NC0065242_Renewal (Application)_20231026

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Roy Dyer, Mayor
Town of Grover
PO Box 189
Grover, NC 28073-0189
Subject: Permit Renewal
Application No. NCO065242
Grover WWTP
Cleveland County
Dear Permittee:
NORTH CAROLINA
Environmental Quality
October 26, 2023
The Water Quality Permitting Section acknowledges the October 26, 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://deg.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.
ec: WQPS Laserfiche File w/application
Sincerely,
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
D Q��
North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1 610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115
704.663.1699

North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
OCT 2 6 ' 023
NCDEQ/DWR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

E IVE7")
NPDES Permit Number
Facility Name
`' Modifih AplAeal)on Form 2A
NCO065242
Town of Grover WWTP
Modified March 2021
Form
NC Department of Environmental Quality- Application for NROF�6�Rey1 ittO�pi MVVT VM[
fstru�
MINOR SEWAGE FACILITIES (Before completing this form, pleasereadthe ins i
c6or s. Failure to follow
NPDES
the Instructions ma result In denial of the Iicatlon.
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.210)(1) and (9))
1.1
Facility name
Town of Grover WWTP
Mailing address (street or P.O. box)
P.O. Box #t189
City or town
State
ZIP code
o
Grover
North Carolina
28023
EContact
name (first and last)
Title
Phone number
Email address
c
Mark McDaniel
Public Works Director
[phone]
M.Mcdaniel@townofgrovernc
w
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
1229 Bethlehem Church Rd
City or town
State
ZIP code
Grover
North Carolina
28023
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 [21 No + SKIP to Item 1.4.
Applicant name
Fred D Curl
Applicant address (street or P.O. box)
R
207 N. English St.
€
City or town
State
ZIP code
Greensboro
North Carolina
27405
Contact name (first and last)
Title
Phone number
Email address
CL
CL
Fred Curl
Owner
`x
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
0 Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility Applicant ❑ Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
. number for each.)
d ;
-----
Existing Environmental Permits
a
r NPDES (discharges to surface
RCRA hazardous waste
UIC (underground injection
water)
control)
E
NCO065242
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
w
jCn
j
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
S
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO065242
Town of Grover WWTP
Modified March 2021
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Population
Collection System Type
Served
Served
Ownership Status
- sindicate percentage)
100 separate san tary sewer ID Own El Maintain
Grover
sc'
0 % combined storm and sanitary sewer ❑ Own ❑ Maintain
❑ Unknown ❑ Own ❑ Maintain
o
i
% separate sanitary sewer
El Own El Maintain
@
%combined storm and sanitary sewer
❑ Own ❑ Maintain
a
❑ Unknown
ElOwn ❑ Maintain
0
% separate sanitary sewer
❑ Own ❑ Maintain
n
% combined storm and sanitary sewer
❑ Own ❑ Maintain
c
E
ElUnknown
ElOwn ElMaintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
c
❑ Unknown
❑ Own ❑ Maintain
Total
Population �50
0
Served ^
—--
—
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line in miles
0
100 �0
o
0 �0
2-11
1.8
Is the treatment works located in Indian Country?
c
0
v
❑ Yes 0 No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
c
❑ Yes ❑ No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
0.100 mgd
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
ce
o.o98 mgd
0.044 mgd
0.053 mgd
LL-
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
0.165 mgd
0.173 mgd
0.162 mgd
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
o
Total Number of Effluent Discharge oIntsbvType
Combined Sewer
Constructed
?'
Treated Effluent
Untreated Effluent
Bypasses
Emergency
_ �;
o
Overflows
Overflows
A
_
0
1
0
0
0
0
Page 2

--T-
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO065242
Town of Grover WTP
W
Modified March 2021
Outfalls Other Than to Waters of the We of North Carolina
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 State of North Carolina?
❑ 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 Im oundment Location and Discharge Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
gpd
ElContinuous
0
❑ Intermittent
�°
1.14
Is wastewater applied to land?
❑ Yes ❑✓ No SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
o
Average Daily Volume Continuous or
Location
Size
Applied Intermittent
21
, (check one)
y
acres
9P d
Continuous
o1
❑ Intermittent
c
acres
gpd
ElContinuous
❑ Intermittent
acres
d
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
❑ Yes 0 No 4 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 0 No 4 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
Page 3

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO065242
Town of Grover WWTP
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
0
1
Ln
Contact name (first and last)
Title
IPhone
number
Email address
Ln
!
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate 0.22 mgd
p
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
8
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
rn
❑ Yes El No 4 SKIP to Item 1.23.
0
1.22
Provide information in the table below on these other disposal methods.
d
Information on Other Disposal Methods
L
Disposal
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
volume
acres
9Pd
❑ Continuous
❑ Intermittent
— -
--
acres
d
❑ Continuous
gp
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
N
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
}
j
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
Contractor name
(company name
Cardinal Water Inc
Mailing address
0
c
street or P.O. box
700 Alamance St.
City, state, and ZIP
S
Gibsonville NC 27249
code
15
Contact name (first and
0last
I
Tony Montero
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NC0065242 Town of Grover WWTP Modified March 2021
SECTION 2. ADDITIONAL INFORMATION (40 CFR 122.210)(1) and (2))
o Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o
❑✓ Yes ElNo 4 SKIP to Section 3.
0
2.2
Provide the treatment works' current average daily volume of inflow
Average Daity Volume of Inflow and Infiltration
t°
and infiltration.
0.010 gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Contractor had contacted North Carolina Rural Water Association to assist in 1/1 and smoke test study and camera lines.
3
0
System repairs have been made as well as others have been budgeted as part of CIP.
c
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
CL
specific requirements.)
0
o
❑✓ Yes ❑ No
E
o2
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
cm
uL 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.
;a
1. Plant is scheduled to be taken out of service in July 202#and will then flow to Kings Mountain W WTP.
c
E
d
n
2.
E
I
o
N
d
3.
d
En
4.
°a
m
2.6
i P,cvide scheduled or actual dates of completion for improvements.
1
Scheduled or Actual Dates of Completion for Im rovements_
E
Affected _
Attainment
a
Scheduled
t}utfalls
Begin
End
Begin
Operational
o
a
Improvement
p
(list outfall
Construction
Construction
Discharge
g
Level
E
(from above)
number
(MMIDD/YYYY)
(MMIDDIYYYY)
(MM/DD/YYYY)
MMr'DDIYYYY�_i
d
a
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
NCO065242 Town of Grover WWTP Modified March 2021
INFORMATIONSECTION 3. I 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
North Carolina
County
Cleveland
0
City or town
Grover
o
e
c
Distance from shore
Depth below surface
0 ft.
ft.
ft.
0
Average daily flow rate
0.053 mgd
f *
mgd
Latitude
35° 11' 3" N
Longitude
81° 29' 6" W
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
m
o
❑ Yes ❑✓ No + SKIP to Item 3.4.
d
E
3.3
If so, provide the following information for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
a
Number of times per year
discharge occurs
a
Average duration of each
o
discharge (specify units
Average flow of each
mgd
mgd
mgd
discharge
b
Months in which discharge
----
—
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑r No + SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number 001
Outfall Number
outfall Number
0
ui
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
$
0 Yes ❑ No +SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NCO065242 Town of Grover WWTP Modified March 2021
3.7 Provide the receivinc_warer and related information (if known for each outfall - _
i
Outfall Number _001 _ Outfall Number _ � Outfall Number
Receiving water name Jakes Branch
Name of watershed, river,
Broad River
0
or stream system
:c
U.S. Soil Conservation
N
Service 14-digit watershed
ca
code
ay
Name of state
management/river basin
North Carolina
y
U.S. Geological Survey
8-digit hydrologic
02152100
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following informatirm
describing the treat nent provided
for discharges from each
r
outfall.
Outfall Number �
Outfall Number ._ _. _ _
Outfall Number
Highest Level of
�J Primary
❑ Primar,
Lj Primary
Treatment (check all that
0 Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
0
a
Design Removal Rates by
Outfall
85%
BOD5 or CBOD5
85% %
%
%
m
E
w
TSS
85 %
%
%
• Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
/o °
°
/o
°
/o
• Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO065242
Town of Grover WWTP
Modified March 2021
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.
The treatemnt system utilizes Calcium Hypochrololite and utilizes HTH Blocks and Calcium .bisulfate for dechlorination
d
as back up only.
U
o
Outfall Number 001
Outfall Number
Outfall Number
9-
Disinfection type
U
Calcium Hypochlorite
G
Seasons used
E
all
d
Dechlorination used?
❑ Not applicable
❑ Not applicable
pP�
❑ Not applicable
PPicable
0 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?
0 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
i
water
1
CD
Number of tests of receiving
water
1
a
i
I �
w
I
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 + Complete Table B, omitting chlorine.
r
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
0 Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
No additional sampling required by NPDES Yes 0
❑
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO065242
Town of Grover WWTP
Modified March 2021
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 + 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 0 No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
'MmloorfYYY'
w
c
.c
i
0
ro
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
❑ Yes ❑✓ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
d
a
W
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑✓ 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 permittinq authority.
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
NCO065242 Town of Grover WWTP Modified March 2021
SECTION. CHECKLIST
AND 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 1
Column 2
Section 1: Basic Application
Informationforfor All A licants
w/ variance request(s) El w/ additional attachments
Section 2: Additional
❑ w/ topographic map 0 w/ process flow diagram
Information
❑ w/ additional attachments
❑ w/ Table A ❑ w/ Table D
❑ Section 3: Information on
✓❑ w/ Table B ❑ w/ additional attachments
c
Effluent Discharges
E
❑✓ w/ Table C
Section 4: Not Applicable
c
0
t5
Section 5: Not Applicable
r
v
Section 6: Checklist and
❑
❑ w/attachments
Certification Statement
N
6.2
Certification Statement
d
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. I 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 title
Charles ek c du�l�c
works IQ
Signature
Date signed
mb
M
Page 10

NPDES Permit Number Facility Name Outfall Number
NCO065242 Town of Grover VVWTP
Modified Application Form 2A
Modified March 2021
"613 4 1111110411
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical
ML or MDL
Value Units
Value Units Sam lesf Method'
(include units)
Biochemical oxygen demand
❑ BOD5 or o CBOD5
17.0
mg/I
1.1
mg/I
52
❑ ML
❑ MDL
(report one
Fecal coliform
330
c01/100 ml
0.50
c01/100 ml
52
❑ ML
❑ MDL
Design flow rate
0.155
mgd.
0.53
mgd. 365
pH (minimum)
6.6
std unts
pH (maximum)
7.4
std unts
Temperature (winter)
22.0
Celcius
19.0
Celcius z6
Temperature (summer)
29.0
Celcius
26.0
celcius
26
Total suspended solids JSS)
19.0
mg/I
8.0
mg/I
52
❑ ML
❑ MDL
' 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).
Page 11

EPA Identification Number NPDES Permit Number Facility Name I
Outfal Number
NCO065242 Town of Grover WWTP
Modified Appication Form 2A
Modified March 2021
•• •• • •
. 111DIAVICIM
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical
ML or MDL
----- ------
Number of
Value
Units
Value
Units
Method'
(include units)
_—
Samples
s.86
mg/I
4.23
mg/I
52
❑ ML
❑ MDL
Ammonia (as N)
Chlorine
total residual, TRC 2
28.0
ug/I
23.0
ug/I
104
❑ ML
❑ MDL
Dissolved oxygen
❑ ML
❑ MDL
Nitrate/nitrite
❑ ML
❑ MDL
Kjeldahl nitrogen
18.9
mg/I
14.0
mg/I
2
❑ ML
❑ MDL
Oil and grease
❑ ML
❑ MDL
Phosphorus
2.97
mg/I
1.97
mg/I
2
❑ ML
❑ MDL
Total dissolved solids
❑ ML❑
MDL
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfai Number
Modified Appicatim Form 2A
NCO065242 Town of Grover WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant - - — 1.
Analytical ML or MDL
Number of
Method' (include units)
Value Units Value I Units Samples _
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ ML
❑ MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
❑ ML
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
❑ ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
19.0
mg/I
6.16
mg/I
4
0 ML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
❑ ML
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
❑ MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO065242 Town of Grover WWTP
Modified March 2021
ej' •�
Maximum Daily Discharge Average Daily Discharge
i
Pollutant ------ --— ----- � -- ----- ---r- -_ _ — -
Analytical i ML or MDL
Value Units j Value i Units Number of
Methods (include units)
Samples
Carbon tetrachloride
}
i
❑ ML
❑ MDL
Chlorobenzene
❑ ML
-
❑ MDL
Chlorodibromomethane
-
❑ ML
❑ MDL
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
❑ ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-iichloroethane
❑ ML
❑ MDL
trans-1,2-dichloroethylene
❑ ML
❑ MDL
1,1-dichloroethylene
❑ ML
❑ MDL
1,2-dichloropropane
❑ ML
❑ MDL
1,3-d
❑ MLichloropropylene
❑ MDL
Ethylbenzene
❑ ML
❑ MDL
Methyl bromide
❑ MIL
❑ MDL
Methyl chloride
El ML
❑ MDL
Methylene chloride
❑ ML
❑ MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
El ML
❑ MDL
Toluene
❑ ML
❑ MDL
1,1,1-trichloroethane
❑ ML
❑ MDL
1,1,2-trichloroethane
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modred Application Form 2A
NC0065242 Town of Grover WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Pollutant -
Analytical
Analytical ML or MDL
Number of
Units Value Units
rTrichloroethylene
Method' I (Include units)
—Value - -- _ Samples
❑ ML
❑ MDL
yl chloride
❑ML
- — — — ---
---- — --
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
❑ ML
❑ MDL
2-chlorophenol
❑ ML
❑ MDL
2,4-dichlorophenol
❑ ML
❑ MDL
2,4-dimethylphenol
❑ ML
❑ MDL
4,6-dinitro-0-cresol
❑ ML
❑ MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ ML
❑ MDL
4-nitrophenol
❑ ML
❑ MDL
Pentachlorophenol
❑ ML
❑ MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
❑ ML
❑ MDL
Base -Neutral Compounds
Acenaphthene
❑ NIL
-- ❑ MDL
El ML
❑MDL
__
❑ ML
❑ MDL
❑ ML
❑ MDL
Zenzo(a)anthracene
❑ ML
❑ MDL
❑ML
❑ MDL
e
❑ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modred Application Form 2A
NC0O65242 Town of Grover WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
_
Pollutant -- —�-- - - Number of
Methods (include units)
Value Units i Value Units Samples
Benzo(ghi)perylene
❑ ML
❑ MDL
Benzo(k)fluoranthene
❑ ML
❑ MDL
Bis (2-chloroethoxy) methane
❑ ML
❑ MDL
Bis (2-chloroethyl) ether
_
❑ ML
❑ MDL
Bis (2 -ch loroisop ropy 1) ether
❑ ML
❑ MDL
Bis (2-ethylhexyl) phthalate
❑ ML
❑ MDL
4-bromophenyl phenyl ether
❑ ML
❑ MDL
Butyl benzyl phthalate
❑ ML
❑ MDL
2-chloronaphthalene
❑ ML
❑ MDL
4-chlorophenyl phenyl ether
❑ ML
❑ MDL
Chrysene
❑ ML
❑ MDL
di-n-butyl phthalate
❑ ML
❑ MDL
di-n-octyl phthalate
❑ ML
❑ MDL
Dibenzo(a,h)anthracene
❑ ML
❑ MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4-d
El MLichlorobenzene
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
El ML
❑ MDL
Dimethyl phthalate
❑ ML
❑ MDL
2,4-dinitrotoluene
❑ ML
❑ MDL
2,6-dinitrotoluene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16

EPA Identification Number
NPDES Permit Number
Facility Name Outfall Number
Modred Application Form 2A
NCO065242 Town
of Grover WWTP
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical ` Mt. or MDt-
Rollutant
i Method' i (include units)
--�—
Value
--
Value
Units
_
Number of
1,2-diphenylhydrazine
Units
--
Sam Ies
— -ple .. —_
--- —
El ML
❑ MDL
❑ ML
❑ MDL
Fluoranthene
Fluorene
❑ ML
❑MDL
Hexachlorobenzene
❑ ML
❑ MDL
Hexachlorobutadiene
El ML
❑ MDL
Hexachlorocyclo-pentadiene
OML
❑ MDL
Hexachloroethane
❑ ML
❑ MDL
Indeno(1,2,3-cd)pyre ne
OML
❑ MDL
Isophorone
El ML
❑ MDL
Naphthalene
❑ ML
❑ MDL
Nitrobenzene
❑ ML
❑ MDL
N-nitrosodi-n-propylamine
❑ ML
❑ MDL
N-nitrosodimethylamine
❑ ML
❑ MDL
N-nitrosodiphenylamine
❑ ML
❑ MDL
Phenanthrene
❑ ML
El
Pyrene
❑ ML
❑ MDL
1,2,4-trichlorobenzene
❑ ML
❑ MDL
aampnng snap oe conaucLea accwraing to surncienuy sensitive resF procedures �F.e., mernuus) approved under +u t rm wo For Line anarysFs of pouuranrs or pouuranr parameters or
required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A (Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number
Modred Application Form 2A
NCO065242 Town of Grover WWTP
Modified March 2021
Maximum DailyDischarge Avera a DailyDischarge
J
Pollutant —
Analytical ML or MDL
Number ofMethod'
(list) Value Units Value Units
(include units)
--- - - —L- -.-- - - - - - -_ Sam -les
— L
❑ No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
--
-
❑ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
1 SamDlina shall be conducted according to sufficiently sensitive test procedures (i.e.. methodsl aDDroved under 40 CFR 136
for the analvsis of Dollutants
or pollutant parameters or reouired
under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 18

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�•� 9%,�`` ,' �h�C Yc.x¢z���". e! c6�, •�� 3.O�S r ''�. r� .��/�', --`i�i /,` t:� lr ( .,/`-.f(�� , t
IP
Jakes Branch-
,�
[flows northwest," -
]
UUr
\� . _ ;�� 1. �-� ` ` - � ��--�1••r ' r �,-I. f � L" ` j',�',G� ; � � o `l •� '��% c� �1"7 1' �t -_-� -
�% •, � �� Vim.
�, �•, moo•_ � �� _ •_ .�� 7 � ���:> f '�1` �� ..• �, , • . l L^� } ' f---- �'
few-_ �.��)�� � / �C` y�i.!'n, •�'�Z_ •" ��
> > Outfall 001
T..;, t ` _ O _ (flows northwest) .
-- '.�_:-:- .-�--�--- -soo L-•. 2 \ -�; -�i Cam;._ ,t ` —� •��•`,�.� �� 1' �-- \ !"----.-.
./j% `l •_� � 1 Approximate
s , B.b, 640 �. ti �r Facility Boundary
`�... � �''� / / � -) �`• -. � �:y a (— \ 4
!, `�\--��_ � -- .�` :� '� • ems; rtf v -- ` .�- � - — i �,.1 9no
�f� S 1 trial t i• - . • _ � . � .. ,.. �-- � _ �\` --' \,
'•�� ! _� ,Pori' � \�� \�� ��� 29
..•• •S'�, �L�� !;` --� 1 \ �
-' NC Hwy 226
is •-` 1 ''•� �' �>
Town
of Grover WWTP
Bethlehem
Church Road., Grover 28073
Receivine Stream:
lakes Branch Stream Seement: 9-53-9
Drainage Basin:
Broad River Basin Sufi -Basin: 03-08-05
Latitude:
350 11' 06" Louffitude: 81° 27' 07"
Stream Class:
C HUC• 0305010508
State Grid ffi&S Quad:
G13NW / Grover, NC
Facility
Location
Scale 1:24,000
North NPDES Permit NCO065242
Cleveland County

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