NC0049867_Permit Issuance_20140627

J 'o
�CDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory -
Governor
June 27, 2014
Mr. Danny Gabriel, Mayor
Town of Cleveland
P. O. Box 429
Cleveland, North Carolina 27013
Subject: Final NPDES Permit
Permit NCO049867
Town of Cleveland WWTP
Rowan County
Class II Facility
Dear Mr. Gabriel:
John E. Skvarla, III
Secretary
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached NPDES permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated October
15, 2007 (or as subsequently amended).
The final permit contains the following changes from your previous permit:
• Special condition A.(5.) was added to the draft permit to address the Environmental
Protection Agency's (EPA's) pending requirement for you to provide electronically -
submitted Discharge Monitoring Reports (eDMRs). For information on eDMR, registering
for eDMR and obtaining an eDMR user account, please visit the following web page:
http://portal.ncdenr.or web/wq/admin/bo u/edmr.
For information on EPA's proposed NPDES Electronic Reporting Rule, please visit the
following web site:
hqp://www2.ei)a.tzov/compliance/proposed-npdes-electronic-re op rtin -rule.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: mm.nmaterquality.org
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The
Division may require modification or revocation and reissuance of the permit. This permit does not
affect the legal requirements to obtain other permits which may be required by the Division of
Water Resources or permits required by the Division of Land Resources, the Coastal Area
Management Act or any other federal or local governmental permits that may be required.
If you have any questions concerning this permit, please contact Teresa Rodriguez at
telephone number [phone] or at email [e-mail].
Sincerely,
d
Thomas A. Reeder, Director
Division of Water Resources, NCDENR
cc: NPDES Files
Central Files
EPA Region 4 (e-copy)
Raleigh Regional Office / Surface Water Protection Section
Raleigh Regional Office / Public Water Supply Section (e-copy)
Aquatic Toxicology Unit (e-copy)
Monitoring Coalition Coordinator (e-copy)

Permit NCO049867
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Cleveland
is hereby authorized to discharge wastewater from a facility located at the
Cleveland WWTP
625 Third Creek Church Road
Cleveland
Rowan County
to receiving waters designated as Third Creek in the Yadkin -Pee Dee River Basin in accordance with
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV
hereof.
The permit shall become effective August 1, 2014.
This permit and the authorization to discharge shall expire at midnight on March 31, 2019.
Signed this day June 27, 2014.
l mas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 9

Permit NCO049867
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
The Town of Cleveland
is hereby authorized to:
l . Continue to operate an existing 0.27 MGD wastewater treatment plant with the following
components:
➢ Rotary bar screen
➢ Manual bar screen
➢ Flow splitter box
➢ Two oxidation ditches
➢ Two final clarifiers
➢ Chlorination / dechlorination basin
➢ Ultrasonic flow measurement station
➢ Aerobic digester with diffused aeration and mixing system
➢ Standby power
This facility is located at the Cleveland WWTP on 625 Third Creek Church Road, near Cleveland
in Rowan County.
2. Discharge from said treatment works at the location specified on the attached map into Third Creek,
classified C waters in the Yadkin -Pee Dee River Basin.
Page 2 of 9

Permit NCO049867
Part I
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored$ by the Permittee as
specified below:
E�FLUEN:T
C . `HARACTERIS,TICS
r,
LIMITS
MONITORING REQUIREMETS
Mohthly,;
_,.Average.,
Weekly
Average
_,.,:Daily
Maximum
Measurement
...Frequency
Sample.
Type
Sample
Location1
Flow
0.27 MGD
Continuous
Recording
I or E
BOD, 5 day, 200C 2
(April 1 to October 31
15.0 mg/L
22.5 mg/L
Weekly
Composite
I, E
BOD, 5 day, 200C 2
(November 1 to March 31)
30.0 mg/L
45.0 mg/L
Weekly
Composite
I, E
NH3 as N
(April 1 to October 31)
6.0 mg/L
18.0 mg/L
Weekly
Composite
E
NH3 as N
(November 1 to March 31)
12.0 mg/L
35.0 mg/L
Weekly
Composite
E
Total Suspended Solids2
30.0 mg/L
45.0 mg/L
Weekly
Composite
I, E
Dissolved Oxygen3
Weekly
Grab
E, U, D
Fecal Coliform
(geometric mean
200/100 ml
400/100 ml
Weekly
Grab
E, U, D
Total Residual Chlorine4
28 µg/L
2/Week
Grab
E
Oil and Grease
Weekly
Grab
E
Total Nitrogen
+ NO3 +
Monthly
Composite
EOz
Total Phosphorus
Monthly
Composite
E
Temperature °C
Weekly
Grab
U, D
Temperature °C
Daily
Grab
E
pH5
Weekly
Grab
E
Conductivity
Weekly
Grab
U, D
Chronic Toxicity 6
Quarterly
Composite
E
Effluent Pollutant Scan
Footnote 7
Footnote 7
Effluent
r oomotes:
1. I = influent, E= effluent, U= upstream at least 100 feet upstream from the discharge point, D= downstream at NCSR
1003. Upstream and downstream samples shall be grab samples. Instream monitoring requirements are waived
conditional upon membership in the YPDRBA. See condition A. (4.).
2. The monthly average BOD and Total Suspended Solids concentrations shall not exceed 15% of the respective
influent values (85% removal).
3. The daily average dissolved oxygen effluent concentrations shall not be less than 5.0 mg/L.
4. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit.
However, the Permittee shall continue to record and submit all values reported by a North Carolina certified
laboratory (including field certified), even if these values fall below 50 µg/L.
5. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
6. Chronic Toxicity (Ceriodaphnia) P/F at 3.0%: March, June, September, and December (see condition A. (2.)).
7. The permittee shall perform three Effluent Pollutant Scans during the term of this permit [see A. (3)].
8. No later than 270 days from the effective date of this permit, begin submitting discharge monitoring reports
electronically using NC DWR's eDMR application system. See Special Condition A.(5.)
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 9

Permit NCO049867
A. (2.) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 3.0 %.
The permit holder shall perform at a minimum, guarterlX monitoring using test procedures outlined in the
"North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised December 2010, or subsequent
versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised- December
2010) or subsequent versions. The tests will be performed during the months of March, June, September and
December. These months signify the first month of each three-month toxicity testing quarter assigned to the
facility. Effluent sampling for this testing must be obtained during representative effluent discharge and shall
be performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the
permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two
following months as described in "North Carolina Phase H Chronic Whole Effluent Toxicity Test
Procedure" (Revised -December 2010) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for
the pass/fail results and THP3B for the Chronic Value. Additionally, DWR Form AT-3 (original) is to be sent
to the following address:
Attention: North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Water Sciences Section no later than 30 days
after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required,
the permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating
the facility name, permit number, pipe number, county, and the month/year of the report with the notation of
"No Flow" in the comment area of the form. The report shall be submitted to the Water Sciences Section at the
address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month. Assessment of toxicity compliance is based on the toxicity testing quarter,
which is the three month time interval that begins on the first day of the month in which toxicity testing is
required by this permit and continues until the final day of the third month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of
Water Resources indicate potential impacts to the receiving stream, this permit may be re -opened and modified
to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an
Page 4 of 9

Permit NCO049867
invalid test and will require immediate follow-up testing to be completed no later than the last day of the month
following the month of the initial monitoring.
A. (3.) EFFLUENT POLLUTANT SCAN
The Permittee shall perform a total of three (3) Effluent Pollutant Scans for all parameters listed below. One scan
must be performed in each of the following years: 2015, 2016, and 2017. Analytical methods shall be in
accordance with 40 CFR Part 136 and shall be sufficiently sensitive to determine whether parameters are present in
concentrations greater than applicable standards and criteria. Samples should be collected with one quarterly
toxicity test each year, and must represent seasonal variation [i.e., do not sample in the same quarter every year].
Unless otherwise indicated, metals shall be analyzed as "total recoverable."
Ammonia (as N)
Trans-1,2-dichloroethylene
Bis (2-chloroethyl) ether
Chlorine (total residual, TRC)
1,1-dichloroethylene
Bis (2-chloroisopropyl) ether
Dissolved oxygen
1,2-dichloropropane
Bis (2-ethylhexyl) phthalate
Nitrate/Nitrite
1,3-dichloropropylene
4-bromophenyl phenyl ether
Kjeldahl nitrogen
Ethylbenzene
Butyl benzyl phthalate
Oil and grease
Methyl bromide
2-chloronaphthalene
Phosphorus
Methyl chloride
4-chlorophenyl phenyl ether
Total dissolved solids
Methylene chloride
Chrysene
Hardness
1,1,2,2-tetrachloroethane
Di-n-butyl phthalate
Antimony
Tetrachloroethylene
Di-n-octyl phthalate
Arsenic
Toluene
Dibenzo(a,h)anthracene
Beryllium
1, 1, 1 -trichloroethane
1,2-dichlorobenzene
Cadmium
1,1,2-trichloroethane
1,3-dichlorobenzene
Chromium
Trichloroethylene
1,4-dichlorobenzene
Copper
Vinyl chloride
3,3-dichlorobenzidine
Lead
Acid -extractable compounds:
Diethyl phthalate
Mercury (EPA Method 1631E)
P-chloro-m-cresol
Dimethyl phthalate
Nickel
2-chlorophenol
2,4-dinitrotoluene
Selenium
2,4-dichlorophenol
2,6-dinitrotoluene
Silver
2,4-dimethylphenol
1,2-diphenylhydrazine
Thallium
4,6-dinitro-o-cresol
Fluoranthene
Zinc
2,4-dinitrophenoI
Fluorene
Cyanide
2-nitrophenol
Hexachlorobenzene
Total phenolic compounds
4-nitrophenol
Hexachlorobutadiene
Volatile organic compounds:
Pentachlorophenol
Hexachlorocyclo-pentadiene
Acrolein
Phenol
Hexachloroethane
Acrylonitrile
2,4,6-trichlorophenol
Indeno(1,2,3-cd)pyrene
Benzene
Base -neutral compounds:
Isophorone
Bromoform
Acenaphthene
Naphthalene
Carbon tetrachloride
Acenaphthylene
Nitrobenzene
Chlorobenzene
Anthracene
N-nitrosodi-n-propylamine
Chlorodibromomethane
Benzidine
N-nitrosodimethylamine
Chloroethane
Benzo(a)anthracene
N-nitrosodiphenylamine
2-chloroethylvinyl ether
Benzo(a)pyrene
Phenanthrene
Chloroform
3,4 benzofluoranthene
Pyrene
Dichlorobromomethane
Benzo(ghi)perylene
1,2,4-trichlorobenzene
1,1-dichloroethane
Benzo(k)fluoranthene
1,2-dichloroethane
Bis (2-chloroethoxy) methane
Page 5 of 9

Permit NCO049867
Reporting. Test results shall be reported on DWR Form -A MR-PPA1 (or in a form approved by the Director)
by December 31" of each designated sampling year. The report shall be submitted to the following address:
NCDENR / DWR / Central Files,1617 Mail Service Center, Raleigh, North Carolina 27699-1617.
Additional Toxicity Testing Requirements for Municipal Permit Renewal. Please note that Municipal
facilities that are subject to the Effluent Pollutant Scan requirements listed above are also subject to additional
toxicity testing requirements specified in Federal Regulation 40 CFR 122.210)(5). The US EPA requires four
(4) toxicity tests for a test organism other than the test species currently required in this permit. The multiple
species tests should be conducted either quarterly for a 12-month period prior to submittal of the permit renewal
application, or four tests performed at least annually in the four and one half year period prior to the application.
These tests shall be performed for acute or chronic toxicity, whichever is specified in this permit. The multiple
species toxicity test results shall be filed with the Aquatic Toxicology Branch at the following address:
North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Contact the Division's Aquatic Toxicology Branch at 919-743-8401 for guidance on conducting the additional
toxicity tests and reporting requirements. Results should also be summarized in Part E (Toxicity Testing Data)
of EPA Municipal Application Form 2A, when submitting the permit renewal application to the NPDES
Permitting Unit. -
A. (4.) INSTREAM MONITORING REQUIREMENTS
Instream monitoring requirements as indicated in section A. (1.) of this permit are conditionally waived as a
result of the Town of Cleveland's participation as a member of the Yadkin/Pee Dee River Basin Association
(YPDRBA). Effluent monitoring requirements are not affected. Should the Town end its active membership in
the YPDRBA, it must notify DWR of this development. The instream monitoring requirements in the permit
will become effective immediately upon the Town ending its active membership in the YPDRBA.
A. (5.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
specify that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations
will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part H of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Page 6 of 9

Permit NCO049867
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring
data and submit DMRs electronically using the internet. Until such time that the state's eDMR application
is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer printed eDMR to the following address:
NC DENR / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
littp:Hportal.ncdenr.or web/wg/admin/bog/i u/p edmr
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Sumlements Section B. (11.) (b) and supersedes Section B. (11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (11.)(a) or by a duly authorized representative of that person as described in Part H, Section B.
(11.)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account
and login credentials to access the eDMR system. For more information on North Carolina's eDMR
system, registering for eDMR and obtaining an eDMR user account, please visit the following web page:
littp:HportaI.ncdenr.org/web/wq/admin/bodipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
V certify, under penalty of law, that this document and all attachments were prepared under nay direction or
supervision in accordance with a system designed to assure that qualifiedpersonnelproperly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,
Page 7 of 9

Permit NCO049867
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. "
3. Records Retention [Supplements Section D. (6,4
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions.
These records or copies shall be maintained for a period of at*least 3 years from the date of the report. This
period may be extended by request of the Director at any time [40 CFR 122.41].
Page 8 of 9

Permit NCO049867
it .L.
V
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-- 1T4
TOWN OF CLEVELAND WWTP — NCO049867 Facility Location (not to scale)
1
Receiving Stream: Third Creek Stream Class: C
Drainage Basin: Yadkin -Pee Dee River Basin Sub -Basin: 03-07-06 n
Permitted Flow; 0.27 MGD HUC: 03040102 1 V
USGS Quad: Cleveland
Latitude 35. 44' 38" Longitude 80.40' 56"
Page 9 of 9

NCDENR/DWR
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NCO049867
Facility
Information
Applicant/FacilityName:
Town of Cleveland, Town of Cleveland W WTP
Applicant Address:
P.O. Box 429, Cleveland, NC 27013
Facility Address:
625 Third Creek Church Rd., Cleveland, NC 27103
Permitted Flow
0.27 MGD
Type of Waste:
Domestic 35%,
Industrial 65%
Facility/Permit Status:
Renewal
County:
Rowan
Miscellaneous
Receiving Stream:
Third Creek
Regional Office:
Mooresville
Stream Classification:
C
State Grid
USGSQuad:
Granite Falls
B16NW
303 d Listed?
Yes
Permit Writer:
Teresa Rodri ez
Subbasin:
HUC:
03-07-06
03040102
Date:
3/26/2014
Drainage Area (mej:
87.4
Lat. 35044' 38" N Long, 80040' 56" W
Summer 7Q 10 cfs
14.0
Winter 7Q 10 cfs
24.1
30Q2 efs)
Average Flow cfs :
89.1
IWC (%):
3.2
Surmnary
The Town of Cleveland is applying for renewal of their NPDES permit. The Town operates a 0.27
MGD facility discharging to Third Creek, a class C waterbody in the Yadkin Pee Dee River Basin.
The facility has a short term monitoring plan (STMP) with the pretreatment unit and one SIU
permitted for 0.175 MGD, actual industrial flow is around 0.039 MGD. The permit will continue
to require the City to continue to implement its pretreatment program. This permit was
reclassified from a minor to a major permit in 2010.
Third Creek is impaired for turbidity. A TMDL was developed by the Division in 2011. Turbidity
is addressed for POTWs by regulating total suspended solids. The waste load allocation for the
Cleveland W WTP is the existing total suspended solids limits.
Compliance Summary
The following parameters were detected in the priority pollutant scan performed for the permit
application chromium, copper, lead, zinc, bromoform, chlorodibromomethane, chloroform,
dichlorobromomethane, methyl bromide and toluene. None of these parameters were detected in
concentrations above the water quality criteria.

NPDES Permit Fact Sheet Town of Cleveland W NTP
Page 2 NCO049867
Monthly DMR data were reviewed for the period of January 2009 to March 2014 and is
summarized in Table 1.
Table 1: Monthly Average Effluent Data Summary: DMRs
Total
Residual
Flow
Temp.
Chlorine
BOD
TSS
NH3-N
Fecal
D.O.
pH
O&G
TP
TN
MGD)
de Cj
u
m
(m
m
#/100mL
m
SU
m
m
m
Average
0.110
17.25
30.8
5.6
7.7
1.42
7
5.9
6.7
5.7
5.2
19.47
Maximum
0.406
27.5
50
33.7
50.5
14.6
> 6000
9.7
7.9
16.2
9.7
37.4
Minimum
0.005
4.2
<10
1 <2
<2.5
1 <0.1
I <1
5.0
6
<5
1 2.7
1 9.2
Instream Monitoring
The Town is a member of the Yadkin Pee Dee River Basin Association (YPDRBA) therefore the
instream requirements are waived. There is an ambient monitoring station downstream.of the
discharge near Woodleaf. Data for this station show exceedances of water quality standards for
pH, fecal coliform and turbidity.
RPA Analysis
No RPA analysis was completed since the facility only monitored four times for metals during
the review period as required by the STMP. The following metals were detected: cadmium,
chromium, nickel, copper, and molybdenum. Metals detected were below allowable
concentrations.
Mercury Analysis
Mercury was sampled four times with results less than both the allowable water quality based
limit (WQBEL) of 413 ng/1 and technology based effluent limit (TBEL) of 47 ng/l. The facility will
be required to sample for mercury during the priority pollutant scan. Mercury Minimization Plan
is not required for facilities less than 2 MGD.
WET Test Results
The facility passed all WET tests performed from January 2009 to Match 2014.
Correspondence File Review/Compliance History
The Town had one monthly average violation for ammonia and one weekly average violation
each for BOD, fecal coliform and total suspended solids.
Permit Conditions and Proposed Changes
Parameter.
Current Limit .
Basis..
Proposed changes -
BOD
15 mg/1 summer
30 m /I winter
Water quality limited
No change
TSS
30 mg/1
Secondary treatment limits
15A213.0400
No change
Fecal Coliform
200/100 ml
WQBEL, I5A NCAC 213.0200
No change
Dissolved Oxygen
No less than 5 m I
Water Quality limited
No change
Chronic Toxicity
3 %
15A NCAC 213.0500
No thane
Ammonia
6 mg/1 summer
12m /lwinter
Water quality limited
No change
Tem erature
DWQ policy
No Change
H
6 to 9 SU
WQBEL, I5A NCAC 2B .0200
No change

s
~•f • N
t
NPDES Permit Fact Sheet Town of Cleveland WWTP
Page 3 NC0049867
Total residual
chlorine
28 µgf l
WQBEL,15A NCAC 2B .0200
No change
Total Nitrogen
DWQ policy
No change
Total. Phosphorus
DWQ policy
No change
Proposed Schedule for Permit issuance
_ Draft Permit to Public Notice: May 7, 2014
Permit Scheduled to Issue: June 30, 2014
State Contact Information
If you have any questions on any of the above information or on the attached permit, please
contact Teresa Rodriguez at [phone]; _
NAME: DATE:
lip
Regional Office Comments:
NAME: DATE:

Salisbury Post
131 West Inner Street, Salisbury, NC 28144
Printed on: 05/09/14
Account:
273870
Ad to: 1155102
Name:
WREN THEDFORD
Text: No. 1155102 Public Notice North Caro
PO:
Company:
NCDENR - Division of Water Resource Run Dates: 05/09/2014 to 05/092014
Address:
1617 Mail Service Center
Inserts: 2
Raleigh NC 27699
Class: 20510
Ong User: KBYARS
Telephone:
91980763043
Lines: 54.0
Publication
Start Stop
Inserts Total Cost Ad Note:
Within 10 days after the publish date, please send the invoice and two copies of the
Salisbury Post
05/09/14 05/09/14
1 $66.63 original affidavit
NCDENR-Di-Division of Water Resources
Salisbury Post Web 05/09/14 05109/14
1
Customer Note:
OSrTMYt4 Fri SP
05N9ri4 Fri SPW
No.1155102
Public Notice
North Carolina Environmental Management Commission/HPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Notice of Intent to Issue a NPOES Wastewater Permit
The North Carolina Environmental Management Commission proposes to
issue a NPDES wastewater discharge permit to the person(s) listed below.
Written comments regarding the proposed permit will be accepted until 30 days
after the publish date of this notice. The Director of the NC Division of Water
Resources (DWR) may hold a public hearing should there be a significant
degree of public interest. Please mail comments and/or information requests to
DWR at the above address. Interested persons may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC to review information on file. Additional Informa-
tion on NPDES permits and this notice may be found on our website: htg1://por-
tal.ncdenr.orgAveb/wq/swp/ps/npdes/calendar, or by calling [phone].
Town of Cleveland, NPDES permit NCO049867, has applied for renewal of its
permit discharging to Third Creek in the Yadkin -Pee Dee River Basin.
Page 2

To: NPDES Unit
Water Quality Section
Attention: Jackie Nowell
SOC Priority Project: No
Date: January 21, 2014
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Rowan
NPDES Permit No.: NCO049867
PART I - GENERAL INFORMATION
1. Facility and Address: Town of Cleveland W WTP Physical Address
PO Box 429 625 Third Creek Church Road
Cleveland, N.C. 27013 Cleveland, NC 27103
2. Date of Investigations: March 6, 2012 (Compliance Inspection), August 26, 2013
(Pretreatment Inspection)
3. Report Prepared By: Wes Bell, Environmental Specialist
4. Person Contacted and Telephone Number: Pete Rich/ORC and Dena Myers/ Statesville
Analytical (Contract lab & wastewater operations) [phone]
5. Directions to Site: From the junction of Hwy. 70 and West Main Street in the Town of
Cleveland, turn right onto West Main Street and a left on Maple Street. Travel west and turn
right on 3`d Creek Church Road. The Town's W WTP will be on the left prior to the bridge
over Third Creek.
Q
Discharge Point(s), List for all discharge Point:
Outfall 001
Latitude: 350 44' 38"
Longitude: 800 40' 56"
See USGS Map included with the renewal application for specific location of the outfall. p
USGS Quad No.: E 16 NW Cleveland, NC _ 7 (a�
7. Receiving Stream or Affected Surface Waters: Third Creek
a. Classification: C
b. River Basin and Subbasin No.:
Yadkin03-07-06 03 C
�CC�C���_ lG
FEB 0' 2(04

Page Two
PART H - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater and description of wastewater source(s) of each outfall:
Outfall 001— 0.27 MGD. Domestic and industrial (I CIU -- Daimler Trucks LLC, NA)
wastewater is treated by the existing wastewater treatment facility consisting of a rotary bar
screen with manual bypass screen, flow splitter box, two oxidation ditches (0.180 MGD and
0.09 MGD), two final clarifiers, chlorination (gas), chlorine contact chamber, dechlorination
(gas), flow measurement, and one aerobic digester.
b. Pretreatment Program: Approved
PART III - OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None requested. The Town
is a member of the Yadkin -Pee Dee River Basin Association.
PART IV - EVALUATION AND RECOMMENDATIONS
There have been no changes and/or modifications to this facility or the subject permit since
the permit was last issued. The facility reported a monthly average effluent ammonia violation in
April 2012, a weekly average effluent fecal coliform violation in July 2012, and a weekly average
effluent TSS violation in April 2013.
The permit renewal application was not complete at the time of submittal. No expanded
effluent data (Part D of application) and second species toxicity monitoring (Part E of application)
had been performed.
Pending the receipt and evaluation of all required effluent data, it is recommended that the
subject Permit be renewed as requested.
'7
Signature of Report Preparer Die
Water Quality Regional Supervisor bate

ne
i S' U
&T,Y\ er
IN( -KC
NPDES/A uifer Protection Permitting Unit Pretreatment Information Request Form
PERMIT WRITER COMPLETES THIS PART:
Date of Request 5/1/2014
I PERMIT WRITERS -AFTER you get this form back
Check all that
municipal renewal
apply
from PERCS:
Notify PERCS if LTMP/STMP data we said should be
on DMRs is not really there, so we can get it for you
(or NOV POTW).
- Notify PERCS if you want us to keep a specific POC
in LTMP/STMP so you will have data for next permit
renewal.
- Email PERCS draft permit, fact sheet, RPA.
- Send PERCS paper copy of permit (w/o NPDES
boilerplate), cover letter, final fact sheet. Email RPA if
Ichanges.
Requestor
Teresa Rodriguez
new industries
Facility Name
Town of Cleveland
W WTP expansion
Permit Number
Region
NCO049867
Mooresville
Speculative limits
stream reclass.
Basin
Yadkin
outfall relocation
7Q10 change
other
other
check applicable PERCS staff:
Other Comments to PERCS:
BRD, CPF, CTB FRB, TAR - Sarah Morrison 807.6310
x
CHO, HIW, LUM, LTN, NES, NEW, ROA, YAD - Monti
Hassan 807-6314
PERCS PRETREATMENT STAFF COMPLETES THIS PART:
Status of Pretreatment Program (check all that apply)
1) facility has no SIU's, does have Division approved Pretreatment Program that is INACTIVE
2) facility has no SIU's, does not have Division approved Pretreatment Program
3) facility has SIUs and DWQ approved Pretreatment Program (list "DEV" if program still under development)
3a) Full Program with LTMP
3b) Modified Program with STMP
4) additional conditions regarding Pretreatment attached or listed below
Flow, MGD
Permitted
Actual
Time period
Industrial
1-1
Uncontrollable
o.
—` m
o
C
Parameter of
Concern (POC)
)
Check List
POC due to
NPDESI Non-
Disch Permit
Limit
Required by
EPA'
Required
b 6D3
y
Sludge••
POC due
to SIU"'
POTW POC
(Explain
below)**-
STMP
ERluent
Freq
LTMP
Effluent
Freq
Q = Quarterly
M = Monthly
BOO
4
Q M
TSS
- 4
Q M
NH3
4
Q M -
Arsenic
4
Q M
J
Cadmium
4
Q M
J
Chromium
4
Q M
J
Copper
4
Q M
Cyanide
4
Q M
Is alf data on DMRs?
J
Lead
v
4
Q M
YESIV
Mercury
4
Q M
NO (attach data)
Molybdenum
4
Q M
Nickel
4
Q M
Silver
4
Q M
Selenium
4
Q M
J
Zinc
4
Q M
Is data in spreadsheet?
Total Nitrogen
4
Q M
YES email to writer
Phosphorus
4
Q M
NO
4 Q M
4 Q M
4 Q M
4 Q M
*Always in the LTMP/STMP •• Only in LTMPISTMP if sludge land app or composte (dif POCs for incinerators)
••• Only in LTMP/STMP while SIU still discharges to POTW •••• Only in LTMP/STMP when pollutant is still of concern to POTW
Comments to Permit Writer (ex., explanation of any POCs• info you have on IU related investigations into NPDES problems):
for Actual
STMP time frame:
Most recent:
n/a�
NeMC Cycle:
NPDES PreVeaMenl request form NCEN149867.xlsz
Revised: July 24, 2ne]

down of Cleveland
302 East Main Street
P.O. Box 429
Cleveland, NC 27013
[phone]
April2, 2014
NCDENR/Divison of Water Resources
Attn: Charles Weaver
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: NPDES Permit Renewal for NC0049867
Dear Mr. Weaver:
RECEIVED/DENR/DWR
APR -- 8 2014
Water Reso4rces
Permitting Section
This letter serves as a request for renewal of the NPDES Permit number NC 0049867 for the Town of
Cleveland. This is the second submission for this permit renewal request. This submission includes the
Supplemental Application information. Please find the application form in triplicate enclosed. The
Town of Cleveland has one O.#270 MGD waste treatment plant and one SIU. A pretreatment program is
in place.
There have been no additions to the waste treatment plant since the _last renewal.
The sludge generated by our waste water treatment plant is land applied by our contractor, Synagro,
Inc. We have two or three land application events per year. We have three permitted land application
sites totaling 61.40 acres in Rowan County.
If you need further information, please call me at 704-278-4777.
Sincerel
Danny Gabriel
Mayor
enc

FACILITY NAME AND PERMIT NUMBER:
Town of Cleveland, NCO049867
FORM
2A NPDES FORM
NPDES
APPLICATION OVERVIEW
PERMIT ACTION REQUESTED:
Renewal
ATION
RIVER BASIN:
Yadkin Pee Dee
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 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 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 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
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 Fonn 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
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.I. Facility Information.
Facility Name Town of Cleveland
Mailing Address PO Box 429
Cleveland NC 27013
Contact Person Danny Grabiel
Title Mayor
Telephone Number 704 278-4777
Facility Address 625 Third Creek Rd
Water Resources
(not P.O. Box) Cleveland NC 27103 Permitting Section
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
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 stale -issued permits).
NPDES NCO049867 PSD
UIC Other
RCRA Other
AA 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
Town of Cleveland 821 separate
Total population served 821 & SIU
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 22

.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 years data must be based on a 12-month time period
with the 120 month of "this year" occurring no mom than three months prior to this application submittal.
a. Design flow rate: 0.540 MGD
Two Years Ago Last Year This Year
b. Annual average daily flow rate 0.107 MGD 0.111 MGD 0.129 MGD
C. Maximum daily flow rate 0.170 MGD 0.177 MGD 0.232 MGD
A.7. Collection System. Indicate the type(s) of collection systems) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
X Separate sanitary sewer 100 %
❑ Combined stomr and sanitary sewer %
A.B. 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
iv. Constructed emergency overflows (prior to the headworks)
V. Other
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?
Q. Does the treatment works land -apply treated wastewater?
If yes, provide the following for each land application site:
❑ No
mgd
❑ Yes ❑ No
Location: 15.7 acres Third Ck Rd., 20.8 acres Third Ck. Rd., 24.9 Baker Mill Rd., Town of Cleveland, Rowan Co._
Number of acres: 61
Annual average daily volume applied to site: 0.000224 mgd
Is land application ❑ continuous or X 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 8 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes
X No
If yes, provide the following for each disposal method:
Description of method (including location and size of sfte(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Cleveland, NCO049867 Renewal Yadkin Pee Dee
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.S.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. Outfall number 001
b. Location Town of Cleveland 27013
(City or town, if applicable) (Zip Code)
(County)
(Latitude)
C. Distance from shore (if applicable)
d. Depth below surface (if applicable)
e. Average daily flow rate
I. Does this outfall have either an intermittent or a periodic discharge?
If yes, provide the following information:
Number If limes 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?
(State)
(Longitude)
NIA ft.
NIA ft.
0.12 mgd
❑ Yes X No (go to A.9.g.)
❑ Yes X No
mgd
A.10. Description of Receiving waters.
a. Name of receiving water Third Creek
b. Name of watershed (if known) NIA
United States Soil Conservation Service 14-digit watershed code (if known): NIA
C. Name of State Management/River Basin (if known): WA
United Stales Geological Survey 8-digit hydrologic cataloging unit Code (d known):
d. Critical low flow of receiving stream (it applicable)
acute crs chronic cis
e. Total hardness of receiving stream at critical low flow (if applicable): mgll of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
X Primary ❑ Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 272
Design SS removal 249
Design P removal
Design N removal
Other
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine gas
If disinfection is by chlorination is dechlorination used for this outfall? X Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes X 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 QAIQC 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: 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Number of Samples
PH (Minimum)
6.2
S.U.
PH (Maximum)
7.2
S.U.
Flow Rate
0.34
MGD
0.12
VDee
364
Temperature (Winter)
15.7
Degrees C
11.4
102
Temperature (Summer)
26.2
Degrees C
21.0
161
• For PH please report a minimum and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MLIMDL
Number of
METHOD
Cone.
Units
Cone.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
D5
39
m /L
13.5
m /L
50
521OB-2001
2 m /L
DEMAND (Report one)
�COBOD5
FECAL COLIFORM
200
CFU/100
18
CFU/100
50
9222D-1997
1 CFU/700
mL
mL
mL
TOTAL SUSPENDED SOLIDS (TSS)
50
m /L
7.37
m /L
50
254OD-1997
2.5 m /L
END OF PART A.
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 7 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
BASIC APPLICATION INFOA40ION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate 2 0.1 mgd must answer questions BA through B.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.
7000 gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Smoke test lines every other year, make repairs as needed. Annual walk of entire collection system to check for leaks and
repair any leaks found. Clean 10% of lines each year.
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 oulfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground,
it. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within Y4 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.
8.3. 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.
B.4. OperationlMaintenance 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? X Yes ❑ No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages If necessary).
Name: Statesville Analytical Inc.
Mailing Address: PO BOX 228
Statesville NC 28687
Telephone Number. [phone]
Responsibilities of Contractor. Operations of W WTP and Collection system
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 B.S.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
A new lift station is set for construction on December 15 2013 This will replace an old failing one.
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 7550-8 & 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dales 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 12115/2013 I /
- End Construction I I I l
- Begin Discharge I l I l
- Attain Operational Level /
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? X Yes ❑ No
Describe briefly: Easement and right of way agreements in place and an authorization to construct with approval plans has been given.
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 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
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number: 001
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
ML/MDL
Number
METHOD
Conc.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
6.20
mg/L
0.60
mg/L
5o
SM4500 NH3-
1997
0.5 mg/L
CHLORINE (TOTAL
44
ug/L
30
ug1L
101
SM4500CIG-200
16 ug/L
RESIDUAL, TRC)
DISSOLVED OXYGEN
5.71
mg/L
5.84
mg/L
252
SM45000G-2001
0.1 mg/L
TOTAL KJELDAHL
33
mg/L
23
mg/L
12
SM4500 OrgB-
0.5 mg/L
NITROGEN (TKN)
1997
NITRATE PLUS NITRITE
29.2
mg/L
20.4
mg/L
12
SM4500NO3EF-
0.1 mg/L
NITROGEN
2000
OIL and GREASE
14.9
mg/L
0.47
mg/L
53
EPA 1664 RevB
5.0 mglL
PHOSPHORUS (Total)
7.2
mg/L
4.97
mg/L
12
SM450OPE-1999
0.1 mg/L
TOTAL DISSOLVED SOLIDS
(TOS)
OTHER
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 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
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:
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Siomonitoring Data)
❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Z,
Name and official title Dann rabriel
Signature /
Telephone number f704)tt227��-.&4777
/ -
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 755M a 7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER:
Town of Cleveland, NCO049867
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin Pee Dee
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analyses 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. 001 (Complete once for each ouffall 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
Unit
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
<5.9
ugL
<.0059
ug/L
<5.9
ug/L
<.0059
ug/L
3
EPA 200.7
5.9
ARSENIC
<5.4
ug/L
<,0054
ug/L
<.0054
ug/L
<.0054
ug/L
3
EPA 200.7
5.4
BERYLLIUM
<0.1
ug/L
<.001
ug1L
<.001
ug/L
<.001
ug/L
3
EPA 200.7
0.1
CADMIUM
<.360
ug/L
<.0D36
ug/L
<.0036
ug/L
<.0036
ug/L
3
EPA 200.7
0.360
CHROMIUM
2.1
ug/L
2.64
ug/L
1.2
ug/L
1.5
ug/L
3
EPA 200.7
1.4
COPPER
26.6
ug/L
33.5
ug/L
53.4
ug/L
67.5
ug/L
3
EPA 200.7
1.6
-LEAD
10.8
ug/L
13.6
ug/L
3.6
ug/L
4.53
ug/L
3
EPA 200.7
2.1
MERCURY
<.170
ug/L
<_170
ug/L
<.170
ug/L
<.170
ug/L
3
EPA 7470A
0.170
NICKEL
<1.8
ug/L
<1.8
ug/L
<1..8
ug/L
<1.8
ug/L
3
EPA 200.7
1.8
SELENIUM
<5.0
ug/L
<5.0
ug/L
<5.0
ug/L
<5.0
ug/L
3
EPA 200.7
5.0
SILVER
<1.9
ug/L
<1.9
ug/L
<1.9
ug/L
<1.9
ug/L
3
EPA 200.7
1.9
THALLIUM
<5.8
ug/L
<5.8
ug/L
<5.8
ug/L
<5.8
ug/L
3
EPA 200.7
<5.8
ZINC
113
ug/L
142
ug/L
79.7
uglL
100
ug/L
3
EPA 200.7
3.8
CYANIDE
<'904
mg/L
<.0049
mg/L
<.0049
mg/L
<.0049
mg/
3
EPA 9014
.0049
TOTAL PHENOLIC
COMPOUNDS
<0.03
mg/L
<0.03
mg/L
<0.03
mg/L
<0.03
mg/
L
3
EPA 420.1
0.03
HARDNESS (as CaCO3)
170
mg/L
214
mg1L
143
mg/L
181
mg/
/
3
SM234OB-1997
0.14
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22.
Page 11 of 22

.7
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCOO49867
Renewal
Yadkin Pee Dee
Outfall number: 001 (Complete Once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
44.0
ug/L
<4.0
ug/L
0.0
ug/L
0.0
ug/L
3
EPA624
4.0
ACRYLONITRILE
<3.5
ug/L
<3.5
ug/L
<3.5
ug/L
<3.5
ug/L
3
EPA624
3.5
BENZENE
F
<0.15
ug/L
<0.15
ug/L
<0.15
ug/L
<0.15
ug/L
3
EPA624
0.16
�ROMOFORM l�0
12
ug/L
15
ug/L
4.47
ug/L
5.63
ug/L
3
EPA624
0.22
CARBON
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
3
EPA624
0.17
TETRACHLORIDE
CHLOROBENZENE
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
3
EPA624
0.17
HLORODIBROMO- (`J
11
ug/L
13.9
ug/L
4.67
ug/L
5.88
ug/L
3
EPA624
0.17
ETHANE
CHLOROETHANE
<0.23
ug/L
<0.23
ug/L
<0.23
ug/L
<0.23
ug/L
3
EPA624
0.23
2-CHLOROETHYLVINYL
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
3
EPA624
1.1
ETHER
�;CHLOROFORM ��
2.5
ug/L
3.16
ug/L
1.7
ug1L
2.18
ug/L
3
EPA624
0.18
`DIETHANE CHLOROBROMO- 1
7.0
ug/L
8.8
ug/L
3.7
ug1L
4.7
ug/L
3
EPA624
0.17
1,1-DICHLOROETHANE
<0.13
ug/L
<0.13
ug/L
<0.13
uglL
<0.13
ug/L
3
EPA624
0.13
1,2-DICHLOROETHANE
<0.21
ug/L
<0.21
ug/L
<0.21
ug/L
<0.21
ug/L
3
EPA624
0.21
TRANS-I,2-DICHLORO-
<0.21
ug/L
<0.21
ug/L
<0.21
ug/L
<0.21
ug/L
3
EPA624
0.21
ETHYLENE
1,1-DICHLORO-
<0.21
ug/L
<0.21
ug/L
40.21
ug/L
<0.21
ug/L
3
EPA624
0.21
ETHYLENE
1,2-DICHLOROPROPANE
<0.10
ug/L
<0.10
ug/L
<0.10
ug/L
<0.10
ug/L
3
EPA624
<0.10
1,3-DICHLORO-
<0.20
ug/L
<0.20
ug/L
<0.20
ug/L
<0.20
ug/L
3
EPA624
0.20
PROPYLENE
ETHYLBENZENE
<0.13
ug/L
<0.13
ug1L
<0.13
ug/L
<0.13
ug/L
3
EPA624
0.13
METHYL BROMIDE ,l
ug/L
1.63
ug/L
0.43
ug/L
0.54
uglL
3
EPA624
0.14
//1.3
METHYL CHLORIDE
<0.13
ug/L
<0.13
ug/L
<0.13
ug/L
<0.13
ug/L
3
EPA624
0.13
METHYLENE CHLORIDE
<0.23
ug/L
<0.23
ug/L
<0.23
ug1L
<0.23
ug/L
3
EPA624
0.23
1,1,2,2-TETRA-
<0.28
ug/L
<0.28
ug/L
<0.28
ug/L
<0.28
ug/L
3
EPA624
<0.28
CHLOROETHANE
TETRACHLORO-
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
3
EPA624
0.17
ETHYLENE
TOLUENE 1
0.93
ug/L
1.17
ug/L
0.31
ug/L
0.39
ug/L
3
EPA624
0.14
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 12 of 22

FACILITY NAME AND PERMIT NUMBER:
Town of Cleveland, NCOO49867
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin Pee Dee
Outfall number. 001 (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
<0.12
ug/L
<0.12
ug/L
<0.12
ug/L
<0.12
uglL
3
EPA624
0.12
TRICHLOROETHANE
<0.14
ug/L
<0.14
ug/L
<0.14
ug/L
<0.14
ug/L
3
EPA624
0.14
TRICHLOROETHYLENE
<0.17
ug/L
<0.17
ug/L
<0.17
ug/L
<0.17
ug1L
3
EPA624
0.17
VINYL CHLORIDE
<0.32
ug/L
<0.32
ug/L
<0.32
ug/L
<0.32
ug/L
3
EPA624
0.32
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
<1.5
ug/L
<1.5
ug/L
<1.5
ug/L
<1.5
ug/L
3
EPA625
1.5
2-CHLOROPHENOL
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
3
EPA625
1.2
2,4-DICHLOROPHENOL
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
3
EPA625
1.4
2,4-DIMETHYLPHENOL
<1.3
ug/L
<1.3
ug1L
<1.3
ug1L
<1.3
ug/L
3
EPA625
1.3
4,6-DINITRO-0-CRESOL
<2.9
ug/L
<2.9
ug/L
<2.9
ug/L
<2.9
ug/L
3
EPA625
2.9
2,4-DINITROPHENOL
<2.6
ug/L
<2.6
ug/L
<2.6
ug/L
<2.6
ug/L
3
EPA625
2.6
2-NITROPHENOL
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
3
EPA625
1.1
4-NITROPHENOL
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
3
EPA625
2.0
PENTACHLOROPHENOL
<1.8
ug/L
<1.8
ug/L
<1.8
ug/L
<1.8
ug1L
3
EPA625
1.8
PHENOL
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
<1.4
ug1L
3
EPA625
1.4
2'4'6-
TRICHLOROPHENOL
<2.9
ug/L
<2.9
ug/L
<2.9
ug/L
<2.9
ug/L
3
EPA625
2.9
ACENAPHTHENE
<1.4
ug/L
<1.4
ug/L
<1.4
ug1L
<1.4
ug/L
3
EPA625
1.4
ACENAPHTHYLENE
<1.2
ug/L
<1.2
ug/L
<1.2
ug1L
<1.2
ug/L
3
EPA625
1.2
ANTHRACENE
<1.6
ug/L
<1.6
ug/L
<1.6
ug1L
<1.6
ug/L
3
EPA625
1.6
BENZIDINE
<1.6
ug/L
<1.6
ug1L
<1.6
ug/L
<1.6
ug/L
3
EPA625
1.6
BENZO(A)ANTHRACENE
<1.3
ug/L
<1.3
ug1L
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
BENZO(A)PYRENE
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
3,4 BENZO-
<1.0
ug/L
<1.0
ug/L
<1.0
ug/L
<1.0
ug1L
3
EPA625
1.0
FLUORANTHENE
BENZO(GHI)PERYLENE
<2.4
ug/L
<2.4
ug/L
<2.4
ug/L
<2.4
ug/L
3
EPA625
2.4
BENZO(K)
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
FLUORANTHENE
BIS (2-CHLOROETHOXY)
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
3
EPA625
1.4
METHANE
BIS (2-CHLOROETHYL)-
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
ETHER
BIS (2-CHLOROISO-
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
3
EPA625
1.2
PROPYL) ETHER
BIS (2-ETHYLHEXYL)
<1.7
ug/L
<1.7
ug/L
<1.7
ug/L
<1.7
ug/L
3
EPA625
1.7
PHTHALATE
4-BROMOPHENYL
<1.0
ug/L
<1.0
ug/L
<1.0
ug/L
<1.0
ug/L
3
EPA625
1.0
PHENYL ETHER
BUTYL BENZYL
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
3
EPA625
2.0
PHTHALATE
2-CHLORO-
<1.0
ug/L
<1.0
ug/L
<1.0
ug/L
<1.0
ug/L
3
EPA625
<1.0
NAPHTHALENE
4-CHLORPHENYL
<1.6
ug/L
<1.6
uglL
<1.6
ug/L
<1.6
ug/L
3
EPA625
1.6
PHENYL ETHER
CHRYSENE
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
<2.0
ug/L
3
EPA625
2.0
DI-N-BUTYL PHTHALATE
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
<1.4
ug/L
3
EPA625
1.4
DI-N-OCTYL PHTHALATE
<3.1
ug/L
<3.1
ug/L
<3.1
ug/L
<3.1
ug/L
3
EPA625
3.1
DIBENZO(A,H)
<2.3
ug/L
<2.3
ug/L
<2.3
ug/L
<2.3
uglL
3
EPA625
2.3
ANTHRACENE
1,2-DICHLOROBENZENE
<1.1
ug/L
<1.1
ug/L
<1.1
uglL
0.1
ug/L
3
EPA625
1.1
1,3-DICHLOROBENZENE
<1.1
ug/L
0.1
ug/L
<1.1
uglL
<1.1
ug/L
3
EPA625
1.1
1,4-DICHLOROBENZENE
0.0
ug/L
<1.0
ug/L
0.0
ug/L
<1.0
ug/L
3
EPA625
1.0
3,3-DICHLORO-
<3.3
ug/L
<3.3
ug/L
<3.3
ug/L
<3.3
ug/L
3
EPA625
3.3
BENZIDINE
DIETHYL PHTHALATE
100
ug/L
126
ug/L
33
ug/L
42
ug/L
3
EPA625
2.1
DIMETHYL PHTHALATE
<1.4
ug/L
0.4
ug/L
<1.4
ug/L
0.4
ug/L
3
EPA625
1.4
2,4-DINITROTOLUENE
<2.4
ug/L
<2.4
ug/L
<2.4
ug/L
<2.4
ug/L
3
EPA625
2.4
2,6-DINITROTOLUENE
0.5
ug/L
<1.5
ug/L
0.5
ug/L
<1.5
ug/L
3
EPA625
1.5
1,2-DIPHENYL-
<1.9
ug/L
<1.9
ug/L
<1.9
ug/L
0.9
ug/L
3
EPA625
1.9
HYDRAZINE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 14 of 22

FACILITY NAME AND PERMIT NUMBER:
Town of Cleveland, NCO049867
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Yadkin Pee Dee
Outfall number: 001 (Complete once for each oulfall discharging effluentto waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLIMDL
Cone.
Units
Mass
Units
Cone.
Units
Mass
Units
Number
of
Samples
FLUORANTHENE
<2.1
uglL
<2.1
uglL
<2.1
ug/L
<2.1
ug/L
3
EPA625
2.1
FLUORENE
<1.7
ug/L
<1.7
uglL
<1.7
ug/L
<1.7
ug/L
3
EPA625
1.7
HEXACHLOROBENZENE
<1.0
ug/L
<1.0
uglL
<1.0
ug/L
<1.0
uglL
3
EPA626
1.0
HEXACHLORO-
BUTADIENE
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
3
EPA625
1.2
HEXACHLOROCYCLO-
PENTADIENE
<13
uglL
<1.3
ug/L
<1.3
uglL
<1.3
ug/L
3
EPA625
1.3
HEXACHLOROETHANE
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
<1.1
ug/L
3
EPA625
1.1
INDENO(1,2,3-CD)
PYRENE
<2,2
ug/L
<2.2
ug/L
<2.2
ug/L
<2.2
uglL
3
EPA625
2.2
ISOPHORONE
<1.3
uglL
<1.3
uglL
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
NAPHTHALENE
<1.3
ug/L
<1.3
ug/L
<11.3
ug1L
<1.3
ug/L
3
EPA625
1.3
NITROBENZENE
<1.2
ug/L
<1.2
ug/L
<1.2
uglL
<7.2
ug/L
3
EPA625
1.2
N-NRROSODI-N-
PROPYLAMINE
<1,3
ug/L
<1.3
ug/L
<7.3
ug/L
<1.3
ug/L
3
EPA625
1.3
N-NITROSODI-
METHYLAMINE
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
<1.3
ug/L
3
EPA625
1.3
N-NITROSODI-
PHENYLAMINE
<2.1
uglL
<2.1
ug/L
<2.1
ug/L
<2.1
uglL
3
EPA625
2.1
PHENANTHRENE
<1A
ug/L
<1.4
ug/L
<1A
ug/L
<1A
uglL
3
EPA625
1.4
PYRENE
<2.1
ug/L
<2.1
ug/L
<2.1
uglL
<2.1
ug/L
3
EPA626
2.1
1,2,4-
TRICHLOROBENZENE
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
<1.2
ug/L
3
EPA625
1.2
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 5 7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the Information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
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 lest). Copy this page if more than three tests are being reported.
Test number:1212/13 Test number. 1/6114 Test number:
a. Test information.
Test Species 8 test method number
Pimephales promelas EPA
Pimephales promelas EPA
1000.0
1000.0
Age at Initiation of test
<24 hrs.
<24 hrs.
Outfall number
001
001
Dates sample collected
1212113
116114
Date test started
1213113
117114
Duration
7 Days
7 Days
b. Give toxicity test methods followed.
Short-term Methods for
Short-term Methods for
Estimating the Chronic
Estimating the Chronic
Manual title
Toxicity of Eff and rec.
Toxicity of Eff and rec.
waters to freshwater
waters to freshwater
organisms, EPA-821-R-02-
organisms, EPA-821-R-02-
013
013
Edition number and year of publication
Fourth Edition, October 2002
Fourth Edition, October 2002
Page number(s)
1 - 335
1 - 335
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
EPA Form 3510-2A (Rev, 1-99). Replaces EPA forms 7550-5 8 7550-22. Page 15 of 22

Before disinfection
After disinfection
After dechlorination X X
EPA Form 3510-2A (Rev. 1-99). Replaces EPA farms 7650-6 & 7550-22. Page 16 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Test number: 12/2113 Test number: 116114 Test number.
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
After Dechlorination
After Dechlorination
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Soft synthetic water
Soft synthetic water
Receiving water
i. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
X
Salt water
j. Give the percentage effluent used for all concentrations In the test series.
0, 0.75, 1.5, 3.0 6.0, 12%
0, 0.75,1.5, 3.0 6.09 12%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Yes
Yes
Conductivity
Yes
Yes
Temperature
Yes
Yes
Alkalinity
Yes
Yes
Hardness
Yes
Yes
Dissolved oxygen
Yes
Yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LC50
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 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Chronic:
NOEC
12%
12%
IC,
>12%
>12%
Control percent survival
100 %
100 %
Other (describe)
ChV >12%
ChV >12%
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Yes
Yes
Was reference toxicant test within
acceptable bounds?
Yes
Yes
What date was reference toxicant test
run (MMIDD/YYYY)?
12/3113
117114
Other (describe)
E.3. Tokickyy 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)
END OF PART E.
REFER TO THEAPPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-8 & 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
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 ot, an approved pretreatment program?
® 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. 0
b. Number of CIUs. 1
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.
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: Daimler Trucks LLC, North America
Mailing Address: PO Box 399
Cleveland, NC 27013
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Large Truck Production facility
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): Heavy Duty Truck manufacturer
Raw matedal(s): Aluminum, steel, plastics, paints, solvents, adhesives, petroleum products, commodity chemicals
F.6. Flow Rate.
a. Process wastewater Sow 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.
15,374 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.
47,354 gpd X continuous or jnlermittent
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 433.17
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-0 & 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Cleveland, NCO049867
Renewal
Yadkin Pee Dee
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.
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 ® 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 Amoun Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remedlation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) ® No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRAIor other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 20 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
a. Give the average volume per CSO event.
million gallons (❑ actual or ❑ approx.)
b. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.S. 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.S. 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 22 of 22

Final Eff. &
2 Flow Measurement
To Stream
Chlorine
Contact
FIGURE I
TOWN OF CLEVELAND WWTP
AN Flow
S hn
Oxidation Ditch #1 4_..—R!a!S -.
T•�
` uent
Bar Sctcn
aGs
O �a/
� i J
Clarifier # 1 WAS
(0.019 MG)
Digester
t.
_...__.. _...___..__RAS..__...._.._.;
I
Clarifier # 2 WAS
(0.0476 MG) To Sludge
_ ss Disposal 6
3b
Oxidation Ditch #2 VP
(0.18 MG) .