NC0039578_Application_20230502 (2)

Tuckaseigee Water & Sewer Authority
Serving Jackson County
1246 West Main Street
Sylva, NC 28779
Phone: [phone] • Fax: [phone]
April 27 h, 2023
NCDEQ/DWR
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Subject: Permit Renewal, TWSA Plant #1
(NC0039578)
Tuckaseigee Water and Sewer Authority
Jackson County
Attn: NPDES Unit,
RECEIVED
iviAl' 02 2023
NCDEQ/DWR/NPDES
With this letter and completed application, the Tuckaseigee Water and Sewer Authority
requests renewal of our NPDES Permit #NC0039578 for the TWSA #1 Facility.
I have submitted the original and two copies of the renewal application package.
Please contact me with any questions or comments. I can be reached directly at 828-586-9318
or via e-mail at sbrvson@twsanc us.
Sincerely,
Stan Bryson
Wastewater Plant Operations supt.
Tuckaseigee Water and Sewer Authority
xc: Mr Daniel Manring, Executive Director
Tuckaseigee Water and Sewer Authority
"Tuckaseigee Water & Sewer Authority is an equal opportunity provider, and employer.

TWSA Plant #1
(NC 0039578)
Permit Renewal
2023
RECEIVED
MAY 02 1u_3
NCDEQ/DWR/NPDES

Contents
(1) NPDES Form 2A
(2) CerioDaphnia Toxicity Results
(3) Fathead Minnow Toxicity Results
(4) Residuals Operation Plan
(5) TOPO Map, Site Plan and
Hydraulic Profile

EPA Idenfificalion Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110040042129
NCD039578
TWSA Plant#1
OMB No. 2040aW
Form
U.S. Environmental Protection Agency
2A
SOMA
Application for NPDES Permit to Discharge Wastewater
NPDES
NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
e
e e• e •- • •r
1.1
Facility name
TWSA Plant n1 C/O Tuckaseigee Water and Sewer Authority
Mailing address (street or P.O. box)
1246 West Main St.
City or town
State
ZIP code
o
Sylva
NC
28779
€
Contact name (first and last)
Title
Phone number
Email address
o
c
Stan Bryson
ry
W WTP Su t
P .
[phone]
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
re
1871 North River Rd
LL
City or town
State
ZIP code
Sylva
NC
28779
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ✓❑ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑r No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
.q
`c
City or town
State
ZIP code
.n
Contact name (first and last)
Title
Phone number
Email address
o.
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator ❑✓ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ FacilityFacility and applicant
❑ Applicant
(they are one and the same)
ur
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
�,
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
m
water)
control)
c
NCO039578
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
W
a
c
y
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑r Other (specify)
w
404)
WQ0005763
EPA Form 3510-2A (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105119
110040042129
NC0039578
TWSA Plant #1
OMB No. 2040-0004
1.7
ction s stem information requested below for the treatment works.
Population
Collection System Type
Served
indicate percentage)
Ownership Status
-o
FJacksonCo.,
Approx 10,000
100 % separate sanitary sewer
0 Own El Maintain
Z
_ %combined storm and sanitary sewer
❑ Own ❑ Maintain
h
❑ Unknown
❑ Own ❑ Maintain
c
%separate sanitary sewer
❑ Own ❑ Maintain
.q
%combined storm and sanitary sewer
❑ Own ❑ Maintain
o
❑ Unknown
❑ Own ❑ Maintain
a
% separate sanitary sewer
❑ Own ❑ Maintain
%combined storm and sanitary sewer
❑ Own ❑ Maintain
E
❑ Unknown
❑ Own ❑ Maintain
N
%separate sanitary sewer ❑Own ❑ Maintain
y
%combined storm and sanitary sewer ❑ Own ❑ Maintain
o
❑ Unknown ❑Own ❑ Maintain
-5
o
Total 10,000
Population
Served
Separate Sanitary Sewer System Combined Storm and
Total percentage of each type of
Sanitary Sewer
sewer line in milE
1 100 %
%
Z
c
1.8
Is the treatment works located in Indian Country?
'o
❑ Yes No
U
1.9
Does the facility discharge to a receiving water that flaws through Indian Country?
0 Yes ❑ No
1.10
Provide design and actual flow rates in the designated spaces.
7
Design Flow Rate
3.5 mgd
'a
Z o
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
c
(2020)-1.316 mgd
(2021)-1.151 mgd
(2022)-1.085 mgd
c
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
(2/7/20) 4.320 mgd
(3/27/21) 1 Y) mgd
(2/5/22) 4.164 mgd
9
Provide the total number of effluent dischar a points to waters of the United States b e.
Total Number of Effluent Discha a Po
Tis—i
Treated Effluent
Untreated Effluent
Como enreffdoWswerBypasses
Constructed
Emergency
Overflows
001
0
0
0
0
EPA Form 3510-2A (Revised 3-19) Page 2

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110040042129
NC0039578
TWSA Plant #1
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 ❑✓ 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 III m oundment Location and Discharge Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
check one)
(
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd❑
Intermittent
❑ Continuous
gpd1
❑ Intermittent
t
1.14
Is wastewater applied to land?
❑ Yes ❑ No SKIP to Item 1.16.
c
1.15
Provide the land application site and discharge data requested below.
20
Land Application Site and Discharge Data
Average Daily Volume
Continuous or
o
Location
Size
Intermittent
�
Applied
check one
m
H
acres
gpd
❑ Continuous
c
❑ Intermittent
r
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
w
1.16
Is effluent transported to another facility for treatment prior to discharge?
❑ Yes No SKIP to Item 1.21.
o
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 + SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter 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
EPA Form 3510-2A (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03I05119
110040042129
NCO039578
TWSA Plant#1
OMB No. 2040-M
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving F cility Data
-0
Facility name
Mailing address (street or P.O. box)
m
City or town
State
ZIP code
0
vContact
name (first and last)
Tifle
0
c
m
Phone number
Email address
0
0
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
W
3
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not
dhave
outlets to waters of the United States (e.g., underground percolation, underground injection)?
t
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
t
Disposal
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
❑ Continuous
acres
gpd
❑ Intermittent
❑ Continuous
acres
gpd
❑ Intermittent
aces
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.
N
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
�,
❑ 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 ❑ 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
g
Contractor name
A
(company name
oMailing
address
c
street or P.O. box
City, state, and ZIP
code
c
Contact name (first and
0
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Fonn 3510-2A (Revised 3-19) Page 4

EPA Identificatlon Number NPDES Permit Number Facility Name Form Approved 03/05/19
110040042129 NCO039578 TWSAPlant #1 OMB No.2040-OM
SECTIONADDITIONAL INF•• • 40
u Outfalls to Waters of the United States
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
1
c
❑✓ Yes ❑ No 4 SKIP to Section 3.
`C
2.2
Provide the treatment works' current average daily volume of inflow
I Averse Daily Volume of Inflow and Infiltration
41000 gpd
w
and infiltration.
Indicate the steps the facility is taking to minimize inflow and infiltration.
mOngoing
I& (source identification and abatement program by TWSA Collection System Staff.
3
0
c
c
t
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
o
0
❑✓ Yes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
o a
(See instructions for specific requirements.)
ri m
o
❑✓ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑✓ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
c
m
E
n
2.
E
w
0
0
3.
v
d
H
4.
v
0
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
E
m
Scheduled
Affected
Begin
End
Begin
Attainment of
>
o
Improvement
Ouffalls
(list outfall
Construction
Construction
Discharge
Operational
Level
(from above)
number
(MWDDMYY)
(MWDDNYYY)
(MMIDDIYYYY)
MWDDMYY
v
1.
v
m
t
y
2.
3.
4.
2.7
Have appropriate pennitsidearances concerning other federallstate requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
EPA Form 3510-2A (Revised 3-19) Page 5

k Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110040042129 NC0039578 I TWSA Plant #1 OMB No. 2040-0004
SECTION
3. INFORMATION
ON EFFLUENT • 1
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number _
Outfall Number
State
NC
O1
County
Jackson
O
City or town
Sylva
0
c
C
Distance from shore
3 ft ft.
ft.
ft
m
Depth below surface
0 ft.
ft.
ft.
c
Average daily flow rate
1.085 mgd
mgd
mgd
Latitude
32° 26 59"
"
Longitude
83 14 2f
"
3.2
Do any of the ouffalls described under Item 3.1 have seasonal or periodic discharges?
o
❑ Yes ❑r No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable oulfall.
t
a
Outfall Number
Outfall Number
Outfall Number
0
_
_
Number of times per year
r
discharge occurs
a
Average duration of each
o
discharge (specify units
Average flow of each
an d
g
mgd
g
an d
g
w
m
discharge
rn
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
m
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
m
c
c
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
m
3 «
❑r Yes ❑ No 4SKIP to Section 6.
EPA Form 3510-2A (Revised 3-19) Page 6

EPA Identification Number
NPDES Permft Number
Facility Name
Form Approved 03/05/19
110040042129
N00039578
TWSA Plant to
OMB No.2040-0004
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number ro±
Outfall Number_
Outfall Number_
Receiving water name
Tuckaseegee River
Name of watershed, river,
0
or stream system
Lower Little Tenn Sub Basin
'EL.=
U.S. Soil Conservation
ro
Service 14-digit watershed
0601023020010
c
code
w
Name of state
3
management/river basin
Little Tennessee
It
U.S. Geological Survey
8-digit hydrologic
06010203
cataloging unit code
Critical low flow (acute)
cis
cis
cfs
Critical low flow (chronic)
cis
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 w;
Outfall Number _
Outfall Number
Highest Level of
El Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply peroutfall)
secondary
secondary
secondary
El Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
0
c
Design Removal Rates by
Outfall
w
m
BODs or CBODS
96 %
%
%
E
E
TSS
96 %
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑Not applicable
❑ Not applicable
Nitrogen
%
%
Other (specify)
0 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
110040042129
NCO039578
TWSA Plant##
OMB No. 2040-M
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.
v
L
C
O
`o
Outfall Number 001
Outfall Number
Outfall Number
_
TL
Disinfection type
chlorination
u
w
m
O
Seasons used
All
m
E
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
t`
Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑r 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 ❑ 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 001
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
0
19
Number of tests of receiving
water
0
0
3.13
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑✓ Yes ❑ No 4 SKIP to Item 3.16.
$
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
✓❑ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
d
package?
w
❑✓ 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
ElNo 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?
21 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?
❑ 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
110040042129
NC0039578
TWSA Plant N1
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 4 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 + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MWDD
All Cerio Daphnia mini chronic results were Pass
All Fathead Minnow tox results were CH >14%
®
05/18/2022
c
c
0
�
3.22
Regardless of how you provided our WET testing data to the NPDES
g y p y g permitting authority, did any of the tests result in
p
toxlclty?
c
❑ Yes ❑r No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
e
d
W
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes 0 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 mi authori.
SECTIONDISCHARGES
AND HAZARDOUS.t
4.1
Does the POTW receive discharges from SIUs or NSCIUs?
❑ Yes ❑✓ No 4 SKIP to Item 4.7.
d
4.2
Indicate the number of SIUs and NSCIUs that discharge to the POTW.
3
Number of SIUs
F Number of NSCIUs
0
0
E
4.3
Does the POTW have an approved pretreatment program?
_
❑ Yes ❑ No
v
4.4
Have you submitted either of the following to the NPDES permitting authority that contains information substantially
to that required in Table F: (1) a pretreatment program annual report submitted within one year of the
IFidentical
application or (2) a pretreatment program?
L
c
❑ Yes ❑ No 4 SKIP to Item 4.6.
A
4.5
Identify the titre and date of the annual report or pretreatment program referenced in Item 4.4. SKIP to Item 4.7.
0
v
c
—
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
110040042129
NC0039578
TWSA Plant#1
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?
❑ Yes 0 No 4 SKIP to Item 4.9.
4.8
If yes, provide the folill Ing information:
Annual
Hazardous Waste
Waste Transport Method
Amount of
Units
Number
(check all that apply)
Waste
Received
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other (specify)
c
c
0
U
d
❑ Truck ❑ Rail
3
❑ Dedicated pipe ❑ Other (specify)
m
0
0
v
❑ Truck ❑ Rail
_
❑ Dedicated pipe ❑ Other (specify)
a
c
m
m
m
4.9
Does the POTW receive, or has it been notified that it will receive, wastewaters that originate from remedial activities,
including those undertaken pursuant to CERCtA and Sections 3004(7) or 3008(h) of RCRA?
❑ Yes ❑� No 4 SKIP to Section 5.
Ma
Z4.10
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)?
❑ Yes -* SKIP to Section 5. ❑ 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 wastewaters hazardous constituents; and
the extent of treatment, if any, the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION•
• SEWER OVERFLOWS (40
E
5.1
Does the treatment works have a combined sewer system?
w
❑ Yes ❑'' No +SKIP to Section 6.
m
v
5.2
Have you attached a CSO system map to this application? (See instructions for map requirements.)
c
1O
a
❑ Yes ❑ No
m
e5.3
Have you attached a CSO system diagram to this application? (See instructions for diagram requirements.)
0
❑ Yes ❑ No
EPA Form 3510-2A (Revised 3-19) Page 10

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
110040042129
NCO039578
TWSA Plant #1
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
o
County
°
oLatitude
0
c0i
Longitude
°
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 ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
c
•`o
CSO flow volume
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
0
2
CSO pollutant
❑ Yes ❑ No
❑ Yes ❑ No
El Yes ❑ No
0
concentrations
N
Receiving water quality
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
CSO frequency
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Number of stone events
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
5.6
Provide the following information for each of your CSO outfalls.
CSO Outfall Number _
CSO Outfall Number _
CSO Outfall Number _
a
Number of CSO events in
events
events
events
H
W
the past year
a
c
Average duration per
hours
hours
hours
42
event
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
1°
o
Average volume per event
million gallons
million gallons
million gallons
cyi
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
Minimum rainfall causing
inches of rainfall
inches of rainfall
inches of rainfall
a CSO event in last year
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
❑ Actual or ❑ Estimated
EPA Form 3510-2A (Revised 3.19) Page 11

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105/19
110040042129
NCO039578
TWSA Plant#1
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/
streams stem
U.S. Soil Conservation
❑ Unknown
❑ Unknown
❑ Unknown
3
Service 14-digit
I
watershed code
>
if known
Name of state
mana ementhiver basin
U)
U.S. Geological Survey
❑ Unknown
❑ Unknown
❑ Unknown
8-Digit Hydrologic Unit
Code if known
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
examples)
SECTION•
CERTIFICATION STATEMENT (40
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 7
Column 2
Section 1: Basic Application
w/ variance request(s) El w/ additional attachments
ElInformation
for All licants
❑ Section 2: Additional
❑✓ wl topographic map ❑✓ w/ process flow diagram
Information
❑ w/ additional attachments
❑o w/ Table A ❑ w/ Table D
❑ Section 3: Information on
❑ w/ Table B w/ Table E
Z
Effluent Discharges
E
❑✓ w/ Table C ❑ w/ additional attachments
A
Section 4: Industrial
❑ wl SIU and NSCIU attachments ❑ w/ Table F
y
❑ Discharges and Hazardous
Wastes
❑ w/ additional attachments
•
❑ Section 5: Combined Sewer
❑ wl CSO map ❑ wl additional attachments
mOverflows
�
❑ w/ CSO system diagram
Section 6: Checklist and
❑ w/ attachments
Certification Statement
m
6.2
Certification Statement
d
I certify under penally 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. 1 am 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 We
Stan Bryson
WW7P Superintendent
Signature
Date signed
EPA Form 3510-2A (Revised 3-19) Page 12

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CerioDaphnia
Toxicity Results
15 Analysis
Feb '23- Aug '19

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1 FnNmnmenml TesJna Sulutlons, Inc
PO Box 7565
Asheville, NC 28802
Phone: (828)3SO-9364
Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCSo Date: February 17, 2023
Facility: Tuckaseigee WSA NPDES#: NC 0039578 Pipe#: 001 County: Jackson
Jackson County WWTP
.aboratory Performing Test: Environmental Testing Solutions, Inc., C rtificate # 037 Comments:
signature of Operator in Responsible Charge (ORC):
)RC Phone/E-mail: IV-��f'/o'/�I� , I-4,W1 l5DS"Qt,) (-(S Projeak: 17631
lignature of Laboratory Supervisor: -r./� 207.11. 2302119 no
e-Mail to: [e-mail]
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodoohnia_Chronic Pass/Fail Reoroduction Toxicity Test
Control Oreanisms 1 7 2 n c c I
Number of Young Produced
31
28
130
30 30
127
132
1 28
1 33
1 27
1 27
129
Adult Survival: (L)ive,Mead
L
L
I L
I L I L
I L
L
I L
I L
I L
I L
I L
Effluent Percentage 3.5%
Treatment 2 Oreanismc 1 2 1 n c c 9 0
Number of Young Produced
133
131135
132
37
32
34 29
30
30
29
33
Adult Survival: (L)ive,(D)ead
L
L L
L
L
L
L L
L
I L
I L
L
PH (S. U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date:
Control
7.41
8.07
8.08 8.10
8.01 7.95
_
Treatment 2
7.29
8.12
8.12 8.12
18.0817.98
Collection (Start) Date:
r
e
t: a
Sample 1 02-06-23
w
D.O. (mg/L) 1st Sample
2nd Sample
2nd Sample
Control 7.8 7.7
7.8 7.7
7.7 7.6
Treatment 2 7.9 7.9
8.1 8.0
7.8 1 7.7
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
LC59 =
Method of Determination
95% Confidence Limits
Trimmed Spearman Karber
to
Probit
Other:
onic Test Results
k Sum -2.991
itical 2.508
tion: -9.4
t
FO32.1
Average
ity
Reproduction
l
Control
29.3
t 2
Treatment 2
32.1
Control CV
6.9
PASS FAIL
zmnwl„3.wm,m4a�eM
breed
v
100.0
n
'
ample Type/Duration
Grab Comp. Duration
Sample 1 X 24.h
Sample X 34.
Alkalinity (mg CaCO3
Hardness (mg CaCO3/L)
Conductivity (pmhos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt (C)
2023
Sample 2 02-08-23
•'I N
O u N L
0 3 E E
N
.r®'
#1'.
cm0
WEE®IM
I r
r r
O -�
an®
� 9 D
Control
HIBh Canc..
Organism Tested: Duration: pH (S.U.) DO (mg/L)
DWR Report Form AT-1

Envlmnmeno3Tntinaaolutlan;Inc
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCso Date: November 21, 2022
Facility: Tuckaseigee WSA NPDES #: NC 0039578 Pipe #: 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Soluti ns, Inc., Certificate # 037 Comments:
Signature of Operator in Responsible Charge (ORC):
ORC Phone / E-mail: - - P'nn
50n +t9 S?YLC�.. �S Protect N: 17403
Signature of Laboratory Supervisor: n,M Sample g: 221108.01. 221110.08
to:
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaobnia Chronic Pass/Fail Reproduction Toxicity Test
ControlOreanisms 1 I a n c c a o
Number of Young Produced
30
31
32
31
29
31
29
32
29
31
1
29
Adult Survival• (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
TIT
L
L
Effluent Percentage 3.5%
Treatment 2 Oreanisms t 7 z A c c 7 0 o ,,, „
Number of Young Produced
29
31 31
33 30 27 32
34
30
31 28
29
Adult Survival: (L)ive,(D)ead
L
L L
L L L L
L
L
L L
L
PH (S.U.) 1st Sample
2nd Sample
2nd Sample
Control 7.25
7.75
7.43 7.22
7.10 7.22
Treatment 2 7,3317.451
17.4417.35
17.3717.351
m a
Y a
C v
vl W
y, W
N W
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
7.8
7.6
7.9 7.6
7.6 7.6
Treatment 2
18.0 17.8
7.9 8.0
8.0 8.0
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration(%)
Mortality (%)
LCSO = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
HOther:
Organism Tested:
Duration:
Start Date:
ollection (Start) Date:
Sample 1 11-07-22
Chronic Test Results
t-Stat/Rank Sum 0
1-Tailed Critical 2.508
% Reduction: 0.0
Percent
Average
Mortality
Reproduction
Control
Control
0.0
30.4
Treatment2
Treatment
0.0
30.4
Control Cv
3.8
PASS FAIL
xnnw,mwn,.cpew�E
raaaae
V
100.0
A
November 09, 2022
;ample Type/Duration
Grab Comp. Duration
Sample 1 X 24�
Sample 2 X =a�
Alkalinity (mg CaCo1/L
Hardness (mg CaCO3/L)
Conductivity (pmhos/cm)
Total Residual Chlorine mg/L))
Sample Temp. at Receipt (•C)
Sample 2 11-09-22
1
56, 59, 58
85, 85, 83
312, 307, 304 507 359
<0.10 <0.10
2.8 1.3
> C e a
Ln c m c
Control
High Conc.
PH (S.U.) DO (mg/L)
DWR Report Form AT-1
> C e a
Ln c m c
Control
High Conc.
PH (S.U.) DO (mg/L)
DWR Report Form AT-1

Fnwronmdmnl Te,Jn95dutlarr. Mc
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form -Chronic Pass/Fail and Acute LC5o Date
Facility: Tuckaseigee WSA NPDES #: NC 0039578 Pipe #: 001 County:
Jackson County WWTP
.aboratory Performing Test: Environmental Testing Soluti ns, Inc., Ce tificate # 037 Comments
signature of Operator in Responsible Charge (ORC):
)RC Phone/E-mail: g29._ 386 - 9118 b f q Sn c�t (d -�'s � P /((r t{S Protects: 17176
Ignature of Laboratory Supervisor: r
e-Mail to: ATForms.ATB2ncdenr.eov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodanhnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12
Number of Young Produced 3313513 30 31 32 28 29 34 32 30 33
Adult Survival: (L)ive, (D)ead L I L I L I L I L I L I L I L I L I L I I I L
Effluent Percentage 3.5%
Treatment 2 Oreanismc 1 1 n = a l a
Number of Young Produced
33
31
27
27
35 29
28
30
1 30
130
1 29 31
Adult Survival: (L)ive, (D)ead
L
L
L
L
L L
L
I L
I L
I L
I L L
August 16, 2022
Jackson
220804.01
Chronic Test Results
t-Stat/Rank Sum 1.759
1-Tailed Critical 2.508
%Reduction: 5.0
Percent
Average
Mortality
Reproduction
Control
Control
0.0
31.6
Treatment 2
Treatment 2
0.0
30.0
Control CV
6.5
PASS FAIL
xw�o-eiun.mnv�dun„r
ndb,w
v
100.0
A
pH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date: August 03, 2022
Control
7.13
7.42
7.63 7.60
7.50 7.66
Treatment 2
7.44
7.59
7.62 7.64
7.64 7.70
Collection (Start) Date:
A a
e
e =
Sample 1 08-01-22 Sample 2 08-03-22
D.O. (mg/L) 1st Sample 2nd Sample 2nd Sample
Control 7.6 7.6 7.8 7.8 7.7 7.9
Treatment 2 18.0 1 8.0 8.0 1 7.8 7.8 1 7.8
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration(%)
Mortality (%) I I I I I (�
LC50 = Method of Determination
95% Confidence Limits NOther:
Trimmed Spearman Karber
to Probit
Organism Tested:
Duration:
'ample Type/Duration
Grab Comp. Duration
Sample 1 X 23 In
Sample 2 X 23-h
Alkalinity (mg CaCO,/L',
Hardness (mg CaCO,/Lj
Conductivity (µmhos/cml
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt ('C)
c H ry
o a v a
3
60, 60, 63
86, 90, 88
314, 297, 300
313
i
<0.10
1.2
H v m w
w
Control
High Con,
pH (5.U.) DO (mg/L)
DWR Report Form AT-1

0
N
L
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c
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RPM mr:-:fit
EnH,onmemal T<atlnq SMutlae�Mr.
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute I-Cso
Facility: Tuckaseigee WSA NPDES#: NC 0039S78
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solu ions, Inc., ertificate
Signature of Operator in Responsible Charge (ORC):
ORC Phone / E-mail: - C? SSI& Sbf, u
Signature of Laboratory Supervisor: I AK
e-Mail to: [e-mail]
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699.1621
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: May 16, 2022
Pipe #: 001 County: Jackson
# 037 Comments:
>� Project #: 16940
EEJ
Sample 9: 220503.15, 220505.01
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms 1 2 4 a S A 7 a o ,n „ „
Number of Young Produced 30
31
34
30
32
31 29
130
129
130
31
28
Adult Survival: (L)ive, (D)ead 1-
L
L
L
L
L L
L
L
L
L
L
Effluent Percentage 3.5%
Treatment 2 Organisms 1 2 R A c a 7 o n In 11
Number of Young Produced 38 34
31
34 34
1 29
37
38
33
31
35
33
Adult Survival: (L)ive, (D)ead L L
L
L L
L
L
L
L
L
L
L
PH (S.U.)
1st Sample
2nd Sample
2nd Sample
Control
17.7817.971
7.69 7.78
Treatment 2
17.7417,681
17.7317.9117.85
7.79
w
G w
D.O.(mg/L)
istSample
2nd Sample
2nd Sample
Control
7.8 7.7
7.7 7.7
7.8 7.6
Treatment 2
18.0 18.0 1
18.0 17.8
8.1 7.9
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration(%)
Mortality (%)
LCSO = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
Other:
Organism Tested:
Duration:
Start Date:
ollection (Start) Date:
Sample 1 05-02-22
Chronic Test Results
t-Stat/Rank Sum -3.769
1-Tailed Critical 2.508
Reduction: -11.5
Percent
Average
Mortality
Reproduction
Control
Control
0.0
30.4
Treatment 2
Treatment 2
0.0
33.9
Control CV
5.1
PASS FAIL
xw�wart+nk+nvroeuan
rbdaae
V
100.0
ample Type/Duration
Grab Comp. Duration
Sample X =4a
Sample 2 X I 24-h
Alkalinity (mg CaCO.&
Hardness (mg CaC04/q
Conductivity (µmhos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt ('C)
2022
Sample 2 05-04-22
3 E E
62, 63, 63
88, 88, 86
308, 295, 302
449
438
<0.10
<0.10
1.6
1.9
e a r a
w w
Control
High Conc.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

/or-,.- � .
E.....nbI T-U., sa unum. M,.
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCso
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: February 20, 2022
Facility: Tuckaseigee WSA NPDES #: NC 0039578 Pipe #: 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solu 'ons, Inc. Certificate # 037 Comments
iignature of Operator in Responsible Charge (ORC): L� dr
rj
ORC Phone/E-mail: &?- 8(a g8/R 56Xyson C4 .E xoLYie. (45 Project#: 16682
signature of Laboratory Supervisor: r IN A. yOSample #: 220208.03, 220210.04
e-Mail to: ATForms.ATBCdncdenr.eov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test
Control Oreanisms 1 2 3 4 5 6 7 8 9 10 11 12
Number of Young Produced
32
32
36
30
32
33
32
30
32
32
129
133
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
L
L
Effluent Percentage 3.5%
Treatment 2 Oreanisms 1 2 3 4 5 6 7 8 9 10 11 12
Number of Young Produced
31
29
36
31
37
35
35
34
34
33
31
37
Adult Survival: (L)IVe,(D)ead
L
L
L
L
I L
I L
I L
I L
I L
L
L
L
Chronic Test Results
t-Stat / Rank Sum -1.827
1-Tailed Critical 2.508
% Reduction: -5.2
Percent
Average
Mortality
Reproduction
Control
ontrol
0.0
31.9
Treatment 2
Treatment 2
0.0
33.6
Control CV
5.6
PASS FAIL
x m�na..r.�bm. n.oa.mr
3Nbree!
V
100.0
PH (S.U.) 1st Sam le 2nd Sample 2nd Sample Test Start Date: - February 09, 2022
Control 7.70 7.82 7.72 .7.871 7.64 7.68
Treatment 2 7.84 7.85 17.8617.711 Collection (Start) Date:
t: t a t: a Sample 1 02-07-22 Sample 2 02-09-22
w
N W N VI W
D.O. (mg/L) 1st Sam le 2nd Sample 2nd Sample
Control 7.8 7.6 7.7 7.7 7.8 7.8
Treatment Z 7.9 8.0 18.1 17.9
LCsp/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
Grab Comp. Duration
Sample 1 X zaa
Sample X za-n
Alkalinity (mg CaC0jLI
Hardness (mg CaCO,/LI
Conductivity (µmhos/cml
Total Residual Chlorine (mg/Ll
Sample Temp. at Receipt ('Cl
v
o `a w u
E E
� N N
60, 59, 59
87, 87, 85
301, 298, 321
290
323
<0.10
<0.10
2.5
2.0
LC50 = Method of Determination
95%Confidence Limits Trimmed Spearman Karber t W A w
to Probit
HOther: Control _
High Conc.
Organism Tested: Duration: _ pH (S.U.) DO (mg/L)
DWR Report Form AT-1

Envrmnmenul rnWgsoluUonf.Yrt.
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Fornt - Chronic Pass/Fail and Acute LC50 Date: November 12, 2021
Facility: Tuckaseigee WSA NPDES k: NC 0039578 Pipe M 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Soluti ns, Inc., Certificate it 037 comments
Signature of Operator in Responsible Charge (ORQ:
ORC Phone / E-maA: $- ' q, & Project#: 16411
Signature of Laboratory Supervisor: / Sample #: 211102.01, 211104.14
e-Mail to: ATForms.ATB0ncdenr.aov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Cedodraphnia Chronic.Pass/Fail RepmduWoaToxicttviest
r...+-i 3 7 A 4 9 6 7 R 9 10 11 12
NurnberofYoung Produced
132
132
133132131131133
130
133
1311311311
Adult Survival• (L)ive, (D)ead
I L I
L
I L
I L I
L
I L
I L
I L
I L
I L
I I
f L
Effluent Percentage 3.5%
T.netmnut 7 nrnaniam< 1 7 3 4 5 6 7 8 9 10 11 12
Number of Young Produced
35
131129
131
1 37
1 38
30
1 31138
131
29
31
Adult Survival: (LLve,.(D end___
L_
_L
_1-.
,_L
L
- L
L
_ L
L
L
L
L
Chronic Test Results
t-Stat/Rank Sum -0.891
1-Tailed Chtical 2.681
%Reduction: -2.9
percent
Average
Mortality
Reproduction
Control
Otontrol
0.0
31.7
Treatment 2
Treatment 2
0.0
32.6
Control CV
3.1
PASS FAIL
%<enbel w V nnm• VreJUGM
J,OO,00Q
V
100.0
^
PH (S.U.) 1st Sam le 2nd Sample 2nd Sam le Test Start Date: November 03,-2021
Control 7.44 7.65 7.63 7.80 7.fi3 7.87
Treatment 2 7.59 7.16 17.7117.161 Collection (Start) Date:
e c V e Sample 1 11-01-21 Sample 2 11.03-21
D.O. (mg/L) 1st Sam le 2nd Sarti le 2nd Sample
Control 17.6 7.81 17.8 1 &0 7.7 7.9
Treatment 2 7.9 8.0 8.1 8.31 18.1 18.2
LC,,/Acute Toxicity Test
I
(Mortality expressed as %, combining
replicates.)
Concentration(%)
Mortality (%)
LC50 =
Method of Determination
95% Confidence Limits
Trimmed Spearman Karber
to
HOther:
Probit
Organism Tested:
Duration:
;ample Type/Duration
Grab Comp. Duration
Sample 1
X
za6
`e
Sample 2 X z^-„
=
E
m
Alkalinity (mg CaCC3/L)
Hardness (mg CaC%/L)
Conductivity (limbos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt CC)
58, 60, S8
88, 88, 90
3%, 306, 313
370
357
<0.10
<0.10
1.4
2.1
a t
Control
High Conc.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

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PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCso Date: August 23, 2021
Facility: Tuckaseigee WSA NPDES#: NC 0039578 Pipe#: 001 County: Jackson
Jackson County WWTP
-aboratory Performing Test: Environmental Testing Solutio s, Inc., Certi 'cate # 037 Comments
signature of Operator in Responsible Charge (ORC): i
)RC Phone / E-mail: UL - 9 31 & S-,u`�& l iu la no • U.S Project#: 16213
signature of Laboratory Supervisor: Sample a: 210810.01, 210812.03
e-Mail to: ATForms.ATBCalncdenr.gov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction ToxicitV Test
Control Organisms 1 2 3 4 S 6 7 R 9 10 11 17
Number of Young Produced
25
26
25
30
27
27
126
128
129
27
29
28
Adult Survival: (L)ive,(D)ead
L
L
L
L
L
L
I L
I L
I L
L
L
I L
Effluent Percentage 3.5%
Treatment 2 Organisms 1 2 3 4 S 6 7 R 9 10 11 17
Number of Young Produced
31
1 36
33
30
31
34
28
36
34
33
33
31
Adult Survival: (L)ive,(D)ead
L
I L
L
L
L
L
L
L
L
L
L
L
Chronic Test Results
t-Stat/Rank Sum -6.314
1-Tailed Critical 2.508
% Reduction: -19.3
Percent
Average
Mortality
Reproduction
Control
ftntrol
0.0
27.3
Treatment 2
Treatment 2
0.0
32.5
Control CV
5.9
PASS FAIL
%wnl,doryaN,m tlnq
aN ewaa°,v°
100.0
V
A
'
pH (S.U.)
1st Sample
2nd Sample
2nd Sample
Test Start Date: August 11, 2021
Control
7.89
7.99
7.96 8.18
7.92 8.18
Treatment 2
7.93
7.98
7.99 8.00
7.89 7.98
Collection (Start) Date:
t•
N w
e a
A
N w
w a
h W
Sample 1 08-09-21 Sample 2 08-11-21
D.O. (mg/L)
1st Sample
2nd Sample 2nd Sam le
Control
7.7 7.6
7.6 7.9
7.7
7.9
Treatment 2
7.9 8.0
8.0 7.9
7.7
8.1
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
LC50 = Method of Determination
a
ample Type/Duration
Grab Camp. Duration
Sample 1
Sample 2 x
Alkalinity (mg CaCO./L;
Hardness (mg Ca COa/L;
Conductivity (µmhos/cm;
Total Residual Chlorine (mg/L]
Sample Temp. at Receipt (°C7
« E E
62
84
322,311,305ZZ
im
95% Confidence Limits Trimmed Spearman Karber A a
w W
to ProbstH
Other: Control
High Conc.
Organism Tested: Duration: pH (S.U.) DO (mg/L)
DWR Report Form AT-1

PO Box 7565
Asheville, NC 28802
Phone: [phone]
e"�"""r"mrmv"vxwvwx. i"` Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: May 20, 2021
Facility: Tuckaseigee WSA NPDES #: NC 0039578 Pipe #: 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solutions, Inc., Certificate # 037 Comments
signature of Operator in Responsible Charge (ORC):
)RC Phone / E-mail: 'A j " , 4w Project s: 15963
signature of Laboratory Supervisor: ! /l. � sample q: 210511.01, 210513.02
e-Mail to: ATForms.ATBt7a ncdenr.eov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Cerfodaphnio Chronic Pass/Fail Reproduction Toxicity Test
Control Orpani5mc t 1 2 n c c
Number of Young Produced 26 127
26 28
27
27
30 24
27
25 26
27
Adult Survival: (L)ive,(D)ead I_LL L
L L
L
L
L L
L
L L
L
Effluent Percentage EE
4 5 6 7 8 9 30 it
of
Chronic Test Results
t-Stat/Rank Sum -2.479
1-Tailed Critical 2.508
%Reduction: -5.6
Average
ity
Reproduction
ol
Control
267
nt 2
Treatment 2
4Pe.rc.,e,,n"
29.2
CV
PASS FAIL
prod"a"r
v
A
PH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date: May 12, 2021
Control
7.93 8.25
8.04 8.27
8.16 8.08
Treatment 2
7.91 8.27
8.27 8.22
8.21 8.15
Collection (Start) Date:
w
m c
n
Sample 1 05-10-21 Sample 2 05-12-21
N
N W
N w
D.O. (mg/L) 1st Sample 2nd Sample 2nd Sample
Control 7.8 7.7 7.7 8.0 7.6 7.6
Treatment 2 7.9 7.8 7.7 8.0 7.7 7.9
LC,,/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
LC50 = Method of Determination
95% Confidence Limits BTrimmed Spearman Karber
to Probit
Other:
Organism Tested:
Duration:
;ample Type/Duration
Grab Comp. Duration
Sample 1 X -h
Sample2 X 24-h
Alkalinity (mg CaC%/L)
Hardness (mg CaCo,/L)
Conductivity (pmhos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt ('C)
c •+ n
o v w y
r E A 0 3
ffi
N W W
Control FR
High Cooc.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

EnHmnmmol Tntin95^Iu4aq I,n.
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute I.Cso
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: February 19, 2021
Facility. Tuckaseigee WSA NPDES#: NC 0039578 Pipe#: 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solu 'ons, Inc., Ce tificate # 037 Comments
signature of Operator in Responsible Charge (ORC):
)RC Phone/E-mail: t - 'IQ-qO��/S 1.,4,i vt ® &R r- N5 Project U: 15744
signature of Laboratory Supervisor: r-�, Sample #: 210209.01, 210211.02
e-Mail to: ATForms.ATB(nlncdenrgpv
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaahnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms t 7 R A c a -r o 0 4n
Number of Young Produced
29
32
33
26
29 28
31 26
29
28 27
29
Adult Survival: (L)ive,(D)ead
L
L
L
L
L L
L L
L
L L
L
Effluent Percentage 3.5%
Treatment J Ornanicmc t 1 o n c
Number of Young Produced
32136133
FYI
30 132
132
134
128
137
29
31
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
L
L
PH (S.U.) 1st Sample
2nd Sample
2nd Samp{e
Test Start Date:
Control 7.53 7.51
1 7.791
7.73
7.70 7.67
Treatment 2 7.36 7.46
17.3417.7317.56
7.57
Collection (Start) Date:
c
c
Sample 1 02-08-21
D.O. (mg/L) 1st Sample 2nd Sample 2nd Sample
Control 7.8 7.9 7.8 8.0 7.7 7.8
Treatment 2 7.cl 1 8.0 7.9 8.0 7.7 1 7.9
LC,,/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
Chronic Test Results
t-Stat / Rank Sum -3.073
1-Tailed Critical 2568
% Reduction: 710.7
Percent
Average
Mortality
Reproduction
Control
-41 Control
0.0
28.9
Treatment 2
Treatment 2
0.0
32.0
Control CV
7.6
PASS FAIL
77.1ru en.n.- r..,
and d... d
v
100.0
;ample Type/Duration
Grab Comp. Duration
Sample 1 X 24-h
Sample 2 X 24.h
Alkalinity (mg CaCC),&
Hardness (mg CaCO,/L;
Conductivity (µmhos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt (°q
Sample 2 02-10-21
o a a v
n a
0 3 E E
59
86
316.313, 310
399
686
<0.10
<0.30
2.1
1.9
LC50 = Method of Determination
95%Confidence Limits Trimmed Spearman Karber a
w v
t0 vl w
Probst
]Other: control
High Cont.
Organism Tested: Duration: pH (S.U.) DO (mg/L)
DWR Report Form AT-1

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Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: November 20, 2020
Facility: Tuckaseigee WSA NPDES #: NC 0039578 Pipe #: 001 County: Jackson
Jackson County WWTP
.aboratory Performing Test: Environmental Testing Solu 'ons, Inc., ertificate # 037 Comments
iignature of Operator in Responsible Charge (ORC): t 1p_r
)RC Phone/E-mail: �r.Qi/-tj-j�_C,)3i C5;4JY'1/.S'C%1 � r7 no,CftS Project N: lSS43
signature of Laboratory Supervisor: f- �ts(t(s ItQ.� sample N: 201110.04, 201112.02
e-Mail to: ATForms.ATBi6Dncdenr.gov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaahnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms 1 2 3 4 5 6 7 R q 10 11 17
Number of Young Produced
31
28
26
29
28
28
29
27
28
30
27
29
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
L
I L
Effluent Percentage EE
/ Treatment 2 Oreanisms 1 2 3 4 5 6 7 R q to 11 17
Number of Young Produced
34
29
31130
30
1 30
32
32
34
31
30
34
Adult Survival: (L)jve,(D)ead
L
L
L
I L
L
I L
L
L
L
I L
I L I
L
Chronic Test Results
t-Stat/Rank Sum -4.752
1-Tailed Critical 2.508
%Reduction: -10.9
Percent
Average
Mortality
Reproduction
Control
*ntrol
0.0
28.3
Treatment
Treatment
0.0
31.4
Control CV
4.8
PASS FAIL
x.anva en•�hm• e.oe.we
ee, e
v
100.0
/�
'
PH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date: November 11, 2020
Control 7.96 7.91
7.81
8.23
7.91 8.06
Treatment 2 7.86 7.92
17.8118.18
7.97 8.00
Collection (Start) Date:
q
N W
e
V1 W
e
Vi W
Sample 1 11-09-20 Sample 2 11-11-20
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
8.0 T9
7.9 7.9
7.8 7.8
T1
Treatment 2
8.0 7.8
7.9 7.6
8.0
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration(%)
Mortality (%)
LC50 = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
Other:
Organism Tested:
Duration:
sample Type/Duration
Grab Comp. Duration
Sample 1 x 24-h
Sample 2 J( I N-h
Alkalinity (mg CaCO3/L
Hardness (mg CaCC3/L;
Conductivity (µmhos/cm;
Total Residual Chlorine (mg/L;
Sample Temp. at Receipt ("CI
'1 N
E
3 y
�r r
e E
r t
ry a C
w w
N V1
Control
High Conc.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC,, Date: August 28, 2020
Facility: Tuckaseigee WSA NPDES It: NC 0039578 Pipe it: 001 County Jackson
Jackson County WWTP —
.aboratory Performing Test: Environmental Testing Solutions, Inc. CP,lrtificate N 037 Comments
iignature of Operator in Responsible Charge (ORC):)t»_—
)RC Phone/ E-mail: �l1 i,l[•, ! Protect a: 15240
signature of Laboratory Supervisor � l Sample a: 200804.02, 2C080601
ffOriginal
ATB o(lncdenr eov
North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch Chronic Test Results
1621 Mail Service Center t-Stat /Rank sum -1.38
aleigh, NC 27699-1621 1-Tailed Critical 2.508
% Reduction: -3.9
North Carolina Ceriodaphnio Chronic Pass/Fail Reproduction Toxicity Test Portent Average
Mortality 0.eprodu<tion
Control Organisms 1 2 3 4 5 6 7 8 9 10 11 12 Control Control
Number of Younp Pmrf ired 133 1 3n 1 Rn 1 44 1 in ii in i, on i, ,,
Effluent PercentageEKE
Treatment 2 Oreanismc 7 > i a t
Number of Young Produced 1 33
—
1 28
1 32
-
1 30
-
1 36
`I
1321
33
V I
136 35
1V
35
11
30
1L
36
Adult Survival (L)ive, (D)ead ILI
L
L
L
L
L
L
L L
L
L
L
PH (S.U.)
1st Sample
2nd Sample
2nd Sample
Control
7.63
7.79
7.72 7.81
7.87 7,85
Treatment 2
7.62
7.79
7.64 7.84
7,79 7.81
w
w
N w
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
7.8 7.8
7.8 7.8
7.8 7.7
Treatment 2
8.0 7.8
8.0 8.2
8.11 8.0
LC,/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%)
Mortality (%)
LC50 = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
Other:
Organism Tested:
Duration:
Test Start Date:
.0
31.8ment
2
Treatment 2Id
.0
33.0rol
CV.0
N
PASS FAIL
ollection (Start) Date:
Sample 1 08-03-20
Type/Duration
Grab Comp. Duration
Sample 1
Sample 2
a©®
Alkalinity (mg CaCO3A
I fardness (mg CaCO,/L
Conductivity (pmhos/cm
Total Residual Chlorine (mg/L
Sample Temp. a; Receipt (°C',
Sample 2 08-05-20
3 E
0
R
q
C a
u, w
Control
High Conic.
pH(S.U.) DO(mg/L)
DWR Report Form AT-1

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCso
Facility: TUckaselgee WSA NPDES#: NC 0039578
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solution , Inc., Cert' Cate I
Signature of Operator in Responsible Charge (ORC):
ORC Phone / E-mail: W__- -8(o- 5 1° `5,hr qsv� P_ 4 w sa k -
Signature of Laboratory Supervisor
e-Mail to: ATForms.ATB(WncdeAnr.gov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date:
Pipe #: 001 County:
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms 1 2 3 4 5 6 7 R q 1n 11 17
Number of Young Produced
28
26
31
33
30
29
28 31
30
29
32
29
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L L
L
L
L
L
Effluent Percentage 3.5%
Treatment 2 Organisms 1 7 1 d. S F 7 R ❑ to 11 11
Number of Young Produced
33
38
36
32
32
37
33
1 34
1 33
1 31
1 37
37
Adult Survival: (L)ive,(D)ead
L
I L
L I
L
I L I
L
t L I
L I
L I
L
I L
L
pH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date:
Control
7.68
7.86
7.88 8.01
7.83 7.79
_
Treatment 2
17.8717.861
17.9417.9417.86
7.85
Collection (Start) Date:
t: a
w
t: a
w
c
Sample 1 05-04-20
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
7.6
7.7
7.8 8.1
7.6 7-8
Treatment 2
1 8-11
7.9
7.8 1 8.0
7.8 1 8.1
LC,/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (%) I_I I I I 1
Mortarity (11)
LCSO = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
HOther:
Organism Tested:
Duration:
May 22, 2020
Jackson
Comments:
Project#: 1.5063
Sample #: 200505.02, 200507.01
Chronic Test Results
t-Stat/Rank Sum -5.311
1-Tailed Critical 2-508
%Reduction: -16.0
Percent
Average
Mortarny
Reproduction
Control
,�. Contra]
0.0
29.7
Treatment 2
Treatment 2
0.0
34.4
Control CV
6.5
PASS FAIL
YwQdwr�a[peJoq
X
100.0
iample Type/Duration
Grab Comp. Duration
Sample 1 X zaa.
Sample X xa-h
Alkali ity(mg CaCD1/Ll
Hardness (mg CaC%A/
Conductivity (lunhos/cm
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt (`Cry
2020
Sample 2 05-06-20
60, 61, 60
93,199 90
321- 305, 322
261
253
<0.10
<0.10
3.0
2.9
= m
v1 w u
w
Control
High Con'.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

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' .voonmentel Testing Solutions, Inc.
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LCso
Facility: Tuckaseigee WSA NPDES #: NC 0039578
Jackson County WWTP
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Date: February 21, 2020
Pipe #: 001 County: Jackson
Laboratory Performing Test: Environmental Testing Solutions, Inc., Certificate # 037
Signature of Operator in Responsible. Charge (ORC):
ORC Phone / E-mail: hob+_ ljRG " �2/ S%r 4f cl W ti p A'K I i,/ '
Signature of Laboratory Supervisor:
e-Mail to:
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaahnia Chronic Pass/Fail Reproduction Toxicity Test
Control Organisms 1 2 3 4 5 6 7 8 9 SO 11 12
Number of Young Produced
29
31
32
29
31
27
33
30
32
31
26
32
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
L
L
Effluent Percentage 3
reatment 2 Organisms 1 2 3 4 5 6 7 R q In 11 1
Number of Young Produced
33
37
38
32
29
34
37
33
37
33
39
36
Adult Survival: (L)ive, (D)ead
L
L
L
L
L
L
L
L
L
L
L
L
pH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date:
Control
7.70
7.86
7.7917.901
17.8417.901
Treatment 2
17.7017.921
17.8117.9317.89
7.91
Collection (Start) Date:
t: a
A w
letN
t:
r w
a
orW
un
Sample 1 02-03-20
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
7.8 7.8
7.8 7.9
7.8 7.8
Treatment 2
8.1 8.2
8.1 8.2
8.2 18.2
LCso/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration (Y)
Mortality I%)
LC50 = Method of Determination
95% Confidence Limits Trimmed Spearman Karber
to Probit
Other:
Organism Tested:
Duration:
Comments:
Project#: 14835
Sample #: 200204.10, 200207.02
Chronic Test Results
t-Stat/Rank sum -4.359
1-Tailed Critical 2.508
% Reduction: -15.2
Percent
Average
Mortality
Reproduction
Control
Control
0.0
30.3
Treatment 2
Treatment 2
0.0
34.8
Control CV
7.1
PASS FAIL
x mm,ol blood paaudn{
3rp
nmerooa
y
100.0
ample Type/Duration
Grab Comp. Duration
Sample 1 X 24-n
Sample 2 X 2,
Alkalinity (mg CaCO,/LJ
Hardness (mg CaCOr/L)
Conductivity (pmhos/cm)
Total Residual Chlorine (mg/L)
Sample Temp. at Receipt ('C)
05, 2020
Sample 2 02-05-20
O to W N
3 n n
o N be
E
19,3KG8302
322
401
<0.10
<0.10
2.4
2.4
i
m a m a
w n w �
Control
High Conc.
pH (S.U.) DO (mg/L)
DWR Report Form AT-1

l)
% a
+c`
1
-; rnvlranmemel Teeing sdutiam. m<.
PO Box 7S65
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: November 22, 2019
Facility: Tuckaseigee WSA NPDES#: NC 0039578 Pipe#: 001 County: Jackson
Jackson County WWTP
Laboratory Performing Test: Environmental Testing Solutions, Inc., Ceicate # 037 Comments:
Signature of Operator in Responsible Charge (ORC):
ORC Phone/E-mail: Project#: 14618
Signature of Laboratory Supervisor: I" IiAffitai Sample #: 191105.15, 191107.13
e-Mail to: ATForms.ATBCnlncdenr.4ov
Or Mail Original to: North Carolina Division of Water Resources
Water Sciences Section / Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, NC 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test
Control Orzanisms 1 2 3 4 S 6 7 R 9 10 11 12
Number of Young Produced
28
26
29
28
28
27
31
29
28
27
27
28
Adult Survival: (L)ive,(D)ead
L
L
L
L
L
L
L
L
L
L
L
I L
Effluent Percentage 3.5%
Treatment 2 Oreanisms 1 2 3 4 S 6 7 R q to 11 17
Number of Young Produced
34
34
32
31
30
28
31
27
29
34
32
31
Adult Survival: (L)ive,(D)ead
L
I L
I L
L
L
L
L
L
L
L
L
L
pH (S.U.) 1st Sample
2nd Sample
2nd Sample
Test Start Date:
Control
7.96
7.94
7.91 8.04
7.83 7.97
Treatment 2
1 7-8018.001
17.9417.98
17.99 18.001
Collection (Start) Date:
Sample 1 11-04-19
N
VI W
1%I
D.O. (mg/L)
1st Sample
2nd Sample
2nd Sample
Control
1 7.8 8.0
7.8 7.9
Treatment 2
1 7.8 1 8.1
8.1 8.2
8.1 8.3
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates.)
Concentration(%)
Mortality (%)
LC50 = Method of Determination
95% C fd L'
I;
Chronic Test Results
t-Stat/Rank Sum -4.039
1-Tailed Critical 2.508
%Reduction: -11.0
Percent
Average
Mortality
Reproduction
Control
IN Control
0.0
28.0
Treatment 2
Treatment 2
0.0
31.1
Control CV
4.6
PASS FAIL
Y aunwl Wa.ni dreeua�r
a brnetl
v
100.0
n
November 06, 2019
ample Type/Duration
Grab Comp. Duration
Sample 1 X �<-�
Sample 2 X 24-h
Alkalinity (mg CaCO,/L
Hardness (mg CaCC,/L
Conductivity (pmhos/cm
Total Residual Chlorine (mg/L',
Sample Temp. at Receipt (°C;
Sample 2 11-06-19
C ei N
O d v N
m 2 O
0 3 N E
58, 60, 58
89, 91, 92
312, 318, 306
261
313
MWE
<0.10
<0.10
1.5
1.1
on I ence
Trimmed Spearman Karber e a t
w _
to Probit
Other: Control
High Conc.
Organism Tested: Duration: pH (S.U.) DO (mg/L)
DWR Report form AT-1

PO Box 7565
f Asheville, NC 28802
i�
Phone: [phone]
T
5��' Fax: [phone]
Environmental Tezting Solutlonz, Inc.
ti
Effluent Aquatic Toxicity Report Form - Phase II Chronic Ceriodaphnia dubia Date: August 23, 2019
Facility: Tuckaseigee WSA NPDES #: NC. 0039578 Pipe #: 001 County: Jackson
Laboratory Performing Test: Environmental'
Signature of Operator in Responsible Charge:
Signature of Laboratory Supervisor: Lu
Comments:
14403
190808.15
Mail Original To: North Carolina Department of Environment and Natural Resources
DWQ/ Environmental Sciences Branch
1621 Mail Service Center Stan date: End date: Start time: 1 End time:
Raleigh, NC 27699-1621 08-07-19 08-14.19 14z2 0942
Sample Information
Collection star date:
Grab:
Composite duration:
Alkalinity (mg(L CaCO,):
Hardness (mg(L CaCO3):
Conductivity (Nmhos/mn):
Total residual chlorine (mg/L):
Sample Temp. at Receipt (°C):
Sample
Sample
Control
08-05-19
08-07-19
24-h
24-h
32, 31,32
46,44,42
343
329
166,158 161
210
<0.10
0.9
0.8
Test Information
Treatment:
Initial pH (SU):
Final pH (SU):
Initial DO (mg/L):
Final DO (mg(L):
Initial Temp. CQ:
Final Temp. CC):
Organism Number
Control Omanisms 1 2 3 4 5 6 7 R 9 10 II 12
a.
Re I
I R� E
Sun
Ranarel I
Re 12
3.5%
3.5%
3.5%
1 Control
Control
Control
7.54
7.69
7.54
8.00
7.75
7.66
7.63
7.60
7.57
7.58
7.60
7.47
8.0
8.1
8.1
7.9
T
8.0
8.2
SI
8.2
7.8
7.9
8.0
24.9
24.8
25.1
1 24.9
25.0
24.9
25.1
24.9
25.0 1
25.2
25.1 1
25.2
Number of Young Produced
129
127
133128132
128129
131129
130
1 33
28
Adult Survival: L)ive, (D)ead
I L
I L
I L
I L
I L
I L
I L
I L
I L
I L
I I
I L
29.8
Effluent Percentage s.s%
Treatment 2 Orpanisms 1 2 3 4 5 6 7 R 9 10 11 12
Number of Young Produced
34
34
36
33
29
31
27
33
32
27
35
33
32.0
Adult Survival: L)ive, (D ad
L
L
L
L
L
L
L
L
L
L
L
L
-7.6
a um
Effluent Percentage=
reatment 3 Organisms 1 2 3 4 5 6 7 8 9 10 It 12 uea
lumber of Young Produced
tdult Survival: (L)ive, (D)ead
x aurae+o
Effluent Percentage=
rreatment 4 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 una
dumber of Young Produced
Walt Survival: (L)ive, (D)ead
%RaLcia
Effluent Percentage=
I treatment 5 0 anisms 1 2 3 4 5 6 7 8 9 10 11 12
Dumber of Young Produced
Wall: Survival: (L)ive, (D)ead
Y. RMunin
Effluent Percentage=
'Treatment 6 Organisms 1 2 3 4 5 6 7 8 9 10 11 12 men
-� Number of Young Produced
Adult Survival: L)ive, (D)ead
G RMIKIIn
Overall Analysis:
Result: PASS LOEC: >3.5% NOEC: 3.5% ChV: >3.5 /e
DWQ form AT--3 (8191) Rev. 11195
Chronic Test Results
Final Control Mortality (u/o):
0.0
%Control with 3rd Broods:
too
Control Reproduction CV:
6.9
48 How Mortality
Control:
0
of
12
IWC:
0
of
12
Significent7:
No
Punt Mortality Significant at
No cono mbroon
Reproduction Analyses
Reproduction LOEC:
>15%
Reproduction NOEC:
3.5%
Overall Method:
Hommredaztla t
Normal Distribution:
Yes
Method:
shepho-Wily.
Statistic:
0.956
Critical Value:
0.884
Equal Variances:
Yes
Method:
F-Test
Statistic:
2.014
Critical Value:
5.320
Non -Parametric Analysis (ifa livable)
Method
Effluent %
Rank Sum
Critical Sum
3.5 %

Fathead Minnow
Toxicity Results
4 Analysis
Feb '23- May '22

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a PO Box 7565
© Asheville, NC 28802
I' l' 5 Phone: [phone]
Fax: [phone]
Effluent Toxicity Report Form - Chronic Fathead Minnow Multi -Concentration Test Date: February 21, 2023
Facility: Tuckaseigee WSA NPDES#: NC 0039579 Pipe#: 001 County: Jackson
Jackson County W WTP
Laboratory Performing Test Environmental Testing Solutions, Inc., Certificate # 037 Osax m
of Operator In Responsible Charge
e/E-mail: g,9N-_5!?(p t
of laboratory Supervisor: r
x:
e-Mail to: A7Forms.A78/7a ncdenr.eov - Test Organisms: Pimepholespromelas
Or Mail Original to: North Carolina Division of Water Resources supplier
Water Sciences Section/ Aquatic Toxicology Branch In-house CLl[urc
1621 Mail Service Center Begin hatch: 02416-23 13W
Raleigh, NC 27699-1621 End hatch: 02-07-23 OEM
Test Start Date: February 07,2W3
Replicate number
1 2 a d
Control
Organisms
%Effluent
0.g75%
%Effluent
L75%
%Effluent
3.S%
%Effluent
zu%
%Effluent
14%
5uMvia gnumberof larvae
30
10
10
10
Odglnal numbirr;f lame
10
10
li 30
10
Welght/original(mg#amel
I 0.855
1 U599
1 0.618
1 0.817
Survivingnumberoflame
SO
10
10
30
Odgbnlnumberoflame
SO
30
30
30
Welght/odginal(mg/hryze)
I 0.930
1 0.763
1 0.724
1 0.897
Survlving number of lame
1 10
10
1 10
1 10
Original numberoflame
10
10
10
1 30
Weight/otlginal(mg/lame(
1 0.861
1 0.826
I 0.772
1 0./48
survFringnumberaflame
10
30
SO
30
Original numberaf lame
10
10
1
10
30
Welghv riginal(mg/Iamel
1 0.716
0.946
0.819
0.817
surviving number of lame
1 10
1 10
10
30
Originalnumbsraflame
10
10
30
30
Welghtfodglnal(mg/iarvze)
I 0.876
1 0.875
1 0.785
1 0.867
survivingnunbernflarvae
1 10
1 10
1 10
10
Original numberof lame
10
30
10
1 10
Welght/odginal(.Va..)
1 0.793
1 0.789
1 0.851
1 0.688
Survival(xi)
100.0
Averagewt(M)
0.722
AVengewtl
0.722
•urviving(mgi
Survival (%( 100.0
Averugewt(mg) 1 0.824
survival(t) 300.0
Averagevat(mgl 1 0.802
suMval(%) 300.0
Avenge wt(mg) 0.800
Survival (%) 10().0
Averagam(mg) 0.852
summit%)Flo-CEO
Averageantni 0.783
Water Quality Data
Dayo my1 Day2 Day3 Day4 Days Days
Initial Final Initial Fnal Initial Flnal Initial Final Initial Flnal Initial Flnal Initial Final
Control
PH (Su):
DO (mg/L):
IMP.[-c):
High Concentration
pH (SU):
DO (mg/L):
li
Temp.I`";
7.58
7.26
7.43
7.27
739
7.74
314
7.85
8.10
7.44
8.03
7.66
8.02
7.39
]3
73
8.0
74
.8.0
7.3
711
7.7
8.0
5.6
"7
7.1
79
5.7
25.0
24.7
24.9
24.7
249
24.6
25.0
24.7
24.9
245
24.8
24.1
24.1
24A
Sample Information
Collection start date:
Grab:
Composite duration:
Alkalinity(meA 0003):
Hardness (mg/L Cacoal:
Cond uctMlty(rynhos/rm):
Total residual chlorine (mg/L):
Sample Temp. at Receipt (*Cl:
SempieI
Sxmple2
Sampie3
Control
02-05-23
0207-23
02473.23
24h
24-h
24-h
32
61
61
604i1
29
31
29
83-94
309
349
342
28g-320
<D.1D
<0.10
<0.10
4.6
3.0
3.4
Analyses
Normal:
Hem. Var.
NOEL
LOEC
Chu:
Medical:
GrowthYesYes149>14%>14%Dunnen'4
M
Survival
Growth
%Effluent
Critical
calculated
rdtleal
I Calculated
0275%
2.410
L75%
2.410fil.
389
3.5%
2.4303503.5%
2.4102146
14%
2.410057
Overall Analysis:
Result: PASS LOEC: 514% NOEC: 14% ChV: >14%
DW R Report Form AT-5
738
736
7.41
7.16
738
7.73
BA8
733
BID
7.62
8.04
7.72
ED!
7AS
].6
7.9
73
7S
&0
73
78
75
7.9
6.6
7.6
73
7.7
5.6
149
24.6
24.7
24.6
24.8
24.7
24.9
24.6
24.8
24.7
24.7
24.3
2a.8
24.7

e 870
PO Box 7565
Asheville, NC 28802
Phone: [phone]
u4aWtaurvaw�aa� Fax: [phone]
Effluent Toxicity Report Form - Chronic Fathead Minnow Multi -Concentration Test Date: November 22, 2022
Facility: Tuckase)gee WSA NPDES g: NC 0039578 Pipe g: 001 County: Jackson
Jackson County W WTP
Laboratory Performing Test: Environmental Testing Solutions, Inc., Certificate g 037 Fcormer.nt,:
in Responsible Charge (ORC):
Supervisor:
Test Organisms: Pimephates promelas
Or Mail Original to: North Carolina DivislonofWater Resources supplier
Water Sciences Section/ Aquatic Toxicology Branch In-house Culture
1621 Mall Service Center Begin hatch: 1 314)7-22 1502
Raleigh, NC 27699.2621 End hatch: 11-0e-32 0500
Test Start Date: N0vember08, 2022
Replicate number
1 2 9 a
Control
Organisms
%Effluent
0.875%
%Effluent
1.75%
%Effluent
3.s%
%Effluent
7.0%
%Effluent
14%
Surviving numberot lame
30
10
SO 10
Original number of lame
SO
10
10 SO
Weight/odginal(mgflame)
I 0.732
1 0.517
1 0.662 1 0.736
Surviving number of lame
1 10
1 10
1 10
1 10
Original numberof lame
30
10
10
30
Welght/orglnal(mgparvee)
I 0.115
1 0.349
1 0.749
1 0.782
SurvivingnumberofWme
10
I
10
9
i 10
Odglnal numberof lame
10
10
11 10
i
10
Welghtfodginal(mg/lannel
I 0.806
1 0.828
1 0.774
1 0.765
5urvivingnumberofiame
10
30
i 10
10
Original numberof lame
30
I1
10
1 10
10
Welght/origlnal(mg/lame)
I 0.708
0.761
1 0.740
10.855
Surviving numberof lame 10
1 10
10
10
Original number eflame I 10
1 30
30
30
welght/odginal(mgAame) 1 0.786
1 0.725
10.716
0.733
Surviving number of lame
10
1 10
10
10
Original number of lame
Ii 30
1 10
ji 10
1 10
welght/odgimal fmg/fame)
I 0.757
1 0.786
1 0.785
1 0.862
Survival(%)
300.0
Avengevrt(mg)
1 0.737
Average cat/
0.737
surviving (mg)
Survival(%) 500.0
Avenge vrt (mel 0.774
survival(%) 97.5
Avenge cat (mg) 0.798
Survival(%) 300.0
Averagewt(mg) 0.766
Surviwl(%) 100.0
Avengewt(mg) 1 0.740
survival(%) 300.0
Averagesvt(me) 0.79E
Water Quality Data
Davo Day Day Day3 Cava Days DaY6
Initialfinal Initial Final Initial Final Initial Final Initial Final Initial FinalI Initial I Final
Control
PH(Su):
DO(mgA):
Temp. I'cl:
High Concentration
PH (SD):
DO(mgA):
Temp. t-cl:
7.18
7.19
7.23
7.22
7.20
6.71
7.10
7.11
7S3
6.79
7.24
7.15
7.33
7.00
7.9
7.7
7.7
7.6
7.9
7.0
8.0
7.5
8.0
6.5
8.0
7.7
7.9
7A
25.0
24.6
24.7
24.7
24.8
24.7
24.9
24.6
24.9
24.8
24.8
24.6
25.0
24.8
Sample Information
Collection smrtdate:
Grab:
Compositeduraaon:
Alkalinity(mgACsCO,):
Hardness (mall. 0,00s1:
Conductiviry(Pmhos/cm):
Total residual chlorine (mgfLl:
Sample Temp. at Realpt (°q:
Sample
Sample
Sample
Control
11-06-22
11-0 22
11-10.22
23.5-h
30-h
24-h
130
65
26
58-59
36
32
30
93.85
524
426
351
300.317
40.10
<0.10
<0.10
-y
1.1
lA
1.5
ft
Analyses
Nomui:
Hom. Var.
NOEL:
LOEQ
Chv:
Method:
Survival
Growth
Yes
Yes
Yes
Yes
14%
14%
>14%
>24%
>14%
114%
Visual rasp.
Durrett's
Survival
I Growth
%EHluent
I Qldal
Calculated
I Critical
Calculated
0.875%
2.410
•1.051
1.75-A
1.410
-1.747
35%
2.410
-0.831
7.0%
2.410
4.092
14%
2.410
-1.726
Overall Analysis:
Result: PASS LOEC: >14% NOEC: 14% ChV: >14%
DWR Report Form AT-5
].43
7.16
7.25
7.10
7.23
6.76
7.43
7.28
7.15
693
7.44
7.18
7.10
7.06
7.7
7.7
7.8
7.6
7.3
7.3
7.9
7.4
7.7
7.1
7.
1 7.6
7.6
7.4
24.8
24.6
24.924.6
24.7
24.5
24.8
24.7
24.8
24.9
24.7
24.6
24.8
24.1

PO Box 7565
Asheville, NC 28802
Phone: [phone]
•� Fax: [phone]
- r,.u�....wanu,gsoaewm..
Effluent Toxicity Report Form- Chronic Fathead Minnow Multi -Concentration Test Date: August 17,2022
Facility: Tuckaseigee WSA NPDESO: NC 0039578 Pipe 0: 001 County: Jackson
Jackson County WWTP
aboratory Performing Test: Environmental Testing Solutions, Inc., Certificate R 037 comments:
Signature of Operator Ino Responsible Charge(ORQ:o *��
)RC Phone/Email: O�V - rj $�y-9,]pp1O ,�.1)V V5no W SO n�. L.l Pro)e<t p: 1A74
iignature of Laboratory Supervisor: I I Sampler: 22OW1.01.220 ID2. 210a0s.01
to;
Test Organisms: Pimephalespromelas
Or Mail Original to: North Carolina Division of Water Resources supplier
Water Sciences Section/ Aquatic Toxicology Branch In-0owe Cultwe
1621 Mail Service Center Begin hatch: 0841.22 1502
Raleigh, NC 27699-1621 End hatch: 00-02.22 0500
Test Start Date: Augus[ 02, 2022
Replicate number
1 2 3 4
Control
Organisms
% Effluent
0.875
% Effluent
2 7sx
% Effluent
3S%
% Effluent
7 os
%Effluent
14%
S.rvi,lnj numberoflarvie
30
30
10
10
Odginal number of larvae
10
30
1
SO
1
1 10
welght/origlnal(mg/lawc)
I 0.760
1 0324
1 0.789
1 0.814
Surviving numberoflarvae
10
SO 10
10
Original number of lame
10
30 30
10
Welght/orlglnal(mgnarvae)
I 0.820
0.677 0.780
1 0.758
6arviving number of la rvae
10
10
30
10
Odginal number of larvae
10
10
10
10
Weight/whimal(mgnarvae)
I 0.727
1 G.746
1 0.768
1 0J52
surviving number of fame
10
T SO
30
30
Original number of larvae
_ 10
30
10
10
(Weight/odglml(mg/Iarvae)
1 0.820
1 0.674
1 0.774
1 0.676
Survivingnumberoflarvae
10
10 10
10
Original numberof larvae
SD
1 SO SO
10
Welght/omilrai(mgnarvae) 1
0.792
1 0.779 1 0.847
1 0.572
surviving number of larvae
30
30
10
10
Original number of larvae
10
10
10
SO
Welght/original fmgnarvael
0.762
1 0.822
1 0.835
1 0.815
survival(%) 500.0
Average Wt(mg) 0.772
Memgevn/ 0.772
,vMv ng (mgl
Survival(%) 500.0
Avenge M(mg) 0.759
Survval (%) 300.0
average vrt fmgl 0.748
Survival (%) 10o.0
Averagevd(mg) 1 .736
Survival(%) 300.0
Average va(mg) O773
survival (%1 100.0
Avenge m(mg) 0.809
Water Quality Data
DayD Day Oay2 Day Day Day pays
Initial I Fnal Initial I Rnal Initial I Final Initial I Final Initial I Final Initial I Final Initial 1;.
Control
il
PH (SU):
DO (mg/L):
Temp.(-Cl:
High Concentration
pH (SU):
DO(mg/L): if
Temp.(-C):
7.32
7.46
7.56
7.33
7.45
696
7.28
7.08
7.17
7.05
7.32
7.16
7.35
7.36
79
7.5
7.8
7.7
7.8
7.0
8.1
7.6
8.0
7.0
8.1
7.8
7,8
7.6
24.5
24.8
24A
24B
24.9
24.8
24.9
24J
24.9
25.0
25.0
24.7
24J
24.6
Sample Information
Collection start date:
Grab:
Composite duration:
Alkalinity (mg/L aOOj:
Hardness(mg/L aCOs):
Conductivity tpmhos/cm):
Total residual chlorine(mg/1):
Ample Temp. at Receipt (°Q:
sample
Sample
Sample
Control
07.31-22
08-02-22
08-04-22
2r_siS4'�€:y
24-h
25-h
25.5-h
36
32
35
60.63
22
43
37
86.90
293
304
325
293-314
<0.10
<0.10
<0.10
2.4
3.3
2.4W
Analyses
Nannal:
Hom.Var.
NOEL:
LOEC
ChV:
Method:
Survival
Growth
Yes
Yes
Yes
Yes
14%
14%
114%
>14%
>14%
14%
vbuallmp.
DunnetV3
Survival
Growth
%EBluent
Critical
Calculated
Critical
I Calculated
0.875
2.410
0.344
1.75%
2.410
0.522
3.5%
2.410
0.947
7.TA
2,410
-0.020
14%
2,410
-0.973
Overall Analysis:
Result: PASS LOEC: >14% NOEC: 14% ChV: >14%
DWR Report Form AT-5
7.06
7.42
7.13
7.30
7.23
6.96
7.63
7.09
7.09
7,10
7.70
7.21
7.50
7.25
].6
7.6
7.6
7.5
7.7
7.1
7.8
7.7
7.8
6.4
7.6
7.5
7.7
7.5
I9.8
24.9
24.7
24.8
24.7
24J
24.8
24.9
24J
24.8
24.8
24.8
249
249

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TWSA #1
Residuals Operation
Plan

Dryer Operation
Dryer controls are all contained in the Allen Bradley Panel View Plus 1000 panel. Each day the dryer is
operated a Dryer Operations Daily Record should be completed. Dryer operations should be conducted
as follows:
• Dryer should be set to auto on touch panel screen. Record start time. Burner will activate and
start building temperature. When a pre -determined temperature is reached fill cycle will start.
• Record fill cycle start time.
• After the timed fill cycle is complete, dry cycle will start. Record dry cycle start time.
• Dry cycle timer will be on zero at dry cycle start time. Record temperatures as outlined on Daily
Record at 50 min intervals until end of dry cycle. (Approx. 200 mins)
• At the end of the dry cycle, the discharge cycle will start. Discharge cycle will last approx. 10 min
and a new fill cycle will start.
• When the last batch of sludge to be dried for the day is in the dryer, set control mode to
Automatic Cool Down. This will prevent another batch from being loaded to the dryer and at the
end of the cycle the dryer will go into cool down mode in preparation of shutting down.
Silo and Baghouse Operation
The controls of the baghouse should be set to auto on the panel adjacent to the silo. When the dryer
discharges a batch to the silo the baghouse blower will automatically come on and keep dust from being
discharged to the atmosphere. Periodic cleaning of the dust bin on the baghouse is required, this is
accomplished by placing the backhoe bucket under the chute and opening the slide gate to allow dust to
slide into the bucket. Some tapping on the side of the hopper with a rubber mallet may be required to
loosen the accumulated dust. An annual inspection of the silo and baghouse should be performed and
any required maintenance or repairs completed.
Last revision date-6/28/2018

Sampling Procedures
Daily sampling should be conducted in various points throughout the process to track and to verify
compliance with permitted values. Plant operators shall be responsible for taking samples at the proper
times and at the designated locations.
Daily
One sample per day of the raw sludge feed to the belt press should be taken. This sample
should be a composite of several samples taken at different times during the day. This sample
should be obtained from the sample port at the intake to the raw sludge pump in the basement
of the reuse water/sludge pump building. This sample should be kept in a container with an air
tight lid until analyzed to prevent evaporation.
A composite of the dewatered sludge cake should be taken from the belt filter press. This
sample should consist of several samples taken at different times during the day. This sample
should be kept in a container with an air tight lid until analyzed to prevent evaporation.
Each batch of sludge discharged from the dryer should be sampled. An equal portion shall be
obtained from each batch and composited to have one sample per day for analysis. This sample
can be obtained after the discharge of each batch from the sampling port on the side of the
discharge auger. This sample is hot when first obtained from the auger and should be allowed to
cool before being bagged.
• The composite sample from a days dryer run is analyzed for % total solids to ensure adequate
drying time in the dryer. The % solids composite sample analyzed quarterly from the silo is to be
used for compliance.
• All of the above samples should be weighed and dried overnight in order to obtain total % solids
values. Reference should be made to the laboratory SOP manual for proper procedures for
analysis for total % solids. Operators will be provided training in the proper procedures for
sampling, storage and analysis of samples before they are expected to conduct analysis.
Last revision date
For this page- 10/10/18

Quarterly
Quarterly sampling should be conducted on a representative sample of the dried residuals. This sample
analysis is contracted with Pace Analytical of Asheville NC, and should be sampled, preserved and
delivered to them within their required parameters. The following analysis should be conducted on this
sample.
Aluminum (Al) Mercury (Hg)
Arsenic (Ar) Molybdenum (Mo)
Cadmium (Cd) Nickel (Ni)
% total solids
Corrosivity
Fecal Coliform mpn/g/solid` Ignitability
Total Nitrogen (N) Reactivity
Calcium (Ca) ph Total Phosphorous (P)
Chromium (Cr) Potassium (K) Ammonia Nitrogen (Nh3-N)
Copper (Cu) Sodium (Na) Plant available Nitrogen(PAN) (surface applied)
Lead (Pb) Selenium (Se) Calculated Sodium Adsorption Rate (SAR)
Magnesium (Mg) Zinc (Zn)
• A total of at least seven (7) coliform samples should be analyzed annually.
Annually, a TCLP (toxicity characteristic
sample of the dried residual.
Last revision date-6/28/2018
Annually
leaching procedure) should be conducted on a representative

Truck Loading Operations
Trucks to be loaded with residual should pull through under the silo. Drivers will be responsible for
positioning of their trucks and plant operators will be responsible for loading operations. The storage
silo control panel is located at the top of the stairs on the silo. This should be switched to the on position
to enable the dust collector blower and chute controls to work. The valve on the green air piping to the
rotary valve dispenser on the silo should be in the open position during truck loading operations. The
operator should lower the end of the chute to the bed of the truck and then switch on the rotary valve
dispenser. The shorter distance residuals have to fall from the end of the chute to the bed of the truck
dramatically lessens the amount of dust escaping during the loading process.
Paperwork
• All users of the bioresiduals must sign and date a Utilization Agreement before taking or
possessing the product. This agreement between TWSA and the end user must be signed and
renewed by both parties during each permit cycle
• The hauler or transporter should be given a copy of the signed shipping manifest. The manifest
should include an estimated tonnage and should list contact info for the generator and the user
along with contact info on the trucking company with places for the generator, hauler and end
user to sign. Info as to the proper procedures and safeguards should an accident or spill occur
are included on the back of the manifest.
Last revision date-6/28/2018

TWSA #1
TOPO Map
Site Plan
E401-4
Hydraulic Profile

r
r
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r
10
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do
10
90
go
90
go
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utfall 001
Tuckaseigee Water & Sewer Facility ,4,,` , `
J x y �* (�ihi R, R z L J
TWSA WWTP #1 Location
'ate Grid/ uad: F6SW/Sylva South, NC Receiving Stream:Tuckasegee River ���"i
REP
titudr 35020' 59" N Stream Class: C-Trout not to scale
�nvnu�de: 83'14'21" W 8-Digit FIUC: 06010203
rail naeeP.asin: Little Tennessee River Basin esin• No�th NPDES Permit No. NCO039578
-Ba04-04-02 Jackson Count

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