0 Maintain c %separate sanitary sewer ❑ Own ❑ Maintain %combined storm and sanitary sewer 0 Own 0 Maintain co 0 Unknown ❑ Own 0 Maintain a %separate sanitary sewer El 0 Maintain -o %combined storm and sanitary sewer 0 Own 0 Maintain al 0 Unknown 0 Own 0 Maintain d %separate sanitary sewer ❑ Own 0 Maintain N %combined storm and sanitary sewer 0 Own 0 Maintain c 0 Unknown ❑ Own 0 Maintain o Total w Population 1,275 o Served Separate Sanitary Sewer System Combined Storm and Sanitary Sewer Total percentage of each type of ° ° sewer line(in miles) 100 "° /0 Z' 1.8 Is the treatment works located in Indian Country? O ❑ Yes ElNo R1.9 Does the facility discharge to a receiving water that flows through Indian Country? c ❑ Yes 0 No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate . 0.3750 mgd To Annual Average Flow Rates(Actual) v2. Two Years Ago Last Year This Year c 0.34278 mgd 0.25278 mgd 0.12078 mgd E" Maximum Daily Flow Rates(Actual) en Two Years Ago Last Year This Year 1.45 mgd 1.36 mgd 0.55 mgd co 1.11 Provide the total number of effluent discharge points to waters of the United States by type. c Total Number of Effluent Discharge Points by Type a a Constructed W F Combined Sewer T Treated Effluent Untreated Effluent Overflows Bypasses Emergency ca s .0 Overflows t) _N 0 1 EPA Form 3510-2A(Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 Outfalls Other Than to Waters of the United States 1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets for discharge to waters of the United States? ❑ Yes 0 No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surface Impoundment Location and Discharge Data Average Daily Volume Continuous or Intermittent Location Discharged to Surface (check one) Impoundment ❑ Continuous gpd 0 Intermittent ❑ Continuous gpd 0 Intermittent ❑ Continuous gpd El Intermittent r 1.14 Is wastewater applied to land? 2 ❑ Yes 0 No 4 SKIP to Item 1.16. c 1.15 Provide the land application site and discharge data requested below. C Land Application Site and Discharge Data o Continuous or Location Size Average Daily Volume Intermittent a) Applied (check one) acres gpd ❑ Continuous o 0 Intermittent acres gpd 0 Continuous 5 0 Intermittent — 0 Continuous acres gpd El Intermittent 1.16 Is effluent transported to another facility for treatment prior to discharge? o ❑ Yes ❑✓ No 4 SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No 4 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Transporter Data Entity name Mailing address(street or P.O.box) City or town State ZIP code Contact name(first and last) Title Phone number Email address Pa e 3 EPA Form 3510-2A(Revised 3-19) 9 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 1.20 In the table below,indicate the name,address,contact information,NPDES number,and average daily flow rate of the receiving facility. Receiving Facility Data -o Facility name Mailing address(street or P.O.box) City or town State ZIP code 0 Contact name(first and last) Title 0 Phone number Email address oNPDES number of receiving facility(if any) 0 None Average daily flow rate mgd O 1.2 1 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not have outlets to waters of the United States(e.g.,underground percolation,underground injection)? o ❑ Yes ElNo 4 SKIP to Item 1.23. 0 1.22 Provide information in the table below on these other disposal methods. Information on Other Disposal Methods o Disposal Location of Size of Annual Average Continuous or Intermittent -o Method Daily Discharge Description Disposal Site Disposal Site Volume (check one) ✓ acres gpd ❑ Continuous 0 Intermittent 0 Continuous acres gpd ❑ Intermittent acres gpd ❑ Continuous ❑ Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply. a) u Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) o ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section Section 301(h)) 302(b)(2)) ❑✓ Not applicable 1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works the responsibility of a contractor? ❑ Yes 0 No+SKIP to Section 2. 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information Contractor 1 Contractor 2 Contractor 3 c Contractor name '� (company name) cMailing address (street or P.O.box) City,state,and ZIP code cContact name(first and c.) last) Phone number Email address Operational and maintenance responsibilities of contractor EPA Form 3510-2A(Revised 3-19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2)) c Outfalls to Waters of the United States c 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? rn o ❑r Yes ❑ No 4 SKIP to Section 3. c 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration and infiltration. 0.05 d 9P Indicate the steps the facility is taking to minimize inflow and infiltration. -o The Town of Stantonsburg plans to continue to aggressively pursue sanitary sewer rehabilitation projects further to reduce the I/1 in it's collection system.In 2021,Stantonsburg stopped receiving flow from Saratoga,which reduced the I/I of Stantonsburg's system. 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for specific requirements.) 0 0. ❑✓ Yes ❑ No E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? '° (See instructions for specific requirements.) o en t �a ❑✓ Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes ❑r No 4 SKIP to Section 3. Briefly list and describe the scheduled improvements. 0 q 1. a� E 0 2. E 0 0 co 3. 0 d co 4. co 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements E Affected Attainment of d Scheduled Begin End Begin Outfalls Operational 0 Improvement Construction Construction Discharge (from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level number) (MM/DD/YYYY) -o 1. -o in 2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your response. ❑ Yes ❑ No ❑ None required or applicable Explanation: EPA Form 3510-2A(Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.210)(3)to(5)) 3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.) Outfall Number 1 Outfall Number Outfall Number State North Carolina County Wilson County City or town Stantonsburg Distance from shore o ft. ft. ft. Q d Depth below surface o ft. ft. ft. Average daily flow rate 0.375 mgd mgd mgd Latitude 35° 34' 58" N ° 0 Longitude 77° 48' 1.3" W " 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? El Yes ❑ No 4 SKIP to Item 3.4. rn .6E; 3.3 If so,provide the following information for each applicable outfall. y Outfall Number Outfall Number Outfall Number 0 Number of times per year c discharge occurs a Average duration of each discharge(specify units) cAverage flow of each mgd mgd mgd discharge in Months in which discharge occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? ❑ Yes ❑r No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser pe at each applicable outfall. 0 Outfall Number Outfall Number Outfall Number d N vi 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more discharge points? w ❑� Yes ❑ No 4SKIP to Section 6. RECEIVED JAN 2 7 2023 EPA Form 3510-2A(Revised 3-19) Page 6 NCDEQ/DWR/NPDES EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 3.7 Provide the receiving water and related information(if known)for each outfall. Outfall Number 001 Outfall Number Outfall Number Receiving water name Contentnea Creek Name of watershed,river, c or stream system Contentnea Creek U.S.Soil Conservation N Service 14-digit watershed code Name of state Neuse River Basin management/river basin rn U.S.Geological Survey 8-digit hydrologic 03020203 cataloging unit code Critical low flow(acute) cfs cfs cfs Critical low flow(chronic) cfs cfs cfs Total hardness at critical mg/L of mg/L of mg/L of low flow CaCO3 CaCO3 CaCO3 3.8 Provide the following information describing the treatment provided for discharges from each outfall. Outfall Number 001 Outfall Number Outfall Number Highest Level of ❑ Primary 0 Primary ❑ Primary Treatment(check all that 0 Equivalent to 0 Equivalent to ❑ Equivalent to apply per outfall) secondary secondary secondary DI Secondary 0 Secondary El Secondary ❑ Advanced 0 Advanced 0 Advanced El Other(specify) El Other(specify) ❑ Other(specify) 0 0 Design Removal Rates by 5 Outfall U, a BODs or CBODs 85 TSS 85 % % % IF- 0 Not applicable ❑Not applicable 0 Not applicable Phosphorus % 0 Not applicable ❑Not applicable 0 Not applicable Nitrogen Other(specify) ❑Not applicable ❑Not applicable ❑Not applicable EPA Form 3510-2A(Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below.If disinfection varies by season,describe below. d 0 Outfall Number an Outfall Number Outfall Number .a Disinfection type uv N N Seasons used ALL Dechlorination used? 0 Not applicable ❑ Not applicable ❑ Not applicable ❑ Yes 0 Yes ❑ Yes ❑ No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? El Yes ❑ No 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑ Yes El No 4 SKIP to Item 3.13. 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's discharges by outfall number or of the receiving water near the discharge points. Outfall Number Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic Number of tests of discharge water Number of tests of receiving water 3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd? ❑r Yes ❑ No 4 SKIP to Item 3.16. 0 3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have reasonable potential to discharge chlorine in its effluent? ❑ Yes 4 Complete Table B,including chlorine. 0 No 4 Complete Table B,omitting chlorine. = 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application package? ❑✓ Yes ❑ No 3.16 Does one or more of the following conditions apply? • The facility has a design flow greater than or equal to 1 mgd. • The POTW has an approved pretreatment program or is required to develop such a program. • The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C,must sample other additional parameters(Table D),or submit the results of WET tests for acute or chronic toxicity for each of its discharge outfalls(Table E). ❑ Yes 4 Complete Tables C,D,and E as r❑ No 4 SKIP to Section 4. applicable. 3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application package? ❑ Yes ❑ No 3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and attached the results to this application package? 0 Yes ❑ No additional sampling required by NPDES permitting authority. EPA Form 3510-2A(Revised 3-19) Page 8 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application or(2)at least four annual WET tests in the past 4.5 years? ❑ Yes ❑ No 3 Complete tests and Table E and SKIP to Item 3.26. 3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority? ❑ Yes ❑ No 4 Provide results in Table E and SKIP to Item 3.26. 3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results. Date(s)Submitted Summary of Results (MM/DD/YYYY) C) a co 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in o toxicity? 0' D Yes ❑✓ No 4 SKIP to Item 3.26. 3.23 Describe the cause(s)of the toxicity: c d w 3.24 Has the treatment works conducted a toxicity reduction evaluation? D Yes E No 4 SKIP to Item 3.26. 3.25 Provide details of any toxicity reduction evaluations conducted. 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? ❑ Yes ❑ Not applicable because previously submitted information to the NPDES .ermittin.authorit . SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.210)(6)and(7)) 4.1 Does the POTW receive discharges from SIUs or NSCIUs? ❑ Yes ❑r No 3 SKIP to Item 4.7. d 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW. Number of SIUs Number of NSCIUs H 0 2 4.3 Does the POTW have an approved pretreatment program? E Yes ❑ No -0 m 4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially identical to that required in Table F:(1)a pretreatment program annual report submitted within one year of the application or(2)a pretreatment program? D Yes ❑ No 4 SKIP to Item 4.6. o 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4.SKIP to Item 4.7. N — - 4.6 Have you completed and attached Table F to this application package? ❑ Yes ❑ No EPA Form 3510-2A(Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 4.7 Does the POTW receive,or has it been notified that it will receive,by truck,rail,or dedicated pipe,any wastes that are regulated as RCRA hazardous wastes pursuant to 40 CFR 261? O Yes ❑ No 4 SKIP to Item 4.9. 4.8 If yes,provide the following information: Annual Hazardous Waste Waste Transport Method Amount of Units Number (check all that apply) Waste Received ❑ Truck 0 Rail ❑ Dedicated pipe ❑ Other(specify) U 0 Truck 0 Rail ❑ Dedicated pipe ❑ Other(specify) ❑ Truck ❑ Rail ❑ Dedicated pipe ❑ Other(specify) ro 4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities, y including those undertaken pursuant to CERCLA and Sections 3004(7)or 3008(h)of RCRA? 0 Yes ❑r No 4 SKIP to Section 5. 4.10 Does the POTW receive(or expect to receive)less than 15 kilograms per month of non-acute hazardous wastes as specified in 40 CFR 261.30(d)and 261.33(e)? ❑r Yes 4 SKIP to Section 5. 0 No 4.11 Have you reported the following information in an attachment to this application:identification and description of the site(s)or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents;and the extent of treatment,if any,the wastewater receives or will receive before entering the POTW? ❑ Yes ❑ No SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8)) 5.1 Does the treatment works have a combined sewer system? rn 0 Yes ❑ No 4SKIP to Section 6. a 5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.) ❑ Yes ❑ No a 5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.) 0 Yes 0 No EPA Form 3510-2A(Revised 3-19) Page 10 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 5.4 For each CSO outfall,provide the following information.(Attach additional sheets as necessary.) CSO Outfall Number CSO Outfall Number CSO Outfall Number City or town 0 State and ZIP code V N o County 0 Latitude II ° 0 o ° co Longitude ° c� Distance from shore ft. ft. ft. Depth below surface ft. ft. ft. 5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls? CSO Outfall Number CSO Outfall Number CSO Outfall Number Rainfall ❑ Yes 0 No 0 Yes ❑ No ❑ Yes ❑ No CD C `o CSO flow volume ❑ Yes ❑ No ❑ Yes ❑No ❑ Yes ❑No CSO pollutant ❑Yes ❑ No ❑ Yes ❑No ❑ Yes ❑No o concentrations o `.) Receiving water quality ❑ Yes ❑ No ❑ Yes 0 No ❑Yes 0 No CSO frequency ❑ Yes ❑No ❑ Yes 0 No ❑ Yes ❑No Number of storm events ❑ Yes ❑ No ❑ Yes 0 No ❑ Yes ❑No 5.6 Provide the following information for each of your CSO outfalls. CSO Outfall Number CSO Outfall Number CSO Outfall Number co Number of CSO events in events events events y the past year co a. Average duration per hours hours hours c event 0 Actual or 0 Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated a) o Average volume per event million gallons million gallons million gallons o 0 Actual or❑Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall a CSO event in last year 0 Actual or❑Estimated 0 Actual or 0 Estimated 0 Actual or 0 Estimated EPA Form 3510-2A(Revised 3-19) Page 11 • EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NC0057606 Stantonsburg WWTP OMB No.2040-0004 5.7 Provide the information in the table below for each of your CSO outfalls. CSO Outfall Number CSO Outfall Number CSO Outfall Number Receiving water name Name of watershed) stream system U.S.Soil Conservation 0 Unknown ❑Unknown 0 Unknown Service 14-digit 13) watershed code > (if known) Name of state ce management/river basin cn U.S.Geological Survey ❑Unknown 0 Unknown 0 Unknown 8-Digit Hydrologic Unit Code(if known) Description of known water quality impacts on receiving stream by CSO (see instructions for examples SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d)) 6.1 In Column 1 below,mark the sections of Form 2A that you have completed and are submitting with your application.For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not all applicants are required to provide attachments. Column 1 Column 2 Section 1:Basic Application Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments Q Section 2:Additional 0 wl topographic map 0 wl process flow diagram Information ❑ wl additional attachments ❑ w/Table A ❑ w/Table D ❑ Section 3:Information on 0 wl Table B ❑ w/Table E Effluent Discharges ❑ w/Table C ❑ wl additional attachments Section 4:Industrial ❑ w/SIU and NSCIU attachments ❑ w/Table F co ❑ Discharges and Hazardous Wastes ❑ w/additional attachments co ❑ Section 5:Combined Sewer ❑ w/CSO map ❑ w/additional attachments a) Overflows ❑ w/CSO system diagram -o Section 6:Checklist and El Certification Statement ❑ w/attachments to Y 6.2 Certification Statement /certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.lam aware that there are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations. Name(print or type first and last name) Official title Coley Hunt Rhodes rie Mayor Signatur: Date signed IteU (ft Zalj 2.2 EPA Form 3510-2A(Revised 3-19) ' Page 12 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0057606 Stantonsburg WWTP 1 OMB No.2040-0004 TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Methods include units Value Units Value Units Sam Iles Methods ( ) Biochemical oxygen demand 0 ML 0 BODE or❑CBODs 5 mg/I 0.572 mg/I 52 Composite 0 MDL re.ort one Fecal coliform 430 #/100 ml 3.382 #/100 ml 52 Composite 0 ML ❑MDL Design flow rate 0.55 MGD 0.121 MGD 366 pH(minimum) 6.04 su pH(maximum) 7.59 su Temperature(winter) 27.2 C 12.0 C 67 Temperature(summer) 18 C 25.5 C 66 0 ML Total suspended solids(TSS) 11 mg/I 1.67 mg/I 260 Composite ❑MDL 1 Sampling shall be conducted according tot sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A(Revised 3-19) Page 13 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0057606 Stantonsburg WWTP 1 OMB No.2040-0004 TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Methods (include Value Units Value Units Samples units) El ML Ammonia(as N) 0.16 mg/I 0.0392 mg/I 24 Composite ❑MDL Chlorine 0 ugh! 0 ug/I 0 Grab ❑ML (total residual,TRC)2 ❑MDL 0 ML Dissolved oxygen 9.74 mg/I 8.127 mg/I 197 Grab ❑MDL Nitrate/nitrite 23.52 mg/I 8.368 mg/I 24 Composite 0 ML ❑MDL 0 ML Kjeldahl nitrogen 7.55 mg/I 1.55 mg/I 34 Composite ❑MDL 0 ML Oil and grease N/A N/A N/A N/A N/A N/A ❑MDL Phosphorus 4.42 mg/I 2.033 mg/I 24 Composite 0 ML ❑MDL Total dissolved solids N/A N/A N/A N/A N/A N/A 0 ML ❑MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3). 2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not required to report data for chlorine. EPA Form 3510-2A(Revised 3-19) Page 15 , JL �pZ Travelers Hest ` } S. - ,r ,"_� I �r °p r t ,',\ ..:_r_____:-.------..;' '1 '‘.-. 1 i 11( ' Chi �, , \ c)ti n _�+ r ` ,s. , • `,r, �, o M ••Greater zf.; \, \ .-b° ` ° ��►� . `< %. ,ph , ` ;\ ' '/ CID. \ •• ' \ rr g :Doter w' 41\ y( •4--. -. '. �% � ter' 1 \ j 1 --/ 4' sy5@NAp�p�" iJ$•\ 1, `''YV_ l — ,„--, J sew'•" Ii _ i n9 1 \ 1 \-/' ri&$t? j ! 'N \--. , ` Stantonsburg WWTP t 1 i , ) ' -----"-'- ' 7 .7— )., r. - / \I_, —' ' ../". 6/. 1‘) (../ —,,----,-.. _.:_._ II:1_3 11144114 \ • If i \y.0 :/: , . ' n Ilk Witsnow - Q -— — 1 �q • I :? l_. • kI40 l ' \ . f 132,40 6�ntlpit tt� _1 - i .. i /\ . -- _ ' Outfa11001 s `��-� /---1-1/7n/ 'N4l -;,:YP-----------* i� , % ��-•i7-,i_�1• i 1 C�fr _.: �, .-- i l' 111 i I 1 LV Jam`_, i ' ���'. 9M t. ilri I 1, ic NC0057606 - Stantonsburg WWTPi • x Latitude: 35°34'59"N USGS Quad: Stantonsburg,N.C. Facility Location Longitude: 77°48'00"W River Basin: Neuse River Basin Stream Class: C-Swamp NSW Sub-Basin: 03-04-07 TN0J _naytli IWilson County Receiving Stream: Contentnea Creek Map not to scale EHWIEV�I[1t�C��t t `_o -lgorrp© r t : Drinking Water ID: 37715 Wastewater ID: 10 114 OAKMONT DRIVE FHUNE (252) 756-6208 GREENVILLE, N.C. 27858 FAX (252) 756-0633 ID#: 458 E TOWN OF STANTONSBURG (WWTP) ATTN: MR. ROGER SULLIVAN P.O. BOX 10 DATE COLLECTED: 09/28/22 STANTONSBURG, NC 27883 DATE REPORTED : 10/10/22 REVIEWED BY: Effluent Field Analysis Method PARAMETERS Blank Date Analyst Code Mercury (Method 1631E), ng/l <1 <1 10/08/22 MTM EPA1631E Environment 1,Inc. CHAIN OF CUSTODY RECORD P.O.Box 7085, 114 Oakmont Dr. Page__i_of_ i_ Greenville,NC 27858 environment 1 inc.com DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION Phone(252)-756-6208•Fax(252)756-0633 CHLORINE • CLIENT: 458 E Week:43 pH CHECK(LAB) UV CONTAINER TYPE,PIG TOWN OF STANTONSBURG(WWTP) ❑ NONE G ATTN:MR.ROGER SULLIVAN P.O.BOX 10 CHEMICAL PRESERVATION STANTONSBURG NC 27883 A -sacs A-NONE D-NAOH E1 cn (252)238-3608 0 0 ¢z z x B HNO3 E-HCL J(,) p v C-H,SO4 F-ZINC ACETATE/NAOH x 1-COLLECTION a- o8 a G-NATHIOSULFATE cc H M O O Q SAMPLE LOCATION DATE TIME o o 'k•-' ¢ 4,t ,3 _ a 21356P aspS. CLASSIFICATION: Effluent 1 sEP Field Blank 8 3- p7g5 _ 1 Lil WASTEWATER(NPDES) - DRINKING WATER DWR/GW SOLID WASTE SECTION CHAIN OF CUSTODY(SEAL)MAINTAINED _ _ DURING''SHIP T/DELIVERY � Y N SAMPLES COLLECTED BY: . (Please Print) A.A - .5�1/,;A.L/ SAMP ES RECEIVED IN LAB AT 1 • L(°C IME RECEIVED BY DATEITIME RELINo.,ISHEDBY I (SAMPLER),� gn (SIG.) COMMENTS: RELI IQUISHED BY(SIG.) DATE/TIME RECEIVED BY(SI 7)- DATFJII E od+.�1 1 6 WERE '�,E R i RV,rED WITH MO ON ,a ., T_.q:: 3.. "Y`n-. RELINQUISHED BY(SIG.) DATE/TIME RECEIVED BY(SIG.) DATE/TIME PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for N4 407450 FORM#s Grab sample in the blocks above for each parameter requested. 4