NC0037834_Draft Permit_20240118

DocuSign Envelope ID: FB9D7lD6-625A-45D5-B5F6-78178EO3DDOC
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Ms. Courtney Driver, P.E.
Director of Utilities
City of Winston-Salem
PO Box 2511
Winston-Salem, North Carolina 27102
Dear Ms. Driver:
NORTH CAROLINA
Environmental Quality
January 18, 2024
Subject: Draft NPDES Permit Renewal
Permit NCO037834
Archie Elledge WWTP
Forsyth County
Grade IV Biological WPCS
SIC Code 4952
Enclosed with this letter is a copy of the Draft NPDES permit renewal for your facility. Please review this
draft carefully to ensure thorough understanding of the requirements and conditions it contains. There are
several changes from the existing permit, including the following:
• Based on the final winter ammonia limits becoming effective on June 1, 2018, the interim winter
ammonia limits and the compliance schedule for winter ammonia limits have been removed from the
permit [See A. (1.)].
• Based on discussion with Division's Laboratory Certification Branch, The PQL for Total Cyanide was
lowered to 10 µg/L (See A. (L), Footnote 6].
• To better understand nitrogen pollution characteristics, Total Kjeldahl Nitrogen (TKN) and Nitrate -
Nitrite (NO3+NO2) monthly monitoring have been added to the permit [See A. (1.)].
• Based on the receiving stream's impairment for copper, quarterly monitoring for Total Copper has been
added to the permit.
• Based on the reasonable potential analysis (RPA) showing no reasonable potential to violate state water
quality standards, the monitoring requirement for Dichlorobromomethane and Chlorodibromomethane
have been removed from the permit [See A. (1)].
• Based on NPDES guidance regarding the reduction of monitoring frequencies in NPDES permits for
exceptionally performing facilities, an evaluation of effluent BOD5, N113-N, Total Suspended Solids
(TSS) and Fecal Coliform has resulted in meeting numeric criteria. Monitoring frequencies for all the
above parameters are maintained at 2/week [See A. (1.)].
• Instream monitoring requirements have been moved to a separate condition [See A. (2)].
• Some of the wording has changed in Special Condition A. (3.), Chronic Toxicity Permit Limit, please
review each paragraph carefully.
• Some of the wording has changed in Special Condition A. (4.), including the specific three years in
which the Effluent Pollutant Scan shall be performed (2025, 2026, and 2027), please review each
paragraph carefully.
North Carolina Department of Environmental Quality I Division of Water Resources
D E Q 512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
919.707.9000

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178E03DDOC
• Based on Mercury TMDL evaluation showing mercury values reported at levels > 1 ng/L and since the
permitted flow is greater than 2 MGD, the language in the Mercury Minimization Plan has been revised
toward its maintenance [See A. (6)].
• Based on the potential of 1,4-Dioxane passing through the WWTP system from certain industrial user
types including metal finishers, monthly effluent monitoring for 1,4-Dioxane with the option to request
reduction to quarterly after 24 months based on data review [See A. (L)]. In addition, a 1,4-Dioxane
reopener condition has been added to the permit and [See A. (8.)].
• To assess the industrial contribution of PFAS to the Pilot Creek WWTP and assess levels of PFAS
compounds in the facility effluent, Special Condition A. (9.) has been added to the permit. Please review
each paragraph carefully.
• The map was revised and expanded to show instream monitoring locations.
The NPDES standard conditions (Parts II, III, and IV) that are a part of the permit are not included in this
draft document (cover, map, and Part I). The conditions are the same as in your current permit except that
agency and division names have been updated. The latest version is available at https://bit.ly/3k5NFaL and
can be viewed online or downloaded as a PDF file.
Concurrent with this notification the Division is publishing a notice in a newspaper having circulation in
the general Forsyth County area, soliciting public comments on this draft permit. Please provide any written
comments you may have to the following: NCDEQ/DWR, NPDES Permitting Branch, 1617 Mail Service
Center, Raleigh, NC 27699-1617 no later than 30 days after receipt of this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning this draft permit, please
call me at [phone] or by email at [e-mail].
Sincerely,
EDowftned by:
PU4A
9FB8 C952DFM55...
Gary Perlmutter, Environmental Specialist II
NPDES Municipal Permitting Unit
Hardcopy: NPDES Files
eCopy: US EPA Region 4
DWR/Winston-Salem Regional Office/Water Quality/Lon Snider and Jenny Graznak
DWR/Operator Certification Program/Maureen Kinney
DWR/Ecosystems Branch/Mark Vander Borgh
DWR/Aquatic Toxicology Branch/Cindy Moore and Molly Nicholson
DWR/Municipal Permitting Unit/Keyes McGee
DWR/Public Water Supply/Eric Hudson
City of Winston-Salem / K. Heath Petree (ORC), Bonnie McKee and Ozie Keith Jones
North Carolina Department of Environmental Quality I Division of Water Resources
D E Q�� 512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
M�HNI r N (J���N�
0W-%-„ .FEWF,,,,,row,v\ /`� 919.707.9000

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
INPDESI
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
City of Winston-Salem
is hereby authorized to discharge wastewater from a facility located at the
Archie Elledge Wastewater Treatment Plant
2801 Griffith Road
Southwest of Winston-Salem
Forsyth County
to receiving waters designated as Salem Creek in the Yadkin -Pee Dee River Basin in accordance with the
effluent limitations, monitoring requirements, and other applicable conditions set forth in Parts I, II, III,
and IV hereof.
This permit shall become effective mmm dd, 20yy.
This permit and authorization to discharge shall expire at midnight on June 30, 2028.
Signed this day mmm dd, 20yy.
DRAFT
for Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management
Commission
Page 1 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178E03DDOC
Permit NCO037834
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit 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.
City of Winston-Salem
is hereby authorized to:
1. Continue to operate and maintain the wastewater treatment works identified on the Cover, an existing
30.0 MGD facility consisting of the following components:
• Mechanical screening and grit removal
• Primary clarification
• Aeration basins
• Final clarification
• Sodium hypochlorite and bisulfite feed for disinfection and dechlorinatio
• Lime/magnesium hydroxide blend and caustic feed for alkalinity control
• Three (3) centrifuges with screw conveyors
• Sludge digestion
• Gravity belt thickener facilities
• Flo equalization facilities
• Polymer and iron salt feed tit
ies
• Odor control system
• Sludge drying facility
• Waste sludge lagoons
• Instrumental flow measurement
2. Discharge from said treatment works at the location specified on the attached map via Outfall 001
into the Salem Creek classified C waters in the Yadkin -Pee Dee River Basin and 03040103 HUC.
U
Page 2 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
PART
A.(1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq.; 15A NCAC 02B .0500 et seq.]
Grade IV Biological Water Pollution Control System
[15A NCAC 08G .0302]
(a.) During the period beginning on the effective date of the permit and lasting until permit expiration,
the Permittee is authorized to discharge treated municipal and industrial wastewater from Outfall
001. Such discharges shall be limited and monitored' by the permittee as specified below:
PARAMETER
Parameter Code
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Monthly
Averalle
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow 50050
30.0 MGD
Continuous
RecordingInfluent
or
Effluent
BOD, 5-day, 20°C 2
(Apr 1 - Oct 31) C0310
21.0 mg/L
31.5 mg/L
2/week3
Composite
Influent
and
Effluent
BOD, 5-day, 20°C 2
(Nov 1 - Mar 31) C0310
30.0 mg/L
45.0 mg/L
3
2/week
Composite
Influent
and
Effluent
Total Suspended Solids (TSS) 2 C0530
30.0 mg/L
45.0 mg/L
2/week 3
Composite
Influent
and
Effluent
NH3 as N (Apr 1 - Oct 31 C0610
1.2 mgfL
3.6 m
2/week3
Composite
Effluent
NH3 as N(Nov 1 - Mar 31 C0610
2.4 m
7.2 m
2/week 3
Composite
Effluent
Fecal Coliform 31616
(geometric mean
200/100 mL
400/100 mL
2/week3
Grab
Effluent
Total Residual Chlorine (TRC) 4 50060
22.5
Daily
Grab
Effluent
Dissolved Oxygen 00300
Daily Average > 6.5 mg/L
Daily
Grab
Effluent
H 00400
Between 6.0 and 9.0 Standard Units
Daily
Grab
Effluent
Temperature OC 00010
Monitor and Report
Daily
Grab
Effluent
Conductivity mhos/cm 00094
Monitor and Report
Monthly
Grab
Effluent
TKN m 00625
Monitor and Report
Monthly
Composite
Effluent
NO3-N + NO2-N m 00630
Monitor and Report
Monthly
Composite
Effluent
Total Nitrogen, m C0600
Monitor and Report
Monthly
Calculated
Effluent
Total Phosphorus m C0665
Monitor and Report
Monthly
Composite
Effluent
Total Cyanide a(gg/L)00720
Monitor and Report
Quarterly
Composite
Effluent
Total Copper 01042
Monitor and Report
Quarterly
Composite
Effluent
Total Zinc 01092
Monitor and Report
Quarterly
Composite
Effluent
1 4-Dioxane 82388
Monitor and Report
Monthly
Grab
Effluent
PFAS n various
Footnote 8
Q rly
Grab
Effluent
Chronic Toxicity s TGP3B
Monitor and Report
Quarterly
Composite
Effluent
Effluent Pollutant Scan 10 NCO]
Monitor and Report
Footnote 11
Footnote 11
Effluent
Total Hardness (as CaCO3) 11 00900
m
Monitor and Report
Quarterly
Composite
Effluent
Footnotes:
1. The Permittee shall submit Discharge Monitoring Reports electronically using NC DWR's eDMR application
system. See Special Condition A.(10.).
2. The monthly average effluent BOD5 and TSS concentrations shall not exceed 15% of the respective influent value
(85% removal).
3. Twice per week sampling must occur on any two non-consecutive days during the calendar week.
4. The facility shall monitor TRC when using chlorination for disinfection. The Division shall consider all effluent
total residual chlorine values reported below 50 µg/L to be in compliance with the permit. However, the permittee
shall continue to record and submit all values reported by a North Carolina certified laboratory (including field
certified), even if these values fall below 50 µg/L.
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DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
Footnotes (continued):
5. For a given wastewater sample, TN = TKN + NO3-N + NO2-N, where TN is Total Nitrogen, TKN is Total Kjeldahl
Nitrogen, and NO3-N and NO2-N are Nitrate and Nitrite Nitrogen, respectively.
6. The Division shall consider all values reported below 10 µg/L to be "compliant" with this permit. However, the
Permittee shall submit to DWR all values reported by a North Carolina -certified test method (even if values fall
below 10 µg/L), and the Permittee shall consider all reported values when calculating averages, if any, as required
under this permit.
7. Samples shall be analyzed and reported using sufficiently sensitive test procedures (i.e., methods) approved under
40 CFR Part 136 for the analysis of pollutants or pollutant parameters. After a 24-month sampling period, the
Permittee may request the Division conduct a review of submitted data for assessment and approval of a 1,4-
dioxane monitoring frequency reduction from monthly to quarterly.
8. Follow Special Condition A.(9.).
9. Chronic Toxicity (Ceriodaphnia dubia) P/F at 76% with testing in January, April, July, and October. See Special
Condition A.(3.).
10. The Permittee shall perform three effluent pollution scans during the term of this permit. See Special Condition
A.(4.).
11. Effluent hardness samples shall coincide with sampling for metals at least quarterly.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 4 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
A.(2.) INSTREAM MONITORING REQUIREMENTS
[15A NCAC 02B .0200 et seq.]
Beginning on the effective date of this permit and lasting until the expiration date, the Permittee shall
perform instream sampling upstream and downstream of Outfall 001 as specified below:
PARAMETER
SAMPLE
MONITORING FREQUENCY
SAMPLE
Parameter Code
TYPE
Jun i — Se
30 I Oct 1— Ma 31
LOCATION
Total Hardness (as CaCO3),
00900
Surface
Quarterly
Upstream
m
BOD, 5-day, 20°C (mg/L)
C0310
Surface
Weekly
Upstream,
Downstream
NH3 as N (mg/L)
C0610
Surface
Weekly
Upstream,
Downstream
Temperature (°C)
00010
Surface
3/week
Weekly
Upstream,
Downstream
Dissolved Oxygen (DO) (mg/L)
00300
Surface
3/week
Weeklv
Upstream,
Downstream
Fecal Coliform (cfu/100 mL)
31616
Surface
3/week
Weekly
Upstream,
Downstream
Conductivity (µmhos/cm)
00094
Surface
Monthly
Upstream,
Downstream
TKN (mg/L)
00625
Surface
Monthly
Upstream,
Downstream
NO3-N + NO2-N (mg/L)
00630
Surface
Monthly
Upstream,
Downstream
Total Nitrogen 3 (mg/L)
C0600
Surface
Monthly
Upstream,
Downstream
Total Phosphorus (mg/L)
C0665
Surface
Monthly
Upstream,
Downstream
Footnotes:
1. Upstream is located in Salem Creek —1300 ft above NCSR 1120 (Clemmonsville Rd); downstream is located at
(1): Salem Creek at NCSR 2991 (Fraternity Church Rd), and (2): Muddy Creek at NCSR 1493 (Frye Bridge Rd).
Instream monitoring for all above parameters except Hardness is provisionally waived considering the Permittee's
participation in the Yadkin -Pee Dee River Basin Association. Instream monitoring shall be immediately
reinstated, and the Division shall be notified immediately should the Permittee end its participation in the
Association.
2. The Permittee shall sample instream Total Hardness, upstream of the facility's discharge. The sample shall be
representative of the hardness in the receiving stream.
3. For a given streamwater sample, TN = TKN + NO3-N + NO2-N, where TN is Total Nitrogen, TKN is Total
Kjeldahl Nitrogen, and NO3-N and NO2-N are Nitrate and Nitrite Nitrogen, respectively.
A.(3.) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY)
[15A NCAC 02B .0200; 15A NCAC 02B .0500 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 76%.
The permit holder shall perform at a minimum, quarterly 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
Page 5 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
January, April, July, and October. 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 electronically using the
Division's eDMR system for the months in which tests were performed, using the parameter code TGP3B
for the pass/fail results and THP311 for the Chronic Value. Additionally, DWR Form AT-3 (original) is to
be sent to the following address:
North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology
1621 Mail Service Center
Raleigh, NC 27699-1621
Or, results can be sent to the email, [e-mail].
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 Flow" 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 minimum 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 6 of 17

DocuSign Envelope ID: FB9D7lD6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
A.(4.) ADDITIONAL MONITORING REQUIREMENTS FOR PERMIT RENEWAL
[NCGS 143-215.1(b)]
(a.) Effluent Pollutant Scans. 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: 2025,
2026, and 2027. 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. Each annual sample shall coincide with one quarterly toxicity test
each year [see Condition A.(3.) CHRONIC TOXICITY PERMIT LIMIT] and each must be collected
in a different calendar quarter to 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)
C0610
Trans-1,2-dichloroethylene ; `` 34546
Bis (2-chloroethyl) ether
34273
Chlorine (total residual, TRC)
50060
1, 1 -dichloroethylene
34501
Bis (2-chloroisopropyl) ether
34283
Dissolved oxygen
00300
1,2-dichloropropane
C0541
Bis (2-ethylhexyl) phthalate
CO100
Nitrate / Nitrite
00630
1,3-dichloropropylene
77163
4-bromophenyl phenyl ether
34636
Kjeldahl nitrogen
00625
Ethylbenzene
- 4371
Butyl benzyl phthalate
34292
Oil and grease
00556
Methyl bromide
34413
2-chloronaphthalene
34581
Phosphorus
C0665
Methyl chloride
34418
4-chlorophenyl phenyl ether
34641
Total dissolved solids
70295
Methylene chloride
34423
Chrysene
34320
Hardness
00900
1,1,2,2-tetrachloroethane
81549
Di-n-butyl phthalate
39110
Antimony
01097
Tetrachloroethylene
34475
Di-n-octyl phthalate
34596
Arsenic
0100 :,
Toluene
34010
Dibenzo(a h)anthracene
34556
Beryllium
01012 `'
1,1,1-trichloroethane
34506
1,2-dichlorobenzene
34536
Cadmium
01027
1,1,2-trichloroethane
34511
1,3-dichlorobenzene
34566
Chromium
C0034
Trichloroethylene
39180
1,4-dichlorobenzene
34571
Copper :F
01042
Vinyl chloride
39175
3,3-dichlorobenzidine
34631
Lead
01051
Acid -extractable compounds:
Diethyl phthalate
34336
Mercury (Method 163 1E
COMER
P-chloro-m-cresol
34452
Dimethyl phthalate
34341
Nickel q
01067
2-chlorophenol
34586
2,4-dinitrotoluene
34611
Selenium
01147
2,4-dichlorophenol
34601
2,6-dinitrotoluene
C0626
Silver
01077
2,4-dimethylphenol
34606
1,2-diphenylhydrazine
34346
01059
4,6-dinitro-o-cresol
34657
Fluoranthene
C0376
Zinc
01092
2,4-dinitrophenol
34616
Fluorene
34381
Cyanide (PQL < 10 ug/L)
00720
2-nitrophenol
34591
Hexachlorobenzene
C0700
Total phenolic compounds
32730
4-nitrophenol
34646
Hexachlorobutadiene
C0702
Volatile orranic compounds:
Pentachlorophenol
39032
Hexachlorocyclo-pentadiene
34386
Acrolein
34210
Phenol
34694
Hexachloroethane
34396
Acrylonitrile f
34215
2,4,6-trichlorophenol
34621
Indeno(1,2,3-cd)pyrene
34403
Benzene
34030
Base -neutral compounds:
Isophorone
34408
Bromoform
32104
Acenaphthene
34205
Naphthalene
34696
Carbon tetrachloride
32102
Acenaphthylene
34200
Nitrobenzene
34447
Chlorobenzene
34301
Anthracene
CO220
N-nitrosodi-n-propylamine
34428
Chlorodibromomethane
34306
Benzidine
39120
N-nitrosodimethylamine
34438
Chloroethane
85811
Benzo(a)anthracene
C0526
N-nitrosodiphenylamine
34433
2-chloroethyl vinyl ether
34576
Benzo(a)pyrene
34247
Phenanthrene
34461
Chloroform
32106
3,4 benzofluoranthene
34230
Pyrene
34469
Dichlorobromomethane
32101
Benzo(ghi)perylene
34521
1,2,4-trichlorobenzene
C0551
1,1-dichloroethane
34496
Benzo(k)fluoranthene
34242
1,2-dichloroethane
32103
Bis (2-chloroethoxy) methane
34278
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DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
(b.) Effluent Scan Reporting. Test results shall be reported electronically via eDMR by December 31 st
of each designated sampling year, except that, subject to prior written approval by the Director, results
can be reported on DWR Form DMR-PPA-1 or other form approved by the Director. The permittee
must at least report completion of the test in the eDMR system by entering "1" or "Y" for parameter
code NCO 1 - Annual Pollutant Scan. If written reports are approved, the report shall be submitted to
the following address:
North Carolina Division of Water Resources
Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Or the form may be uploaded at: https://edocs.deq.nc.gov/Forms/NPDES_WW-EDMR-
Supplemental-Form
(c.) 2°d-Species Toxicity Testing and Reporting.
(i.) In addition to the quarterly toxicity tests required in Condition A.(3.) CHRONIC TOXICITY
PERMIT LIMIT, the Permittee shall perform and report the results of four (4) toxicity tests
using the same test methods using a second species of test organism suitable to the quarterly
tests being conducted.
(ii.) The 2°d species toxicity tests shall be conducted either:
(A) Once per quarter in a single 12-month period (four samples); if this option is chosen, the
sample for each 2°d species test shall coincide with the quarterly samples collected for
A.(3.) CHRONIC TOXICITY PERMIT LIMIT; or
(B) Once per 12-month period in the four -and one-half year period prior to the scheduled
application for permit renewal (four samples); if this option is chosen, three of the
samples for the 2nd species test shall coincide with those for the annual effluent scans
and the coincident quarterly toxicity test, and each of the four annual samples shall be
collected in a different calendar quarter in order to represent seasonal variation.
(iii.) The results of the toxicity tests shall be submitted to the following address:
North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Or, results can be sent to the email, [e-mail].
(iv.) Results of the 2°d species tests shall also be summarized in Part E (Toxicity Testing Data) of
EPA Municipal Application Form 2A when submitting the permit renewal application to the
NPDES Wastewater Program.
The Permittee may contact the Division's Aquatic Toxicology Branch at 919-743-8401 for
guidance on conducting the additional toxicity tests and reporting of the results.
Page 8 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
A.(5.) POTENTIAL INSTREAM SAMPLING EXEMPTION
[15A NCAC 02B .0500 et seq.]
Per 15A NCAC 2B .0505(c)(4), stream sampling (as well as influent/effluent sampling) may be
discontinued when flow conditions could result in injury or death of the person(s) collecting the samples.
In such cases, on each day that sampling is discontinued, written justification shall be specified in the
monitoring report for the month in which the event occurred. This provision shall be strictly construed and
may not be utilized to avoid the requirements of this Section when performance of these requirements is
attainable. When there is discontinuance pursuant to this provision, stream (as well as influent/effluent
sampling) shall be resumed at the first opportunity after the risk period has ceased.
A.(6.) MERCURY MINIMIZATION PLAN (MMP)
[NCGS 143-215.1 (b)]
The Permittee shall maintain and continue to implement the Mercury Minimization Plan (MMP) developed
in the previous permit term. The MMP shall continue to be available for inspection on -site. The MMP
should place emphasis on identification of mercury contributors and goals for reduction. Results shall be
summarized and submitted with the next permit renewal. Performance of the MMP will meet the
requirements of the TMDL (Total Maximum Daily Load) for mercury approved by USEPA on October 12,
2012, unless and until a Waste Load Allocation specific to this facility is developed and this NPDES permit
is amended to require further actions to address the Waste Load Allocation.
A.(7.) NUTRIENT REOPENER FOR HIGH ROCK LAKE` . A
[NCGS 143-215.1 (b)]
This permit may be reopened and modified to implement nutrient requirements in accordance with any
future TMDL and/or nutrient management strategy for High Rock Lake.
A. (8.) REOPENER FOR 1,4-DIOXANE
[NCGS 143-215.1 (b)]
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the North
Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II, Sections 13-12
and B-13 of this permit, the Director of DWR may reopen this permit to modify permit requirements to
address 1,4-Dioxane monitoring, treatment and/or compliance.
Page 9 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
A.(9.) PFAS MONITORING REQUIREMENT AND PRETREATMENT
[NCGS 143-215.1(b)]
(a.) In the absence of a final 40 CFR Part 136 method, effluent PFAS monitoring shall be conducted. The
3'd or more recent wastewater draft analytical method 1633 (see 40 CFR 122.21(e)(3)(ii) and 40 CFR
122.44(i)(1)(iv)(B)) shall be used and shall include all target analytes listed under Table 1 of the draft
method until such time as the Permittee uses the Final HAS Method for wastewater. Effective the first
full calendar quarter following six (6) months after EPA publishes a 40 CFR part 136 Final PFAS
Method for wastewater in the Federal Register, effluent PFAS monitoring shall be conducted using the
approved EPA Final PFAS Method 1633.
(b.) Effluent monitoring using the draft analytical method takes effect the first full calendar quarter
following six (6) months after the effective date of the permit (Month xx, 2024) and will be at a
quarterly frequency thereafter.
Appendix A has been added to the permit to identify the current analytes listed under Table 1 of the
4te Draft Method 1633 Analysis of Per- and Polyfluoroalkyl Substances (PFAS) July 2023, in
Aqueous Samples and the appropriate ICIS codes for use when reporting in the electronic Discharge
Monitoring Reports (eDMRs). The method and list of analytes may also be found at:
https://www.epa.gov/system/files/documents/2022-
12/3rd%20Draft%20Method%201633%20December%202022%2012-20-22 508.ndf
HAS Monitoring using the Draft Method 1633 shall be reported quarterly using the Division -
provided submittal form. Once HAS monitoring is conducted using the EPA Final HAS Method
1633, data shall be reported in the monthly eDMRs.
Please note that specific considerations and protocols are required to avoid cross -contamination and
minimize sample bias for PFAS. A current listing of laboratories accredited by the Perry Johnson
Laboratory Accreditation, Inc. (PJLA), ANSI National Accreditation Board (ANAB), or the
American Association for Laboratory Accreditation (A2LA) to perform EPA Draft Method 1633 can
be found by contacting the individual associations. Please note that different labs are accredited for
different matrices.
NOTES - Sampling and Analytical:
• Sampling shall be planned so that required holding times for analytical methods are met.
• Using one of the analytical laboratories included above will allow consistency in analytical
method and in anticipation of a final method.
• "J" flag values shall be reported when the "J" flag value is associated with the method's upper
bound. "J" flag values need not be reported when less than the method's Minimum Reporting Level
(listed in Method 1633).
• Laboratories approved for Aqueous matrix may be utilized. Please note that the lab used does not
have to be in North Carolina.
(c.) Pretreatment program activities:
(i.) PFAS Monitoring Applicability: Industry categories known or suspected to discharge HAS
from the EPA PFAS Strategic Roadmap include: organic chemicals, plastics & synthetic fibers
(OCPSF); metal finishing; electroplating; electric and electronic components; landfills; pulp,
paper & paperboard; leather tanning & finishing; plastics molding & forming; textile mills;
paint formulating, and airports. This is not an exhaustive list and additional industries may also
discharge PFAS. For example, Centralized Waste Treatment (CWT) facilities may receive
Page 10 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
wastes from the aforementioned industries and should be considered for monitoring. There may
also be categories of dischargers that do not meet the applicability criteria of any existing
Effluent Limitation Guidelines (ELG); for instance, remediation sites, chemical manufacturing
not covered by OCPSF, and military bases.'
' ELG categories of airport deicing, landfills, textile mills, and plastics molding and forming do not
have categorical pretreatment standards, and therefore small -volume indirect dischargers in those
categories would not ordinarily be considered Significant Industrial Users (S1Us) and may not be
captured on an existing IU inventory. IUs under the Paint Formulating category are only subject to
Pretreatment Standards for New Sources (PSNS), and existing sources may need to be inventoried.
(ii.) The Permittee shall identify and locate each Significant Industrial User (SIU) in the approved
pretreatment program in industry categories expected or suspected of PFAS discharges to the
Archie Elledge WWTP; and begin sampling of and modify Industrial User Permits (IUPs) for
each SIU identified as suspected of PFAS discharges to the Archie Elledge WWTP to ensure
sampling begins within six months of the permit effective date, by Month xx, 2024.
(iii.) Update Industrial Waste Survey (IWS) Inventory: POTWs must identify and locate all possible
indirect dischargers that might be subject to the pretreatment program and identify the character
and volume of pollutants contributed to the POTW by the indirect dischargers (see 40 CFR
403.8(f)(2)). As EPA regulations require, this information shall be provided to the Division (see
40 CFR 122.440) and 40 CFR 403.8(f)(6)) as part of the 2024 Pretreatment Annual Report
(PAR). The IWS inventory shall be revised, as necessary, to include all indirect dischargers in
industry categories expected or suspected of PFAS discharges.'- (see 15A NCAC 02H
.0906(b)(2)).
(iv.) The Penmittee shall begin sampling of and/or issue IUPs for each indirect discharger identified
as suspected of PFAS discharges to the Pilot Creek WWTP to ensure sampling begins within
six months of completion of the IWS. _
(v.) The Division has determined that all SIUs and indirect dischargers identified above analyze
their discharge for PFAS at the same quarterly sampling frequency and with the same
analytical method to ensure protection of human health and the environment due to the
potential health hazards associated with PFAS. Collection and evaluation of this information
will also assist the Department in developing sound policies with respect to HAS in the
environment.
(vi.) The Permittee shall ensure that IUPs within the Archie Elledge WWTP service area are
modified or reissued, new IUPs are issued, and other Pretreatment Program mechanisms are
completed to address PFAS discharges to POTWs.
(vii.) In the absence of local limits, and based upon data as they become available, POTWs shall
encourage Best Management Practices (BMPs), pollution prevention, product substitution, and
good housekeeping practices to make meaningful reductions in PFAS introduced to POTWs.
Such BMPs could be like those included in the EPA Office of Water, December 5, 2022,
"Addressing PFAS Discharges in NPDES Permits and Through the Pretreatment Program and
Monitoring Programs."A3. "Best Management Practices (BMPs) for discharges of PFAS,
including product substitution, reduction, or elimination of PFAS, as detected by draft method
1633".
(viii.) A summary of all actions taken by the Permittee and their industries and monitoring conducted
by each indirect discharger identified as part of this Special Condition shall be provided as part
of the PAR (see 15A NCAC 02H .0908(b)).
Page 11 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
A.(10.) LAGOON CLOSURE / REHABILITATION AND GROUNDWATER MONITORING
REQUIREMENTS
[NCGS 143-215.1(b)]
(a.) Within 180 days of the permit effective date, the Permittee shall submit a plan for closure and/or
rehabilitation of the lagoons at the site to the Division for approval.
(i.) The Permittee shall propose a closure plan and follow subsequent closure procedures outlined
in a memorandum dated January 22, 2012 (See "Guidelines for the Closure of Permitted
Wastewater Ponds and Lagoons").
(ii.) The plan shall include a groundwater monitoring plan with proposed parameters and
monitoring frequencies. Groundwater monitoring shall continue until the lagoons have been
closed or rehabilitated.
(b.) At least 270 days prior to the expiration of this permit, the Permittee shall provide an updated sludge
depth survey and a full composited sludge analysis of the parameters listed in the memorandum dated
January 22, 2012 ("Guidelines for the Closure of Permitted Wastewater Ponds and Lagoons").
(c.) All documents required in this memorandum shall be submitted to:
NCDEQ/Division of Water Resources NCDEQ/Division of Water Resources
Non -Discharge Permitting wit Water Quality Regional Operations /WSRO
1617 Mail Service Center 450 W. Hanes Mill Road, Suite 300
Raleigh, NC 27699-1617 Winston-Salem, NC 27105-7407
NCDEQ/Division of Water Resources
Water Quali ermitting Section
1617 Mail Sce Center
Raleigh, NC 27699-1617,E
A.(11.) ELECTRONIC REPORTING -DISCHARGE MONITORING REPORTS
[NCGS 143-215.I(b)]
Federal regulatio s require electronic submittal of all discharge monitoring reports (DMRs) and program
reports. The fin DES Electronic Reporting Rule was adopted and became effective on December 21,
2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)1
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic
Discharge Monitoring Report (eDMR) internet application.
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DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178E03DDOC
Permit NC0037834
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted monthly electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. The eDMR system may be accessed
at: https://deq.nc.gov/about/divisions/water-resources/edmr.
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 may be 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 following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 }
See "How to Request a Waiver from Electronic Reporting" section below.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
reported via the eDMR system no later than the last calendar day of the month following the completed
reporting period. Regardless of the submission method, the first DMR is due olft 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.
Starting on December 21, 2025, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports; and
• Pretreatment Program Annual Reports; and
• Clean Water Act (C WA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a
Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(l)(9), the permittee must identify the initial recipient at the time of
each electronic submission. The permittee should use the EPXs website resources to identify the initial
recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity
(EPA or the state authorized by EPA to implement the NPDES program) that is the designated entity
for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each
type of electronic submission and for each state. Instructions on how to access and use the appropriate
electronic reporting tool will be available as well. Information on EPXs NPDES Electronic Reporting
Rule is found at: httt)s://www.federalrea ster.pov/documents/2015/10/22/2015-24954/national-
pollutant-discharge-elimination-system-npdes-electronic-reporting-`
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
Page 13 of 17

DocuSign Envelope ID: FB9D71 D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
3. How to Request a Waiver from Electronic Resorting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to the
Division. Requests for temporary electronic reporting waivers 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 submitting monitoring data and reports. The duration of a temporary waiver
shall not exceed 5 years and shall thereupon expire. At such time, monitoring data and reports shall be
submitted electronically to the Division unless the permittee re -applies for and is granted a new
temporary electronic reporting waiver by the Division. Approved electronic reporting waivers are not
transferrable. Only permittees with an approved reporting waiver request may submit monitoring data
and reports on paper to the Division for the period that the roved reporting waiver request is
IV
effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the
following web page:
http://deg.nc.gov/about/divisions/water-resources/edmr
4. Si¢natory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.) (d)l
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part 11,
Section B. (I I.)(a) or by a duly authorized representative of that person as described in Part II, Section
B. (I1.)(b). A person, and not a pqjkjjLn, 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:
http://deg.nc.gov/about/divisions/water-resources/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 WILL
BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or persons
who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations. "
5. Records Retention [Supplements Section D. (6.)]
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].
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DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
NCO037834 - Archie Elledge WWTP j L,Facility
Latitude: 36'01'04- Sub -Basin: 03-07-04 tion
Longitude: 80°18'64" uad#: C17SE
Stream Class: C City of Winston-Salem
Receivin�Stream: SalemCreekForsyth County
Page 15 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
PFAS Target Analytes EPA Method 1633
(41h Draft, July 2023).
largo knakic,Name
Abbresiation
\umber
Parameter
Code
Perlluoroalk%l carboxN lie acids
Perfluorobutanoic acid
PFBA
375-22-4
51522
Perfluoropentanoic acid
PFPeA
2706-90-3
51623
Perfluorohexanoic acid
PFHxA
307-24-4
51624
Perfluoroheptanoic acid
PFHpA
375-85-9
51625
Perfluorooctanoic acid
PFOA
335-67-1
51521
Perfluorononanoic acid
PFNA
375-95-1
51626
Perfluorodecanoic acid
PFDA
335-76-2
51627
Perfluoroundecanoic acid
PFUnA
2058-94-8
51628
Perfluorododecanoic acid
PFDoA
307-55-1
51629
Perfluorotridecanoic acid
PFTrDA
72629-94-8
51630
Perfluorotetradecanoic acid
PFTeDA
376-06-7
51531
Perfluoroalkyl sulfonic acids
Perfluorobutanesulfonic acid
PFBS
375-73-5
52602
Perfluoropentanesulfonic acid
PFPeS
2706-91-4
52610
Perfluorohexanesulfonic acid
PFHxS
355-46-4
52605
Perfluoroheptanesulfonic acid
PFHpS
375-92-8
52604
Perfluorooctanesulfonic acid
PFOS
1763-23-1
52606
Perfluorononanesulfonic acid
PFNS
68259-12-1
52611
Perfluorodecanesulfonic acid
PFDS
335-77-3
52603
Perfluorododecanesulfonic acid
PFDoS
79780-39-5
52632
Fluorotelomer sulfonic acids
IH,1H,2H,2H-Perfluorohexane sulfonic acid
4:2FTS
757124-72-4
52607
1H,1H,2H,2H-Perfluorooctane sulfonic acid
6:2FTS
27619-97-2
52608
1H,1H,2H,2H-Pertluorodecane sulfonic acid
8:2FTS
39108-34-4
52609
Perfluorooctane sulfonamides
Perfluorooctanesulfonamide
PFOSA
754-91-6
51525
N-methyl perfluorooctanesulfonamide
NMeFOSA
31506-32-8
52641
N-ethyl perfluorooctanesulfonamide
NEtFOSA
4151-50-2
52642
Table continues on next page.
Page 16 of 17

DocuSign Envelope ID: FB9D71D6-625A-45D5-B5F6-78178EO3DDOC
Permit NCO037834
Table continued from Appendix A. PFAS Target Anal tes EPA Method 1633 (4`h Draft, July 2023).
Target Analyte Name
Abbre%iation
CAS Number
Parameter
Code
Perfluorooctane sulfonamidoacetic acids
N-methyl perfluorooctanesulfonamidoacetic acid
NMeFOSAA
2355-31-9
51644
N-ethyl perfluorooctanesulfonamidoacetic acid
NEtFOSAA
2991-50-6
51643
Perfluorooctane sulfonamide ethanols
N-methyl perfluorooctanesulfonamidoethanol
NMeFOSE
24448-09-7
51642
N-ethyl perfluorooctanesulfonamidoethanol
NetFOSE
1691-99-2
51641
Per- and Polyfluorother carboxylic acids
Hexafluoropropylene oxide dimer acid
HFPO-DA
13252-13-6
52612
4,8-Dioxa-3H-perfluorononanoic acid
ADONA
919005-14-4
52636
Perfluoro-3-methoxypropanoic acid
PFMPA
377-73-1
PF002
Perlfuoro-4-methoxybutanoic acid
PFM13A
863090-89-5
PF006
Nonafluoro-3,6-dioxaheptanoic acid
NFDHA
151772-58-6
52626
Ether sulfonic acids
9-Chlorohexadecafluoro-3-oxanonane-l-sulfonic acid
9CI-PF3ONS
756426-58-1
PF003
11-Chloroeicosafluoro-3-oxaundecane-l-sulfonic acid
11 Cl-PF3OUdS
763051-92-9
PF004
Perfluoro(2-ethoxyethane)sulfonic acid
PFEESA
113507-82-7
52629
Fluorotelomer carboxylic acids
3-Perfluoropropyl propanoic acid
3:3FTCA
356-02-5
PF001
2H,2H,3H,3H-Perfluorooctanoic acid
5:3FTCA
91463749-3
PF007
3-Perfluoroheptyl propanoic acid
7:3FTCA
812-70-4
PFOOS
Page 17 of 17