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Submit by Anonymous User 10/6/2023 8:40:43 AM (Supplemental Submittal)
Submit by Wren.Thedford 1/31/2024 2:38:47 PM (Supplemental Info Submittal)
• The task was assigned to Wren.Thedford, bradley.bennett 10/6/2023 8:40:45 AM
• Wren.Thedford assigned the task to Wren.Thedford 10/6/2023 8:50:31 AM
Initial Review Information
.........
Updated ID#: * IMPORTANT: REVIEWER SHOULD VERIFY and revise here if necessary.
NCO024538
How should this project be handled? *
File Discard
Information Submitted on 10/6/2023
Submitter Information
Name: John Reuscher
Who is submitting the information?
Email Address:* John.Reuscher@cityofshelby.com
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental information
associated with discharge monitoring reports (DMR). All DMR data is required to be submitted electronically through
the eDMR system and should not be submitted here. Division staff will review all uploaded documents and will only
maintain required information. Documents such as laboratory reports are not required to be submitted and will not be
maintained in the system.
Project Information:
Please supply the permit number for this project.
...............................................................................................................................
Existing ID#* Permit Number
NCO024538
Examples: NCxxxxxxx or NCGxxxxxx
Facility Name: * First Broad River Wastewater Treatment Plant
County: Cleveland
Please upload all files that need to be submited. *
Click the upload button or drag and drop files here to attach document
2023 PPS Signed.pdf
Only pdf files are accepted.
400.86KB
Please provide descriptive comments about the attached information.
Attached is the 2023 Effluent Pollutant Scan, completed on May 2, 2023. Due to a login oversight by Pace Analytical,
1,4-Dioxane was run as 624.1 with a quantitation level of 100 ug/L. The City re -sampled on May 23, 2023 and 1,4-
Dioxane was analyzed using method 624.1 SIM with a quantitation level of 3 ug/L and a detection limit of 1 ug/L. It was
reported to the City as a non -detect and no "J" flags were reported.
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information form."
Full Name: John Reuscher
Signature:
C'�A�Fir�l�A'FGt
Date Submitted: 10/06/2023
Annual Monitoring and Pollutant Scan
Permit No. NC0024538 Month May
Outfall Pipe 001 Year 2023
Facility Name First Broad River W WTP ORC Steve Smith
Date of sampling 5 02 2023 & 5 23 2023 For 1 4-Dioxane- 624.1 SIM Phone 704-484-6850
Analytical Laboratory Pace Analytical
Parameter
Parameter
Sample Type
Analytical Method
Quantitation
Sample
Units of
Code
Level
Result
Measurement
Ammonia (as N)
_C0610
Composite
SM 4500 NH3 D
0.5
1.5
mg/L
Chlorine (total residual, TRC)
50060
Grab
SM 4500 Cl G
10
20
ug/L
Dissolved Oxygen
00300
Grab
SM 4500 O G
0.1
6.9
mg/L
Nitrite plus Nitrate Total (as N)
00630
Composite
353.2
0.1
6.8
mg/L
Total Kjeldahl Nitrogen
00625
Composite
351.2
0.1
2.8
mg/L
Oil and Grease
00556
Grab
1664B
5.0
ND
mg/ L
Total Phosphorus
C0665
Composite
365.1
0.050
2.0
mg/L
Total Dissolved Solids
70295
Composite
SM 2540C
25
280
mg/L
Hardness
00900
Composite
SM 2340C
10
80
mg/L
Metals (total recoverable), cyanide and total phenols
Antimony
01097
Composite
200.8
5.0
ND
ug/L
Arsenic
01002
Composite
200.8
2.0
ND
ug/L
Beryllium
01012
Composite
200.8
1.0
ND
ug/L
Cadmium
01027
Composite
200.8
0.50
ND
ug/L
Chromium
01034
Composite
200.8
5.0
ND
ug/L
Copper
01042
Composite
200.8
2.0
2.3
ug/L
Lead
01051
Composite
200.8
2.0
ND
ug/L
Mercury (Method 1631E)
COMER
Grab
1631E
0.500
2.2
ng/L
Nickel
01067
Composite
200.8
2.0
ND
ug/L
Selenium
01147
Composite
200.8
5.0
ND
ug/L
Silver
01077
Composite
200.8
1.0
ND
ug/L
Thallium
01059
Composite
200.8
2.0
ND
ug/L
Zinc
01092
Composite
200.8
10
21
ug/L
Cyanide
00720
Grab
SM 4500-CN E-2
0.010
ND
mg/L
Total phenolic compounds
32730
Grab
420.4
0.0050
ND
mg/L
Volatile organic compounds
Acrolein
34210
Grab
624.1
5.0
ND
ug/L
Acrylonitrile
34215
Grab
624.1
5.0
ND
ug/L
Benzene
34030
Grab
624.1
1.0
ND
ug/L
Bromoform
32104
Grab
624.1
1.0
ND
ug/L
Carbon Tetrachloride
32102
Grab
624.1
1.0
ND
ug/L
Chlorobenzene
34301
Grab
624.1
1.0
ND
ug/L
Chlorodibromomethane
34306
Grab
624.1 1
1.0
ND
ug/L
Chloroethane
85811
Grab
624.1
2.0
ND
ug/L
2-chloroethyl vinyl ether
34576
Grab
624.1
5.0
ND
ug/L
Chloroform
32106
Grab
624.1
1.0
2.1
ug/L
Dichlorobromomethane
32101
Grab
624.1
1.0
ND
ug/L
1,1-dichloroethane
34496
Grab
624.1
1.0
ND
ug/L
112-dichloroethane
32103
Grab
624.1
1.0
ND
ug/L
Trans-1,2-dichloroethylene
34546
Grab
624.1
1.0
ND
ug/L
1,1-dichloroethylene
34501
Grab
624.1
1.0
ND
ug/L
Form - DMR- PPA-1
Page 1
Annual Monitoring and Pollutant Scan
Permit No. NC0024538 Month May
Outfall Pipe 001 Year 2023
Parameter
1,2-dichloropropane
Parameter
Code
34541
Sample Type
Grab
Analytical Method
Quantitation
Level
Sample
Result
Units of
Measurement
624.1
1.0
ND
ug/L
1,3-dichloropropylene
77163
Grab
624.1
1.0
ND
ug/L
1,4-dioxane
82388
Grab
624.1
100
ND
ug/L
1,4-dioxane
82388
Grab
624.1 (SIM)
3.0
ND
ug/L
Ethylbenzene
Methyl Bromide
34371
34413
Grab
Grab
624.1
624.1
1.0
2.0
ND
ND
ug/L
ug/L
Methyl Chloride
34418
Grab
624.1
2.0
ND
ug/L
Methylene Chloride
34423
Grab
624.1
1.0
ND
ug/ L
1,1,2,2-tetrachloroethane
81549
Grab
624.1
1.0
ND
ug/L
Tetrachloroethylene
34475
Grab
624.1
1.0
ND
ug/L
Toluene
34010
Grab
624.1
1.0
ND
ug/L
1,1,1-trichloroethane
34506
Grab
624.1
1.0
ND
ug/L
1,1,2-trichloroethane
34511
Grab
624.1
1.0
ND
ug/L
Trichloroethylene
39180
Grab
624.1
1.0
ND
ug/L
1,2-dichlorobenzene
34536
Grab
624.1
1.0
ND
ug/L
1,3-dichlorobenzene
34566
Grab
624.1
1.0
ND
ug/L
1,4-dichlorobenzene
34571
Grab
624.1
1.0
ND
ug/L
1,2,4,-trichlorobenzene
34551
Grab
624.1
1.0
ND
ug/L
Vimvl Chloride
39175
Grab
624.1
1.0
ND
ug/L
1ncxu-cxiraci.aEPw compounas
P-chloro-m-cresol
34452
Composite
625.1
8.0
ND
ug/L
2-chlorophenol
34586
Composite
625.1
8.0
ND
ug/L
2,4-dichlorophenol
34601
Composite
625.1
8.0
ND
ug/L
2,4-dimethylphenol
34606
Composite
625.1
8.0
ND
ug/L
4,6-dinitro-o-cresol
2,4-dinitrophenol
2-nitrophenol
34657
34616
34591
Composite
Composite
Composite
625.1
625.1
625.1
40
40
16
ND
ND
ND
ug/L
ug/L
ug/L
4-nitrophenol
34646
Composite
625.1
40
ND
ug/L
Pentachlorophenol
39032
Composite
625.1
40
ND
ug/L
Phenol
34694
Composite
625.1
8.0
ND
ug/L
2,4,6-trichlorophenol
34621
Composite
625.1
8.0
ND
ug/L
lnase-neutral compounds
Acenaphthene
34205
Composite
625.1
8.0
ND
ug/L
Acenaphthylene
34200
Composite
625.1
8.0
ND
ug/L
Anthracene
CO220
Composite
625.1
8.0
ND
ug/L
Benzidine
39120
Composite
625.1
40
ND
ug/L
Benzo(a)anthracene
34526
Composite
625.1
8.0
ND
ug/L
Benzo(a)pyrene
34247
Composite
625.1
8.0
ND
ug/L
3,4 benzofluoranthene
Benzo(ghi)perylene
Benzo(k)fluoranthene
Bis (2-chloroethoxy) methane
Bis (2-chloroethyl) ether
34230
34521
34242
34278
34273
Composite
Composite
Composite
Composite
Composite
625.1
625.1
625.1
625.1
625.1
8.0
8.0
8.0
8.0
8.0
ND
ND
ND
ND
ND
ug/L
ug/L
ug/L
ug/L
ug/L
Bis (2-chloroisopropyl) ether
Pis (2-ethylhexyl) phthalate
34283
39100
Composite
Composite
625.1
625.1
8.0
40
ND
ND
ug/L
ug/L
4-bromophenyl phenyl ether
34636
Composite
625.1
8.0
ND
ug/L
Form - DMR- PPA-1 Page 2
Annual Monitoring and Pollutant Scan
Permit No. NCO024538 Month Mav
Outfall Pipe 001 Year 2023
Parameter
Parameter
Code
34292
Sample Type
Analytical Method
Quantitation
Level
Sample
Result
Units of
Measurement
Butyl benzyl phthalate
Composite
625.1
8.0
ND
ug/L
2-chloronaphthalene
34581
Composite
625.1
8.0
ND
ug/L
4-chlorophenyl phenyl ether
34641
Composite
625.1
8.0
ND
ug/L
Chrysene
34320
Composite
625.1
8.0
ND
ug/L
Di-n-butyl phthalate
39110
Composite
625.1
8.0
ND
ug/L
Di-n-octyl phthalate
34596
Composite
625.1
8.0
ND
ug/L
Dibenzo(a,h)anthracene
34556
Composite
625.1
8.0
ND
ug/L
3,3-dichlorobenzidine
34631
Composite
625.1
40
ND
ug/L
Diethyl phthalate
34336
Composite
625.1
8.0
ND
ug/L
Dimethyl phthalate
34341
Composite
625.1
8.0
ND
ug/L
2,4-dinitrotoluene
34611
Composite
625.1
16
ND
ug/L
2,6-dinitrotoluene
C0626
Composite
625.1
16
ND
ug/L
1,2-diphenylhydrazine
34346
Composite
625.1
8.0
ND
ug/L
Fluoranthene
C0376
Composite
625.1
8.0
ND
ug/L
Fluorene
34381
Composite
625.1
8.0
ND
ug/L
Hexachlorobenzene
C0700
Composite
625.1
8.0
ND
ug/L
Hexachlorobutadiene
39702
Composite
625.1
8.0
ND
ug/L
Hexachlorocyclo-pentadiene
34386
Composite
625.1
40
ND
ug/L
Hexachloroethane
34396
Composite
625.1
8.0
ND
ug/L
Indeno(1,2,3-cd)pyrene
34403
34408
Composite
625.1
8.0
ND
ug/L
Isophorone
Composite
625.1
8.0
ND
ug/L
Naphthalene
34696
Composite
625.1
8.0
ND
ug/L
Nitrobenzene
34447
Composite
625.1
8.0
ND
ug/L
N-nitrosodi-n-propylamine
34428
Composite
625.1
8.0
ND
ug/L
N-nitrosodimethylamine
34438
Composite
625.1
8.0
ND
ug/L
N-nitrosodiphenylamine
34433
Composite
625.1
8.0
ND
ug/L
Phenanthrene
34461
Composite 1
625.1
8.0
ND
ug/L
I rene
34469
Composite
625.1
8.0
ND
ug/L
Sampling should be conducted as specified in 40 CFR Part 136.
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 managed 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."
Ailthoriz6d Re r r*tathrepai`
Sign&cure
6-/G-ZOZ3
Date
Form - DMR- PPA-1 Page 3