NC0086550_Permit Issuance_20151009

—H,
North Carolina Department of Environmental Quality
Pat McCrory
Governor
Ms. Linda Vause, Mayor
Town of Fairmont
P.O. Box 248
Fairmont, North Carolina 28340
Dear Ms. Vause:
Donald R. van der Vaart
Secretary
October 95, 2015
Subject: Issuance of NPDES Permit
Permit NCO086550
Fairmont Regional WWTP
Facility Class III
Robeson County
Division personnel have reviewed and approved your application for a renewal of the subject
permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated October 15,
2007 (or as subsequently amended).
The following changes have been incorporated into this renewal:
• Based on the Permitting Guidelines for Statewide Mercury TMDL, the Mercury Minimization
Plan special condition will be added to the permit (Please see A. (5)). The mercury monitoring
will be removed from the permit. The facility will continue mercury monitoring through PPA.
• Monitoring frequency for BOD, TSS, ammonia, and fecal coliforms has been reduced to 2/Week
based on the Monitoring Frequency Guidance.
• Proposed federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and specify that, if a state does not establish a system to receive such submittals, then
permittees must submit DMRs electronically to the Environmental Protection Agency (EPA).
The Division anticipates that these -regulations will be adopted and is beginning
implementation.
The requirement to begin reporting discharge monitoring data electronically using the NC DW'Ws
Electronic Discharge Monitoring Report (eDMR) internet application has been added to the
permit. [See Special Condition A. (4.)]
1601 Mail Service Center, Raleigh, North Carolina 27699-1601
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatoty hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and fled with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The
Division may requite modification or revocation and reissuance of the permit. This permit does not
affect the legal requirements to obtain other permits which may be requited by the Division of Water
Resources or permits requited by the Division of Land Resources, the Coastal Area Management Act
or any other Federal or Local governmental permit that may be required. If you have any questions
concerning this permit, please contact Sergei Chernikov at telephone number [phone].
Sincerely,
-Z��
S. Jay Zimmerman P.G.
Director, Division of Water Resources
cc: Central Files
NPDES Files
Washington Regional Office / Water Quality
EPA Region IV (e-copy)
WSS/Aquatic Toxicology Unit (e-copy)
LKC Engineering PLLC (billQa lkcengineering.com)

Z
Permit NCO086550
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended, the
TOWN OF FAIRMONT
is hereby authorized to discharge wastewater from a facility located at the
FAIRMONT REGIONAL WWTP
S.R. 2312 near the Town of Boardman
Robeson County
to receiving waters designated as Lumber River in the Lumber River Basin in accordance with effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof
This permit shall become effective November 1, 2015.
This permit and authorization to discharge shall expire at midnight on July 31, 2019.
Signed this day October 9, 2015.
4-.- 1� 61-�
S. Jay Zimmerman P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 8

f
Permit NC0086550
SUPPLEMENT TO PERMIT COVER SHEET
All.previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked As of thispermit issuance,
any previously issued permit bearing this number is no longer effective Therefore, the exclusive authority to operate and discharge from this
facility arises under the permit conditions, requirements, terms, and provisions included herein.
Town of Fairmont
is hereby authorized to:
1. Continue to operate an existing 1.75 MGD wastewater treatment facility located on S.R. 2312, Robeson
County, and consisting of
a Mechanical bar screen
C1 Influent flow meter
Influent composite sampler
Grit Removal
Influent pump station
Rapid mix influent channel
Two (2) aeration basins with slide gate flow controls
Aeration blowers
o Two (2) clarifiers with slide gate flow controls
El Two (2) chlorine contact chambers
13 Chlorination in each chamber
n Dechlorination in each chamber
• Two (2) effluent meters, one on each chamber
1:1 Cascade aerator
o Effluent composite sampler
C) Effluent collection sump
El Effluent transfer pumps to outfall
13 Gravity thickener
• Aerobic digester
• Two (2) sludge holding tanks
n Sludge load out pump
• Sludge loading station
• Back up generator
2. Discharge from said treatment works, through outfall 001, into the Lumber River, a Class C-Sw water in the
Lumber River Basin, at the location specified on the attached map.
Page 2 of 8

Permit NCO086550
4- Part I
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration, the permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored5 by the Permittee as
specified below.
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING RE UIREMENTS
Monthly
Average
Weekly
Average
Day
Maxirnu
m
Measurement
Frequency
Sample
Type
Sample
p
Location
Flow
1.75 MGD
Continuous
Recording
Influent or
Effluent
Temperature, c'C
Daily
Grab
Effluent
BOD, 5-day, 20' C 1
15.0 mg/L
22.5 mg/L
2/Week
Composite
Influent &
Effluent
Total Suspended Solids (TSS)
30.0 mg/L
45.0 mg/L
2/Week
Composite
Influent &
Effluent
Ammonia as Nitrogen (NH3-N)
4.0 mg/L
12.0 mg/L
2/Week
Composite
Effluent
Dissolved Oxygen (DO)
Not less than 5.0 mg/L daily average
3/Week
Grab
Effluent
Fecal Coliform
Geometric mean)
200/100 mL
400/100mL
I
T
2/Week
Grab
Effluent
PH
Not more than 9.0 s.u. nor less than 6.0
s.u.
3/Week
Grab
Effluent
Total Residual Chlorine (IRC) 2
28 µg/L
3/Week
Grab
Effluent
Total Kjeldahl Nitrogen (TIC
Monitor and Report, mg/L
Monthly
Composite
Effluent
Nitrite/Nitrate Nitrogen
02-N + NO3-
Monitor and Report, mg/L
Monthly
Composite
Effluent
Total Nitrogen (IN)
TN = (NO2-N + NO3-N) +
TKN
Monitor and Report, mg/L
Monthly
Calculated
Effluent
Total Phosphorus (IT)
Monitor and Report, mg/L
Monthly
Composite
Effluent
Copper, µg/L
Quarterly
Composite
Effluent
Zinc, µg/L
Quarterly
Composite
Effluent
Chronic Toxicity 3
Quarterly
Composite
Effluent
Effluent Pollutant Analysis 4
Footnote 4
Footnote 4
Effluent
Footnotes:
1. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed 15
percent of the respective monthly average influent value (85% removal).
2. Facility shall report all effluent TRC values reported by a NC certified laboratory including field certified.
However, effluent values'below 50 µg/L will be treated as zero for compliance purposes.
3. Chronic Toxicity (Ceriodaphnia ) P/F at 2.2%; February, May, August, and November. See Special
Condition A.(2) of this permit. Quarterly sampling shall be conducted at the same time as metal and other
effluent parameters sampling is conducted.
4. See Condition A.(3) of this permit.
5. No later than 270 days from the effective date of this permit, begin submitting discharge monitoring
reports electronically using NC DWR's eDMR application system. See Special Condition A. (4.).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 8

Permit NCO086550
A. (2) CHRONIC TOXICITY PERMIT LIMIT (QRTRLY)
[15A NCAC 02B .0200 et seq.]
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 2.2%.
The permit holder shall perform at a minimum, qua er monitoring using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised December 2010, or subsequent versions or
"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised- December 2010) or
subsequent versions. The tests will be performed during the months of February, May, August, and November.
These months signify the first month of each three-month toxicity testing quarter assigned to the facility. Effluent
sampling for this testing must be obtained during representative effluent discharge and shall be performed at the
NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the
permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two
following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised -December 2010) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for the
pass/fail results and THP3B for the Chronic Value. Additionally, DWR Form AT-3 (original) is to be sent to the
following address:
Attention: North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1623 Mail Service Center
Raleigh, North Carolina 27699-1623
Completed Aquatic Toxicity Test Forms shall be filed with the Water Sciences Section no later than 30 days after
the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the
facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No
Floyd' in the comment area of the form. The report shall be submitted to the Water Sciences Section at the address
cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month. Assessment of toxicity compliance is based on the toxicity testing quarter,
which is the three month time interval that begins on the first day of the month in which toxicity testing is required
by this permit and continues until the final day of the third month. Should any test data from this monitoring
requirement or tests performed by the North Carolina Division of Water Resources indicate potential impacts to the
receiving stream, this permit may be re -opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as mini -mum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an
invalid test and will require immediate follow-up testing to be completed no later than the last day of the month
following the month of the initial monitoring.
Page 4 of 8

Permit NCO086550
A. (3) EFFLUENT POLLUTANT SCAN
[G.S. 143-215.1(b)]
The Permittee shall perform a total of three (3) Effluent Pollutant Scans for all parameters listed below. One scan must
be performed in each of the following years: 2016, 2017, and 2018. Analytical methods shall be in accordance with 40
CFR Part 136 and shall be sufficiently sensitive to determine whether parameters are present in concentrations greater
than applicable standards and criteria. Samples should be collected with one quarterly toxicity test each year, and must
represent seasonal variation [i.e., do not sample in the same quarter every year]. Unless otherwise indicated, metals shall
be analyzed as "total recoverable."
Ammonia (as N)
Chlorine (total residual, TRC)
Dissolved oxygen
Nitrate/Nitrite
Kjeldahl nitrogen
Oil and grease
Phosphorus
Total dissolved solids
Hardness
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Mercury (EPA Method 1631E)
Nickel
Selenium
Silver
Thallium
Zinc
Cyanide
Total phenolic compounds
Volatile organic compounds:
Acrolein
Acrylonitrile
Benzene
Bromoform
Carbon tetrachloride
Chlorobenzene
Chlorodibromomethane
Chloroethane
2-chloroethylvinyl ether
Chloroform
Dichlorobromomethane
121-dichloroethane
1,2-dichloroethane
Trans-122-dichloro ethylene
1,1-dichloroethylene
1,2-dichloropropane
1,3-dichloropropylene
Ethylbenzene
Methyl bromide
Methyl chloride
Methylene chloride
1,1,2,2-tetrachloroethane
Tetrachloroethylene
Toluene
1,1,1-trichloroethane
1,1,2-trichloroethane
Trichloroethylene
Vinyl chloride
Acid -extractable compounds:
P-chloro-m-cresol
2-chlorophenol
2,4-dichlorophenol
2,4-dimethylphenol
4,6-dinitro-o-cresol
23.4-dinitrophenol
2-nitrophenol
4-nitrophenol
Pentachlorophenol
Phenol
2,4, 6-trichlorophenol
Base neutral compounds:
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
3,4 benzofluoranthene
Benzo(ghi)perylene
Benzo(k)fluoranthene
Bis (2-chloroethoxy) methane
Bis (2-chloroethyl) ether
Bis (2-chloroisopropyl) ether
Bis (2-ethylhexyl) phthalate
4-bromophenyl phenyl ether
Butyl benzyl phthalate
2-chloronaphthalene
4-chlorophenyl phenyl ether
Chrysene
Di-n-butyl phthalate
Di-n-octyl phthalate
Dibenzo (a,h)anthracene
1,2-dichlorobenzene
1,3-dichlorobenzene
1,4-dichlorobenzene
3,3-dichlorobenzidine
Diethyl phthalate
Dimethyl phthalate
2,4-dinitrotoluene
2,6-dinitrotoluene
1,2-diphenylhydrazine
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclo-pentadiene
Hexachloroethane
Indeno (1,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
N-nitrosodi-n-propylamine
N-nitros o dimethylamine
N-nitrosodiphenylamine
Phenanthrene
Pyrene
1,2,4-trichlorobenzene
Page 5 of 8

Permit NCO086550
Reporting. Test results shall be reported on DWQ Form -A MR-PPA1 (or in a form approved by the Director) by
December 31st of each designated sampling year. The report shall be submitted to the following address: NC
DENR / DWR / Central Files,1617 Mail Service Center, Raleigh, North Carolina 27699-1617.
Additional Toxicity Testing Requirements for Municipal Permit Renewal. Please note that Municipal
facilities that are subject to the Effluent Pollutant Scan requirements listed above are also subject to additional
toxicity testing requirements specified in Federal Regulation 40 CFR 122.210)(5). The US EPA requires four (4)
toxicity tests for a test organism other than the test species currently required in this permit. The multiple species
tests should be conducted either quarterly for a 12-month period prior to submittal of the permit renewal
application, or four tests performed at least annually in the four and one half year period prior to the application.
These tests shall be performed for acute or chronic toxicity, whichever is specified in this permit. The multiple
species toxicity test results shall be filed with the Aquatic Toxicology Branch at the following address:
North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Contact the Division's Aquatic Toxicology Branch at 919-743-8401 for guidance on conducting the additional
toxicity tests and reporting requirements. Results should also be summarized in Part E (Toxicity Testing Data) of
EPA Municipal Application Form 2A, when submitting the permit renewal application to the NPDES Permitting
Unit.
A. (4.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify
that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations will
be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for.NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2) and Section E (5.)(a)1
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR)
internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit
DMRs electronically using the internet. Until such time that the state's eDMR application is compliant with
EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be required to submit all
discharge monitoring data to the state electronically using eDMR and will be required to complete the eDMR
submission by printing, signing, and submitting one signed original and a copy of the computer printed eDMR
to the following address:
NC DENR / DWR / Information Processing Unit
Page 6 of 8

Permit NCO086550
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting,requirements maybe granted and discharge monitoring
data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months and
shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
htt2://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following the issuance
of the permit or in the case of a new facility, on the last day of the month following the commencement of
discharge.
2. Signatory Requirements (Supplements Section B. (11.) (b and supersedes Section B. (11.) (Q
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B.
(11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (11)(b). A
person, and not a position, must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and
login credentials to access the eDMR system. For more information on North Carolina's eDMR system,
registering for eDMR and obtaining an eDMR user account, please visit the following web page:
httl2://12ortal.ncdenr.org/web/mLq/admin/bog/­il2u/­edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification (40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION VALL BE
ACCEPTED:
"I certify, underpenalty 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 orperrons who manage the system, or those persons directly responsible forgathering 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 po sibility of fines and imprisonment for knowing violations "
3. Records Retention [Supplements Section D. (Q]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41].
Page 7 of 8

Permit NCO086550
A. (5.) MERCURY MINIMIZATION PLAN (MMP)
[G.S. 143-215.1(b)]
The permittee shall develop and implement a mercury minimization plan during this permit term. The MMP shall
be developed within 180 days of the NPDES Permit Effective Date, and shall be available for inspection on -site. A
sample I\W was developed through a stakeholder review process and has been placed on the Division website for
guidance (http://portal.ncdenr.org/web/wd/s=/ps/npdes, under Model Mercury Minimization Plan). The N11P
should place emphasis on identification of mercury contributors and goals for reduction. Results shall be
summarized and submitted with the next permit renewal.
A. (6.) INSTREAM MONITORING REOEPNER
[G.S. 143-215.1(b)]
At the discretion of DWR and in the event that either:
1. This segment of the Lumber River becomes impaired for a pollutant, known or suspected to be present in
the effluent discharge, or
2. There is an impact to the Lumber River Basin requiring data to define the impact, or
3. There are changes in the State Lumber River Ambient Monitoring programs at. Broadman and Fair Bluff,
then
instream monitoring can be imposed without reopening the permit. Locations, sampling frequency, pollutants, and
any other conditions will be reviewed with the permittee.
Page 8 of 8

130
' US Highway 74
State Ambient
Station Broad an
N00086550 / Upstream Sampie NIK
Facility. \ Point NCO086550 _
NCO086550
Dischargt
-All.
O Mt -
ter -i�w
MCI
r N�� rW
-._
may,. — -il-
?'
if Q506)
USGS Quad: J23NW Evergreen, NC
outfall Facility Facility
Latitude: 34° 26' 33" N 34° 26' 33.9" N Location
Longitude: 780 57' 37" W 78' 58' 14.5" W
Stream Class: C, Sw
Subbasin: 03-07-51 Town of Fairmont WWtP NCO086550
Receiving Stream: Lumber River North Robeson County

`AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF ROBESON
Tammv Oxendine
Associate Editor, of THE ROBESONIAN, a newpaper
published in Robeson County, N.C. being duly
sworn, says that at the time the attached notice was
published in THE ROBESONIAN, said newspaper
met all of the requirements and qualifications
prescribed by North Carolina General Statute 1-597;
that said newspaper had a general circulation to actual
paid subscribers; and, was admitted to the United States
mail as second class matter in Robeson County, N.C.;
and further, that the attached notice was published in
THE ROBESONIAN on
10 11a5 201
Ass elate Editor
Sworn to and subscribed before me
this the I day of-lbeu,�Vc--l'— 20 1 `E
5I\SSAjgCri��
G�'
NOTARY PUBLIC NOTqI?y
My commissionexpires: -�3 1� -�0� PUBLIC o c
//r/Ililllr\\\
Public Notice
North Carolina Environmental Man-
agement CommisslonfNPDES Unit
1617 Mall Service Center
Raleigh, NC 276WI617
Notice of Intent to Issue a NPDES
Wastewater Permit
The North Carolina Environmental Man-
agement Commission proposes to Issue
a NPDES wastewater discharge permit to
the person(sl listed below. Wfillen Men-
ments regardding the proposed permit will
be accepted until 30 days alter the pub-
lish dale of this notice. The Director of the
NC Division of Water Resources (DWR)
may hold a public hearing should there
fee a significant degree of public Interest.
Please mail comments and/or Informa-
lion re tests to DWR at the above ad.
dress. Interested persons may visit the
DWR at 512 N. Salisbury Street, Raleigh,
NC to review information an file. Addhion.
at information on NPDES permits and lilts
notice and be found on our website:
hitpl/porfo .nedenr.mg/wah+wglswp/ppssrrn
pdo calendar, or bbyy callingg (919 807-
'6304. Parkton WW%1NC0026921) has
appplied to renew its NPDES permit dis
charging to Dunns Marsh, Lumber River
Basin, Robeson County. Town of Fair-
mont reqquested renewal of permit
NC0086550 for Fairmont Rogtanal
WWTP In Robeson County. The iacilily
discharge is treated municipal wastawa-
ter to Lumber River. Lumbar River Basin.
NCOENR102514, lo125

DENR/DWR
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NCO086550
Facility Information
Applicant/Facility Name:
Town of Fairmont WWTP
Applicant Address:
P.O. Box 248; Fairmont, N C 28340
Facility Address:
S R 2312 near the town of Boardman, N C
Permitted Flow
1.75 MGD
Tvpe of Waste:
95% domestic/5% industrial
Facility/Permit Status:
Class III /Active; Renewal
County,
Robeson County
Miscellaneous
Receiving Stream:
Lumber River
Stream Classification:
C, Sw
Subbasin:
03-07-51
Index No.
14- 13
Drainage Area (mi2):
1228
303(d) Listed?
No
Summer 7 10 cfs
122
Regional Office:
Fayetteville
Winter 7Q10 (cfs):
250
State Grid / USGS Quad:
J23NW Evergreen,
NC
30Q2 (cfs)
304
Permit Writer:
Sergei Chernikov,
Ph.D.
Average Flow (cfs):
1300
12.2%
Date:
10/1/2014
IWC C/o):
BACKGROUND
The Town of Fairmont operates a regional 1.75 MGD wastewater treatment facility that serves a potential
population of approximately 4,500. Several separate community collection systems discharge into this system.
In August 2008 Fairmont received approval for a pretreatment program for one industrial source, Hager, Inc
requiring 5% of the facility treatment capacity. Harger, Inc. is covered under 40 CFR 468 and will require
pretreatment monitoring of chromium, copper, lead, nickel, zinc, and oil and grease.
The Fairmont WWTP discharges treated wastewater to Lumber River, a class C, Swamp water in the Lumber
River Basin
Untreated domestic waste is introduced to the plant headworks via a common line from several offsite pump
stations. The influent flow is screened through a mechanical bar screen, passes through the influent meter
flume, and through a grit removal system. The influent composite sample is collected adjacent to the influent
meter flume.
The wastewater then enters a rapid mix channel, mixed with recycled sludge, and flows into two (2) parallel
aeration basin with influent gates to control the incoming flow to each basin. Several blowers provide the air
for the basins. From the basins the flows combine and then flow into two (2) parallel clarifiers with influent
gates to control the incoming flow to each clarifier. Each clarifier discharges into its own chlorine contact
chamber where chlorination followed by dechlorination is applied. The treated wastewater exist each chamber
through a metering weir. Both weirs have totalizer that are added together to calculate the effluent flow
reported on the DMR.
The two treated wastewater stream combine and flow down a cascade post aeration flume. An effluent
composite sampler collects samples at the bottom of the cascade flume. From the flume the treated
wastewater flows to a collection sump where controlled effluent pump(s) feed a 12 inch pressured line that
discharges into the Lumber River. The discharge point is submerged below the river water level.
Sludge is wasted to the gravity thickener which diverts the solids to two (2) aerobic digesters. From the
digesters the sludge can either be sent to two (2) sludge holding tanks or pumped directly to the sludge
loading station. Sludge can also be pumped from the holding tanks to the loading station. A contract service
Fact Sheet
NPDES NC0086550
Page 1 of 3

is used to dispose of the sludge. The contacted service may further dewater the sludge on site, recycling the
waste water back to the facility.
It was noted that the downstream sample location had been moved to the closest available access point which
was 9.7 miles downstream from the outfall. The upstream sample point had been moved to a safer, more
accessible location, adjacent to the permit designated location.
WHOLE EFFLUENT TOXICITY
The permit requires quarterly chronic toxicity testing as a limit using ceriodapbnia dubia, at 2.2% effluent
concentration. The facility has passed all its toxicity tests during the last 5 years with one exception. The test
conducted in August, 2010 failed (please see attached). The two subsequent monthly toxicity tests passed.
COMPLIANCE HISTORY
Overall, the facility has experienced numerous compliance issues, please see attached. Most violations were
for limit excursions for Hg, Flow, and ammonia.
REASONABLE POTENTIAL ANALYSYS WA) RESULTS
Reasonable potential analyses were conducted for Total Phenolic Compounds, Cu, Pb, and Zn, please see
attached.
The Division also considered data for other parameters of concern in the renewal application. All these
parameters were below state water quality standards/EPA criteria.
MERCURY EVALUATION
The mercury evaluation was conducted in accordance with the Permitting Guidelines for Statewide Mercury
TMDL.
Year
2010
2011
2012
2013
2014
Annual average
14.9
8.6
3.7
6.6
13.5
concentration n /L
Maximum sampling
26.3
28.5
7.7
19.1
18.3
result n /L
WQBEL allowable concentration for this facility is 551.7 ng/L. All Annual average mercury concentrations
are below allowable. All annual maximum sampling results are below TBEL of 47 ng/L. Based on the
Permitting Guidelines for Statewide Mercury TMDL, the Mercury Minimization Plan will be added to the
permit. The limit and monitoring will be removed from the permit. The facility will continue mercury
monitoring through PPA.
MONITORING FREQUENCY EVALUCATION
The effluent was evaluated in accordance with the Monitoring Frequency Reduction Review Guidance. The
facility has met the requirements of the guidance for BOD, TSS, ammonia, and fecal coliforms. Therefore,
monitoring for these parameters will be reduced from 3/Week to 2/Week. Attached is the spreadsheet with
the effluent data.
PERMIT LIMITS
• BOD limits in the permit are based on the water quality model.
• TSS limits in the permit are based on the requirements of the 40 CFR 133.102.
• Ammonia limits in the permit are based on the water quality model. The Division uses ammonia
criteria that were developed by EPA: 1 mg/L - summer; 1.8 mg/L — winter.
• DO limit in the permit is based on the water quality model.
• TRC limit in the permit is based on the North Carolina water quality standards [15A NCAC 2B
.0200].
• pH limit in the permit is based on the North Carolina water quality standards [15A NCAC 2B .0200].
• Fecal Coliforms limits in the permit are based on the North Carolina water quality standards [15A
NCAC 2B .0200].
Fact Sheet
NPDES NCO086550
Page 2 of 3

PROPOSED CHANGES
• Based on the Permitting Guidelines for Statewide Mercury T OL, the Mercury Minimization Plan
special condition will be added to the permit (Please see A. (5)). The mercury monitoring will be
removed from the permit. The facility will continue mercury monitoring through PPA.
• Monitoring frequency for BOD, TSS, ammonia, and fecal coliforms has been reduced to 2/Week
based on the Monitoring Frequency Guidance.
• Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees
must submit DMRs electronically to the Environmental Protection Agency (EPA). The Division
anticipates that these regulations will be adopted and is beginning implementation.
The requirement to begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application has been added to the permit.
[See Special Condition A. (4.)]
PROPOSED SCHEDULE FOR PERMIT ISSUANCE
Draft Permit to Public Notice: October 21, 2014
Permit Scheduled to Issue: December 29, 2014
NPDES DIVISION CONTACT
If you have questions regarding any of the above information or on the attached permit, please contact Sergei
Chernikov at [phone] or email [e-mail].
REGIONAL OFFICE COMMENTS
NAME: DAIT:
Fact Sheet
NPDES NCO086550
Page 3 of 3

Town of Fairmont WWTP
NCO086550 2014 Freshwater RPA - 95% Probability/95% Confidence
MAXIMUM DATA POINTS = 58
Qw(MGD)= 1.75
IQIOS(cfs)= 99.44
7Q1 OS(efs)= 122.00
7QIOW (cfs)= 250.00
30Q2(cfs)= 304.00
Avg. Stream Flow, QA (cfs) = 1300.00
Receiving Stream: Lumber River
W WTP/WTP Class: III
IWC @ 1QIOS = 2.655344%
IWC @7QIOS= 2.175003%
IWC@7QIOW= 1.073354%
IWC@30Q2= 0.884379%
1WC @ QA= 0.208219%
Stream Class: C Sw
Outfali 001
Qw = 1.75 MGD
PARAMETER
STANDARDS 8 CRITERIA (2)
h
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
TYPE
(1)
J
a
F
NC WQS / Applied %2 FAV /
Pred
z
❑ # Der. Allowable Cw
Chronic Standard Acute
Cw
Cw
Acute: NO WQS
Total Phenolic Compounds
NC
300 A(30Q2)
ug/L
1 1 130.0 _
no limit
Note: n < 9 Default C.V. Chrnic o33,9221
Limited data set No value > Allowable Cw
Acute: 274.9
no limt
Copper (AL)
NC
7 FW(7QIOs) 7.3
ug/L
20 20
52.5
_ _ 1_
Chronic:----32.8—
-----------------
No value> Allowable Cw
Acute: 1,272.9
no limit
Lead
NC
25 FW(7QIOs) 33 9
ug/L
1 1
5.2
Nate: n < 9
Default C.V.
_ _ nic_ _
(hro: 1,149.4
Limited data set
No value> Allowable Cw
Acute: NO WQS
see fact sheet for evaluation
Mercury
NC
12 FW(7Q10s)
05
ng/L
0 0
N/A
Acute: 2,523.2
Zinc (AL)
NC
50 FW(7Q10s) 67
ug/1.
21 21
99.1
_ -
no limit
-----
Chronic:----2,298.8
No value> Allowable Cw
86550-RPA-2014, rpa
Page 1 of 1 9/25/2014

REASONABLE POTENTIAL ANALYSIS
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
9
Use "PASTE SPECIAL
Use "PASTE SPECIA'
Total Phenolic Compounds
Values" then "COPY"
Copper (AL)
Values'" then "COPY'
.Maximum data
.Maximum data
points = 50
points= 5a
Date Data BDL=1/2DL Results
Date Data BDL=1/2DL
Results
130 130 SW Dev.
N/A
1
17 17
Std Dev.
9,1679
Mean
130.0000
2
12 12
Mean
11.0500
C.V.
0.0000
3
33 33
C.V.
0.8297
It
1
4
9 9
It
20
5
3 3
Mult Factor=
1.00
6
15 15
Mull Factor=
1.50
Max. Value
130.0 ug/L
7
12 12
Max. Value
35.0 ug/L
Max. Pred Cw
130.0 ug/L
8
8 8
Max. Pred Cw
52.5 ug/L
9
6 6
10
4 4
11
4 4
12
7 7
13
20 20
14
3 3
15
3 3
16
5 5
17
8
18
8 8
19
35 35
20
9 9
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
i
86550-RPA-2014, data
-2- 9/25/2014

REASONABLE POTENTIAL ANALYSIS
12
SPECIALLead `"ihen•COPY"
f"PASTE
aximum data
Palms = 58
Date Data BDL=1/20L Results
1
5.2 5.2 Std Dev.
N/A
1
2
Mean
5.2000
2
3
C.V.
0.0000
3
4
n
1
4
5
5
6
Mult Factor =
1.00
6
7
Max. Value
5.2 ug/L
7
8
Max. Pred Cw
5.2 ug/L
8
9
9
10
10
11
11
12
12
13
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
24-
24
25
25
26
26
27.
-
27
28 r
28
29
29
30
30
31-
31
32
32
33'
33
34
34
35
'°
35
36
36
37
37
38
38
39'
39
40
40
41
41
42
42
43-
43
44'
44
45
45
46
46
47
47
48
48
49'
49
50'
50
51 i.
51
52
52
53
53
54
54
55''
55
56f
56
57
57
58'
58
Zinc (AL)
Date Data BDL=1/2DL Results
45 45 SW Dev.
36 36 Mean
71 71 C.V.
61 61 n
27 27
78 78 Mult Factor =
46 46 Max. Value
19 19 Max. Pred Cw
43 43
25 25
30 30
21 21
36 36
23 23
33 33
54 54
46 46
38 38
7 7
36 36
13 13
Use"PASTE SPECIAL
Values' than "COPY"
. Maximum data
points = Sa
18.0600
37.5238
0.4813
21
1.27
78.0 ug/L
99.1 ug/L
-3-
86550-RPA-2014, data
9/25/2014

Year Value
2010
8.42
2010
18.6
2010
16.1
2010
4.24
2010
6.76
2010
14.2
2010
26.3
2010
26.1
2010
25.6
2010
12
2010
21.3
2010
11
2010
2.67
Avg
14.86846
Max
26.3
2011
28.5
2011
16.4
2011
8.87
2011
17.7
2011
5.94
2011
4.25
2011
1.98
2011
2.52
2011
2.66
2011
4.72
2011
4.73
2011
4.38
Avg
8.554167
Max
28.5
2012
6.51
2012
4.29
2012
1.91
2012
2.9
2012
1.86
2012
7.65
2012
1.18
2012
6.52
2012
2.92
2012
2.94
2012
5.56
2012
0.51
Avg
3.729167
Max
7.65
2013
3.75
2013
1.52
2013
6.42
2013
5.55
2013
2.02
2013
8.41
2013
9.65
2013
6.91
Mercury

2013
1.64
2013
19.1
2013
8.86
2013
4.78
Avg
6.550833
Max
19.1
2014
11.4
2014
11.7
2014
9.72
2014
11.9
2014
18
2014
15.4
2014
11.6
2014
18.3
Avg
13.5025
Max
18.3

a
DIVISION OF WATER RESOURCES
April 14, 2014 RECEIVEDIDENRIDWR
APR 17 20%
MEMORANDUM Water Resources
permitting Section
TO: Sergei Chernikov, Tom Belnick
NPDES Complex Permitting Section
FROM: Mark Brantley, Environmental Senior Specialist ;k-'X
Water Quality Regional Operations Section
Fayetteville Regional Office
THROUGH: Belinda S. Henson, Regional Supervisor 4�'�
Water Resources
Fayetteville Regional Office
SUBJECT: Application for NPDES Permit NCO086550
Fairmont Regional Wastewater Treatment Plant
PO Box 248
Fairmont, NC 28340
Robeson County
Please find enclosed a staff report and recommendations from the Fayetteville Regional
Office concerning the application for a new NPDES Permit.
If you have any questions or require any further information, please advise.
/KMB
Enclosures

0
To: NPDES Permitting Section
Attention: Sergei Chernikov, Tom Belnick
Date: April 14, 2014
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY: Robeson
Permit No.: NCO086550
PART 1— GENERAL INFORMATION
1. Facility and Address: Fairmont Regional Wastewater Treatment Plant
PO Box 248
Fairmont, NC 28340
2. Date of Investigation: April 8, 2014
3. Report Prepared by: Mark Brantley, Environmental Senior Specialist FRO
4. Person Contacted and Telephone Number:
Dennis Freeman [phone]
5. Directions to Site:
From Fayetteville, travel on Hwy 95 South, pass through Lumberton, then turn left on
Exit 14 (Hwy 74). Go straight and pass Britt Road. Turn right at the next small road
and follow the road approximately one mile to the Fairmont Regional Wastewater
Treatment Plant.
7. Site size and expansion area consistent with the application?
Yes.
8. Topography (relationship to the flood plain): Not evaluated
9. Location of the nearest dwelling: Not evaluated

10. Receiving stream or affected surface waters: RECSNED/084 1DWR
ppR 17 2014
a. Classification: Lumber River Classification: C, Sw
VVater ermMing Section
es
Perm
b. River Basin No. Lumber River 03-07-51 and Sub basin No.: LUM51
C. Describe receiving stream features and the pertinent downstream uses:
It is classified as Class C, Sw waters, which promotes aquatic life propagation and
survival, fishing, wildlife, primary recreation, and agriculture.
PART II - DISCRIPTION OF WASTES AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted:
• 1.75 MGD (Ultimate Design Capacity)
b. What is the current permitted capacity of the Wastewater Treatment facility?
• 1.75 MGD
C. Actual treatment capacity of the current facility (current design capacity)?
• 1.75 MGD
d. Please provide a description of the existing or substantially constructed
wastewater treatment facility:
• The raw wastewater flows into the Influent Pump Station, located at the
old wastewater treatment plant within the city limits of the Town of
Fairmont (with a generator, barscreen, and grit removal unit) all located
approximately fifteen miles from the Fairmont Regional Wastewater
Treatment plant (near the Lumber River and near Hwy 74 and the Town of
Boardman). At the Regional plant (that began operation in June 2002)
wastewater flows through a Mechanical Bar Screen (and/or a Manual bar
screen), grit removal, dual aeration basins with diffused air, two clarifiers,
two chlorine contact chambers, dechlorination, and finally the Cascade
Step Aeration. The sludge is handled by a gravity thickener and two
aerobic digesters. Sludge is aerobically digested to meet vector and
pathogen reduction. Once the digester is full and decanting is complete
the biosolids are handled by Synagro Central, LLC.
e. Possible toxic impacts to the surface waters:
9 None

2. Residuals handling and utilizing/disposal scheme:
a. If residuals are being land applied, please specify the DWQ Permit No.
Residual Contractor:
Telephone:
b. Residual stabilization: N/A
C. Landfill: N/A
f. Other disposal/utilization scheme (specify):
McGill environmental uses a dewatering box to remove sludge from facility.
3. Treatment plant classification (attach completed rating sheet):
4. Alternative Analysis Evaluation:
Has the facility evaluated all of the non -discharge options available? Please provide the
regional perspective for each of the options that were evaluated.
Connection to Regional Sewer System: none evaluated
Land Application: none evaluated
Water Reuse: none evaluated
PART IV — EVALUATION AND RECOMMENDATIONS
1. The applicant is not requesting modification of the facility or increasing flow at this time.
2. A review of the compliance data did not reveal any significant violations.
3. Based upon the previous Compliance Evaluation Inspection (CEI) that was conducted on
April 8, 2014, all units were in service, and this facility continues to maintain the
requirements of the NPDES permit for wastewater treatment.
4. This Office recommends continuation of the Special Conditions for the Whole Effluent
Toxicity monitoring.
5. Based upon the above information, this Office recommends reissuance of the said permit
for the continued operation of an existing 1.75 MGD wastewater treatment facility

P.O. BOX 248, FAIRMONT, N.0 28340
PUBLIC WORKS DEPARTMENT
RECENEDIDENRIDWR
April 22, 2014 APR 17 2014
Mr. John Hennessy Water Resource Section
NC DENR/DWQ/Point Source Branch Permitting
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Request for NPDES Modification
NPDES Permit #NC0086550
Town of Fairmont WWTP
Robeson County
Dear Mr. Hennessy:
The Town of Fairmont is requesting a minor modification of NPDES permit number NCO086550
regarding effluent limitations and monitoring requirements. It is our understanding that reduced
monitoring can be requested for "exceptionally performing facilities". The Town of Fairmont
WWTP has achieved consistent exceptional performance for the parameters of BOD5, TSS,
Ammonia Nitrogen and Fecal Coliform. This request is based upon the guidelines for requesting
reduced monitoring for exceptionally performing facilities.
The attached data (summarized in the following table) indicates that the WWTP effluent has
exceeded the minimum criteria for reduced monitoring. In addition to the monitoring results, the
plant meets the other listed criteria in the guidelines.

4 4
Analysis of testing results for the past three years:
Percent of Monthly Average Limit
Parameter
Monthly Limit
3-Year Average
% of Limit
BOD5
15.0 mg/l
2.9 mg/1
19%
TSS
30.0 mg/L
2.4 mg/L
8%
Ammonia N
4.0 mg/L
0.61 mg/L
15%
Fecal Coliform
200/100 ml
4.2 colonies/100 ml
2%
Number of Samples Over 200% of Monthly Average Limit
Parameter
200% of Monthly Limit
Number of Samples Over
BOD
30 mg/1
0
TSS
60 mg/L
0
Ammonia N
8.0 mg/L
3
Four (4) Fecal Coliforms exceeded 400 colonies per ml
The Town is proud of the WWTP's compliance history and thank you for recognizing, through
reduced monitoring, our exceptional compliance. If you have any questions or comments, please
call Dennis Freeman, Plant Superintendent, at 910/272-0833.
Sincerely,
vze"Co�
Linda Vause, Town Manager
Town of Fairmont

f
Three Year Data Summary - Fairmont NCO0865SO
2013
BOD Ave
BOD Max
TSS Ave
TSS Max
FC Ave
FC Max
NH3 Ave
NH3 Max
January
4
4.5
3.1
8.1
5.8
16
0.1
0.2
February
4
7.2
1
4.9
1
1
0.3
1.3
March
4
3.6
2.4
9
1
1
0.1
0.1
April
4
4.4
1.9
5.1
1
20
0.1
0.1
May
4
5.1
1.2
4.8
0
1
0.1
0.6
June
4
4.5
0.7
6.7
37
420
0.1
0.2
July
4
4.7
4.1
11.1
41
152
0.1
0.2
August
4
7.6
0.9
6.4
10
550
0.2
0.7
September
1
7.3
0.3
3.7
8.2
76
0.1
0.3
October
2
4.8
1.5
5.6
0
22
0.1
0.2
November
2
8
0.5
3.3
0
2
0.1
0.2
December
5
6.7
3.9
10.6
0
1
2
8.1
2012
BOD Ave
BOD Max
TSS Ave
TSS Max
FC Ave
FC Max
NH3 Ave
NH3 Max
January
2
10.9
2.8
6
0
1.1
1.5
10
February
6
17.6
3.4
7.1
0
1
1.9
4.7
March
2
3.9
2
4.5
0
10
0.2
0.9
April
2
4.3
1.6
2.3
0
1
0.3
0.6
May
1
5.6
2
4
1.4
2
0.2
0.8
June
2
7.5
2
3.8
0
1
0.1
0.2
July
2
3.6
3
5.2
0
1
0.2
0.3
August
2
4.7
2
4
0
3
0.2
0.3
September
1
3.4
2.6
6.1
1
1
0.1
0.3
October
2
5.7
3.5
11.6
0
1
0.5
4.5
November
3
5.1
2.7
4.7
0
4
1.3
7.6
December
3
4.7
4.5
13.4
0
1
0.2
0.9
2011 BOD Ave BOD Max TSS Ave TSS Max FC Ave FC Max NH3 Ave NH3 Max
January
1
4.4
3.6
8
1
2
0.1
0.2
February
12
14.3
5.1
6.3
15
870
5.1
6.3
March
3
6.9
2.6
5.8
2
44
0.3
0.8
April
1
5.5
1.8
2.8
18
210
0.2
0.6
May
2
3.6
1.6
2.8
2
24
0.3
1.6
June
4
10.1
2.3
5.7
0
1
1.9
7.5
July
2
4.3
1.8
4
2
64
0.2
0.6
August
2
31
1.7
3.2
1
6
0.1
0.2
September
1
2
2.2
4
1
7
0.1
0.2
October
2
6.4
3.5
7.6
0
1
0.5
2.5
November
1
4.5
2.3
4
2
20
0.4
2.4
December
2
8.9
3
7.9
0
1
2.8
11.6
3-Year Average
2.9
2.4
4.2
0.61
Permit Limit
15.0
30.0
200
4.0
% of Limit
24%
12%
1%
5%

NPDES Permit # NCO086550
Renewal Application
Town of Fairmont
Robeson County, North Carolina
Prepared by:
engineering, plic
140 Aqua Shed Court
Aberdeen, NC 28315
License # P-1095
January 2014

Phone: [phone]
ran
r_q � January 29, 2014
TOWN OF FAIRMONT
421 South Main Street • P.O. Box 248
Fairmont, NC 28340
Email: [e-mail]
www.fairmontnc.com
Fax: [phone]
Ms. Wren Thedford
`M NC DENR / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Renewal of Fairmont WWTP NPDES permit #NCoo86550. .
Dear Reviewers,
Please find herein our application to renew the Fairmont NPDES permit # NCoo86550. The
!Mn current permit expires on July 31, 2014. We have completed the permit requirements as
outlined in the NPDES renewal guidelines except for one deficiency. We do not have the
required alternate specie toxicity tests completed. We are worldng quickly to supply the missing
�, tests over the next four months with one Fathead minnow test conducted per month and will
submit the results to the Division as. they are completed. We realized this deficiency during the
course of preparing our renewal application and appreciate your patience while we complete the
required tests =
Respectfully submitted,
R
TOWN OF FAIRMONT
MCI Linda Vause, Town Manager
9",
om
aq

IN
M
Nq
on
so
M
M
M
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Fairmont Regional WWTP, NCO086550 RENEW Lumber
FORM
2A
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow 2 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Town of Fairmont W.W.T.P.
Mailing Address P.O. Box 248
Fairmont, NC 28340
Contact Person Dennis Freeman
Title ORC #992796
Telephone Number [phone]
Facility Address S.R 2312 near the Town of Boardman. Robeson County
(not P.O. Box)
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
Is the applicant the owner or operator (or both) of the treatment works?
® owner ® operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
® facility ❑ applicant
A.S. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).EPA # 110009720640
NPDES NCO086550 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, it known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Fairmont 2703 separate municipal
Fair Bluff 1181 seoerate municipal
Cerro Gordo 244 separate municipal
Boardman 156 seoerate municipal
Orrum 92 seoerate municipal
Protorville 119 separate municipal
Total population served 4495
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Fairmont Regional WWTP, NCO086550 RENEW Lumber
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes ® No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flaw rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12'h month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 1.75 mgd
Two Years Ado Last Year
This Year
b. Annual average daily flow rate 0.730 .845
1.246
C. Maximum daily flow rate 8.780 7.510
3.004
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
® Separate sanitary sewer
100
❑ Combined storm and sanitary sewer
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? to Yes
❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
I. Discharges of treated effluent 1
ii. Discharges of untreated or partially treated effluent
III. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
V. Other
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes
® No
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s)
mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater?
❑ Yes ® No
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site:
mgd
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
❑ Yes ® No
INS EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 22

6"
OR
0
r
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck pipe).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number ( )
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
In A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ yes
® No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
an EPA Forte 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 4 of 22

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SIX
A
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Fairmont Regional WWTP, NCO086550 RENEW Lumber
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Ouffall.
a. Outfall number 001
b. Location 150 feet downstrean of Highway 74 bridge across Lumber River at Boardman
(City or town, if applicable) (Zip Code)
(County)
(Stale)
34°26'33"N
78o57'37"W
(Latitude)
(Longitude)
C. Distance from shore (if applicable) 20
ft.
d. Depth below surface (if applicable) 5
ft.
e. Average daily flow rate 0.898
mgd
I. Does this ouffall have either an intermittent or a periodic discharge? ❑ Yes
® No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months in which discharge occurs:
g. Is outfall equipped with a diffuser? ❑ Yes
® No
A.10. Description of Receiving Waters.
a. Name of receiving water Lumber River
b. Name of watershed (if known) Lumber River
United States Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin (if known): Lumber River
United States Geological Survey 8-digit hydrologic cataloging unit code (if known): 03040203
d. Critical low flow of receiving stream (if applicable) (See attached correspondence)
acute 109 cis chronic 293 cis
e. Total hardness of receiving stream at critical low flow (if applicable): ? mg4 of CaCC3
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22.
Page 5 of 22

No
Eft
SIR
010
M
FAbILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary IR Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOOS removal or Design CBOD5 removal 92.5
Design SS removal 85
Design P removal n/a
Design N removal n/a
Other
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine
If disinfection is by chlorination is dechlormation used for this outfall? ® Yes ❑ No
Does the treatment plant have post aeration? ® Yes ❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the Indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number. 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.0
s.u.
pH (Maximum)
7.1
S.U.
Flow Rate
9.79
MGD
0.899
MGD
1582
Temperature (Winter)
1 26.9
Degree
1 15.1
Degree C
1130
Temperature (Summer)
30.0
Degree C
24.78
Degree C
1130
' For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MLIMDL
Number of
METHOD
Cone.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
OS
31.0
m L
2.78
m L
678
SM5210-8
2.0MG/L
DEMAND (Report one)
�COB0D5
FECAL COLIFORM
980
COVII 00
18.27
C0I/100
678
SM9222D
1 COL/100
ml
ml
ML
TOTAL SUSPENDED SOLIDS (TSS)
62
m L
3.37
m /L
678
SM2540D
0.1 MG/L
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
Us EPA For 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 & 7550-22. Page 6 of 22

No
0
NO
m
000
WE
MIN
WIN
OWN
JEW
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REOUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate 2 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.1, Inflow and Infiltration. Estimate the average number of gallons per day that flow Into the treatment works from inflow and/or infiltration.
0.44 MGD (AVERAGE DAY). 1.25 MGMAVERAGE WET WEATHER MONTHS) Calculated as the difference between the average metered water
distributed and the average influent flow to the treatment headworks and distribution vsthe influent flow during the average of the 3 wettest
months.
Briefly explain any steps underway or planned to minimize inflow and infiltration.
The communities served by the Fairmont WWTP are keenly aware of their 1/1 problems through multiple studies and general operations. The
collection system managers spend the bulk of their efforts petitioning for the funding required to make the needed repairs. As monies come
available the highest priority collection segments are being replaced and have shown significant progress over the past 5 years. Peak flows have
been reduced significantly as evidenced by the maximum daily flow measured over the past 3 years, but much work is still required. Fair Bluff and
Cerro Gordo have recently replaced pump stations and some local collection segments, while collection segments within Fairmont are currently
being repaired. Many collection segments within the towns are approaching 70 years In age and were never intended to last as long as they have.
The fees for metered sewer flow billed to the served communities are a strong motivation for replacing the collection system but will require
significant investment and time to complete.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes. (See attached B-2A Fairmont WWTP TOPO)
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include oudalls from bypass piping, If applicable. (See attached B-2 PLANT SITE
PLAN FOR NPDES RENWAL 2014)
c. Each well where wastewater from the treatment plant is injected underground. (Na)
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within 14 mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant. ( there are no wells within 'A mile of the property)
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. (See attached B-2 PLANT SITE PLAN
FOR NPDES RENWAL 2014)
I. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act truck rail
( RCRA
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.by (Na)
8.3. Process Flow Diagram or Schematic. Provide a diagram shoving the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram. (See attached "FLOW BALANCE DIAGRAM)
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and efluent quality) of the treatment works the responsibility of a
contraaor9 ❑ Yes ® No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractors responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number. ( 1
Responsibilities of Contractor:
B.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question 6.6.)
a. List the outfall number (assigned in question A.9) for each oudall that is covered by this implementation schedule.
001
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes ® No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 22

OR
W
W
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
C. If the answer to B.5.b is Wes," briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
- Begin Construction
- End Construction
- Begin Discharge
- Attain Operational Level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not Include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analyzes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number: 001
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
ML/MDL
Conc.
Units
Conc.
Units
Number of
METHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
15.6
mg/L
0.83
mg/L
678
SM4500NH3 F
0.1mg8
CHLORINE (TOTAL
26
mg/L
15.6
mg/L
678
Environmental
Instruments
20ug/L
RESIDUAL,TRC)
Meter
DISSOLVEDOXYGEN
10.9
mg/L
9.16
mg/L
678
YSI 55 meter
0.1 mg/L
TOTAL KJELDAHL
NITROGEN (TKN)
12.5
mg/L
2.20
mg/L
24
SM4500NH3 C
0.25 MG/L
NITRTT ENLUS NITRITE
11.2
mg/L
3.67
mg/L
24
4500-P B,5 & E
0.05 MG/L
OIL and GREASE
29
mg/L
7.25
mg/L
4
1664A
5.6 M91L
PHOSPHORUS (Total)
5.63
mg/L
1.81
mg/L
49
4500-P B,5 & E
0.01 MG/L
TOTAL DISSOLVED SOLIDS
(TDS)
330
m
223.3
mg/L
/L
3
2540 C-2011
10.0 mg/L
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
M EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 22

r
W
a
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
W Fairmont Regional WTP, NCO086550
RENEW
Lumber
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained In the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
® Basic Application Information packet Supplemental Application Information packet:
® Part D (Expanded Effluent Testing Data)
® Part E (Toxicity Testing: Biomonlloring Data)
19 Pad F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the Information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fine and imprisonment
for knowing violations.
Name and official title Linda Vause, Town M na er
_ _
Signature � GO`a'
Telephone number (9101628,9766^
G'
Date signed Q-0�7-a�Jy
Upon request of the permitting authority, you must submit any other Information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENRI DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 6 7550-22.
Page 9 of 22

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on
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has (or is required to
have) a pretreatment program, or is otherwise required by the pe"ti ing authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each ouffall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements of 40 CFR Part 136 and other
appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below any data
you may have on pollutants not specifically listed in this form. At a minimum, effluent testing data must be based on at least three pollutant scans and must
be no more than four and one-half years old. (mass loading calculated using average daily flow)
Ouffall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Cone.
Units
Mass
Units
Cone.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.020
ARSENIC
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.020
BERYLLIUM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.0020
CADMIUM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.0050
CHROMIUM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.010
COPPER
0.027
mg/L
91.7
g
0.00675
mg/L
22.73
g
4
200.7
0.020
LEAD
0.0052
mg/L
17.5
g
0.0013
mg/L
4.37
g
4
200.7
0.0050
MERCURY
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
245.1
0.00020
NICKEL
BDL
mg(L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.020
SELENIUM
SOL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.020
SILVER
SOL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.010
THALLIUM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.8
0.0010
ZINC
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
200.7
0.030
CYANIDE
BDL
mg/L
0.0
mg
SOL
mg/L
0.0
mg
4
200.7
0.0050
TOTAL PHENOLIC
COMPOUNDS
0.13
mg/L
441
g
0.033
mg/L
112
g
4
420.1
0.040
HARDNESS (as CaCO3)
42
mg/L
142
kg
27.5
mg/L
93
kg
4
130.1
30
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer
W EPA Forth 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 10 of 22

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IN
W
s
no
W
r
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mess
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
BDL
mgfL
0.0
mg
BDL
mg4_
0.0
mg
1
624
0.050
ACRYLONITRILE
0
BENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
BROMOFORM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
CARBON
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
TETRACHLORIDE
CHLOROBENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
CHLORODIBROMO-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
METHANE
CHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0050
2-CHLOROETHYLVINYL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.050
ETHER
CHLOROFORM
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0050
DICHLOROBROMO-
METHANE(Bromodichlo
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
romethane)
1,1-DICHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
1,2-DICHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
TRANS-I,2-DICHLORO-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
ETHYLENE
1,1-DICHLORO-
ETHYLENE (1,1
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
Dichlomethene)
1,2-DICHLOROPROPANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
1,3-DICHLORO-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
PROPYLENE
ETHYLBENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
METHYLBROMIDE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
METHYLCHLORIDE
METHYLENE CHLORIDE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0050
1, TETRA-
CHLORLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
TETRACHLORO-
ETHYLENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
TOLUENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0050
r EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 11 of 22

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ON
M
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Pat
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AM
M
AN
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Oulfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
1,1,1
TRICHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
1,1,2
TRICHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
TF31CHLOROETHYLENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
VINYLCHLORIDE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLOR3-me -methyl CRESOL
(4-Chloro- 3-me
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2-CHLOROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2,4-DICHLOROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2,4-DIMETHYLPHENOL
BDL
mg(L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
4,6-DINITRO-0-CRESOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2,4-DINITROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2-NITROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
4-NITROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
PENTACHLOROPHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
PHENOL
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
624
0.0010
2,4,6-
TRICHLOROPHENOL
BDL
mg/L
0.0
mg
BDL
mg(L
0.0
mg
4
624
0.0010
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
ACENAPHTHYLENE
BDL
mg/L
0.0
mg
RDL
mg/L
0.0
mg
4
625
0.0010
ANTHRACENE
BDL
mg(L
0.0
mg
BDL
mg(L
0.0
mg
4
625
0.0010
BENZIDINE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
BENZO(A)ANTHRACENE
BDL
mg(L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
BENZO(A)PYRENE
M EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 12 of 22

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ON
r,
WE
I"
am
NO
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Outfall number: (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Number
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
of
METHOD
Samples
3.4 BENZO-
FLUORANTHENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
(Benzo(b)fluoranthene)
BENZO(GHI)PERYLENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
BENZO(K)
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
FLUORANTHENE
BIS (2-CHLOROETHOXY)
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
METHANE
BIS (2-CHLOROETHYL)-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
ETHER
BIS (2-CHLOROISO-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
PROPYL)ETHER
BIS (2-ETHYLHEXYL)
PHTHALATE
HE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
PHENYLETHERR
PHENYE
BUTYL BENZYL
PHTHALATE
BDL
mg/L
0.0
mg
SOL
mg/L
0.0
mg
4
625
0.0010
H ORO-
NA
NAPHTHAL
THALENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
PHENY ETHER L
PHENYL ETHER
BDL
mg(L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
CHRYSENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
DI-N-BUTYL PHTHALATE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
DI-N-OCTYL PHTHALATE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
DIBENZO(A,H)
ANTHRACENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
1,2-DICHLOROBENZENE
1,3-DICHLOROBENZENE
1,4-DICHLOROBENZENE
3,3-DICHLORO-
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
BENZIDINE
DIETHYL PHTHALATE
BDL
mg/L
0.0
mg
BDL
mg(L
0.0
mg
4
625
0.0010
DIMETHYL PHTHALATE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
2,4-DINITROTOLUENE
BDL
mg/L
0.0
mg
8DL
mg/L
0.0
mg
4
625
0.010
2,6-DINITROTOLUENE
BDL
mg/L
0.0
mg
BOL
mg/L
0.0
mg
4
625
0.010
1,2-DIPHENYL-
HYDRAZINE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
.� EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 13 of 22

M
r
r
r
r
r
r
no
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Outfall number. (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Cone.
Units
Mass
Units
Cone.
Units
Mass
Units
Number
of
Samples
FLUORANTHENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
FLUORENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
HEXACHLOROBENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
HEXA-
BUTADIENE
DIENE
BOL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
HEXACHLOROCYCLO-
PENTADIENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
HEXACHLOROETHANE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
INDENO(1,2,3-CD)
PYRENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
ISOPHORONE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
NAPHTHALENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
NITROBENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
N-NITROSODI-N-
PROPYLAMINE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
N-NRROSODI-
METHYLAMINE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
OSODI-
PHENYLAMINE
PHENY
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
PHENANTHRENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
PYRENE
BDL
mg/l.
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.0010
1,2,4-
TRICHLOROBENZENE
BDL
mg/L
0.0
mg
BDL
mg/L
0.0
mg
4
625
0.010
Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
r EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 14 of 22

M
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M
M
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-haff years prior to the application, provided the results show
no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
Information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/OC
requirements for standard methods for analyles not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity
reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested
in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test
summaries are available that contain all of the Information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. (tested at the required dilution of 2.2 %)
® chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 001 Test number. 002 Test number: 003
a. Test information.
Test Species 8 test method number
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Age at initiation of test
<24 Hire
<24 Hire
<24 Hire
Outfall number
001
001
001
Dates sample collected
11/01/10-11/04/10
02/14/11-02/16/11
05/02/2011-05/04/11
Date test started
11/03/10
02/16/11
05/04/11
Duration
7 days
7 days
7 days
b. Give toxicity test methods followed.
Short Term Methods For
Short Term Methods For
Short Term Methods For
Estimating The Chronic Toxicity
Estimating The Chronic
Estimating The Chronic
Manual title
Of Effluents And Receiving
Toxicity Of Effluents And
Toxicity Of Effluents And
Waters To Fresh Water
Receiving Waters To Fresh
Receiving Waters To Fresh
Organisms
Water Organisms
Water Organisms
Edition number and year of
publication
EPA-821-R-02-013 Edition#
41h Oct 2002
EPA-821-R-02-013 Edition
# 41h Oct 2002
EPA-821-R-02-013 Edition
If 4' Oct 2002
Page number(s)
141.189
141.189
141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X
r EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 15 of 22

an
MR
no
OR
40
W
0
r1
M
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Test number: 001 Test number: 002 Test number: 003
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Base of Cascade Aeration
Base of Cascade Aeration
Base of Cascade Aeration
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
It. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
I. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
(. Give the percentage effluent used for all concentrations in the test series.
2.2%
2.2%
2.2%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
°
/e
%
%
LC,,
95% C.I.
%
%
%
Control percent survival
%
%
%
Other(describe)
,^ EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 16 of 22

MR
OWN
M
M
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Chronic:
NOEC
%
%
%
IC25
%
%
%
Control percent survival
100 %
%
%
Other (describe) (Pass/Fall)
%Reduction in
Pass 5.45%
Pass -1.22%
Pass 3.05 %
Reproduction
m. Quality Control/Quality, Assurance.
Is reference toxicant data
available?
yes
yes
yes
REF: SODIUM CHLORIDE
Was reference toxicant test within
acceptable bounds?
yes
yes
yes
What date was reference toxicant
11/17/2010
12/16/2011
05/18/2011
test run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ® No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
r• EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 17 of 22

M
M
r
00
`n
r
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum these results must include quarterly testing for a 12-month period within the past 1 year using multiple species minimum of two
q Y 9 P P Y 9 P Pe
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show
no appreciable toxicity, and testing for acute andror chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with OA/OC requirements of 40 CFR Part 136 and other appropriate OA/OC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity
reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested
in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test
summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. (tested at the required dilution of 2.2 % )
® chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page ff more than three tests are being reported.
Test number: 004 Test number: 005 Test number: 006
a. Test information.
Test species a test method number
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Age at initiation of test
<24 Hrs
<24 Hrs
<24 Hrs
Outfall number
001
001
001
Dates sample collected
08/01/11-08/03/11
11/07/11-11/09/11
02106/2012-02108/12
Date test started
08/03/11
11/09/11
02/08/12
Duration
7 days
7 days
7 days
b. Give toxicity test methods followed.
Short Term Methods For
Short Term Methods For
Short Term Methods For
Estimating The Chronic Toxicity
Estimating The Chronic
Estimating The Chronic
Manual title
Of Effluents And Receiving
Toxicity Of Effluents And
Toxicity Of Effluents And
Waters To Fresh Water
Receiving Waters To Fresh
Receiving Waters To Fresh
Organisms
Water Organisms
Water Organisms
Edition number and year of
publication
EPA-821-R-02-013 Edition #
4m Oct 2002
EPA-821-R-02-013Edition
# 4u' Oct 2002
EPA-821-R-02-013Edition
# 4th Oct 2002
Page number(s)
141-189
141-189
141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlonnation
X
X
X
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 18 of 22

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FRCILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Test number: 004 Test number: 005 Test number: 006
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Base of Cascade Aeration
Base of Cascade Aeration
Base of Cascade Aeration
I. For each lest, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
I. Type of dilution water. If saltwater, specify "natural' or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
j. Give the percentage effluent used for all concentrations In the lest series.
2.2%
2.2%
2.2%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100 %
effluent
%
,fie
LCss
95 % C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
M EPA Form 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 & 7550-22. Page 19 of 22

a■
t 1
NEW
am
INS
END
MEN
ON
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Chronic:
NOEC
%
%
IC25
%
%
%
Control percent survival
100 %
%
%
Other (describe) (Pass/Fall)
%Reduction in
Pass -1.77%
Pass 6.59%
Pass 0.53%
Reproduction
m. Quality Control/Quality Assurance.
Is reference toxicant data
available?
yes
yes
yes
REF: SODIUM CHLORIDE
Was reference toxicant test within
yes
yes
yes
acceptable bounds?
What date was reference toxicant
09/21/2011
11/16/2011
02/15/2012
test run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ® No If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 20 01 :32

r
NO
M
M
me
on
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show
no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/OC requirements of 40 CFR Part 136 and other appropriate OA/OC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-haff years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity
reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested
in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test
summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. (tested at the required dilution of 2.2%)
® chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page ff more than three tests are being reported.
Test number: 007 Test number. 008 Test number. 009
a. Test information.
Test species a test method number
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Age at initiation of test
<24 Hrs
<24 Hrs
<24 Hrs
Outfall number
001
001
001
Dates sample collected
05/07/12-05/09/12
08/06/12-08/08/12
11/26/2012-11/28/12
Date test started
05/09/12
08/08/12
11 /28/12
Duration
7 days
7 days
7 days
b. Give toxicity test methods followed.
Short Term Methods For
Short Term Methods For
Short Term Methods For
Estimating The Chronic Toxicity
Estimating The Chronic
Estimating The Chronic
Manual title
Of Effluents And Receiving
Toxicity Of Effluents And
Toxicity Of Effluents And
Waters To Fresh Water
Receiving Waters To Fresh
Receiving Waters To Fresh
Organisms
Water Organisms
Water Organisms
Edition number and year of
publication
EPA-821-R-02-013 Edition #
4' Oct 2002
EPA-821-R-02-013Edition
# 41h Oct 2002
EPA-821-R-02-013Edition
# 4t° Oct 2002
Page number(s)
141-189
141-189
141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used-
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X
M EPA Forte 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 21 of 22

M
W
M
no
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Test number: 007 Test number: 008 Test number: 009
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Base of Cascade Aeration
Base of Cascade Aeration
Base of Cascade Aeration
I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
I. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2.2%
2.2%
2.2%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100%
effluent
%
%
%
LCm
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
,� EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 22 of 22

NO
A
M
ara
on
GO
ME
M
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Chronic:
NOEC
%
%
%
IC25
%
%
Control percent survival
100 %
%
Other (describe) (PasslFafl)
%Reduction In
Pass 1.67%
Pass 3.41 %
Pass -4.12%
Reproduction
m. Quality ControVQuality Assurance.
Is reference toxicant data
available?
yes
yes
yes
REF: SODIUM CHLORIDE
Was reference toxicant test within
yes
yes
yes
acceptable bounds?
What date was reference toxicant
05/16/2012
08/15/2012
11/14/2011
test run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ® No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Dale submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
r. EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Pori= 23 al v

M
r,
M
W
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• include i 12-month within he past 1 year using multiple species minimum of two
At a minimum, these results must Inc ude quarterly testing for a h period t t p y g p pe
species), or the results from four tests performed at least annually In the four and one-half years prior to the application, provided the results show
no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate OA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity
reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Pan E, you need not submit it again. Rather, provide the information requested
in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If test
summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to
complete.
EA. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. (tested at the required dilution of 2.2 %)
® chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page 9 more than three tests are being reported.
Test number. 010 Test number. 011 Test number. 012
a. Test information.
Test Species 8 test method number
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Age at initiation of test
<24 Hrs
<24 Hrs
<24 Hrs
Outfall number
001
001
001
Dates sample collected
02111/12-02113112
05/13/13-05/15/12
0811212013-08/14/13
Date test started
02/13/12
05/15/12
08/14/13
Duration
7 days
7 days
7 days
b. Give toxicity test methods followed.
Short Term Methods For
Short Term Methods For
Short Term Methods For
Estimating The Chronic Toxicity
Estimating The Chronic
Estimating The Chronic
Manual title
Of Effluents And Receiving
Toxicity Of Effluents And
Toxicity Of Effluents And
Waters To Fresh Water
Receiving Waters To Fresh
Receiving Waters To Fresh
Organisms
Water Organisms
Water Organisms
Edition number and year of
publication
EPA-821-R-02-013 Edition #
4fh Oct 2002
EPA-821-R-02-013 Edition
# 4t' Oct 2002
EPA-821-R-02-013 Edition
# 41h Oct 2002
Page number(s)
141-189
141-189
141-189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
After dechlorination
X
X
X
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 24 of 22

rR
'`I
r�
M
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Test number: 010 Test number: 011 Test number: 012
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Base of Cascade Aeration
Base of Cascade Aeration
Base of Cascade Aeration
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
I. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2.2%
2.2%
2.2%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
I. Test Results.
Acute:
Percent survival in 100 %
effluent
%
ova
%
LC,
95% C.I.
%
%
%
Control percent survival
%
%
%
Other(describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7650-22.
Page 25 of 22

am
M
M
M
M
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Chronic:
NOEC
%
%
%
ICzs
%
%
%
Control percent survival
100 %
%
%
Other (describe) (Pass/Fall)
%Reduction In
Pass -7.59%
Pass -5.00%
Pass 3.00%
Reproduction
m. Quality ControliQuality Assurance.
Is reference toxicant data
available?
yes
yes
yes
REF: SODIUM CHLORIDE
Was reference toxicant test within
yes
yes
yes
acceptable bounds?
What date was reference toxicant
02/13/2013
05/15/2013
08/14/2013
test run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment Works involved in a Toxicity Reduction Evaluation?
❑ Yes ® No If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomoniloring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
M EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 26 of 22

r
r
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1) POTWs with a design flow rate greater than or equal to 1.0 mgd; 2) POTWs with a pretreatment program (or those that are
required to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• -m n 1 r using multiple species minimum of two
At a minimum, these results must include quarterly testing fora 12 o Ih period within the past year g p p
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results show
no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with OA/OC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one -hall years revealed toxicity, provide any information on the cause of the toxicity or any results of a toxicity
reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information requested
in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods. If lest
summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data Is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years. (tested at the required dilution of 2.2 % )
® chronic ❑ acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. 013 Test number. Test number.
a. Test information.
Test Species & test method number
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Ceriodaphnia dubia 1002.0
Age at initiation of test
<24 Hrs
<24 Hrs
<24 Hrs
Ouffall number
001
001
001
Dates sample collected
11104/13-11/06/13
Date test started
11/06/13
Duration
7 days
b. Give toxicity test methods followed.
Short Term Methods For
Short Term Methods For
Short Term Methods For
Estimating The Chronic Toxicity
Estimating The Chronic
Estimating The Chronic
Manual title
Of Effluents And Receiving
Toxicity Of Effluents And
Toxicity Of Effluents And
Waters To Fresh Water
Receiving Waters To Fresh
Receiving Waters To Fresh
Organisms
Water Organisms
Water Organisms
Edition number and year of
publication
EPA-821-R-02.013 Edition #
4th Oct 2002
EPA-821-R-02-013 Edition
# 4th Oct 2002
EPA-821-R-02-013 Edition
# 41" Oct 2002
Page number(s)
141-189
141-189
141.189
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
X
X
X
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
[After
X
X
X
r EPA Forth 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 27 of 22

We
r,
We
MIN
rrn
We
Me
ON
r•
FACILITY NAME AND PERMIT NUMBER:
Fairmont Regional WWTP, NCO086550
PERMIT ACTION REQUESTED:
RENEW
RIVER BASIN:
Lumber
Test number: 013 Test number: Test number:
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
Base of Cascade Aeration
I. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
X
X
X
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
X
X
X
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
X
X
X
Receiving water
I. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
X
X
X
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
2.2%
2.2%
2.2%
k. Parameters measured during the test. (State whether parameter meets test method specifications)
PH
yes
yes
yes
Salinity
Temperature
yes
yes
yes
Ammonia
Dissolved oxygen
yes
yes
yes
1. Test Results.
Acute:
Percent survival in 100 %
effluent
%
%
%
LCW
95% C.I.
%
%
%
Control pemenI survival
%
%
Other(describe)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 28 of 22

L1
M
0
M
100
Ll
MEN
100
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
Chronic:
NOEC
%
%
IC25
%
%
%
Control percent survival
100 %
%
%
Other (describe) (Pass/Fall)
%Reduction in
Pass 0.63%
Reproduction
m. Quality Control/Quality Assurance.
Is reference toxicant data
available?
yes
yes
yes
REF: SODIUM CHLORIDE
Was reference toxicant test within
yes
yes
yes
acceptable bounds?
What date was reference toxicant
11113/2013
test run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes ® No If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a
summary of the results.
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 29 of 22

an
M
M
W
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
® Yes ❑ No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs. 001
b. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name: Harper Inc.
Mailing Address: 12779 NC Hiahwav 130 East Business
Fairmont, NC 28340
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Manufacturino of current cerrvino vdrino devices (ie. liohtnino & aroundino conductors)
F.5. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): Cooper and Aluminum liohtnino and around conductors.
Raw material(s): Aluminum and Copper wire
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (gpd) and whether the discharge is continuous or intermittent.
600 gpd ( X continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (gpd) and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ® Yes ❑ No
b. Categorical pretreatment standards ® Yes ❑ No
If subject to categorical pretreatment standards, which category and subcategory?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 30 of 22

ON
00
010
on
m
as
u
We
r,
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
F.O. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, interference) at the treatment works in the past three years?
❑ Yes ® No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.g. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
❑ Yes ® No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REM EDIATIOWCORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
❑ Yes (complete F.13 through F.15.) ID No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated (or will be treated) prior to entering the treatment works?
❑ Yes ❑ No
If yes, descdbe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-5 & 7550-22. Paye 31 01 P

SIR
OR
M
No
7
011
END
1
ON
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system, complete Part G.
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
outstanding natural resource waters).
C. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram, either in the map provided in G.1 or on a separate drawing, of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines, both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
C. Locations of in -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO discharge point.
G.3. Description of Outfall.
a. Outlall number
b. Location
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore (it applicable) ft.
d. Depth below surface (H applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume ❑ Receiving water quality
I. How many stone events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events (❑ actual or ❑ approx.)
b. Give the average duration per CSO event.
hours (❑ actual or ❑ approx.)
.� EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 32 of 22

r
on
MR
WIN
WE
010
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Fairmont Regional WWTP, NCO086550
RENEW
Lumber
C. Give the average volume per CSO event.
million gallons (❑ actual or ❑ approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.S. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershedfriver/stream system:
United State Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin: _
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):11 DIGIT CODE
G.6. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO (e.g., permanent or intermittent beach closings, permanent or
intermittent shell fish bed closings, fish kills, fish advisories, other recreational loss, or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
WE EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 33 of 22

FM
Inquiry to USGS to supply acute and chronic flow at Fairmont discharge point on January 8, 2013
by Barry King with LKC Engineering for the Town of Fairmont, NC
MR Mr. King,
In response to your inquiry about the low -flow characteristics for the streamgage on the Lumber River at
FM Boardman in Robeson County, the following information is provided:
The streamgage on the Lumber River at Boardman continues to be an active site, and daily discharges
for the 2012 water year were published in the 2012 annual
Fm data report (httr):Hwdr.water.usgs.gov/wy2012/pdfs/02134500.2012.pdf).
USGS Sta. 02134500 Lumber River at Boardman
Period of record (POR): September 1929 to current year
MR Drainage area: 1,228 sqmi
Annual 7Q10 discharge =109 cfs
PIR Annual 30Q2 discharge = 293 cfs
Winter 7010 discharge = 245 cfs
Annual 7Q2 discharge = 223 cfs
`m Period of analysis: 1930-2010 climatic years
The POR mean annual flow published for this streamgage in the 2012 annual data report is 1,288 cfs
rim (http://wdr.water.usgs.qov/wy2012/12dfs/02134500.2012.pdf).
Notes:
rZT' (1) Provisional low -flow analyses completed for this streamgage indicate the presence of trends in the
annual 7-day average flow series used to determine the low -flow frequency statistics. Effects of the
recent drought conditions are suspected as playing a large role in the trends.
(2) Please note the flow estimates are based on the observed streamflow record at the streamgage and
may account for the presence of any current diversions and/or regulation that exist upstream from the
streamgage, but do not account for any future variations that may occur.
(3) The climatic year is the standard annual period used for low -flow analyses at continuous -record
streamgages and runs from April 1 through March 31, designated by the year in which the period begins.
SM For example, the 2010 climatic year is from April 1, 2010, through March 31, 2011.
(4) Estimated flows are provided in units of cubic feet per second (cfs).
F' (5) The information provided in this message is based on a preliminary assessment and considered
provisional, subject to revision pending further analyses.
Im Hope this information is helpful.
Thank you.
Curtis Weaver
J. Curtis Weaver, Hydrologist, PE
USGS North Carolina Water Science Center
3916 Sunset Ridge Road
rsa Raleigh, NC 27607
Phone: [phone] Fax: [phone]
E-mail address -- [e-mail]
Pin Internet address -- httpJ/nc.water.usas.cov/
OR

r
INFLUENT
_
FORCE MAIN
i
EFFLUENT
' iFORCE MAIN
680.00'
I EFFL\UEIrr
PUMP STA
YARD FIYD
GALLON
3 , `
HYDROS
w O
FUTURE WELL
tYRA � PAVING �
SHALL°BE COORDINATm
� �y 110IE:
PIPE LINES NO. 1.2 AND 3
BY TH OWNER.
(NOT CONTRACT III) \ 4'
SWILL BE COORDINATED BY THE OWNER.
(NOT IN CONTRACT III)
N
EL
EDGE OF�j
2
MANHOLE /2
f RBI MANHOLE
85.5
ACCESS
INVERT IN: 74.8
ROAD
! I, INVERT OUf: 74.7
f CHAIN LINK FENCE !
!!
SHALL BE COORDINATED!
!
BY THE OWNER
' I (NOT IN CONTRACT III)
0
�101
CHLORINE FEED
` iYARDAI�
BUILDING
!�
°SULFUR DIOXIDE '
l FEED BUILDING
-lj_<e7. �ONNECONTACT
CLARIFIBSODIUM
i2
ULK pIEYPOCHLARRE
MICAL
STORAGE TANKS----
9gR"
is a 1.0 O�
MANHOLE f1
RIM ELEV: 85.5'.
INVERT IN: 75.2
_
C°4.
AERATION
a
! INVERT OUT: 75.1
BASIN i2
IN CONTACT
'
i AERATION
BASIN ;1
! BASIN
VAULT
AEROBIC
DIGESTER %2
CLARIFIER -
1)1
DIGESIERC /1
V:DXIC TROUGH
YARD
HYDRANT
1i OF ]3
.00
19;
LABORATORY
A
-
�i --�� ! SwDGE
GRAVITY
THICKENER
lu LDIMROL
GENERATOR �! TAKING
--
RAS MIXING
BASIN
YARD jjj BLOWERS
HYDRANTS
HEADWORI(S
LIFT
STATION `
880.00,
yI :�p n�o rRa� uIm
P M 5TWSW
.- FOR v RR 'M11 o°RN RCQ i 001-WRR[ i09h
ac°nrt LDCATM
JNOTE'.
1. ALL UNDER —PLANT PIPING IS D.I.P.
2. ALL DRAIN PIPING TO BE HEAVY WALL SDR-28
GRAVITY SEWER PVC.
3. ALL SUCTION AND PRESSURE LINES TO LIFT STATION
TO BE CSOO WATER PIPE CLASS 150.
4. VALVES IN DRAIN LINES TO LIFT STATION
TO BE GATE VALVES FOR FLOW CONTROL -
(AT EXPENSE OF LEAKING WHEN CLOSED)
R.` ISIONS
SYM 1 DFSCRIPrIoN DATE BY
F-'+
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wWa
N
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H�
DATE: . JANU: RY204
DL-SIGNED:
DRAUC\:
(:HF.,CKED
N0.. _

�; , ++ ,, _ - _ � Town of Fairmont WWTP
+-Z' �- NPDES Permit Renewal
a + - # +-+ y _ + Permit No. NCO086550
Location Map
Um
POMIP
—y+r \ _�a� �'`•+. � I • +_r ►—yam +�'''—+�-�
on
77.
fl
Discharge Point
N34026'33'•
- �-+•� - '- l-- - - +-
1 NO WELLS; yo°� -'�� ej ';:. •"
— WITHIN 1/4 MILE Boa>rdooan
com
/
Legend
he
- + r Discharge
+_ !
i ` _ _ + - .,+ +- +t' ♦ WWTP
1 Mile Radius
0 2,000 4,000 6,000 et + T ��� '� M 1 /4 Mile Radius

INFLUENT
1.0 Q
FLOW BALANCE NOTES:
In calculating the material balance flows for the Fairmont WWTP, the WAS flow is estimated
at 650 GPD. Of that 600 gallons, 500 gallons is decanted out of the gravity thickener
and returned to the headworks. The remaining 50 gallons of thickened solids is conveyed
to the sludge holding tank. These flows are insignificant compared to the plant process
flows and are not included within the water balance diagram but are contained within the
plant.
LEGEND:
HW
Headworks flow
RMIX
RAS mixing zone and Anoxic trough
RAS#1
RAS flow from Clarifier #1
RAS#2
RAS flow from Clarifier #2
AER#1
Aeration Tank #1 feed flow
AER#2
Aeration Tank #2 feed flow
CLAR#1
Clarifier #1 feed flow from Aeration Tank #1
CLAr#2
Clarifier #2 feed flow from Aeration Tank #2
WEIR#1
WEIR flow from Clarifier #1
WEIR#2
WEIR flow from Clarifier #2
CLCH#1
Chlorine Contact Chamber #1 flow
CLCH#2
Chlorine Contact Chamber #2 flow
CAS
Cascade Aerator and De —Chlorination flow
AVERAGE INFLUENT FLOW = 0.897 MOD = 1.0 Q
AER #1
1.0 Qr
RMIX 2.0 Q
HW
1.0Q RAS MIX&
HEADWORKS ANOXIC TROUGH
AER
1.0
AERATION BASIN
#1
AERATION BASIN
#2
WAS— 650
PLANT NARRATIVE:
Influent flow discharges into the plant headworks where it is screened through either
a mechanical or manual barscreen and metered. The influent flow then passes into
a trough where the RAS from both clarifier under -flows are mixed with the influent
flow. The unaerated combined flow through the trough can take several minutes to
enter the aeration basins. This resident time affords contact of the RAS with the
influent flow that can act to proved some denitrification of the Nitrified water in the
RAS stream in the presence of available BOD or to anaerobiclly function as a
Phosphorus selector, The residence time in the trough varies as the influent flow
varies. The flow through the trough is split through gates into the aeration basins
1 &2. After aeration the two MLSS flows enter two clarifiers for solids settling. The
flow over the clarifier weirs is approximately half of the aeration tank flow while the
remaining flow exits the bottom as RAS flow returning to the mixing zone behind
the headworks. The weir flows from the two clarifiers then flows to two Chlorine
contact chambers for disinfection. Following disinfection the two contact chamber
flows combine at the top the cascade aerator where Sulfer Dioxide is added for
dechlorinotion. The cascade aerator reliably saturates the effluent with 02 before the
flow falls to the effluent pump station for discharge.
CLAR #1
1.0 Q
FAIRMONT WWTP FLOW
WEIR #1 CLCH #1
0.5 Q 0.5 Q
CLARIFIER #1
DE —
CHLORINATION
CHLORINE
CONTACTOR #1
I
CAS 1.0 Q
CHLORINE
SOURCE
I I I I I I I
j2
i
CASCADE AERATION
AND DECHLORINATION
I CHLORINE
CONTACTOR #2
CLARIFIER #2
WEIR #2 CLCH #2
0.5 Q 0.5 Q
WAS
GRAVITY
THICKENER
--THICKENED
SLUDGE TO STORAGE —50 GPD
SLUDGE STORAGE
NICE DIAGRAM
EFFLUENT TO
—♦ DISCHARGE
1.0 Q
REVISIONS
SYM DESCRIPTION I)SIT: BY
H
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w
o� a
DATE: JANUAAY2CA
DESIGNED:
DRAWN:
CHECKED:
No.

r=1
BIOSOLIDS MANAGEMENT SERVICE AGREEMENT
MP
This SERVICE AGREEMENT (hereinafter called the AGREEMENT) made and entered into
this 15'h day of June 2007 (the EFFECTIVE DATE) by and between the Town of Fairmont, NC
Fcl (hereinafter called CUSTOMER), and Synagro Central, LLC, (hereinafter called CONTRACTOR
which term shall include its successors and assigns).
rim
WITNESSETH:
In consideration of the following covenants and AGREEMENTS, the CUSTOMER and the
CONTRACTOR hereby mutually agree as follows:
1. SCOPE
n
I.I. The CONTRACTOR shall provide biosolids management services that include
removal, transportation, and land application or other beneficial reuse in accordance with the
rim terms of this AGREEMENT (hereinafter called SERVICES) ofthe CUSTOMER'S biosolids
which constitute primarily (liquid semi -solids) residue generated during the treatment of
wastewater (hereinafter called BIOSOLIDS) at treatment plant located in Orrum, North
M+ Carolina (the PLANT).
2. CONTRACTOR OBLIGATIONS
The CONTRACTOR shall:
r+ 2.1. Within four (4) weeks after receipt of notice from CUSTOMER, cause the removal,
transportation, and land application of CUSTOMER'S BIOSOLIDS and, in connection
with such activities, maintain AUTHORIZATIONS and landowner AGREEMENTS
required of CONTRACTOR for agricultural land application and/or disturbed land
reclamation in accordance with all applicable LEGAL REQUIREMENTS which are
currently in effect, or which take effect during the term of this AGREEMENT.
2.2. At the written, request of CUSTOMER, and as applicable, provide any
AUTHORIZATIONS which are issued by applicable GOVERNMENTAL
AUTHORITIES for all land approved for BIOSOLIDS land application.
2.3. Notify the CUSTOMER of any notice of violation, action, suit, claim, or legal
r=► proceeding against CONTRACTOR relating to any aspect of the CUSTOMER'S
BIOSOLIDS managed pursuant to this AGREEMENT.
F3.1 2.4. For BIOSOLIDS which are land applied, employ land application methods approved
or allowed by applicable GOVERNMENTAL AUTHORITIES.
rap Town of Fairmont, NC — Agreement — 06 15 07
am

L—=1
MR
2.5. Develop and implement monitoring, record keeping, and reporting programs as
required by applicable LEGAL REQUIREMENTS, and as set forth in Section 6 of
this AGREEMENT.
2.6. Provide proof of liability insurance, as set forth in Section 4 of this AGREEMENT.
s,
2.7. Indemnify, CUSTOMER, and hold harmless CUSTOMER, its subsidiaries, affiliates,
successors and assigns and their respective directors, officers, employees,
Mal shareholders, representatives and agents (hereinafter referred to collectively in this
section as CUSTOMER INDEMNITEES) from and against any and all claims,
liabilities, lawsuits, and causes of action, together with reasonable costs, expenses, and
M+ attorneys' fees associated therewith and all amounts paid in defense or settlement of
the foregoing, which may be imposed upon or incurred by CUSTOMER
INDEMNITEES or asserted against CUSTOMER INDEMNITEES by any other
Pq person or persons (including GOVERNMENTAL AUTHORITIES), to the extent
caused by CONTRACTOR'S breach of its obligations under this AGREEMENT or
violation of applicable LEGAL REQUIREMENTS.
m,
2.8. Comply in all material respects with all LEGAL REQUIREMENTS applicable to
CONTRACTOR'S provision of the SERVICES.
2.9. CONTRACTOR'S obligations to take, receive or beneficially reuse BIOSOLMS shall
be suspended during a Force Majeure.
3. CUSTOMER
Ml The CUSTOMER shall:
3.1. Provide to CONTRACTOR for off -site beneficial reuse of 100% of all liquid
W1 BIOSOLIDS generated at the PLANT.
3.2. Provide CONTRACTOR with reasonable access to the CUSTOMER'S BIOSOLID'S
r-1 delivery system, except as reasonably required for safety or emergency considerations,
or planned shutdown of the PLANT. It is agreed that when safety, emergency or
shutdown conditions prevent access, that both parties will attempt to resolve such
P&I conditions as expeditiously as possible.
3.3. Provide CONTRACTOR written notice of the concentration of total nitrogen (as N on
opq a dry weight basis) in the BIOSOLIDS which CUSTOMER provides, plus all other
information which CONTRACTOR may request to facilitate its compliance with
applicable LEGAL REQUIREMENTS, including without limitation the requirements
WI of 40 C.F.R. Part 503. Information which CONTRACTOR may obtain shall include,
without limitation, the monthly average concentrations (in milligrams per kilogram) of
arsenic, cadmium, copper, lead, mercury, nickel, selenium, and zinc or other
r=q Town of Fairmont, NC — Agreement — 06 15 07
-2-

r4q
potentially Hazardous Materials present in the BIOSOLIDS, the level of pathogen
reduction which CUSTOMER has achieved, and the method of vector attraction
reduction which CUSTOMER has applied. The methods and procedures by which
CUSTOMER samples and analyzes concentrations of potentially HAZARDOUS
MATERIALS, pathogen reduction, and vector attraction reduction, shall comply with
methods and procedures prescribed by applicable LEGAL REQUIREMENTS,
including without limitation 40 C.F.R. Part 503. CUSTOMER shall provide
CONTRACTOR with a certification regarding concentrations of HAZARDOUS
rya MATERIALS, pathogen reduction, and vector attraction reduction, as well as
certification that all methods and procedures used by customer for the sampling and
analysis of BIOSOLIDS comply with requirements of 40 C.F.R. Part 503, and any
other applicable LEGAL REQUIREMENTS. The form of certification, and the type
of information which the CONTRACTOR may request from CUSTOMER may
include the form of certification or the type of information which CUSTOMER must
�-, maintain under 40 C.F.R. § 503.17. CONTRACTOR shall have the undisputed right
to rely upon any information or certification provided by CUSTOMER, and shall not
have any independent duty to investigate or inquire regarding the subject matter of the
n CUSTOMER'S certification or of the information which CUSTOMER provides to
CONTRACTOR.
3.4. Not provide to CONTRACTOR any BIOSOLIDS which contain HAZARDOUS
MATERIAL or are hazardous in accordance with 40 C.F.R. Part 261, other federal
law, state law, or which contains a concentration of polychlorinated biphenyls equal to
�-► or greater than 50 milligrams per kilogram of total solids (on a dry weight basis).
3.5. Provide CONTRACTOR with at least four (4) weeks advance notice of when
SM CUSTOMER desires for CONTRACTOR to remove BIOSOLIDS from the PLANT.
3.6. Indemnify, defend, and protect CONTRACTOR from and against all claims, damages,
r—n losses, costs, suits, settlements, causes of action, liabilities (INCLUDING
WITHOUT LIMITATION STRICT LIABILITIES) fines, penalties, costs, and
expenses (including but not limited to, investigation and legal expenses, and costs and
Mn expenses associated with Remedial Work) (collectively, CLAIMS) arising out of or in
connection with any acts or omissions of CUSTOMER, or its employees, officers,
directors, representatives, contractors, subcontractors, agents, or affiliates, or any
Fm licensee or invitee of the PLANT (other than CONTRACTOR), or CUSTOMER'S
breach of any of its obligations under this AGREEMENT, or any violation of any
applicable LEGAL REQUIREMENT by CUSTOMER or any of its employees,
officers, directors, representatives, agents, contractors, subcontractors, or affiliates, or
its licensees or invitees (other than CONTRACTOR) or any discrepancy in the
character or composition of the BIOSOLIDS from the PLANT compared to analytical
results, certifications or other information provided by CUSTOMER to
CONTRACTOR.
M;� Town of Fairmont, NC — Agreement — 06 15 07
-3-
MR
OR

r=1
am
3.7. From time to time, as requested by CONTRACTOR, review a list of proposed land
application sites at which BIOSOLIDS from the PLANT may be applied, and select
min from such sites those sites to which CUSTOMER desires for its BIOSOLIDS to be
applied, and such sites to which it does not desire its BIOSOLIDS to be applied. In
the absence of specific designations by CUSTOMER, CUSTOMER agrees that it shall
am have been deemed to select any and/or all of such application as satisfactory locations
for its BIOSOLIDS.
_+ 3.8. Notify the CONTRACTOR of operating changes or any other conditions that would
reasonably be expected to affect the BIOSOLIDS handled by CONTRACTOR under
this AGREEMENT.
4. INSURANCE
r, The CONTRACTOR shall maintain and provide the CUSTOMER evidence of insurance as
follows:
4.1. Worker's Compensation meeting at least the minimum requirements of the laws of the
State of North Carolina, and Employer's Liability with a minimum single limit of
$1,000,000.
ran
4.2. Commercial General Liability and Automobile Liability Insurance to include premises
operations and subcontractors. Completed Operations and Contractual Liability are to
be included under the Commercial General Liability coverage. The insurance policies
will have limits of no less than $1,000,000.00 per occurrence and $ 2,000,000.00
aggregate. CUSTOMER shall be named as an additional insured.
n
5. PAYMENT
Sm The CONTRACTOR shall provide the CUSTOMER with an accounting of the gallons of
BIOSOLIDS removed from the CUSTOMER'S PLANT. CONTRACTOR will utilize a
measurement method based on the number of tanker loads of BIOSOLIDS removed from the
Mn CUSTOMERS'S PLANT and the capacity, in gallons, of the tankers. The CUSTOMER will
be provided with truck logs for all loads removed by the CONTRACTOR.
P&+ 5.1. The CONTRACTOR shall submit invoices once each month for SERVICES provided
by CONTRACTOR, using the rates and the amounts agreed in Section 10 of this
AGREEMENT. The CUSTOMER shall pay all invoices within 30 days after receipt
of the invoice.
5.2. It is agreed that in the event of any dispute concerning invoice amount, CUSTOMER
r-31 will pay undisputed invoice amounts within 30 days after receipt of the invoice.
rzq Town of Fairmont, NC — Agreement — 06 15 07
-4-
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6. RECORD KEEPING
VW1 The CONTRACTOR shall maintain records and submit summary reports to the
CUSTOMER after each hauling event (as requested by CUSTOMER) and on an annual,
cumulative basis. Reports shall include information regarding, but not be limited to:
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6.1. Number of loads transported and applied with identification of utilization site(s).
6.2. Such other information as will reasonably allow CUSTOMER to fulfill its
recordkeeping and reporting requiements under applicable LEGAL
REQUIREMENTS.
7. NOTICES
�+ Except as otherwise provided herein, any notice, demand or other communication shall be in
writing and shall be personally served, sent by 'commercial courier service or prepaid
registered or certified mail, or sent by telephonic facsimile delivery with confirmation
thereof. Any such notice shall be deemed communicated upon receipt.
7.1. The following address is hereby designated as the legal address of the
'_+ CONTRACTOR. Such address may be changed at any time by notice in writing
delivered to CUSTOMER.
Synagro Central, LLC
7014 E. Baltimore Street
Baltimore, MD 21224
[phone]
Fax: [phone]
Attn: Stephen R. Toft
With a coRy to:
Alvin L. Thomas II, General Counsel
Synagro Technologies, Inc.
1800 Bering Drive, Suite 1000
Houston, Texas 77057
r, [phone]
Fax: [phone]
7.2. The following address is hereby designated as the legal address of the CUSTOMER.
Such address may be changed at any time by notice in writing delivered to
CONTRACTOR.
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Name: Town of Fairmont
Street Address: P. O. Box 248
Town of Fairmont, NC — Agreement — 06 15 07
-5-
OR

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Mailing Address:
Phone Number:
'n Contact Person:
Fax:
� 8. FORCE MAJEURE
Farimont, NC 28340
[phone]
Blake Proctor, Town Manager
[phone]
Wherever the word "Force Majeure" is used, it should be understood to mean:
8.1. acts of God, landslides, lightning, earthquakes, hurricanes, tornadoes, blizzards and
other adverse and inclement weather, fires, explosions, floods, acts of a public enemy,
n wars, blockades, insurrections, riots or civil disturbances;
8.2. labor disputes, strikes, Work slowdowns, or Work stoppages;
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8.3. orders or judgements of any Federal, State or local court, administrative agency or
governmental body, if not the result of willful or negligent action of the party relying
=+ thereon;
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8.4. power failure and outages affecting the Premises; and
8.5. any other similar cause or event, including a change in law, regulation, ordinance or
permit, provided that the foregoing is beyond the reasonable control of the party
claiming Force Majeure.
If, because of Force Majeure any party's cost is increased by more than 15% or any party
hereto is rendered unable, wholly or in part, to carry out its obligations under this Contract,
then such party shall give to the other party prompt written notice of the Force Majeure with
reasonable full details concerning it; thereupon the obligation of the party giving the notice, so
far as they are affected by the Force Majeure, shall be suspended during, but no longer than,
the continuance of the Force Majeure. The affected party shall use all possible diligence to
remove the Force majeure as quickly as possible, but his obligation shall not be deemed to
require the settlement of any strike, lockout, or other labor difficulty contrary to the wishes of
the party involved. If, because of Force Majeure Synagro's cost is increased then
CUSTOMER agrees to increase the price paid to Synagro to -cover those increased costs for
the duration of the Force Majeure. However, if because of Force Majeure Synagro's cost is
increased by more than 15% then CUSTOMER may suspend performance for the duration of
the Force Majeure.
Town of Fairmont, NC — Agreement — 06 15 07
-6-

M1
9. TERM
9.1. This AGREEMENT shall be effective from the EFFECTIVE DATE until the 101 day
of June, 2012 (the INITIAL TERM). At the end of this term, this AGREEMENT
may be extended on a yearly basis as mutually agreed in writing by both parties.
Either party may terminate this AGREEMENT and shall have no further obligations to
other under this AGREEMENT if (i) the other party fails to observe or perform any
material covenant or agreement contained in this agreement for ten (10) business days
after written notice thereof has been given to such other party or (ii) at any time upon
the insolvency of the other party, or the institution by or against the other party of any
proceeding in bankruptcy or insolvency or for the appointment of a receiver or trustee
or for an assignment for the benefit of creditors.
9.2. CONTRACTOR may terminate this AGREEMENT at any time upon written notice to
'm CUSTOMER and have no further obligation to CUSTOMER if:
9.2.1. The CONTRACTOR is unable to utilize the BIOSOLIDS due to a change in
r' any LEGAL REQUIREMENTS that renders the SERVICES illegal, or place
such restrictions or requirements thereon so as to make the provision of the
SERVICES cost prohibitive or to otherwise frustrate the, commercial intent of
this AGREEMENT.
9.2.2. The BIOSOLIDS become unsuitable for land application by the
CONTRACTOR by reason of (i) the act or omission of any third party or
CUSTOMER, and through no fault of CONTRACTOR, or (ii) the condition
of the BIOSOLIDS is materially inconsistent with the description and
analysis, certifications or other information the CUSTOMER has provided to
the CONTRACTOR regarding the BIOSOLIDS, including analytical results
attached in Exhibit A, or (iii) CUSTOMER breaches its obligations
hereunder regarding the quality of the BIOSOLIDS.
9.3. In the event of any change in federal, state or local law or regulation, or any change in
any one of CONTRACTOR'S permits, which is implemented during the Term of this
AGREEMENT and which results in a significant increase or decrease in the cost of
performing the SERVICES, the CUSTOMER and CONTRACTOR agree to
'i' negotiate a mutually agreeable adjustment to that payment terms specified in this
AGREEMENT. Should agreement not be reached, either party may terminate this
AGREEMENT as specified in Article 9.
",
Sin Town of Fairmont, NC — Agreement — 06 15 07
-7-
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10. PRICE
'am 10.1. Except as otherwise provided in this AGREEMENT, CUSTOMER will pay the
following fixed prices for CONTRACTOR'S SERVICES hereunder for the duration
of the INITIAL TERM of this Agreement
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Provide ORC and Backup ORC for land application - $1,200.00 per year
Mobilization/Demobilization - $1,500.00 per event
Lime Stabilization — cost plus 15%
Compliance Sampling — cost plus 15%
Al -lime (if needed) — cost plus 15%
Land permitting (if needed) - $25.00 per acre
Permit Renewal - $750.00 lump sum
Liquid land application
Miles one way Rate per gallon
0 —10 $0.0395
11 —15 $0.0425
16 — 20 $0.0455
21— 25 $0.0485
10.2. Upon increases in CONTRACTOR'S costs due to changes in LEGAL
REQUIREMENTS, CONTRACTOR may no more than once each anniversary year,
F'Jq request an increase in the fixed prices set forth hereunder, which shall be negotiated
by the parties in good faith and be effective at the beginning of the next anniversary
of the EFFECTIVE DATE. In addition, the CONTRACTOR'S stated prices shall be
r=1 increased annually consistent with the Consumer Price Index (CPI) for the closest
metropolitan area to the PLANT. CPI adjustments shall automatically become
effective the anniversary date of the EFFECTIVE DATE.
r,
11. MISCELLANEOUS PROVISIONS.
^ 11.1. Assignment. The CUSTOMER and/or CONTRACTOR shall have the right to assign
this AGREEMENT in writing to any successor in interest, subject to the written
approval of the other party, which approval shall not be unreasonably withheld.
r' However, CONTRACTOR may assign its rights and duties to an affiliate or related
party of CONTRACTOR.
11.2. Governing Law. THIS AGREEMENT AND ALL THE RIGHTS AND DUTIES
OF THE PARTIES ARISING FROM OR RELATING IN ANY WAY TO THE
SUBJECT MATTER OF THIS AGREEMENT OR THE TRANSACTIONS
CONTEMPLATED BY IT, SHALL BE GOVERNED BY, CONSTRUED, AND
ENFORCED IN ACCORDANCE WITH THE LAWS OF THE STATE OF
NORTH CAROLINA.
Town of Fairmont, NC - Agreement - 06 15 07
-8-
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11.3. Costs and Fees. The prevailing party in any legal proceeding brought by or against
F&I the other party to enforce any provision or term of this AGREEMENT shall be entitled
to recover against the non -prevailing party the reasonable attorneys' fees, court costs
and other expenses incurred by the prevailing party.
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11.4. Consent to Breach Not Waiver. No term or provision hereof shall be deemed
waived and no breach excused, unless such waiver or consent be in writing and signed
by the party claimed to have waived or consented. No consent by any party to, or
waiver of, a breach by the other party shall constitute a consent to, waiver of, or
excuse of any other different or subsequent breach.
11.5. Severability. If any term or provision of this AGREEMENT should be declared
invalid by a court of competent jurisdiction, (i) the remaining terms and provisions of
this AGREEMENT shall be unimpaired, and (ii) the invalid term or provision shall be
replaced by such valid term or provision as comes closest to the intention underlying
the invalid term or provision.
11.6. ENTIRE AGREEMENT. THIS AGREEMENT HERETO CONSTITUTE THE
COMPLETE AND EXCLUSIVE STATEMENT OF THE AGREEMENT
BETWEEN THE PARTIES WITH REGARD TO THE MATTERS SET
FORTH HEREIN, AND IT SUPERSEDES ALL OTHER AGREEMENTS,
PROPOSALS, AND REPRESENTATIONS, ORAL OR WRITTEN, EXPRESS
OR IMPLIED, WITH REGARD THERETO.
11.7. Amendments. This AGREEMENT may be amended from time to time only by an
F=q instrument in writing signed by the parties to this AGREEMENT.
11.8. Counterparts. This AGREEMENT maybe executed in counterparts, which together
R' shall constitute one and the same contract. The parties may execute more than one
copy of this AGREEMENT, each of which shall constitute an original.
12. DEFRNI TIONS
12.1. "AUTHORIZATIONS" means all authorizations, permits, applications, notices of
intent, registrations, variances, and exemptions, required for the removal,
transportation and land application of BIOSOLIDS in compliance with all applicable
LEGAL REQUIREMENTS.
12.2. "BIOSOLIDS" means sewage sludge meeting Class B pathogen requirements, vector
attraction reduction requirements and pollutant concentrations (as defined by 40 CFR
'�` Part 503 and State of North Carolina requirements for land application) that has
been dewatered at CUSTOMER'S expense to a minimum of 20% solids
r-n Town of Fairmont, NC — Agreement — 06 15 07
-9-
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concentration. Biosolids do not include any hazardous materials or substance and
must be suitable for land application under the applicable law.
12.3. "ENVIRONMENTAL LAWS" means any AUTHORIZATION and any applicable
federal, state, or local law, rule, regulation, ordinance, order, decision, principle of
W, common law, consent decree or order, of any GOVERNMENTAL AUTHORITY,
now or hereafter in effect relating to HAZARDOUS MATERIALS, BIOSOLIDS, or
the protection of the environment, health and safety, or a community's right to know,
Pm including without limitation, the Comprehensive Environmental Response,
Compensation, and Liability Act, the Resource Conservation and Recovery Act, the
Safe Drinking Water Act, the Clean Water Act, the Clean Air Act, the Emergency
,&, Planning and Community Right to Know Act, the Hazardous Materials Transportation
Act, the Occupational Safety and Health Act, and any analogous state or local law.
rmn 12.4. "GOVERNMENTAL AUTHORITY" means any foreign governmental authority, the
United States of America, any State of the United States of America, any local
authority, and any political subdivision of any of the foregoing, and any agency,
FEn department, commission, board, bureau, court, tribunal or any other governmental
authority having jurisdiction over this AGREEMENT, BIOSOLIDS, or COMPANY,
HAULER, or any of their respective assets, properties, sites, facilities or operations.
OR
12.5. "HAZARDOUS MATERIALS" means any "petroleum," "oil," "hazardous waste,"
"hazardous substance," "toxic substance," and "extremely hazardous substance" as
Fm such terms are defined, listed, or regulated under ENVIRONMENTAL LAWS, or as
they become defined, listed, or regulated under ENVIRONMENTAL LAWS.
F, 12.6. "LEGAL REQUIREMENT" means any AUTHORIZATION and any applicable
federal, state, or local law, rule, regulation, ordinance, order, decision, principle of
common law, consent decree or order, of any GOVERNMENTAL AUTHORITY,
rAq now or hereafter in effect, including without limitation, ENVIRONMENTAL LAWS.
12.7. "REMEDIAL WORK" means investigation, monitoring, clean-up, containment,
�+ removal, storage, remedial or restoration work associated with HAZARDOUS
MATERIALS or BIOSOLIDS.
644
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^'q Town of Fairmont, NC — Agreement — 06 15 07
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IN WITNESS WHEREOF, the parties of this AGREEMENT have hereunto set their hands and seals,
dated as of the day and year first herein written.
Town of Fairmont, North Carolina ("CUSTOMER")
By: - ATTEST-
Name & Title:4 . %1Lto,
, Ketcaft-Vame
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Synagro
LLC ("CONTRACTOR")
By: VATTEST:,-5 -r,(
Name & Title: Robert C. Boucher, President Name & Title: Sue A. Gregory, Legal Manager
rm Town of Fairmont, NC — Agreement — 06 15 07
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CERTIFICATE OF INSURANCE
Date: NY)
7/12/2002/2007
PRODUCER
5847Lockn Companies, LLC
Houston, Texas 77057 San Felipe, 320
Hou057
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED:
Synagro Central, LLC
7014 East Baltimore Street
Baltimore, MD 21224
Insurer A:
American International Specialty Lines Ins. Co.
Insurer B:
Liberty Mutual Fire Insurance Co.
Insurer C:
Liberty Insurance Corporation
Insurer D:
Insurer E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS
SHOWN MAY BE EXHAUSTED BY PAID CLAIMS.
I�YR
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION
DATE
LIMITS
A
GENERAL LIABILITY
EG 7171054
08/01/2006
11/01/2007
EACH OCCURRENCE
$ 1,000,000
x
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (ANY ONE FIRE)
$ 1,000,000
x
OCCURRENCE
MED EXP (PER PERSON)
$ 10,000
x
XCU NOT EXCLUDED
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
x PROJECT
PRODUCTSICOMP. OP. AGG
$ 2.000,000
B
AUTOMOBILE LIABILITY
AS2-691-437721-017
05/01/2007
05/01/2008
COMBINED SINGLE LIMIT
$ 2,000,000
x
ANY AUTO
(EACH ACCIDENT)
ALL OWNED AUTOS
x
HIRED AUTOS
DEDUCTIBLE: COLLISION&
OTHER THAN COLLISION
$ 1,000
$ 1,000
x
NON -OWNED AUTOS
A
POLLUTION & REMEDIATION
LEGAL
EG 7171054
08/01/2006
11/01/2007
EACH LOSS
$ 1,000,000
TOTAL ALL LOSSES
$ 1,000,000
RETENTION - EACH LOSS
$ 250,000
A
EXCESS LIABILITY/UMBRELLA
BE 974-62-22
08/01/2006
11/01/2007
EACH OCCURRENCE
$ 5,000,000
X
OCCURRENCE
AGGREGATE
$ 5,000,000
CLAIMS MADE
RETENTION
$ 10,000
C
C
WORKERS' COMPENSATION
WA7-69D-437721-027 (AOS)
WC7-691437721-037 (WI & OR)
05/01/2007
05/01/2007
05/01/2008
05/01/2008
WORKERS' COMPENSATION
EL EACH ACCIDENT
STATUTORY
$ 1,000,000
and EMPLOYERS LIABILITY
EL DISEASE -EA EMPLOYEE
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
A
PROFESSIONAL & POLLUTION
LEGAL - GENERAL
CONTRACTOR'S FORM
COPS2334591
05/01/2007
05/01/2009
EACH CLAIM
AGGREGATE
RETENTION
$ 1,000,000
$ 1,000,000
$ 100,000
REMARKS:
DESCRIPTION OF OPERATIONSILOCATiONSNEHICLES/EXCLUSIONS
ADDED BY ENDORSEMENT PROVISIONS:
CHECK BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BYLAW .
BOX
® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL ENSURED (EXCEPT FOR WORKERS' COMPIBL) WHERE REQUIRED BY WRITTEN CONTRACT.
Re: Project Description: Liquid land application of approx 1 MGY. Project Location: Falnnonk NC
CERTIFICATE HOLDER:
CANCELLATION:
Fairmont, NC
P.O. Box 248
Fairmont, NC 28340
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS
OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT.
AUTHOR17ED REPRESENTATIVE:
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[E.71
I =
Wing Request for Taxpayer
Give form to the
RM (Rev. January 2005) Identification Number and Certification
requester. Do not
Depar nxM of tho Treasury
send to the IRS.
Internal Ravcnua sarvice
N
Name (as shown on your income tax return)
0,
S na ro Central, LLC
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Business name, if different from above
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tndividuaU
Check approprlate box: ❑ So1e proprietor Q Corporation El Partnership ❑ other ► ...........
Exemptfrom backer P
❑ withholdir:g
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Address (number, street, and apt. or suRe no.) Requester's name and address (optionao
a.7014
East Baltimore Street
9
City, state. and ZIP code
a
Baltimore, MD 21224
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a)
I Kist account number(s) here (optional)
CO
LEM—Taxpayer Identification Number (TIN)
Mn Enter your TIN in the appropriate box. The TiN provided must match the name given on line 1 to avoid Social security number
backup withholding. For Individuals, this Is your social security number (SSN). However. for a resident
alien, sole proprietor. or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (ElN). If you do not have a number, see How to get a 77N on page 3. or
Note. if the account Is in more than one name, see the chart on page 4 for guidernes on whose number Employer identification number
IT-I1 to enter. 7 112151618
FOM Certification
Under penalties of perjury. I certify that:
1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be Issued to me), and
F-M 2. 1 am not subject to backup withholding because: (a) 1 am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service )IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. 1 am a U.S. person (including a U.S. resident alien).
FVI Certification instructions. You must cross out item 2 above If you have been notified by the iRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions. Item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement
arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the Instructions on page 4.)
ran Sign sionatwo of
Here I U.S. person ► pate ► January 4, 2007
Purpose of Form
A person who is required to file an information return with the
IRS, must obtain your correct taxpayer identification number
(TIN) to report, for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
0-1 contributions you made to an IRA.
U.S. person. Use Form W-9 only if you are a U.S. person
(including a resident alien), to provide your correct TIN to the
person requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are
Ff waiting for a number to be issued),
2. Certify that you are not subject to backup withholding,
or
3. Claim exemption from backup withholding if you are a
U.S. exempt payee.
f'M Note. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form H it is
substantially similar to this Form W-9.
For federal tax purposes you are considered a person if you
r-MI are:
• An individual who is a citizen or resident of the United
States,
• A partnership, corporation, company, or association
ran created or organized in the United States or under the laws
of the United States, or
Cat. No. 10
0 Any estate (other than a foreign estate) or trust. See
Regulations sections 301.7701-6(a) and 7(a) for additional
information.
Foreign person. If you are a foreign person, do not use
Form W-9. Instead, use the appropriate Form W-8 (see
Publication 515, Withholding of Tax on Nonresident Aliens
and Foreign Entities).
Nonresident alien who becomes a resident alien.
Generally, only a nonresident alien individual may use the
terms of a tax treaty to reduce or eliminate U.S. tax on
certain types of income. However, most tax treaties contain a
provision known as a "saving clause." Exceptions specified
in the saving clause may permit an exemption from tax to
continue for certain types of income even after the recipient
has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an
exception contained in the saving clause of a tax treaty to
claim an exemption from U.S. tax on certain types of Income,
you must attach a statement to Form W-9 that species the
following five items:
1. The treaty country. Generally, this must be the same
treaty under which you claimed exemption from tax as a
nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that
contains the saving clause and its exceptions.
231X Form W-9 (Rev. 1-2005)

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Date: (MWDDN
e/12/2007 Y)
PRODUCER
Lockton Companies, LLC
5847 San Felipe, Suite 320
Houston, Texas 77057
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT
AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED:
Synagro Central, LLC
7014 East Baltimore Street
Baltimore, MD 21224
Insurer A:
JAmerican International Specialty Lines Ins. Co.
Insurer B:
Liberty Mutual Fire Insurance Co.
insurer C:
Liberty Insurance Corporation
Insurer D:
Insurer E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS
SHOWN MAY BE EXHAUSTED BY PAID CLAIMS.
INSR
LiR
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION
DATE
LIMITS
A
GENERAL LIABILITY
EG 7171054
08/01/2006
11/01/2007
EACH OCCURRENCE
$ 1,000.000
X
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (ANY ONE FIRE)
$ 1,000,000
X
OCCURRENCE
MED EXP (PER PERSON)
$ 10,000
X
XCU NOT EXCLUDED
PERSONAL & ADV INJURY
$ 1,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,060,000
X
PROJECT
PRODUCTS/COMP. OP. AGG
$ 2,000,000
B
AUTOMOBILE LIABILITY
AS2-691437721-017
05/01/2007
05/01/2008
COMBINED SINGLE LIMIT
$ 2,000,000
X
ANY AUTO
(EACH ACCIDENT)
ALL OWNED AUTOS
X
HIRED AUTOS
DEDUCTIBLE: COLLISION &
OTHER THAN COLLISION
$ 1,000
$ 1,000
X
NON -OWNED AUTOS
A
POLLUTION & REMEDIATION
LEGAL
EG 7171054
08/01/2006
11/01/2007
EACH LOSS
$ 1,000,000
TOTAL ALL LOSSES
$ 1,000,000
RETENTION - EACH LOSS
$ 250.000
A
EXCESS LIABILITY/UMBRELLA
BE 974-62-22
08/01/2006
11/01/2007
EACH OCCURRENCE
$ 5.000,000
X
OCCURRENCE
AGGREGATE
$ 5,000,000
CLAIMS MADE
RETENTION
$ 10,000
C
C
WORKERS' COMPENSATION
WA7-69D-437721-d27 (AOS)
WC7-691437721-037 (WI & OR)
05/01/2007
05/01/2007
05/01/2008
05/01/2008
WORKERS' COMPENSATION
STATUTORY
and EMPLOYERS LIABILITY
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE -EA EMPLOYEE
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
A
PROFESSIONAL & POLLUTION
LEGAL - GENERAL
CONTRACTOR'S FORM
COPS2334591
05I01/2007
05/01/2009
EACH CLAIM
AGGREGATE
RETENTION
$ 1,000,000
$ 1,000,000
$ 100,000
REMARKS:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS
ADDED BY ENDORSEMENT
PROVISIONS:
CHECK BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW .
BOX
® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPIEL) WHERE REQUIRED BY WRITTEN CONTRACT.
Re: Project Description: Liquid land application of approx 1 MGY. Project Location: Fairmont, NC
CERTIFICATE HOLDER:
CANCELLATION:
Fairmont, NC
P.O. Box 248Fairmont, NC 28340
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30• DAYS WRITTEN NOTICE
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS
OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT.
AUTHORIZED REPRESENTATIVE: