NC0088722_Effluent Pollutant Scan_20220520

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/20/2022 1:42:55 PM (Supplemental Submittal)
Submit by bradley.bennett 6/26/2023 3:56:20 PM (Supplemental Info Submittal)
• The task was assigned to Thedford, Wren, Bennett, Tilman B 5/20/2022 1:42:59 PM
• bradley.bennett assigned the task to bradley.bennett 6/26/2023 3:54:21 PM

Initial Review Information
......... ......... .......................................................................................................................................................................................................................
Updated ID#: * IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
NCO088722
How should this project be handled?
File Discard
Information Submitted on 5/20/2022
Submitter Information
Name: James T Simmons
Who is submitting the information?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental information
associated with discharge monitoring reports (DMR). All DMR data is required to be submitted electronically through
the eDMR system and should not be submitted here. Division staff will review all uploaded documents and will only
maintain required information. Documents such as laboratory reports are not required to be submitted and will not be
maintained in the system.
Project Information:
Please supply the permit number for this project.
.............................................................................................................................................................................................................................................................................................................................................................................................
Existing ID#* Permit Number
NCO088722
Examples: NCxxxxxxx or NCGxxxxxx
Facility Name: * Killian Creek WWTP
County: Lincoln
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
eff pol scan 2022.pdf 126.O8KB
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Please provide descriptive comments about the attached information.
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;

• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information form."
Full Name: James T Simmons
Signature:
014WI? RZ5;W -W,,
Date Submitted: 05/20/2022

Annual Monitoring and Pollutant Scan
Permit No. Month
Outfall Year
Facility Name Lincoln County Killian Creek WWTP ORC James T Simmons
Date of sampling _4/ 13/2022 - Mercury was 4/ 14/2022 Phone [phone]
Analytical Laboratory Meritech Labs
Parameter
Parameter
Code
Sample Type
Analytical
Method
Quantitation
Level
Sample
Result
Units of
Measurement
Ammonia (as N)
C0610
C
EPA 350.1
0.1
mg/L
Chlorine (total residual, TRC)
50060
Grab
N/A
N/A
M/A
Dissolved Oxygen
00300
Grab
SM4500 OH-2016
8.96
mg/L
Nitrite plus Nitrate Total (as N)
00630
C
EPA 353.2
7.88
mg/L
Total Kjeldahl Nitrogen
00625
C
EPA 351.1
1.15
mg/L
Oil and Grease
00556
Grab
EPA 335.4
<0.005
mg/L
Total Phosphorus
C0665
C
EPA 200.7
4.72
mg/L
Total Dissolved Solids
70295
C
SM 2540C
298
mg/L
Hardness
00900
C
SM 2340B
64
mg/L
Metals (total recoverable), cyanide
and total phenols
Antimony
Arsenic
Beryllium
Cadmium
01097
01002
C
EPA 200.7
<0.025
mg/L
C
EPA 200.7
<0.010
mg/L
01012
C
EPA 200.7
<0.005
mg/L
01027
C
EPA 200.7
<0.002
mg/L
Chromium
C0034
C
EPA 200.7
<0.005
mg/L
Copper
01042
C
EPA 200.7
0.004
mg/L
Lead
01051
C
EPA 200.7
<0.010
mg/L
Mercury (Method 1631E)
COMER
Grab
1631 E
1.18
ng/L
Nickel
01067
C
EPA 200.7
<0.010
mg/L
Selenium
01147
C
EPA 200.7
<0.010
mg/L
Silver
01077
C
EPA 200.7
<0.005
mg/L
Thallium
01059
C
EPA 200.7
<0.020
mg/L
Zinc
01092
C
EPA 200.7
0.081
mg/L
Cyanide
00720
Grab
EPA 335.4
< 0.005
mg/L
Total phenolic compounds
Volatile organic compounds
Acrolein
Acrylonitrile
Benzene
32730
34210
Grab
C
EPA 420.1
EPA 624.1
0.015
<50.0
mg/L
ug/L
34215
C
EPA 624.1
<10.0
ug/L
34030
C
EPA 624.1
<1.00
ug/L
Bromoform
32104
C
EPA 624.1
<1.00
ug/L
Carbon Tetrachloride
32102
C
EPA 624.1
<1.00
ug/L
Chlorobenzene
34301
C
EPA 624.1
<1.00
ug/L
Chlorodibromomethane
34306
C
EPA 624.1
<1.00
ug/L
Chloroethane
85811
C
EPA 624.1
<5.00
ug/L
2-chloroethyl vinyl ether
34576
C
EPA 624.1
<5.00
ug/L
Chloroform
32106
C
EPA 624.1
<1.00
ug/L
Dichlorobromomethane
32101
C
EPA 624.1
<1.00
ug/L
1,1-dichloroethane
34496
C
EPA 624.1
<1.00
ug/L
1,2-dichloroethane
32103
C
EPA 624.1
<1.00
ug/L
Trans-1,2-dichloroethylene
34546
C
EPA 624.1
<1.00
ug/L
Form - DMR- PPA-1 Page 1

Annual Monitoring and Pollutant Scan
Permit No. Month
Outfall Year
Parameter
Parameter
Code
34501
Sample Type
C
Analytical
Metho
EPA 624.1
EPA 624.1
Quantitation
Level
Sample
Result
Units of
Measurement
1,1-dichloroethylene
<1.00
ug/L
1,2-dichloropropane
C0541
C
<1.00
ug/L
1,3-dichloropropylene
77163
C
EPA 624.1
<1.00
ug/L
Ethylbenzene
34371
C
EPA 624.1
<1.00
ug/L
Methyl Bromide
34413
C
EPA 624.1
<5.00
ug/L
Methyl Chloride
34418
C
EPA 624.1
<5.00
ug/L
Methylene Chloride
34423
C
EPA 624.1
<1.00
ug/L
1,1,2,2-tetrachloroethane
81549
C
EPA 624.1
<1.00
ug/L
Tetrachloroethylene
34475
C
EPA 624.1
<1.00
ug/L
Toluene
34010
C
EPA 624.1
<1.00
ug/L
1,1,1-trichloroethane
34506
C
EPA 624.1
<1.00
ug/L
1,1,2-trichloroethane
34511
C
EPA 624.1
<1.00
ug/L
Trichloroethylene
39180
39175
34452
C
C
C
EPA 624.1
EPA 624.1
EPA 625.1
<1.00
ug/L
Vinyl Chloride
Acid -extractable compounds
P-chloro-m-creso
2-chlorophenol
<5.00
<10
ug/L
ug/L
34586
C
EPA 625.1
<10
ug/L
2,4-dichlorophenol
34601
C
EPA 625.1
<10
ug/L
2,4-dimethylphenol
34606
C
EPA 625.1
<10
ug/L
4,6-dinitro-o-cresol
34657
C
EPA 625.1
<50
ug/L
2,4-dinitrophenol
34616
C
EPA 625.1
<50
ug/L
2-nitrophenol
34591
C
EPA 625.1
<10
ug/L
4-nitrophenol
34646
C
EPA 625.1
<50
ug/L
Pentachlorophenol
39032
C
EPA 625.1
<50
ug/L
Phenol
34694
C
EPA 625.1
<10
ug/L
2,4,6-trichlorophenol
Base -neutral compounds
Acenaphthene
34621
34205
C
C
EPA 625.1
EPA 625.1
<10
<10
ug/L
ug/L
Acenaphthylene
34200
C
EPA 625.1
<10
ug/L
Anthracene
CO220
C
EPA 625.1
<10
ug/L
Benzidine
39120
C
EPA 625.1
<50
ug/L
Benzo(a)anthracene
C0526
C
EPA 625.1
<10
ug/L
Benzo(a)pyrene
34247
C
EPA 625.1
<10
ug/L
3,4 benzofluoranthene
34230
C
EPA 625.1
<10
ug/L
Benzo(ghi)perylene
34521
C
EPA 625.1
<10
ug/L
Benzo(k)fluoranthene
34242
C
EPA 625.1
<10
ug/L
Bis (2-chloroethoxy) methane
34278
C
EPA 625.1
<10
ug/L
Bis (2-chloroethyl) ether
34273
C
EPA 625.1
<10
ug/L
Bis (2-chloroisopropyl) ether
34283
C
EPA 625.1
<10
ug/L
Bis (2-ethylhexyl) phthalate
C0100
C
EPA 625.1
<10
ug/L
4-bromophenyl phenyl ether
34636
C
EPA 625.1
<10
ug/L
Butyl benzyl phthalate
34292
C
EPA 625.1
<10
ug/L
2-chloronaphthalene
34581
C
EPA 625.1
<10
ug/L
4-chlorophenyl phenyl ether
34641
C
EPA 625.1
<10
ug/L
Chrysene
34320
C
EPA 625.1
<10
ug/L
Form - DMR- PPA-1 Page 2

Annual Monitoring and Pollutant Scan
Permit No. Month
Outfall Year
Parameter AL
Parameter
Code
39110
Sample Type
Analytical
Method
Quantitation
Level
Sample
Result
Units of
Measurement
Di-n-butyl phthalate
C
EPA 625.1
<10
ug/L
Di-n-octyl phthalate
34596
C
EPA 625.1
<10
ug/L
Dibenzo(a,h)anthracene
34556
C
EPA 625.1
<10
ug/L
1,2-dichlorobenzene
34536
C
EPA 625.1
<10
ug/L
1,3-dichlorobenzene
34566
C
EPA 625.1
<10
ug/L
1,4-dichlorobenzene
34571
C
EPA 625.1
<10
ug/L
3,3-dichlorobenzidine
34631
C
EPA 625.1
<50
ug/L
Diethyl phthalate
34336
C
EPA 625.1
<10
ug/L
Dimethyl phthalate
34341
C
EPA 625.1
<10
ug/L
2,4-dinitrotoluene
34611
C
EPA 625.1
<10
ug/L
2,6-dinitrotoluene
C0626
C
EPA 625.1
<10
ug/L
1,2-diphenylhydrazine
34346
C
EPA 625.1
<10
ug/L
Fluoranthene
C0376
C
EPA 625.1
<10
ug/L
Fluorene
34381
C
EPA 625.1
<10
ug/L
Hexachlorobenzene
C0700
C
EPA 625.1
<10
ug/L
Hexachlorobutadiene
C0702
C
EPA 625.1
<10
ug/L
Hexachlorocyclo-pentadiene
34386
C
EPA 625.1
<50
ug/L
Hexachloroethane
34396
C
EPA 625.1
<10
ug/L
Indeno(1,2,3-cd)pyrene
34403
C
EPA 625.1
<10
ug/L
Isophorone
34408
C
EPA 625.1
<10
ug/L
Naphthalene
34696
C
EPA 625.1
<10
ug/L
Nitrobenzene
34447
C
EPA 625.1
<10
ug/L
N-nitrosodi-n-propylamine
34428
C
EPA 625.1
<10
ug/L
N-nitrosodimethylamine
34438
C
EPA 625.1
<10
ug/L
N-nitrosodiphenylamine
34433
C
EPA 625.1
<10
ug/L
Phenanthrene
34461
C
EPA 625.1
<10
ug/L
Pyrene
34469
C
EPA 625.1
<10
ug/L
1,2,4,-trichlorobenzene
C0551
C
EPA 625.1
<10
ug/L
Sampling should be conducted as specified in 40 CFR Part 136.
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Authorized Representative name
Signature
Date
Form - DMR- PPA-1 Page 3