NC0080381_Renewal (Application)_20231024

ROY COOPER i t `-
Governor 0 ii 1
ELIZABETH S.BISER .� .,
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
October 24, 2023
City of Monroe
Attn: Scott Clark, Director of Water Resources
PO Box 69
Patterson, NC 28111-0069
Subject: Permit Renewal
Application No. NC0080381
John Glenn WTP
Union County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 24, 2023 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely
Xt.,.
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: David Rankin, WTP Superintendent
ec: WQPS Laserfiche File w/application
DEW. North iCea rRoelgina
io nDepartment
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October 19, 2023 Monroe
NC-DENR/DWQ/NPDES Unit North Carolina
1617 Mail Service Center
Raleigh,NC 27699-1677
Re: Application for Permit Renewal RECEIVED
NPDES Permit NC0080381
City of Monroe John Glenn Water Treatment Plant OCT 2 4 2023
Stewarts Creek—Yadkin/Pee Dee Basin
Union County
NCDEQ/DWR/NPDES
To whom it may concern:
Please find enclosed in triplicate an application for renewal of NPDES Permit No. NC0080381 for the
discharge of treated basin sludge and backwash water from a water treatment plant process to the waters
of Stewarts Creek in Union County. This application is being submitted in advance of the expiration of
the existing permit on January 31, 2024.
We are requesting that you review the enclosed application and renew our permit in accordance with the
requirements of state regulation.
The facility is not a primary industry under Title 40CFR, Appendix A; therefore no priority pollutant
analysis is required. The facility is an existing facility.
There are no immediate plans for upgrades in the NPDES system for the John Glenn Water Treatment
plant.
Please do not hesitate to contact me at any time during the review process at(704)282 4624 if you have
any questions.
Respectfully,
Scott Clark
Water Resources Director
City of Monroe
wzvw.monroenc.org

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110009842652 NC0080381 John Glenn Water Treatment OMB No.2040-0004
Form U.S. Environmental Protection Agency
1 V./EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122,21(f) and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes,STOP. Do NOT complete 0 No If yes,STOP. Do NOT 0 No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2,2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining,or silvicultural facility that is
o. production facility? currently discharging process wastewater?
o0 Yes 4 Complete Form 1 J No 0 Yes 4 Complete Form D No
Z and Form 2B. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
e mining,or silvicultural facility that has not yet commercial, mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
d El Yes 4 Complete Form 1 0 No ❑ Yes 4 Complete Form El No
re and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
5 discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
❑ Yes 4 Complete Form 1 0 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2. NAME, MAILING ADDRESS,AND LOCATION (40 CFR 122,21(f)(2))
2.1 Facility Name
John Glenn Water Treatment Plant
O 2.2 EPA Identification Number
0
0
110009842652
co 2.3 Facility Contact
to
d Name(first and last) Title Phone number
Scott Clark Water Resources Director [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
Street or P.O. box
PO Box 69
City or town State ZIP code
Monroe NC 28110
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110009842652 NC0080381 John Glenn Water Treatment OMB No.2040-0004
SECTION 6. EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
d ❑✓ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
o w 0080381
a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
rn
❑ Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTION 7. MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
R specific requirements.)
❑✓ Yes 0 No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
John Glenn Water treatment Plant is a 11.2 MGD WTP that produces drinking water for the City of Monroe. Water
from Lake Twitty is collected and treated and distributed through the city. the discharge from the process is collected
in a clarifer with mechanical de watering from a centrifuge. The remaining water is discharge through a metered
flume to Stewart's Creek.
co
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
u.
❑ Yes 0 No SKIP to Item 10.1.
d
9,2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
2 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
O Y
O
U c
SECTION 10. VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
c ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
ID Not applicable
EPA Form 3510-1(revised 3-19) Page 3

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1

John Glenn Water Treatment Plant(11.2 MGD)
NPDES PERMIT#NC0080381
Monroe,NC
Process Schematic 5.
Twill
NPDES SYSTEM COLOR CODED GREEN
v ���
Manhole • �/�-ludoe Pump Building
Ns Storm drain �L �,,
#1-c Siodgp Beds ' cg�� . - If r•ioxi•e Bui din• A it.DKtusers
•
SI a Storage goon Supernatant,Trac Vac Discharge and in Floor Drains to Clarifier Carbo MIN «q
a'1 _._._.P 9 l Zit'
' • • • Effluent Parsh-1 lume
' Filter Backwash and.cop Basin Drains(Watertto Sludge Storage Lagoon • 'um, i Flow et: evice
♦ • im ilgt➢R'm•d
• lha 1
-ydne_S.,sLaaalaaosn 6� f _ t: �¢' iii,„ er. . �,� �
2.25 MG r Flooculata \� ,,, •''„ NO4
Decant Pumps, .576 MG , er#1 Reaction Basin
2 Decant
•m e. e Sputter Box ♦, Outfall QQ1
Rapid Mixer#2 0 " © Monthly flow
8 e6 ? Max 0Average 0.712 mod
Chemical Feed Legend . i Min 0.56 mgd
Potassium Permanganate —�O Rapid Mize,#1
9 1 O Pump Station#2
Powdered Activated Carbon —� p Ammonia Tank and Building Stttewarts Cr
Sodium Hydroxide ---�a • Pump St '• #1
Chlorine --� e •i
Ferric Chloride -- © . e
Polymer ^© g sv,,p,.r y 9
Polyphosphate ,. 7
Fluoride Slowartg
g' To Distribution S stem
Ammonia 4
Sulfur Dioxide 10 Old Camden Road

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110009842652 NC 0080381 John Glenn Water Treatment OMB No.2040-0004
Plant
Form U.S.Environmental Protection Agency
2C \".EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURE OPERATIONS
SECTION 1. OUTFALL LOCATION (40 CFR 122.21(g)(1))
1.1 Provide information on each of the facility's ouffalls in the table below.
o Numbelr Receiving Water Name Latitude I Longitude
Tuli V
c.
001 Stewart's Creek 35° 02' 13„ 80° 18' 37"
ro
° „ 0
0
SECTION 2.LINE DRAWING(40 CFR 122.21(g)(2))
co 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
Jbalance?(See instructions for drawing requirements.See Exhibit 2C-1 at end of instructions for example.)
o ❑r Yes ❑ No
SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(g)(3))
3.1 For each outfall identified under Item 1.1,provide average flow and treatment information.Add additional sheets if
necessary.
**Outfall Number** 001
Operations Contributing to Flow
Operation Average Flow
Wash Water lagoon 0.195 mgd
c
m
E Sludge Collection units(trac vacs) 0.550 mgd
ra
m
—• mgd
c
3 mgd
Treatment Units
a, Description Final Disposal of Solid or
d (include size,flow rate through each treatment unit, Code from
g Liquid Wastes Other Than
a' retention time,etc.) Table 2C•1 by Discharge
rhickner-470,000 gallons-average 15 hours dentention time 5-L
Wash Water Lagoon-2.25 mg 1U,2E
Land Application 5-P Land applied
Centrifuge-200 GPM Flotwegg decanter 5-D
EPA Form 3510-2C(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number FacilityName Form Approved
03/05/19
110009842652 NC 0080381 John Glenn Water Treatment OMB No.2040-0004
Plant
SECTI011 4. INTERMITTENT FLOWS(40 CFR 122.21(g)(4))
4.1 Except for storm runoff,leaks,or spills,are any discharges described in Sections 1 and 3 intermittent or seasonal?
❑ Yes 0 No 4 SKIP to Section 5.
4.2 Provide information on intermittent or seasonal flows for each applicable outfall.Attach additional pages,if necessary.
Outfall Operation Fre•uency Flow Rate
Number (list) Average Average Long-Term Maximum Duration
Days/Week Months/Year Average Daily
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
days/week months/year mgd mgd days
SECTION 5. PRODUCTION (40 CFR 122.21(g)(5))
5.1 Do any effluent limitation guidelines(ELGs)promulgated by EPA under Section 304 of the CWA apply to your facility?
0 Yes ❑ No 4 SKIP to Section 6.
5.2 Provide the following information on applicable ELGs.
ELG Category ELG Subcategory Regulatory Citation
ci POTW Water Treatment Plant 40 CFR 122,403
0.
0.
5.3 Are any of the applicable ELGs expressed in terms of production(or other measure of operation)?
❑ Yes No 4 SKIP to Section 6,
0
;a 5.4 Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
E Outfall
Operation,Product,or Material Quantity per Day Unit of
Number Measure
fA
f6
co
.
O
a
EPA Form 3510-2C(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110009842652 NC 0080381 John Glenn Water Treatment OMB No.2040-0004
Plant
7.7 Have you checked"Testing Required"for all required pollutants in Sections 2 through 5 of Table B for each of the
GC/MS fractions checked in Item 7.6?
❑ Yes ❑ No
7.8 Have you checked`Believed Present"or"Believed Absent"for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
0 Yes ❑ No
7.9 Have you provided(1)quantitative data for those Section 1,Table B,pollutants for which you have indicated testing is
required or(2)quantitative data or other required information for those Section 1,Table B, pollutants that you have
indicated are"Believed Present"in your discharge?
Yes ❑ No
7.10 Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes 4 Note that you qualify at the top of Table B, ❑ No
d then SKIP to Item 7.12.
c_ 7.11 Have you provided(1)quantitative data for those Sections 2 through 5,Table B, pollutants for which you have
Udetermined testing is required or(2)quantitative data or an explanation for those Sections 2 through 5,Table B,
pollutants you have indicated are"Believed Present"in your discharge?
y 0 Yes ❑ No
d Table C.Certain Conventional and Non-Conventional Pollutants
7.12 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table C
for all outfalls?
❑ Yes ❑ No
Y
tC
7.13 Have you completed Table C by providing(1)quantitative data for those pollutants that are limited either directly or
indirectly in an ELG and/or(2)quantitative data or an explanation for those pollutants for which you have indicated
"Believed Present"?
6 9 Yes ❑ No
w Table D.Certain Hazardous Substances and Asbestos
7.14 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table D for
all outfalls?
0 Yes ❑ No
7.15 Have you completed Table D by(1)describing the reasons the applicable pollutants are expected to be discharged
and(2)by providing quantitative data, if available?
Yes ❑ No
Table E.2,3,7,8-Tetrachlorodibenzo-p-Dioxin(2,3,7,8-TCDD)
7,16 Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions,or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑ No 4 SKIP to Section 8.
7.17 Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTION 8. USED OR MANUFACTURED TOXICS(40 CFR 122.21(g)(9))
8.1 Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as
0 an intermediate or final product or byproduct?
0 Yes ❑ No 4 SKIP to Section 9.
I; 8.2 List the pollutants below.
g t° 1. Copper 4, 7.
2. Zinc 5. 8,
to
3. 6. g,
EPA Form 3510-2C(Revised 3-19) Page 5
i

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110009842652 John Glenn Water Treatment OMB No.2040-0004
NC 0080381 Plant
SECTION 12,CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (d))
12.1 In Column 1 below,mark the sections of Form 2C 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 complete all sections or provide attachments.
Column 1 Column 2
O Section 1:Outfall Location 0 w/attachments
O Section 2:Line Drawing El w/line drawing ❑ w/additional attachments
Section 3:Average Flows and w/list of each user of
.17i
Treatment 0 w/attachments 0 privately owned treatment
works
O Section 4:Intermittent Flows ❑ w/attachments
O Section 5:Production ❑ w/attachments
w/optional additional
El Section 6:Improvements 0 w/attachments 0 sheets describing any
additional pollution control
plans
1-1 supporting
request for a waiver and ❑ w/explanation for identical
supporting information outfalls
wl small business exemption
d ❑ request ❑ w/other attachments
❑ Section 7:Effluent and Intake ❑ w/Table A 0 w/Table B
Characteristics
0
w/Table C ❑✓ w/Table D
0 w/Table E ❑ wl analytical results as an
attachment
c Section 8:Used or Manufactured
0 Toxics ❑ w/attachments
H
Section 9:Biological Toxicity
d 0 Tests ❑ w/attachments
0
O Section 10:Contract Analyses ❑ w/attachments
O Section 11:Additional Information ❑ w/attachments
Section 12:Checklist and
0 Certification Statement ❑ w/attachments
12.2 Certification Statement
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 submitted is, to the best of my knowledge and belief, true,
accurate, and complete.lam aware that there are significant penalties for submitting false information,including the
possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
David Rankin WTP Superindendent
Signature Date signed
� - /6/ 0/2d Z3
EPA Form 3510-2C(Revised 3-19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE A.CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(iii))l
Effluent Intake
Waiver (Optional)
Pollutant Requested Units Maximum Maximum Long-Term
(if applicable) (specify) Daily Monthly Average Daily Number of Long-Term Number of
Discharge Discharge Discharge Analyses Average Value Analyses
(required) (if available) (if available)
❑ Check here if you have applied to your NPDES permitting authority for a waiver for all of the pollutants listed on this table for the noted outfall.
Biochemical oxygen demand Concentration
1' ❑
(BOD5)
Mass
Chemical oxygen demand Concentration
2' ❑
(COD)
Mass
Concentration
3. Total organic carbon(TOC) 0
Mass
Concentration mg/L 45.0 30.0 6.9 52 NA NA
4. Total suspended solids(TSS) 0
Mass lbs/day 280 186 42.87 52 NA NA
Concentration
5. Ammonia(as N) 0
Mass
6. Flow 0 Rate
MGD NA NA 7.45 continuous NA NA
Temperature(winter) 0 °C °C NA NA 12.79 52 NA NA
7.
Temperature(summer) 0 °C °C NA NA 25.7 52 NA NA
pH(minimum) ❑ Standard units s.u. 6.0 NA 6.54 52 NA NA
8.
pH(maximum) 0 Standard units s.u. 9.0 NA 6.54 52 NA NA
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 9
1
li -

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS, CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Long-
MonthlyAverage Number Number
Present Absent Daily Dailyof Term of
Discharge Discharge Average
(required) (if available) Discharge Analyses Value Analyses
(if available) 1
Check here if you qualify as a small business per the instructions to Form 2C and,therefore,do not need to submit quantitative data for any of the organic toxic pollutants in Sections
2 through 5 of this table. Note,however,that you must still indicate in the appropriate column of this table if you believe any of the pollutants listed are present in your discharge.
Section 1.Toxic Metals,Cyanide,and Total Phenols
1.1 Antimony,total 0 Concentration
El
(7440-36-0) Mass
1.2 Arsenic,total a Concentration
0 0
(7440-38-2) Mass
1,3 Beryllium,total 0 Concentration
0
(7440-41-7) Mass
1.4 Cadmium,total 0 Concentration
El
(7440-43-9) Mass
1.5 Chromium,total 0 Concentration
00
(7440-47-3) Mass
1 6 Copper,total a ❑� ❑ Concentration ug/l 21.40 15.51 9.03 12 NA NA
(7440-50-8) Mass lbs/day 0.13 0.096 .056 12 NA NA
1.7 Lead,total 0 Concentration
0
(7439-92-1) Mass
1 8 Mercury,total 0 0 a Concentration
(7439-97-6) Mass
1.9 Nickel,total Concentration
0 El(7440-02-0) Mass
1.10 Selenium,total 0 Concentration
El El
(7782-49-2) Mass
1.11 Silver,total 0 Concentration
00
(7440-22-4) Mass
EPA Form 3510-2C(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS, CYANIDE,TOTAL PHENOLS,AND ORGANIC •XIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
Long-
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum MonthlyAverage NumberNumber
Present Absent Daily Dailyof Term of
Discharge Discharge Average
(required) (if available) Discharge Analyses Value Analyses
(if available)
2.9 2-chloroethylvinyl ether Concentration
El 0El
(110-75-8) Mass
2.10 Chloroform(67-66-3) 0 El 0 Concentration
Mass
211 Dichlorobromomethane � Concentration
(75-27-4) Mass
212 11-dichloroethane 0 0 Concentration
(75-34-3) Mass
2.13 1,2-dichloroethane 0 Concentration
(107-06-2) Mass
2.14 11-dichloroethylene O Concentration
(75-35-4) Mass
2.15 1,2-dichloropropane � O Concentration
(78-87-5) Mass
2.16 1,3-dichloropropylene Concentration
El
(542-75-6) Mass
Ethylbenzene Concentration
2.17 El
(100-41-4) Mass
2.18 Methyl bromide 0 Concentration
(74-83-9) Mass
2.19 Methyl chloride Concentration
El
(74-87-3) Mass
2.20 Methylene chloride 0 0 Concentration
El
(75-09-2) Mass
221 1,1,2,2-tetrachloroethane El
Concentration
El
(79-34-5) Mass
1 EPA Form 3510-2C(Revised 3-19) Page 13
L

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS, CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
Long-
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum MonthlyAverage Number Term Number
Present Absent Daily
Discharge Discharge available) Daily Discharge Analyses Average Analyses
(required)
(if available) VaIU@
3.6 2-nitrophenol Concentration
El
(88-75-5) El El Mass
3.7 4-nitrophenol 00
Concentration
(100-02-7) Mass
3.8 p chloro-m cresol El0 Concentration
(59-50-7) Mass
Pentachlor
3.9 ophenol 0 Concentration
El El
(87-86-5) Mass
3.10 Phenol 0 Concentration
El
(108-95-2) Mass
3.11 2,4,6-trichlorophenol El 0 0 Concentration
(88-05-2) Mass
Section 4.Organic Toxic Pollutants(GCIMS Fraction—Base/Neutral Compounds)
4,1 Acenaphthene El Concentration
ID
(83-32-9) Mass
4.2 Acenaphthylene Ci a Concentration
(208-96-8) Mass
4.3 Anthracene 0 Concentration
(120-12-7) Mass
1 4.4 Benzidine 0 Concentration
El
(92-87-5) Mass
4.5 Benzo(a)anthracene ID � 0 Concentration
(56-55-3) Mass
Benzo(a)pyrene0 Concentration
4.6 0 ID
(50-32-8)
Mass
EPA Form 3510-2C(Revised 3-19)
Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS, CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Long-
(andMonthlyAverage Number g Number
Present Absent Daily Term
Discharge Discharge Discharge Analyaily ses Average Analyses
(required) (if available) y Value y
(if available)
4.20 12-dichlorobenzene 0O Concentration
(95-50-1) 0 Mass
4.21 1,3-dichlorobenzene Concentration
ID! (541-73-1) 0 Mass
4.22 14-dichlorobenzene O Concentration
(106-46-7) Mass
4.23 3,3-dichlorobenzidine o Concentration
0 0
(91-94-1) Mass
4.24 Diethyl phthalate Concentration
0 0 r
(84-66-2)
Mass
4.25 Dimethyl phthalate El ❑ a Concentration
(131-11-3) Mass
4.26 Di-n-butyl phthalate ❑ Concentration
(84-74-2) Mass
4.27 2 4-dinitrotoluene Concentration
(121-14-2) 0 Mass
4.28 2,6-dinitrotoluene Concentration
(606-20-2) Mass
j 4 29 Di-n-octyl phthalate Concentration
(117-84-0) Mass
4.30 1,2-Diphenylhydrazine � O Concentration
(as azobenzene)(122-66-7) Mass
4.31 Fluoranthene a Concentration
0
(206-44-0) Mass
4.32 Fluorene O Concentration
El
(86-73-7) Mass
EPA Form 3510-2C(Revised 3-19)
Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS, CYANIDE,TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (specify) Maximum Maximum Long-
MonthlyAverage Number Number
Present Absent Daily Term
Discharge Discharge Daily of Average of
(required) (if available) Discharge Analyses Value Analyses
_. (if available)
4.46 1,2,4-trichlorobenzene Concentration
(120-82-1) Mass
Section 5.Organic Toxic Pollutants(GC/MS Fraction—Pesticides)
5.1 Aldrin 0 Concentration
0
(309-00-2) Mass
5.2 a-BHC e Concentration
0 0
(319-84-6) Mass
5.3 3-BHC 0 Concentration
El 0
(319-85-7) Mass
5.4 y-BHC 0 0 O Concentration
(58-89-9) Mass
b-BHC 0 Concentration
5.5 0El
(319-86-8) Mass
5.6 Chlordane 0 Concentration
El
(57-74-9) Mass
5.7 4,4'-DDT a Concentration
El El
(50-29-3) Mass
4 4'-DDE El
Concentration
0 0
5.8 (72-55-9) Mass
5.9 4,4'-DDD 0 Concentration
0 0
(72-54-8) Mass
5.10 Dieldrin El0 Concentration
0(60-57-1) Mass
5.11 a-endosulfan Q Concentration
0 0
(115-29-7) Mass
EPA Form 3510-2C(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE B.TOXIC METALS,CYANIDE, TOTAL PHENOLS,AND ORGANIC TOXIC POLLUTANTS(40 CFR 122.21(g)(7)(v))1
Presence or Absence
(check one) Effluent Intake
(optional)
Pollutant/Parameter Testing Units Long-Term
(and CAS Number,if available) Required Believed Believed (speci Maximum Maximum Long-
) DailyMonthlyAverage Number Term Number
Present Absent
Discharge Discharge Daily of Average of
Discharge
(required) (if available) Analyses Value Analyses
(if available)
Toxaphene Concentration
5.25 (8001-35-2) 0 ID E Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 21

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE C.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence Intake
(check one) Effluent
(Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum DailyLong-Term
Monthly Average Daily Number of Average Number of
Present Absent Discharge
(required) Discharge Discharge Analyses Value Analyses
(if available) (if available)
❑ Check here if you believe all pollutants on Table C to be present in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
❑ Check here if you believe all pollutants on Table C to be absent in your discharge from the noted outfall.You need not complete the"Presence or Absence"column of Table C for
each pollutant.
1 Bromide11 El Concentration
(24959-67-9) Mass
2 Chlorine,total Concentration ug/L <50 <50 6.1 52 NA NA
CI 0
residual Mass lbs/day 0.3 0.3 .037 52 NA NA
3. Color 0 Concentration
Mass
4. Fecal coliform 0 0
Concentration
Mass
5 Fluoride a Concentration mg/L Monitor Monitor <0.10 4 NA NA
(16984-48-8) Mass lbs/day Monitor Monitor <0.621 4 NA NA
6 Nitrate-nitrite CI 0
Concentration
Mass
Nitrogen,total a Concentration mg/L Monitor Monitor 2.23 4 NA NA
7. CI
organic(as N) Mass lbs/day Monitor Monitor 13.8 4 NA NA
8. Oil and grease 0 CI
Concentration
Mass
g Phosphorus(as O Concentration mg/L Monitor Monitor <0.05 4 NA NA
0
P),total(7723-14-0) Mass lbs/day Monitor Monitor <0.31 4 NA NA
10. Sulfate(as SO4) 0 0 Concentration
(14808-79-8) Mass
11. Sulfide(as S) 0 a Concentration
Mass
EPA Form 3510-2C(Revised 3-19) Page 23

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE C. CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(g)(7)(vi))1
Presence or Absence
(check one) Effluent Intake
(Optional)
Pollutant Units Maximum Long-Term
Believed Believed (specify) Maximum DailyLong-Term
Present Absent Discharge Average Daily Average Number of
MonthlyNumber of
(required) Discharge Discharge Analyses Analyses
(if available) Value
(if available)
24. Radioactivity
Alpha,total ❑ ❑ Concentration
Mass
Beta,total ❑ El
Mass
Concentration
Radium,total ❑ 0 _
Mass
J Concentration
Radium 226,total ❑ 0 _ __ _
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 25

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381 001
TABLE D. CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 12221(g)(7)(vii))l
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
1. Asbestos ❑ 0
2. Acetaldehyde ❑ ❑
3. Ally!alcohol ❑ ❑
4. Ally!chloride ❑ 0
5. Amyl acetate ❑ ❑
6. Aniline ❑ ❑�
7. Benzonitrile
8. Benzyl chloride 0 0
9. Butyl acetate ❑ El
10. Butylamine 0 0
11. Captan ❑ 0
12. Carbaryl 0 El
13. Carbofuran ❑
14. Carbon disulfide ❑
15. Chlorpyrifos ❑ El
16. Coumaphos ❑ 0
17. Cresol ❑ ❑✓
18. Crotonaldehyde ❑ 0
19. Cyclohexane 0 El
EPA Form 3510-2C(Revised 3-19) Page 27

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381 001
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed g (specify units)
Present Absent
39. Guthion
40. Isoprene ❑ � _. _ - - _--41. Isopropanolamine 0
42. Kelthane ❑ ❑�
43. Kepone ❑ [l
44. Malathion 0 ❑
45. Mercaptodimethur ❑ 0
46. Methoxychlor ❑ 0
47. Methyl mercaptan ❑ ❑�
48. Methyl methacrylate ❑ El
49. Methyl parathion ❑ El
50. Mevinphos ❑ 0
51. Mexacarbate ❑ 0
52. Monoethyl amine ❑ El
53. Monomethyl amine 0 0
54. Naled ❑ El
55. Naphthenic acid ❑ El
56. Nitrotoluene 0 El
57. Parathion a athion ❑ ❑
EPA Form 3510-2C(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381 001
TABLE D.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(g)(7)(vii))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed 9 (specify units)
Present Absent _
77. Vinyl acetate � 0
78. Xylene 0
79. Xylenol — —80. Zirconium CI El
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2C(Revised 3-19) Page 31

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110009842652 John Glenn Water Treatment Plant OMB No.2040-0004
NC 0080381
TABLE E.2,3,7,8 TETRACHLORODIBENZO P DIOXIN (2,3,7,8 TCDD)(40 CFR 122.21(g)(7)(viii))
TCDD Presence or
Congeners Absence
Pollutant (check one) Results of Screening Procedure
Used or
Manufactured Believed Believed
Present Absent
2,3,7,8-TCDD ❑ ❑ 0
EPA Form 3510-2C(Revised 3-19) Page 33

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NPDES PERMIT#NC0080381
Monroe,NC
Lake Twittv
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